Abstract
Literature on the prevalence of dementia and its different types in Uganda is scanty. In the Ugandan clinical setting, in addition to Alzheimer’s disease and the vascular dementias, the other common causes of dementia include infections (commonly HIV and Syphilis), substance abuse (alcohol), trauma (road traffic accidents) and nutritional deficiencies (vitamin B-12). Uganda has a population of about 35 million people, with life expectancy at birth of the total population is at 53.45 years, which puts her at 204th in the world. About 2.1 % of the total Ugandan population is over 65 % and 4.6 % is over 60. These figures are expected to rise, but as it is, the epidemiological data may not necessarily follow world trends due to the prevalence of other killer diseases notably HIV/AIDS. A Ugandan study found that 13.2 % of all elderly patients of >60 years admitted on non-psychiatric wards had dementia followed by depression as the two most common psychiatric diseases of the elderly. In keeping with WHO recommendations for Low and Middle Income Countries (LMIC) with young populations, the cut off age to be considered elderly is ≥60 years in Uganda. This chapter presents a case of Alzheimer’s Dementia illustrating the challenges of care and management of this disease in a Ugandan African setting.
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Abbreviations
- AD:
-
Alzheimer’s Disease
- ADL:
-
Activities of Daily Living
- BPSD:
-
Behavioral and Psychological Symptoms of Dementia
- CT:
-
Computerized Tomography
- EKG/ECG:
-
Electrocardiogram
- HIV:
-
Human Immunodeficiency Virus
- MMSE:
-
Mini Mental State Examination
- MRI:
-
Magnetic Resonance Imaging
- UBOS:
-
Uganda Bureau of Statistics
References
Kaplan HI, Sadock BJ. Dementia. Synopsis of psychiatry-behavioral sciences/clinical psychiatry. 10th ed. Philadelphia: Lippincott Williams and Wilkins; 2007. p. 329–30.
National Population Policy for Social Transformation and Sustainable Development. Population Secretariat, Ministry of Finance, Planning and Economic Development. Government of the Republic of Uganda. http://www.popsec.org. 2008.
Uganda Bureau of Statistics (UBOS). Statistical abstract. Government of Uganda, Kampala, Uganda. www.opendev.ug/resources/2012-statistical-abstract-ubos. 2012.
Nakasujja N, Musisi S, Walugembe J, Wallace D. Psychiatric disorders among the elderly on non-psychiatric wards in an African setting. Int Psychogeriatr. 2007;19:691.
Miniño A, Murphy SL, Xu J, Kochanek K. Deaths: final data for 2008. National Vital Statistics Reports. Hyattsville: National Center for Health Statistics; 2011.
Hebert LE, Scherr PA, Bienias JL, Bennett DA, Evans DA. Alzheimer disease in the U.S. population: prevalence estimates using the 2000 census. Arch Neurol. 2000;60(8):1119–22.
Bynum J. Medicare current beneficiary survey 2011- accountable care organization: lessons from current practice. The Dartmouth Institute for Health Policy and Clinical Practice, Lebanon. www.academyhealth.org/files/2009/sunday/bynumjl.pdf.
Di Carlo A, Baidereschi M, Amaducci L, Lepore V, Bracco L, Maggi S, Perissinotto E, Scarlato G, Farchi G, Inzitari D, ILSA Working Group. Incidence of dementia, Alzheimer’s disease, and vascular dementia in Italy. The ILSA Study. J Am Geriatr Soc. 2002;50(1):41–8.
Moore MJ, Zhu CW and Clipp EC: Informal costs of dementia care: Estimates from the national long-term care register study. The Journal of Gerontology, Series B. 2000;56(4): 219–228.
Musisi S, Nakasujja N, Byakika-Kibwika P, et al. Psychosocial and diagnostic profiles of elderly patients attending outpatient psychiatric care at Mulago Hospital Uganda. African Association of Psychiatrists and allied professionals annual conference; 2008 June 18th–20th; Accra; 2008.
Institute of Medicine. Retooling for an aging America: building the health care workforce. Washington, DC: The National Academies Press; 2008.
Alzheimer’s Association: The 2012 Alzheimer’s Disease Facts and Figures Report. Proceeds of the Alzheimer Association conference, Monterey, California, USA. March 22, 2012. www.alz.org/downloads/facts_figures_2012.pdf.
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Namuli, J.D. (2015). A Case of Alzheimer’s Dementia in Uganda. In: Musisi, S., Jacobson, S. (eds) Brain Degeneration and Dementia in Sub-Saharan Africa. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-2456-1_17
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