1. Setting the scene....and closing the conference.... Ageing connects Prague, May 2012 Alexandre Kalache President - International Longevity Centre - Brazil Senior Policy Advisor on Global Ageing, New York Academy of Medicine HelpAge International Global Ambassador

2. Last century technology helped us to control premature death and reproduction. This century technology holds the potential to extend and improve quality of life...

3. ...for those with access to such wonders!!

4. EQUALITY!!!!

5. THE DIVERSITY OF OLD AGE Gender SES Age groups Culture Ethnicity Rural/Urban Sexual identity Nationality Religion... etc... etc...

6. Ageing – the contrasts

7. Hundreds of millions are left out of the technologies WE take for granted.

8. Too many labels: confusing! Productive Positive Ageing well Successful Healthy Vital Active

9. Kalache - Consultorias WHO definition of Active Ageing: The process of optimizing the opportunities for Health, Participation and Security in order to enhance quality of life as individuals age

10. The 4 th Pillar: Life long learning International Conference on Active Ageing, Seville, 2010

11. Alan Walker’s superb address

12. Embracing a Rights-based approach – implying: The Right to Health The Right to Learn The Right to Work The Right to be Protected The Right to be Insured The Right to Participate The Right not to be neglected, abused, abandoned...as well as...

13. The Right to Stop The Right to Rest

14. Strengthening international mechanisms for the protection of Rights of Older Persons

15. The need for an International CONVENTION

16. Emphasis on “productivity” can be misplaced.

17. In developing countries 80% of Older Persons do not have basic income On the whole they are highly productive... and deeply unprotected.

18. Older People are resources to their families, communities and the Economy. WHO Brasilia Declaration, 1996

19. The impact of the global financial crisis In Spain: 25% unemployment rate, over 50% within the age group 15-24! However, within contexts such as these, older people often become the main source of income for the whole family.

20. Yet...in terms of policies we are still doing nearly everything wrong...stuck within a 19 th century mind frame: compulsory retirement; little thought given to graduated retirement; lack of training opportunities which limits individuals’ ability to reinvent themselves as they age.

21. Bismarck was right in 1881... But since then 130 years have passed, LEB has increased to 80+ in at least 20 countries – and counting. Yet we are still by and large trapped in the same policies.

22. ULTIMATELY WHAT IS NEEDED, IS TO FIGHT FOR INCLUSION.

23. Kalache - Consultorias A NO TO ALL FORMS OF EXCLUSION

24. WHERE ARE WE NOW!??

25. Important neglected issues Migration and ageing LTC – continuum of care Ethical issues ; terminal care: death with dignity Crisis/emergencies Life course of accumulated exclusion Intergenerational solidarity/global crisis Controlling the anti-ageing industry....

26. Neglected issues Proven effective health interventions – e.g. Immunization Sustainable policies/interventions – e.g. age friendly cities and communities How to bring neglected issues to the stage – e.g. the successful example of elder abuse The interfaces of technology/ globalization/urbanization

27. Re-inventing the life course:...intertwining periods for learning, for being “productive”, for raising children, for caring, for recharging batteries...for starting again...at whatever age.

28. The emergence of a new transition Baby boomers “created” the social construct of adolescence – because of the numbers, the unprecedented levels of education and good health and because they lived in Peace and relative wealth. What a luxury compared to any preceding cohort!!

29. GERONTOLESCENCE Now...we are starting to “create” a new transition...we are: gerontolescents.

30. The difference is that while adolescence lasts for 4 or 5 years, gerontolescence will last for 2, 3 decades.

31. Solidarity between the old and the young. Pedro Kalache, 2003