Dementia, neglect and weak support structures leave elderly Malaysians exposed to injury and death: Public health expert
PETALING JAYA: As Malaysia’s population ages, experts are calling for a nationwide alert system to locate missing seniors, warning that vulnerable adults – particularly those with dementia or cognitive impairments – face rising risks of injury, neglect or death without immediate action.
Universiti Kebangsaan Malaysia public health medicine specialist Prof Dr Sharifa Ezat Wan Puteh said numerous seniors go missing each year due to cognitive decline, dementia, Alzheimer’s, abandonment or elder abuse.
“Missing seniors are exposed to immediate dangers such as hypothermia, heatstroke, drowning, hunger, falls and injuries.
“Some are found dead, while others suffer worsening of existing medical conditions. If they drive, there’s the risk of accidents that could harm themselves and others.”
Sharifa stressed that the dangers extend beyond immediate injury.
“Prolonged exposure and trauma can have long-term health consequences. The lack of a formal mechanism to locate missing seniors compounds the problem.”
To tackle such risks, she advocates establishing a silver alert system, modelled on programmes in the United States.
A silver alert is a public warning system designed to help locate missing older adults, especially those who are vulnerable due to dementia, Alzheimer’s or other cognitive impairments.
The main idea is to quickly inform the public, authorities and relevant agencies when a senior goes missing, increasing the chances of finding them safely.
“The system would leverage technology, such as tracking tags, wearable devices or mobile apps to quickly locate missing seniors and prevent serious health outcomes.
“Alerts should cover areas where seniors may face trauma from injuries or abuse.”
However, Sharifa warned of structural challenges in implementing such a system.
“Malaysia currently has too few geriatric specialists. While palliative care, physiotherapy and other elderly services are available through public and private clinics, a fully coordinated alert system involving police, healthcare, telecommunications providers and the public is not yet ready.”
She recommends preventive measures at family and community level.
“Families can equip seniors with tracking devices, accompany them outdoors, hire assistance, run errands on their behalf and ensure they carry phones with home address information.”
Sharifa said safeguarding seniors requires a coordinated approach through technology, healthcare support and community vigilance.
She also highlighted social and financial pressures affecting the elderly.
“Financial strain and neglect contribute to abuse and abandonment.
“While the National Policy for Older Persons exists, there are currently no laws penalising families who exploit or neglect seniors, although a supporting bill is in development.”
Informal caregivers face challenges as well, she added.
“Services exist, but gaps remain. There is no standardised compensation for those caring for the elderly at home.”
