State officials are reminding citizens across the commonwealth to be vigilant in efforts to reduce elder abuse. The main message is to immediately report suspected abuse or neglect. Recent research indicates as few as one in 24 cases of elder abuse, neglect, and exploitation are reported. Steven Fisher, manager of the Adult Safety Branch says it is ‘largely a hidden problem.’ The state received more than 61 thousand reports of abuse, neglect, and exploitation of people 60 and above in fiscal year 2011. Signs of neglect include obvious malnutrition, hoarding, and bedsores. Friday marks the seventh annual World Elder Abuse Awareness Day.