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ADI在世卫组织亚太区会议上的报告

这是在2009年9月香港召开的WHO亚太区会议上的一份报告。
发言者罗伯特·姚医生是澳大利亚阿尔茨海默协会前主席,现任ADI理事会成员。

女士们,先生们,

我的名字是罗伯特·姚,来自澳大利亚,我代表阿尔茨海默病国际协会“ADI”及其71个成员协会发言。这些成员协会是由痴呆症患者及其亲友、护工和照护专家组成的。

我们的信息很简单:阿尔茨海默病和其它痴呆症,正在成为本世纪的重大健康问题。目前在本地区(香港),有10万人患有痴呆症。而经历这一重大疾病影响的人群,更是以上数字的好几倍,因为这些人的生活,都与痴呆症患者休戚相关。

老年痴呆症,真正了解它的人不多。人们误以为它是正常衰老的一部分。更有甚者,痴呆症患者招人取笑,在社会上被孤立和歧视。在我们那而的一些地方,痴呆症被看作天谴,是家中祖先造孽的报应,一种巨大的耻辱。

到目前为止,并未证明痴呆症是一种绝症。也没有证据表明,痴呆症与其他慢性疾病挂钩,如糖尿病、血管疾病、智力残疾等等。

作为世界领先的公共健康机构,世界卫生组织的职能和责任就是,确保科学和理性占主导地位,取代愚昧迷信和歧视。我们相信,世界卫生组织能够起到它应有的作用:宣布痴呆症为全球重点健康问题。

“世界卫生大会”取得的共识是,人们应当更广泛地行动起来,减少老年痴呆症等疾病的负担,2002年批准了“世界卫生组织精神卫生全球行动纲领”。此后,该方案的下一阶段,“心理健康差距行动纲领(mhGAP)”启动于2008年。这是一个重大的进步。我们为世界卫生组织的积极进取感到高兴。然而这一行动(或者类似方案)需要有资金经费,需要在全世界每个国家得以贯彻执行。我们有没有把握,把这些变成现实呢?

阿尔茨海默病国际协会在2009年9月21日,世界阿尔茨海默日当天,发表了第一份“世界阿尔茨海默病报告”。该报告的摘要版今天与读者见面。世界各地的痴呆症患病率高于之前的估计。鉴于世界人口的预期寿命持续增加,这一问题只会更加严重。研究人员预测,在本地区未来20年,痴呆症患病率增长为100%。

世界卫生组织的议程设置职能,至关重要。我们鼓励本地区发挥带头作用,并于2010年下次会议上通过一项决议。我们要求世界卫生组织西太平洋地区成员国支持这项决议,并负责将其列入议程,提请讨论。

要做的事情很多。和其他慢性疾病一样,痴呆症问题应在公共健康框架内解决,工作涉及:提高认知、早期干预、最佳实践管理、预防和研究。它是一项健康问题,同时也是老年护理问题。

正如我去年所说,问题不会自己消失。每年全世界报告有460万阿尔茨海默病和其他痴呆症的新病例──每7秒钟一例。从我的报告开始到现在,又有40人患上了痴呆症。我们呼吁:立即行动起来,时不我待!

 

Statement WHO Regional Meetings 2009

Ladies and Gentlemen,

My name is Robert Yeoh from Australia and I am speaking on behalf of Alzheimer's Disease International ADI and its 71 member associations. These member associations are made up of people with dementia, their families, carers, friends and care professionals.

Our message is simple. Alzheimer’s disease and other dementias are emerging as the major health issue of this century. Currently 10 million people have dementia in this region. Many times that number feels the impact of this crushing disease as they care for the person with dementia.

Dementia is often not well understood. It is wrongly regarded as normal part of aging. Worse still it attracts stigma, social isolation and discrimination. In some part of our region, dementia is regarded as retribution for sins of the family or one’s ancestors, a source of shame.

It is not recognised that dementia is a terminal condition. Nor is it recognised that dementia is linked to other chronic diseases, such as diabetes, vascular disease, intellectual disabilities, and others.

As the world’s leading public health agency, WHO has the role and obligation to ensure that science and reason rule over ignorance, superstition and stigma. We believe WHO could make a difference by declaring dementia a global health priority.

The World Health Assembly, in recognising the need for a wider action to reduce the burden of dementia and others, endorsed the World Health Organisation Mental Health Global Action Programme in 2002. And the next phase of this programme, Mental Health Gap Action Programme (mhGAP) was launched in 2008. This was an important step forward. We congratulate WHO for this initiative. However, this or similar programme needs funding and implementation in all the countries of the world and we would like an assurance that this is going to happen.

Alzheimer's Disease International launched the first World Alzheimer’s Report on 21 September 2009, World Alzheimer’s Day. A short version of the report is available today. The prevalence of dementia worldwide is higher than estimated in previous studies. As the life expectancy of the world’s population continues to rise, this problem will only increase. Researchers predict an increase of 100% in this region of the world in the next 20 years.

The role of the World Health Organization in agenda setting is crucial. We want to encourage this region to take the lead and adopt a resolution at its next meeting in 2010. We ask Member States of the World Health Organization Western Pacific Region to sponsor this resolution and take responsibility for placing it on the agenda and bringing it into the discussion.

We know what to do. Dementia like any other chronic health condition needs to be addressed with a public health framework involving greater awareness, early intervention, best practice management, prevention and research. It is a health issue as well as aged care issue.

As I mentioned last year, the issue will not go away. Every year 4.6 million new cases of Alzheimer’s disease and other dementias are reported worldwide: one new case every seven seconds. Since the start of this statement, another 40 people have developed dementia. We are calling for action now; there is no time to lose!