Towards age-friendly cities worldwide Brussels, 16 November 2010

1. Towards age-friendly cities worldwideBrussels, 16 November 2010 Alex Kalache, MD, PhD New York Academy of Medicine; International Center for Policy on Ageing, Rio de Janeiro

2. Population 2000 2025 2050 (in billion) Total 6.0 7.8 8.9 More developed countries 1.2 1.2 1.2 Less developed countries 4.7 6.6 7.8 60+ 0.6 1.2 2.0 More developed countries 0.2 0.3 0.3 Less developed countries 0.4 0.9 1.7 An ageing world, especially in developing countries

3. A growing global city

4. the number of persons aged 60 + in developing countries will be 9 times greater than now the share of older persons living in urban areas will be 16 times greater More older people in cities in the developing world

5. Contrasts in urban ageing

7. Inclusive and accessible urban environment that promotes active ageing What is an Age-friendly City?

8. Active Ageing:A Policy Framework

9. "Active ageingis the process ofoptimizing opportunities for health, participation and security in order to enhance quality of life as people age." Emphasis on enablement rather than disablement.

10. Early life Growth and development Adult life Maintaining highest possible level of function Older age Maintaining independence and preventing disability Functional capacity Disability threshold Rehabilitation and ensuring the quality of life Age Active Ageing is a lifelong process Range of function in individuals Source:Kalache and Kickbusch, 1997

11. 3 pillars: Health Participation Security + Continuing Education

12. Active Ageing – a process influenced by interacting determinants

13. Healthy older personsare critical resources to their families, their communities and to the economy

14. Investing on 'Active Ageing': the whole society gains…

15. Age-friendly Collaborating Cities EUROPE Germany, Ruhr Ireland, Dundalk Italy, Udine Russia, Moscow Russia, Tuymazy Switzerland, Geneva Turkey, Istanbul UK, Edinburgh UK, London AMERICAS Argentina, La Plata Brazil, Rio de Janeiro Canada, Halifax Canada, Portage La Prairie Canada, Saanich Canada, Sherbrooke QB Costa Rica, San Jose Jamaica, Kingston Jamaica, Montego Bay Mexico, Cancun Mexico, Mexico City Puerto Rico, Mayaguez Puerto Rico, Ponce USA, Portland AFRICA Kenya, Nairobi SOUTH-EAST ASIA India, Delhi India, Udaipur WESTERN PACIFIC Australia, Melbourne Australia, Melville China, Shanghai Japan, Himeji Japan, Tokyo EASTERN MEDITERRANEAN Jordan, Amman Lebanon, Tripoli Pakistan, Islamabad BC Ministry of Health

16. An Encompassing and Empowering research process • Identification of structural, organizational, economic, attitudinal barriers • "Bottom-up" process to develop criteria relevant to older persons Older persons as the key protagonists!!

17. Focus groups with older persons to determine • What aspects of the city are "age-friendly"? • What are the barriers and problems? • How can the city become more age-friendly? With complementary focus groups with informal caregivers and service providers

19. Key findings No city is perfect No city is too far behind

20. Fighting exclusion

21. Structures and spaces • Services, attitudes and behaviours

22. The WHO Guide and Checklist

23. Beyond the release of the Guide • Age-friendly planning and action in collaborating cities • Dissemination to other countries and communities • Validation of the Guide • Age-friendly Rural and Remote Community Guide

24. Beyond the release of the Guide (2) • Global age-friendly cities network • Age-friendly city best practices inventory • Best practice conferences • International age-friendly cities consortium • NGOs – Academic – Governmental

25. The growing presence of older persons in our increasingly urban and globalized world…

26. Reminds us of our common Humanity. We must…

27. Design for Diversity

28. Solidarity is the tenderness of peoples Jorge Luis Borges and promote SOLIDARITY