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John Beard A Global View of Ageing

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Page 1: A Global View of Ageing - WHO3 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990 2000 2010 2020 2030 2040 2050 Proportion 65 and over Japan

John Beard

A Global View of Ageing

Page 2: A Global View of Ageing - WHO3 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990 2000 2010 2020 2030 2040 2050 Proportion 65 and over Japan

Global Conference on Ageing 20102 |

Page 3: A Global View of Ageing - WHO3 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990 2000 2010 2020 2030 2040 2050 Proportion 65 and over Japan

Global Conference on Ageing 20103 |

Real ageing is just beginningReal ageing is just beginning

0

5

10

15

20

25

30

35

40

1990 2000 2010 2020 2030 2040 2050

Prop

ortio

n 65

and

ove

r JapanSpainUSAChinaIndiaBrazilAustraliaThailand

Source: World Population Prospects: 2008 Revision

Page 4: A Global View of Ageing - WHO3 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990 2000 2010 2020 2030 2040 2050 Proportion 65 and over Japan

Global Conference on Ageing 20104 |

Pace of AgeingPace of Ageing

Thailand

S Korea Brazil

1860 1880 1900 1920 1940 1960 1980 2000 2020 2040

14% 7%

France Sweden UK USA Japan China

% of Population Age 65+

Page 5: A Global View of Ageing - WHO3 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990 2000 2010 2020 2030 2040 2050 Proportion 65 and over Japan

Global Conference on Ageing 20105 |

Page 6: A Global View of Ageing - WHO3 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990 2000 2010 2020 2030 2040 2050 Proportion 65 and over Japan

Global Conference on Ageing 20106 |

Page 7: A Global View of Ageing - WHO3 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990 2000 2010 2020 2030 2040 2050 Proportion 65 and over Japan

Global Conference on Ageing 20107 |

Page 8: A Global View of Ageing - WHO3 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990 2000 2010 2020 2030 2040 2050 Proportion 65 and over Japan

Global Conference on Ageing 20108 |

Page 9: A Global View of Ageing - WHO3 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990 2000 2010 2020 2030 2040 2050 Proportion 65 and over Japan

Global Conference on Ageing 20109 |

Page 10: A Global View of Ageing - WHO3 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990 2000 2010 2020 2030 2040 2050 Proportion 65 and over Japan

Global Conference on Ageing 201010 |

Page 11: A Global View of Ageing - WHO3 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990 2000 2010 2020 2030 2040 2050 Proportion 65 and over Japan
Page 12: A Global View of Ageing - WHO3 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990 2000 2010 2020 2030 2040 2050 Proportion 65 and over Japan

Global Conference on Ageing 201012 |

Page 13: A Global View of Ageing - WHO3 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990 2000 2010 2020 2030 2040 2050 Proportion 65 and over Japan

Global Conference on Ageing 201013 |

Page 14: A Global View of Ageing - WHO3 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990 2000 2010 2020 2030 2040 2050 Proportion 65 and over Japan

Global Conference on Ageing 201014 |

Page 15: A Global View of Ageing - WHO3 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990 2000 2010 2020 2030 2040 2050 Proportion 65 and over Japan

Global Conference on Ageing 201015 |

Page 16: A Global View of Ageing - WHO3 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990 2000 2010 2020 2030 2040 2050 Proportion 65 and over Japan

Global Conference on Ageing 201016 |

Two key questionsTwo key questions

Are people living longer?

Are people living healthier?

Page 17: A Global View of Ageing - WHO3 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990 2000 2010 2020 2030 2040 2050 Proportion 65 and over Japan

Global Conference on Ageing 201017 |

Age-specific contributions to increasing life expectancy

Age-specific contributions to increasing life expectancy

Source: Christensen et al, 2009

Page 18: A Global View of Ageing - WHO3 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990 2000 2010 2020 2030 2040 2050 Proportion 65 and over Japan

Global Conference on Ageing 201018 |

Are older people healthier than previously?

Are older people healthier than previously?

Page 19: A Global View of Ageing - WHO3 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990 2000 2010 2020 2030 2040 2050 Proportion 65 and over Japan

Global Conference on Ageing 201019 |

Seeing population ageing as a burden on society

Seeing population ageing as a burden on society

Page 20: A Global View of Ageing - WHO3 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990 2000 2010 2020 2030 2040 2050 Proportion 65 and over Japan

Global Conference on Ageing 201020 |

Another view of ageingAnother view of ageing

Page 21: A Global View of Ageing - WHO3 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990 2000 2010 2020 2030 2040 2050 Proportion 65 and over Japan

Global Conference on Ageing 201021 |

Another view of ageingAnother view of ageing

Alternative scenario if active ageing

Page 22: A Global View of Ageing - WHO3 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990 2000 2010 2020 2030 2040 2050 Proportion 65 and over Japan

Global Conference on Ageing 201022 |

Responding to the demographic transitionResponding to the demographic transition

Health promotion across the life course – the importance of HEALTH

Creating environments that foster engagement– Economic – Social– Physical

Access to age-friendly primary health care– Integrated – Screening, early detection and amelioration of chronic disease– Access to medications– Skilled and supported workforce – LONG TERM CARE (home and institutional)

Page 23: A Global View of Ageing - WHO3 | Global Conference on Ageing 2010 Real ageing is just beginning 0 5 10 15 20 25 30 35 40 1990 2000 2010 2020 2030 2040 2050 Proportion 65 and over Japan

Global Conference on Ageing 201023 |

PRIMARY HEALTH CARE • Models for Primary Health Care in Older People (esp in Developing Countries)• Frailty • Dementia• Long term care• Workforce Development• Elder abuse

ENVIRONMENTS, HEALTH PROMOTION AND DEVELOPMENT• Age-friendly Cities• Guidelines for Health Promotion • Older people in Emergency Situations• Development in low income countries

ADVOCACY

BUILDING THE EVIDENCE BASE ON AGEING AND HEALTH SAGE Global Research and Policy Network on Ageing and Health

DEPARTMENT OF AGEING AND LIFE COURSE, WORLD HEALTH ORGANIZATION, GENEVA