*Published: September 24, 2010 00:16 IST*

*Special Correspondent*

[image: MEMENTO: A.Vellayan, chairman, Murugappa Group, presenting the M.V.
Arunachalam Endownment Oration plaque to Sube Banerjee, Professor of Mental
Health and Ageing at the Institute of Psychiatry and Clinical Director,
Maudsley, UK, in Chennai on Thursday. M.V. Murugappan, chairman, Vellayan
Chettiar Trust (second from right) and E.S. Krishnamoorthy, honorary
secretary, VHS, are in the picture. Photo: K. Pichumani]

MEMENTO: A.Vellayan, chairman, Murugappa Group, presenting the M.V.
Arunachalam Endownment Oration plaque to Sube Banerjee, Professor of Mental
Health and Ageing at the Institute of Psychiatry and Clinical Director,
Maudsley, UK, in Chennai on Thursday. M.V. Murugappan, chairman, Vellayan
Chettiar Trust (second from right) and E.S. Krishnamoorthy, honorary
secretary, VHS, are in the picture. Photo: K. Pichumani
*
*
*Systemic changes needed to promote better living for people diagnosed with
the condition: expert*

Improving awareness among patients on their condition, earlier and better
diagnosis and improving the quality of health care form a package of
solutions that will help persons with dementia, Sube Banerjee, professor of
mental health and ageing, Institute of Psychiatry, and Clinical Director,
Maudsley, the UK, said here on Thursday.

Showcasing the National Dementia Strategy of the U.K., Prof. Banerjee said
the aim was to promote better living for people with dementia. To do this,
systemic changes were required as also a vision to look ahead. Investments
had to be enhanced and commitment sustained over time. The key to the
success of the programme was to drive up the quality of life for those whose
quality of life was poor and maintain the standard for those with a good
quality of life.

Dementia is a syndrome with multiple causes that impacts daily activities,
is progressive and irreversible, Prof. Banerjee pointed out. Cell death in
dementia begins 30 years earlier, he said. While the exact cause is not
known, it is believed that about 40,000 different interactions between the
genes and the environment all contribute in some way.

Prof. Banerjee was delivering the 8th M.V. Arunachalam Endowment Oration
organised by the Neurosciences India Group, on ‘Mental health for older
people in the 21st century – challenges and solutions in depression and
dementia.' According to the World Alzheimer's Report, there are 35.6 million
people worldwide with Alzheimer's (used interchangeably with dementia); this
was projected to rise to 65.7 million people in 2030 and 115.4 million by
2050. Focussing on depression as another crucial mental health issue among
senior citizens, he said about 12-15 per cent of senior citizens were
depressed.

“It is not a trivial illness, and yet it is the most not-treated condition.”
Depression is associated with suicidal tendencies, non-suicidal deaths,
excess health and social service use, profound drop in the quality of life
and tremendous increase in the burden on families.

Late-life depression persists, unlike among youth, he stressed, and the
chances are that older people do not spontaneously recover from depression.

There were a number of late-life factors that render adults vulnerable to
depression, including physical illness, loss of family, health, home,
friends, biological factors and higher degree of disability, the expert
added.

M.V. Murugappan, chairman, Vellayan Chettiar Trust, and A. Vellayan,
chairman, Murugappa Group and trustee of Vellayan Chettiar Trust, both kin
of the late industrialist M.V. Arunachalam, in whose memory the endowment
has been instituted, felicitated Prof. Banerjee.

E.S. Krishnamoorthy, honorary secretary, VHS, and director, Institute of
Neurological Sciences, VHS, said India was on the brink of a demographic
shift.

The 100-million strong elderly population in India today was likely to grow
to 326 million by 2050.

About a third of the senior citizens have a medical disability and the
question is whether the country is prepared to meet this challenge, he said.

*Keywords: dementia, health care, Sube Banerjee, Arunachalam Endowment
Oration*

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