Highlights of this issue include a reading list on "Older Adults & Health Issues Related to Season or Climate", updates from Age-Friendly Communities Ontario Outreach Initiative, Baycrest, Brainxchange, Bruyère Research Institute, Ontario Neurotrauma Foundation and Senior Friendly Care. Information about CABHI, Ontario Sport and Recreation Communities Fund and the Health and Well-Being Grant funding opportunities as well as a listing of upcoming events are included. Sign up to receive Linkages directly here.

Thursday, January 11th from 12-1pm, Dr. Andrea Iaboni will list dementia-related falls risk factors, describe evidence-based falls prevention approaches in the advanced stage of dementia and an approach to person-centred falls management and palliative care in advanced dementia. This presentation will be available via webcast at http://webcast.otn.ca.

This study involved exploring the use of a simple tool to elicit older adults’ health come priorities to help the decision making process regarding different treatment options.

The authors undertook a population-based retrospective study set in Ontario in an attempt estimate the attributable costs of multimorbidity and assess whether the association between the level of multimorbidity and health system costs varies by socio-demographic factors in young (<65 years) and older (≥65 years) adults. They found that there was a positive association between health care costs and levels of multimorbidity that was significantly stronger for older than younger adults.

The authors worked with a defined set of 32 chronic conditions drawn from a large household survey to find that the prevalence rates for almost half of the conditions increase with age and that those age patterns are strong. If the rates for each age group remained constant they projected that the rates for almost all conditions that are associated mostly with old age would rise by more than 25 percent.

This SEDAP (Social and Economic Dimensions of an Aging Population) research paper discusses the importance of health status transitions and future disability levels for the management of an elderly society. The report presents estimates for Canada’s elderly in poor health for those aged 75 and over. 

This reading list provides links to and summaries of a variety of open source resources on health issues related to season or climate. Resources on depression, insomnia, dry skin, environmental pollution, climate change, temperature and influenza are included. 3 pages. 

This investigation sought to quantify the temporal association between population increases in seasonal influenza infections and mortality due to cardiovascular causes as well as to determine if influenza incidence indicators are predictive or cardiovascular mortality during influenza season. The researchers found that emergency department visits for adults over age 65 for influenza-like illness were associated with and predictive of cardiovascular disease mortality.

This Advisory Committee Statement includes findings from a large randomized controlled trail of people 65 and over who received a high dose vaccine compared to the standard dose vaccine. Those on the higher dose had a relatively higher serologic response and reduced influenza illness compared to those who had the standard dose but also had a higher rate of post-injection local adverse events.

The authors of this cross-sectional observational study attempted to evaluate the influence on statin therapy on the immune response to vaccination in elderly individuals. Their findings suggest that chronic synthetic statin therapy may have an immunosuppressive effect on the vaccine immune response.

Pages