Ageing in Smart Cities

1. favoriot Ageing in Smart Cities Dr. Mazlan Abbas CEO – FAVORIOT Email: mazlan@favoriot.com Smart Cities Convention – 22 April, 2019

2. favoriot Why Many Smart Cities Failed?

3. favoriot Greenfield or Brownfield?

4. favoriot Building 3 Types of Cities ROI-driven Carbon-driven Vanity-driven

5. favoriot The World is Facing an Ageing Population

6. favoriot As population around the world continue to grow and health care becomes more widely available, people are living longer than before. The percentage of the global population that is 65 or older will double from 10% to 20% by 2050 However, living longer doesn’t mean they will continuously live healthier. Many will suffer chronic diseases and memory loss issues.

7. favoriot Healthcare costs keep on increasing. Costly time and money due to frequent visitations. Hospitals and elderly care centers unable to cope with the number of elderly people. Thus, the trend is now about “Aging in Place” where elderly will live at home either with family members or alone. How do we ensure the elderly people live alone with a healthy life, safe and secure but with constant supervision? How do we let them “Live Alone But Not Left Alone”?

8. favoriot Aging Population Issues E.g. China - 64 elderly for every 100 workers by 2025 4 : 2 : 1 Problem 4 grandparents and two parents cared by a single person

9. favoriot China Scenario https://populationpyramid.net

10. favoriot Malaysian Scenario

11. favoriot Imagine a busy City like this….

12. favoriot Suddenly Become Empty One Day in a Year…

13. favoriot China’s Aging Population Issues

14. favoriot China’s Aging Population Issues More than 1,300 elderly people go missing in China every day -- 500,000 per year Senior citizens aged 65 or over account for up to 80% of missing elderly person cases Around 25% of those missing had been diagnosed with Alzheimer's or dementia, while 72% suffered some sort of memory impairment Of those who were found after being reported missing, 25% then went missing again

15. favoriot China’s Aging Population Issues China’s one-child policy, launched in the 1970s to keep a lid on population growth, has led to a major change in the proportion of older people and younger people in China. About 11.9 % of young people had not visited their parents in years while 33.4 % saw them just once a year.

16. favoriot The new law says those children who do not live with their parents must visit or at least “greet them frequently”. If the offspring do not obey this clause, parents can apply for mediation, or bring a case against their children to court. China Law Enforces Children

17. favoriot Demographic Time Bomb • Many seniors whose children have died or moved away are left without a network of care. • The problem is particularly bad in rural areas and small cities because younger populations typically migrate to big cities. • Millions of people are expected to leave the workforce in the next three decades. • Healthcare costs go up by 2030.

18. favoriot Elderly Living Alone? • No adult son or daughter wants to admit that a parent -- who provided life, nurturing and help to the child for so many years -- is now in need of care that simply can't be provided in return.

19. favoriot Fall and Injury • Stairways, serpentine hallways, slippery tile and tall shelving units present potentially dangerous obstacles that must be negotiated daily. • Also, large yards with uneven terrain, poorly lit rooms or small bathrooms in the home of an aging loved one may give family members good reason for pause.

20. favoriot Alzheimer and Dementia • It creates havoc in the lives of those afflicted • Will lose the ability to speak, walk and swallow. It is a progressive and fatal disease. • In the early stages, a person has difficulty processing information, remembering simple items or tasks, and concentrating. • Even in the early stages, a momentary absence of thought can be disastrous while driving, working around the house or taking daily medications.

21. favoriot Loneliness and Depression • It also adversely affects the immune system, making a depressed person that much more susceptible to further physical ailments. • Also, depressed seniors may withdraw into a cocoon of isolation, making it next to impossible for others to reach out to them or just lend an ear. • Nobody should be left in this type of environment.

22. favoriot Too Great Burden on Family • Families all over the world are juggling children, jobs and aging parents in an effort to "take care of their own." There can come a point, though, when the demands created by caring for an aging parent outweigh the logistical, financial or emotional resources available. • It's not uncommon for people to feel they're abandoning a family member or "getting rid" of the problem. Sometimes, these feelings are exacerbated by an older person's shared belief that he or she is being put out of sight and out of mind.

23. favoriot Reverse Role as “Parents” • It's a common proud refrain repeated by young children to their peers: "My dad is stronger than your dad." Or, "My mom is prettier than your mom." • Of course, as children grow, they start noticing mom and dad's flaws.

24. favoriot Health Care Services 1. Improved access to care • Safety concerns are addressed • Reduced time to send help during emergency 2. Increased care quality • Increased level of healthy citizens • Wander and fall management • Reduced anxiety or distress to family members • Give peace of mind to family members 3. Reduced care costs • Addressing aging population issues – pension and heath care • Reduced medical costs to government

25. favoriot Who should bear the greatest responsibility of the elderly People are somewhat more likely to say that elderly care is a family responsibility. In seven countries, more than one-third of the public says such care is up to the family.

26. favoriot Senior Citizen Friendly Smart Cities

27. favoriot Smart Cities for Smart Seniors • Smart Buildings • Making Transport Simpler & Roads better • Looking at Medical Facilities • So what does a smart city with proper medical facilities for seniors comprise? • Adequate health support • Conveniently located healthcare services • Residential medical facilities • Doctors-on-call • More centers to only cater to needs of elderly • Ensuring that there are special centers to take care of diseases like Alzheimer’s and Parkinson.’ • Using technology to connect with the patient remotely • Keeping Seniors Active

28. favoriot 5 Ways to Create a Senior- Friendly Bathroom HANDRAILS ARE A MUST! ADD A WALK-IN SHOWER INSTALL A HIGHER TOILET CONSIDER A NON-SLIP FLOOR

29. favoriot 5 Design Ideas For Your Ageing Parent’s Room TALL BEDS SLIP RESISTANT FLOORS SAFE WALKWAYS LOTS OF LIGHT EASY ON THE HANDS

30. favoriot Smart Elderly Care Centers SMART CONSOLES TO ALLOW PATIENTS TO TRACK THEIR TREATMENT PROCESS AND COMMUNICATE WITH CLINICIANS OR THE WORLD REAL-TIME STAFF LOCATION DATA TO MANAGE WORKFORCE EFFICIENTLY INTEGRATE MONITORING DEVICES WITH ANALYTICS SOFTWARE THROUGHOUT THE CENTER TO PROVIDE PHYSICIANS WITH GREATER VISIBILITY INTO PATIENT'S VITALS IMPLEMENT ELDERLY CARE PATIENT FLOW MANAGEMENT SYSTEM TO EFFECTIVELY TRACK PATIENT STATUS, LOCATION, AND TREATMENT SCHEDULE SET EMERGENCY ALERTS, WITH ESCALATION, TRIGGERED BY DATA COLLECTED FROM PATIENT MONITORING DEVICES

31. favoriot Telehealth & Remote Health Monitoring Connect any wearable or portable device to the cloud, pull and analyze collected patient data in real time Monitor patients at home using live video and audio streaming Monitor vital health indicators collected by portable devices such as smartwatches, smartphones and tablets Set intelligent emergency notifications sent to a physician or family Charts and diagram visualization based on data collected from health monitoring devices HIPAA-compliant authorization processes and data exchange

32. favoriot Smart Health Platform Device diversity and interoperability Data integration Scale, data volume and performance Flexibility of the platform Data privacy Notifying medical services

33. favoriot 4 Categories of IoT Devices in Medical VITAL SIGN MONITORS ACTIVITY MONITORS SAFETY MONITORS MEDICATION MONITORS

34. favoriot 10 Pieces of Technology Seniors Should Embrace • Tablets and iPads. • Hearing aids. • Video and computer games. • Skype. • Health tracking software. • Wireless internet. • Smartphones. • Wireless home monitoring. • GPS. • Home assistive devices.

35. favoriot Need for Fall Detection System • Falls among the elderly occur frequently. • Approximately 30% of people over 65 fall accidentally each year, and for those over 80 this rate raises up to 50%. • Late or non existing responses cause 2 million persons having to be hospitalized and approximately 85000 deaths can be attributed each year • Among older persons, 55 % of fall injuries occur inside the home. • An additional 23 % occur outside, but near the home

36. favoriot Robots to Help Seniors

37. favoriot

38. favoriotAlert when detect fall or emergency cases Monitor their vital signs Connect with their Caregivers* Medicine Reminder* Connect with Pharmacy* Notify their whereabouts Connect with their loved ones Connect with personal healthcare professionals*

39. favoriot Business Value • Reduction in healthcare costs costs – Insurance companies, hospitals • Revenue generation for Age Care Centers, Health Professionals • Streamlined business process • Design and creation of new business models – Health-as-a-Service • Implementation of new go-to-market strategies – Smart partnerships • Development of new products and service delivery options • New insight into product usage and customer information – wearables and medicines • Speedier service and delivery - emergencies and care services

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