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A Lifecourse Approach to Ageing. Presentation by Paul Ong, Health Policy and Programme Adviser, HelpAge International, at the "The future of human longevity: cardiovascular health, longer lives" on 10 - 12 November 2013 at the Swiss Re Centre for Global Dialogue in Zurich.
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A LIFECOURSE APPROACH TO AGEING Paul Ong
November 11, 2013
Zurich
Health…
• …in an older population is a unique construct
• Why?
• 100% of older people will eventually die
• We all have to die of “something”
The Individual Causes…
• …of Mortality are preventable, but, Death is not
Income and Life Expectancy
UK USA
Philippines/Egypt
Ghana/Cambodia
Mozambique/ Sierra Leone
Mexico
Economic Development…
• …only goes so far towards improving health, and especially quality of life
A Quote
• You can live to be a hundred if you give up all the things that make you want to love to be a hundred
• Woody Allen
Physical health declines with age globally (data by country groups)
Quality of life can be maintained
“Happiness” can be maintained
Four Health Outcomes (1)
• …distinguishes health for ageing populations from other agendas
• HUMAN and economic Development that has worked well will enable:
• ONE: A good QUANTITY of life with attendant good QUALITY of life
For example
• Japan:
Life expectancy from birth :83
Healthy life expectancy :75
• Sweden
Life expectancy from birth :82
Healthy life expectancy :73
Four Health Outcomes (2)
• ONE:A good QUANTITY of life with attendant good QUALITY of life
• TWO: A good QUALITY of life when abundant quantity is no longer possible
• Do older people get tired of life?
• What does dying well mean?
Bishkek – Older People (Kyrgyzstan)
Outcomes 2
• Mental health and quality of life are connected:
Welfare safety nets enhance well-being and coping strategies Physical decrepitude is not a death sentence
Four Health Outcomes (3) • ONE:A good QUANTITY of life with attendant good QUALITY of life
• TWO: A good QUALITY of life when abundant quantity is no longer possible
• --- Critical need for developmental intervention ---
• THREE: Where there is reasonable quantity but little quality of life
• FOUR: Where there is neither quality nor quantity of life
Outcome 3…
• …is where substantial amount of our programming is focussed
• It is where development is still needed, e.g.,
• Bangladesh
Life expectancy from birth :70
Healthy life expectancy :54
Outcome 4 • Do we have a role in promoting longevity, to advocate for closing gaps in longevity? Is there such a thing as life and healthy life equity?
• Tanzania:
Life expectancy from birth :59
Healthy life expectancy :40
• Mozambique
Life expectancy from birth :53
Healthy life expectancy :37
Outcome 4
• There are older people in Tanzania of course!
• 2% of the population
• But fewer people make it to 60
• Is it right that an average Swiss only has a 2% chance of dying between the ages of 55-59
• But in Tanzania and Mozambique, the risks are four times greater (8%)?
• WHO recommends that older age be defined from 50 or 55 in Africa
• Are the causes of premature ageing our business?
Mozambique
Peru
Healthy Ageing: What is it?
Healthy Ageing: What is it?
Ageing…
• …is more much much more than just the risk of dying
• The costs to society will be about maintaining quality and dignity
• It is about the world we want when we are old
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