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In 2050 nearly 1.5 billions people aged over 60 will live in less developed countries. According to UN data and WHO facts sheet 2010 Niger will have the fewest people over 60 (5%).

In the picture the dark areas represent regions in 2050 where the percentage of 60+residents rises over 25% of total population.

Longer life fewer babies will push on a demographic shift, by 2050 one in 5 people will be aged 60+ they will outnumber people under 14y

 

Last september the 10th at Stockholmassen took place the EFNS annual meeting. I had the chance to follow this great session chaired by JOHANN SELLNER, MUNICH, GERMANY
ISRAEL STEINER, PETACH-TIKVA, ISRAEL.

Travel related CNS infections
Erich Schmutzhard, INNSBRUCK, AUSTRIA

Diseases such as Malaria and many Parassitosis are getting more and more frequent in western populations. Tailored campaigns may help migrants and travellers to better prevent serious consequences (see post on malaria). Even a a couple of weeks visit to relatives in endemic malaric areas without appropriate prophilaxis may expose a family to infections. Once back in europe in case of troubles doctors should think to uncommon diseases more frequently (? to let them know is our duty).

Neurological complications of vaccination
Israel Steiner, PETACH TIKVA, ISRAEL

Perivaccinic neurological complication in a wide definition may be more frequent then expected even if hard to diagnose. GB syndrome also may be a potential consequence.

Emerging CNS infections of worldwide importance
Johann Sellner, MUNICH, GERMANY

After the large diffusion of transpalnations al over the world in acute post transplantation and later phases minor infectious agent may play a crucial role. (rabia, HSV)

An MRI equipment is expensive. 1.5 tesla scanners often cost between US$1 million and US$1.5 million. 3.0 tesla scanners often cost between US$2 million and US$2.3 million. Construction of MRI suites can cost up to US$500,000, or more, depending on project scope. In France, the cost of an MRI exam is approximately 150 Euros. This covers three basic scans including one with an intravenous contrast agent, as well as a consultation with the technician and a written report to the patient’s physician.

MRI provides good imagesbetween the different tissuesof the body, which makes it especially useful in imaging the brain, heart, and tumorscompared with other techniques.

According to the WHO and the Atlas of MS database initiative 6 % of African countries provide MRI machines for their national health care Systems while in eastern Europe the figure is 75% , 95% in western EU, South America 46% and 38% in Central America.

The distribution of MRI machines seems not appropriate with more than 1 MRI per 100,000 inhabitants in US or Italy and less than 0,1 MRI machine per 100, 000 in China or Argentina. LAst update of the database 2009.

…Affluent Arabs used to head to hospitals in the US when they needed treatment. But now, post-Iraq, they are increasingly choosing Germany’s private clinics. With the average foreign patient spending an estimated €80,000 a stay, competition to attract the medical tourists is fierce…. by Monocle 2008…

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