Dementia and the Ageing Workforce: A Growing Challenge
Globally, dementia is diagnosed in nearly 10 million people each year, equating to one new case almost every 3 seconds[1]. In 2021, an estimated 57 million people[2] worldwide were living with dementia. The number of global dementia cases is projected to nearly double every two decades, reaching an estimated 82 million by 2030 and 152 million by 2050[3]. The economic impact is staggering, with annual global costs exceeding US$1.3 trillion in 2019 and projected to rise to US$2.8 trillion by 2030[4].
Asia Pacific is at the centre of this shift, with estimated 42 million of dementia patients by 2030 and is expected to account for more than half of the world’s dementia cases, driven by rapid population ageing and longer life expectancy.
While World Alzheimer’s Day (21 September) may have passed, but the conversation shouldn’t stop there. These shifts are already reshaping the workforce, highlighting the importance of greater awareness, support for caregivers, and more inclusive workplace practices.
Why Dementia awareness matters in Asia
Here’s a snapshot of how dementia is affecting Asian countries:
Country | Dementia Prevalence Rates |
Japan | Estimated projection of nearly 6 million of senior adults will have dementia by 2040[5] |
Malaysia | Estimated 204,000–264,000 dementia cases in 2020, projected to rise to 825,000 by 2050. This represents a 312% increase, driven by rapid ageing and longer life expectancy[6] |
Philippines | Over 419,000 cases, with a prevalence of 370 cases per 100,000[7] people in 2021. |
Thailand | Estimated 800,000 cases in 2024, projected to hit 1 million by 2034[8] |
Hong Kong | Almost 1 in 10 senior adults aged 60 and above lives with dementia[9], according to the Hong Kong Mental Morbidity Survey for Older People conducted from 2019 to 2023 |
Singapore | 1 in 11 senior adults aged 60 and above affected[10] with dementia in 2023. |
Indonesia | Estimated 1.2 million cases in 2016, expected to increase to over 4 million by the year 2050[11]. |
This demographic shift is already influencing the workplace. More employees are stepping into caregiving roles, more families are navigating complex support systems, and more organisations are being called to respond with empathy and flexibility.
Understanding Alzheimer’s and Dementia
Alzheimer’s disease is the most common form of dementia[12]. It’s a progressive brain disorder that affects memory, thinking and behaviour. Over time, it can make everyday tasks difficult which is why early detection and support matter. Japan has the highest global prevalence of Alzheimer’s Disease with approximately 3,079 cases per 100,000[13] people in 2021.
What causes Alzheimer’s?
While the exact cause remains unknown, research has identified several factors that may increase the risk of developing the condition:
- Age-related brain changes: Including shrinking of certain brain regions, inflammation, blood vessel damage, the production of free radicals, and decreased energy production within cells are known to increase the risk[14].
- Genetics and family history: Having a parent or sibling living with Alzheimer’s may potentially increases your risk and it is even higher if more than one first-degree relative is affected[15].
- Health conditions: Diabetes[16], high blood pressure (hypertension)[17] and obesity[18] are potentially linked to dementia risk.
- Lifestyle factors: Lack of physical activity, unhealthy diet, smoking, excessive alcohol use, and social isolation can all likely contribute to the development [19].
Spot the signs early
Recognising the early symptoms can lead to timely intervention.
Source: Alzheimer’s Association[20]
Alzheimer’s research is advancing rapidly. Early diagnosis enables individuals and families to plan ahead, access support, and explore treatment options that may help manage symptoms and potentially slow disease progression[21].
Reducing risk of dementia starts with lifestyle
While there’s no cure yet, lifestyle changes can possibly help to reduce the risk:
- Stay physically active: Physical activity increases blood and oxygen flow to the brain, improves connections among brain cells, and may lower the risk[22]. The World Health Organisation (WHO) recommends at least 150 minutes of moderate-intensity physical activity per week for adults.
- Adopt a brain-healthy diet: Nutrient-rich diets such as the Mediterranean or MIND diets, which are high in leafy greens, berries, whole grains and healthy fats, Demonstrated ability to slow cognitive deterioration while boosting overall brain function [23].
- Manage chronic conditions: Hypertension, diabetes, and obesity are significant risk factors for cognitive decline and dementia. Managing these conditions can potentially reduce the risk.
- Stay socially and mentally engaged: Maintaining strong social connections and engaging in mentally stimulating activities, such as puzzles, reading or learning new skills, can enhance cognitive reserve and delay the onset of symptoms[24].
How employers can support
Many employees are balancing work with caregiving responsibilities. Here’s how employers can help:
- Offering flexible work arrangements and caregiver leave
- Providing access to Employee Assistance Programmes (EAPs)
- Sharing educational resources on dementia and caregiving
- Fostering a stigma-free, inclusive workplace culture
How families can support loved ones
In many Asian households, caregiving is a shared responsibility. Here are practical ways to help[25]:
- Keep routines consistent to reduce confusion and provide comfort
- Use reminders like calendars, notes or labelled items to support memory
- Encourage familiar, enjoyable activities such as music, gardening or crafts
- Communicate clearly and calmly using short, simple sentences and gestures
- Support independence while offering gentle help when needed
- Make the home safe by removing hazards and installing handrails
- Look after yourself by seeking support, rest and respite care
- Involve younger family members to foster understanding and reduce stigma
Shaping an Alzheimer’s inclusive workforce
As Alzheimer’s and other forms of dementia become more prevalent across Asia, the impact on employees, families and organisations will only grow. But this isn’t just a challenge. It is a chance to lead with empathy, action and purpose.
By raising awareness, supporting caregivers and embedding inclusive practices, you can build a workplace that is ready for the future —one that supports a multigenerational workforce, draws on real-world experience and puts people first.
This article is provided by Howden for information and educational purposes only. The content is intended to provide general information and should not be considered as medical advice, diagnosis, or treatment recommendations.

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