Amidst the global, explosive increase in the burden of non-communicable diseases (NCDs) in the past decade, the social and economic impact of the deluge of persons living with dementia really can’t be overstated. Dementia can effect persons who would still be working and productive. But even when the oldest old are effected, in lower income settings, the care for these individuals is largely provided by the family with minimal social supports from the public sector.
As a result, dementia substantially impacts economic productivity in prime age adults, The magnitude of the impact really behooves us to consider novel approaches to improve care from a biomedical perspective while fully considering the economic realities and imperative to concurrently address these.
In this week’s edition of Neurology, Thaver and Ahmad provide an overview of approaches being considered in Pakistan. As the 6th most populated country and with a graying population, solutions that are being discussed include health insurance schemes to decrease cost and burden on family, the training of a cadre of home healthcare workers and the potential for increased options for institutionalized care.