1

Towards Health for Allin an

Ageless Society

Towards Health for Allin an

Ageless Society

Dr Margaret ChanDirector of Health

HKSAR Government8 June 2002

2

Population Pyramid

Source: Census & Statistics Department, HKSAR.

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75-79 7日 14

65-69

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55-59

血-54

4j-49

40-H

35-39 2日-34

2j-29

3日-24

1.:1-19

10-14

5-9 日-~

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?r 400 300 200 100 0 100 2日o 3日日 400

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B0-34

7~79

70-74

6>69

60-64 .5>59

jO-54

45-49 40-44

3~39

30-34

2~29

20-24

1H9 10- 14

5.9

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3

Population 65 and above in 2001 & 2031

12%

88%

65 and above

under 65

2001:

Median age - 37

24%

76%

65 and above

under 65

2031:

Median age - 46

Source: Census & Statistics Department, HKSAR.

4

Life Expectancy at Birth

7275

7880 81 82

7880

84 85 86 87

60

70

80

90

1981 1991 2001 2011 2021 2031

Year

Lif

e ex

pec

tan

cy i

n y

ears

male

female

Source: Census & Statistics Department, HKSAR.

5

Life Expectancy at 60

1719

21 22 23 2422 23

26 27 28 29

0

10

20

30

1981 1991 2001 2011 2021 2031

Year

Lif

e ex

pec

tan

cy i

n y

ears

male

female

Source: Census & Statistics Department, HKSAR.

6

Population Projection

0

2000

4000

6000

8000

10000

12000

2001 2011 2021 2031

Year

No. i

n th

ousa

nds

totalpopulation

population65 & above

Source: Census & Statistics Department, HKSAR.

7

Elderly Dependency Ratio: 2001 vs 2031

• •

• •

8

Population ageing

“Population ageing is first and foremost a success story for public health policies as well as social and economic development .....”

Gro Harlem Brundtland, Director-General,World Health Organization, 1999

9

The Three Pillars of a Policy Framework for Active Ageing

Source: WHO - Active Ageing: A Policy Framework

Active Ageing

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10

NCD Risks and Prevention

WHO - Active Ageing: A Policy Framework

11

Policy on Care for the Elderly CE Policy Address 1997

• A sense of security • A sense of belonging• A feeling of health & worthiness

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12

Elderly Commission• Appointed by the Chief Executive• Membership (20)

– Chairman: The Honorable Tam Yiu-chung– Vice-chairman: Secretary for Health & Welfare– LegCo members– Academic– Members from medical and health sector– Members from social and housing sector– Government representatives– Senior citizen

13

Elderly Commission• Terms of reference

• To advise Government on the formulation of a comprehensive policy for the elderly including matters relating to the care, housing, financial security, health and medical, psychological, employment and recreational needs of the elderly

• To co-ordinate the planning and development of various programmes and services for the elderly, and to recommend priorities for implementation having regard to manpower, financial and other resources available; and

• To monitor implementation of policies and programmesaffecting the elderly, and to make recommendations to Government to ensure that agreed objectives are met.

14

Strategic Directions

(a) Strengthen preventive care(b) Re-organize primary medical care(c) Develop a community-focused,

patient-centred and knowledge-based integrated health care service

(d) Improve public/private interface(e) Facilitate dental care, and(f) Promote Chinese medicine

15

Role of the Department of Health

1. Regulator2. Advisor3. Advocacy and health promotion4. Disease prevention and control

16

Regulator

• Control of communicable diseases• Safety, quality and efficacy of drugs• Health claims• Health care institutions

17

ANALYSIS

COLLECTION

REPORTING

PHISPublic Health Data

STORAGESTORAGE

SHARINGSHARING

18

Healthy Ageing CampaignHealthy Ageing Campaign

•• Four strategic directionsFour strategic directions

- promoting personal responsibility- strengthening community action- creating a supportive environment- improving the image of ageing

19

Physical & Cognitive Impairment in Elderly

97%

3%

no physicalimpairment

with physicalimpairment

96%

4%no cognitiveimpairment

with cognitiveimpairment

GHS –Special Topics Report No. 27, May 2001

20

Elderly ≥ 60 in Need of Care

93%

7%

no needfor care

need care

GHS –Special Topics Report No. 27, May 2001

21

Chronic Diseases in the Elderly ≥ 60

Yes72%

No28%

GHS –Special Topics Report No. 27, May 2001

22

Elderly ≥ 60 Living in Institutions

Living incommunity

95%

Living ininstitutions

5%

23Photo credit: Hong Kong Tourism Board

24

Life Course Approach to Health Promotion and Diseases & Disabilities Prevention

Elderly Health Centres• Clinic-based

• Health assessment• Physical

Examination• Individual

counselling• Health education

Visiting Health Teams• Outreach• Health promotion

and health education

• Fall prevention• Training of formal

carers and “informal” carers

Women’s Health• Antenatal care• Postnatal care• Breastfeeding• Family planning• Pap smear• Menopause• Balanced diet• Exercise• No smoking

• Cervical Cancer Screening

Men’s Health• To be launched in the end of

2002• To increase awareness• Workplace health• Healthy lifestyle

School Dental Service &

Student Health Service

• Annual health surveillance

• Diet/Balanced eating• Exercise• Anti-smoking• Vision• Hearing• Scoliosis• Oral health

Adolescent Health Programme – Pilot

• Outreach to schools• Resilience• No substance abuse• Life skills• Sex education• Growing up• Peer

Maternal and Child Health

Centres

• Breastfeeding• Nutrition• Immunization• Parenting• Growth &

development• Vision• Hearing• Language• Cognitive• MotorH

ealth

Ser

vice

s

0 5 18 65Childhood Adolescence Adulthood Elderly

25

Family Health Service

50 Maternal and Child Health Centres

26

Woman Health Service

3 Woman Health Centres offer full-time service

5 MCHCs offer woman health services on sessional basis

27

Student Health Service

12 Student Health Service Centres

3 Special Assessment Centres

28

School Dental Service

7 School Dental Clinics

29

Elderly Health Services

18 Elderly Health Centres

30

Elderly Health Services

18 Visiting Health Teams

31

Dietetic Support Service for Carers in RCHE

32

Measures to Overcome Impairments

33

Measures to Overcome Impairments

Shower chair

34

An ageless society…

35

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36Photo credit: HK Tourism Board