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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.
年勸學且別Age gr:明且F
二嘻嘻一牢牢中
哩嘩〕E血直..2001
扭a~e )
♀丘+
自O-B~
75-79 7日 14
65-69
由-6~
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-~
八雄心仆仆仆-tr---
?r 400 300 200 100 0 100 2日o 3日日 400
千人百tOU>U吐 p(!rr咀t.
年自揖且!i'q
Ago gr:凹llP
35+
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
日4
二零三一早早中
Mid.2031
! 誰 !卅!|! 主1
比
且申||I
4下
4日 o 300 200 100 0 100 2日 o 3日o 40日
因 外轉軍庭備主Fo且屯且也 mestic he lpns 于人血叫JSU吐p阻Ol"i..
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
h叩開伽) l H間恤 ) 空空空
叫去扭地dd\可叫aHOns PHnclp1國hzuv
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
"11 1團.'. . '- ...'..... i-.. ,..-恤_. _-~﹒
I!I! '1;國 n
36Photo credit: HK Tourism Board