Healthy ageing in the 21st century

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  • Note: Having fewer children – impact on ratios
  • Note: Although there are increases in both labour market participation and average age of exit across the EU, the cost of ageing will ‘dwarf the financial crisis’
  • Recommendations versus reality: Yet despite strong evidence for the efficacy of immunisation against influenza, pneumococcal disease and other vaccine preventable diseases there is a gap between recommendations for vaccination among older people and actual vaccination rates in EuropeREF for pneumoccoccal stat: WHO. Bi-regional meeting on prevention of childhood pneumonia and meningitis by vaccination. 2006 http://www.wpro.who.int/entity/immunization/documents/MTGRPT_BiregionalPneumonia2006/en/index.html.   Accessed Octobe 2012
  • 5 million (at risk) people in the UK missed out on the flu vaccination in 2010-11 despite media attention
  • 1. Pitiful levels of vaccination of healthcare professionals - in some UK Trusts fewer than 10% of workers were vaccinated against influenza last winter.2. All adults should keep a permanent vaccination record.3. e.g. European Year of Active Ageing and Intergenerational Solidarity4. Free or partially reimbursed vaccination has important effect on use – increases uptake5. Create a culture of vaccination by extending free or part subsidised vaccinations to other age groups - promote life course vaccination as part of the healthy ageing message6. Greater role for community pharmacy in national vaccination programmes7. Will Governments’ cancel public communications campaigns in times of austerity? Nudge with protection of unvaccinated as a nudge or self-certify messages8. The recession/European financial crisis – demonstrate cost-effectiveness. Role of businesses & insurance
  • The partners include representatives from clinicians, health promotion experts, advocacy groups, nurses, industry, and think tanks
  • Healthy ageing in the 21st century

    1. 1. Healthy Ageing in the 21st Century:Setting the Agenda for a New Focus inDisease PreventionDavid Sinclair, International Longevity Centre -UK The International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
    2. 2. About ILC-UKThe ILC-UK was establishedin 2000 to explore andaddress the impact of ourageing society on publicpolicyWe have a global reach with14 Members of the ILCGlobal Alliance The International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
    3. 3. We are living longerThe International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
    4. 4. And we will see growth in the % of “oldest old”The International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
    5. 5. The EU dependency ratio will increase Dependency ratios are increasing across Europe over the next 50 yearsProportion ofEU population YearThe International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
    6. 6. The cost of ageing will “dwarf the financial crisis”Age-related spending is Age-related spending as a proportion of GDPprojected to rise from an could increase by around 5% in the UK andannual cost of 25% to 29.1% around 4.1% in the EU, over the next 50 yearsof GDP between 2010 and 2060, EU total UK totala rise of 4.1%. EU extra health spending scenario 34% 34% Projected age- Projected age- 32% 32% related spendingHowever, a scenario which related spending as a proportion of as a proportion of 30% 30%assumes greater resources GDP 28% GDP 28%devoted to development within 26% 26%health care projects that 24% 24%age-related spending in the EU 22% 22%could rise to as much as 20% 20% 2010 2015 2020 2025 2030 2035 2040 2045 2050 2055 206029.8%of GDP, annually,by 2060. EC (2012) The International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
    7. 7. Spending on health care will see the greatestSpending on health care will see the greatest increase of all age-related spending over the next 50 years increase of all age-related spending over the next 50 years EU total UK total EU extra health spending scenario 14% Projected health 14% spending as a Projected health 12% 12% proportion of care spending as 10% GDP a proportion of 10% GDP 8% 8% 6% 6% 4% 4% 2% 2% 0% 0% 2010 2015 2020 2025 2030 2035 2040 2045 2050 2055 2060 The International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
    8. 8. 2012: European Year for Active Ageing andSolidarity between GenerationsThe year is intended to raise awareness of thecontribution that older people make to society.It seeks to encourage policymakers and relevantstakeholders at all levels to take action with the aim ofcreating better opportunities for active ageing andstrengthening solidarity between generations.The International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
    9. 9. What is active ageing?Active ageing means growing old in good health and as a fullmember of society, feeling more fulfilled in our jobs, moreindependent in our daily lives and more involved as citizensNo matter how old we are,we can still play our part in societyand enjoy a better quality of lifeThe 2012 European Year seeks topromote active ageing in threeareas:  Employment  Participation in society  Independent living The International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
    10. 10. There is a lot going onEU legislation supporting Research and innovationactive ageing  The seventh framework Anti-discrimination programme for research and Gender equality legislation technological development (FP7) Health and safety at work  Cohesion Policy supporting Social security and free research and innovation movement  Competitiveness and Innovation Framework Programme  Joint programming in researchEuropean Structural and Cohesion  The European InnovationFunds support active ageing Partnership for Active and The European Social Fund Healthy Ageing European Regional Development Fund EU support to national Cohesion Fund policymakers European Agricultural Fund for  Coordinated strategies Rural Development  Mutual learning The International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
    11. 11. Healthyageing.euThe International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
    12. 12. Top 10 tips for better ageing – Age UK“We know it’s not just about livinglonger, it’s about living healthily andhappilyfor longer.”Follow our top 10 tips for ageing better together:1. Exercise2. Eat a healthy diet3. Don’t smoke http://www.flickr.com/photos/vinothchandar/4459777970/sizes/m/in/photostream/4. Engage socially with others5. Have a positive attitude about ageing6. Get regular health checkups7. Protect your eyes8. Avoid excessive sun exposure9. Get sufficient good-quality sleep10. Pay attention to your pension and get expert financial advice The International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
    13. 13. But where is vaccination?Vaccinations are beneficial formost people of all agesThere is a common perception(with the exception of the fluvaccine) that vaccination is forchildrenMore adults die from vaccine-preventable diseases each yearthan children (Fingar et al.) http://www.flickr.com/photos/48039948@N02/6070071650/sizes/m/in/pool-92307085@N00/The International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
    14. 14. Vaccination has a good story to tellVaccination has controlled12 major diseases (at least inparts of the world)Vaccination has arguably hadthe biggest impact onmortality reduction andpopulation growth http://www.flickr.com/photos/pondspider/4170990903/sizes/m/in/photostream/The International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
    15. 15. Vaccinations prevent diseasesVaccines can prevent the onset and/or consequencesof these serious, often deadly, diseases including: Influenza Pneumococcal disease Tetanus-diphtheria-pertussis Chickenpox and shingles Meningococcal disease Measles-mumps-rubella Human papillomavirus http://www.flickr.com/photos/un_photo/5832685007/sizes/z/in/photostream/ Hepatitis A and hepatitis B Polio The International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
    16. 16. And these diseases often hit adults 600,000-800,000 adults die from pneumococcal disease each year (WHO) 35,000 people in the United States die from influenza and its complications each year. More than 90 percent are persons age 65 and older Of the 66 confirmed cases of measles in the United States reported in 2005, nearly 35 percent were in people over age 20 Shingles is common in people over age 50, with an estimated 500,000 to 1 million cases diagnosed in the United States each year The International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
    17. 17. The context of migrationThe number of measlescases in the UK has almostdoubled after a surge ofvisitors arriving for theOlympics and ParalympicsThere have been 964confirmed cases of measlesso far this year – compared tojust 494 in 2011(The Sun, September 2012) There is no single system for catch up vaccinations for those who missed being vaccinated The International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
    18. 18. Where should we get to by 20201. Higher vaccination rates of healthcare professionals2. A well informed and empowered consumer3. Use the opportunities (European Year) to communicate well4. Consider the best way to fund vaccination5. Create a cultural norm of "wellness" across Europe6. More accessible vaccination7. A stronger evidence base of the respective impact of “Nudge, educate or compel” http://www.flickr.com/photos/lowercolumbiacollege/448. Convince business of the economic case 73156749/sizes/z/in/photostream/ of vaccination The International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
    19. 19. We are playing our part – SAATI*Voluntary coalition of European partners (supported by Pfizer) who have aninterest in improving the health of citizens as they grow older, and reducing theincidence of illness through effective vaccinationCommitted to tackle low public awareness of the risk and burden of vaccine-preventable diseases, such as pneumococcal disease, in adultsSAATI aims to: Increase public and policy maker awareness of the need for adult vaccinations to combat vaccine-preventable diseases Leverage EU Year for Active Ageing and Solidarity between Generations to promote better public health communication on the value of vaccines and the need for supportive age-based national health policies*Supporting Active Ageing Through Immunisation (SAATI) The International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
    20. 20. “ Immunisation is not just for children, but is essential across the life course. We need to normalise immunisation as an important part of healthy ageing. Comprehensive adult vaccination strategies would ” significantly reduce the incidence and burden to individuals, employers and healthcare systems. Baroness Sally GreengrossChief Executive of the International Longevity Centre, United Kingdom The International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
    21. 21. Many thanksDavid SinclairHead of Policy and ResearchInternational Longevity CentreDavid.sinclair@ilcuk.org.uk02073400440Twitter: @ilcuk and @sinclairda The International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.

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