Healthy ageing in the 21st century

Healthy Ageing in the 21st Century:
Setting the Agenda for a New Focus in
Disease Prevention
David Sinclair, International Longevity Centre -UK

The International Longevity Centre-UK is an independent, non-partisan think-tank
dedicated to addressing issues of longevity, ageing and population change.

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 Age-related spending as a proportion of GDP
projected to rise from an could increase by around 5% in the UK and
annual cost of 25% to 29.1% around 4.1% in the EU, over the next 50 years
of GDP between 2010 and 2060, EU total
UK total
a rise of 4.1%. EU extra health spending scenario
34% 34%
Projected age- Projected age-
32% 32% related spending
However, a scenario which related spending
as a proportion of as a proportion of
30% 30%
assumes greater resources GDP
28%
GDP
28%
devoted to development within 26% 26%
health care projects that 24% 24%
age-related spending in the EU 22% 22%

could rise to as much as 20% 20%

2010
2015
2020
2025
2030
2035
2040
2045
2050
2055
2060
29.8%of GDP, annually,
by 2060. EC (2012)


Spending on health care will see the greatest
Spending on health care will see the greatest increase of
all age-related spending over the next 50 years
increase of all age-related spending over the
next 50 years
EU total
UK total
EU extra health spending scenario
14% Projected health 14%
spending as a Projected health
12% 12%
proportion of care spending as
10% GDP a proportion of
10%
GDP
8% 8%
6% 6%
4% 4%
2% 2%
0% 0%
2010
2015
2020
2025
2030
2035
2040
2045
2050
2055
2060

2012: European Year for Active Ageing and
Solidarity between Generations

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.


What is active ageing?
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

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


There is a lot going on
EU legislation supporting Research and innovation
active ageing  The seventh framework
 Anti-discrimination programme for research and
 Gender equality legislation technological development (FP7)
 Health and safety at work  Cohesion Policy supporting
 Social security and free research and innovation
movement  Competitiveness and Innovation
Framework Programme
 Joint programming in research
European Structural and Cohesion  The European Innovation
Funds support active ageing Partnership for Active and
 The European Social Fund Healthy Ageing
 European Regional Development
Fund
EU support to national
 Cohesion Fund
policymakers
 European Agricultural Fund for
 Coordinated strategies
Rural Development
 Mutual learning


Healthyageing.eu


Top 10 tips for better ageing – Age UK
“We know it’s not just about living
longer, it’s about living healthily and
happily
for longer.”
Follow our top 10 tips for ageing better together:
1. Exercise
2. Eat a healthy diet
3. Don’t smoke http://www.flickr.com/photos/vinothchandar/4459777970/sizes/m/in/photostream/

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


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
http://www.flickr.com/photos/un_photo/5832685007/sizes/z/in/photostream/
 Hepatitis A and hepatitis B
 Polio


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”
http://www.flickr.com/photos/lowercolumbiacollege/44
8. Convince business of the economic case 73156749/sizes/z/in/photostream/

of vaccination


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

David.sinclair@ilcuk.org.uk

02073400440

Twitter: @ilcuk and @sinclairda


Healthy ageing in the 21st century

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