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Dáil Éireann díospóireacht -
Tuesday, 10 Nov 1998

Vol. 496 No. 3

Written Answers. - Alzheimer's Disease Level.

Jim O'Keeffe

Ceist:

280 Mr. J. O'Keeffe asked the Minister for Health and Children the estimated number of patients diagnosed as having Alzheimer's disease; and the supports available for these. [22733/98]

It is difficult to state accurately the overall prevalence of Alzheimer's disease as studies using different diagnostic measures and different types of samples produce different figures. However, the World Health Organisation estimates a rate of the severer degrees of dementia, which would include Alzheimer's disease at 5 to 8 per cent among those aged 65 years of age and over. Applying these rates to the present population of older people in Ireland suggests that between 20,000 and 33,000 people are suffering from dementia. Of these between 60 per cent-70 per cent are suffering from Alzheimer's disease.

The services available for those suffering from dementia include a range of community services such as general practitioner services, public health nurses, access to community ward teams, care attendants available for long-term domicillary support, home helps and meals on wheels. People with dementia have access to acute medical and psychiatric assessment services when the need arises as the treatment of medical and psychiatric problems improves the quality of life for both sufferers and carers.

Specialist medical services for older people, geriatric medicine services, include services for those with dementia who predominantly suffer from medical problems. These services provide essential medical assessment in a day hospital linked to a department of medicine for older people in an acute general hospital.

In addition to the dedicated services for dementia-Alzheimer's disease, it should be noted that people with these conditions who do not exhibit aggressive-disruptive behaviour are and will continue to be cared for in health board extended care hospitals-homes including day care units. Private nursing homes also provide a substantial bed resource for Alzheimer's patients who receive assistance towards the cost of their care via the subvention scheme operated under the Health (Nursing Homes) Act, 1990.

The Alzheimer's Society of Ireland was formed by dedicated relatives and friends of persons with Alzheimer's disease to create maximum awareness of the illness and to supply information and help including day care to affected families. In 1998, my Department allocated £180,000 funding to the Alzheimer Society of Ireland in recognition of the contribution the society is making to the development of services for poeple with dementia throughout the country.

The need to develop speicalist psychiatry of old age services, including services for people with Alzheimer's disease who require psychiatric treatment, has been identified as a priority. An additional £1 million has been allocated to health boards in 1998 to develop such a service and I intend to continue this programme of development next year.

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