[Senate Report 112-254]
[From the U.S. Government Publishing Office]


112th Congress                                                   Report
                                 SENATE
 2d Session                                                     112-254

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                   ALZHEIMER'S DISEASE AND DEMENTIA:
                A COMPARISON OF INTERNATIONAL APPROACHES

                                _______
                                

                              R E P O R T

                                 of the

                       SPECIAL COMMITTEE ON AGING

                          UNITED STATES SENATE

                              Pursuant to

                 S. RES. 81, SEC. 17(d), MARCH 2, 2011

    Resolution Authorizing a Study of the Problems of Aged and Aging

               December 19, 2012.--Ordered to be printed
                       SPECIAL COMMITTEE ON AGING

                     HERB KOHL, Wisconsin, Chairman
RON WYDEN, Oregon                    BOB CORKER, Tennessee
BILL NELSON, Florida                 SUSAN COLLINS, Maine
BOB CASEY, Pennsylvania              ORRIN HATCH, Utah
CLAIRE McCASKILL, Missouri           MARK KIRK, Illinois
SHELDON WHITEHOUSE, Rhode Island     DEAN HELLER, Nevada
MARK UDALL, Colorado                 JERRY MORAN, Kansas
MICHAEL BENNET, Colorado             RONALD H. JOHNSON, Wisconsin
KIRSTEN GILLIBRAND, New York         RICHARD SHELBY, Alabama
JOE MANCHIN, III West Virginia       LINDSEY GRAHAM, South Carolina
RICHARD BLUMENTHAL, Connecticut      SAXBY CHAMBLISS, Georgia
                 Chad Metzler, Majority Staff Director
             Michael Bassett, Ranking Member Staff Director
  

                         LETTER OF TRANSMITTAL

                              ----------                              

                                       U.S. Senate,
                                Special Committee on Aging,
                                                    Washington, DC.
Hon. Joe Biden,
President, U.S. Senate,
Washington, DC.
    Dear Mr. President: Under authority of Senate Resolution 81 
agreed to March 2, 2011, I am submitting to you a report of the 
U.S. Senate Special Committee on Aging entitled: Alzheimer's 
Disease and Dementia: A Comparison of International Approaches.
    Senate Resolution 4, the Committee Systems Reorganization 
Amendments of 1977, authorizes the Special Committee on Aging 
``to conduct a continuing study of any and all matters 
pertaining to problems and opportunities of older people, 
including but not limited to, problems and opportunities of 
maintaining health, of assuring adequate income, of finding 
employment, of engaging in productive and rewarding activity, 
of securing proper housing and, when necessary, of obtaining 
care and assistance.'' Senate Resolution 4 also requires that 
the result of these studies and recommendations be reported to 
the Senate annually.
    I am pleased to transmit this report to you.
            Sincerely,
                                                 Herb Kohl,
                                                          Chairman.

                            C O N T E N T S

                              ----------                              
Introduction.....................................................     1
Chapter 1: Population, Life Expectancy, and Dementia Data: 
  Selected Countries.............................................     3
Chapter 2: International Issues in Diagnosis, Research, and 
  Treatment of Dementia and Alzheimer's Disease..................    31
Chapter 3: Long-Term Care for Persons with Dementia and 
  Alzheimer's Disease Among Selected Countries...................    54
Chapter 4: Prevalence of Dementia and Alzheimer's Disease in Low- 
  and Middle-Income Countries....................................    77
Conclusions......................................................    86
Appendix 1.......................................................    88
Appendix 2.......................................................    89
Appendix 3.......................................................    90
Acknowledgements.................................................    93
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