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SERIES 6: THE INNOVATION–IMPACT GAP

Series 6: The INNOVATION–IMPACT GAP AUTHOR: KJ Lavan WHAT Happens When Science Advances Faster Than the SYSTEM? For decades, Alzheimer’s disease was described as a scientific problem: We needed better biomarkers. Earlier diagnosis. Disease-modifying therapies. More precise risk prediction. Now those advances are arriving. Lecanemab and donanemab have established that Alzheimer’s pathology can be therapeutically targeted in people with early disease although treatment benefits are measured in slowing progression, not curing or reversing dementia.  Treatment also requires careful patient selection, intravenous administration, specialist oversight, and monitoring for amyloid-related imaging abnormalities.  https://lnkd.in/gKZZ57eD In May 2025, the FDA cleared the first blood test to assist in diagnosing Alzheimer’s disease. The Lumipulse test measures the plasma ratio of p-tau217 to amyloid-beta 1-42 in symptomatic adults aged 55 and older—potentially reducing reliance on PET ima...

The Global Cognitive Resilience Economy: The Next Strategic Layer Beyond National Dementia Plans

The Global Cognitive Resilience Economy: The Next Strategic Layer Beyond National Dementia Plans Briefing Note for Alzheimer’s Disease International Leadership and Board of Directors Prepared by: KJ Lavan Date: June 2026 ⸻ Executive Summary Over the past decade, Alzheimer’s Disease International (ADI) has played a pivotal role in advancing  national dementia plans worldwide, helping move dementia from a neglected condition to a recognized public policy priority. This achievement represents one of the most important global health policy successes of the 21st century. Yet, a new reality is emerging. Dementia is no longer solely a health-sector challenge.  It is increasingly becoming a systemic economic, workforce, fiscal, and societal issue with implications extending far beyond healthcare delivery. As populations age and longevity increases, the strategic question facing governments is evolving: How do nations preserve cognitive capacity, productivity, independ...