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#elderly-wellbeing

Issues, solutions, and case studies for elderly-wellbeing

Issues 2

#00045Loss of physical independence

Many elderly people spend prolonged periods alone with minimal physical activity, leading to muscle deterioration and eventual dependence on in-home care.

Vaud, Switzerlandregion

#00044Social isolation of the elderly

As the proportion of older people in the community grows, more people are affected by issues such as social isolation, lack of mental stimulation, and loss of physical independence.

Nyon, District de Nyon, Vaudregion

Solutions 2

#00184Wire heat alerts to a hotline run by a trusted aging nonprofit, with nurse triage and home visits

Locally calibrated heat alerts that trigger a delivery chain, not just a broadcast: a hotline staffed by a trusted aging-services nonprofit, nurse triage, field home visits, homeless outreach, and neighbor buddy systems, so vulnerable people are found and helped during each alert

city

#00181Vulnerable-person registry with scripted phone check-ins during alerts, opt-out by default

A city registry of heat-vulnerable residents (isolated elderly, people with disabilities or chronic illness) paired with scripted phone check-ins by trained agents during heat alerts, escalating to in-person visits when calls go unanswered. Opt-out enrollment by default — opt-in

city

Case studies 2

City of Philadelphia Department of Public Health with the Philadelphia Corporation for Aging (PCA Heatline) · since 1995 · City

In 1995 Philadelphia launched the first Hot Weather-Health Watch/Warning System in the United States, with alert triggers calibrated on the city's own mortality-weather history. A declared heat emergency activates the H…

Lives saved 1995-98 (Ebi et al. 2004)expected heat mortality without the system117deaths avoided
Program cost for three years (1995-98)210000USD

$210K · City of Philadelphia · 1 source

Arnaud Gissinger

City of Paris (municipal social action services), triage script co-written with Necker Hospital doctors · since 2004 · City

The CHALEX registry (since renamed REFLEX) was created in 2004 after the August 2003 heatwave that killed 14,802 people in France, roughly 82 percent of them aged 75 and over. Parisians who are elderly, disabled or isol…

Registered vulnerable residents in Paris0 at creation (2004)7500people
National register coverage under opt-in rules10percent of eligible people

City of Paris municipal budget, within the framework of France's Plan National Canicule · 1 source

Arnaud Gissinger

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