Thursday, 12 September 2013

Session 8: 14:30-15:30

Plenary Session

Dr John Beard

Global Ageing and Health: From Talk to Action

John Beard

Towards an Age-friendly WorldJohn

Beard

3 |

Outline

Demographic, epidemiologic and social trends

What is WHO going to do about it?

Random thoughts

Two challenges

4 |

Proportion of Population Over Age 60, 2012

5 |

Proportion of Population Over Age 60, 2050

6 |

Pace of Ageing

Thailand

S Korea

Brazil

1860 1880 1900 1920 1940 1960 1980 2000 2020 2040

14%

7% France Sweden UK USA Japan China

% of Population Age 65+

7 |

Ghana

0

5

10

15

20

25

30

35

40

45

50

1950 1960 1970 1980 1990 2000 2010 2020 2030 2040 2050

Pro

po

rtio

n o

f p

op

ula

tio

n

14 and under

60 and above

8 |

Sri Lanka

0

5

10

15

20

25

30

35

40

45

1950 1960 1970 1980 1990 2000 2010 2020 2030 2040 2050

Pro

po

rtio

n o

f p

op

ula

tio

n

14 and under

60 and above

9 |

China

0

5

10

15

20

25

30

35

40

45

1950 1960 1970 1980 1990 2000 2010 2020 2030 2040 2050

Pro

po

rtio

n o

f p

op

ula

tio

n

14 and under

60 and above

10 |

Italy

0

5

10

15

20

25

30

35

40

45

1950 1960 1970 1980 1990 2000 2010 2020 2030 2040 2050

Pro

po

rtio

n o

f p

op

ula

tio

n

14 and under

60 and above

11 |

Demographic Dividend

12 |

Dependency ratios

Multi country study 1960-2005 suggests that increases

in the proportion of the population over 65 years

have not significantly impeded the growth of income per

capita in the countries of Asia. (Bloom et al, 2010)

– intrinsic social value from increased longevity

– while high fertility has negative consequences on economic

growth that cannot be offset by behavioral and institutional

changes, the negative pressures of increased longevity can be

offset by changes in behavior and policy

13 |

Earning Enough

14 |

Female Deaths Across the Life Course (Mathers et al 2013)

15 |

Years of Life Lost Age 60 and Over

Source: 2004 GBD in WHO

Global Brief for WHD 2012

16 |

Years Lost to Disability Age 60 and Over

Source: 2004 GBD in WHO

Global Brief for WHD 2012

17 |

Other recent trends

Urbanization

Globalization

Technological change

Migration

Breakdown of intergenerational linkages

Connectivity

18 |

Why act on ageing?

Economic/utilitarian argument

Rights

Fair thing to do

The formation of societies that are cohesive, peaceful,

equitable, and secure requires that we attend to the

needs, and maximise the opportunities for, all groups

19 |

What is WHO Going to Do About It?

Partnerships and Political Commitment

Knowledge Generation and Management

Knowledge Translation

20 |

A Life Course Approach to the Health of Ageing Populations

Health Promotion across the life course

Primary Health Care and Long Term Care

Age-friendly Environments

Rethinking ageing

21 |

22 |

Partnerships and Political Commitment

World Health Assembly and Regional Resolutions

Research Networks

Collaborating Centres

World Economic Forum

Strategic Advice

– Commission on Ageing in Developing Countries

– Strategic Advisory Group on Ageing and Health

– High Level Meeting on Functional Decline

WHO Global Network of Age-friendly Cities

23 |

WHO Global Network of Age-friendly Cities

24 |

Indicators of an Age-friendly Community

Physical Environment

Outdoor spaces and buildings

Transportation

Housing

Social Environment

Respect and Social Inclusion

Civic Participation and Employment

Social Participation

Lifelong Learning

Services

Governance

Community and Health Services

Communication and Information

Wellbeing of older residents

Health

Economic Security

25 |

Knowledge Generation and Management

Study on Adult Health and Ageing (SAGE)

Global Report on Ageing and Health

Other – Immuno-senescence

– NYCNAMES

– Women Beyond Reproduction

– Lancet Series

26 |

Knowledge Translation

Knowledge Translation Project

Technology and Innovation

Guidelines on managing frailty in low income

countries

Hearing loss, palliative care

27 |

Random Questions

Diversity and disparity

28 |

Decline in physical functioning in women by baseline function

Source: Peeters et al 2013

29 |

Random Questions

Diversity and disparity

The life course

What is happening and why?

Who is responsible for care?

Gender

Dementia

Care

30 |

Challenge 1: Beyond Demography

31 |

Trends in cardiovascular and diabetes mortality rates, women ≥ 50 years

Mathers et al, WHO Bull. 2013

32 |

Challenge 2: Beyond Gerontology and Geriatrics