"In this 2019 World Alzheimer Report, we revisit attitudesto dementia and stigma to better understand the role they play and to set a baseline against which we can gauge future changes. This report details the scale of the challenge we face where attitudes to dementia, and specifically stigma, are still a major barrier to people seeking out information, help, advice, support and even a diagnosis; preventing or delaying people from putting plans in place; progressing to a stage of acceptance and being able to adjust to live with dementia. Stigma may be overt; in some countries it is still associated with witchcraft resulting in people being restrained and isolated. Or it can be more subtle; even in countries with national dementia plans and profile awareness campaigns, many people still delay seeking help when they first become aware that something is wrong."