Leong Hong Sai calls for stronger dementia prevention measures in elderly care policy

Lawmaker Leong Hong Sai has warned that the city’s growing elderly population is driving a higher risk of dementia, urging the government to strengthen preventive measures in the next phase of its elderly care planning.

In an interpellation to the government, Leong cited international research linking hearing loss to cognitive decline and called for policies supporting early intervention for seniors.

Citing findings published in the Journal of the American Medical Association (JAMA) Neurology, Leong noted that the use of hearing aids can significantly reduce the risk of dementia when adopted early.

“Once hearing loss is identified and properly addressed before the age of 70, we can meaningfully slow down cognitive decline,” he said, warning that late intervention yields limited benefits.

He added that hearing impairment not only strains cognitive function but also contributes to social isolation, another major risk factor for dementia.

“Seniors with hearing difficulties often withdraw from conversation and social interaction. This lack of stimulation accelerates cognitive deterioration. Timely use of hearing aids or cochlear implants is a key step in prevention,” Leong said.

He asked whether the government will include dedicated dementia-prevention facilities in the new 10-Year Action Plan for Elderly Services, including regular community-based hearing and memory checks, as well as subsidies for assistive devices.

Meanwhile, he also asked how the government will enhance existing home-care and visitation services, especially for elderly residents who live alone or in isolation.

“And how can we encourage their participation in community learning activities such as calligraphy or tai chi to keep their minds active and engaged?” he questioned.

Leong further called on the government to integrate advanced elderly care models from mainland China and neighboring regions into Macau’s planning.

He suggested that cooperation with Greater Bay Area cities could support the creation of “integrated senior communities” combining housing, healthcare, rehabilitation, culture, and leisure.

Meanwhile, he pointed to opportunities in Hengqin, noting that by leveraging the Traditional Chinese Medicine Science and Technology Industrial Park, “Macau could develop specialized TCM-based health management services aimed at dementia prevention.”

Leong concluded that dementia is not only a memory issue but is closely tied to falls, depression, and cardiovascular health. “Comprehensive, preventive action is essential if we are to safeguard the well-being of Macau’s elderly,” he stressed.