Global Brain Health Institute (GBHI), University of California San Francisco (UCSF), San Francisco, CA, USA.
Cognitive Neuroscience Center (CNC), Universidad de San Andrés, Buenos Aires, Argentina.
J Alzheimers Dis. 2021;82(s1):S379-S394. doi: 10.3233/JAD-201384.
In comparison with other regions, dementia prevalence in Latin America is growing rapidly, along with the consequent clinical, social, and economic burden upon patients and their families. The combination of fragile health care systems, large social inequalities, and isolated clinical and research initiatives makes the coordination of efforts imperative. The Latin America and the Caribbean Consortium on Dementia (LAC-CD) is a regional organization overseeing and promoting clinical and research activities on dementia. Here, we first provide an overview of the consortium, highlighting the antecedents and current mission. Then, we present the consortium's regional research, including the multi-partner consortium to expand dementia research in Latin America (ReDLat), which aims to identify the unique genetic, social, and economic factors that drive Alzheimer's and frontotemporal dementia presentation in LAC relative to the US. We describe an extension of ReDLat which aims to develop affordable markers of disease subtype and severity using high density EEG. We introduce current initiatives promoting regional diagnosis, visibility, and capacity, including the forthcoming launch of the Latin American Brain Health Institute (BrainLat). We discuss LAC-CD-led advances in brain health diplomacy, including an assessment of responses to the impact of COVID-19 on people with dementia and examining the knowledge of public policies among experts in the region. Finally, we present the current knowledge-to-action framework, which paves the way for a future regional action plan. Coordinated actions are crucial to forging strong regional bonds, supporting the implementation of regional dementia plans, improving health systems, and expanding research collaborations across Latin America.
与其他地区相比,拉丁美洲的痴呆症患病率正在迅速增长,随之而来的是患者及其家属在临床、社会和经济方面的负担。脆弱的医疗保健系统、巨大的社会不平等以及孤立的临床和研究举措相结合,使得协调努力势在必行。拉丁美洲和加勒比地区痴呆症联合会(LAC-CD)是一个监督和促进痴呆症临床和研究活动的区域组织。在这里,我们首先概述了该联合会,重点介绍了其前身和当前的使命。然后,我们介绍了该联合会的区域研究,包括旨在确定在拉丁美洲(ReDLat)推动痴呆症研究的多伙伴联合会,其目的是确定导致阿尔茨海默病和额颞叶痴呆在 LAC 与美国表现不同的独特遗传、社会和经济因素。我们描述了 ReDLat 的扩展,旨在使用高密度 EEG 开发疾病亚型和严重程度的经济实惠标志物。我们介绍了当前促进区域诊断、知名度和能力的举措,包括即将推出的拉丁美洲大脑健康研究所(BrainLat)。我们讨论了 LAC-CD 领导的大脑健康外交方面的进展,包括评估 COVID-19 对痴呆症患者的影响的反应以及检查该地区专家对公共政策的了解。最后,我们提出了当前的知识转化行动框架,为未来的区域行动计划铺平了道路。协调行动对于建立强大的区域联系、支持实施区域痴呆症计划、改善卫生系统以及扩大拉丁美洲的研究合作至关重要。