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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)

Alcohol is one of the most diffused intoxicating substances in India (and in the whole world). It has traditionally been drunk in tribal societies, although it has won increasing social acceptance among all social groups, urban males being the main example.

Between 15 and 20 per cent of Indian people consume alcohol and, over the past twenty years, the number of drinkers has increased from one in 300 to one in 20. This translates into about five million people addicted to alcohol. There is a need to increase awareness in the medical community on the topic since less relevant in the western countries where Indian immigrants are now settling. We ll present a case of a 35y Indian old man admitted in our first aid for generalized seizures due to acute alcohol abuse.

The patient underwent to a brain CT scan demonstrating a relevant multiple infarct encephalopathy. Alcoholemia was over 500 mg/ml. I.v. diazepam was administered with fluids. The subject fully recovered and was disharged the next day. Seen the vascular burden an anti epileptic treatment was undertaken with oxcarbazepine 600 bid.

…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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