It is well established in B.C. that the issue of causation or, as in this case aggravation, requires evidence that something in the employment had causative significance in producing the injury. Work does not have to be the sole cause (Chima v. Workers’ Compensation Appeal Tribunal, 2009 BCSC 1574), nor the dominant cause of a worker’s injury (Schulmeister v. British Columbia (Workers’ Compensation Appeal Tribunal), 2007 BCSC 1580), be it physical or psychological. Work need only be of causative significance. Only if personal or non-employment‑related factors are so dominant or exclusive such that the compensable injury is not a significant causal factor, (i.e. a de minimis factor: Albert v. British Columbia (Workers’ Compensation Appeal Tribunal), 2006 BCSC 838), would compensability be denied.
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