Activity Report ILC-Japan Cape Town, Oct. 25, 2010

Activity Report A. Public relations / education B. International comparison study on death and dying in place C. Promotion of international exchanges 2

Activity Report A. Public relation / education 3

1. “Global Information Journal on Longevity and Society (Japanese Edition) ” Quarterly journal ＊ the Life of the Older People in the World ＊ Employment-Based Life Security ＊ Death and Dying in Place ＊ Tribute to Dr. Robert N. Butler (will be published in November) 4

1. “Global Information Journal on Longevity and Society English Edition ” ＊ New Ways of Working in an Aged Society ＊ Productive Aging ＊ Employment-Based Life Security ＊ ”Alzheimer’s in an Aging Society” at New York 5

2. “Profile of Older Japanese ” Contents 1. The Aging Population and Aged Society 2. Living Arrangements 3. Housing 4. Health Status 5. Frailty and Long-term Care 6. Economic Status 7. The New-Old and Social Participation 6

3. “Global Aging Report” Japanese Version Global Aging Report 7

Activity Report B. The International Comparison Study on Death and Dying in Place 8

Activity Report In 2009, ILC-Japan; with support from Ministry of Health, Labour and Welfare; launched the research project “The International Comparison Study on Death and Dying in Place,” with Dr. Kazuo Hasegawa as the leader. 9

Activity Report Numbers of birth and death in Japan 10

The International Comparison Study on Death and Dying in Place Report 2009 Contents Problems Concerning End of Life Care for People with Dementia Conditions for the Final ‘Self-determination’ in Life Developmental Challenges and Opportunities for “Growth” ―The Inner Life at the End of Life― Future Direction of Community-based End-of–Life Advance Directives in Japan, Singapore and Taiwan Etc. 11

The International Comparison Study on Death and Dying in Place” Coming to terms with mortality and fulfilling opportunities for “growth” even at the end of life are the last great developmental challenges… Robert N. Butler Developmental Challenges and Opportunities for “Growth” ―The Inner Life at the End of Life― (Geriatric Palliative Care, Oxford 2003) 12

In 2010, we are conducting “International Comparative Study on Ideal Terminal Care and Death” in order to understand the “ideal death” in various countries. The International Comparison Study on Death and Dying in Place” 13

The International Comparison Study on Death and Dying in Place” Survey Questions ・ Respondents’ characteristics ・ Hypothetical Case A (terminal cancer patient) / Hypothetical Case B (person with dementia) - The final place of living - Decision-making on care - Relationships between family members and professionals - How to determine whether or not this person is in terminal stage - Usage of artificial feeding ・ Ideal death (for respondent him/herself, family, friend) 14

C. Promotion of international exchanges 1. Construction of National and International Network on Aging 2. Collaboration with Major Universities, Research Institutes and Companies 15

Thank you