MEAMA meeting - first session

Discussion
The problems the societies will meet in the Middle-East area, regarding the increasing number of older people and their health related problems have been recognized. In some countries initiatives have been undertaken to develop services in the community. Comparing the situation in the Middle-East area with the European Union large differences were shown. Although it was suggested to start national societies and to harmonize the developments between countries, it has also been advised not to copy the European Union structure, but just to use knowledge and experiences from the European Union to build up a system adapted to the regional needs and cultural habits. It was a pleasure to feel the engagement of the participants to combine  their experiences with the problems in their patients, with the wish to build up a sufficient structure at the national and international level. The discussions started during this first session and the MEAMA seems to be an excellent forum for the exchange of ideas and knowledge between countries to stimulate the developments for services, education and training.

An important problem for both the Middle-East area and the European Union is the shortage of well trained professors, teachers and scientists for the field of health care for older people for both  physicians and nurses 5. A problem that can only be solved by the selection of promising young persons to be educated and trained for teaching and research positions.

The evaluation of the session by the participants was excellent, with correct critical and constructive remarks. After this discussion the topics for the next sessions were changed. The next session  in April 1-4, 2004, will be focused on ‘Care  for older patients: who should be referred to hospital?’ and ‘Which facilities needs a hospital to meet the problems of older patients?’ and  ‘Common problems in older patients?’. For the third session in October 7-10, 2004, the subject is ‘Care for older patients: quality of life, services and education; guidelines and how to improve quality?’

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Table 1. Life expectancy at birth for 2001 in Middle-East countries
 Egypt  68.3   years
 Iran, Islamic Republic of  69.8   years
 Jordan  70.6   years
 Syrian Arabic Republic  71.5   years
 Qatar  71.8   years
 Saudi Arabia  71.9   years
 Oman  72.2   years
 Libyan Arab Jamahirya  72.4   years
 Lebanon  73.3   years
 United Arabic Emirates  74.4   years
 Bahrain  73.7   years
 Kuwait  76.3   years

Source: Human Development Report 2003 3 .

Table 2. Life expectancy in different parts of the world  with a
‘high human development’

  Portugal  75.9   years
  United Kingdom  77.9   years
  Spain  79.1   years
  Sweden  79.9   years
  United States of America  76.9   years
  Australia  79.0   years
  Canada  79.2   years
  Japan  81.3   years

Source: Human Development Report 2003 3 .