Dementia

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I personally understand the impact this disease has on each life and family, being the caregiver for my mother, the lovely screen actress Rita Hayworth who was diagnosed with young onset Alzheimer’s disease in 1981. I felt so alone, and the stress of managing my mother would have been unbearable if not for the support I received from the Alzheimer’s Association … With more than 35 million people with dementia worldwide, the battle against this tragic condition and enormous challenge continues. I hope this report will bring us further in raising global awareness, setting policies and join efforts to find solutions for the disease. Princess Yasmin Aga Khan, PRESIDENT, ALZHEIMER’S DISEASE INTERNATIONAL Alzheimer’s disease is tragic for the people suffering from it as well as their family members. Since 2007, France has made an extraordinary effort in the fight against this disease, to better understand it, to better care and to better support the patients and their families. The implementation of the French Alzheimer’s Plan exemplifies these efforts. The perception of Alzheimer’s disease in society has changed and this is a major victory. Health professionals are now better trained, well-coordinated, and more accessible to those who need them. Furthermore, only through dedicated research can we find the cure for this devastating disease. We have everything to gain by joining our forces, worldwide, in the fight against Alzheimer’s disease. Mr Nicolas Sarkozy, President, France We need to pay more attention at the level of policy and programme to non-communicable diseases including mental health which have not received adequate attention. <strong>Dementia</strong> is one such disease, and we need to put in place programmes for the care of persons with dementia and for the support of family members. I trust the WHO publication will be useful to all Member States. Mr G.N. Azad, Minister of Health and Family Welfare, India • There are currently more than 35 million people living with dementia. • A new case of dementia occurs somewhere in the world every four seconds. • The current global costs for dealing with dementia are estimated to be more than US$ 600 billion per year. • <strong>Dementia</strong> is overwhelming for the caregivers and adequate support is required for them from the health, social, financial and legal systems. • Urgent actions are needed and these include: - promoting a dementia friendly society globally; - making dementia a public health and social care priority worldwide; - improving attitudes to, and understanding of, dementia; - investing in health and social systems to improve care and services for people with dementia and their caregivers; and - increasing the priority given to dementia in the research agenda. The time to act is now! For more information, please contact: Department of Mental Health and Substance Abuse World Health Organization Avenue Appia 20 CH-1211 Geneva 27 Switzerland http://www.who.int/mental_health/ publications/dementia_report_2012
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Dementia A public health priority
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WHO Library Cataloguing-in-Publicat
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FOREWORD dementia is likely to rise
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Abbreviations A & TSI ADI ADL AIDS
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EXECUTIVE SUMMARY
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Country preparedness for dementia T
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CHAPTER 1 INTRODUCTION
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Box 1.1 What is dementia? Dementia
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In the majority of LMIC, and in som
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CHAPTER 2 EPIDEMIOLOGY OF DEMENTIA
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The quality of included studies The
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GBD region Sources of prevalence da
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Standardized prevalence (%) 9% 8% 7
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HIC LAMIC High-income Low- and midd
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Alzheimer’s disease Vascular deme
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GBD region Age group (years) Total
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Economic impact: the global societa
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GBD region Per capita costs (US$) N
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Etiology and potential for preventi
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The evidence base for the incidence
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CHAPTER 3 Dementia policy and plans
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Country Policy / plan / strategy ti
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Box 3.1 The Alzheimer’s Disease I
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Identifying priority areas for acti
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Social and legal protection, human
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Population-based catchment area Num
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attitudes reflect the ethical chall
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Early diagnosis also has a potentia
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CHAPTER 4 DEMENTIA HEALTH AND SOCIA
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The roles of different cadres of he
Page 62 and 63: Pre-diagnosis Diagnosis Post-diagno
Page 64 and 65: BOX 4.3 Day-care centres for people
Page 66 and 67: BOX 4.5 Care for people with dement
Page 68 and 69: BOX 4.7 The dementia care network i
Page 70 and 71: BOX 4.8 A multidisciplinary approac
Page 72 and 73: Clinical guidance Depending on the
Page 74 and 75: The changing demographic of care wo
Page 76 and 77: CHAPTER 5 Dementia Caregiving and C
Page 78 and 79: International organizations Neighbo
Page 80 and 81: LMIC country sites one third to two
Page 82 and 83: Caregiver strain Caregivers experie
Page 84 and 85: GBD region (green = imputed) Basic
Page 86 and 87: There are also forthcoming examples
Page 88 and 89: Barriers to accessing caregiver ser
Page 90 and 91: CHAPTER 6 PUBLIC UNDERSTANDING OF D
Page 92 and 93: The impact of stigma Low levels of
Page 94 and 95: Theme 2: Reducing the stigma of dem
Page 96 and 97: Raising awareness in the political
Page 98 and 99: CHAPTER 7 THE WAY FORWARD
Page 100 and 101: The value of action At the launch o
Page 102 and 103: For resource-poor settings, such as
Page 104 and 105: References 1. Presidential Proclama
Page 106 and 107: 104. Angevaren M et al. Physical ac
Page 108 and 109: 203. Alzheimer’s Australia. Demen
Page 110 and 111: 298. Glaser R, Kiecolt-Glaser JK. C
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Dementia

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