World Alzheimer report 2009

(more research needs to be funded and conducted into the causes of Alzheimer’s)

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This Report gives an overview and analysis of the prevalence and impact of Alzheimer's disease, based on systematic review identifying studies in 21 Global Burden of Disease (GBD) world regions. It then offers a framework of recommendations for improved understanding and treatment of the disease.

Key points highlighted include:
- 58% of all people with dementia worldwide live in low and middle income countries, rising to 71% by 2050
- the authors estimate 35.6 million people with dementia in 2010, the numbers nearly doubling every 20 years, to 65.7 million in 2030 and 115.4 million in 2050
- health spending and investment in research is very much higher for cancer and heart disease than for dementia and stroke.
In low and middle income countries, especially, although not exclusively, there is a general lack of awareness of Alzheimer’s and other dementias as medical conditions. They are perceived as a normal part of ageing . This general lack of awareness has important consequences:
* there is little or no structured training on dementia recognition and management at any level of the health service. Families are the main caregivers, with little support or understanding from other individuals or agencies
* there is no constituency to place pressure on the government or policy makers to provide more responsive dementia care services
Alzheimer’s and other dementias are often specifically excluded from residential care, where it exists, and often denied admission to hospital facilities. Disturbed behaviour, common among people with dementia, is particularly poorly understood, leading to stigma, blame and distress for caregivers.
Recommendations:
+ the World Health Organization (WHO) should declare dementia a world health priority
+ national governments should declare dementia a health priority and develop national strategies to provide services and support for people with dementia and their families
+ low and medium income countries should create dementia strategies based first on enhancing primary healthcare and other community services
+ high income countries should develop national dementia action plans with designated resource allocations
+ develop services that reflect the progressive nature of dementia
+ distribute services with the core principle of maximising coverage and ensuring equity of access, to benefit people with dementia regardless of age, gender, wealth, disability, and rural or urban residence
+ create collaboration between governments, people with dementia, their carers and their Alzheimer associations, and other relevant Non-Governmental Organisations and professional healthcare bodies
+ more research needs to be funded and conducted into the causes of Alzheimer’s disease and other dementias, pharmacological and psychosocial treatments, the prevalence and impact of dementia, and the prevention of dementia. ...http://www.eldis.org

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