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Tuesday, October 26, 2010

Can the world's ageing population benefit Africa?


The African continent has an unprecedented opportunity in the fact that, as of 2050, only five percent of its population will be 65 or older. By then the developed world, China included, will have aged to the extent that its own workforces no longer seem young and plentiful. For Africa to take advantage of this demographic boon, it should probably learn some lessons from the People’s Republic.

By KEVIN BLOOM.

The Oxford Institute of Ageing, which published the seminal Global Ageing Survey in 2008, argues that fundamental shifts in the demographic structures of society will affect the geopolitical order of the 21st century. The OIA makes a few other points – like that the general ageing of the world’s population will change the way we live and work, our healthcare and education systems, our patterns of saving and consumption, the provision of housing and transport – but somehow it’s the part about the new geopolitical order that sticks out. Structural changes in countries are one thing, and no doubt they’re going to be tough to deal with in themselves. A shift in the geopolitical order? That’s something else entirely.

On the surface, the forces that will be driving this geopolitical shift as we move further into the 21st century are simple enough to understand. For countries to age, people must have fewer children; in the developed world, people aren’t having enough children to keep their populations from getting older. Which means: the developing world will soon have much younger people in the workforce, and therefore a more energetic workforce, and therefore an inherent advantage over the developed world.

Of course, the reality is a little more complicated. An article published in the New York Times Magazine on 17 October explains why: “Today, many of the places that are growing old the fastest are in the developing world, largely because that’s where urbanization is most rapid. It is hard to conjure a situation in which people move back to the countryside and again have larger families. Instead, if past is prelude, today’s young countries like China will be the countries that in the not-distant future go shopping for younger workers in younger places. Those places will be transformed by satisfying an older China’s needs, and the cycle will repeat itself: when the world finds its next young place, that country may well age even more quickly than the formerly young countries that preceded it.”

The theory, taken from a forthcoming book by Ted C. Fishman entitled “Shock of Gray: The Ageing of the World’s Population and How It Pits Young Against Old, Child Against Parent, Worker Against Boss, Company Against Rival and Nation Against Nation,” (a mouthful, but then so are the problems to which it refers) is predicated on the notion that urban women wait longer to have babies. Bringing up children in the city is more expensive than it is in the countryside, and so, according to Fishman’s data, urbanised women will wait until they’re established in their jobs.

As far as Africa is concerned, this may or may not be good news in the medium-term. According to the Population Reference Bureau, a United States research and data analysis body, Ethiopia and the Democratic Republic of Congo will replace Russia and Japan on the list of the 10 most populous nations on Earth by 2050. By that time, the population of Africa is expected to be more than double its current figure – as per the bureau, the continent will then be home to 2.1 billion people, as opposed to China’s 1.48 billion (up marginally from its current 1.3 billion). The implication in these predictions is that China is ageing much faster than Africa, and may well “go shopping for younger workers” on the continent, which could in turn benefit the economies of the countries from where the African workers have come. The flipside, needless to say, is that if China and other economic powerhouses take too many of Africa’s young, African countries suffer.

Again, however the scenario plays out, the reality is going to be a lot more complicated than the options presented above. For starters, Africa has so far seen little or no direct benefit from its hundreds of thousands of young who’ve already emigrated to Europe to secure for themselves a better life. Western Europe may have a significant percentage of the countries with the world’s oldest populations, but as of 2010 these countries are not looking to Africa to buttress their ageing workforces – if anything, they’re putting more policies in place to stem the flow of African immigrants. Will the picture change as we head closer to 2050, when the median age in Western Europe will have climbed from just over 40 to around 50? Maybe. But by then advances in medical science and nanotechnology could mean that Europe’s own workforces are able to work well beyond the current retirement age.

Clearly, the unknown variables are almost too numerous to render today’s scenario predictions meaningful. What is beyond question, though, is that there’s an unprecedented opportunity for the African continent in the fact that only five percent of its population is projected to be 65 or older in 2050. Comparatively, 16 percent of the world’s population will be 65 or older by mid-century, with Europe being the grayest continent at 29 percent.

As the West’s “baby boomer” and China’s “Red Guard” generations age without the children to provide for them, the strains on the world’s most powerful nations will start to be felt. In large measure, Western Europe, America and China have all built and sustained their economies on the youthful vigour of their populations. If a young Africa shows the same foresight that a young China has shown for the last 30 years – and there’s no reason Africa shouldn’t, given the close ties that have developed between the two since the turn of the millennium – the upside for African nations could be huge.

Fishman writes: “China has gained new financial clout in relation to advanced industrial nations because it has grown rich enough as the youthful factory of the world to act as the developed countries’ banker.” A few lines later he notes that China is now caught in the irreversible dynamic of ageing, and that its “demographic denouement is coming”. Unsurprisingly, what Fishman neglects to mention is Africa – and its hundreds of millions of poor but energetic young.


Source: http://www.thedailymaverick.co.za/article/2010-10-18-can-the-worlds-ageing-population-benefit-africa

Friday, October 8, 2010

THE DEMENTIA INDIA REPORT 2010 : First in Developing country


THE DEMENTIA INDIA REPORT 2010 : Prevalence, impact, costs and services for dementia - AN EYE OPENER


• In 2010, there are 3.7 million Indians with dementia and the total societal costs is about 14,700 crore
• While the numbers are expected to double by 2030, costs would increase three times
• Families are the main carers and they need support


Meeting the challenge of dementia in India

It is estimated that over 3.7 million people are affected by dementia in our country. This is expected to double by 2030. It is estimated that the cost of taking care of a person with dementia is about 43,000 annually; much of which is met by the families. The financial burden will only increase in the coming years. The challenge posed by dementia as a health and social issue is of a scale we can no longer ignore. Despite the magnitude, there is gross ignorance, neglect and scarce services for people with dementia and their families. We know that dementia is not part of aging and is caused by a variety of diseases. We now have a range of options to treat the symptoms of dementia and offer practical help to those affected.

Alzheimer’s and Related Disorders Society of India (ARDSI) the national voluntary organization dedicated to the care, support and research of dementia has been in the forefront to improve the situation since 1992. ARDSI is committed to developing a society which is dementia friendly and literate. This could only happen if we have the political commitment at all levels to provide a range of solutions that deliver a life with dignity and honour for people with dementia.

The ‘Dementia India Report’ is an ambitious visionary document calling for government and policy makers to recognize dementia as a health and social welfare priority by developing a National Dementia Strategy. The report has been put together after a series of consultations across the country from January 2009 to March 2010. The editors have used these consultations and the data available from the findings of the 10/66 Dementia Research Group worldwide, the ADI’s World Alzheimer Report 2009and from other research in India.

This is a significant step forward in dementia care movement in our country. Many countries like Australia, England, France, Norway, Netherlands, and South Korea have already recognised the problem and have devised national dementia strategies and have made dementia a national health priority. It is coincidental the Ministry of Health is about to launch the National Health care programme for the elderly. The Ministry of Social Justice and Empowerment has undertaken the revision of the national policy for older persons. This could be used as an advantage for promoting better dementia care in the country. It is our fervent hope that this report will prompt the government for setting up memory clinics and other care services at the district levels and a National Alzheimer’s Centre at the capital. We sincerely hope that the government will consider the recommendations seriously and include dementia care in the primary healthcare system.

Recommendations:
1 Make dementia a national priority
2 Increase funding for dementia research
3 Increase awareness about dementia
4 Improve dementia identification and care skills
5 Develop community support
6 Guarantee carer support packages
7 Develop comprehensive dementia care models
8 Develop new National Policies and Legislation for PwD


We are facing a public health and social care emergency and immediate action is
needed!



Alzheimer's Disease International’s :Global Alzheimer's Disease Charter

Six principles to make Alzheimer's disease and other dementias a global priority:

1. Promote awareness and understanding of the disease.
2. Respect the human rights of people with the disease.
3. Recognize the key role of families and carers.
4. Provide access to health and social care.
5. Stress the importance of optimal treatment after diagnosis.
6. Take action to prevent the disease, through improvements in public health.

I would like to congratulate the editorial and scientific team for producing this brilliant report, which is the first of its kind from a developing country. We hope that this will stimulate the government, policy makers, health care professionals, family members and other associations to action and collaboration.

CONSULTATIVE GROUP

The authors would like to thank the participants who took part in the meetings across the country for their inputs and suggestions:
Dr.Suvarna Alladi, Dr. Mathew Abraham, Mrs. Rukshana Ansari, Dr. Shelley P Bhaskara, Dr.Shirin Barodawala, Dr. K Chandrasekhar, Dr.Vijay Chandra, Dr. Mathew Cherian, Dr. V P Gopinathen (Rtd.), Dr. S D Gokhale, Dr. S A Hafiz,Prof. Ejaz Hussain,Dr. K V John,Dr. Mathew Kanamala,Mr. S N Kuckereja,Dr. Ninan Kurien,Dr. VinodKumar,Dr.P S Mathuranath,Dr. Radha Murthy,Mrs.Nilanjana Maulik,Mr. Sailesh Mishra,Mr. Deepak Naik,Sqn. Ldr. KAR Nair (Rtd.),Dr. Mini Nair,Mrs. Shobha R Nair ,Mrs. Nirmala Narula,Dr. Dilip Panikar,Dr. Subhangi Parkar,Ms. Jasmin Pawri,Dr.Charles Pinto,Mr. T.K. Radhamonie,Mrs. Indirani Rajadurai,Dr. K S Rajani,Prof. S Siva Raju,Prof. Prasun Roy,Mr. M M Sabharwal,Mr. Ravi Samuel,Dr. N N Sarangi,Dr. R Sathianathan,Dr. K Selvaraj,Dr. Bela Shah,Mrs. Urvashi Shah, Dr. Yogesh Shah,Dr. S Shaji,Dr. Mala Kapur Shankardass,Mr. Brahmanand Singh,Dr. Mathew S Thomas,Dr. Manjari Tripathi,Mrs. Seita Vaidialingam,Mrs. Vijayalakshmi Viswanathan,Dr. N.H. Wadia


Special thanks to:
Dr Neela Patel,Dr A.B. Dey and Dr E S Krishnamurthy;Mr Michael Splaine, Director, State Affairs, Alzheimer's Association, US;Ms Florence Lustman, Inspector general des Finances ChargĂ©e du plan Alzheimer,France; Mr Andrew ketteringham, Director External Affairs, Alzheimer’s Society, UK ; Mr Marc Wortmann, Executive Director,Alzheimer’s Disease International; Ms Daisy Acosta, Chairman, Alzheimer’s Disease International;

The report and related initiative was possible because of the generous funding support from Dr Raghunandan Gaind.


ARDSI acknowledges the financial assistance and support of:
• NISD, Ministry of Social Justice and Empowerment
• Ministry of Health and Family Welfare, Government of India
• World Health Organisation
• Alzheimer’s Disease International
• HelpAge India
• Eisai India Ltd


With a new case of dementia in the world every seven seconds , THERE IS NO TIME TO LOSE.


Dr. K. Jacob Roy
National Chairman.
Alzheimer’s and Related Disorders Society of India (ARDSI)

Website: http://www.ardsi.org/index.html

Read complete Dementia India Report 2010: http://www.ardsi.org/assets/dementia.pdf

Read Summary - Dementia India Report 2010 :
http://www.ardsi.org/assets/report_summary.pdf



World Alzheimer Report 2010:http://www.alz.org/documents/national/World_Alzheimer_Report_2010_Summary%281%29.pdf



Silver Inning Foundation requests all the organization working for senior citizens, family members , care givers , social activist, youngsters , NGO’s, Government authorities ,UN and World Government to take serious note of this Dementia Report 2010 and support us to Fight Against Dementia.Let’s all of us come together and give New dimension to Dementia Care.

Sailesh Mishra
Founder President - Silver Inning Foundation
Founder – ARDSI Greater Mumbai Chapter

Website: www.silverinnings.com

Tuesday, October 5, 2010

The challenges of old age in India : GERON 2010

The recently concluded GERON 2010 held in Mumbai brought forth a lot of challenges that the elderly in our country face. Not only were stereotypes challenged during the process of this 2-day long 6th annual conference of the Indian Association for Geriatric Mental Health (IAMGH), the statistics shared by experts from all over the country revealed the plight of the elderly that they face on a day to day basis.

The theme of the conference, ‘Healthy Ageing: From Concept to Reality’, aimed to provide hope for the elder and experts spoke on various psychological, social and spiritual strategies to combat the disorders of ageing like depression and anxiety, and how to enhance wellness so as to ensure healthy ageing. Legal and policy measures were discussed to ensure this and the role of NGOs and media in the advocacy of this was highlighted with the conference ending on a positive note that health and ageing was indeed possible and is something that the elderly could look forward to in the future.


Facts of the day

The brewing crisis will eventually become hard to ignore. Today, one in every 10 persons is 60 years or older. By 2050, the United Nations projects that one in every five persons will be 60 years and older. In India, there were 76 million elderly individuals in 2001 and that number is expected to swell to 327 million by 2010. Also, 4/5ths of the elderly live in rural India.


The challenges of old age

Mind
Old age introduces people to a lot of changes to their lives, beginning with retirement, loss of a social network, and changes in familial roles. With nuclear families, quite often, elderly couples of individuals end up living alone. The other factor that plays on the elderly person’s mind is the closeness to death. As they get older, they have to face the death of friends, siblings and at times, the death of a spouse. This leads to loneliness.

These conditions make them vulnerable to developing mental illnesses, of which depression is the most common. There is a high risk of suicide associated with depression in the elderly and anxiety disorders, sleep disorders and addictions are also seen. About 20 per cent of medically ill patients show some psychiatric illness of which an escalating problem is dementia. About 6 per cent in the age group of 60-65 develop dementia, which goes up to 20 per cent by 80 years of age.

Body
Problems like joint pain can severely inhibit movement and that can take a toll on the over all fitness of an elderly person. This in turn triggers a cycle, where the drop in fitness makes movement more difficult. Another problem highlighted is that of malnutrition in the elderly, as explained by Prof Khursheed Mistry. According to her, water should form the base of the food pyramid for the elderly. Also, the elderly need to be careful of their protein intake. The other challenge faced is electrolyte balance, which can be difficult to maintain in case the person is on a low salt diet.

Society
While tales from our country depict the elderly as wise people, studies today show that it’s not the case. The elderly are often looked down upon and are not even considered in the family decision-making process as highlighted by Prof S Siva Raju, chairperson, Centre for Development Studies, Tata Institute of Social Sciences. Many times, the elderly are left to fend for themselves as their children migrate away. In the case of rural India, children move to the cities, and in the case of urban India, children move abroad.

How is dementia identified?

Whenever one talks of dementia, the most common symptom that people know about is forgetfulness. At what point does a person stop thinking of forgetfulness as a part of ageing and start considering it to be dementia? Dr Charles Pinto, President, IAGMH and Prof Emeritus, dept of Psychiatry, Nair Hospital explains, “Most people are not aware of the symptoms of dementia and quite often, people come with other complains that in turn points to the underlying cause, dementia. For example, people might overlook memory loss, but when behavioural changes occur in the elderly, people bring them to a psychiatrist.”

“Quite often, dementia goes unnoticed in the early years due to the brain’s ability to compensate. Abroad, it is mostly identified and diagnosed right after a holiday wherein when an elderly person gets disoriented in an unknown surrounding, something that will not happen if they are at home. The other situation is the death of the spouse, where in the spouse was compensating for the loss of function in the partner. It may also be identified when a person visits a doctor or a hospital for another medical problem,” elaborates Dr Norman Relkin, Director, Cornell Memory Disorders Centre and Director, Presbyterian Hospital / Weill Cornell Medical Centre.

Is dementia a recent phenomenon or has it always been there?

“Over the years, not only has the average life span of a person gone up, it’s also the quality of life that has improved. As people have begun living longer than before, age-related diseases like dementia are being identified in people. As the number of ageing people increases, so will the incidence and this might attain crisis proportions if we do not prepare for it,” cautions Dr Relkin.

Sailesh Mishra, Founder President, Silver Inning Foundation and Founder, ARDSI, Greater Mumbai Chapter adds, “There is an urgent need for caregivers in the country. In most cases, the task of care giving to the elderly falls on the family and at times, even on one person in the family. Constant care giving can lead to caregiver burnout. For this purpose, we train ‘replacement or relief’ caregivers who allow the regular caregiver to take some time out for himself or herself. The other urgent need is day care centres, of which there is a serious shortage. While we provide special training and classes for caregivers, there is still an shortage of people who can take up the task and this will only get worse with time as the aging population increases.”

By Elton Pinto

Courtesy: The challenges of old age, News,Times Wellness Online

Wednesday, September 29, 2010

World Elder’s Day 2010: Silver Inning Foundation Event


On the occasion of World Elders Day on 1st October 2010, Silver Inning Foundation once again organizes various event for our Senior Citizens in Mumbai, India . One such event is UMANG - A Stage Talent Show program for 50+ Senior Citizens. As there are not enough opportunity for elderly to show their talent ,the main purpose of this program is to provide a platform for Elderly to display their talents. This is not a competition between Elderly but a forum to encourage them to demonstrate their hidden talent. Come and support our Elderly.

1st Oct : Intergeneration Programme ,at Cosmopolitan School , Sheetal Nagar ,Mira Road ,8am to 9am . Supported by Cosmopolitan School .This programme is part of Joy of Giving Week 2010

2nd Oct : UMANG A Talent show for Senior Citizens Shivaji Natya Mandir , 3rd Floor, opp.Plaza Cinema ,Dadar west ,Mumbai at 2pm to 5.30pm .This is supported by Rotary Club of Mumbai Nariman Point & Rotaract Club of Rizvi law College . This programme is part of Joy of Giving Week 2010 and Walden University Global Day of Service 2010.

3rd Oct: UMANG A Talent show for Senior Citizens 5th Floor Auditorium , Bhaktivedanta Hospital , Mira Road East at 3pm to 6pm   


Contact to Participate:
Mona :9987104233 ; M.Ruparelia: 9821732855 ; Pradip Upadhaya: 9870707565

Email: silverinnings@gmail.com
Website: www.silverinnings.com

Friday, September 24, 2010

World Alzheimer Report 2010 :The Global Economic Impact of Dementia


Alzheimer’s Disease International : World Alzheimer Report 2010 :The Global Economic Impact of Dementia

In the World Alzheimer Report 2010, we build upon the findings detailed in the World Alzheimer Report 2009, to explore the cost of dementia to our societies. The Report contains an explanation of the methods used, detailed results for different economic and geographic regions, and we offer conclusions and recommendations in the final section.

As you will see, the figures are cause for great concern and we hope that this Report will act as a call to action for governments and policy makers across the world. It is vital that they recognize that the cost of dementia will continue to increase at an alarming rate and we must work to improve care and support services, treatment and research into dementia in all regions of the world. Lower income countries face a severe lack of recognition of dementia, placing a heavy burden on families and carers who often have no understanding of what is happening to their loved one. High income countries are struggling to cope with the demand for services, leaving many people with dementia and caregivers with little or no support. Consequently, we urge key decision makers to take notice of this very important document and to work with Alzheimer associations and with ADI to make dementia a national and global health priority.

The total estimated worldwide costs of dementia are US$604 billion in 2010.

About 70% of the costs occur in Western Europe and North America.

Costs were attributed to informal care (unpaid care provided by family and others), direct costs of social care (provided by community care professionals, and in residential home settings) and the direct costs of medical care (the costs of treating dementia and other conditions in primary and secondary care).
Costs of informal care and the direct costs of social care generally contribute similar proportions of total costs, while the direct medical costs are much lower. However, in low and middle income countries informal care accounts for the majority of total costs and direct social care costs are negligible.


Background
• Dementia is a syndrome that can be caused by a number of progressive disorders that affect memory, thinking, behaviour and the ability to perform everyday activities. Alzheimer’s disease is the most common type of dementia. Other types include vascular dementia, dementia with Lewy bodies and frontotemporal dementia.

• Dementia mainly affects older people, although there is a growing awareness of cases that start before the age of 65. After age 65, the likelihood of developing dementia roughly doubles every five years.

• In last year’s World Alzheimer Report, Alzheimer’s Disease International estimated that there are 35.6 million people living with dementia worldwide in 2010, increasing to 65.7 million by 2030 and 115.4 million by 2050. Nearly two-thirds live in low and middle income countries, where the sharpest increases in numbers are set to occur.

• People with dementia, their families and friends are affected on personal, emotional, financial and social levels. Lack of awareness is a global problem. A proper understanding of the societal costs of dementia, and how these impact upon families, health and social care services and governments may help to address this problem.

• The societal cost of dementia is already enormous. Dementia is already significantly affecting every health and social care system in the world. The economic impact on families is insufficiently appreciated.

• In this World Alzheimer Report 2010, we merge the best available data and the most recent insights regarding the worldwide economic cost of dementia. We highlight these economic impacts by providing more detailed estimates than before, making use of recently available data that considerably strengthens the evidence base.

– The World Alzheimer Report 2009 provides the most comprehensive, detailed and up-todate data on the prevalence of dementia and the numbers of people affected in different world regions.

– The 10/66 Dementia Research Group’s studies in Latin America, India and China have provided detailed information on informal care arrangements for people with dementia in those regions.

– For this Report, Alzheimer’s disease International has conducted a global survey of key informants regarding the extent of use of care homes in different world regions.




Recommendations
1 Alzheimer’s Disease International calls on governments to make dementia a health priority and develop national plans to deal with the disease.

2 Alzheimer’s Disease International reminds governments of their obligations under the UN Convention on the Rights of People with Disabilities, and the Madrid International Plan for Action on Ageing to ensure access to healthcare. It calls on governments to fund and expand the implementation of the World Health Organization (WHO) Mental Health Gap Action Plan, including the packages of care for dementia, as one of the seven core disorders identified in the plan.

3 Alzheimer’s Disease International requests that new investment in chronic disease care should always include attention to dementia. For example, the WHO Global Report on ‘Innovative Care for Chronic Conditions’ alerts policymakers, particularly those in low and middle income countries, to the implications of the decreases in communicable diseases and the rapid ageing of populations. Healthcare is currently organized around an acute, episodic model of care that no longer meets the needs of patients with chronic conditions. The WHO Innovative Care for Chronic Conditions framework provides a basis on which to redesign health systems that are fit for their purpose.

4 Alzheimer’s Disease International calls on governments and other major research funders to act now to increase dementia research funding, including research into prevention, to a level more proportionate to the economic burden of the condition. Recently published data from the UK suggests that a 15-fold increase is required to reach parity with research into heart disease, and a 30-fold increase to achieve parity with cancer research. International coordination of research is needed to make the best use of resources.

5 Alzheimer’s Disease International calls on governments worldwide to develop policies and plans for long-term care that anticipate and address social and demographic trends and have an explicit focus on supporting family caregivers and ensuring social protection of vulnerable people with dementia.

6 Alzheimer’s Disease International supports HelpAge International’s call for governments to introduce universal non-contributory social pension schemes.

7 Alzheimer’s Disease International calls on governments to ensure that people with dementia are eligible to receive and do receive disability benefits, where such schemes are in operation.

See Full Report :
http://www.alz.org/documents/national/World_Alzheimer_Report_2010.pdf


See Executive Summary:
http://www.alz.org/documents/national/World_Alzheimer_Report_2010_Summary%281%29.pdf

Saturday, September 18, 2010

In India, no dignity in dementia

Way back in 2007, scientists from Johns Hopkins University concluded at the Alzheimer's Association conference in Washington that over 26 million people worldwide have Alzheimer's disease - a number set to quadruple by 2050. The prediction shocked the world as it woke up to the menace of this braindestroying condition.

Two years later, the definitive World Alzheimer's report, compiled by the world's top dementia scientists, admitted that the problem was much worse. Their conclusion was that 35 million people worldwide would be suffering from dementia (90 per cent of which were Alzheimer's cases) in 2010 and that the number is set to almost double every 20 years to 65. 7 million in 2030 and 115. 4 million in 2050. Several countries woke up and started to put in place services for the old, like homes to support dementia patients, screening programmes and treatment protocols. India, however, didn't bother to take any such action.

Today, an estimated 37 lakh people in India are affected by dementia, which is expected to double by 2030. Despite the magnitude, there is gross ignorance and neglect, and services are scarce for people with Alzheimer's and their families. According to a landmark "India Dementia Report 2010", which will be released on September 21 by Alzheimer's and Related Disorders Society of India (ARDSI) - and is now exclusively available with TOI-Crest - it is estimated that the cost of taking care of a patient with Alzheimer's is about Rs 43, 000 annually, much of which is met by the families.

According to Dr Daisy Acosta, chairman of Alzheimer's Disease International (ADI), the costs of caring for Alzheimer's sufferers is likely to rise even faster than the disease's prevalence - especially in the developing world.
"This is a wake-up call that Alzheimer's is the single most significant health and social crisis of the 21st century, " said Dr Acosta. "World governments are woefully unprepared for the social and economic disruptions this disease will cause, " she added.

Alzheimer's is a chronic syndrome characterised by a progressive deterioration in intellect including memory, learning, orientation, language, comprehension and judgement. It mainly affects older people;only about 2 per cent of cases start before the age of 65 years. After this, the prevalence doubles every five years, becoming one of the major causes of disability in late-life.

Experts say India was home to more than 75 million people older than 60 years in 2001. This age group, which was 7. 5 per cent of the population, is growing. Significant demographic ageing with the elderly population now above 8 per cent has been seen in Himachal Pradesh (9), Punjab (9), Maharashtra (8. 7), Tamil Nadu (8. 8), Orissa (8. 3), Goa (8. 3), and Pondicherry (8. 3). "The demand for geriatric services, related to dementia, will soon be overwhelming, " Dr Roy says.

Dr J D Mukherji, head of neurology at Max Hospital, Delhi, said the biggest problem in India is that public awareness about Alzheimer's is low and this has serious consequences. "Soon, we will have plaque-blasting medicines that can delay Alzheimer's by causing plaque deposits to integrate. So early diagnosis is vital. At present, diagnosis is largely missed, mainly in non-metropolitan centres. The government needs to initiate awareness about dementia and introduce its study at the undergraduate level for medical students, " Dr Mukherji said.

According to the India Dementia report, no structured training exists on the recognition and management of dementia at any level of health service. PwD are stigmatised because the underlying cause is not understood. According to the World Alzheimer's report 2009, "The healthcare needs of older people have for too long been under-prioritised. This is now changing due in part to the fact that demographic ageing of population is proceeding more rapidly than first anticipated, specially in India. "


Source: http://www.timescrest.com/life/in-india-no-dignity-in-dementia-3495

The cost of ignoring Alzheimer's : India data 2010

Alzheimer's is a chronic syndrome characterised by a progressive deterioration in intellect including memory, learning, orientation, language, comprehension and judgement. It mainly affects older people;only about 2 per cent of cases start before the age of 65 years. After this, the prevalence doubles every five years, becoming one of the major causes of disability in late-life.

According to India Dementia report to be released on 21st Sep 2010 at New Delhi at National Dementia Summit:

In India, 90% of the cases of dementia are actually Alzheimer's disease

In 2010, India is home to 37 lakh PwD (People with Dementia)

1 out of 50 normal households will have a PwD and 1 out of 16 households with at least one older member will have a PwD

Every third household has a person older than 60 years living at home

The societal cost of dementia for India is estimated to be $3. 4 bn

The total treatment cost per person with dementia is Rs 43, 285 annually

After age 65, the likelihood of developing Alzheimer's roughly doubles every five years

At the age of 85, the odds of a person developing it are close to 50 per cent

The annual estimated worldwide cost of dementia care is $604 bn

If dementia care were a country, it would be the world's 18th largest economy

Low-income countries accounted for just under 1 per cent of total worldwide costs (14 per cent of prevalence); middle income countries accounted for 10 per cent of the costs (40 per cent of prevalence) and high income countries for 89 per cent of the costs (46 per cent of prevalence)

Prevalence of Alzheimer's reported from Indian studies amongst the elderly range from 0. 6% to 3. 5% in rural areas and 0. 9% to 4. 8% in urban areas

By 2026, more than 5 lakh PwD are expected to be living in Uttar Pradesh and Maharashtra

Rajasthan, Gujarat, Bihar, West Bengal, Madhya Pradesh, Orissa, Andhra Pradesh, Karnataka, Kerala and Tamil Nadu have between 20, 000 and 40, 000 PwD

Compared to 2006, Delhi, Bihar and Jharkhand are expected to witness 200% increment in the total number of dementia cases

Jammu and Kashmir, UP, Rajasthan, MP, West Bengal, Assam, Chhattisgarh, Gujarat, Andhra Pradesh, Haryana, Uttaranchal, Maharashtra, Karnataka and Tamil Nadu are expected to witness a 100% increase in Alzheimer's cases


Source: http://www.timescrest.com/life/the-cost-of-ignoring-alzheimers-3496

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