| DiscussionThe 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 . |