Martina WS Nasrun - Alzheimer's Disease: a challenge on fighting chronic disease in Southeast Asia
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Transcript of Martina WS Nasrun - Alzheimer's Disease: a challenge on fighting chronic disease in Southeast Asia
Martina WS Nasrun
Indonesia Alzheimer Association
Jakarta 21 June 2011
©2002 Pfizer Inc. All rights reserved.
Dementia
An illness that worsens over time
Alzheimer’s Disease Dementia Alzheimer’s disease is a progressive,
degenerative brain disease characterized by:Loss of memory and other cognitive functionsDecline in ability to perform activities of daily livingChanges in personality, behavior, and judgmentIncrease in resource utilization, caregiver demands,
and medical careEventual nursing home placement
Tariot P, Winblad B. In: Alzheimer’s Disease: Advances in Etiology, Pathogenesis and Therapeutics. New York: John Wiley & Sons Ltd; 2001:707-723.
Executive function
Memory
Cognitive function
Motorothers
AD Global challenge… 1 new case every 7 seconds
Dementia Epidemic Asia Pacific: 13,7 64,7 MillionCost of AD in Asia Pacific: 60.4 billion US$ (Wimo et al, 2006b). Higher than Malaria, Tetanus, Breast Cancer etc
Incidence: 4.3 million/year (2005) 19.7 million/year (2050)
Advocacy effort for Old Age
ADI Global Chapter
Dementia Prevalence in Indonesia
AD cases in 2011 about
1 million estimated
3.5 % AD dementia
(Nasrun,2007)
53 % DMT2 patients have Mild Cognitive Impairment (Nasrun, 2007)
People With Dementia in Day Center
Dementia care in Indonesia
mwsn_aazi 10
Enjoyment doesn’t require Memory …
Magnitude of AD problem: Family Caregiver Burden High Cost (treatment & medicine) High functional disability Lost of independency, behavior problem Medico-Psycho-Social impact Medico-legal, mistreatment, abuse, etc Reduce QOL (PWD & caregiver)
Long good bye …..
AD progression: a race with time
Early Detection of AD: pre-dementia
Risk Factors of AD & VaD: Old Age Genetic vulnerability
Hyper-cholesterol Depression Diabetes Mellitus Stroke High blood pressure, etc
To compress AD & VaD morbidity: Healthy Life Style Free of chronic diseases
Awareness of Dementia Education program Professional Training Provide aids – services - - support group
Poverty eradication
How ?
Early detection:• Screening: AD• Prevention: modifiable risk factor
IT’S TIME FOR ACTION !Strategic Plan & Collaboration
All stakeholders Society, NGO,
Government, Experts,
Family Caregiver, PWD, private sector, etc
PWD and family IN ACTION
Thank You