Regional health priorities for dementia: a roadmap for the Western Pacific

Hannah C Timmins¹, Vincent C T Mok², Seung Hyun Kim³, Nortina Shahrizaila⁴, Jia-Ying Sung⁵, Gen Sobue⁶, Sheila Agustini⁷, Stephanie Ward^{8

9}, Kaarin J Anstey^{1

10}, Dayna-Lee Talbot¹, Srestha Mazumder¹, Sicong Tu^{1

11}, Rachel H Tan^{11

12}, Cindy Shin-Yi Lin^{11

13}, Claire O'Callaghan^{11

12}, Johannes C Michaelian^{11

14}, Yun-Hee Jeon¹⁵, David Foxe^{11

16}, Sharon L Naismith^{11

14}, Olivier Piguet^{11

16}, Rebekah Ahmed^{11

17}, Emma Devenney^{1

12

18}, Susanna B Park^{11

12}, Matthew C Kiernan^{1

19

20}

Affiliations

¹ Neuroscience Research Australia, Sydney, Australia.
² Gerald Choa Neuroscience Institute, Lau Tat Chuen Research Centre of Brain Degenerative Diseases in Chinese, Division of Neurology, Department of Medicine and Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China.
³ Department of Neurology, College of Medicine, Hanyang University, Seoul 04763, Republic of Korea.
⁴ Neurology Unit, Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur 50603, Malaysia.
⁵ Department of Neurology, School of Medicine, Taipei Medical University, Taiwan.
⁶ Aichi Medical University, Nagakute, Aichi 480-1195, Japan.
⁷ Mayapada Hospital, Jakarta Selatan, Indonesia.
⁸ Centre for Healthy Brain Ageing, School of Psychiatry, The University of New South Wales, Sydney, Australia.
⁹ Department of Geriatric Medicine, The Prince of Wales Hospital, Sydney, Australia.
¹⁰ UNSW Ageing Futures Institute, School of Psychology, University of New South Wales, Sydney, Australia.
¹¹ Brain and Mind Centre, University of Sydney, Sydney, Australia.
¹² School of Medical Sciences, Faculty of Medicine and Health, University of Sydney, Australia.
¹³ Central Clinical School, Faculty of Medicine and Health, University of Sydney, Sydney, Australia.
¹⁴ Charles Perkins Centre, School of Psychology, Faculty of Science, University of Sydney, NSW, Australia.
¹⁵ Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, University of Sydney, Sydney, Australia.
¹⁶ School of Psychology, University of Sydney, Sydney, Australia.
¹⁷ Memory and Cognition Clinic, Department of Neuroscience, Royal Prince Alfred Hospital, Sydney, Australia.
¹⁸ Western Sydney Local Health District, Westmead Hospital, Westmead, Sydney, Australia.
¹⁹ University of New South Wales, Sydney, Australia.
²⁰ Department of Neurology, Prince of Wales Hospital, Sydney, Australia.

PMID: 39399866
PMCID: PMC11471056
DOI: 10.1016/j.lanwpc.2024.101179

Review

Regional health priorities for dementia: a roadmap for the Western Pacific

Hannah C Timmins et al. Lancet Reg Health West Pac. 2024.

. 2024 Sep 16:50:101179.

doi: 10.1016/j.lanwpc.2024.101179. eCollection 2024 Sep.

Authors

Affiliations

¹ Neuroscience Research Australia, Sydney, Australia.
² Gerald Choa Neuroscience Institute, Lau Tat Chuen Research Centre of Brain Degenerative Diseases in Chinese, Division of Neurology, Department of Medicine and Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China.
³ Department of Neurology, College of Medicine, Hanyang University, Seoul 04763, Republic of Korea.
⁴ Neurology Unit, Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur 50603, Malaysia.
⁵ Department of Neurology, School of Medicine, Taipei Medical University, Taiwan.
⁶ Aichi Medical University, Nagakute, Aichi 480-1195, Japan.
⁷ Mayapada Hospital, Jakarta Selatan, Indonesia.
⁸ Centre for Healthy Brain Ageing, School of Psychiatry, The University of New South Wales, Sydney, Australia.
⁹ Department of Geriatric Medicine, The Prince of Wales Hospital, Sydney, Australia.
¹⁰ UNSW Ageing Futures Institute, School of Psychology, University of New South Wales, Sydney, Australia.
¹¹ Brain and Mind Centre, University of Sydney, Sydney, Australia.
¹² School of Medical Sciences, Faculty of Medicine and Health, University of Sydney, Australia.
¹³ Central Clinical School, Faculty of Medicine and Health, University of Sydney, Sydney, Australia.
¹⁴ Charles Perkins Centre, School of Psychology, Faculty of Science, University of Sydney, NSW, Australia.
¹⁵ Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, University of Sydney, Sydney, Australia.
¹⁶ School of Psychology, University of Sydney, Sydney, Australia.
¹⁷ Memory and Cognition Clinic, Department of Neuroscience, Royal Prince Alfred Hospital, Sydney, Australia.
¹⁸ Western Sydney Local Health District, Westmead Hospital, Westmead, Sydney, Australia.
¹⁹ University of New South Wales, Sydney, Australia.
²⁰ Department of Neurology, Prince of Wales Hospital, Sydney, Australia.

PMID: 39399866
PMCID: PMC11471056
DOI: 10.1016/j.lanwpc.2024.101179

Abstract

In the Western Pacific Region, the prevalence of dementia is expected to increase, however, the diversity of the region is expected to present unique challenges. The region has varying levels of preparedness, with a limited number of countries having a specific national dementia plan and awareness campaigns. Diversity of risk and healthcare services within the region is exerting impact on diagnosis, treatment, care, and support, with most countries being under resourced. Similarly, the ability to monitor dementia-related indicators and progress research, particularly relating to treatment and clinical trial access needs to be addressed. Countries require comprehensive national plans that lay out how resources will be allocated to improve dementia literacy, train, and support carers, mobilise resources to reduce risk factors and improve research capabilities. These plans need to be informed by consumers and tailored to the region to develop an inclusive society for people living with dementia and their families.

Keywords: Alzheimer’s disease; Dementia; Health policy; Western pacific region.

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Conflict of interest statement

ST's research is supported by an NHMRC Ideas Grant (APP2029871), FightMND, and Lenity Australia. SHK was supported by a grant of the Korea Dementia Research Project through the Korea Dementia Research Center (KDRC), funded by the Ministry of Health & Welfare and Ministry of Science and ICT, Republic of Korea (RS-2024-00348451)”. SW is the Clinical Lead/steering committee co-chair of the ADNeT Registry and received an honorium from ROCHE and Eisai for attendance at an advisory meeting. KJA received a speaker honorarium from Roche in 2023 and is supported by ARC FL19010001. CO is supported by a University of Sydney Robinson Fellowship and an Australian National Health and Medical Research Council EL2 Fellowship (2016866). CSYL is supported by the Sydney Medical School Foundation, University of Sydney. DF is supported by the Edwards Fund for Dementia Research and has received research grants from the Dementia Australia Research Foundation, outside the work submitted. OP is supported in part by an NHMRC Leadership Fellowship and has received research grants from the NHMRC and the Australian Research Council, outside the submitted work. JCM received a speaker honorarium; investigator-initiated research grant to institution from Eisai Australia. Y-HJ has received research grants from the National Health and Medical Research Council (NHMRC) and Arcare in Australia and travel support for invited talks from Singapore Sing Health, Northern Ireland Queen’s University Belfast, Hong Kong Jockey Club, and Korea National Health Insurance Service: Long-term Care, all outside the submitted work. MCK was supported by a NHMRC Practitioner Fellowship (1156093) and National Health and Medical Research Council of Australia Partnership Project (1153439). RHT is supported by a FightMND Mid-Career Fellowship and her research is supported by NSW Health and MNDRA. GS is supported by the Japan Agency for Medical Research and Development. SN received a speaker honorarium HT, SP, DT, SM, SA, VCTM, NS, JYS, have no conflict of interests to declare.

Figures

**Fig. 1**
**National dementia plans in the Western Pacific Region.** Map of Western Pacific Region indicating countries that have standalone national dementia plans (Australia, Japan, New Zealand, Republic of Korea, Taiwan, and Singapore) and countries that have a dementia plan integrated into a wider health care or ageing strategy (Brunei Darussalam, China, Cook Islands, Vietnam and Malaysia).

See this image and copyright information in PMC

References

1. GBD 2019 Dementia Forecasting Collaborators Estimation of the global prevalence of dementia in 2019 and forecasted prevalence in 2050: an analysis for the global burden of disease study 2019. Lancet Public Health. 2022;7:e105–e125. - PMC - PubMed
1. The World Health Organization . 2017. Global action plan on the public health response to dementia 2017–2025. Geneva.
1. The World Health Organization . 2021. Global status report on the public health response to dementia. Geneva.
1. The Australian Department of Health . Department of Health, Australian Government; 2015. National framework for action on dementia 2015–2019.
1. The New Zealand Ministry of Health . Ministry of Health; New Zealand: 2013. New Zealand framework for dementia care.

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Regional health priorities for dementia: a roadmap for the Western Pacific

Affiliations

Regional health priorities for dementia: a roadmap for the Western Pacific

Authors

Affiliations

Abstract

Conflict of interest statement

Figures

References

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