Setting the sceneAgeing and technology in the 21st century Prague, May 2012 Alexandre Kalache President - International Longevity Centre - Brazil Senior Policy Advisor on Global Ageing, New York Academy of Medicine HelpAge International Global Ambassador
Allow me to be personalLife expectancy in 1945 when I was born was 43 years – today: 75 32 year-gain in my life time In 1945 TFR was 75.8 in mid 1970s – and now, 1,8
WHY?THE INFUENCE OF TECHNOLOGY IN CONTROLLING DEATH AND IMPROVING HEALTH OVER THE LAST FEW DECADES HAS GIVEN US THE GREATEST ACHIEVEMENT OF THE 20th CENTURY.
What kind of technology?EngineeringWater supplyEnvironmental controlGreen RevolutionVaccinesNew drugsEarly disease detection devices...etc...etc
In the 21st century, much more to come – with tremendous implications tothe way we age for those who will have access to such wonders.
The speed of the ageing process...... and the role of technology in the decline of Fertility Rates
Women today aged 70 + ...did not benefit from thetechnological revolution that might havehelped them to control their number ofchildren. They spent their younger adultyears caring for their children, thenparents, now partners – without beingat all sure if there will be someonethere to care for them when/ifneeded...
Hundreds of millions are left out of the technologies WE take for granted.
Too many labels: confusing!• Productive• Positive• Ageing well• Successful• Healthy• Vital• Active
WHO definition of Active Ageing: The process of optimizing the opportunities for Health, Participation and Security in order to enhance quality of life as individuals ageKalache - Consultorias
The 4 Pillar: th Life long learningInternational Conference on Active Ageing, Seville, 2010
Embracing a Rights-based approach – implying:• The Right to Health• The Right to Learn• The Right to Work• The Right to be Protected• The Right to be Insured• The Right to Participate• The Right not to be neglected, abused, abandoned...as well as...
In developing countries 80%of Older Persons do not have basic incomeOn the whole they are highly productive... and deeply unprotected.
Older People as resources to their families, communities and the Economy.
The impact of the global financial crisisIn Spain: 25% unemployment rate, over 50% within the age group 15-24!However, within contexts such as thes, older people often become the main source of income for the whole family.
Yet...in terms of policies we are still doing nearly everything wrong...stuck within a 19th century mind frame: compulsory retirement; little thought given to graduated retirement; lack of training opportunities which limits individuals’ ability to reinvent themselves as they age .
Bismarck was right in 1881...But since then 130 years havepassed, LEB has increased to80+ in at least 20 countries –and counting. Yet we are still by and large trapped in the same policies.
ULTIMATELY WHAT ISNEEDED, IS TO FIGHT FOR INCLUSION.
A NO TO ALL FORMS OF EXCLUSIONKalache - Consultorias
Important neglected issues• Migration and ageing• LTC• Ethical issues• Crisis/emergencies• Life course of exclusion• Intergenerational solidarity/global crisis• Controlling the anti-ageing industry....• etc....etc
Re-inventing the life course:...intertwining periods for learning, for being “productive”, for raising children, for caring, for recharging batteries...for starting again...at whatever age.
The emergence of a new transitionBaby boomers “created” the social construct of adolescence – because of the numbers, the unprecedented levels of education and good health and because they lived in Peace and relative wealth.What a luxury compared to any preceding cohort!!
GERONTOLESCENCENow...we are starting to “create” a new transition...we are: gerontolescents.
The difference is that whileadolescence lasts for 4 or 5years, gerontolescence will last for 2, 3 decades.
Developing a culture of ageing…Kalache - Consultorias