The authors thank this community, its clinics and its Land Council for their approval of, and participation in, this research. They thank the clinics especially for access to delivery log books, death logs and medical records. This study would not have been possible without the meticulous work and records of the mission clinic, run by the Sisters of Our Lady of the Sacred Heart, and the assistance and the parish records supplied by the parish priests, members of the Order of the Missionaries of the Sacred Heart. The authors are grateful to Dr Alan Walker for access to the Royal Darwin Hospital delivery room logs, and Emma Kile, Gurmeet Singh and Andrew White for assisting in the collection of birth weights. They thank the Renal Team at Menzies School of Health Research for all their good work over the years. They also thank Professor John Mathews, who, as Founding Director of the Menzies School of Health Research, stimulated interest in the influence of birth weight on health.
The Tiwi Land Council provided seed funding of US $50,000 in 1992 to start this ongoing engagement, through the Stanley Tipiloura Fund. Professor Wendy Hoy received additional funds that have contributed to the current study through the National Health and Medical Research Council (NHMRC) Project Grants ‘Epidemiology and Prevention of Aboriginal Renal. Disease, Part 1’ grant number 921134, and ‘Epidemiology and Prevention of Aboriginal Renal Disease, Part 2’ grant number 951342; as well as the NHMRC Program Grant ‘Health outcomes monitoring and evaluation: learning about activity, nutrition, diet and social factors (HOMELANDS)’ grant number 320860; and The NHMRC Australia Fellowship ‘Chronic Disease in High Risk Populations’ grant number 511081. The Colonial Foundation of Australia contributed funding through four grants: Studies on the Susceptibility to Renal Disease (2001–2005); Aboriginal Chronic Disease Outreach Program in Australia, Western Australia (2001–2005); Studies on Kidney and Related Chronic Disease in Aboriginal People, Part 2 (2006–2008); and Primary and Secondary Prevention of Chronic Disease in Aboriginal People in Remote Areas (2009–2011). Dr Hoy is currently supported by the NHMRC Centre of Research Excellence in Chronic Kidney Disease, grant number 1079502.
Conflicts of Interest
The authors assert that all procedures contributing to this work comply with the ethical standards of the relevant national guidelines on human experimentation (National Statement on Ethical Conduct in Human Research (2007) – Updated May 2015) and with the Helsinki Declaration of 1975, as revised in 2008. Ethics approval for work that includes the birth weight and mortality reviews was granted for the specific, Epidemiology and Prevention of renal disease in Australian Aborigines, Part 1 (HREC:Number: 91/20) and Epidemiology and Prevention of renal disease in Australian Aborigines, Part 2 (HREC:Number: 94/02), by the Ethics committees of the Royal Darwin Hospital and Territory Health Services, NT. Ethics approval for this work was also granted as a third project, An updated view of chronic disease profiles and chronic disease deaths in the Tiwi community: a 10-year follow-up, by the Human Research Ethics Committee of the Menzies School of Health Research, NT (HREC: Number: 03/51) and The University of Queensland, Brisbane, QLD (HREC: Number: 2004000028). The Tiwi Land Council also approved this research.
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