DOCSLIB.ORG

A Sustainable Society for All Ages: Realizing the Potential of Living Longer

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
A Sustainable Society for All Ages: Realizing the Potential of Living Longer ECE/WG.1/27 UNITED NATIONS ECONOMIC COMMISSION FOR EUROPE A SUSTAINABLE SOCIETY FOR ALL AGES Realizing the potential of living longer Proceedings of the 2017 UNECE Ministerial Conference on Ageing 20-22 September 2017 Lisbon, Portugal UNITED NATIONS New York and Geneva, 2017 NOTE The views expressed in authored sections of this publication are those of the authors and do not necessarily reflect the views of the United Nations Economic Commission for Europe, the Portuguese Government or the Ministry of Labour, Solidarity, and Social Security of Portugal. The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the Secretariat of the United Nations concerning the legal status of any country, territory, city or area, or of its authorities, or concerning the delimitation of its frontiers or boundaries. ACKNOWLEDGEMENTS This publication is dedicated to the proceedings of the fourth UNECE Ministerial Conference on Ageing that took place in Lisbon, Portugal, on 20-22 September 2017. The Conference was hosted by the Portuguese Government under the auspices of the Ministry of Labour, Solidarity, and Social Security and received a financial support from the European Commission. The Conference organizers would like to thank the contributors, including the keynote speakers and rapporteurs, as well as the Conference participants and the members of the UNECE Working Group on Ageing who acted as the preparatory committee for their contributions and engagement in the discussions. The Conference proceedings include the keynote addresses and summaries of panel discussions, the 2017 Lisbon Ministerial Declaration as well as declarations from non-governmental organizations and the Research Forum. Importantly, it includes the Synthesis Report on the Implementation of the Madrid International Plan of Action on Ageing in the UNECE Region, which was launched at the Conference. ECE/WG.1/27 UNECE Information Unit Phone: +41 (0)22 917 44 44 Palais des Nations Fax: +41 (0)22 917 05 05 CH-1211 Geneva 10 E-mail: [email protected] Switzerland Website: http://www.unece.org UNITED NATIONS PUBLICATION Copyright © United Nations, 2017 All rights reserved Printed at United Nations, Geneva (Switzerland) FOREWORD Demographic trends and projections leave no doubt: the proportion of older people will continue to grow, transforming the societies we live in. Member States of the United Nations Economic Commission for Europe (UNECE) have undertaken comprehensive reforms to tackle the challenges that population ageing presents to the sustainability of social protection systems and health care provision. The core of this publication is a review of such policy measures implemented between 2012 and 2017. Living longer also holds opportunities for individuals, communities, the economy and society. Accordingly, the 4th Ministerial Conference on Ageing in Lisbon on 20-22 September 2017 focused on “realizing the potential of living longer to achieve a sustainable society for all ages”. This Conference was the result of the collaborative effort of the Portuguese Government, under the coordination of the Ministry of Labour, Solidarity and Social Security, and the United Nations Economic Commission for Europe. We gratefully acknowledge financial support provided by the European Commission. Participants exchanged views on progress made, identified remaining gaps and challenges and set priorities for the implementation of the Madrid International Plan of Action on Ageing and its Regional Implementation Strategy in 2018- 2022. In the 2017 Lisbon Ministerial Declaration, UNECE member States set three priority goals they seek to reach by 2022: 1. recognizing the potential of older persons, 2. encouraging longer working lives and ability to work, and 3. ensuring ageing with dignity. Population ageing presents challenges we must tackle, and opportunities that we need to realize. Finding the right policy responses becomes easier if we work together. We hope that the spirit of partnership and commitment at the Lisbon Ministerial Conference will remain with us as we work towards the ambitious goals set for the next five years. This publication is intended to support this journey to enable us to fully realize the potential of living longer. Older people are at the centre of this endeavour. Ms. Olga Algayerova United Nations Under-Secretary-General Mr. José António Vieira da Silva Minister of Labour, Executive Secretary Solidarity, and Social Security of Portugal United Nations Economic Commission for Europe i CONTENTS List of tables ...............................................................................................................................................................................................................v List of abbreviations ...............................................................................................................................................................................................vi Three-letter country codes for UNECE Member States ............................................................................................................................vii Introduction ...................................................................................................................................................................1 Chapters I. 2017 Lisbon Ministerial Declaration — A Sustainable Society for All Ages: Realizing the potential of living longer ...................................................................................................................................................3 - 5 II. Keynote Addresses .......................................................................................................................................7 - 17 1. Heinz Koller, ILO Regional Director for Europe and Central Asia ...................................................................................7 2. Marianne Thyssen, Commissioner for Employment, Social Affairs, Skills and Labour Mobility, European Commission ..................................................................................................................................................................9 3. Monica Ferro, Director, UNFPA Geneva Office ..................................................................................................................12 4. Stela Grigoras, Minister of Health, Labour and Social Protection, Republic of Moldova ...................................14 5. Jim Daly, Minister of State for Mental Health and Older People, Ireland .................................................................15 III. Summary of Contributions ........................................................................................................................19 - 29 1. Expert Panel I: Recognizing the Potential of Older Persons .........................................................................................19 2. Expert Panel II: Encouraging Longer Working Life and Ability to Work ...................................................................20 3. Expert Panel III: Ensuring Ageing with Dignity .................................................................................................................22 4. High-Level Panel Discussion between Ministers and Civil Society representatives - Recognizing the Potential of Older Persons: Intergenerational perspective ........................................................24 5. First Ministerial Roundtable: Encouraging Longer Working Life and Ability to Work .........................................26 6. Second Ministerial Roundtable: Ensuring Ageing with Dignity .................................................................................27 IV. Non-Governmental Organizations’ Declaration and Research Forum Statement ................................31 - 34 V. List of Speakers ..........................................................................................................................................35 - 37 VI. Synthesis Report on the implementation of the Madrid International Plan of Action on Ageing in the ECE region between 2012 and 2017 ............................................................................................39 - 119 Statistical annex - UNECE countries: Population Ageing in Figures .......................................................................................71 Annex tables ..............................................................................................................................................................................................78 iv LIST OF TABLES V. List of Speakers Table 1 Summary of the list of participants .....................................................................................................................................37 VI. Synthesis Report on the implementation of the Madrid International Plan of Action on Ageing in the ECE region between 2012 and 2017 Table 1 The 10 commitments of MIPAA/RIS ....................................................................................................................................42 Table 2 National reports considered in the Synthesis Report ...................................................................................................43 Table 3 Major achievements and challenges as reported by countries in the national reports ..................................45 VI. Annexes General Demography Indicators Table
Load more

Recommended publications
  • University of Groningen Inequality and Solidarity Fink, Simon; Klein, Lars
    University of Groningen Inequality and Solidarity Fink, Simon; Klein, Lars; de Jong, Janny; Waal, van der, Margriet IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check the document version below. Document Version Publisher's PDF, also known as Version of record Publication date: 2020 Link to publication in University of Groningen/UMCG research database Citation for published version (APA): Fink, S., Klein, L., de Jong, J., & Waal, van der, M. (Eds.) (2020). Inequality and Solidarity: Selected Texts Presented at the Euroculture Intensive Programme 2019 . (2020 ed.) Euroculture consortium. Copyright Other than for strictly personal use, it is not permitted to download or to forward/distribute the text or part of it without the consent of the author(s) and/or copyright holder(s), unless the work is under an open content license (like Creative Commons). The publication may also be distributed here under the terms of Article 25fa of the Dutch Copyright Act, indicated by the “Taverne” license. More information can be found on the University of Groningen website: https://www.rug.nl/library/open-access/self-archiving-pure/taverne- amendment. Take-down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim. Downloaded from the University of Groningen/UMCG research database (Pure): http://www.rug.nl/research/portal. For technical reasons the number of authors
    [Show full text]
  • World-Class Apprenticeship Standards: Report and Recommendations
    World-class apprenticeship standards: Report and recommendations Item Type Research Report Authors Mieschbuehler, Ruth; Hooley, Tristram Citation Mieschbuehler, R. and Hooley, T. (2016) 'World-Class Apprenticeship Standards: Report and Recommendations', Derby and London: International Centre for Guidance Studies (iCeGS), University of Derby and Pearson Education UK. Publisher International Centre for Guidance Studies, College of Education, University of Derby Rights An error occurred on the license name.; An error occurred on the license name. Download date 03/10/2021 12:22:52 Item License An error occurred getting the license - uri. Link to Item http://hdl.handle.net/10545/610516 World-Class Apprenticeship Standards Report and Recommendations Ruth Mieschbuehler Tristram Hooley I believe there is much we can learn“ from apprenticeship systems around the world, even if there is never a perfect ‘off- the-shelf ’ option that you can lift from one country and then apply in another. At Pearson, we welcome this new analysis of different systems, just as we have welcomed the contribution of international experts to our qualification redevelopment in recent years. “ ROD BRISTOW PRESIDENT, PEarSON UK ii! ! ! ! Published!by!the!International!Centre!for!Guidance!Studies,!College!of!Education,! University!of!Derby!and!Pearson!UK.!Commissioned!by!Pearson!UK. ! ! ISBN:!978'1'910755'04'4! ! Citation!information:!Mieschbuehler,!R.!and!Hooley,!T.!(2016)!World&Class* Apprenticeship*Standards:*Report*and*Recommendations,!Derby!and!London:! International!Centre!for!Guidance!Studies!(iCeGS),!University!of!Derby!and!
    [Show full text]
  • European Vehicle Market Statistics: Pocketbook 2016/2017
    EUROPEAN VEHICLE MARKET STATISTICS Pocketbook 2016/17 European Vehicle Market Statistics 2016/17 Statistics Market Vehicle European International Council on Clean Transportation Europe Neue Promenade 6 10178 Berlin +49 (30) 847129-102 [email protected] www.theicct.org ICCT Table of Contents 1 Introduction 2 2 Number of Vehicles 14 3 Fuel Consumption & CO2 26 4 Technologies 42 5 Key Technical Parameters 52 6 Other Emissions & On-road 68 Annex Remarks on Data Sources 72 List of Figures and Tables 74 References 78 Abbreviations 80 Tables 81 An electronic version of this Pocketbook including more detailed statistical data is available online: http://eupocketbook.theicct.org EUROPEAN VEHICLE MARKET STATISTICS 2016/17 1 INTRODUCTION Market share EU-28 Registrations (million) in 2015 (in %) Fig. 1-1 16 100 Passenger cars: 90 14 Registrations by Others The 2016/17 edition of European Vehicle Market SUV/ 80 vehicle segment Of-Road 12 Statistics ofers a statistical portrait of passenger car, Van Sport 70 light commercial and heavy-duty vehicle fleets in Luxury 10 Upper 60 the European Union (EU) from 2001 to 2015. Medium Medium As in previous editions, the emphasis is on vehicle 8 50 techno logies, fuel consumption, and emissions of Lower 40 greenhouse gases and other air pollutants. 6 Medium The following pages give a concise overview 30 4 of data in subsequent chapters and also summarize 20 Small the latest regulatory developments in the EU. 2 10 More comprehensive tables are included in the annex, Mini 0 0 along with information on sources. 01 10 07 02 03 04 05 06 09 008 2011 2012 2013 2014 2015 20 20 20 20 20 20 20 20 2 20 Number of vehicles Data source: ACEA; data until 2007 is for EU-25 only After declining for several years, new passenger car registrations in the EU increased to about 13.7 million in 2015.
    [Show full text]
  • Republic of Cyprus Ministry of Agriculture Rural
    REPUBLIC OF CYPRUS MINISTRY OF AGRICULTURE DEPARTMENT OF FISHERIES RURAL DEVELOPMENT AND MARINE RESEARCH AND ENVIRONMENT 1416 NICOSIA CYPRUS NATIONAL DATA COLLECTION PROGRAMME ANNUAL REPORT 2015 Prepared within the framework of Council Regulation (EC) No. 199/2008, Commission Regulation (EC) 665/2008 and Commission Decision 2010/93/EU Nicosia, May 2016 Table of Contents Section Section title Page no. I. General framework 1 II. National data collection organisation 2 II.A Nation al correspondent and participating institute s 2 II.B Regional and International coordination 4 II.B.1 Attendance of i nternational meetings 4 II.B.2 Follow -up of regional and i nternational recommendations 4 and agreements III. Module of the evaluation of the fishing sector 5 III.A General description of the fishing sector 5 III.B Economic variables 6 III.B.1 Achievements: Results and deviation from NP proposal 6 III.B.2 Data quality: Results and deviation from NP proposal 9 III.B.3 Actions to avoid deviations 9 III.C Metier -related variables 10 III.C.1 Achievements: Results and deviation from NP proposal 10 III.C.2 Data quality issues 12 III.C.3 Actions to avoid deviations 14 III.D Recreational fisheries 14 III.D.1 Achievements : Results and deviation from NP proposal 14 III.D.2 Data quality issues 15 III.D.3 Actions to avoid deviations 15 III.E Stock -related variables 15 III.E.1 Achievements: Results and deviation from NP proposal 15 III.E.2 Data quality issues 16 III.E. 3 Actions to avoid deviations 17 III.
    [Show full text]
  • Natural Gas in the Eastern Mediterranean: the Coal and Steel of the 21St Century?
    EMERGING LEADERS PERSPECTIVES Natural Gas in the Eastern Mediterranean: The Coal and Steel of the 21st Century? By Kevin Johnson, Alex Ross, Endy Zemenides June 2015 Executive summary play as important a role in the region as coal and steel played in powering European integration. US strategic Over the past decade, significant natural gas deposits interests will be advanced by such regional coopera- have been found in the Levant Basin of the eastern tion, and the United States can play a key role in (a) Mediterranean. A 2010 US Geological Survey estimat- advancing the commercial viability of eastern Medi- ed that the Levant Basin may contain undiscovered terranean gas fields, (b) securing the resources, and (c) oil resources of 1.7 billion barrels and undiscovered developing regional structures. natural gas resources of 122 trillion cubic feet. In the short term, already commercially viable gas fields in the Exclusive Economic Zones of Israel and Cyprus will transform the economies of those states and promote their energy independence. These resources could also bolster Egypt and Jordan, where energy shortages could threaten the regimes. In the medium and long term, the energy resources of the eastern Mediterra- nean could help reduce Europe’s energy dependence on Russia to a degree. Perhaps the most intriguing prospect these resources present is the development of a structure for regional cooperation that promotes peace in this volatile region. Energy cooperation has already become the basis of unprecedented relations between Israel and Cyprus, and also between Greece, Cyprus, and Egypt. There are several indications that it could significantly contribute to the reunification of Cyprus, a lessening of Israeli-Arab tensions, and to better Greco-Turkish and Israeli-Turkish relations.
    [Show full text]
  • Amsterdam Trade Bank Nv Annual Report 2015
    General Information AMSTERDAM TRADE BANK NV ANNUAL REPORT 2015 1 General Information GENERAL INFORMATION REPORT OF THE SUPERVISORY BOARD REPORT OF THE EXECUTIVE BOARD CORPORATE GOVERNANCE FINANCIAL STATEMENTS 2015 CONSOLIDATED FINANCIAL STATEMENTS 2015 Consolidated statement of financial position at 31 December 2015 Consolidated statement of income for 2015 Consolidated statement of changes in equity Consolidated statement of cash flows for 2015 NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS 2015 Summary of significant accounting principles and policies Risk management Notes to the consolidated statement of financial position Notes to the consolidated statement of income Appropriation of result COMPANY FINANCIAL STATEMENTS 2015 Company statement of financial position at 31 December 2015 Company statement of income for 2015 Notes to the company financial statements 2015 OTHER INFORMATION Subsequent events Independent auditor’s report Statutory regulation on Appropriation of result Glossary 2 General Information Profile and strategy Amsterdam Trade Bank NV (ATB) is an independent financial institution founded in 1994 that obtained its banking license in the same year. Since 2001 ATB forms part of the Alfa Group through its parent Alfa-Bank Russia, currently the largest private bank in the Russian Federation. ATB is a bank which specializes in financing international trade and associated assets. Typically it focuses on owner-managed companies which are active in the cross-border logistics and supply chains, with an emphasis on commodity traders and transport asset owners, including shipping companies. Given its ownership and history, ATB enjoys a natural competitive advantage when providing services for cross-border flows with the countries of the Commonwealth of Independent States, but ATB is active globally and the growing number of our clients are today located in Western Europe and other countries of the OECD.
    [Show full text]
  • Elections and Organised Crime
    Seventh Framework Programme for Research and Technological Development of the European Union EU Grant Agreement number: 290529 Project acronym: ANTICORRP Project title: Anti-Corruption Policies Revisited Work Package: WP9 Organized crime and impact on vulnerable groups Title of deliverable: D9.2 Policy papers with recommendations. Organised crime and Political Corruption: Salvatore Sberna and Alberto Vannucci Corruption and trafficking in women: Nadya Stoynova, Atanas Rusev, Maria Yordanova Due date of deliverable: 30 April, 2016 Actual submission date: 29 April, 2016 Organization name of lead beneficiary for this deliverable: Scuola Normale Superiore Project co-funded by the European Commission within the Seventh Framework Programme Dissemination Level PU Public X PP Restricted to other programme participants (including the Commission Services) RE Restricted to a group specified by the consortium (including the Commission Services) Co Confidential, only for members of the consortium (including the Commission Services) The information and views set out in this publication are those of the author(s) only and do not reflect any collective opinion of the ANTICORRP consortium, nor do they reflect the official opinion of the European Commission. Neither the European Commission nor any person acting on behalf of the European Commission is responsible for the use which might be made of the following information. Seventh Framework Programme for Research and Technological Development of the European Union EU Grant Agreement number: 290529 Project
    [Show full text]
  • Health Aspects of the Dutch Diet, Background Report To
    J.M.A. Boer | E.J.M. Buurma-Rethans | M. Hendriksen | H.J. van Kranen | I.E.J. Milder | M.C. Ocké | J. Verkaik-Kloosterman | J. van Raaij RIVM Report 2016-0197 Health aspects of the Dutch diet Background report to ‘What’s on our plate? Safe, healthy and sustainable diets in the Netherlands.’ Published by National Institute for Public Health and the Environment P.O. Box 1 | 3720 BA Bilthoven The Netherlands www.rivm.nl/en March 2017 009520 Committed to health and sustainability Health aspects of the Dutch diet Background report to ‘What is on our plate? Safe, healthy and sustainable diets in the Netherlands.’ RIVM Report 2016-0197 RIVM Report 2016-0197 Colophon © RIVM 2017 Parts of this publication may be reproduced, provided acknowledgement is given to: National Institute for Public Health and the Environment, along with the title and year of publication. J.M.A. Boer (author), RIVM E.J.M. Buurma-Rethans (author), RIVM M. Hendriksen (author), RIVM H.J. van Kranen (author), RIVM I.E.J. Milder (author), RIVM M.C. Ocké (author), RIVM J. Verkaik-Kloosterman (author), RIVM J. van Raaij (author), RIVM Contact: Jolanda Boer [email protected] This is a publication of: National Institute for Public Health and the Environment P.O. Box 1 | 3720 BA Bilthoven The Netherlands www.rivm.nl/en Page 2 of 157 RIVM Report 2016-0197 Synopsis Health aspects of the Dutch diet Background report to ‘What is on our plate? Safe, healthy and sustainable diets in the Netherlands.’ The health of the Dutch population can improve considerably if people adopt a healthier diet.
    [Show full text]
  • Unaccompanied Minors in the Netherlands: Legislation, Policy, and Care
    Social Work & Society ▪▪▪ E. Zijlstra, J. Rip, D. Beltman, C. van Os, E. J. Knorth & M. Kalverboer: Unaccompanied minors in the Netherlands: Legislation, policy, and care Unaccompanied minors in the Netherlands: Legislation, policy, and care Elianne Zijlstra, Study Centre on Children, Migration and Law, University of Groningen Jet Rip, Study Centre on Children, Migration and Law, University of Groningen Daan Beltman, Study Centre on Children, Migration and Law, University of Groningen Carla van Os, Study Centre on Children, Migration and Law, University of Groningen Erik J. Knorth, Special Needs Education and Youth Care, University of Groningen Margrite Kalverboer, Study Centre on Children, Migration and Law, University of Groningen 1 Introduction During the last few years, the Netherlands have seen a high influx of refugees entering the country, among them are UAM. In Dutch policy, an UAM is defined as a person “who was under 18 on arrival in the Netherlands, whose country of origin is outside the European Union, and who travelled to the Netherlands without a parent or other person exercising authority of the child” (Government 2016). In accordance with international academic studies, UAM in the Netherlands are vulnerable (Jakobsen/Demott/Heir 2014; Jensen/Fjermestad/ Granly/Wilhelmsen 2015; Vervliet/Meyer Demott/Jakobsen/Broekaert/Heir/Derluyn 2014). Some show severe emotional problems such as depression, anxiety, and post-traumatic stress (Bean/Eurelings-Bontekoe/Spinhoven 2007a; Bean/Derluyn/Eurelings-Bontekoe/Broekaert/ Spinhoven 2007b; Reijneveld/De Boer/Bean/Korfker 2005). For reasons of their vulnerability, special care and attention must be paid to protect the development of these children. In this contribution, we will give insight into the legal framework and the reception policies and practices concerning UAM in the Netherlands.
    [Show full text]
  • Annual Report 2015
    Annual Report 2015 Rabobank Group Annual Report 2015 Rabobank Group March 2015 www.rabobank.com/annualreports ReportAnnual 2015 Rabobank Group Annual Report 2015 Management report Overview of the strategy, developments and financial results of Rabobank Group, including the annual corporate social responsibility report. 6 Management report Corporate governance Retrospective on 2015 by the Supervisory Board. Explanation of the new governance structure of Rabobank. 152 Corporate governance Financial statements 2015 Rabobank The balance sheet and the profit and loss statement of Rabobank, with notes. 170 298 Financial statements Consolidated financial Pillar 3 report statements 2015 An overview of the risk Rabobank Group management and the capital adequacy of Rabobank. The balance sheet and the profit and loss statement for Pillar 3 Rabobank Group, with notes. Consolidated financial statements Glossary of terms 403 252 Colophon 407 1 16 maart 2016 - 11:01 Contents Management report Corporate governance Consolidated financial statements Financial statements Pillar 3 Chairman’s foreword In 2015, Rabobank, as a cooperative bank, took a number of steps that are crucial for a sound future for the bank and for our members and customers. We simplified our cooperative structure, making it more effective, and we established the road map to become the most customer-focused bank in the Netherlands as well as a leading global food and agri bank. A thorough decision-making procedure had to be completed first, in which all of the parties involved in our cooperative were consulted. The result was unanimous support for the chosen course. Rabobank is proud of this support. It gives us the confidence that we will achieve our goals for our members and customers.
    [Show full text]
  • Bio-Based and Biodegradable Plastics – Facts and Figures Focus on Food Packaging in the Netherlands
    Bio-based and biodegradable plastics – Facts and Figures Focus on food packaging in the Netherlands Martien van den Oever, Karin Molenveld, Maarten van der Zee, Harriëtte Bos Rapport nr. 1722 Bio-based and biodegradable plastics - Facts and Figures Focus on food packaging in the Netherlands Martien van den Oever, Karin Molenveld, Maarten van der Zee, Harriëtte Bos Report 1722 Colophon Title Bio-based and biodegradable plastics - Facts and Figures Author(s) Martien van den Oever, Karin Molenveld, Maarten van der Zee, Harriëtte Bos Number Wageningen Food & Biobased Research number 1722 ISBN-number 978-94-6343-121-7 DOI http://dx.doi.org/10.18174/408350 Date of publication April 2017 Version Final Confidentiality No/yes+date of expiration OPD code OPD code Approved by Christiaan Bolck Review Intern Name reviewer Christaan Bolck Sponsor RVO.nl + Dutch Ministry of Economic Affairs Client RVO.nl + Dutch Ministry of Economic Affairs Wageningen Food & Biobased Research P.O. Box 17 NL-6700 AA Wageningen Tel: +31 (0)317 480 084 E-mail: [email protected] Internet: www.wur.nl/foodandbiobased-research © Wageningen Food & Biobased Research, institute within the legal entity Stichting Wageningen Research All rights reserved. No part of this publication may be reproduced, stored in a retrieval system of any nature, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior permission of the publisher. The publisher does not accept any liability for inaccuracies in this report. 2 © Wageningen Food & Biobased Research, institute within the legal entity Stichting Wageningen Research Preface For over 25 years Wageningen Food & Biobased Research (WFBR) is involved in research and development of bio-based materials and products.
    [Show full text]
  • Treatment Outcomes of Drug-Resistant Tuberculosis in the Netherlands, 2005–2015 Ivan S
    Pradipta et al. Antimicrobial Resistance and Infection Control (2019) 8:115 https://doi.org/10.1186/s13756-019-0561-z RESEARCH Open Access Treatment outcomes of drug-resistant tuberculosis in the Netherlands, 2005–2015 Ivan S. Pradipta1,2,3* , Natasha van’t Boveneind-Vrubleuskaya4,5, Onno W. Akkerman6,7, Jan-Willem C. Alffenaar4,8,9 and Eelko Hak1 Abstract Background: Since in low incidence TB countries population migration and complex treatment of drug-resistant tuberculosis (DR-TB) patients are major issues, we aimed to analyse patient risk factors associated with the incidence of poor outcome of TB treatment among DR-TB patients in the Netherlands. Methods: This retrospective cohort study included adult patients with confirmed DR-TB treated from 2005 to 2015. We obtained data from a nationwide exhaustive registry of tuberculosis patients in the Netherlands. Predictors for unsuccessful TB treatment (defaulted and failed treatment) and TB-associated mortality were analysed using multivariate logistic regression. Results: Among 10,303 registered TB patients, 545 patients with DR-TB were analysed. Six types of DR-TB were identified from the included patients, i.e. isoniazid mono- or poly-resistance (68%); rifampicin mono- or poly-resistance (3.1%); pyrazinamide mono-resistance (8.3%); ethambutol mono-resistance (0.1%); multidrug-resistance (18.9%); and extensively drug-resistance (0.7%). The majority of patients were foreign-born (86%) and newly diagnosed TB (89%) patients. The cumulative incidence of unsuccessful treatment and mortality were 5 and 1%, respectively. Among all DR-TB cases, patients with Multi Drug-Resistant Tuberculosis (MDR-TB) (OR 4.43; 95%CI 1.70–11.60) were more likely to have unsuccessful treatment, while miliary and central nervous system TB (OR 15.60; 95%CI 2.18–111.52) may also be predictors for TB mortality.
    [Show full text]