G7 high-level side event in Hiroshima: Covid recovery and prevention Date: Thursday 18 May 2023 Time: 6.30pm – 8.30pm (JST) Location: Hiroshima, Japan

1. G7 high-level side event in
Hiroshima: COVID-19
recovery and prevention

2. About ILC
• We are the UK’s specialist
think tank on the impact of
longevity on society, and
what happens next.
• We are one of the founding
members of the ILC Global
Alliance, an international
network on longevity with
members across 16
countries.
Join the conversation: @ilcuk
#DeliveringPrevention

3. Despite repeated commitments to prioritise prevention,
action continues to lag
But across the OECD alone, countries only spend
on average 2.8% of their health budgets on
prevention.
If we increase preventative health spend by just 0.1
percentage points it could unlock an additional 9% of
spending every year by people aged 60 or over.

4. A case study: The cost-effectiveness of life course
vaccination
1. Reducing direct healthcare
costs
2. Reducing healthcare costs
down the line
People who have had flu or
pneumonia may be six times more
likely to suffer from a heart attack or
stroke in the days after infection.
4. Supporting the wider economy
through greater workforce retention;
fewer pressures on healthcare system
and health funding; later draw-down of
pensions; greater spending in the
economy, caring, volunteering
3. Keeping people productive,
active and engaged
Across better-off countries, at
least 159 million work days are
lost each year due to flu.
Influenza cost the US economy
$8 billion in missed work days
(2022).
Serious pneumococcal disease
cost England’s health system
$911 million in 2019.
Individuals who remain healthy can work, care, volunteer and spend as normal.

5. Healthcare costs are only a drop in the ocean
$47,479 per
confirmed case
(n=72)
$2.3 million: public
health response
$1 million:
productivity losses
$76,000: direct
medical costs
Estimated costs of a measles outbreak in 2018 in
Washington DC, USA, totalled
$3.4 million Source: Pike et al, 2021
$2.3 million: public
health response
$1 million:
productivity losses
$76,000: direct
medical costs

6. Following the economic shock of COVID-19, we need to
change course
Source: World Bank, 2022
The economic impacts of
COVID-19 reach even
further and have hit all
countries across the world.
However, emerging
economies will struggle
most to recover.
Deviation in growth from pre-pandemic estimations

7. The Healthy Ageing and Prevention Index
• The Healthy Ageing and Prevention Index is a global Index that holds
governments to account on healthy ageing and prevention.
• The Index measures and ranks 121 countries on six healthy ageing and
prevention indicators including life span, health span, work span, income,
environmental performance and happiness.
• For the first time, this Index brings together health, wealth and societal metrics
to give us a comprehensive picture of how sustainable countries are in the
context of longer lives, and the extent to which governments are investing in
efforts to prevent ill-health.
• Aside from ranking individual countries on their performance, the Index also
ranks political and/or economic country blocs, such as G7, EU and OECD.

8. The Healthy Ageing and Prevention Index

10. Top five countries on the Index
Country Life
span
(years)
Health
span
(years)
Work
span
(years)
Income
GDP/head
ppp ($000s)
Environmental
performance
0-100
Happiness
0-10

11. Only the top 1% of the world population is
best adapted to longer, healthier lives

13. There are significant inequalities between
countries at the top and bottom of the Index
• There is a 24-year gap in life span (life expectancy) between
the top 10 and bottom 10 countries.
• There is a 21-year gap in health span (healthy life
expectancy) between the top and bottom 10 countries.
• There is a 23-year gap in work span (working life
expectancy) between the top and bottom countries

14. Political and economic bloc rankings

15. A closer look at the G7
Country Life span
(years)
Health
span
(years)
Work
span
(years)
Income
GDP/hea
d
ppp
($000s)
Environ
mental
performa
nce 0-
100
Happines
s
0-10
Global
rank (out
of 121)
Canada 82.2 71.3 32.8 50.66 71.0 7.1 11
United
Kingdom
81.4 70.1 31.5 48.51 81.3 7.2 16
Germany 81.7 70.9 30.6 55.89 77.2 7.0 17
Japan 84.3 74.1 31.2 42.20 75.1 5.9 17
France 82.5 72.1 27.5 49.38 80.0 6.7 19
Italy 83 71.9 24.9 44.85 71.0 6.4 24
United
States
78.5 66.1 31.3 65.28 49.1 6.9 31

16. The Healthy Ageing and Prevention
programme
•Hold Governments to account by tracking progress on
prevention through the production and launch of the digital
Healthy Ageing and Prevention Index in May alongside the
76th World Health Assembly.
•Engage global health leaders to move from commitment to
action on preventative health.
•Launch the Healthy Ageing and Prevention Coalition to
demand action and hold governments to account on
preventative health.

17. Upcoming events
Global launch of the Healthy
Ageing and Prevention Index -
76th World Health Assembly
Geneva, Switzerland
Tuesday 23 May
Leaving no one behind:
Progress on life course
immunisation roundtable -
76th World Health Assembly
Geneva, Switzerland
Tuesday 23 May

18. Discussion
•How can we build urgency to galvanise action on and
investment in prevention across countries?
•What works well across the G7?
•What system barriers do countries face?
•How can we convince governments to invest in prevention as
we come out of the pandemic?
•What solutions and opportunities are there?