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As the number of people living with dementia continues to rise, healthcare systems face increasing demand for medical and support services. Credit: Shutterstock

By Joseph Chamie
PORTLAND, USA, Oct 6 2026 (IPS)

Dementia is a rapidly growing global health challenge that affects many millions of people worldwide and places significant economic, healthcare, and social strains on societies, particularly as populations age.

Families, community organizations, and governments face growing difficulties in providing adequate care and support for older adults living with dementia.

A debilitating neurological condition, dementia is caused by various diseases or injuries that damage the brain and impair its functioning. Its increasing prevalence has made it a pressing global health concern.

Women are disproportionally affected by dementia, experiencing a greater burden of morbidity and disability than men. Women account for approximately two-thirds of deaths from Alzheimer’s disease and other forms of dementia worldwide and provide about 70% of informal care hours delivered by family and friends

Dementia can affect memory, thinking, communication, mood, and behavior, as well as a person’s ability to perform everyday activities. Symptoms generally worsen over time, often placing substantial emotional, physical, and financial burdens on individuals, families, caregivers, and health systems.

The number of people living with dementia is rising rapidly as populations age and life expectancies increase.

Dementia, however, is not a normal part of aging. Although some changes in memory and functioning are common among older adults, dementia can significantly impair memory, thinking, judgment, and the ability to perform everyday activities.

Dementia is the seventh leading cause of death worldwide and a major cause of disability and dependency among older adults.

Alzheimer’s disease is the most common type of dementia, accounting for roughly 60–70% of all dementia cases. Other types include vascular dementia, dementia with Lewy bodies, which is associated with abnormal protein deposits in nerve cells, and frontotemporal dementia, which involves degeneration of the brain’s frontal and temporal lobes.

Dementia affects not only individuals but also families, healthcare systems, and society as a whole. Its growing prevalence is creating substantial economic, healthcare, and social pressures worldwide.

As the number of people living with dementia continues to rise, healthcare systems face increasing demand for medical and support services. Governments and communities must devote additional resources to meet these needs, while families often assume significant and demanding caregiving responsibilities.

Hospitals and long-term care facilities also face growing pressure because people with advanced dementia may require intensive, around-the-clock supervision and assistance with everyday activities.

Beyond direct healthcare and long-term care expenses, dementia generates substantial indirect costs. These include lost productivity when people with dementia can no longer work and reduced workforce participation among family members who leave or reduce employment to provide unpaid care. Together, these direct and indirect costs add substantially to the broader economic and social burden of dementia.

Women are disproportionally affected by dementia, experiencing a greater burden of morbidity and disability than men. Women account for approximately two-thirds of deaths from Alzheimer’s disease and other forms of dementia worldwide and provide about 70% of informal care hours delivered by family and friends.

People who care for relatives with dementia face greater health risks than those caring for family members without dementia, and these risks can persist even after their relatives have died. Caring for people with dementia therefore places substantial burdens on families and society, while the growing global burden of dementia care remains largely underestimated.

In 2021, approximately 57 million people were living with dementia, according to the World Health Organization, and dementia caused about 2 million deaths. With nearly 10 million new cases of dementia occurring each year, largely reflecting population ageing and increasing longevity, the number of people living with dementia is projected to reach about 107 million by 2026 and more than 150 million by 2050 (Figure 1).

Source: World Health Organization.

Dementia can affect memory, thinking, communication, mood, and behavior. Early signs and symptoms of dementia are often observable and may involve difficulties with memory, attention, communication, reasoning, judgement, and processing visual information.

Possible early signs of dementia include forgetting recent events or familiar information, getting lost while walking or driving, becoming confused in familiar places, having difficulty following conversations, forgetting the names of close family members or friends, using unusual words to refer to familiar objects, and struggling to complete routine or familiar tasks independently (Table 1).

Source; U.S. Center for Disease Control.

Although there is currently no known cure for dementia, WHO guidelines report that up to 45% of dementia risk could potentially be prevented or delayed.

The WHO guidelines recommend several healthy behaviors and lifestyle interventions that may reduce dementia risk. These include cognitive training and stimulation, and participation in social activities for adults with normal cognition or mild cognitive impairment.

Other measures that may help reduce dementia risk and support quality of life and well-being include staying physically active, pursuing additional education, eating a healthy diet, drinking a couple of cups of coffee daily, quitting smoking, limiting alcohol consumption, reading regularly, engaging in mentally stimulating activities, and maintaining social connections. Keeping track of daily tasks, managing stress, and obtaining regular medical check-ups may also help people maintain independence and well-being (Table 2).

Source: World Health Organization and U.S. National Institutes of Health.

Some country studies report that each additional year of education is associated with a lower risk of dementia, with the protective association continuing beyond high school. In other words, additional years of education may provide cumulative protection against dementia. Recent research has also found that hearing aids can reduce the rate of cognitive decline in older adults at high risk of dementia by nearly 50%.

Much can also be done to support people living with dementia and those who care for them. Caring for a person with dementia, however, can be challenging and can affect caregivers’ own health and well-being.

Providing care requires patience, clear communication, and attention to the person’s emotional well-being.

Helpful caregiving tips include starting discussing care needs early, speaking calmly and clearly, avoiding arguments, providing reassurance, and avoiding questions such as “Don’t you remember?”. Other strategies include distracting an agitated person with a snack, photo album, humor, or soothing music; maintaining a consistent routine and familiar mealtime setting; encouraging independence and regular exercise; using written to-do lists and reminders; simplifying choices; and ensuring a safe environment.

Caregivers should also prioritize their own physical and emotional well-being. The demands of dementia caregiving can contribute to emotional stress, physical exhaustion, and burnout.

Helpful self-care strategies include taking regular breaks, seeking assistance from family members or others involved in caregiving, maintaining social connections, engaging in regular physical activity, and seeking mental health support when needed. These measures can help reduce stress and exhaustion and lower the risk of caregiver burnout.

Although age itself does not cause of dementia, it is the strongest known risk factor, with the likelihood of developing dementia generally increasing with age. Consequently, countries with older populations, such as Japan, Germany, Italy, and Greece, tend to report higher dementia rates (Figure 2).

Source: World Population Review.

In sum, dementia is a rapidly rising global health challenge, particularly as populations age. Countries face increasing difficulties in providing adequate care and support for older adults living with dementia.

Given the limited availability of effective treatments, there is an urgent need for comprehensive national strategies to prevent or delay dementia and address its broader social, economic, and health consequences. Such strategies should take a coordinated, long-term approach to strengthening prevention, improving care and support services, and reducing the burden on individuals, families, communities, and health systems.

Joseph Chamie is a consulting demographer, a former director of the United Nations Population Division, and author of numerous publications on population issues.

Le président Bola Tinubu décrit l'accident comme un «moment douloureux» pour l'armée et pour toute la nation.

An IPES-Food report warns that workers in the global food system face high exploitation in keeping the world fed. Credit: Busani Bafana/IPS

By Busani Bafana
BULAWAYO, Oct 6 2026 (IPS)

A new report reveals widespread labour exploitation among food system workers, warning that keeping the world fed comes at the cost of human dignity.

More than 1.4 billion people work in the food industry – the largest employer in the world – and are the most abused, according to a report, Food Work: The workers behind our food and the exploitation they face, published this week by the International Panel of Experts on Sustainable Food Systems (IPES-Food).

The global food system exploits more workers than any other economic sector, and the report notes that this exploitation is not accidental but rather ingrained in a business model that keeps labour cheap while maximising profits.

Abuse All Round

“Often hidden from view, food workers face low pay, wage theft, forced labour, human trafficking, discrimination, sexual violence, dangerous working conditions, and exclusion from social safety nets,” the report found.

“From farmworkers, fishers, and slaughterhouse staff to delivery drivers, restaurant and supermarket employees, and domestic workers, labour abuse is rife at every link in the food chain.”

The report highlighted that migrants, women, refugees, and racialised workers are funnelled into the worst conditions, where speaking up risks job loss, deportation and blacklisting.

IPES-Food co-chair Olivier De Schutter said what was most surprising about the findings of the report was the deep hypocrisy of governments concerning migrant farmworkers. With many countries relying heavily on migrant labour, especially for fruit and vegetable production, as witnessed during the Covid-19 pandemic, governments often grant migrant workers short-term, seasonal stays.

“These workers are routinely subject to forms of exploitation and abuse that would be unimaginable if they were natives – housed in poor conditions, paid poverty wages, and working in often dangerous conditions,” said Olivier De Schutter, a former UN Special Rapporteur on the right to food.

De Schutter argued that because migrant workers were considered unskilled, they were treated like second-class workers and that they had no or minimal connections to the communities in countries that host them; they barely complained in cases of abuse.

This practice is a form of trafficking in human beings, except that it’s legal and officially encouraged, De Schutter told IPS.

According to the UN’s Food and Agriculture Organisation (FAO), the gross value of global agricultural production is estimated at just over $5 trillion, while the World Bank estimates agricultural value-added at about $3.2 trillion.

The global food system is valued at more than $8 trillion, yet those who produce and market the food survive on poverty wages, which calls for a change.

De Schutter identified three mutually reinforcing challenges which include loopholes in the current legislation which does not apply minimum wage or on working hours, poor law enforcement and the difficulty of organising workers where unions are discouraged or even repressed.

“Governments routinely take the position that, where workers are informal, labour legislation does not apply, and labour inspectorates have no role to play,” he said, describing this situation as absurd.

‘It’s like saying that if you don’t have a driver’s licence, you can ignore the traffic rules. In fact, international human rights law requires that basic labour legislation be extended to informal workers and that incentives be given to employers to register their workers to ensure informality does not pay and that formalisation instead be rewarded.”

IPES-Food co-chair Olivier De Schutter. Credit: IPES-Food

Systemic Exploitation

“Unfair employment arrangements, off-the-books work, and lack of basic job security all combine to entrench worker vulnerability,” he said. “Governments directly enable this abuse through legal carve-outs that explicitly exempt food and farm workers from basic protections on wages, workplace safety, and union rights.”

The report highlighted that even where protective laws exist, weak public enforcement and pervasive informal employment leave millions of workers unprotected.

Migrant workers are essential to today’s food systems, yet they face some of the highest rates of workplace abuse, wage theft, forced labour, injury, and death, the report noted.

Worsening Conditions

Compounding these structural abuses, a dangerous convergence of emerging forces was making food work increasingly hazardous and exploitative.

“Climate change is becoming a workers’ rights crisis,” said Mamadou Goïta, IPES-Food panel expert. “Farmworkers already face poverty wages, toxic pesticides, and gruelling conditions. Now climate change is turning up the heat and making their work even more dangerous.”

Goïta said governments were still failing to guarantee workers even basic, lifesaving protections like shade, rest, and drinking water.

“The people producing our food should not have to risk their health or their lives to earn a living,” said Goïta.

The impacts of extreme heat and drought are usually measured in lost crops and harvests. But the human toll on the world’s 928 million agricultural workers was also mounting, with heat stress being the most common health threat facing farmworkers, the report noted.

The consequences of health threats include dizziness, vomiting, and exhaustion from heat stroke and kidney disease. In the US, farmworkers were 35 times more likely to die from heat stress than other workers.

Agricultural regions across Africa, the Americas, and southern Europe now experience up to 50 more days of dangerous heat each year than in the 1970s. In Africa, 93% of workers were exposed to dangerous heat, most of whom work in food systems, said the report.

The report warned that while climate change was exposing workers to extreme heat, severe weather and toxic wildfire smoke, corporate power was suppressing wages, undermining collective bargaining, and shifting risks onto workers, which meant prioritising shareholder returns over decent work.

“At the cutting edge, digital technologies are creating new frontiers of exploitation: gig-based platform work, automation, algorithmic management, and workplace surveillance are isolating workers, intensifying productivity pressures, increasing injury rates, and eroding worker bargaining power,” said the report.

Organise or Agonise

But workers are fighting back. They are forming unions and cooperatives, staging strikes, litigating for rights, and building alliances to demand comprehensive labour standards that recognise their worth and dignity.

The report shows that comprehensive labour standards, living wages, and the right to collective bargaining can shift the world’s largest workforce from the food system’s most invisible victims to resilience.

The report emphasised that in achieving lasting transformation in the food systems industry, there must be a strong policy and power shift across five key priorities. These include building the power of workers by strengthening trade unions and expanding collective bargaining. In addition, legal carve-outs for food and farm workers must be eliminated and equal rights for migrant workers guaranteed.

Policies that criminalise migrants must be scrapped, while employer-tied visa schemes must be dismantled to guarantee equal labour rights and social protections regardless of status, the report said, urging for a curtailment of corporate power so that companies are held accountable for labour abuses throughout their supply chains.

“The people who feed the world deserve safe, fairly paid, and dignified work,” said the report. “Food systems must never depend on low wages, hazardous conditions, or invisible labour. Achieving this requires changing who holds power, who profits, and who bears the costs.”

IPS UN Bureau Report

 

 

 

 

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A reflection on kinship, memory, and what the Earth has always been trying to tell us.

By James Alix Michel
VICTORIA, Seychelles, Oct 6 2026 (IPS)

One night, many years ago now, on a remote beach in the outer islands of Seychelles, I sat in the darkness and watched a green turtle come ashore. She had waited for the heat of the day to leave the sand. Under a sky crowded with stars, she hauled herself slowly above the tideline, dug with a patience no human hand could match, and laid her eggs. Then, in the small hours, she turned back toward the water. She did not hurry. She paused once, as though listening, and then made her slow, unhesitating way down the sand, back to a home older than any I could imagine.

James Alix Michel

I have thought of her many times since. Not because there was anything unusual in what she did – her kind have been coming ashore to nest for more than a hundred million years – but because of what her calm dignity revealed, by contrast, about us. She belonged. She did not need to prove it. She had not spent her night wondering whether the sea would consent to receive her.

We, the human beings watching from the shore, are the ones who wonder.

This, I have come to believe, is the deepest source of the trouble we now find ourselves in. Not our tools, not our economies, not even our numbers, though all of these press hard upon the living world. The deepest source is an older mistake: the unexamined assumption that we stand outside nature, deciding its fate. That the Earth is a stage and we are its principal players, and that everything else, the reef, the forest, the migrating whale, the green turtle, is scenery, resource, or backdrop.

The truth is far more humbling. We are not the authors of nature. We are its late arrivals.

Consider the arithmetic of belonging. The Earth is some four and a half billion years old. Life appeared here almost four billion years ago. Coral reefs were already ancient when the dinosaurs walked. Forests had been breathing for hundreds of millions of years before the first upright ape rose on the savannah. The calcium in our teeth, the iron in our blood, the carbon that composes almost everything we are, was forged in stars that lived and died long before this planet existed. To imagine ourselves separate from nature is not merely a philosophical mistake. It is a physical impossibility.

We Seychellois have a particular reason to understand this, for we are late arrivals twice over. Our granite islands are among the oldest islands on Earth, the only oceanic islands made of granite: fragments of the ancient supercontinent of Gondwana, left behind in the middle of the ocean when India drifted away some sixty-five million years ago. For almost all of that immense time, no human foot touched them. The turtles came, and the seabirds, and the giant tortoises. We came only in 1770, when a small party of Europeans, Africans and Indians stepped ashore on Sainte Anne. Others followed, from Africa, from India, from China, from Europe, some by choice and many, let us never forget, in chains. From that meeting of peoples, in scarcely two and a half centuries, a nation was born.

And something remarkable happened. A people with no ancestral memory of these islands learned, within a few generations, to belong to them. Our grandparents learned to read the sea as others read books. They gave thanks to the ocean before setting out and again on returning, and spoke of it as one speaks of a mother. Their kinship was not inherited; it was learned. That, to me, is among the most hopeful facts I know: belonging can be learned.

There is a school of thought, gathering strength in our time, that invites the whole of humanity to learn it too. Some call it biocentrism, the recognition that life in all its forms carries moral weight. Others call it deep ecology, the insistence that the human being is one strand in a vast web, not the loom on which the web is woven. The American conservationist Aldo Leopold put it most simply, many decades ago: we must learn to think “like a mountain.” The names matter less than the instinct behind them: that the living world is not a possession, and that our first duty to it is not extraction but attention.

This is why the environmental struggle feels to me, at its deepest level, like a spiritual struggle as much as an economic one. The numbers we use to measure our crisis are necessary and true, but they cannot on their own move the human heart. What moves the heart is the recognition that we are kin to what we are losing. That the coral bleaching in a lagoon is not a distant statistic but family. That the night sky above the nesting beach is not decoration but a memory of our own origin.

I do not offer this as sentiment. I offer it as strategy. For decades we have tried to persuade humanity to protect the Earth by appealing to self-interest. The argument is true, but it has not been sufficient. Self-interest is a thin thread from which to hang the future of a planet. What is needed now is the older and stronger thread of kinship. And kinship, once acted upon, is answered. On Aldabra, where green turtles were once taken in great numbers, decades of patient protection have allowed the nesting population to multiply several times over. The sea, it seems, is ready to forgive us, if we are ready to belong.

James Alix Michel, is Former President of the Republic of Seychelles

IPS UN Bureau

 

 

 

 

Excerpt:

A reflection on kinship, memory, and what the Earth has always been trying to tell us.

The EU issued a statement on the situation in Ethiopia, urging immediate de-escalation in the country amid rising violence and tensions with Eritrea, calling for civilian protection, humanitarian access, respect for sovereignty and renewed diplomatic efforts.

Press briefing ahead of the upcoming Eurogroup meeting of 8 October will take place on Wednesday, 7 October 2026 at 13.15.

On 5 October 2026, the European Union and the Republic of Moldova held their 10th Association Council Meeting where EU and Moldova reiterated their strong partnership and announce the disbursement of €157 million under Growth Plan funding.

Press briefing ahead of the Economic and Financial Affairs Council will take place on 6 October at 17.00. The briefing will be "off the record".

President António Costa travelled to Warsaw (Poland) to attend the opening ceremony of the academic year 2026/2027 of the College of Europe (Natolin campus), where he delivered a speech.

Lebenslang ohne Bewährung: Der frühere «American Idol»-Kandidat Caleb Flynn ist in den USA wegen Mordes an seiner Frau verurteilt worden.

Die Buchungszeit für die Skiferien über die Festtage ist in vollem Gang. Viele Skigebiete haben an den Preisen oder Preismodellen geschraubt. Blick liefert die grosse Übersicht, was du für eine Tageskarte oder ein Saisonabo in Schweizer Top-Destinationen diese Saison hinblättern musst.

Angestellte im öffentlichen Verkehr der Schweiz werden täglich beschimpft, bedroht oder angegriffen. Bei den SBB sind es im Schnitt zehn Vorfälle pro Tag – und laut ÖV-Betrieben bleiben viele Fälle wegen Aufwand und Angst vor Rache ungemeldet.

Die sogenannten Nachteilsausgleiche bei den Lehrabschlussprüfungen sorgen für Aufsehen. SVP-Nationalrat Christian Imark kritisiert den Anstieg – und wendet sich jetzt an den Bundesrat. In den Kantonen gibt es grosse Unterschiede, wie die Zahlen zeigen.

ÖV-Angestellte werden täglich beschimpft, bedroht oder angegriffen. Bei den SBB sind es im Schnitt zehn Vorfälle pro Tag – und laut ÖV-Betrieben werden viele Fälle wegen Aufwand und Angst vor Rache nicht gemeldet.

Der letzte meisterliche Frühling mit Fribourg und sein Nati-Debüt haben alles verändert. Statt ein Mitläufer ist Simon Seiler plötzlich der gefragteste Verteidiger auf dem Markt. Der Thurgauer wird mit 29 erstmals in seiner Karriere einen richtig guten Vertrag unterschreiben.