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