Martina WS Nasrun Indonesia Alzheimer Association

Jakarta 21 June 2011

Alzheimer’s Disease Dementia  Alzheimer’s disease is a progressive,

degenerative brain disease characterized by:  Loss of memory and other cognitive functions  Decline in ability to perform activities of daily living  Changes in personality, behavior, and judgment  Increase in resource utilization, caregiver demands,

and medical care  Eventual 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

Motor others

AD Global challenge… 1 new case every 7 seconds

Dementia Epidemic Asia Pacific: 13,7 64,7 Million Cost 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