September 9, 2015 Alzheimer’s Disease International Conference Ageing and Non Communicable Diseases Toronto March Sylvia Beales Head of Strategic Alliances

HelpAge International | March, 2011 A story on CNN about the impact of the earthquake and tsunami on Japan’s ageing population

September 9, 2015 Century of Ageing 1 in every 5 will be over 60 by 2050

Sylvia Beales September 2010 The future that’s here already

September 9, 2015 Who we are HelpAge International helps older people claim their rights, challenge discrimination and overcome poverty, so that they can lead dignified, secure, active and healthy lives Global reach via Affiliates and partners in 80 countries Vision of a world in which all older people can lead dignified, active, healthy and secure lives Mix of practical programmes, influence and advocacy, evidence gathering WHO and UN ECOSOC consultative status category 1

September 9, 2015 Global reach

September 9, 2015 Advocacy and communications Flagships Older People on the edge; to expose Extreme violations – witchcraft, elder abuse, land grabbing Emergencies – displacement; neglect Hunger; chronic seasonal poverty Agents for change: to make visible and to demonstrate Contributions to family and community Impact when older people mobilise for change as activists Roles of older women as carers, educators and workers Healthy Ageing/positive living; clear calls for Access to health in difficult circumstances Free essential drugs for conditions common in older age Age friendly health services and training

HelpAge International | March, 2011 An older man in Mozambique participates in our Insights on Ageing survey

September 9, 2015 Ageing and health The increasing proportion of older people in the global population is contributing to the increase of age-associated chronic diseases, particularly in developing countries. Care-givers, health systems and societies need to be ready to cope with the growing needs of the elderly in every part of the world (WHO 2008) Health promotion and disease prevention intervention at community level is needed as well as disease management strategies within their health care system (WHO 2008) Depression and Alzheimer's are among the 20 leading causes of disability worldwide. Alzheimer's affects 1 in 20 over the age of 65 and in in 5 over the age of 80

September 9, 2015 Health spend in old age source WHO/GTZ

September 9, 2015 Why the Summit matters The key challenge for world is how to build… Process has potential to: Highlight data, action and definitional deficiencies on NCDs across the lifecourse Highlight costs, socioeconomic impacts and developmental challenges of NCDs in developing countries Encourage commitment from Heads of Government to tackle NCDs Develop options for financial resources for health reform for developing countries Support civil society coalition building on NCDs and development – hitherto agenda on health dominated by responses to HIV and Aids, TB and malaria

September 9, 2015 Expected outcome of Summit A concise Action-Orientated Outcomes Statement G77 calling for clear programme of action post summit for governments and other stakeholders to pursue at the end of the Summit. Summit to include roundtable session topics in which member states and civil society will participate. Roundtables to cover Implementation of NCD prevention strategies NCD control strategies with access to essential medicines and technologies Strengthening national capacities to address NCDs Fostering international cooperation to address NCDs

September 9, 2015 Limitations of the Summit Focus on the four NCDs in WHO plan Not whole life course - focus is on the under 60’s Age discrimination alive and well in wording such as ‘preventable premature death under 60’ Summit and its civil society drivers does not include mental health and Alzheimers Care giving and access to medicines in old age not in Role of older care givers not explored Non Communicable Diseases terminology not clear for activists Older people not engaged in advocacy on the Summit yet

September 9, 2015 What we would like The key challenge for world is how to build… End to age discrimination in prevention, diagnosis, treatment Removal of ‘premature death’ language and reference to gender dimension of care by older people for older people Recognition of NCD prevalence and socio economic impacts in 60 plus – Ageing as key driver of NCDs Outcomes endorse a whole “life-course” approach and deliver free and accessible health care for all Post MDG agenda to include costed and accountable action on ageing and NCDs, including dementia and HIV Older people to engage in lobbies for age friendly policies and actions on the prevention and management of NCDs

September 9, 2015 Potential asks in the outcome document – Whole life course approach to NCDs in the global development goals beyond 2015 – UN system partnership with governments and civil society to build on existing commitments on health and older persons – Specific target to reduce NCD death rates in old age – Older people and dementia specifically referenced under measures to target high-risk populations – Diagnostics, Treatment and Care protocols with monitoring and accountability mechanisms – Age friendly health systems to ensure access – Specify prominence of older people as population at particularly high risk

September 9, 2015 Civil society action and NCD Alliance  Formed in 2009; chair Ann Keeling, based in Brussels  Members are International Diabetes Federation; World Heart Federation; UICC Global Cancer Control; International Union against TB and Lung Disease  National NCD Alliance coalitions in all regions and many countries  NCD alliance strategic supporters include Medtronic, Pfizer, Sanofi Aventis  Six asks for Summit - accountability, tobacco control, agreement to prevent the preventable, focus on treatment and care, resources, NCDs in MDG successor goals  34 commitments proposed in draft outcome document under the headings: Leadership, Prevention, Diagnosis and Treatment, Health systems, Resources, Research, Human rights and vulnerability, Monitoring and follow-up  Current focus on ‘populations at high risk’ does not include ageing

September 9, 2015 Next Steps Prepare wording to influence outcome document Stimulate debate – expert meetings, reports, media Inform networks, keep debate going Build national, regional and international alliances Advocacy action in regional meetings, WHO events, Summit Influence outcome document directly Engage with governments and civil society to take action Participate in Summit meetings – June and September NY Develop plan post Summit

September 9, 2015 Ideas for discussion ADI and HelpAge International collaboration National level – where? Regional level – when? Action with WHO? Explore joint evidence and advocacy linking ageing, dementia and HIV? Joint statements and positioning for the summit? Wording for the outcome document? Joint monitoring and input post Summit?