Tetanus Immunity and Epidemiology in Australia, 1993-2010

2020 ◽  
Vol 20 (3) ◽  
pp. 330-340 ◽  
Author(s):  
Xinting Lu ◽  
Helen E. Quinn ◽  
Rob I. Menzies ◽  
Linda Hueston ◽  
Peter B. McIntyre

Background: This study evaluates trends in tetanus immunity and epidemiology over the last two decades in Australia, drawing on two national serological surveys and national tetanus morbidity data, to justify current Australian adult tetanus booster recommendations. Methods: We compare tetanus immunity level between two national serosurveys, and examine incidence trends using the most accurate estimation of the true number of cases by correcting for under-ascertainment. Results: Tetanus immunity in people aged <60 years is high, but the elderly, particularly the female elderly, may not be adequately protected. Over the past twenty years older people have regularly accounted for the highest number of tetanus cases, with an increasing proportion of cases. Conclusion: Despite a positive decrease in tetanus incidence, there remains a significant burden in the elderly population of an entirely preventable disease. Supplying a funded booster dose of dTpa at 65 years would be, potentially, an effective strategy to prevent tetanus cases in Australia.

Foods ◽  
2021 ◽  
Vol 10 (3) ◽  
pp. 688
Author(s):  
Khaled Alhammadi ◽  
Luna Santos-Roldán ◽  
Luis Javier Cabeza-Ramírez

The past few years have seen significant demographic changes in most regions, including an increased elderly population. Subsequently, elderly citizens comprise an important market segment of consumers, with the food industry one of the most affected areas in this context. However, food market managers previously believed that elderly consumers’ needs were stereotyped in nature. The lack of focus on this sector, therefore, left elderly consumers as an untapped market, without realizing the financial independence of this segment regarding their nutrition. This research will attempt to provide the key determinant factors on elderly consumers’ behavior related to food. For that purpose, a complete literature review of more than 123 papers regarding these concepts has been carried out. Once analyzed, we highlight the common insights to give clear guidance for supermarket managers and food manufacturers to have a better knowledge of the reasons behind elderly people’s food acquisitions.


2000 ◽  
Vol 10 (1) ◽  
pp. 43-54
Author(s):  
C. Rajkumar ◽  
S. Bonapace ◽  
C. J. Bulpitt

IntroductionLongevity has lengthened in recent times. This has resulted in an increase in the elderly population, with life expectancy at birth in men in the UK being approximately 72.5 years and women, 78.5 years. Despite the risk of death from cardiovascular diseases decreasing in the past 40 years, these still continue to be the largest cause of mortality in the elderly. Cardiovascular mortality and morbidity are lower in women. However, this is not true in the later years of life. After the age of 80, the risk of cardiovascular problems increases to that of men. The cardiovascular changes occurring with aging consists of changes in the heart and arterial system.


1987 ◽  
Vol 21 (6) ◽  
pp. 530-535 ◽  
Author(s):  
William E. Hale ◽  
Franklin E. May ◽  
Ronald G. Marks ◽  
Ronald B. Stewart

Drug usage was studied in an ambulatory elderly population in Dunedin, Florida. Prescription and nonprescription drug use in these 2834 participants was compared with use during a period five years earlier. The average number of medications increased from 3.2 in 1978–80 to 3.7 in 1983–85. The most commonly prescribed medications in this population were hydrochlorothiazide-triamterene (13.5 percent), digoxin (9.6 percent), and hydrochlorothiazide (8.4 percent). There was a large increase in the use of nutritional supplements in the past five years, with 18.0 percent of these subjects reporting the use of vitamin E and 15.7 percent taking vitamin C. The general philosophy in geriatrics is to use the fewest drugs possible; however, it appears that the elderly are, in fact, receiving an increasing number of medications.


1983 ◽  
Vol 17 (4) ◽  
pp. 249-266 ◽  
Author(s):  
Janet Roebuck

Despite the disadvantages they face, women in western nations have coped very successfully with the problems of aging during the past century and, with limited material resources, have responded positively to great social and personal changes. Although women make up the majority of the elderly population, these achievements have received little attention. As we face the continued aging of the population and its attendant massive social changes in a setting of increasingly scarce resources, it is essential that all aspects of female aging be studied more closely. They may well provide us with the insights necessary to clarify our vision of the past and future and provide us with appropriate models for survival in a less-than-ideal world.


Author(s):  
Н.Н. Петрова ◽  
Д.А. Хвостикова

Обзор посвящен оценке распространенности и факторов риска психических расстройств у людей старшего возраста на современном этапе, включая пандемию COVID-19. Проведен систематический обзор литературы за последние 10 лет в PubMed, Elsevier, Google с использованием ключевых слов. Показано, что данные о распространенности психических расстройств у пожилых лиц существенно расходятся. Подчеркивается значительная встречаемость психических расстройств у жителей домов престарелых. Продемонстрирована актуальность непсихотических расстройств депрессивного и тревожного круга у лиц старшего возраста, трудность диагностики психических расстройств, ассоциированных с соматической патологией, а также с когнитивными нарушениями. Факторами риска психических расстройств старшего возраста являются как социально-демографические, так и экономические, психологические и соматические факторы. Дана характеристика проблемы психического здоровья пожилых людей в условиях пандемии COVID-19, ассоциированной со специфическими факторами риска психических расстройств. Отмечен дефицит доказательных исследований лечения психических расстройств в старшем возрасте и актуальность совершенствования организации психиатрической помощи таким пациентам. Понимание структуры и распространённости психических расстройств у пожилых людей позволит оптимизировать работу системы здравоохранения. This review focuses on assessing the prevalence and risk factors of mental disorders in older adults in the current era, including the COVID-19 pandemic. A systematic review of the literature in PubMed, Elsevier, Google, using keywords over the past 10 years was conducted. It is shown that data on the prevalence of psychiatric disorders in the elderly population, including in comparison with young adults, diverge significantly. The significant incidence of mental disorders among nursing home residents is highlighted. The relevance of non-psychotic disorders of the depressive and anxiety spectrum in older adults is demonstrated. The difficulty of diagnosing mental disorders associated with somatic pathology as well as cognitive disorders in elderly patients is demonstrated. Risk factors for mental disorders in older adults are socio-demographic as well as economic, psychological and somatic factors. The problem of mental health of the elderly under the COVID-19 pandemic associated with specific risk factors for mental disorders is characterized. The shortage of evidence-based research in the treatment of mental disorders in old age and the urgency to improve the organization of psychiatric care for such patients are noted. Understanding the structure and prevalence of mental disorders among the elderly will allow to optimize the work of the healthcare system.


2018 ◽  
Vol 24 (1) ◽  
pp. 43-56 ◽  
Author(s):  
Johan De Deken

By embedding pre-funded occupational pensions into the status order of a neo-corporatist system of industrial relations, the Netherlands has developed a second pillar that is second to none in terms of size, inclusiveness and solidarity. But this has also led to a universal financialisation of retirement provision, making the income of the elderly population contingent on the vagaries of financial markets. Two financial crises within less than a decade ended the illusion that such generosity can come at a low price, and thus be reconciled with competitive labour costs. The Dutch government initiated a series of reforms that gave employers a partial exit from shouldering the risks of retirement, reduced generosity and recently also started to undermine the extent of solidaristic redistribution. Hence, occupational pensions are gradually being disembedded from the status order crucial for their comparative good performance in the past with regard to reconciling social and financial sustainability.


1991 ◽  
Vol 11 (4) ◽  
pp. 471-493 ◽  
Author(s):  
Jane Falkingham ◽  
Christina Victor

ABSTRACTComments made by a UK Government minister in 1989 concerning poverty, or rather the lack of it, amongst elderly people once again reflected the idea that the majority are well-off and less in need of State support than was the case in the past. The idea of a new group of Woopies (well off older persons) has been used as justification for debate about the introduction of means-testing for certain benefits directed at the elderly population. This paper challenges that view. It traces the evolution of the Woopie using published data and then examines the socio-economic characteristics of such a group. In a series of logit estimates to determine what factors are of importance in determining ‘Woopie status’, unsurprisingly receipt of income from assets and from an occupational pension are the most significant variables. Finally the scope for policy changes is examined.


2016 ◽  
Vol 5 (1) ◽  
pp. 1-6
Author(s):  
Pouya Farokhnezhad Afshar ◽  
Parvaneh Asgari ◽  
Mahmoud Shiri ◽  
Fatemeh Bahramnezhad

For many reasons, the elderly population in Iran is considered a growing phenomenon. An accelerated decline in birth rate in the past two decades, medical-health advances, and increased life expectancy are among the major reasons. Based on the definitions of the Country’s Population Index, Iran's elderly population, with a growth rate of 3.9% compared to the total population growth (2.29%) between 2007 and 2012 has reached to the elderly population of 8.26% in 2012, which puts Iran among countries with aging populations. Now, Iran's elderly population is 6205998 people, including approximately 48.70% aged men and 51.30% aged women. Iran, based on the age criteria of the population structure, is now faced with the aging phenomenon, and since this phenomenon encompasses health, economic and social consequences, as well as service requirements, elderly population of Iran should be comprehensively and continuously evaluated so that the health and medical officials could deal with the incident with proper planning and meet the needs of this group of the society. [GMJ.2016;5(1):1-6]


2000 ◽  
Vol 13 (4) ◽  
pp. 263-276 ◽  
Author(s):  
Suzanne Campbell

Type 2 diabetes is prevalent in the elderly population. In the past five years, there has been an increased number of drugs with unique mechanisms of action which have become available for the treatment of type 2 diabetes. Recent studies have shown that attaining optimal glycemic control in patients with type 2 diabetes will prevent or delay the complications associated with this disease. This article will review the management of type 2 diabetes.


2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
P. Rico-Villademoros ◽  
R. Touzon ◽  
E. Garnica

Aims:To describe the characteristics of the admission of those older than 70 in the past year, in an acute psychiatric care unit.Method:Medical records of all over 70 patients admitted in our unit during 2007 are reviewed to find out their diagnosis, how many are first admissions and their average stay time, and this is compared to general average stay time for this unit.Results:About 10% of patients admitted to this unit is more than 70. the most frequent diagnosis is depression, followed by bipolar disorder, dementia, psychosis and other diagnoses. Nearly half of all these patients are in their first admission. the average stay of these patients is twice that of the total patients admitted to this unit.Conclusion:Despite the fact that in some places the number of admissions of elderly patients is not considered enough to justify the creation of specific units, objectively their admissions are frequent and their average stay time is much higher than usual. This is probably both the difficulty of drug treatment and social problems that sometimes hampers their discharging. as the elderly population is increasing, we believe that treating these people in specific units should be reconsidered.


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