| A person
with AD usually has a gradual decline in mental functions,
often beginning with slight memory loss, followed by losses
in the ability to maintain employment, to plan and execute
familiar tasks, and to reason and exercise judgment. Communication
ability, mood, and personality may also be affected. Most
people who have AD die within eight years of their diagnosis,
although that interval may be as short as one year or as long
as 20 years. AD is the fourth leading cause of death in adults
after heart disease, cancer, and stroke.
Between
two and four million Americans have AD; that number is expected
to grow to as many as 14 million by the middle of the 21st
century as the population as a whole ages. While a small number
of people in their 40s and 50s develop the disease (called
early-onset AD), AD predominantly affects the elderly. AD
affects about 3% of all people between ages 65 and 74, about
19% of those between 75 and 84, and about 47% of those over
85. Slightly more women than men are affected with AD, but
this may be because women tend to live longer, and so there
is a higher proportion of women in the most affected age groups.
The costs
for caring for a person with AD is considerable. The annual
cost of caring for one AD patient in 1998 was estimated as
about $18,400 for a patient with mild AD, $30,100 for a patient
with moderate AD, and $36,100 for a patient with severe AD.
The annual direct and indirect costs of caring for AD patients
in the United States was estimated to be as much as $100 billion.
Slightly more than half of AD patients are cared for at home,
while the remainder are cared for in a variety of health care
institutions. |