The United States is faced with profound challenges associated with dramatic increases in the numbers of people living to an advanced old age.

This 21st Century phenomenon, shared by many nations, can be attributed to advances in science, technology and medicine leading to reductions in infant and maternal mortality, infectious and parasitic diseases, occupation safety measures, and improvements in nutrition and education.

Rapidly expanding numbers of very old people represent a social phenomenon without historical precedent. Today, the number of persons aged 60 years or older is estimated to be 605 million. That number is projected to grow to almost 2 billion by 2050, when the population of older persons will be larger than the population of children (0-14 years) for the first time in human history.

Fifty-four percent, the largest share of the world's older persons, live in Asia. Europe has the next largest share, with 24 percent. [Sources: An Aging World 2001, U.S. Department of Commerce, UN Department of Public Information, DP/2264, March 2002.]

Population aging will affect every man, woman and child anywhere in the world. The steady increase of older age groups will have a direct bearing on relationships within families, equity across generations, lifestyles, and the family solidarity that is the foundation of society.

[Source: UN Department of Public Information, DP/2264, March 2002.]

U.S. Administration on Aging International Activities
As the federal focal point for older Americans and their caregivers, the Administration on Aging (AoA) plays a vital role in information exchange with other nations concerning aging issues. The AoA participates in a number of collaborative efforts with foreign governments and with international organization, such as the United Nations, to enhance aging programs and policies worldwide.

We respond to requests for information from international organizations, foreign governments, and non-profit agencies. We host international scholars, officials and practitioners who come to the United States to learn firsthand about America's response to population aging.

People's Republic of China Agreement
The AoA and the China National Committee on Ageing of the People's Republic of China have agreed to share information and to develop collaborative activities.

The U.S.-Mexico Binational Commission
The AoA is especially committed to working with neighboring countries. In 1996, a Health Working Group was established under the auspices of the U.S.-Mexico Binational Commission, which promotes exchanges at the Cabinet level on a wide range of issues critical to U.S.-Mexico relations.

The Aging Core Group, led in the U.S. by the Assistant Secretary for Aging, is one of six areas of collaboration between the U.S. Department of Health and Human Services and the Mexican Ministry of Health.

Ongoing exchanges of information, and shared training and technical assistance will help both countries to better address the special health needs of older people. Specific areas of collaboration include:

•	Models of care for the elderly;
•	Nutrition and the elderly; and
•	Prevention and control of chronic disease in the elderly

Implementation of The International Plan of Action on Ageing
On April 12, 2002, the World Assembly on Ageing adopted the International Plan of Action on Ageing 2002 (the "Plan"). This Plan seeks to ensure that people everywhere will age with security and dignity, and continue to participate in their societies as citizens with full rights.

The top priorities include involving older persons in the development process; advancing health and well being into old age; and ensuring supportive environments that enable older persons to have choices.

Core themes included the recognition of the needs of older women; the desire of older people to stay active and engaged; and the need to create intergenerational solidarity. These themes demonstrate how the international community shares a common vision of a better future for older persons.

Leading the U.S. delegation, the Assistant Secretary for Aging, Josefina G. Carbonell, affirmed the U.S. commitment to the these themes. The AoA, working in concert with other nations, will play a key role in implementing the Plan.

International Aging Contact
Marla Bush
International Coordinator
Phone: (202) 357-3508
Fax: (202) 357-3560
E-mail: marla.bush@aoa.gov

U.S. Administration on Aging
Department of Health and Human Services
Washington, DC 20201

For More Information
Working in close partnership with its sister agencies in the U.S. Department of Health and Human Services, the AoA is the official Federal agency dedicated to policy development, planning and the delivery of supportive home and community-based services to older persons and their caregivers. The AoA works through the national aging network of 56 State Units on Aging, 655 Area Agencies on Aging, 236 Tribal and Native organizations representing 300 American Indian and Alaska Native Tribal organizations, and two organizations serving Native Hawaiians, plus thousands of service providers, adult care centers, caregivers, and volunteers. For more information about the AoA, please contact:

U.S. Administration on Aging
Department of Health and Human Services
Washington, DC 20201
Phone: (202) 619-0724
Fax: (202) 357-3560
E-mail: aoainfo@aoa.gov
Website: http://www.aoa.gov