In 1984, around 30% of Americans were diagnosed with dementia by the end of their 80s. Today it’s 10%.

If rates had stayed steady there would be 17 million Americans with dementia today. Instead there are 6 million. This saves us around a trillion dollars in medical bills per year and unknowable suffering.

Every five year cohort measured has had a lower risk than the cohort before them.

We don’t know why.
This is… amazing? (In a good way, right?)
I'd look into HRT as estrogen has been associated with lower rates of dementia
@hankgreen it's gotta be the lead that they all had basically every day in their diet
@hankgreen weird. Good news?
are microplastics the cure to dementia? @threads_nyt_pitchbot
I’m sure there are a multitude of things contributing to it.

I’m sure one factor is the beginning of 2nd generation antihistamines as 1st gens like Benadryl can increase the risk of dementia.
I’ve read a lot about the shingles vaccine being one potential culprit…

https://med.stanford.edu/news/all-news/2025/03/shingles-vaccination-dementia.html
For those living with dementia, new study suggests shingles vaccine could slow the disease

A new analysis of a vaccination program in Wales found that the shingles vaccine not only appeared to lower new dementia diagnoses by 20%, it also helped those who already have the disease.

News Center
Is finally taking lead out of gasoline not a contributing factor?
@jakebroe that was also my first guess. Probably it’s not just one thing and it has a lot of confounding factors. Anyway it’s a reason for celebration, not everything is getting worse, some things improve despite our best efforts 😉
* Better treatment of blood pressure, diabetes, and heart disease
* Less smoking
* More education and mental stimulation
* Better nutrition and exercise awareness
* Improved stroke prevention
* Better hearing care and social engagement
* Overall healthier aging in many countries

These factors help protect the brain and blood vessels, lowering dementia risk for many older adults.
@hankgreen less lead in the air is probably contributing.
Looking at the current presidential approval rates, I think 30% is more correct
@hankgreen
Thanks Hank. I really needed some positivity today.