Burden Of Care For Alzheimer’s Disease Rising Fast

Neurodegenerative Disease The Fastest-Growing Cause Of Death

Someone in the world develops dementia every three seconds. There were an estimated 46.8 million people worldwide living with dementia diagnoses in 2015 and this number is believed to be close to 50 million people in 2017. This number will almost double every 20 years, reaching 75 million in 2030 and 131.5 million in 2050. The X factor is the number of people who have dementia, but have not been diagnosed. It’s estimated that the real number is drastically higher.

Much of the increase will be in developing countries. Already 58 percent of people with dementia live in low and middle income countries, but by 2050 this will rise to 68 percent.

The total estimated worldwide cost of dementia is US$818 billion in 2015, which represents 1.09 percent of global GDP. By 2018, the global cost of dementia will rise above a US$1 trillion.

This figure includes costs 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).

In the U.S. alone, it’s estimated that Alzheimer’s disease is already costing citizens $277 billion annually, including $186 billion in Medicare and Medicaid payments. 

Between 2000 and 2015, deaths from Alzheimer’s disease as recorded on death certificates increased 123 percent, while deaths from the number one cause of death (heart disease) decreased 11 percent. Unfortunately, Alzheimer’s disease isn’t always diagnosed and it isn’t accurately reported as the cause of death in the majority of cases. Eighty-three percent of the help provided to older adults in the United States comes from family members, friends or other unpaid caregivers. Nearly half of all caregivers who provide help to older adults do so for someone with Alzheimer’s disease or another dementia.

Alzheimers disease epidemic

Direct medical care costs account for roughly 20 percent of global dementia costs, while direct social sector costs and informal care costs each account for roughly 40 percent. The relative contribution of informal care is greatest in the African regions and lowest in North America, Western Europe and some South American regions, while the reverse is true for social sector costs.

This means that if global dementia care were a country, it would be the 18th largest economy in the world. The annual costs exceed the market values of companies such as Apple (US $742 billion) and Google (US $368 billion).

Research shows that most people currently living with dementia have not received a formal diagnosis. In high income countries, only 20-50 percent of dementia cases are recognised and documented in primary care. This ‘treatment gap’ is certainly much greater in low and middle income countries, with one study in India suggesting 90 percent remain undiagnosed. If these statistics are extrapolated to other countries worldwide, it suggests that approximately three quarters of people with dementia have not received a diagnosis, and therefore do not have access to treatment, care and organized support that getting a formal diagnosis can provide.

Earlier diagnosis and early intervention are important mechanisms by which the treatment gap can be closed. Among all people alive today, if those who will get Alzheimer’s disease were diagnosed when they had mild cognitive impairment (MCI) — before dementia — it would save trillions of dollars in health and long-term care costs.

Alzheimer's disease prevention

Crossbow Communications specializes in issue management and public affairs. Alzheimer’s disease, Creutzfeldt-Jakob disease, chronic wasting disease and the prion disease epidemic is an area of special expertise. Please contact Gary Chandler to join our coalition for reform gary@crossbow1.com.

Alzheimer’s Disease Awareness Month

Answers To Alzheimer’s Begin With The Truth

President Ronald Reagan designated November as National Alzheimer’s Disease Awareness Month in 1983. At the time, fewer than 2 million Americans had Alzheimer’s; today, the number of people diagnosed (and still alive) with the disease has soared to nearly 5.4 million. The X factor is the millions who are going undiagnosed and misdiagnosed.

Mayors in cities around the nation are declaring November Alzheimer’s Disease Awareness and Caregivers Month.

Alzheimer’s disease is the sixth-leading cause, and the fastest-growing cause, of death in the United States (and the world), which has some of the highest rates of Alzheimer’s disease in the world. Finland, Sweden and Iceland also are at the top of the list. However, states such as Washington, North Dakota and South Dakota rival the rates found in Scandinavian countries.

Alzheimer's disease treatment

Unfortunately, Alzheimer’s disease is going undiagnosed and misdiagnosed at an escalating pace. Many people, for example, have had diagnoses withheld by their doctors. The epidemic is more widespread than anyone knows. Physicians have withheld millions of diagnoses from patients and their families. According to the Alzheimer’s Association, physicians in the U.S. only inform 45 percent of patients about their Alzheimer’s diagnosis. The same suppression is likely at work in most countries. Meanwhile, millions more go undiagnosed and misdiagnosed.

A groundbreaking study suggested that Alzheimer’s disease causes six times as many deaths as the official statistics would indicate. The Centers for Disease Control and Prevention estimated that, in 2010, Alzheimer’s caused almost 84,000 deaths in the United States, a number derived from death certificates in which Alzheimer’s disease was listed as the main cause. But, in reality, the study said Alzheimer’s was the underlying cause in more than 500,000 deaths in 2010 that were often attributed to conditions, such as pneumonia, caused by complications of Alzheimer’s. Those numbers make Alzheimer’s disease the third-leading cause of death in the United States, behind heart disease and cancer. The study was led by researchers at the Rush University Medical Center in Chicago and published in 2013 in the medical journal Neurology.

Meanwhile, no one is talking about the fact that most forms of neurodegenerative disease, including Alzheimer’s disease, is transmissible. Spouses of those with Alzheimer’s disease, for example, are 600 percent more likely to contract the disease. Other caregivers also are in harm’s way. In fact, entire communities are at risk of exposure.

prion disease spectrum

According to neuroscientists Dr. Laura Manuelidis, at least 25 percent of Alzheimer’s diagnoses are not Alzheimer’s disease. These misdiagnoses are actually CJD, which is further up the prion spectrum. CJD, without dispute, is extremely infectious to caregivers and loved ones but it has not been declared a reportable disease in the U.S. and many other nations. Millions of cases of deadly CJD are being misdiagnosed as Alzheimer’s disease. Millions of patients and caregivers are being misinformed, misguided and exposed to an aggressive disease. Misdiagnosis and misinformation regarding prion disease is a matter of life and death. The disease is now striking young people, including teenagers, with much greater frequency. It’s also killing clusters of people in the same communities with greater frequency.

It’s not known which patients with brain disease become infectious or when, but both CJD and Alzheimer’s patients are being mismanaged. Informed neurologists won’t touch patients with these symptoms because of the risk of transmission. They are making diagnoses from across the room.

“Creutzfeldt-Jakob disease behaves like Alzheimer’s disease on steroids,” said Dr. Jennifer Majersik, an associate professor of neurology at the University of Utah.

On average, Alzheimer’s follows a 14-year course from onset of symptoms until death. For most patients, symptoms go undiagnosed and untreated for at least seven years. For most patients, symptoms go undiagnosed and untreated for at least seven years, during which time the lesions spread through the brain and cause irreparable damage, said Dennis Fortier, author of the Brain Today blog.

 

“With a good diet, physical exercise, social engagement, and certain drugs, many patients (especially those detected at an early stage) can meaningfully alter the course of Alzheimer’s and preserve their quality of life,” Fortier said. “No cure does not mean that there is no treatment.”

The health of the brain is affected by our overall health. Research shows that high cholesterol, high blood pressure, and obesity increase the risk for cognitive decline. A healthy brain requires strong blood flow and plenty of oxygen.

Meanwhile, we can’t forget that:

  • Women are contracting neurodegenerative disease at twice the rate of men;
  • Spouses of those with Alzheimer’s disease are 600% more likely to contract the disease, which is further evidence that it is a transmissible disease. Caregivers, family members and others are in harm’s way because of disease mismanagement and misinformation;
  • People in Finland, Iceland, Sweden and the United States have the highest prevalence of Alzheimer’s disease. Rates in North Dakota, South Dakota and Washington rival the highest rates in the world. Sewage mismanagement and the mismanagement of other forms of infectious waste are responsible for much of the epidemic in these regions and beyond;

We can’t ignore that the global Alzheimer’s disease epidemic and the autism epidemic both began to rise in the late 1970s. They proceeded to spike dramatically in the late 1980s and early 1990s. The spikes in autism and Alzheimer’s disease are almost identical in terms of timing and trajectory. The surge in chronic wasting disease among deer also follows the same trend. These devastating diseases are symptoms of a much bigger problem associated with toxic and infectious waste. Industry policies and practices changed dramatically, which triggered an explosion in brain disease.

According to a 2010 study by the Centers for Disease Control, Utah, North Carolina and New Jersey have the highest rates of autism. ASD strikes one in every 32 Utah boys, and one in every 85 girls. In New Jersey, one in every 28 boys has ASD. The numbers are likely still rising.

Thanks to modern sewage disposal and antiquated risk assessments, we’re witnessing a public health disaster that’s still unfolding in the form of autism, Alzheimer’s disease, west Nile virus, Zika virus, chronic wasting disease, valley fever, meningitis, hepatitis, and other threats to public health.

biosolids land application sewage sludge

Read more about the autism epidemic and its connection to infectious proteins and other neurotoxins that are spreading through biosolids and wastewater reclamation. Please contact us to share your insights, opinions and support for critical reforms.

Alzheimer's disease public relations firm

Crossbow Communications specializes in issue management and public affairs. Alzheimer’s disease, Creutzfeldt-Jakob disease, chronic wasting disease and the prion disease epidemic is an area of special expertise.

 

Alzheimer’s Disease Mortality Underreported

Alzheimer’s Rarely Reported As Cause Of Death

A provocative new study has suggested that Alzheimer’s disease causes six times as many deaths as the official statistics would indicate. That makes an already alarming epidemic even more frightening.

Alzheimer's disease treatment

The Centers for Disease Control and Prevention estimated that, in 2010, Alzheimer’s caused almost 84,000 deaths in the United States, a number derived from death certificates in which Alzheimer’s was listed as the main cause. But, in reality, the new study said Alzheimer’s was the underlying cause in more than 500,000 deaths in 2010 that were often attributed to conditions, such as pneumonia, caused by complications of Alzheimer’s. Those numbers would catapult Alzheimer’s from the sixth-leading cause of death in the United States to the third, behind heart disease and cancer.

The study was led by researchers at the Rush University Medical Center in Chicago and recently published in the medical journal Neurology. The researchers analyzed data from more than 2,500 people ages 65 and older who had no dementia at the start and who agreed to annual clinical evaluations and cognitive tests. All agreed to donate their brains for autopsies after they died.

Alzheimer's disease infectious disease

Over an average of eight years of follow-up, 22 percent developed Alzheimer’s disease, 1 percent developed other forms of dementia and 42 percent died. The death rate was much higher among those who had developed Alzheimer’s than among those who had not. Extrapolating their findings to the entire population, the researchers came up with what they call a “crude” estimate that more than 500,000 deaths of Americans ages 75 and older in 2010 could be attributed to Alzheimer’s disease.

Experts at Centers for Disease Control noted that the study was small and the participants were healthier than average, which meant they were less likely to die from other diseases, before succumbing to Alzheimer’s. But even the experts agreed that the annual mortality from Alzheimer’s is probably higher than 84,000. In 2010, 309,000 death certificates listed Alzheimer’s or other dementias (many of which could have been Alzheimer’s) as one of the causes.

caregivers Alzheimer's disease

Alzheimer’s is already a burden on caregivers and health care budgets. As more people live to advanced ages, it will become more of a burden. The rising toll makes it imperative to intensify research into ways to treat and prevent the disease.

Source: http://www.nytimes.com/2014/03/13/opinion/high-mortality-from-alzheimers-disease.html?_r=0

Most Governments Unprepared For Alzheimer’s Epidemic

Dementia Summit In London Next Week

According to a new report, the number of people living with dementia worldwide is set to triple by 2050. A new analysis by experts at the charity Alzheimer’s Disease International says 44 million people live with the disease, but that figure will increase to 135 million by 2050. (It might even explode past that mark if we don’t stop the contagion.)

Alzheimer's disease treatment

The figures were released ahead of a G8 dementia summit in London next week. The report says most governments are “woefully unprepared for the dementia epidemic.”

Alzheimer’s Disease International expects increasing life expectancies to drive a surge in cases in poor and middle-income countries, particularly in Southeast Asia and Africa. Finland presently has the highest death rate in the world from dementia. Iceland, Sweden and the United States also lead the world with unusually high rates.

treat Alzheimer's disease

Source: http://www.rte.ie/news/2013/1205/490970-dementia-alzheimers-disease/

Washington, DC Flooded By Alzheimer’s Cases, Costs

Alzheimer’s Disease Causing Gridlock In Washington, D.C.

As the costs of unpaid Alzheimer’s disease care in the District inch up annually and with an expected boom in Alzheimer’s patients in coming decades, the D.C. Office on Aging has issued its first ever five-year plan to mitigate the effects of the disease and improve access to benefits. D.C. is way ahead of the curve in many ways.

Alzheimer's disease treatment

A new report released Tuesday by the agency shows the city’s rate of Alzheimer’s deaths to be 18.9 per 100,000, around two-thirds of the nationwide rate of 27 per 100,000. Alzheimer’s generally strikes people in later life, and the percentage of people 62 and over in the District, 14.4 percent, is lower than the national percentage, 17 percent. 

Still, the city should be doing more to help identify and treat people with the disease and provide support for family members and friends who care for them, said DCOA executive director John Thompson.

“We need to do a better job caring for people with Alzheimer’s disease,” Thompson said, adding that his agency will be seeking additional funding for care and professional training as part of the city’s Age-Friendly City initiative, which was launched a year ago.

The rate of deaths by Alzheimer’s varies starkly across different parts of the District, according to the report, with Wards 3, 4, and 5 accounting for 66.7 percent of the city’s Alzheimer’s deaths. Ward 3 had the highest mortality rate, at 35 per 100,000, and Ward 1 had the lowest rate, 3.9 per 100,000. Larger populations of residents over 75 in Wards 3, 4, and 5 account for the difference, Thompson said.

caregivers Alzheimer's disease

Caregiving for Alzheimer’s patients happens largely under the economic radar. Around 70 percent of people with the disease live at home and are cared for by family and friends, who pay for it out of their own pockets, the report said, adding that institutional care costs around $110,000 a year for each patient.

The estimated cost of unpaid care, provided by 15.4 million people who are caring for people with Alzheimer’s disease and other forms of dementia, was estimated to total $216 billion in 2012, according to the Alzheimer’s Association.

In the District, where about 9 percent of people 65 and older have been diagnosed with Alzheimer’s, the estimated value of unpaid care was $368 million last year, up from $331 million two years earlier, the Alzheimer’s Association said. Alzheimer’s was the ninth leading cause of death in the District in 2010.

The report calls for greater collaboration among Alzheimer’s organizations and researchers and the dissemination of more information on the disease to District residents. It also calls for increased participation of at-risk residents in research trials and more training for government agencies and professional and family care providers.

Source: http://www.washingtonpost.com/local/districts-first-ever-alzheimers-plan-calls-for-more-services-for-patients-and-caregivers/2013/11/19/dc378786-4f18-11e3-be6b-d3d28122e6d4_story.html

Alzheimer’s Disease The Fastest-Growing Health Threat

Death From Alzheimer’s Disease Up 500 Percent Since 1990

Alzheimer’s disease is the fastest growing threat to health in the United States and many other nations, but Americans are still most likely to die from diseases caused by their own habits such as overeating and tobacco, according to a new report on global death and disease.

Alzheimer's disease treatment

Groups like the Alzheimer’s Association have been warning that the U.S. will have to cope with a tsunami of Alzheimer’s disease as the population ages. A report last month projected that the number of patients with this untreatable form of dementia will triple in the next 40 years, to 13.8 million in 2050.

The University of Washington team looked at Alzheimer’s trends and found it’s already up 392 percent as a cause of premature death, as measured by years of life lost. As an overall cause of death – how many people die of Alzheimer’s instead of something else – it’s up more than 500 percent. As for causes of disease, they are mostly self-imposed.

Alzheimer's disease infectious disease

“Overall, the three risk factors that account for the most disease burden in the United States are dietary risks, tobacco smoking, and high body-mass index,” reads the report, called the Global Burden of Diseases, Injuries, and Risk Factors 2010.

Heart disease, lung and throat cancer and stroke cost Americans the most years of life in 2010, the study, led by the university’s Christopher Murray, found. The single biggest risk factor in the U.S. is diet (which contributes to Alzheimer’s in many ways).

Source: http://www.nbcnews.com/health/alzheimers-fastest-growing-health-threat-report-says-1C8703214

Some Forms Of Dementia Are Contagious

Book Will Benefit Alzheimer’s Disease Advocacy

Alzheimer’s disease, Parkinson’s disease and other forms of neurodegenerative disease are collectively becoming the leading cause of death around the world. Alzheimer’s disease alone is killing 50-100 million people now. Millions more will contract the disease this year, while just as many will go undiagnosed and misdiagnosed. The vast majority of cases are preventable.

Alzheimers epidemic

Experts suggest that the prevalence of brain disease will quadruple by 2050, if not sooner. Adding to the momentum is the fact that most forms of brain disease are transmissible. Thanks to misinformation and the mismanagement of infectious waste and bodily fluids, people of all ages are now exposed to an expanding spectrum of brain disease. Defending yourself with facts and smart choices is your best hope.

  • Women are contracting neurodegenerative disease at twice the rate of men (most caregivers are women);
  • Spouses of those with brain disease are six times more likely to contract the disease (it’s an infectious disease)
  • People in Finland, Iceland, Sweden and the United States have the highest prevalence of Alzheimer’s disease. Rates in North Dakota, South Dakota and Washington rival the highest rates in the world; and
  • The mismanagement of infectious waste is playing a significant role in the uncontrollable spread of prion disease among people and wildlife. The risk to livestock is being ignored. Keep reading to learn why sick deer and elk are like canaries in a coal mine.

Adding to the madness is the fact that physicians are withholding millions of diagnoses from patients and their families. It’s saving insurance companies billions each year, while driving unprepared families into bankruptcy. According to the Alzheimer’s Association, physicians in the U.S. only inform 45 percent of patients about their Alzheimer’s diagnosis. The same pattern of suppression is likely at work in most countries. Unfortunately, this mismanagement is just the tip of an iceberg.

For more information, please visit www.AlzheimerDisease.TV/risk-by-country

Alzheimer’s Epidemic Escalating In Most Countries

Numerous Causes Triggering Neurodegenerative Disease

A new government-funded report confirms what advocacy groups have been warning for years: The number of people in the USA with Alzheimer’s disease will almost triple by 2050, straining the health care system and taxing the health of caregivers.

Numbers are projected to rise from about 5 million now to 13.8 million. The disease robs people of their memory, erases personality and makes even routine tasks like dressing and bathing impossible.

Alzheimers epidemic

“We’re going to need coordinated efforts for this upcoming epidemic,” says lead author Jennifer Weuve, assistant professor of medicine at Rush Institute for Healthy Aging in Chicago. “People have trouble getting their heads around these numbers, but imagine if everyone in the state of Illinois (population 12.8 million) had Alzheimer’s disease. I look around Chicago and can’t imagine it.”

The study is published Wednesday in the journal Neurology. Researchers analyzed information from 10,802 black and white Chicago residents, ages 65 and older, from 1993 to 2011. Participants were interviewed and assessed for dementia every three years. Age, race and level of education were factored into the research. The projections are similar to a study done 10 years ago but include new data from the 2010 Census about death rates and future population rates. An upcoming study will examine the effect on health care costs, which are expected to exceed $2 trillion, according to the Alzheimer’s Association.

“These numbers are more credible because they involve new Census data,” says Dallas Anderson, director of population studies and epidemiology of Alzheimer’s disease at the National Institute on Aging. “If you know anyone who has Alzheimer’s disease now, you know how dire this projection is for the nation.”

The three-fold increase is largely the result of the aging Baby Boomers, born between 1946 and 1964. The main risk for Alzheimer’s is age. The population of people 65 and older is expected to more than double from 40.3 million to 88.5 million, according to the 2010 Census.

“We’ve had great success in this country when we’ve decided to focus on a condition,” Weuve says. “We’ve done it with good research in heart disease, cancer and HIV, but we are in our infancy when it comes to Alzheimer’s research.”

Alzheimer’s is the only disease among the top six killers in the USA for which there is no prevention, cure or treatment. The government boosted funding last year and made prevention a 2025 goal. Funding for the disease was $606 million — exceeding $500 million for the first time in 2012. But it trails other diseases: HIV at $3 billion and cancer at $6 billion. An additional $100 million for Alzheimer’s research for 2013 is awaiting approval, the Alzheimer’s Association says.

Alzheimer's disease research

“We need to put the pedal to the metal on research,” says George Vradenburg, chairman of USAgainst Alzheimer’s, an advocacy group. “We need to find a way to prevent this terrible disease.”

Former president RonaldReagan, who left office in 1989, disclosed in 1994 that he had Alzheimer’s. Others include Robert Sargent Shriver, actress Rita Hayworth and singer Glen Campbell. In 2011, the University of Tennessee’s legendary women’s basketball coach Pat Summitt revealed she has Alzheimer’s.

The study was financed by the National Institute on Aging, National Institutes of Health and the Alzheimer’s Association.

“There is great urgency for meaningful, timely and comprehensive action,” says Maria Carrillo, vice president of medical and scientific relations for the Alzheimer’s Association.

Source: http://www.usatoday.com/story/news/nation/2013/02/06/alzheimers-dementia-epidemic-numbers-to-triple/1881151/