healthy ageing in the 21st century

The International Longevity Centre-UK is an independent, non-partisan think-tank

dedicated to addressing issues of longevity, ageing and population change.

Healthy Ageing in the 21st Century: Setting the Agenda for a New Focus in Disease Prevention

David Sinclair, International Longevity Centre -UK



About ILC-UK

The ILC-UK was established in 2000 to explore and address the impact of our ageing society on public policy

We have a global reach with 14 Members of the ILC Global Alliance



We are living longer



And we will see growth in the % of “oldest old”



The EU dependency ratio will increase

Dependency ratios are increasing across Europe over the next 50 years

Proportion of EU population

Year



The cost of ageing will “dwarf the financial crisis”

Age-related spending is projected to rise from an annual cost of 25% to 29.1% of GDP between 2010 and 2060,

a rise of 4.1%.

However, a scenario which assumes greater resources devoted to development within health care projects that age-related spending in the EU could rise to as much as 29.8%of GDP, annually, by 2060. EC (2012)

Age-related spending as a proportion of GDP could increase by around 5% in the UK and around 4.1% in the EU, over the next 50 years

20%

22%

24%

26%

28%

30%

32%

34%

2010

2015

2020

2025

2030

2035

2040

2045

2050

2055

2060

EU total

EU extra health spending scenario

20%

22%

24%

26%

28%

30%

32%

34%

UK total

Projected age-related spending as a proportion of GDP

Projected age-related spending as a proportion of GDP



Spending on health care will see the greatest increase of all age-related spending over the next 50 years

0%

2%

4%

6%

8%

10%

12%

14%

2010

2015

2020

2025

2030

2035

2040

2045

2050

2055

2060

EU total

EU extra health spending scenario

0%

2%

4%

6%

8%

10%

12%

14%

UK total

Projected health spending as a proportion of GDP

Projected health care spending as a proportion of GDP

Spending on health care will see the greatest increase of all age-related spending over the

next 50 years



The year is intended to raise awareness of the contribution that older people make to society. It seeks to encourage policymakers and relevant stakeholders at all levels to take action with the aim of creating better opportunities for active ageing and strengthening solidarity between generations.

2012: European Year for Active Ageing and Solidarity between Generations



What is active ageing?

No matter how old we are, we can still play our part in society and enjoy a better quality of life

The 2012 European Year seeks to promote active ageing in three areas:

Employment Participation in society Independent living

Active ageing means growing old in good health and as a full member of society, feeling more fulfilled in our jobs, more independent in our daily lives and more involved as citizens



There is a lot going on

EU legislation supporting active ageing Anti-discrimination Gender equality legislation Health and safety at work Social security and free

movement

European Structural and Cohesion Funds support active ageing The European Social Fund European Regional Development

Fund Cohesion Fund European Agricultural Fund for

Rural Development

Research and innovation The seventh framework

programme for research and technological development (FP7)

Cohesion Policy supporting research and innovation

Competitiveness and Innovation Framework Programme

Joint programming in research The European Innovation

Partnership for Active and Healthy Ageing

EU support to national policymakers Coordinated strategies Mutual learning



Healthyageing.eu



Top 10 tips for better ageing – Age UK

Follow our top 10 tips for ageing better together: 1. Exercise

2. Eat a healthy diet

3. Don’t smoke

4. Engage socially with others

5. Have a positive attitude about ageing

6. Get regular health checkups

7. Protect your eyes

8. Avoid excessive sun exposure

9. Get sufficient good-quality sleep

10. Pay attention to your pension and get expert financial advice

http://www.flickr.com/photos/vinothchandar/4459777970/sizes/m/in/photostream/

“We know it’s not just about living longer, it’s about living healthily and happily for longer.”



But where is vaccination?

Vaccinations are beneficial for most people of all ages

There is a common perception (with the exception of the flu vaccine) that vaccination is for children

More adults die from vaccine-preventable diseases each year than children (Fingar et al.)

http://www.flickr.com/photos/48039948@N02/6070071650/sizes/m/in/pool-92307085@N00/



Vaccination has a good story to tell

Vaccination has controlled 12 major diseases (at least in parts of the world)

Vaccination has arguably had the biggest impact on mortality reduction and population growth

http://www.flickr.com/photos/pondspider/4170990903/sizes/m/in/photostream/



Vaccinations prevent diseases

Vaccines can prevent the onset and/or consequences of these serious, often deadly, diseases including: Influenza

Pneumococcal disease

Tetanus-diphtheria-pertussis

Chickenpox and shingles

Meningococcal disease

Measles-mumps-rubella

Human papillomavirus

Hepatitis A and hepatitis B

Polio

http://www.flickr.com/photos/un_photo/5832685007/sizes/z/in/photostream/



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 context of migration

The number of measles cases in the UK has almost doubled after a surge of visitors arriving for the Olympics and Paralympics

There have been 964 confirmed cases of measles so far this year – compared to just 494 in 2011

(The Sun, September 2012)

There is no single system for catch up vaccinations for those who missed being

vaccinated



Where should we get to by 2020

1. Higher vaccination rates of healthcare professionals

2. A well informed and empowered consumer

3. Use the opportunities (European Year) to communicate well

4. Consider the best way to fund vaccination

5. Create a cultural norm of "wellness" across Europe

6. More accessible vaccination

7. A stronger evidence base of the respective impact of “Nudge, educate or compel”

8. Convince business of the economic case of vaccination

http://www.flickr.com/photos/lowercolumbiacollege/4473156749/sizes/z/in/photostream/



We are playing our part – SAATI*

Voluntary coalition of European partners (supported by Pfizer) who have an interest in improving the health of citizens as they grow older, and reducing the incidence of illness through effective vaccination

Committed to tackle low public awareness of the risk and burden of vaccine-preventable diseases, such as pneumococcal disease, in adults

SAATI 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)



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 Greengross Chief Executive of the International Longevity Centre, United

Kingdom

“”



Many thanks

David Sinclair

Head of Policy and Research

International Longevity Centre

[email protected]

02073400440

Twitter: @ilcuk and @sinclairda

mailto:[email protected]

healthy ageing in the 21st century

Documents

issues of longevity

cost of ageing

healthy ageing

population change

topromote active ageing

active ageing andsolidarity

nonpartisan thinktank

better ageing age ukwe