Lebanon

Research conducted in October 2025

Lebanon boasts well developed healthcare infrastructure, but private providers tend to dominate service provision. Paradoxically, in a country which has an oversupply of medical specialists and significant diagnostic imaging capacities, most Lebanese citizens cannot access the necessary healthcare services needed to determine the presence of dementia, with estimates that only 40% of all dementia cases in the country are formally diagnosed. With the backdrop of the Lebanese liquidity crisis, dementia treatment and care has become unaffordable for most citizens, particularly due to rising out-of-pocket costs. The Lebanese government intends to make healthcare universally accessible, while working on a plan to manage dementia nationally — to be adopted by 2030, some developments towards a plan, but progress stalled. However, time is of the essence, and the Lebanese government needs to act fast in improving access to dementia diagnostic services, treatment and care, especially once its rate of aging is considered.

Overall
AD Rating
Diagnostic Pathway
Lebanon has a formal dementia diagnostic pathway with access to structural imaging, but high costs, long wait times, and limited use of advanced biomarkers create significant bottlenecks and widespread underdiagnosis.
Specialized Care
Dementia treatment in Lebanon is available through advanced but predominantly private, Beirut-centered services, with high out-of-pocket costs and limited public support restricting access for most patients.
Caregiver Support
Caregiver support in Lebanon is largely driven by NGOs providing non-financial assistance, while minimal state involvement leaves families bearing the primary emotional and financial burden.
National Policies
Lebanon has launched national strategies that acknowledge dementia and outline strategic objectives, but without an operational action plan or dedicated funding, implementation remains limited and largely untested.
Access to ATT-s
No therapies approved.
Organizations are listed for informational purposes based on publicly available sources. Inclusion does not necessarily indicate affiliation with or endorsement by Alzheimer’s Disease International (ADI).

Highlights

Health system
Non-universal, Mixed funding, (Mixed provision)
ADI member association(s)
Alzheimer’s Association Lebanon
National dementia plan
No national dementia strategy or plan in place
Dementia plan funding
No plan
Dementia prevalence rate
981
Dementia incidence rate
165
*per 100k Population
Prevalence Rate (per 100,000): 
This measures the total number of existing cases (both old and new) in a population at a specific point in time, divided by the total population and multiplied by 100,000. It tells you the overall "burden" or how widespread a condition is at that moment.
Incidence Rate (per 100,000): 
This measures the number of new cases that develop in a population over a specific period (usually one year), divided by the population at risk and multiplied by 100,000. This tells you the "speed" or risk of contracting the condition.

Population

5,860,218

Median age

28.8

Health expenditure (% of GDP)

5.74

Diagnosis

Lebanon has the highest dementia prevalence in the Middle East and North Africa (around 9–11% among adults over 65), yet it does not have a national dementia screening program. Diagnosis generally follows a standard clinical pathway, starting in primary care and continuing through referral to neurological or psychiatric specialists, with access to cognitive testing and advanced imaging. However, most diagnostic services are concentrated in private facilities in Beirut.

Access to diagnosis is strongly shaped by cost. Only about 40% of people living with dementia have health insurance, and while insured patients may receive partial reimbursement, uninsured individuals face high out-of-pocket expenses for consultations, specialist care, and imaging. Since the liquidity crisis, rising costs and reduced access have led to delayed or missed diagnoses, with many families prioritizing physical health needs over cognitive symptoms.

Diagnosis pathway

Lebanon has one of the highest dementia prevalence rates in the Middle East and North Africa (around 9–11% among adults over 65), yet there is no national dementia screening program. Diagnosis typically begins in primary care, but access has worsened since the liquidity crisis due to physician shortages, increased demand, and rising costs. Private primary care visits cost around 100$, which limits access for many.

Patients are referred to neurological or psychiatric specialists, where long wait times and high out-of-pocket costs further restrict access, as most specialists work in the private sector. Although advanced imaging (CT, MRI, PET) is available, it is often inaccessible due to cost and delays, even in public hospitals. CSF testing, blood-based biomarkers, and genetic testing are not part of routine care. With only about 40% of patients covered by health insurance, many dementia cases remain undiagnosed, as families often prioritize physical health needs over cognitive symptoms.

Dementia is more prevalent among Lebanese older adults in comparison to other Middle Eastern and North African countries, with the country ranking first in terms of prevalence within the region (10.8% of older adults). A cross-sectional study (2013) found that around 9% of individuals older than 65 are living with dementia in Lebanon, exceeding worldwide averages. Despite its prevalence, there is no national dementia screening program. Screening for dementia in Lebanon is also challenging because of high illiteracy rates among people.

A formal pathway for diagnosing Alzheimer’s disease and related dementias is available in Lebanon, and, in theory, it mirrors those in developed economies. When experiencing symptoms of dementia, one usually schedules a consultation with a primary care physician. Since the onset of the Lebanese liquidity crisis, waiting times for primary care have risen markedly, reflecting increased demand across the population. The healthcare system faces mounting pressure from both host and displaced communities, which has impacted timely access for Lebanese citizens. Moreover, a growing shortage of primary physicians presents another obstacle for appropriate service delivery. In the private sector, consultations with primary care physicians can cost around 100 USD — being quite expensive for many Lebanese — but waiting times tend to be lower and the level of service provision is generally higher.

Afterwards, people are referred to neurological or psychiatric specialists. However, considering that the prevalence of mental illnesses and neuropsychiatric disorders in Lebanon is high relative to the region, waiting times can be significant. As most specialists are employed in private institutions, a majority of Lebanese citizens without coverage from the National Social Security Fund (NSSF), other cooperative funds or private insurers cannot afford specialist visits, due to high out-of-pocket costs.

Paradoxically, while Lebanon has vast diagnostic imaging capacities, they remain out of reach for most citizens due to their costs. Moreover, while most public hospitals also offer diagnostic imaging services — including magnetic resonance imaging (MRI), computed tomography (CT) and positron emission tomography (PET) scanning — waiting times are high and can cause large delays in diagnosing Alzheimer’s disease and related dementias.

There is little evidence of widespread use of cerebrospinal fluid (CSF) testing or blood-based biomarkers or genetic testing in diagnosing Alzheimer’s disease in Lebanon, and these investigations are generally not considered a part of the standard diagnostic pathway for these diseases.

Considering the rise in medical costs since the onslaught of the Lebanese liquidity crisis, most dementia cases go undiagnosed in Lebanon. A study estimates that only 40% of people living with dementia in Lebanon have health insurance, making access to appropriate care difficult. Moreover, because of limited financial resources, families tend to prioritise physical health issues over cognitive symptoms, resulting in missed diagnoses and exclusion from research studies.

Wait times

There is no official data on waiting times for dementia diagnosis in Lebanon, but delays are common across the public healthcare system. Access to primary care and specialist services is often slow due to overcrowding and resource constraints, while diagnostic imaging in public hospitals involves long waits. In contrast, wait times in the private sector are minimal but access is limited by high out-of-pocket costs.

While there is no official data on waiting times for accessing diagnostic services for Alzheimer’s disease, anecdotal evidence points towards significant wait times at every step of the diagnostic pathway, particularly in the overstretched public healthcare system. Primary care physicians are difficult to access across Lebanon, with overcrowding and long waiting times a regular occurrence in public healthcare institutions. Most specialists are employed in the private healthcare sector, and even though there is an oversupply of specialists, many Lebanese are finding it increasingly difficult to afford consultations with them, due to the liquidity crisis. When it comes to diagnostic imaging services, wait times in the private sector are negligible, but their out-of-pocket costs are significant. On the other hand, in the public sector, waiting times for accessing diagnostic imaging can be significant, while radiation doses administered to patients are at above average levels, due to poor maintenance of equipment.

Diagnosis cost

Partially covered

Dementia diagnosis in Lebanon is largely dependent on a family’s ability to pay and is unaffordable for many households. Only around 40% of people living with dementia have health insurance. Private primary care consultations can cost about 100$, and specialist visits and diagnostic imaging add substantial out-of-pocket costs. Since the liquidity crisis, rising expenses have further limited access to timely diagnosis.

The timely diagnosis of Alzheimer’s disease and related dementias is dependent on the financial ability of a household, and prohibitively expensive for most Lebanese citizens. A study estimates that only 40% of people living with dementia in Lebanon have health insurance, making access to appropriate diagnostic services, treatment and care difficult.

There is little information on the costs of specific diagnostic services in Lebanon. In the private sector, consultations with primary care physicians can cost around 100 USD. Likewise, a consultation with a neurological or psychiatric specialist can be prohibitively expensive for most Lebanese citizens — especially if a MRI, CT or PET scan is required — due to rising out-of-pocket costs.

Cognitive tests

Available

Lebanon does not currently have a national dementia screening program in place. Instead, initial screening typically occurs when an individual or their family raises concerns with a primary healthcare provider. In Lebanon, cognitive screening tests which are either used or validated for use include the following:

(1) Lebanese adaptation of the Mini – Mental State Examination (MMSE)
(2) Lebanese adaptation of the 10/66 Dementia Research Group Protocol
(3) Montreal Cognitive Assessment (MoCA)
(4) Local version of the Rowland Universal Dementia Assessment Scale (RUDAS)
(5) Local version of the Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE)
(6) Trail Making Test (TMT)
(7) Modified Wisconsin Card Sorting Test (M – WCST)

More comprehensive neuropsychological batteries which are used or validated for use include:

(1) Repeatable Battery for the Assessment of Neuropsychological Status (RBANS)
(2) Wechsler Adult Intelligence Scale – IV (WAIS – IV)

While Lebanon has developed strong adaptations of the MMSE, the majority of adapted assessments fail to meet the guidelines established by the International Test Commission and the American Educational Research Association. Key issues include the use of non-standardised or poorly adapted measures, a lack of clarity regarding test versions, failure to cite relevant validation studies and inadequate documentation of test administration protocols.

Imaging tests

Commonly used

Diagnostic imaging services are readily available and are part of the formal diagnostic process for Alzheimer’s disease in Lebanon, with the country having the highest rate of CT, PET and MRI scanners in the region, standing at 37.28 (2018), 2.2 (2016) and 8.29 (2014) per million people, respectively. However, geographic and financial barriers to accessing these services are significant for many Lebanese citizens, because most are based in private hospitals, which tend to be concentrated in the capital Beirut. For uninsured Lebanese citizens, diagnostic imaging services are prohibitively expensive, especially if they have no access to foreign currency. Those with coverage from the NSSF and other cooperative funds usually get most of their diagnostic imaging service costs reimbursed, usually around 80%, but the amount depends on the hospital.

Genetic tests

Genetic testing — such as apolipoprotein E (APOE) genotype tests — is not offered as a clinical service within either the public or private healthcare systems. However, multiple research studies have been conducted on the prevalence of APOE genotypes in the Lebanese population, meaning that such tests are available in tertiary teaching hospitals within Lebanon.

Biomarker tests

Rarely used

There is little evidence of widespread use of CSF testing or blood-based biomarkers in diagnosing Alzheimer’s disease in Lebanon, and these investigations are generally not considered a part of the standard diagnostic pathway for these diseases. Yet, the Ministry of Public Health (MOPH) lists CSF testing as a laboratory service offered in public health institutions.

Cognitive Tests

Available

Lebanon does not currently have a national dementia screening program in place. Instead, initial screening typically occurs when an individual or their family raises concerns with a primary healthcare provider. In Lebanon, cognitive screening tests which are either used or validated for use include the following:

(1) Lebanese adaptation of the Mini – Mental State Examination (MMSE)
(2) Lebanese adaptation of the 10/66 Dementia Research Group Protocol
(3) Montreal Cognitive Assessment (MoCA)
(4) Local version of the Rowland Universal Dementia Assessment Scale (RUDAS)
(5) Local version of the Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE)
(6) Trail Making Test (TMT)
(7) Modified Wisconsin Card Sorting Test (M – WCST)

More comprehensive neuropsychological batteries which are used or validated for use include:

(1) Repeatable Battery for the Assessment of Neuropsychological Status (RBANS)
(2) Wechsler Adult Intelligence Scale – IV (WAIS – IV)

While Lebanon has developed strong adaptations of the MMSE, the majority of adapted assessments fail to meet the guidelines established by the International Test Commission and the American Educational Research Association. Key issues include the use of non-standardised or poorly adapted measures, a lack of clarity regarding test versions, failure to cite relevant validation studies and inadequate documentation of test administration protocols.

Imaging Tests

Commonly used

Diagnostic imaging services are readily available and are part of the formal diagnostic process for Alzheimer’s disease in Lebanon, with the country having the highest rate of CT, PET and MRI scanners in the region, standing at 37.28 (2018), 2.2 (2016) and 8.29 (2014) per million people, respectively. However, geographic and financial barriers to accessing these services are significant for many Lebanese citizens, because most are based in private hospitals, which tend to be concentrated in the capital Beirut. For uninsured Lebanese citizens, diagnostic imaging services are prohibitively expensive, especially if they have no access to foreign currency. Those with coverage from the NSSF and other cooperative funds usually get most of their diagnostic imaging service costs reimbursed, usually around 80%, but the amount depends on the hospital.

Genetic Tests

Genetic testing — such as apolipoprotein E (APOE) genotype tests — is not offered as a clinical service within either the public or private healthcare systems. However, multiple research studies have been conducted on the prevalence of APOE genotypes in the Lebanese population, meaning that such tests are available in tertiary teaching hospitals within Lebanon.

Biomarker Tests

Rarely used

There is little evidence of widespread use of CSF testing or blood-based biomarkers in diagnosing Alzheimer’s disease in Lebanon, and these investigations are generally not considered a part of the standard diagnostic pathway for these diseases. Yet, the Ministry of Public Health (MOPH) lists CSF testing as a laboratory service offered in public health institutions.

Treatment & Care

Treatment and care for Alzheimer’s disease in Lebanon are available but highly fragmented and largely dependent on the private healthcare sector. Services are concentrated in Beirut, costly, and difficult to access for uninsured households, while public facilities face overcrowding and long waits. Due to the liquidity crisis, rising out-of-pocket costs have further limited access to treatment, long-term care, and caregiver support.

Specialized facilities and services

Dementia care in Lebanon is highly fragmented and largely concentrated in the private health sector, with major access gaps due to cost and geographic concentration in Beirut. Public hospitals face overcrowding and long wait times, while private facilities, accounting for around 90% of hospital beds and 70% of physicians, remain financially inaccessible for most citizens. Specialized dementia care and research are mainly provided by tertiary hospitals such as American University of Beirut Medical Center, Saint George University Medical Center, Hôtel-Dieu de France, and Dar Al Ajaza Al Islamia Hospital. Palliative care services are mostly private, hospital-based, unreimbursed, and concentrated in Beirut, with limited home-based support provided by NGOs such as SANAD, Balsam, SAWA, and PASSION. Long-term care capacity is extremely limited, nursing homes serve less than 1.4% of older adults, and increasingly unaffordable. Non-residential memory care options are scarce, with Alzheimer’s Association Lebanon operating the Minerva Adult Care Centre in Beirut.

The quality of healthcare infrastructure varies significantly across Lebanon. Even prior to the Lebanese liquidity crisis, the healthcare system in Lebanon was characterised by fragmentation, with little coordination between public and private healthcare providers participating within it. While overcrowding and long waiting times are common in public healthcare facilities, private healthcare facilities — which account for 90% of hospital beds and 70% of physicians — form a “medical bubble”, meaning that demand for their services is significantly lower than their supply.

The majority of specialised hospitals that cater to people living with dementia are concentrated in the private healthcare sector. Their services are unaffordable for most Lebanese citizens, meaning that dementia often goes untreated in the country. Some of the most prominent hospitals catering to people living with dementia, or involved in dementia research, include:

(1) American University of Beirut Medical Center (AUBMC) is the premier tertiary hospital in Lebanon. It boasts modern healthcare facilities and is prominently involved in dementia research, treatment and care. Its Department of Geriatric Psychiatry is an academic medical practice, dedicated to providing innovative treatment and care for older adults with late life mental disorders, including Alzheimer’s disease.

(2) Saint George University Medical Center (SGUMC) is one of the most prominent tertiary hospitals in Lebanon. It was seriously damaged in the Beirut explosion (2020), and, only recently, it reopened fully, featuring modern facilities. Its Department of Neurology — featuring researchers affiliated with Saint George University (SGU), a Lebanese Christian institution — stands at the forefront of dementia research in Lebanon.

(3) Hôtel – Dieu de France (HDF) is one of the three leading Lebanese hospitals. Affiliated with the Francophone Université Saint – Joseph de Beyrouth (USJB), the hospital features a prominent Neurology Department, which provides medical care for adult living with neurological disorders.

(4) Dar Al Ajaza Al Islamia Hospital (DAIH) is one of the oldest hospitals specializing in geriatric psychiatry, being considered a pioneering institution in that field.

Hospital – based palliative care services are primarily located in the capital city Beirut and operate within private healthcare facilities. Hospital-based services are not reimbursed, therefore limiting access to palliative care to the population. Political and economic instability, inadequate policies and insufficient reimbursement, shortage of trained expertise and essential medicines, and inconsistent health education are some of the challenges that Lebanon faces in developing palliative care. A number of organizations provide affordable home-based palliative care services, including for advanced dementia, but their reach beyond Beirut is limited. These include SANAD, Balsam, SAWA and PASSION.

When it comes to long term care facilities and nursing homes, their services — demand for which significantly exceeds supply — are becoming increasingly unaffordable for most Lebanese citizens. In 2012, Lebanon housed a total of 49 long term care nursing homes that housed around 4,180 residents — less than 1.4% of the total number of older adults in Lebanon. Facilities include Beit Rafqa, Age Optimum, La Maison de Nounou and Oasis de Vie — which are non-profit organizations (NGOs) specializing in the provision of dementia care — and organizations affiliated with large tertiary hospitals, such as Foyer Saint Georges.

When it comes to non-residential care, Alzheimer’s Association Lebanon (AAL) operates the Minerva Adult Care centre in Beirut, which specialises in offering memory care services to Lebanese with Alzheimer’s disease.

Approved medication

Generic Name Trade Name Used for
Donepezil Aricept, Aricept ODT, Adlarity, Eranz, Memac, Alzepil, Davia, Donecept, Donep, Donepex, Donesyn, Dopezil, Yasnal, Memorit, Pezale, Redumas, Zolpezil, Namzaric* Donepezil is indicated for the symptomatic treatment of mild to moderately severe Alzheimer’s dementia.
Rivastigmine Exelon, Exelon Patch, Prometax, Rivastach, Nimvastid Symptomatic treatment of mild to moderately severe Alzheimer’s dementia.
Symptomatic treatment of mild to moderately severe dementia in patients with idiopathic Parkinson’s disease.
Memantine Namenda, Namenda XR, Ebixa, Memary, Axura, Akatinol, Maruxa, Nemdatine, Namzaric* Treatment of adult patients with moderate to severe Alzheimer’s disease.

*Namzaric = combination of Donepezil and Memantine

Treatment cost

The cost of Alzheimer’s medications in Lebanon varies by drug, dosage, and brand and is regulated through the Ministry of Public Health’s National Drug Database. Common treatments such as donepezil, rivastigmine, and memantine are available but expensive, with prices reaching several million Lebanese pounds per month depending on dosage. A pharmacist margin of up to 23% is added on top of listed prices, further increasing out-of-pocket costs for patients and their families.

When it comes to the costs of drugs used to treat Alzheimer’s disease, they vary by drug type, brand and dosage. The Ministry of Public Health (MOPH) maintains a Lebanese National Drug Database, where one can access information about the prices of a given drug. Prices of donepezil vary between LBP 1,034,759 for a 5-milligram dose to LBP 3,776,197 for a 10-milligram dose. Prices of rivastigmine vary between LBP 684,019 for a 1.5 milligram dose to LBP 842,589 for a 10-milligram dose, while the prices of memantine vary between LBP 1,057,156 for a 10-milligram dose to LBP 4,004,651 for a 20-milligram dose. A pharmacist margin of (maximum) 23.08% applies on top of the prices displayed.

Caregiver support

Caregiver support in Lebanon is limited and largely reliant on families and non-governmental organisations. Around 41% of family caregivers report severe burden, driven by financial strain and lack of formal assistance, while caregivers in rural areas face additional barriers due to scarce services. Migrant domestic workers support care in approximately 25% of households, but do not replace family caregiving. Formal support is mainly provided by NGOs, led by Alzheimer’s Association Lebanon, which offers caregiver education, support groups, and a free hotline. Broader ageing organisations, including HelpAge International (through local partners such as Amel Association and the Center for Studies on Aging) and Kibarouna, provide indirect support. State involvement remains minimal, with no dedicated financial allowances or structured care schemes for dementia caregivers.

There are few formal resources to support families and carers of people living with dementia in Lebanon, with 41% percent of family carers reporting severe burden, aggravated by financial strain and lack of assistance, while rural carers face additional obstacles due to scarce services and economic distress. Reliance on migrant domestic workers supplements family care in roughly 25% of households, but does not replace it entirely.

Dementia caregiver support in Lebanon primarily comes from Alzheimer’s Association Lebanon (AAL), which offers group support meetings, a free hotline for people living with dementia and families, and educational programs for caregivers. Other NGOs, including HelpAge International — through local partners like Amel Association, Center for Studies on Aging — and Kibarouna, provide broader elderly support that indirectly benefits carers. State involvement is negligible, with no specific financial allowances or care schemes for carers. Any minimal assistance comes from social protection programs, which are difficult to access.

Policy

Despite these references, implementation remains limited. Legal frameworks rely on court-appointed guardianship rather than supported decision-making, leaving many families without clear legal authority or protections. Dementia is also highly stigmatized and often viewed as a normal part of ageing, which delays diagnosis, discourages help-seeking, and increases the burden on families, who remain the primary caregivers with minimal formal support.

National dementia plan

Since 2017, Lebanon has pursued universal health coverage through Ministry of Public Health reforms and participation in the Universal Health Coverage Partnership, later formalised in the Lebanese National Health Strategy – Vision 2030. A bill to introduce universal health coverage was proposed in 2023 but was withdrawn after gaps were identified, and no dedicated dementia policy emerged from this process.

Dementia is instead addressed within broader national strategies. The National Mental Health Strategy (2024–2030) recognises dementia as a public health issue and includes the development of a national dementia action plan as a strategic objective. The National Strategy for Older People (2020–2030) also includes dementia-relevant measures, such as mental health promotion, long-term and palliative care development, caregiver support, and quality standards for Alzheimer’s care services.

Since 2017, the Ministry of Public Health in Lebanon is committed to achieving universal healthcare coverage. Its commitment began with an ambitious reform program, and was followed up by joining the Universal Health Coverage Partnership, through which Lebanon received funds meant to enhance access to primary healthcare provision. Commitments towards universal healthcare coverage were institutionalised in 2023, with the Lebanese National Health Strategy — Vision 2030. Later in 2023, Lebanese parliamentarians brought forward a bill which would have introduced universal health coverage. However, the bill was withdrawn from parliamentary procedure after a number of gaps were identified, with little progress made on the matter since.

When it comes to national strategic documents which are directly relevant to people living with dementia, two explicitly mention dementia as a public health issue in Lebanon, and propose some limited or vague measures to address it. They include:

(1) The National Mental Health Strategy For Lebanon (2024 to 2030), which notes the vulnerability of Lebanese citizens, and their susceptibility to developing mental health conditions, such as dementia, and facing stigmatization. Most notably, one of its strategic objectives is the development of a national action plan for the public health response to dementia.

(2) Another document which makes explicit references to the issue of dementia is the National Strategy for Older People in Lebanon (2020 to 2030), one of its axes being the promotion of physical and mental health of older people. It includes provisions relevant to dementia, such as promoting mental health, developing long term and palliative care, and supporting carers. It even calls for developing quality standards for institutions that provide services for people living with Alzheimer’s disease.

Upcoming plans

The National Mental Health Strategy envisages the development of a number of sub-strategies focused on the mental health of children, adolescents, and youth. However, it also sets the development of a national action plan for people living with dementia as a strategic objective, to ensure that actions protecting and promoting the mental health of this vulnerable group are as responsive and effective as possible.

Policy gaps

Legal barriers

Lebanese law manages dementia-related legal capacity through guardianship or notarized proxies, but court processes are slow, complex, and costly. This leaves many families relying on informal decisions, with limited safeguards and no modern supported decision-making framework.

People living with dementia, their families and care partners face a number of legal barriers. Lebanese law addresses legal capacity through court-appointed guardians for those with medically confirmed mental incapacity, or through proactively designated trusted individuals via notarised documents. However, the court process is often too complex, slow, and expensive for most families, leaving many in legal limbo with informal decision-making and limited safeguards. The current framework relies on incapacity and substituted decision-making, rather than a more modern supported decision-making approach.

Cultural barriers

In Lebanon, dementia is widely misunderstood and stigmatized, often seen as normal aging. This leads to delayed diagnosis, social exclusion, and families hiding the condition due to shame, discouraging them from seeking external support or care.

Dementia is a poorly understood and highly stigmatised condition in Lebanon, A prevalent cultural view is that significant memory loss is a normal and unavoidable part of aging, which leads to a fatalistic acceptance of symptoms and delays in seeking medical help. People living with dementia are perceived as “helpless and dependent,” a view that fosters social exclusion and diminishes the personhood of the individual. This stigma directly impacts family behaviour. The fear of social judgment and the feeling of shame can lead families to hide the condition or to feel guilty about seeking external help, as it can be perceived as an abdication of familial duty.

Research

Alzheimer’s and dementia research in Lebanon is concentrated in academic medical centres, notably the American University of Beirut, Lebanese University, Saint George University, and Université Saint-Joseph de Beyrouth. Research activity has focused on population-based cohorts, validation of cognitive tools, and genetic risk factors rather than clinical trials. Recent work highlights innovative approaches to risk identification, including studies exploring genetic and environmental interactions (such as APOE4 and TREM2) as a basis for earlier detection and prevention.

Clinical trials and registries

The regulatory authority for all clinical research is the Lebanese Ministry of Public Health (MoPH). Lebanon has a highly organised, online national database for clinical trials (LBCTR): https://lbctr.moph.gov.lb/LBCTR/LBCTR/Index

The LBCTR is officially recognised as a primary registry of the WHO’s International Clinical Trials Registry Platform.

Selected innovative methods

A review on genetic and environmental risk factors of Alzheimer’s disease in Lebanon, highlighted important modifiable and non-modifiable risk factors of the disease including genetics, age, cardiovascular diseases, smoking etc. They proposed a hypothetical genetic synergy model between APOE4 and TREM2 genes, which constitute a potential early diagnostic tool that helps reduce the risk of Alzheimer’s disease, based on preventative measures decades before cognitive decline.

Support

Organizations are listed for informational purposes based on publicly available sources. Inclusion does not necessarily indicate affiliation with or endorsement by Alzheimer’s Disease International (ADI).

Dementia support in Lebanon is largely provided by civil society, reflecting high prevalence and limited state involvement. Alzheimer’s Association Lebanon leads awareness campaigns, operates a dementia hotline, runs caregiver support groups, and manages the Minerva Adult Care Day centre in Beirut. Additional support comes from organisations such as Kibarouna and Taawon Lebanon, which provide ageing, awareness, and psychosocial services that indirectly support people living with dementia and their families.

Selected national associations, patient family associations, NGOs:

Alzheimer’s Association Lebanon (AAL) Kibarouna Taawon Lebanon

Selected initiatives

Dementia initiatives in Lebanon are led primarily by civil society organisations, addressing gaps in formal care and the emotional and social burden on families. Alzheimer’s Association Lebanon runs national awareness campaigns for World Alzheimer’s Month, operates a 24/7 dementia hotline, provides caregiver support groups, and manages the Minerva Adult Care day centre in Beirut. Kibarouna supports older adults nationwide and regularly hosts Alzheimer’s awareness events with basic cognitive screening. Taawon Lebanon delivers elderly care programs in Palestinian refugee camps, indirectly supporting people living with dementia through medical and psychosocial services.

Kibarouna
Kibarouna is a non-profit, non-political and non-religious organization that works with citizens from all over Lebanon in order to improve their quality of life. Among other activities, in cooperation with medical professionals and institutions, Kibarouna organises Alzheimer’s disease awareness events on a regular basis, during which cognitive screening tests are offered to participants.
Taawon Lebanon
Taawon Lebanon is an independent non-profit association working towards building and strengthening the capacities of Palestinians in Lebanon, in coordination and partnership with local and international institutions. One of its programs is concerned with providing elderly care in Palestinian refugee camps inside Lebanon, including (1) providing them with support for medical interventions and (2) organizing activities meant to better their mental health. While Taawon Lebanon is not focused on providing assistance to people living with dementia, they stand to benefit from their programs.
Alzheimer’s Association Lebanon (AAL)
Alzheimer’s Association Lebanon (AAL) organises a national public awareness campaign every September to mark World Alzheimer’s Month, in cooperation with partner entities, such as radio and television stations, medical institutions and others. Previously, AAL organised conferences, lectures, workshops, and its representatives gave interviews to national media outlets on dementia management.
AAL
AAL maintains a dementia hotline, which is available at all times, to encourage early dementia detection efforts, and provide remote support to people living with dementia, their families and care partners.
Minerva Adult Care centre
Minerva Adult Care centre is a flagship initiative of AAL in Beirut, which is a daycare centre for dementia patients. The centre is a fun and safe space where people living with dementia engage in several activities in a social setting. Interactive activities related to concentration, memory, speech, physical activity, music and art are organised for people living with dementia, with their carers able to use that time to rest, run errands or simply go to work. Services of the centre are not free, but the AAL tries to cover fees for anyone in need. However, there is a long waiting list for such coverage.
Weekly support group meetings
Care partners in Lebanon face immense stress, particularly due to cultural perceptions that providing care to relatives in need is their obligation. Thus, AAL organises weekly support group meetings, during which carers receive tips and guidance on how to effectively manage the condition of their relatives. In addition, the meetings serve a purpose at reducing the loneliness, fear and isolation many carers may face.
Conferences, training
Previously, AAL actively organised conferences during which innovative dementia research, both on a regional and on a global scale, was presented. In addition, dementia care training and other educational events were organised regularly.

Dedicated media outlets

Lebanon does not have a media outlet dedicated to news about dementia. However, public awareness campaigns in the media on the matter are common, with a majority of them contrived by the AAL. Every September, in commemoration of World Alzheimer’s Day, AAL works on raising public awareness of dementia, with its President, Georges Karam, MD, participating in national radio and television programs on the matter. In addition, social media channels of the AAL, such as their Facebook page, are quite active, with posts meant to raise awareness of Alzheimer’s disease and related dementias being quite common.

Understanding the terms

This section explains key terms used throughout the text to help readers better understand the exploration concepts.
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Contents

Understanding the Terms

Terms used throughout this website are explained below.
A

Amyloid-Targeting Therapies (ATT): A class of disease-modifying treatments, primarily monoclonal antibodies, designed to identify and remove amyloid-beta plaques from the brain to slow cognitive and functional decline in early-stage Alzheimer’s. Examples include Lecanemab and Donanemab.

Aphasia: A language disorder that affects a person’s ability to communicate, often seen early in Frontotemporal Dementia.

APOE ε4 Allele: A genetic variant of the Apolipoprotein E gene that is a major risk factor for late-onset Alzheimer’s disease; while not a causative gene, its presence increases the likelihood of developing the condition.

Acetylcholinesterase Inhibitors: A class of medications, including Donepezil, Rivastigmine, and Galantamine, used to treat cognitive symptoms by increasing levels of chemical messengers in the brain.

Advance Directives (DAT): Legal documents, such as Disposizioni Anticipate di Trattamento in Italy, that allow individuals to specify their future medical treatment and care preferences while they still have the capacity to do so.

Alzheimer’s Disease (AD): The most common cause of dementia, characterized by a progressive neurodegenerative decline caused by the accumulation of amyloid plaques and tau tangles in the brain.

Amyloid-beta Plaques: Protein fragments that build up in the spaces between nerve cells, disrupting communication and triggering immune responses.

Amyloid PET Scan: A specialized nuclear imaging test that uses radioactive tracers to visualize and measure the density of amyloid-beta plaques in the living brain.

Atrophy: The wasting away or shrinking of brain tissue, often measured via MRI to support a clinical diagnosis of dementia or Alzheimer’s.

B

Biomarkers: Measurable biological indicators, such as proteins found in blood or cerebrospinal fluid, used to identify the underlying pathology of a disease.

Blood Biomarkers: Emerging, less-invasive diagnostic tests that measure specific proteins like p-tau or neurofilament levels in blood plasma to detect Alzheimer’s pathology.

C

CSF Analysis (Cerebrospinal Fluid): A diagnostic procedure involving a lumbar puncture to measure levels of tau and amyloid-beta proteins in the fluid surrounding the brain and spinal cord.

CT Scan (Computed Tomography): A diagnostic imaging test using X-rays to create detailed cross-sectional images of the brain; used primarily to rule out other causes of cognitive decline such as tumors or strokes.

Clock Drawing Test (CDT): A brief cognitive screening task where a patient is asked to ask to draw a clock face; it evaluates visuospatial and executive function.

Cognitive Screening: The process of using standardized tests to objectively measure an individual’s mental functions, such as memory, orientation, and attention.

Community-based Care: Healthcare and support services provided within the local community, such as daycare centers, home-based nursing, and local support groups, rather than in institutional settings.

Cube Copying Test: A visuospatial assessment task used during neuropsychological evaluations to test a patient’s ability to replicate geometric shapes.

D

Dementia: An umbrella term for a range of neurological conditions characterized by a decline in memory, language, and thinking skills severe enough to interfere with daily life.

Dementia-friendly Society: A community or national environment where citizens and businesses are trained to understand, respect, and support the needs of people living with dementia.

Disease-modifying Therapies (DMTs): A new class of treatments, such as monoclonal antibodies (e.g., Lecanemab), designed to target the underlying biological causes of Alzheimer’s rather than just managing symptoms.

E

Early-Onset Alzheimer’s: A form of the disease that affects people younger than age 65, often linked to the familial genes.

Executive Function: Higher-level mental skills including planning, focusing, and multitasking; these are often what the Clock Drawing Test evaluates.

F

FDG-PET: A type of PET scan that measures glucose metabolism in the brain to identify patterns characteristic of different dementia subtypes.

Familial Alzheimer’s Disease: A rare, genetic form of the disease linked to mutations in specific genes (APP, PSEN1, PSEN2) that typically presents with early-onset symptoms.

Frontotemporal Dementia (FTD): A type of dementia caused by progressive nerve cell loss in the frontal or temporal lobes, leading to significant changes in behavior, personality, and language.

G

General Practitioner (GP): A primary care physician who acts as the first point of contact and gatekeeper for dementia diagnosis, providing initial assessments and referrals to specialists.

Genotyping: The analysis of an individual’s DNA to identify specific genetic variations associated with dementia risk or causation.

H

Hidden Cost: The indirect economic impacts of dementia, such as the loss of income for family members who must reduce working hours or leave their jobs to provide care.

I

Informal Care / Informal Caregiver: Unpaid care provided by family members, spouses, or friends, which represents the vast majority of long-term support for people living with dementia.

J

Japanese Cognitive Function Test (J-Cog): A specialized cognitive assessment tool used to evaluate mental and functional status in specific research or regional contexts.

L

Lewy Body Dementia (LBD): A type of progressive dementia that leads to a decline in thinking, reasoning, and independent function due to abnormal microscopic deposits that damage brain cells.

Long-Term Care Insurance (LTCI): A specialized branch of insurance, found in systems like Germany and Singapore, that provides financial subsidies for daily living assistance and nursing care.

M

Memory Clinic: A specialized, often multidisciplinary center focused on the expert diagnosis, management, and treatment of dementia and cognitive disorders.

Mild Cognitive Impairment (MCI): An intermediate stage between normal aging and dementia where memory or thinking problems are noticeable but don’t yet prevent daily functioning.

Mini-Mental State Examination (MMSE): A 30-point standardized questionnaire used to measure cognitive impairment by testing orientation, recall, and attention.

Montreal Cognitive Assessment (MoCA): A cognitive screening tool designed to be more sensitive than the MMSE, particularly for identifying Mild Cognitive Impairment.

MRI Scan (Magnetic Resonance Imaging): A non-invasive technology using magnetic fields to produce detailed images of brain structure; used to assess brain atrophy and rule out secondary causes.

N

National Dementia Plan: A formal government strategy outlining a coordinated response to manage dementia diagnosis, care, research, and awareness at a national level.

National Health Insurance (NHI): A government-funded or regulated healthcare system providing universal or subsidized medical services to citizens.

Neuroimaging: The use of advanced techniques, such as CT, MRI, and PET, to visualize the structure and function of the brain for diagnostic purposes.

Neuroinflammation: The brain’s immune response to damage or protein buildup; while initially protective, chronic inflammation can accelerate neurodegeneration.

O

Out-of-Pocket Costs: Direct payments made by patients or their families for medical services, tests, or care that are not covered by insurance or public subsidies.

P

Preclinical Alzheimer’s: The stage where brain changes (like amyloid buildup) are present but no outward symptoms are yet visible.

S

Synaptic Loss: The destruction of synapses (the gaps where neurons communicate), which is often the strongest correlate to cognitive decline.

T

Tau Tangles: Twisted fibers of a protein called tau that build up inside nerve cells, destroying the cell’s transport system.

V

Vascular Dementia: The second most common type of dementia, caused by conditions that block or reduce blood flow to the brain, like strokes.