POA Decision – 1999/01/12-01 – Schedule B, Item 16 – HAVS; Hypothenar Hammer Syndrome; and Vinyl Chloride Induced Raynaud’s Phenomenon
The Panel approved amendments to Schedule B and corresponding policy language to better reflect current scientific/medical knowledge. The Panel also updated the "Description of Disease" to replace "Vascular disturbances of the extremities" with the more commonly used term, "Hand-arm vibration syndrome" (HAVS). The "Description of Process or Industry" was amended including removal of the reference to "low temperatures". Corresponding changes were made to the Rehabilitation Services and Claims Manual (RSCM #27.10, #27.13, and #115.30) and to the Assessment Policy Manual (APM #30:50:52). In addition, the Policy on HAVS was expanded to include a discussion of the most important risk factors for this condition and examples of the types of tools that can cause it. The Panel approved the addition of "Hypothenar Hammer Syndrome" and "Vinyl Chloride Induced Raynaud's Phenomenon" to the list of occupational diseases recognized by regulation. Policy #26.03 of the Rehabilitation Services and Claims Manual (RSCM) was amended to reflect this change. In addition, policy language for hypothenar hammer syndrome was approved (RSCM #27.14). The policy includes a description of the common causes of hypothenar hammer syndrome and the factors that are considered in determining whether the condition is work-related. The effective dates of these amendments will be 30 days after first publication in the Gazette.