Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside the 77th World Health Assembly in Geneva

The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.

Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.

The speakers included:

Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden

1. International Longevity Centre UK Global launch of the Healthy Ageing and Prevention Index (2 nd wave) Join the conversation: @ ilcuk This programme is made possible by support and charitable grants from:

2. Welcome Isabelle Gillespie, Head of Programmes, ILC-UK Join the conversation: @ilcuk #PreventionIndex

3. Healthy Ageing and Prevention Index Arunima Himawan, Senior Health Policy and Research Manager, ILC-UK Join the conversation: @ilcuk #PreventionIndex

4. @ ilcuk # PreventionIndex preventionindex.org T he six metrics comprising the Index 1. Life span: The number of years an individual can expect to live. 2. Health span: The number of years an individual can expect to spend in good health. 3. Work span: The expected number of years spent being economically active between ages 15-65. 4. Income: The measure of GDP per capita, constant prices, using purchasing power parity ( ppp ) ($000s). 5. Environmental performance: This is measured using the Yale Environmental Performance Index (EPI) which positions countries on a scale of 0 to 100 (100=best). 6. Happiness: Taken from the annual Gallup World Poll, happiness positions countries on a scale of 0-10. Scores of 0-4 are interpreted as “suffering”, 5-7 as “struggling”, and 8-10 as “thriving”.

5. @ ilcuk # PreventionIndex preventionindex.org The top 50 countries on the Index (2022) Iceland Switzerland Sweden Singapore Norway Australia Netherlands New Zealand Denmark Luxembourg Ireland Finland Canada Malta United Kingdom 16. Austria 17. United Arab Emirates Israel Kuwait Japan Cyprus German France South Korea Estonia Slovenia Spain Belgium Italy Czech Republic United States of America Costa Rica Panama Portugal Latvia Slovakia Thailand Poland Uruguay Lithuania Chile Croatia Ecuador Mexico Greece Qatar Saudi Arabia Hungary China Peru

6. @ ilcuk # PreventionIndex preventionindex.org What’s happened since 2019? We are living 8 months less We spend 7 fewer months in good health

7. @ ilcuk # PreventionIndex preventionindex.org Inequalities in health have widened There is a 24-year gap in health span (healthy life expectancy) between the top and bottom 10 countries: one year more than in 2019 . There is a 27-year gap in life span (life expectancy) between the top and bottom 10 countries: one year more than in 2019 .

8. @ ilcuk # PreventionIndex preventionindex.org What’s happened since 2019? Happiness levels have remained unchanged But income inequalities between the top and bottom 25% of countries have widened by 6.5% or $1,000 per person We work the same number of years and we’re richer

9. @ ilcuk # PreventionIndex preventionindex.org Botswana has climbed the most on our Index Nepal has seen the biggest improvement in life span Bangladesh has seen the biggest improvement in health span Which countries are the biggest movers?

10. @ ilcuk # PreventionIndex preventionindex.org Which countries are the biggest movers? Serbia has seen the biggest improvement in work span India has seen the biggest improvement in happiness Afghanistan has seen the biggest improvement in environmental performance Ireland has seen the biggest improvement in income

11. @ ilcuk # PreventionIndex preventionindex.org P olitical and economic blocs (2022) Political and economic blocs Life span (years) Health span (years) Work span (years) Income GDP/head, constant prices, ppp ($000s) Environmental performance (0-100) Happiness Global Rank Change in Global Rank 2019-2022 Nordic co-operation 82.9 71.9 32.2 59.7 71.8 7.4 1 G7 81.0 69.3 30.2 50.0 57.0 6.5 2 European Union 81.1 70.5 28.8 33.9 59.5 6.6 3 United States-Mexico-Canada Agreement 77.7 66.1 30.8 48.1 49.6 6.7 4 -1 Organisation for Economic Co-operation and Development  80.1 69.2 30.2 39.0 53.2 6.5 5 Asia-Pacific Economic Cooperation 77.0 67.3 32.7 18.4 34.7 6.2 6 Community of Latin American and Caribbean States 73.7 64.7 31.3 8.3 42.8 6.3 7 G20 74.3 64.4 30.2 15.0 32.3 5.7 8 Association of Southeast Asian Nations 71.5 63.2 32.9 4.8 28.1 5.8 9 BRICS 72.6 63.0 29.9 6.9 26.6 5.4 10 African Union 62.5 55.7 31.6 2.0 31.8 4.2 11 Commonwealth 67.1 57.9 28.3 4.8 25.7 4.7 12

12. @ ilcuk # PreventionIndex preventionindex.org Countries at the top of the Index spend more on health care

13. @ ilcuk # PreventionIndex preventionindex.org In the last two decades, inequalities in life span have shrunk by 3.5 years between the top half and bottom half of the Index

14. @ ilcuk # PreventionIndex preventionindex.org There are huge differences in adult flu uptake across the OECD

15. @ ilcuk # PreventionIndex preventionindex.org Countries that have the HPV vaccine included their national immunization programme perform better on the Index

16. @ ilcuk # PreventionIndex preventionindex.org Reductions in the prevalence of tobacco use has plateaued

17. Professor Orazio Schillaci Ministe r for Health , Italy Join the conversation: @ilcuk #PreventionIndex

18. Dr Natasha Azzopardi- Muscat Director, Country Health Policies and Systems Division, World Health Organisation EURO Join the conversation: @ilcuk #PreventionIndex

19. Dr Hans Groth Chairman of the Board, World Demographic & Ageing Forum Join the conversation: @ilcuk #PreventionIndex

20. Closing the Longevity Gap – The important role of the ILC Healthy Ageing and Prevention Index Hans Groth, President WDA Forum, Switzerland

21. 23 Ageing has different patterns!

22. 3 Questions 24 Ongoing Increase of 65+ age groups everywhere , but what about Healthy Ageing ? Which diseases limit Healthy Longevity ? What could / should be done ?

23. The most aged society 25

24. An early ager 26

25. A later ager 27

26. The « Longevity Gap» 28 Total Life Expectancy: > 80 Years* Healthy Life Expectancy: > 64 Years* * D ata from 2020 Today: > 20% Gap

27. 3 Questions 29 Ongoing increase of 65+ age groups everywhere , but what about Healthy Ageing ? Which diseases limit Healthy Longevity ? What could / should be done ?

28. Healthy Ageing in Japan 30

29. Healthy Ageing in the United States 31

30. Healthy Ageing in South Africa 32

31. 3 Questions 33 Ongoing increase of 65+ age groups everywhere , but what about Healthy Ageing ? Which diseases limit Healthy Longevity ? What could / should be done to guide Policy Makers ?

32. The ILC Healthy Ageing and Prevention Inde x 34 Brings together health , wealth and societal metrics , to give a comprehensive picture of sustainable longevity . S ix metrics to rank countries : Life span: The number of years an individual can expect to live. Health span: The number of years an individual can expect to spend in good health . Work span: The expected number of years spent being economically active . Income: Measured by GDP. Environmental Performance: Measured using the Yale Environmental Performance Index. Happiness : Survey data are taken from the annual Gallup World Poll. Source: Healthy Ageing and Prevention Index (International Longevity Centre UK)

33. Healthy Ageing and Prevention Index 35 Demografie Source: Healthy Ageing and Prevention Index (International Longevity Centre UK)

34. Dr Marta Lomazzi Executive Manager, World Federation of Public Health Associations Join the conversation: @ilcuk #PreventionIndex

35. Strengthening public health approaches to support healthy ageing - focus on older adults’ immunization Dr Marta Lomazzi, PhD, PD WFPHA Executive Manager

36. The factors influencing healthy aging vary significantly from country to country. The adult population is highly complex and diverse – the older adults’ population even more. The equity gap is highly alarming and significantly affects the most vulnerable populations.

37. Central Government Support & Funding develop and maintain a central immunization system with national funding.

38. Communication make national investments in mass media and advertising campaigns to promote vaccination for older adults.

39. Access ensure that vaccination campaigns address the barriers that limit vaccination of the older adult population and its subgroups.

40. Monitoring ensure surveillance and monitoring data are collected and shared to guide vaccination efforts.

41. Viruses don't recognize borders Nor age boundaries An intergenerational approach to immunization has the potential to be a game changer.

42. Andrew Moose Head of Health and Wellness, World Economic Forum Join the conversation: @ilcuk #PreventionIndex

43. Professor Ilona Kickbusch Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council Join the conversation: @ilcuk #PreventionIndex

44. Dr Karin Tegmark Wisell Professor Director General, Public Health Agency of Sweden Join the conversation: @ilcuk #PreventionIndex

45. Good and equal health for all – the importance of health promotion and prevention work Karin Tegmark Wisell, Director General Public Health Agency of Sweden

46. The national public health policy To create societal conditions for a good and equal health in the whole population and to close the avoidable health gaps within a generation. Conditions in early life Knowledge, skills, and education/training Work, working conditions, and work environment Income and economic resources Housing and neighbourhood conditions Health behaviours Control, influence, and participation Equitable and health-promoting health and medical services Illustration: Folkhälsomyndigheten

47. Physical activity Swedish guidelines on physical activity and sedentary behavior Equal opportunities for physical activity and reduced sedentary behaviour require efforts within and between many sectors of society Fokus on a life-course approach Support to local sport clubs children/adolescent Physical activity in prevention and treatment of diseases Implementation in all parts of the health care chain

48. Specific government a ssignment linked to the strategy with a focus on mental health of the elderly. “ The assignment should take into account the elderly's own perspective and elderly people must be allowed to speak and describe their life situation from their own perspective ”. Proposal for a new strategy on mental health and suicide prevention

49. Mental distress is higher in women but suicide rates are higher in men %

50. Governmental programme to reduce loneliness in Sweden 2023-25 Health coaching for senior citizens without domestic service Grants to the municipalities to counteract loneliness Grants to civil society to counteract loneliness National strategy to reduce loneliness "Assignment to map loneliness and put forward a proposal for a national strategy to develop and intensify the work to prevent and counteract loneliness." Foto: Komang Gita Krishna Murti

51. Single and subjective loneliness in Sweden Single households, 2022 Subjective loneliness, 2022 Source: Statistics Sweden % 100 80 60 40 20 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85-94 95+ Source: National public health survey % 50 40 30 20 10 16-29 30-44 45-64 65-84 85+

52. Transition to Person- centered and Integrated Health Care healthcare that is preventive , cohesive and tailored to the individual needs and circumstances of each patient. greater involvement of patients in both prevention and healthcare according to their capabilities and preferences for elderly people with multiple health problems it is of outmost importance the health care services and social services is well coordinated

53. Healthy Ageing and Prevention Index - Sweden

54. Thank you Stay up to date by visiting our website www.fohm.se/phas

55. Q&A Join the conversation: @ilcuk #PreventionIndex

56. Closing remarks Isabelle Gillespie, Head of Programmes, ILC-UK Join the conversation: @ilcuk #PreventionIndex

57. Awards ceremony – Going for gold: How do countries compete when it comes to healthy ageing? Tuesday, 16 July 2024 Maison du Danemark , Paris Register: ilcuk.org.uk/going-for-gold-awards-ceremony

58. International Longevity Centre UK Thank you Join the conversation: @ ilcuk This programme is made possible by support and charitable grants from: