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Summer '07 Newsletter

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July 25, 2007

MIKULSKI'S BILL ON ALZHEIMER'S EPIDEMIC PASSES KEY SENATE COMMITTEE

Five-year delay in onset could save Medicaid and Medicare $515 billion
each year.

WASHINGTON, D.C. - Senator Barbara A. Mikulski (D-Md.), Chairwoman of
the Health, Education, Labor and Pensions (HELP) Committee's
Subcommittee on Retirement and Aging, announced today that the full HELP
Committee has approved The Alzheimer's Breakthrough Act of 2007 (S.
898). This comprehensive legislation, co-sponsored by Senator Kit Bond
(R-Mo.), has been a top legislative priority for Senator Mikulski, and
takes a significant step in providing real relief for patients and
families suffering from Alzheimer's disease.

"We are approaching an epidemic. A tsunami is on the horizon. We may
know a lot about Alzheimer's disease, but it has been 100 years since it
was first diagnosed," said Senator Mikulski. "Only 10 years after the
first diagnosis of HIV/AIDS, researchers discovered a 'cocktail' that is
now enabling people with AIDS to live productive lives. We need this
same sense of urgency for Alzheimer's!"

The Alzheimer's Breakthrough Act of 2007 doubles funding for
Alzheimer's research at the National Institutes of Health (NIH) from
$640 million to $1.3 billion. It will create a national summit on
Alzheimer's to look at the most promising breakthroughs. The bill also
creates a system for caregiver support that provides updated news,
resources and tools for caregivers, families and physicians.

"Not only is this disease awful for the person living with it and
devastating for the family caring for their loved one, but it is
horrifying to think of the financial impact it will have for our
country," said Senator Mikulski. "Last year, we spent $120 billion to
support people living with Alzheimer's. If we don't d o something - it
could cost us $1 trillion a year by 2050."

Senator Mikulski has held three comprehensive hearings on the
Alzheimer's epidemic since its introduction in March 2007. The first
hearing examined the progress that has been made, and the need for a
continued investment of federal resources in Alzheimer's research and
programs. Witnesses included Harry Johns, President and CEO of the
Alzheimer's Association, Dr. Marilyn Albert, Director of the Division of
Cognitive Neuroscience in the Department of Neurology at Johns Hopkins
University School of Medicine and Co-Director of the Johns Hopkins
Alzheimer's Disease Research Center and Dr. Samuel Gandy, Professor and
Director of the Farber Institute for Neurosciences, Thomas
JeffersonUniversity and Chair of the Medical and Scientific Advisory
Council of the Alzheimer's Association. Witness testimonies are
available at:
http://mikulski.senate.gov/record.cfm?id=270936 .

The second hearing in the series highlighted ongoing breakthroughs in
Alzheimer's research in the public and private sectors, and the need
for
a greater federal investment. Witnesses at today's hearing were: Dr.
Paul Aisen, MD, Professor of Neurology and Medicine and Director of the
Georgetown Memory Disorders Program at Georgetown University, Dr. Arthur
Kramer, Ph.D., Professor at University of Illinois Departments of
Psychology and Neuroscience and Beckman Institute, Robert Essner,
Chairman and CEO of Wyeth and J. Donald deBethizy, Ph.D, President and
CEO of Targacept Inc. Witness testimonies are available at:
http://mikulski.senate.gov/record.cfm?id=274258.

The third hearing featured an unprecedented roundtable with Dr. Elias
Zerhouni, Director of the National Institutes of Health (NIH), Dr.
Julie
Gerberding, Director of the Centers for Disease Control and Prevention
(CDC), Dr. Andrew von Eschenbach, Com mi ssioner of the Food and Drug
Administration (FDA), and Dr. Richard Hodes, Director of the National
Institute on Aging (NIA). The hearing focused on current federal
Alzheimer's disease initiatives and programs, how to better coordinate
federal efforts, and the facilitation of private and public sector
partnerships. Witness testimonies are available at:
http://mikulski.senate.gov/record.cfm?id=279149.

The bill now goes to the Senate floor for a vote, which has not yet
been scheduled.

 

 

By CARLA K. JOHNSON

Associated Press Writer

 

July 2, 2007

 

CHICAGO -- Difficulty identifying common smells such as lemon, banana and cinnamon may be the first sign of Alzheimer's disease, according to a study that could lead to scratch-and-sniff tests to determine a person's risk for the progressive brain disorder.

 

Such tests could be important if scientists find ways to slow or stop Alzheimer's and the severe memory loss associated with it. For now, there's no cure for the disease that affects more than 5 million Americans.

 

Researchers have long known that microscopic lesions considered the hallmarks of Alzheimer's first appear in a brain region important to the sense of smell.

 

"Strictly on the basis of anatomy, yeah, this makes sense," said Robert Franks, an expert on odor perception and the brain at the University of Cincinnati. Franks was not involved in the new study, appearing in Monday's Archives of General Psychiatry.

 

Other studies have linked loss of smell to Alzheimer's, Franks said, but this is the first to measure healthy people's olfactory powers and follow them for five years, testing along the way for signs of mental decline.

 

In the study, 600 people between the ages of 54 and100 were asked to identify a dozen familiar smells: onion, lemon, cinnamon, black pepper, chocolate, rose, banana, pineapple, soap, paint thinner, gasoline and smoke.

 

For each mystery scent, they heard and saw a choice of four answers. For cinnamon, they were asked aloud: "Fruit? Cinnamon? Woody? Or coconut?" while also seeing the choices in text.

 

A quarter of the people correctly identified all the odors or missed only one. Half of them knew at least nine of the 12. The lowest-scoring quarter of the people correctly identified eight or f ewer of the odors.

 

The subjects took 21 cognitive tests annually over the next five years. About one-third of the people developed at least mild trouble with memory and thinking.

 

The people who made at least four errors on the odor test were 50 percent more likely to develop problems than people who made no more than one error. Difficulty identifying odors also was associated with a higher risk of progressing from mild cognitive impairment

to Alzheimer's.

 

The researchers took into account age, gender, education and a history of strokes or smoking, and still found that lower scores predicted higher risk of cognitive decline.

 

Lead author Robert Wilson of Chicago's Rush University Medical Center said a diminishing sense of smell isn't cause for panic.

 

"Not all low scorers went on to have cognitive problems," Wilson said. Older people should report a loss in smell to their doctors, said Claire Murphy, an Alzheimer's researcher at

San Diego State University who was not involved in the new study. The problem could be caused by a polyp in the nose or infected sinuses, she said.

 

"If a person is old and has a very good sense of smell, that's a very good sign," Murphy said.

The study was funded by the National Institute on Aging and the Illinois Department of Public Health.

------

On the Net:

Archives of General Psychiatry: http://archpsyc.amaassn.

org/

Copyright (c) 2007, The Associated Press

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