Indigenous Population And Ckd

Front 1

ESKD in Aus

Back 1

Front 2

Gap in life expectancy

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•Gap in life expectancy estimated by ABS
–12 years for men and 10 years for women
•80% of the mortality gap amongst people aged 35 to 74 years due to chronic diseases
•50% of the gap made up by the inextricably related chronic diseases


heart disease, diabetes, stroke and kidney disease

Front 3

New patients kidney failure

Back 3

Front 4

Kidney disease patterns;
by location

Back 4

Front 5

What drives the burden of disease?

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•Initiation and progression of disease genetically determined
•Racial differences in physiological processes and pathological responses
- THRIFTY genotype (famine and hunter gathers)

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Environmental changes

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Early life determinants

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massive fall in infant mortality; and so now lots of low birth weight babies a re surviving and getting these chronic disease (maternal nutrition and stuff)

LBW 70% increase in kidney disease

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Early development explanation

Back 8

after 37 weeks we dont get more nephrons

so small babies have less to begin with

Front 9

Kidney biopsy findings in low birth weight Aboriginal Babies

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glomerulimegaly in the abos (at the same magnification)

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EDSK in Indigenous Aus

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Energy density and cost of foods

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Front 12

Comprehensively addressing kidney disease

Back 12