Seniors in these Tennessee counties have the highest Alzheimer's rates

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January 3, 2024
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Seniors in these Tennessee counties have the highest Alzheimer's rates

An estimated 129,200 people in Tennessee over age 65 have Alzheimer's, according to estimates released by the Alzheimer's Association in 2023.

, and that number is only growing. Medical professionals believe the volume of diagnoses could double by 2060 if there isn't a breakthrough in prevention鈥攐r a cure.

For the first time, the Alzheimer's Association released estimates on Alzheimer's prevalence in each state and county. Researchers hope these figures will help regional public health officials better treat Alzheimer's patients, develop localized care plans, and budget for care鈥攑articularly as new treatments come at a cost.

Alzheimer's is the most common form of dementia and is among the top 10 causes of death in the U.S. These as fatality rates from other health-related causes, including heart disease and stroke, are on the decline. With Alzheimer's, the brain shrinks, brain cells die, and peoples' memory and language centers fail. As the disease advances, the loss of brain function leads to dehydration, malnutrition, infection, and ultimately death.

Developing a cure or effective treatment has been slow, as medical professionals still don't know what causes Alzheimer's. But earlier this year, the Food and Drug Administration fully greenlit the first drug proven to effectively treat the disease: lecanemab (sold under the brand name Leqembi), created by Eisai Inc. and Biogen. Earlier treatments only addressed symptoms of Alzheimer's, while lecanemab treats the early stages of the disease itself and slows its progression.

The drug costs $26,500 annually and is partially covered by Medicare if a patient's medical team participates in a registry to track the drug's outcomes. Those high costs could keep the treatment out of reach for low-income Americans, who already have , studies have shown.

Nearly all Alzheimer's patients are on government insurance, and estimates show that Medicare could on lecanemab and related care. That pales in comparison to the cost in 2023, including nursing home stays, symptom management medications, and other care for those with the disease. Without medical advancements, the Alzheimer's Association expects those costs could rise to nearly $1 trillion by 2050.

If lecanemab and similar drugs can slow progression in even half of mild Alzheimer's patients, one study from the University of Chicago estimates Americans would in care-related costs over the next decade.

Having a treatment to slow the progression of Alzheimer's also creates more urgency to diagnose the disease sooner to retain more brain function. Warning signs for the disease include disruptive memory loss, difficulty with familiar tasks, worsening judgment, and changes in mood and personality.

The U.S. has a shortage of specialists in elder and memory-related medicine and nurses providing care at nursing homes and assisted-living facilities. In regions with high rates of Alzheimer's, these shortages could be catastrophic within the current models of care.

mapped states by the share of the population over age 65 that is estimated to have Alzheimer's disease, using data released by the in July 2023. As a part of the , 麻豆原创 also took a closer look at Tennessee and ranked the counties within it by their estimated Alzheimer's prevalence.

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麻豆原创

Alzheimer's rates by state

State and detailed county-level estimates show vast disparities in the prevalence of Alzheimer's disease based on racial and socioeconomic factors. Older Americans, women, Black and Hispanic Americans, and those with lower education levels are at higher risk for developing Alzheimer's dementia, according to data from the , on which these estimates were based.

The East and Southeast regions of the U.S. were estimated to have the highest prevalence of Alzheimer's, particularly Maryland, New York, Florida, Mississippi, and Louisiana. In Maryland, , and a compared to national numbers鈥攕ubstantial risk factors that earn it the #1 spot.

In addition to a high prevalence of the disease, Mississippi has the highest Alzheimer's mortality rate, largely due to having the worst-quality health care system in the country, Time reported.

Some of the most afflicted counties are home to Black and Hispanic populations in the South, low-income populations in Appalachia, and older adults in Florida, according to Time. Other studies have found that people in rural areas tend to be of dementia, delaying or preventing potential treatments.

Read on to see where in Tennessee has the highest prevalence of Alzheimer's, ranked by the share of the 65 and over population estimated to have the disease. Initial ties were broken by the number of people estimated to have Alzheimer's, but some ties may remain.

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#50. Putnam County

- Share of 65+ population with Alzheimer's: 10.2%
- Number of 65+ population with Alzheimer's: 1,400 people
*These are estimates; actual values have a 95% likelihood of being within 0.6 percentage points鈥攐r 100 people鈥攐f the estimate.

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#49. Blount County

- Share of 65+ population with Alzheimer's: 10.2%
- Number of 65+ population with Alzheimer's: 2,900 people
*These are estimates; actual values have a 95% likelihood of being within 0.6 percentage points鈥攐r 150 people鈥攐f the estimate.

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Tracy Burroughs Brown // Shutterstock

#48. Sumner County

- Share of 65+ population with Alzheimer's: 10.2%
- Number of 65+ population with Alzheimer's: 3,300 people
*These are estimates; actual values have a 95% likelihood of being within 0.6 percentage points鈥攐r 200 people鈥攐f the estimate.

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#47. Rutherford County

- Share of 65+ population with Alzheimer's: 10.2%
- Number of 65+ population with Alzheimer's: 3,900 people
*These are estimates; actual values have a 95% likelihood of being within 0.6 percentage points鈥攐r 250 people鈥攐f the estimate.

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#46. Trousdale County

- Share of 65+ population with Alzheimer's: 10.3%
- Number of 65+ population with Alzheimer's: 200 people
*These are estimates; actual values have a 95% likelihood of being within 0.5 percentage points鈥攐r 50 people鈥攐f the estimate.

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#45. Lawrence County

- Share of 65+ population with Alzheimer's: 10.3%
- Number of 65+ population with Alzheimer's: 800 people
*These are estimates; actual values have a 95% likelihood of being within 0.6 percentage points鈥攐r 50 people鈥攐f the estimate.

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#44. Maury County

- Share of 65+ population with Alzheimer's: 10.3%
- Number of 65+ population with Alzheimer's: 1,700 people
*These are estimates; actual values have a 95% likelihood of being within 0.5 percentage points鈥攐r 50 people鈥攐f the estimate.

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Tracy Burroughs Brown // Shutterstock

#43. Bradley County

- Share of 65+ population with Alzheimer's: 10.3%
- Number of 65+ population with Alzheimer's: 2,000 people
*These are estimates; actual values have a 95% likelihood of being within 0.6 percentage points鈥攐r 100 people鈥攐f the estimate.

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#42. Washington County

- Share of 65+ population with Alzheimer's: 10.3%
- Number of 65+ population with Alzheimer's: 2,600 people
*These are estimates; actual values have a 95% likelihood of being within 0.6 percentage points鈥攐r 150 people鈥攐f the estimate.

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#41. Perry County

- Share of 65+ population with Alzheimer's: 10.4%
- Number of 65+ population with Alzheimer's: 200 people
*These are estimates; actual values have a 95% likelihood of being within 0.6 percentage points of the estimate.

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#39. Cannon County (tie)

- Share of 65+ population with Alzheimer's: 10.4%
- Number of 65+ population with Alzheimer's: 300 people
*These are estimates; actual values have a 95% likelihood of being within 0.5 percentage points of the estimate.

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#39. Lewis County (tie)

- Share of 65+ population with Alzheimer's: 10.4%
- Number of 65+ population with Alzheimer's: 300 people
*These are estimates; actual values have a 95% likelihood of being within 0.6 percentage points of the estimate.

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#38. White County

- Share of 65+ population with Alzheimer's: 10.4%
- Number of 65+ population with Alzheimer's: 600 people
*These are estimates; actual values have a 95% likelihood of being within 0.5 percentage points of the estimate.

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#37. Coffee County

- Share of 65+ population with Alzheimer's: 10.4%
- Number of 65+ population with Alzheimer's: 1,100 people
*These are estimates; actual values have a 95% likelihood of being within 0.6 percentage points鈥攐r 50 people鈥攐f the estimate.

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#36. Carter County

- Share of 65+ population with Alzheimer's: 10.4%
- Number of 65+ population with Alzheimer's: 1,300 people
*These are estimates; actual values have a 95% likelihood of being within 0.6 percentage points鈥攐r 50 people鈥攐f the estimate.

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#35. Clay County

- Share of 65+ population with Alzheimer's: 10.5%
- Number of 65+ population with Alzheimer's: 200 people
*These are estimates; actual values have a 95% likelihood of being within 0.6 percentage points of the estimate.

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#34. Wayne County

- Share of 65+ population with Alzheimer's: 10.5%
- Number of 65+ population with Alzheimer's: 300 people
*These are estimates; actual values have a 95% likelihood of being within 0.6 percentage points鈥攐r 50 people鈥攐f the estimate.

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#33. Unicoi County

- Share of 65+ population with Alzheimer's: 10.5%
- Number of 65+ population with Alzheimer's: 500 people
*These are estimates; actual values have a 95% likelihood of being within 0.6 percentage points鈥攐r 50 people鈥攐f the estimate.

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#32. Lincoln County

- Share of 65+ population with Alzheimer's: 10.5%
- Number of 65+ population with Alzheimer's: 700 people
*These are estimates; actual values have a 95% likelihood of being within 0.6 percentage points鈥攐r 50 people鈥攐f the estimate.

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#31. Franklin County

- Share of 65+ population with Alzheimer's: 10.5%
- Number of 65+ population with Alzheimer's: 900 people
*These are estimates; actual values have a 95% likelihood of being within 0.5 percentage points鈥攐r 50 people鈥攐f the estimate.

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#30. Roane County

- Share of 65+ population with Alzheimer's: 10.5%
- Number of 65+ population with Alzheimer's: 1,300 people
*These are estimates; actual values have a 95% likelihood of being within 0.6 percentage points鈥攐r 50 people鈥攐f the estimate.

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#29. McMinn County

- Share of 65+ population with Alzheimer's: 10.6%
- Number of 65+ population with Alzheimer's: 1,200 people
*These are estimates; actual values have a 95% likelihood of being within 0.6 percentage points鈥攐r 50 people鈥攐f the estimate.

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#28. Sullivan County

- Share of 65+ population with Alzheimer's: 10.6%
- Number of 65+ population with Alzheimer's: 3,800 people
*These are estimates; actual values have a 95% likelihood of being within 0.6 percentage points鈥攐r 200 people鈥攐f the estimate.

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#27. Knox County

- Share of 65+ population with Alzheimer's: 10.6%
- Number of 65+ population with Alzheimer's: 8,400 people
*These are estimates; actual values have a 95% likelihood of being within 0.6 percentage points鈥攐r 450 people鈥攐f the estimate.

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#26. Henry County

- Share of 65+ population with Alzheimer's: 10.7%
- Number of 65+ population with Alzheimer's: 800 people
*These are estimates; actual values have a 95% likelihood of being within 0.6 percentage points鈥攐r 50 people鈥攐f the estimate.

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#25. Tipton County

- Share of 65+ population with Alzheimer's: 10.7%
- Number of 65+ population with Alzheimer's: 1,000 people
*These are estimates; actual values have a 95% likelihood of being within 0.6 percentage points鈥攐r 50 people鈥攐f the estimate.

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#24. Montgomery County

- Share of 65+ population with Alzheimer's: 10.7%
- Number of 65+ population with Alzheimer's: 2,300 people
*These are estimates; actual values have a 95% likelihood of being within 0.6 percentage points鈥攐r 150 people鈥攐f the estimate.

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#23. Moore County

- Share of 65+ population with Alzheimer's: 10.8%
- Number of 65+ population with Alzheimer's: 200 people
*These are estimates; actual values have a 95% likelihood of being within 0.6 percentage points of the estimate.

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#22. Decatur County

- Share of 65+ population with Alzheimer's: 10.8%
- Number of 65+ population with Alzheimer's: 300 people
*These are estimates; actual values have a 95% likelihood of being within 0.6 percentage points of the estimate.

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#21. Henderson County

- Share of 65+ population with Alzheimer's: 10.8%
- Number of 65+ population with Alzheimer's: 600 people
*These are estimates; actual values have a 95% likelihood of being within 0.6 percentage points鈥攐r 50 people鈥攐f the estimate.

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#19. Hardin County (tie)

- Share of 65+ population with Alzheimer's: 10.8%
- Number of 65+ population with Alzheimer's: 700 people
*These are estimates; actual values have a 95% likelihood of being within 0.6 percentage points鈥攐r 50 people鈥攐f the estimate.

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#19. Obion County (tie)

- Share of 65+ population with Alzheimer's: 10.8%
- Number of 65+ population with Alzheimer's: 700 people
*These are estimates; actual values have a 95% likelihood of being within 0.6 percentage points of the estimate.

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#18. Hamblen County

- Share of 65+ population with Alzheimer's: 10.8%
- Number of 65+ population with Alzheimer's: 1,300 people
*These are estimates; actual values have a 95% likelihood of being within 0.6 percentage points鈥攐r 100 people鈥攐f the estimate.

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#17. Anderson County

- Share of 65+ population with Alzheimer's: 10.8%
- Number of 65+ population with Alzheimer's: 1,700 people
*These are estimates; actual values have a 95% likelihood of being within 0.6 percentage points鈥攐r 100 people鈥攐f the estimate.

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#16. Dyer County

- Share of 65+ population with Alzheimer's: 10.9%
- Number of 65+ population with Alzheimer's: 700 people
*These are estimates; actual values have a 95% likelihood of being within 0.6 percentage points鈥攐r 50 people鈥攐f the estimate.

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#15. Chester County

- Share of 65+ population with Alzheimer's: 11.0%
- Number of 65+ population with Alzheimer's: 300 people
*These are estimates; actual values have a 95% likelihood of being within 0.6 percentage points鈥攐r 50 people鈥攐f the estimate.

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#14. Giles County

- Share of 65+ population with Alzheimer's: 11.0%
- Number of 65+ population with Alzheimer's: 700 people
*These are estimates; actual values have a 95% likelihood of being within 0.5 percentage points鈥攐r 50 people鈥攐f the estimate.

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#13. Carroll County

- Share of 65+ population with Alzheimer's: 11.2%
- Number of 65+ population with Alzheimer's: 600 people
*These are estimates; actual values have a 95% likelihood of being within 0.6 percentage points鈥攐r 50 people鈥攐f the estimate.

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#12. Weakley County

- Share of 65+ population with Alzheimer's: 11.2%
- Number of 65+ population with Alzheimer's: 700 people
*These are estimates; actual values have a 95% likelihood of being within 0.6 percentage points鈥攐r 50 people鈥攐f the estimate.

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#11. Lauderdale County

- Share of 65+ population with Alzheimer's: 11.4%
- Number of 65+ population with Alzheimer's: 500 people
*These are estimates; actual values have a 95% likelihood of being within 0.6 percentage points of the estimate.

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#10. Fayette County

- Share of 65+ population with Alzheimer's: 11.4%
- Number of 65+ population with Alzheimer's: 1,100 people
*These are estimates; actual values have a 95% likelihood of being within 0.6 percentage points鈥攐r 50 people鈥攐f the estimate.

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#9. Hamilton County

- Share of 65+ population with Alzheimer's: 11.8%
- Number of 65+ population with Alzheimer's: 8,000 people
*These are estimates; actual values have a 95% likelihood of being within 0.6 percentage points鈥攐r 400 people鈥攐f the estimate.

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#8. Davidson County

- Share of 65+ population with Alzheimer's: 12.0%
- Number of 65+ population with Alzheimer's: 10,700 people
*These are estimates; actual values have a 95% likelihood of being within 0.6 percentage points鈥攐r 550 people鈥攐f the estimate.

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#7. Crockett County

- Share of 65+ population with Alzheimer's: 12.2%
- Number of 65+ population with Alzheimer's: 300 people
*These are estimates; actual values have a 95% likelihood of being within 0.6 percentage points of the estimate.

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#6. Lake County

- Share of 65+ population with Alzheimer's: 12.3%
- Number of 65+ population with Alzheimer's: 100 people
*These are estimates; actual values have a 95% likelihood of being within 0.6 percentage points鈥攐r 50 people鈥攐f the estimate.

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#5. Gibson County

- Share of 65+ population with Alzheimer's: 12.3%
- Number of 65+ population with Alzheimer's: 1,100 people
*These are estimates; actual values have a 95% likelihood of being within 0.6 percentage points鈥攐r 50 people鈥攐f the estimate.

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#4. Madison County

- Share of 65+ population with Alzheimer's: 12.3%
- Number of 65+ population with Alzheimer's: 2,200 people
*These are estimates; actual values have a 95% likelihood of being within 0.6 percentage points鈥攐r 100 people鈥攐f the estimate.

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#3. Hardeman County

- Share of 65+ population with Alzheimer's: 12.5%
- Number of 65+ population with Alzheimer's: 600 people
*These are estimates; actual values have a 95% likelihood of being within 0.6 percentage points of the estimate.

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#2. Shelby County

- Share of 65+ population with Alzheimer's: 13.8%
- Number of 65+ population with Alzheimer's: 18,700 people
*These are estimates; actual values have a 95% likelihood of being within 0.6 percentage points鈥攐r 800 people鈥攐f the estimate.

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#1. Haywood County

- Share of 65+ population with Alzheimer's: 13.9%
- Number of 65+ population with Alzheimer's: 500 people
*These are estimates; actual values have a 95% likelihood of being within 0.6 percentage points of the estimate.

This story features data reporting by and writing by Paxtyn Merten and is part of a series utilizing data automation across 50 states.

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