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DEMENTIA

Holocaust survivor wins right to Jewish care

Jakub Mangell, an 86-year-old man who survived the Nazi Holocaust in Poland and fled to Sweden in 1946, has won his battle against a Swedish district council for the right to a place in a Jewish nursing home.

The case dates back to 2007 when the City of Malmö, where Jakub Mangell has been an active member of the Jewish community since his arrival in Sweden, confirmed his right to assistance as a result of dementia.

“It is important for my father to be able to follow the Jewish customs and traditions and so we applied for a place for him in a nursing home in Stockholm. There are only two Jewish nursing homes – in Gothenburg and in Stockholm – and my brother lives in Stockholm,” Jakub Mangell’s son, Peter Mangell, told The Local on Monday.

The Jewish nursing home is located in the district of Skarpnäck and is privately run but publicly funded. While the district council has no influence over how the home elects to allocate its places, it administers applicants for care within the district.

When the Mangells approached the council to seek a place for Jakub they were told that as the home was full he could only be offered alternative accommodation.

But Jakub Mangell declined this offer, informing Skarpnäck district council that as his application only concerned the Jewish nursing home he was prepared to wait for a place.

Skarpnäck then rejected his application for assistance, arguing that it had met Jakub Mangell’s need for care and citing the Local Government Act of 1991, which stipulates that a place must be offered within three months of application.

However when The Local called Stockholm city council on Monday to enquire about the process, it was told:

“A needs assessment is made, and the acceptance of the offer of a place is taken to prove that those needs do in fact exist. This can also include social and psychosocial factors, such as being Jewish,” said an administrator at ÄldreDirekt, the council’s helpline for elderly care.

The administrator underlined that the needs assessment is there to ensure the most suitable care is offered, adding that the process should be conducted openly with a designated official.

“Free choice is the current practice and one should be able to choose a nursing home. But if you accept the place on offer, you demonstrate the need for care and can then move later when a preferred place becomes available,” she told The Local.

Having declined the place, Jakub Mangell lost his right to assistance and could not stand in the queue for the Jewish nursing home; the family thus decided to challenge Skarpnäck’s decision in court.

After the Mangells won an initial decision, the district council appealed and won their case in the court of appeal.

But the Supreme Administrative Court has now ruled that, regardless of whether the council was able to offer a place or not, they do not have a right to reject Jakub Mangell’s right to assistance.

The Local informed Peter Mangell of the Supreme Administrative Court’s decision on Friday to find in favour of his father.

“I will have to look at the ruling when I receive it and consult with our lawyer before we decide whether to push for compensation,” Peter Mangell said.

In the years that it has taken for the process to complete its path through the courts, Jakub Mangell has been in the care of family members in Malmö.

The Local called the Jewish nursing home in Skarpnäck to inquire as to how long an applicant can normally expect to wait before being offered a place.

“Impossible to say, it depends on when people pass away,” Kajsa Båkman, the head of the dementia unit at the home, told The Local on Monday.

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OLD AGE

Half of Germans fear dementia in old age

Half of Germans are scared of suffering from dementia or Alzheimer's disease, a survey published on Thursday found, making it second only to cancer among the nation's health fears. But neither of them is the nation's biggest killer.

Half of Germans fear dementia in old age
File photo: DPA

While exactly 50 percent of people were concerned about dementia, 68 percent feared a cancer diagnosis above all else, the survey for health insurer DAK-Gesundheit found.

The number saying they feared dementia or Alzheimer's disease increased by one percentage point over the figure for 2014, but short of 2011's peak of 54 percent.

Meanwhile, fear of cancer had fallen one percentage point since 2014 and was well short of its 2010-11 peak of 73 percent.

Young people were even more concerned about cancer than the over-60s, with 73 percent of 14 to 44-year-olds saying they were worried about the disease compared with 60 percent of seniors.

Close behind dementia among worries were serious accidents, stroke and heart attack, at 48 percent, 48 percent and 41 percent respectively.

Heart disorders ought to be top of Germans' priority list, as they were found to be the most common cause of death in a study published in June.

Germans see themselves as healthy

But the survey also found Germans feeling hale and hearty overall, with 86 percent saying they had good or very good overall health.

People in Bavaria and Baden-Württemberg felt the healthiest, with 90 and 89 saying they were in good or very good health respectively, while the number fell to 81 percent in the former East.

And most people said they moderated their behaviour to keep themselves in good health.

Sport was the most popular choice, with 77 percent of respondents saying they regularly exercised to stave off disease.

Close behind were eating healthy at 71 percent, restricting alcohol intake, with 70 percent, and not smoking, at 63 percent.

But those respondents might have been telling porkies, as an OECD paper published in June finding that Germans were the biggest drinkers in western Europe, knocking back 118 litres of beer each year on average.

And 61 percent of people said they read a lot and sought out mental challenges to keep their brains agile in the hope of warding off dementia.

Disease of old age

While around 1.5 million people currently suffer from dementia in Germany, experts expect that number to double by 2050 as the population continues to age, DAK said in a press release.

The study found that the difficulty of predicting who might suffer from dementia was particularly worrying, as was the fact that those affected would likely need to depend on the care of others – reasons named by 70 and 71 percent of the respondents respectively.

DAK welcomed recent reforms of social care introduced by the government, but said more needed to be done to improve co-operation between GPs, specialist doctors and carers in the future as they treat growing numbers of dementia patients.

Polling institute Forsa questioned a representative sample of 3,500 people across the country for the survey.

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