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Health Issues in Europe and Central Asia


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Articles

EU: Social Networking Cares for Seniors (July 30, 2012)

(Article in Spanish)
European Union is working on a project to connect “fall alarms” with social networks.  These alarms will be important for the care of older adults over long distances.  According to a study, the market for the alarms will multiply by 10 in six years. 

Spain: Older Adults are More Affected by Adverse Reactions to Medications than Other Groups, According to a Experts (July 24, 2012)
(Article in Spanish)
The Spanish Society of Geriatric Medicine (Sociedad Española de Medicina, abbreviated Semeg) recommends that health care providers take more precautions when prescribing prescription medications to older adults.  Physicians should use other therapies to prevent adverse reactions.

Spain: Seniors Grade Quality of Life as a 6.6, According to a Study (June, 19, 2012)
(Article in Spanish)
According to a study by the Biomechanical Institute (Instituto de Biomecánica), older adults are the population’s most discontent group with their quality of life.  They value their quality of life as a 6.6 out of 10 while the general population measures it as a 7.  The percentage of seniors who indicate that their quality of life is “good or very good” diminishes as they grow older.  The study suggests that stress negatively impacts quality of life.

Russia: Intellectual abilities of older people (June 18, 2012)
Russian Chess Federation, charity fund “Ladoga” and the project “Age of happiness”conducted a panel discussion “Intellectual abilities of elderly people”where both biological and social aspects of the issue were discussed.

United Kingdom: Doctors Face Ban on Denying Treatment to Elderly (June 11, 2012)
Beginning in October, healthcare practitioners in the UK will not be permitted legally to deny an individual treatment due to his age.  In a 2011 report, the National Health Service failed to meet basic standards of care for individuals over 65 years of age, according to the Health Service Ombudsman.  For instance, many older persons were denied food or drink.  Some older adults were not washed or died alone because their next of kin had not been notified of their illness. This research indicates that older individuals are less likely to receive treatment than young people, sometimes resulting in their death.

Ukraine: Grandmothers from Nikolaev city demand the return of their dancing place in “Nadezhda” (June 11, 2012)
(Article in Russian)
Many pensioners from Nikolaev city and nearby villages enjoyed dancing in a sports complex called  “Nadezhda, ” twice weekly where they paid 3 hryvnas for this pleasure.   But in March,  the city government closed the place claiming  that taxes for renting the complex had increased. Participants protested to the government but it didn’t produce any results.  No more dances for the old people.

Spain: The First Edition of the “Manual of the Geriatric Medical Resident” Was Announced (June 7, 2012)
(Article in Spanish)
The 54th Congress of the Spanish Society of Geriatrics and Gerontology (54 Congreso de la Sociedad Española de Geriatría y Gerontología) and the 24th Congress of the Galician Society of Gerontology and Geriatrics (24 Congreso da Sociedade Galega de Xerontología y Xeriatría) announced the manual.  It begins with three principal sections: a section that explores the value of geriatrics as a field of study, a section revising the levels of healthcare provided, and a section about key syndromes.

Spain: Elder Diabetics Suffer 23 Times More Amputations (June 1, 2012)
(Article in Spanish)
Diabetics 65 years and over are 23 times more likely than those not afflicted to need their extremities amputated. Often times, this is the result of neuropathy or trauma due to rubbing of their footwear and overpressure zones in the foot. Rocio Merino, a coordinator for the Spanish Society of Angiology and Vascular Surgery, said that 25% of diabetic patients are admitted to hospitals for infections occurring in their lower extremities.

Spain: New Cellphone System Detects Elder Fragility (May 30, 2012)
(Article in Spanish)
A Doctoral student at the University of Castilla-La Mancha's School of Informatics created a device designed to detect the state of frailty in elders by using the cellphone. The new system allows doctors to obtain a more accurate diagnosis through an older device worn on the waist which detects the patient's fragility indicators. 

Spain: More Than A Third of Elders 75 and Over Suffer From Type 2 Diabetes (May 25, 2012)
(Article in Spanish)
A study conducted by Diabetes.es found that 30.7 percent of males and 33.4 percent of women in Spain  suffer from Type 2 Diabetes. Because these is little scientific evidence to support the best approach to Diabetes in the elderly, the disease represents a major challenge to health care professionals and patients. Dr. Carlos Miranda, President of the Spanish Society of General Practitioners and Family (SEMG), advocates for comprehensive assessments and individualized approaches to patients' quality of life goals in determining Diabetes treatments for older persons.

Spain: Detectors of Solitude (May 20, 2012)
(Article in Spanish)
Over 87,000 people 65 years and over live alone in Barcelona -- equivalent to about 20 percent of the population. Some 68,000 of those lonely seniors are women. In an effort to help them fight feelings of loneliness, over 200 volunteers have formed a group called "Friends of Senior Citizens." Members of the association call, visit, accompany elders on hospital visits and make it their priority to find and assist those lonely seniors paralyzed by isolation.

Spain: Up to 50% of Seniors Suffer From Undiagnosed Anxiety Attacks (May 10, 2012)
(Article in Spanish)
Experts in the Catalonian Hospital Cor Sagrat Martorell recently stated that anxiety disorders affect up to 50 percent of seniors who don't meet the diagnostic criteria of the disorder. Anxiety significantly affects the life of seniors by exacerbating other mental disorders and limiting functions. Since anxiety has not been as commonly studied as other conditions, an underestimated group of seniors are suffering from subsyndromal anxiety. 

France: Aging: Hollande's Team Promises "Frame Law" (April 25, 2012)
(Article in French)
The Socialist candidate for the presidential election Francois Hollande said that the reform of dependency will be a priority for him if he is elected. He said that he would take steps in the summer 2012 in order to adapt society to the aging of the population. He promised 220 million euros a year for dependents over 60 years and the construction of 80,000 houses, costing 140 million per year.

France: Too Many Drugs Prescribed to Seniors (April 23, 2012)
(Article in French)
Taking too many drugs can have serious consequences for the elderly. This phenomenon results in 15 to 20% of hospitalizations of people aged 75 years and older, yet doctors continue to prescribe more and more treatments to seniors. If overmedication can cause falls, GI bleeding or kidney failure, side effects can also come from the drug itself, its combination with another substance, it being incompatible with the patient or the patient himself taking a wrong dose.  Does the desire for attracting drug profits for the manufacturers fuel this situation?

Spain: No Age Limit for Exercise (April 23, 2012)
(Article in Spanish)
Leocadio Rodriguez Mañas, Chief of Geriatric Services in Madrid's University Hospital of Getafe, is an advocate for more exercise amongst the elderly. He insists that even when elders are fragile, they must exercise, as that may prevent more serious future disabilities. By exercising, elders lessen the likelihood of cognitive deterioration, depression, fractures, and diabetes, among other illnesses.  In an effort to prove the benefits of exercise and reduce cases of severely impaired elders by as much as 700,000, the European Union awarded Mañas six million euros to finance a study in which 125 identical exercise facilities will be made available to seniors throughout Europe and data on their improved health will be collected.

France: Parkinson's Disease Major Public Health Issue (April 10, 2012)
(Article in French)
In France, 14,000 people are diagnosed each year with Parkinson's disease, more than two per hour. In total, 150,000 people are suffering from this neurodegenerative disease, the second cause of motor disability in adults. World Parkinson's Day is the occasion to remember that there is still no cure for the patients and that the funds allocated to it are far too low: 3.1 million euros, 10 euros per patient and caregiver. Parkinson's disease is now a national priority and a major public health issue until 2014.

France: Old Age Beyond the Clichés of Another Age (April 10, 2012)
(Article in French)
To erase the stereotypes regarding old age, a jury held discussions over six months on the topic of the elderly and is finally publishing its findings. There are almost 9 million French people over age 75. The series of meetings entitled "Which medicine for what age?” brought together various experts and seniors, and highlighted the prejudices faced by elders. For economist Jean de Kervasdoué, health costs induced by aging are, for example, not as important as the public thinks, especially thanks to acts of solidarity that nobody talks about.

France: Incredible Veterans (April 9, 2012)
(Article in French)
Joseph Le Louarn, 80 years old, is not just any grandfather. For the seventh time, he took part in the Marathon des Sables, a 246 km race run over the course of six days in southern Morocco. He is not an exception, since ten septuagenarians were also present. Seniors are more likely to engage in a sport today, despite the obstacles. Joseph is advocating for the Athletics Federation to establish a new age category for athletes aged 80 and older.

Spain: Spanish Elders Greatly Value Spain’s Healthcare System (April 3, 2012)
(Article in Spanish)
Seventy-five percent of persons 65 and older living in Spain are “very and pretty satisfied” with the country’s available emergency health services and 95 percent are “highly and very highly satisfied” with primary care services, says a “Quality of Life and Aging” study conducted by the multinational Spanish banking group BBVA (Banco Bilbao Vizcaya Argentaria). Findings also indicate that 95 percent of elders still live in their own homes. By 2060, Spain will be home to an estimated 16 million elder persons and the greatest number of persons 80 and over in Europe, according to Eurostat.

Belgium: Nutrition in the Elderly: Three Questions to Avoid the Worst (April 3, 2012)
(Article in French)
Malnutrition is defined as a deficiency in nutrients and insufficient energy intake. In Belgium, this phenomenon concerns two elderly out of three. In 2007, 34 percent of people aged over 75 years came to the hospital in poor nutritional state. Find tips to detect a case of malnutrition in the elderly in this article.

Germany: Elderly Patients Put to Sleep to Save Money on Personnel (March 26, 2012)
(Article in Spanish)
More than 300,000 elderly persons could be affected in a recent scandal uncovered by the University of Bremen in Germany. It was discovered that a high percentage of psychiatric and elderly patients in nursing homes were unnecessarily being administered tranquilizers to save money by reducing personnel. The Ministry of Health in Germany has declared that they have nothing to do with such decisions, but the opposition says that they have already requested that an investigative commission be launched. 

(Article in French)
Forty-six percent of elderly Belgians report feeling alone, according to a study commissioned by the King Baudouin Foundation and conducted by IPSOS, a leading market research company. People living in retirement homes are the ones who say they feel the most isolated, 8 percent of them having no contact with family members for weeks. The study also shows that the ones most affected by loneliness are those aged over 85, women, widows and widowers, the sick and those on low incomes.

UK: Cameron Set to Tackle Stigma of Dementia As He Puts Crisis on Scale of HIV (March 25, 2012)
Prime Minister David Cameron has announced fighting dementia his personal priority. The cost of dementia to society, at £23 billion, is already higher than that of cancer, heart disease, or stroke and it is expected to increase. Cameron described dementia as a ‘national crisis’ similar to HIV in the ‘80s. Britain has to fight the stigma, focus on diagnosis, and fund research. 

France: INSERM Puts Retirees in the Service of Patients' Associations (March 25, 2012)
(Article in French)
The National Institute for Health and Medical Research (INSERM) has launched a new initiative to help patients while at the same time keeping former employees busy. Called ScienSAs (for Senior Scientists and patients' associations), the network allows patient associations seeking knowledge and experience while having limited means to get in touch with INSERM via a dedicated website.

France: Montessori Method to the Rescue Of Alzheimer's Patients (March 12, 2012)
(Article in French)
The Montessori method, named after an Italian psychiatrist, arrived in France after being developed in the United States. Developed to enable handicapped children to learn, it is now used to allow people with Alzheimer's disease to regain their autonomy, self-esteem and ability to communicate. The Manor Retirement Home in Montgeron is the first to apply this method in France. Their approach is to involve the whole nursing home staff to teach patients to do things they have forgotten, rather than do it for them or assist them.

France: Dentures: Users Isolated, Change Diets (March 12, 2012)
(Article in French)
In France, ten million people are equipped with dentures, including 6.7 percent of people aged 65 and older. A study interviewing 4,000 people highlighted the concerns of denture wearers: dentures prevent them from leading a rich and fulfilling social life, give patients the feeling of being old, and force them to compromise the diversity of their diets. Half of those involved say they have lost their appetite and a third must select and avoid certain foods. These hazards have consequences on the physical and psychological health of denture wearers.

Russia: Is 70 New 25? (March 8, 2012)
(Article in Russian)
In the senior center “Dolgoletie,” many elderly people see themselves as only 25 years old, even though the majority are in their 70s. What is their secret? They explain: Not thinking about their age, never complaining about aches and difficulties of everyday life, always being cheerful and grateful for every day. With this attitude, they are sure they will never grow old, staying closer to 25 in spirit.

Poland: Seniors Help Other Seniors (March 8, 2012)
(Article in French)
Created in France in 1946, the association known as Little Brothers of the Poor helps the elderly in precarious situations. The association has opened branches in Germany, Spain, Ireland, Switzerland, the U.S., Canada, and now in Poland. Every Monday, Ludwika Kochman, 66 years old and a volunteer at the association, offers a gym lesson for a dozen seniors. Proud of her three hours of daily training, she believes it’s not just a way for her to keep participants in good shape; it also helps to fight against social exclusion of older people by offering them pleasant moments for listening and exchange.

Spain: The Mancha Centro Take Care of Immobilized Patients (March 5, 2012)
(Article in Spanish)
Mancha Centra Hospital helps older people avoid disability resulting from long bed stay. Cardiovascular, respiratory, digestive, metabolic and urinary problems occur at patients who have to stay in bed for a long period of time.
By giving birth to two boys at the age of 66, a Swiss woman became the oldest woman to give birth in her country. The retired pastor who underwent in vitro fertilization in Ukraine launched a controversy in the country, her act being considered shameful and selfish. Ukrainian clinics, where there is no age limit for "maternity substituting" with eggs fertilized by donor sperm, offer these services on the internet, but many doctors call for caution, pointing out that late pregnancy involves many risks.

Nathalie Thiriet is a nurse in Sceaux, near Paris. From 7.30 a.m. to 8 p.m. every day of the week, she visits her patients at home, in nursing homes, and at her office. In this article, she tells the story of her typical day and exposes the challenges she faces daily, such as the inability to forge a link or help her patients when the average duration of her visits is seven minutes.

Aging is often accompanied by a loss of vision, which itself has implications for the health of the elderly. A study by the British Journal of Ophthalmology showed that with age, the lens yellows, reducing the absorption of blue light and affecting not only the overall vision but also the sleep cycle. Older people can often lose their bearings, become disoriented and lose interest in social life.

Spain: Thirty-eight Percent of the Diagnostics of Alzheimer are Confused with Dementia (March 1, 2012)
(Article in Spain)
The psychologist Amparo Rodriguez said that 38 percent of the people diagnosed with Alzheimer’s actually suffer from dementia which is a perfectly curable disease. In the conference entitled “The Stimulation of Memory Doesn’t Have Age”, Rodriguez stated that people should exercise to stimulate their memory.  She also pointed out that memory loss is not a natural consequence of aging; it can happen at any age.

France: Towards a Scandal About Toxic Hips (February 29, 2012)
(Article in French)
After the scandal of PIP breast implants from which silicone was leaking, the suspicion now falls on the hip prosthesis, especially worn by the elderly. A survey by the British Medical Journal and the BBC showed significant levels of toxic metals in the products of the brand DePuy Orthopaedics, a subsidiary of Johnson & Johnson, a U.S. company. Although they were removed from the Australian and U.S. markets in 2009 and the French market in July 2010, hundreds of thousands of people around the world still wear them and are therefore potentially at risk.

France: Alzheimer's: New Recommendation of HAS Criticized Again (February 28, 2012)
(Article in French)
The Formindep, an association that promotes the independence of medical information, in March 2009 identified anomalies in the 2008 Recommendation of Good Practice on the diagnosis and treatment of Alzheimer's disease, published by the French High Health Authority. In April 2011, the State Council ordered repeal of the recommendation on Type 2 diabetes; the one on Alzheimer's was also removed. Published the same year, the new expertise is now criticized as well, according to the Formindep, notably because of a lack of transparency and independence.

France: Parkinson: Implanting Stem Cells Could be Conclusive (February 22, 2012)
(Article in French)
Parkinson's disease is a major neurodegenerative disease. Researchers at Kyoto University in Japan have managed to reduce symptoms such as tremors and generalized weakness in monkeys with similar characteristics. Indeed, three months after having stem cells implanted in their brains, their state of health improved. Better, after six months, they could walk again. The researchers plan to conduct this experiment on humans in 2015.

France: End of life: France Still Neglects its Dying (February 15, 2012)
(Article in French)
The recent report of the French National Observatory on the end of life highlights the need for palliative care in France for the first time. Some 322,000 people benefit from such care every year, representing two thirds of deaths, of which half are suffering from cancer. However, half of those dying in hospitals does not have access to such care. In the emergency room, 64% of those who die need palliative care and only 7.5% actually access such programs. The Leonetti law that gives doctors the opportunity to "let die" is not well known and little implemented. Since 2005, only 10% of nurses working in hospitals were trained for such care. Only 2.3% among general practitioners have received such training. The French need to reform the system to assure support for the growing numbers of persons who want to die at home.

(Article in French)
In 2005, the French Court of Auditors highlighted flaws in the care of the elderly. At the time, it was estimated that half their needs were not addressed. In its new report, dated February 2012, the Court draws attention to the fact that reforms are slow. It recognizes that progress has been made, but that physician training and testing of drugs are still insufficient. The report also highlighted the issues of older people being sent to the emergency room much too often.

France: Silver Surfers (February 7, 2012)
(Article in French)
People aged 50 and above love to buy on the Internet. They now represent 30 percent of "cybershoppers," a relatively new phenomenon. The proportion of this category of the population exceeds those aged 16 to 24 years when it comes to buying online. Two-thirds of 65-year-olds and over are also familiar with this exercise, but in general, older people buy mostly from major retailers such as Fnac, Darty, or SNCF. Very few of them dare to buy abroad. Their favorite activity: getting the best deals possible by using online price comparison websites.

France: Help for Care Givers: New Kind of Insurance (February 6, 2012)
(Article in French)
Insurer AG2R La Mondiale has recognized the gap in insurance products for those who provide dependent. To resolve the problem, it announced the launch of “Help to Family Caregivers,” intended to ensure continuity of care in case of incapacity of the caregiver for more than 24 hours or immobilization of more than five days. The average age of the caregiver is increasing and health problems do not always allow the person to fulfill their commitments to their dependents. New arrangements must be adopted quickly to meet the needs of persons requiring care.

France: 400,000 Vacancies by 2015 in the Sector of Dependency (February 6, 2012)
(Article in French)
With the reversal of the demographic pyramid, people over the age of 75 will represent more than 13 percent of the population by 2015. Coupled with the increase of life expectancy, and despite advances in medicine, this phenomenon leads to a strong demand for labor in the caregiving sector. Over 400,000 jobs will be created by 2015 to meet the demand after the retirement of caregivers and the creation of new positions. A plan for dependency has been established and the National Solidarity Fund for Autonomy has already announced it would fund the cost up to 200 million euros.

France: Retirement Homes: Residents Unhappy With Their Meals (February 2, 2012)
(Article in French)
A study by the Confederation of Consumption, Housing and Living Environment shows that the quality of meals offered to residents of nursing homes is poor. Eighty percent of them complain about the lack of diversity in menus that are rarely changed, and regret not having a way to warm up the food. They have difficulty eating certain foods such as meat, often too hard and cooked in sauce. Nutrition for the elderly still needs to be addressed as part of the National Health and Nutrition Plan.

France: Sarkozy Doesn’t Forget Alzheimer’s Plan (February 1, 2012)
(Article in French)
A plan for dealing with Alzheimer’s disease is very dear to President Nicolas Sarkozy, who made this project one of the highlights of the last presidential campaign. He praised the results, saying it has "become a model for other countries" and regularly advertises it as a success. For the medical profession, the results are mixed: On the one hand, the plan has helped make this little-known disease more visible and the care it requires more accessible. In addition, medical research has evolved on this point thanks to a budget of 140 million euros. However, doctors lament late screening and administrative inertia. While the overall record is positive, the next president must place the plan high on the government’s agenda.

France: Tanakan Will Not Be Reimbursed (January 30, 2012)
(Article in French)
The French government announced that Social Security will no longer reimburse Tanakan, a drug prescribed mainly for the elderly to fight against memory problems and dizziness, as soon as May 1, 2012. Available since 1975, the drug was judged ineffective by the French High Authority of Health for the third time since it was released on the market. This follows a decrease of the reimbursement rate from 35 to 15 percent, which was decided in 2010.

Europe: Number of Europeans Over 65 to Double Between 2010 and 2050 (January 23, 2012)
(Article in French)
The World Health Organization (WHO) said on the occasion of the 2012 European Year of Active Ageing and Intergenerational Solidarity that those aged over 65 will be twice as many in 2050 than in 2010. Europeans already have the highest average age in the world due to the increase in life expectancy and aging of the population. However, there are wide disparities between countries and regions as medical and financial resources are unevenly distributed within the continent.

Germany: German Pensioners, a Generation of Druggies (January 20, 2012)
(Article in French)
Germans who were hippies in the 1960s don’t seem to have changed their habits of drug use. Fifty years later, they are now retired and at the center of many drug cases, as dealers as well as consumers, and are clogging the courtrooms. With 400,000 Germans over 60 years of age suffer from alcoholism and 14 percent of them are officially addicted to certain drugs. The German government has made this population group the prime target of its new national strategy against drugs.

France: Retirement Homes in Distress (January 16, 2012)
(Article in French)
Residential facilities for dependent elderly people bear the brunt of the economic crisis. Because of a lack of funds and as part of austerity measures aimed at limiting public spending, there will be no money allocated to the construction of new homes in the next five years. Opposition to this measure is already strengthening. The Elderly and Solidarity Service of the General Council of Haute-Garonne reaffirmed the ever- increasing cost of dependency: the departmental budget, for example, has already had to be increased by 4 percent in 2012.

France: Old at 64, Young til 42 (January 13, 2012)

(Article in French)
The Eurobarometer conducted a survey among 26,000 people to determine at what age Europeans see themselves as being old. This study is part of the European Year of Active Ageing and Intergenerational Solidarity. For European women, the onset of old age is 65 years, 62.7 for men. The French, placing the end of youth at the age of 42 and the beginning of old age at 66, are within the European average. However, there are large differences within the EU, as with the Dutch who believe that one starts being old at 70, and the Slovaks at 58.

Russia: Elderly Will Be Eligible to Relax and Participate in Rehabilitation Services at National Health Centers for Free (January 11, 2012)
(Article in Russian)
The deputies of the State Assembly discussed the details of a regional bill to improve the social protection of older people. In 2012, a list of regional incentives for people to take advantage of a well-deserved rest will greatly expand. In particular, after an illness, seniors will be eligible to participate in the rehabilitation services at the national health centers at public expense.

France: Accompanying a Parent to a Nursing Home (January 10, 2012)
(Article in French)
Catherine Sarrazin-Moyne's 2011 book entitled "You'll see, you'll be fine," reveals how one day she had to decide to place her mother, who became a widowed and dependent after being involved in a serious car accident, in a nursing home. For many years, she felt guilty about this difficult decision. She offers valuable advice to prepare children and parents who face such events and their consequences. Many people will recognize their own situations in her testimony.

(Article in Russian)
Well-balanced nutrition is extremely important in any age, and elderly citizens are no exception. Proper nutrition for older people must take into account certain factors: The elderly have a reduced intensity of metabolic processes, slower oxidation-reduction reactions, as well as slower nutrient uptake. As a result, the body uses less energy and the extra calories gained from eating and physical inactivity lead to excess weight, which in turn leads to a number of chronic health problems such as diabetes, atherosclerosis, pathological changes in the limbs and spinal joints.

France: Dependency: Bachelot Said no Further Action (January 7, 2012)
(Article in French)
French Solidarity Minister Roselyne Bachelot announced that the changes in the management of old age dependency introduced by Sarkozy in 2007, was anticipated, especially at a time of rising costs due to dependency. For Prime Minister Francois Fillon, it would be "irresponsible" to address this issue in a hurry during time of economic downturn.

Russia: Two of Oldest Saratov Citizens Marry (December 30, 2011)
(Article in Russian)
Six years ago, Anatoly Tokar was brought to a nursing home in very poor condition. His wife has just died, he had no children, and loneliness was taking its toll on him. Loneliness and a sense of despair are stronger than any disease, so the doctors’ prognosis was not good. However, everything changed when he met Zoe Sergeeva. She refused to believe that there is no hope, and she began to visit Tokar daily, engaging him in deep and meaningful conversations, and it was not long before the 86-year-old had not only regained his will to live; he asked Sergeeva to marry him.


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