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...
The Individual Causes…

• …of Mortality are preventable, but, Death is not
Income and Life Expectancy
Mexico

UK
Philippines/Egypt

Ghana/Cambodia

Mozambique/ Sierra Leone

USA
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 ...
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 Developm...
For example
• Japan:

Life expectancy from birth
Healthy life expectancy

:83
:75

• Sweden

Life expectancy from birth
He...
Four Health Outcomes (2)
• ONE:A good QUANTITY of life with attendant good

QUALITY of life

• TWO: A good QUALITY of life...
• 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...
Four Health Outcomes (3)
• ONE:A good QUANTITY of life with attendant good

QUALITY of life

• TWO: A good QUALITY of life...
Outcome 3…
• …is where substantial amount of our programming

is focussed

• It is where development is still needed, e.g....
Outcome 4
• Do we have a role in promoting longevity, to

advocate for closing gaps in longevity? Is there
such a thing as...
Outcome 4
• There are older people in Tanzania of course!
• 2% of the population
• But fewer people make it to 60
• Is it ...
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 ...
Basic Copyright Notice & Disclaimer
©2013 This presentation is copyright protected. All rights reserved.
You may download ...
A Lifecourse Approach to Ageing
A Lifecourse Approach to Ageing
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A Lifecourse Approach to Ageing

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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

  1. 1. A LIFECOURSE APPROACH TO AGEING Paul Ong November 11, 2013 Zurich
  2. 2. Health… • …in an older population is a unique construct • Why? • 100% of older people will eventually die • We all have to die of “something”
  3. 3. The Individual Causes… • …of Mortality are preventable, but, Death is not
  4. 4. Income and Life Expectancy Mexico UK Philippines/Egypt Ghana/Cambodia Mozambique/ Sierra Leone USA
  5. 5. Economic Development… • …only goes so far towards improving health, and especially quality of life
  6. 6. 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
  7. 7. Physical health declines with age globally (data by country groups)
  8. 8. Quality of life can be maintained
  9. 9. “Happiness” can be maintained
  10. 10. 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
  11. 11. For example • Japan: Life expectancy from birth Healthy life expectancy :83 :75 • Sweden Life expectancy from birth Healthy life expectancy :82 :73
  12. 12. 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
  13. 13. • Do older people get tired of life? • What does dying well mean?
  14. 14. Bishkek – Older People (Kyrgyzstan)
  15. 15. 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
  16. 16. 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
  17. 17. 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 Healthy life expectancy :70 :54
  18. 18. 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 Healthy life expectancy :59 :40 • Mozambique Life expectancy from birth Healthy life expectancy :53 :37
  19. 19. 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?
  20. 20. Mozambique
  21. 21. Peru
  22. 22. Healthy Ageing: What is it?
  23. 23. Healthy Ageing: What is it?
  24. 24. 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
  25. 25. Basic Copyright Notice & Disclaimer ©2013 This presentation is copyright protected. All rights reserved. You may download or print out a hard copy for your private or internal use. You are not permitted to create any modifications or derivatives of this presentation without the prior written permission of the copyright owner. This presentation is for information purposes only and contains non-binding indications. Any opinions or views expressed are of the author and do not necessarily represent those of Swiss Re. Swiss Re makes no warranties or representations as to the accuracy, comprehensiveness, timeliness or suitability of this presentation for a particular purpose. Anyone shall at its own risk interpret and employ this presentation without relying on it in isolation. In no event will Swiss Re be liable for any loss or damages of any kind, including any direct, indirect or consequential damages, arising out of or in connection with the use of this presentation.

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