Alzheimer’s disease is a growing public health crisis in North Dakota. Without an effective treatment or cure, the impact of Alzheimer’s will continue to rise and the numbers in North Dakota are escalating.
The most recent data show:

  • 15,000 people aged 65 and older living with Alzheimer’s in North Dakota.
  • 8.1% of people aged 45 and older have subjective cognitive decline.
  • 19,000 family caregivers bear the burden of the disease in North Dakota.
  • 29 million hours of unpaid care provided by Alzheimer’s caregivers.
  • $521 million is the value of the unpaid care.
  • $190 million is the cost of Alzheimer’s to the state Medicaid program.

These numbers show that a public health approach is necessary to lessen the burden and enhance the quality of life for those living with cognitive impairment and their families.

Learn more about North Dakota: Alzheimer’s Statistics, Cognitive Decline, Dementia Caregiving

Public health spotlight

In North Dakota, the Custer Health Unit brought public health nurses together to learn about dementia as a public health issue and about cognitive screening assessments.

Explore core areas

Find public health resources and examples that drive action across Alzheimer's-specific core areas.

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State plan overview

In 2007, the North Dakota Legislature approved House Concurrent Resolution No. 3022 to study the current and future impact of Alzheimer’s disease within the state. The Dementia-Related Services - Background Memorandum was presented to the state’s Long-Term Care Committee.

Resources for action

State and local public health agencies around the country are taking action against Alzheimer’s by implementing the Healthy Brain Initiative State and Local Public Health Partnerships to Address Dementia: The 2018-2023 Road Map. Public health practitioners can learn by example and find resources to help guide their response below.  


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University of North Dakota University of North Dakota School of Medicine and Health Sciences published “Estimating the Potential Cost Savings” in Health Affairs (2014), estimating the potential cost savings of enhanced caregiver support services and interventions for the state over a 15-year period.

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Risk Factors + Risk Reduction

Alzheimer's Association Cognitive Decline in North Dakota

BRFSS + Cognitive Decline

Alzheimer's Association Cognitive Decline in North Dakota (2019)
Alzheimer's Association Fact Sheet: Cognitive Decline in North Dakota (2015)
Alzheimer's Association Infographic: Cognitive Decline in North Dakota (2015)
Alzheimer's Association Fact Sheet: Cognitive Decline in North Dakota (2012)

BRFSS + Caregivers

Alzheimer's Association Fact Sheet: Dementia Caregiving in North Dakota (2016)
Centers for Disease Control and Prevention Infographic: Caregiving in North Dakota (2016)