1. Growing Older Cuban Style Dr Una Lynch una@sonrisa-solutions.com GATE meeting Belfast 30th October 2012

2. 1.Critical junctures in history 2.Health statistics 3.Cubas approach to ageing

4. Independence

5. Only death can liberate one from so much misery. In this however, early death, the State is most helpful. 90% of rural children are consumed by parasites, which filter through their bare feet from the earth. Society is moved to compassion upon hearing of the kidnapping or murder of one child, but is criminally indifferent to the mass murder of so many thousands of children, who die every year, from lack of facilities, agonizing with pain. [Fidel Castro, 1953] … Condemn me. It does not matter. History will absolve me

6. http://www.gapminder.org

7. 1990s - Collapse of the socialist block Castro looked like an isolated dinosaur, left stranded by the tide of history. Most outside observers expected his end to come in months rather than years. (Coltman, 2003:267)

8. by the late 80s all the Western European countries had higher life expectancy than every Eastern European country. (Wilkinson, 2005:114)

9. Infant Mortality Rate Source WHO, 2012; *NISRA, 2010

10. Life expectancy & percentage of population aged 60yrs+ Country Total Population (000) % Population aged 60yrs+ * Life expectancy** MaleFemale Austria 8,394,000 187883 Cuba 11,205,000 167680 Spain 46,077,000 177885 N. Ireland*** 1,799 147882 Italy 60,551,000 207984 Uganda 33,425 44857 UK 62,036 227882 USA 310,384 187681 Source: World Health Report, (WHO, 2010); ***NI data (>65yrs) Source NISRA 2010

11. Expenditure on Health Country Total expenditure on health as percentage of GDP Cuba 11.8 Austria 11.0 Italy 9.5 Spain 9.5 Republic of Ireland 9.7 United Kingdom 9.0 USA 16.2 Source: World Health Statistics, (WHO, 2012)

12. Expenditure on Health Country Total expenditure on health as percentage of GDP Per capita total expenditure on health at average exchange rate (US$) Cuba 11.8503 Austria 11.04,388 Italy 9.53,022 Spain 9.53,027 Republic of Ireland 9.74,005 United Kingdom 9.03,399 USA 16.27,410 Source: World Health Statistics, (WHO, 2012)

13. Cuban National School of Public Health [ENSAP]

14. Umbrellas Repaired Umbrellas Recovered

15. Public Heath: Why the Cubans are so successful

16. Public Health has to with … all the problems which, in whatever way, affect the health of the population. If we were to view it simply as the Ministry of Health it would basically be representing the curative service. As the doctrine of the revolution is prevention or rather promotion, prevention and protection of health, if we were to call it only the Ministry of Health it would mean that most important functions would be outside of the Ministry, and for that reason it is public health, because the focus is prevention. [Dr Edwardo Zacca Peňa, Director Statistics Ministry of Public Health Cuba]

18. Family Doctor / Nurse

19. The extent of real inequality of opportunities that people face cannot be readily deduced from the magnitude of inequality of incomes, since what we can or cannot do, can or cannot achieve, do not depend just on our incomes but also on the variety of physical and social characteristics that affect our lives and make us what we are. Equity (Sen, A 1995:28)

20. Needs Assessment

21. El Camello

22. Polyclinics

23. Rights and Responsibilities

25. The 120 year club

28. Community support

29. Residential Care

32. How long this present order, based on an absurd idea of caste, will last I cant say, but its time governments spent less time publicizing their own virtues and more money, much more money, funding socially useful projects. Dr Ernesto (Che)Guevara, 1952: Motorcycle diaries 51-52

33. Sláinte agus Easláinte http://www.belowtheradar.tv/SainteAgusEasla inteProg01.html http://www.belowtheradar.tv/SainteAgusEasla inteProg01.html