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Parkinson's Cases Will Double In Next 25 Years Worldwide
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Main Category: Parkinson's Disease News
Article Date: 31 Jan 2007 - 22:00 PDT
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The number of individuals with Parkinson's disease in 15 of the
world's largest nations will double over the next generation,
according to a study published in the January 30 issue of the journal
Neurology. The study highlights the significant challenge facing
countries with rapidly growing economies, particularly in Asia, many
of which are ill prepared to meet this impending public health threat.
In recent years, a great deal of resources and energy have been
focused on confronting infectious diseases such as HIV, malaria, and
tuberculosis. This is highlighted by high-profile private investments
in these areas by organizations such as the Gates Foundation. However,
while infectious diseases have attracted the greatest attention from
international donors, it is non-communicable chronic diseases, such as
Parkinson's, that represent a far greater burden in terms of economic
and social cost to developing nations.
University of Rochester neurologist Ray Dorsey, M.D., and a team of
researchers examined the projected population growth in the five
largest countries in Western Europe (France, Spain, Germany, the
United Kingdom, and Italy) and the 10 most populous nations worldwide
(China, India, Indonesia, the United States, Brazil, Pakistan,
Bangladesh, Nigeria, Japan, and Russia). They then projected the
prevalence of the disease by age group in each country. Their research
estimates that the number of individuals with Parkinson's disease in
these 15 countries will grow from 4.1 to 8.7 million by the year 2030.
While the number of individuals with the disease will nearly double in
the United States to 610,000, the greatest growth will occur in
developing countries in Asia. By 2030, an estimated 5 million people
in China will have the disease.
"The bulk of the growth in Parkinson's disease in the next 25 years
will not be in the United States and Europe but in other places,
namely China, where Parkinson's may not be viewed as a major public
health problem," said Dorsey. "Moreover, this growth will occur in
societies where there is very limited infrastructure in place to
diagnose individuals, much less address their medical needs or the
societal impact."
Parkinson's disease is a degenerative disorder of the central nervous
system that impairs motor skills and walking. Despite the fact that
the disease is treatable with a combination of medications, therapy
and exercise, many individuals in the developing world do not receive
appropriate care and may not even be aware of their diagnosis. Dorsey
and his colleagues noted that in door-to-door surveys in Bolivia, for
example, none of the individuals who were found to have Parkinson's
disease had ever seen a physician for their problem.
The growth in chronic diseases such as Parkinson's is one of the
unfortunate byproducts of development. Economic growth and the
corresponding improvements in health care and education are increasing
the life expectancy of individuals in the developing world. In terms
of the rise in chronic diseases, the key factor is not overall
population growth but rather the number of people over age 65 and thus
at risk of developing Parkinson's and other chronic conditions.
Furthermore, as income grows, so too does health care spending which,
in turn, increases the duration of illness and the overall number of
people with a particular disease.
Without the proper systems of medical treatment and social support,
chronic diseases can cause significant economic displacement in the
form of lost productivity. According to the World Health Organization,
China, India, and Russia could forego between $200 billion and $550
billion in national income over the next 10 years as a result of only
three chronic diseases: heart disease, stroke and diabetes.
Furthermore, 60 percent of deaths worldwide are the result of chronic
disease, more than double all infectious diseases, maternal and infant
conditions, and nutritional deficiencies combined.
"Understanding and predicting the burden of disease is critical to
guiding future health, social and economic policy," said Dorsey. "The
challenge for these developing countries that currently don't have the
infrastructure in place to care for the small burden they have now is
how they will develop this capacity over time recognizing that the
costs will grow."
----------------------------
Article adapted by Medical News Today from original press release.
----------------------------
Contact: Mark Michaud
University of Rochester Medical Center
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