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This major cause of chronic suffering is reason enough for a theme issue
| The first 150 words of the full text of this article appear below. |
Inow begin the journey that will lead
me into the sunset of my life," was how Ronald Reagan described his
remaining life.1 That was seven years ago when he told the
world that he had Alzheimer's disease. The sunset has been a prolonged
one, as is usual in most neurodegenerative disorders, of which
Alzheimer's is a prototype. All have an insidious onset, progress
slowly over years, and death is usually due to an intercurrent illness
and not directly due to the disease itself. Predictably the global
burden of diseases like Alzheimer's will rise with increasing
longevity. Much of the burden is also borne by carers and relatives.
Reagan's daughter, Maureen Reagan, summed up what the illness
means to carers. "[Ronald's wife Nancy is] the one who wakes up
with it every morning and goes to sleep with it every
night."2 Unfortunately Nancy Reagan's burden does not
figure in any report
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