Healthy Ageing In the Changing World 201 2
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L HEALTHY AGEING IN THE
" 'f CHANGING WORLD
2012
J.N. Tata Auditorium, Indian Institute Of Sciences
Bengaluru, Karnataka, India
On
29 September 2012
RECpMM^OQK
SOCHARA
Community Health
Library and Information Centre (CLIC)
Community Health Cell
85/2, 1st Main, Maruthi Nagar,
Madiwala, Bengaluru - 560 068.
Tel: 080-25531518
email: clic@sochara.org I chc@sochara.org
www.sochara.org
Hold their hand just like they did on<
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The International Conference Healthy Ageing In the Changing World 201 2
The International Conference on Healthy Ageing in the Changing World 2012 was conducted by Biogenesis and
Federation of Asian Biotech Associations (FABA) with the singular objective of spreading awareness on ageing
population intheworld.
The avenue of the Conference was at Indian Institute of Science Bangalore, which is a premierscience institute in
India. The city of Bangalore where the conference was held is a very cosmopolitan place with a wide cross
section of population who are knowledgeable and educated.
The Conference has received overwhelming positive response from the media as well as the multitude of people
who attended the conference. In short, the conference was a resounding success and new milestones were
created in field of Geriatrics.
The organizers, Biogenesis and FABA, are proud to mention that more than 300 professionals took time- off their
busy schedule to attendedthis brain storming conference. The attendees included scientists and physicians in
the fields of Geriatrics, legal professionals, researchers, social activists, and health professionals who are
interested in or involved in the management of older population.
The conference began with a speech by Dr. V. P. Rao, Convenor of the Conference, who appreciating the
increasing interest on Geriatrics among medical professional, said "We are excited and honoured to welcome
colleagues to the annual Biogenesis and FABA meetings." Stressing on the importance of this conference, Dr. Rao
added, "This meeting provided the perfect opportunity to discuss and debate the existing and evolving ideas in
optimising performance and tailoring plans in geriatrics." The event brought together internationally renowned
professionals who shared their experiences and discussed treatment plans.
It has paved way to allow national representatives to gather and present a coordinated plan with the aim to
progress the "10 priorities" for the development of geriatrics worldwide.
The programme made possible an exchange of insights from healthcare providers, charity groups, and allied
professionals who have been crucial in bringing geriatrics from the textbook to clinical practice.
The two agencies that have envisaged this epic conference and propelled the awareness regarding old age are
Biogenesis and FABA.
I About Biogenesis - The Euro Indian Health Cluster
Biogenesis - The Euro Indian Health Cluster is a non-profitorganization set up to integrate the Health care
Community in the India and link it to the world Bio-Cluster for mutually beneficial associations.
Simply put, our goal is to make a "Healthy World". We wish to take Indian Bio industry to the world and aid them in
developing healthy solutions beneficial for the world as a whole.
Aims:
The aims of Biogenesis to precisely put are the following:
• To integrate and develop synergies between industries, laboratories and training facilities as well as to set up a
network between interested organizations and develop partnership projects.
• To develop new innovations in the health service.
* To accompany the development of business and increase employment opportunities nationally.
Objectives:
To reach the aims, Biogenesis is accomplishing the following objectives:
• Promoting drug development, regenerative medical techniques, advanced analytical equipment, manufacture
biotechnologies (e.g. Bioprocess environment biotechnology and food biotechnology) with help of the
universities, research institutes and related businesses in Hyderabad, India, thereby forming a strong Indian bio
cluster comparable to the world's renowned bioclusters
• Pursuing international R&D collaborations for development of competitive technology-based products.
• Create exceptional synergies by collaborating with European Bio cluster and other world Bio cluster for exchange
of knowledge, resources, finances etc.
Create better healthcare solutions and bringing the world healthcare industry together to develop better health
solutions to the world.
I About Federation of Asian Biotech Associations
The Federation of Asian Biotech Associations (FABA) is a non-profit registered society engaged in various activities
related to promoting Biotechnology in Asian countries.
FABA, with its humble beginning in 2004, has achieved a significant landmark in creating a common platform for
interaction among twenty member countries and discuss the issues of common interest for improving the biotech
space including Technology Transfer, resource sharing, business collaborations, Industry-Academia linkage, cross
border trade and investments, etc. among its member countries.
Aims:
The aims of FABA precisely put are the following:
• To promote and safeguard the overall interests of Biotechnology as a science, profession, industry or trade by
coordinating with research professionals, entrepreneurs, industries and academic institutions.
• To promote collaboration between academia and industries engaged in biotechnology among the member
countries.
• To promote the development of Biotechnology and establish just and equitable principles of participation and
practice amongthe membercountries.
• To act as a facilitator between industry and Governments to encourage investors in the field of biotechnology and
other related activities.
Objectives:
To reach the aims, FABA is accomplishing the following objectives:
• Cooperate with other federations /associations,
objectives.
institutions/groups and bodies having similar aims and
Collecting and obtaining all information on matters affecting the members.
• Making representations to the various authorities and appearing before any authority in the interest of,
protection and betterment of the constituent members for carrying on any activities relating to Biotechnology.
• Publishing and disseminating the periodical growth and developments to members and others.
• Granting awards to persons and institutions for outstanding contributions in the furtherance of the aims of t!
society.
Caring tor Aging ...
I About Healthy Ageing in the Changing World 201 2
The conference was set up to understand and spread awareness regarding old age and the problems faced by
elderly population.
Twenty-first century is often called the age of ageing. Since 1950, the proportion of the world's population aged 60
and over has changed from one in thirteen to one in ten, with some developing countries. Marked differences
exist between regions. In Europe one of five is aged 60 and over as compared to one of twenty in Africa. According
to the United Nations Population Division, one in every ten persons is now aged 60 and over. It is projected that
by the year 2050 this figure will be one of five and by 2150, it will be one out of three.
The older population itself is ageing. Currently, octogenarians (people over 80 years of age) constitute 11 percent
of the world's older population. By 2050,27 percent of the older population will be over 80 years and over.
The demographic trends, which every country is going through is having significant social, economic and political
impact on society and on its institutions such as the family, the labour force, social and health services etc. The
impact of the world's ageing population growth on the socio-economic policies and the culture of societies is
already presenting difficulties for governments of the respective countries.
Ageing population is a global phenomenon that is both inevitable and predictable. It will change society at many
levels and in complex ways, creating both challenges and opportunities. Older people already make a significant
contribution to society, whether it is through the formal workforce, through informal work and volunteering or
within the family.
We can foster this contribution by helping them maintain good health and by breaking down the many barriers
that preventtheir on-going participation in society. Many older people will face health problems and challenges to
their ability to remain independent. We need to address these too, and do it in a way that is affordable and
sustainable to families and society.
Fostering good health in older age is central to the global response to population ageing. Good health must lie at
the core of any successful response to ageing. If we can ensure that people are living healthier as well as longer
lives, the opportunities will be greater and the costs to society less. This great demographic challenge of the first
half of the 21s'century therefore demands a public health response.
The conference discussed ageing and its issues in detail. These are the issues discussed in the conference:
• Normal ageing processes and the ageing body
• Preventative strategies and how best to promote active ageing
• How to prevent or cope with the onset of 'diseases of older age'
• Understanding the best possible method to address the care and support needs of increasing section of elderly
patients, who are also facing financial problemsand constantly need medical care.
• Understanding the socio-economic as well as legal aspects of aging.
The conference also discussed about the contribution of Biotechnology to the Gerontology. Biotechnology i
revolutionizing the ageing experience by offering earlier diagnoses, new treatments such as regenerative
genetic interventions and ultimately disease prevention.
-■ ****’
Knowing and feeling the pain of old age...
I Focus
The conference focused on the following:
Understanding Geriatrics
The area of Geriatrics has not been greatly explored. Before, researching into the issues and solution in Geriatrics,
the conference focuses to understand the subject of Geriatrics, which is to:
. Explore best practices for geriatric syndromes across clinical, hospital and nursing
facilities.
• Improve provider knowledge of geriatric care so elders experience better treatment and
care
. Improve care and outcomes in the frailest elders through evaluation and treatment of falls, dementia, and
indwelling urinary catheter-related infections
. Review acute care for the hospitalized elder
• Understand better the Geriatric Care Management
• Review Research
Research on Geriatrics, though not considerable, have to be understood and reviewed to resolve the issues in the
area. The conference focued on reviewing existing knowledge on geriatrics that:
• Highlightthe latest developments in the area of Geriatrics.
• Share their most up-to-date scientific findings in elderly diseases, exchange for the cutting-edge clinic and
therapy-oriented technologies, and propose outstanding ideas for improving life quality and health of the elderly.
•Analyse Better Medical Practices
Geriatric medical practices are varied in various countries and among various elders. Every medical practice,
however new or old, was scrutinized in the conference to:
• Understand new assessment strategies, and treatment options for geriatric medical conditions
The conference also analysed and found the following issues plaguing the ageing society:
• Medical Issues
One of the most prominent and obvious problems of old age is medical issues.. The problems include anaemic.,
accidents, skin problems and other minor ailments. It is seen that most of the respondents had more than <
health problem. Osteoarthritis and diabetes were found to be more common among females while other he
problems were almost similar among both the genders.
The elderly population is grappling with various diseases, but there is no sufficient care or geriatric doctors
available totreatthem
’Ethical & Legal Issues:
Geriatrics is not just a medical or a social issue, but there are several ethical and legal complications that plague
this issue, which need to be addressed.
Social Issues:
The conference tried to delve on the social aspect of ageing that afflicts the society. Growing old means the
deterioration of physical and mental mechanisms that are necessary for effective performance in society. Ina
society such as ours, old age is viewed as a handicap.
Being openly rejected by the majority, family included, seems to place an unfair and unnecessary burden on the
elderly who have held important positions and made outstanding contributions to the development and welfare
of this country.
The elderly in this society constitute the group that is most vulnerable; however, the least concern is evidenced
by policymakers, health care delivery personnel, researchers, and their own families.
Although efforts have been made to update the healthcare status of the elderly, studying and understanding the
social and psychological problems of aging has virtually been ignored.
Economic Issues:
As per the National Policy on Aging (1999), one-third of the elderly population (1993-94) is below the poverty line
and about one-third are above it, but belonging to lower incomegroup.
Because most old people are no longer in the labour force, some form of income maintenance is necessary.
Industrial societies are characterized by systems of pensions and benefits, which currently is increased
automatically as the cost of living rises, thus reducing somewhat the impact of inflation. The income of retired
people is about half that of working people and they have to live within their means and cannot afford expensive
medical care.
Insurance also does not covertheir medical expenses because most elderly have
pre-existing condition and the insurance companies do not cover pre-existing condition. Those older people
whose insurance has expired cannot renew them due to the aforementioned issues, leaving old people most
vulnerable.
I Other issues are:
Inadequate Health Care Systems:
In the current health systems, particularly in low-and middle-income countries, are poorly designed to meet the
chronic care needs that arise from this complex burden of disease.
For example, while ischemic heart disease and stroke are the biggest causes of years of life lost, and high blood
pressure is a key treatable risk factor of these diseases, only between 4 and 14% of older people in a recent large
study in low and middle-income countries were receiving effective anti-hypertensive treatment.
Instead of treating younger populations with single curative interventions, health systems will need to adapt to
ensure high quality, safe care, beyond the hospital setting, for older populations who often have several chronic
diseasesand disabilities.
• Aging Interrelated with other Global Trends:
Ageing is interrelated with other major global trends such as urbanization, technological change and globalization.
Just as migration and urbanization are changing social structures and relationships, longer life expectancy will
influence the way people live and plan their lives. Approaches based on 20th century social models are unlikely to
be effective in this rapidly changing environment.
• Increasing longevity :
With increased medical care and newer medicines, people are living longer. With people living 10 or 20 years
longer, a range of life options that would only rarely have been achievable in the past become possible.
This may even lead us to rethink the way we view "old" itself. Earlier, the age span of humans was 65-70 years, now
it has increased to 80-85. More number of people come under the senior citizen bracket now.
SPEAKERS
Dr. Satish Chandra
Prof, of Neurology,
Director & Vice Chancellor,
NIMHANS, Bengaluru
Dr. C.N.Manjunath,
Professor,
Head of Cardiology & Director,
Sri Jayadeva Institute of
Cardiovascular Sciences & Research,
Bengaluru
Dr. Vivek Jawali
Director & Chief Cardiovascular
& Thoracic Surgeon,
Fortis Hospitals,
Bengaluru
Prof Gopinath,
Prof of Oncology & Ageing
Surgical Oncologist,
HCG Bangalore Institute of Oncology
Speciality Centre, Bengaluru
Dr. Sridharan Ramaratanam
Neurologist, Apollo Hospitals
Chennai
Dr. LSridhar
Associate Professor of Cardiology,
Sri Jayadeva Institute of Cardiovascular
Sciencesand Research,Bengaluru
Dr. C. Channa Reddy
Scientist, USA & Director Emeritus,
The Huck Institutes for Life
Sciences & Distinguished
Professor Emeritus The Pennysylvania
State University, USA
Dr. Pruthvesh, Prof. & Head,
Community Medicine,
MS Ramaiah Institute
of Medical Sciences,
Bengaluru
Justice S R Naik
Chairman,
Human Rights Commission,
New Delhi
Mr. Sripad
Legal Expert and Financial Analyst
Mysore
Shri.Subramanhya Jois
Senior Advocate,
High Court of Karnataka
Dr. Anoop Amarnath,
Director & Consultant
Geriatric Medicine,
Apollo Hospitals,
Bengaluru
Prof. Sundari,
Prof of Gynecology & Ageing,
MS Ramaiah Institute
of Medical Sciences
Bengaluru
Prof. Kukharchuk
Dr. Srinivasa K Rao
Scientist, Russia &
Scientist (USA)
Research Director of EmProCell
& Director Indian
Clinical Research Pvt. Ltd.,
Institute Of Biotechnology (IIBT)
visit-professor MGM
Vishakapatnam
University of Health Sciences, Mumbai
Dr. Medha Rao,
Prof of Medicine,
MS Ramaiah Institute of Medical
Sciences, Bengaluru
Dr. Mandapal
Director
Radiology Services,
CARE Hospitals
Dr. Anil Sangli
General Surgeon and Neurologist,
Vikram Hospital, Bengaluru
Bengaluru
PROGRAM
Chief Guest: Shri. M.N.Venkatachalaiah, Former Chief Justice
of India
" Can ageing be preventable?"
Dr. Satish Chandra, Prof, of Neurology, Director & Vice
Biotechnology & Healthy Ageing
Speaker: Dr. Srinivasa K Rao, Scientist, USA
The Role of Oxygen Radicals in Age related Chronic Diseases:
Beneficial Effects of Dietary Antioxidant Supplements
Speaker : Dr. C. Channa Reddy, Scientist, USA
Chancellor, National Institute of Mental Health and
Neurosciences, Bengaluru
Emerging Medical Problems in elderly population
Legal, Ethics & Social Justice in Care of Geriatric Patients
Speaker: Mr. Subramahnya Jois, Senior Advocate, High Court of
Karnataka
Speaker: Dr. C.N.Manjunath, Sri Jayadeva Institute of
Cardiology, Bengaluru
Governance & Policies for Elderly in India
Speaker : Justice S R Naik, Chairman - Human Rights
Commission, New Delhi
Management of Coronary Artery Diseases in Geriatric
Population
Speaker: Dr. Vivek Jawali, Fortis Hospitals, Bengaluru
Kidney Disease in Elderly Indians
Magnitude of the problems of the aged and their special needs.
Speaker: Dr. Pruthvesh, MS Ramaiah Medical Sciences,
Bengaluru
Speaker: Dr. Anoop Amarnath, Apollo Hospitals, Bengaluru
Financial Planning in the Geriatric Age Group
Speaker: Mr. Sripad, Legal Expert & Financial Analyst, Mysore
The comprehensive Diagnosis & treatments for all female
Rehabilitation of Geriatrics & Music Therapy
Speaker: Dr. Anil Sangli, Vikram Hospital, Bengaluru
cancers and other health issues
Speaker: Prof. Sundari, M.S.Ramaiah Institute of Medical
Sciences, Bengaluru
Oncology & Geriatrics
Speaker: Prof. Gopinath, HCG Bangalore Institute of
Oncology Speciality Centre, Bengaluru
Dementia - Medical & Social Aspects
Speaker: Dr. Sridharan Ramaratanam, Apollo Hospitals,
Chennai
Cardiovascular Diseases in Geriatric Population
Speaker : Dr. L.Sridhar, Sri Jayadeva Institute of
Cardiovascular
Sciences and Research, Bengaluru
Induction of Central Immunological Tolerance by Stem Cells Basics of Anti Ageing Therapy
Speaker: Prof. Kukharchuk, Scientist, Russia
PANEL DISCUSSION
Panel Discussion on Government Policies on Geriatrics
Healthcare
Moderator: Dr. Satish Kakade, BGS Global Hospitals, Bengaluru
Panelist:
Dr. Pruthvesh, MS Ramaiah Medical Sciences, Bengaluru
Dr. Mandapal, CARE Hospitals, Hyderabad
Summing up & Concluding Remarks
Speaker - Dr. Medha Rao, MS Ramaiah Medical Sciences,
Bengaluru
RECOMMENDATIONS
With these issues plaguing the elderly, the conference came to the conclusion that there is no simple "magic
bullet" solution to the challenges of population ageing, but there are concrete actions that governments and
societies can take.
The conference brain-stormed on these actions and propounds the following recommendations:
Adopt a Suitable Business Model
• Successful models could vary from establishing exclusive geriatric centres to upgrading the existing facility, as
listed below.
• Specialized geriatric care hospitals - catering to all specific medical needs of the elderly.
• Extended geriatric care centres within the existing facility.
• Integrated geriatric care centres within the existing facility.
• Satellite centres attached to the speciality hospitals.
Tie up with the Public sector.
Insurance Companies and NGOs
02
More than 65% of India's old live in rural areas and are illiterate and economically dependent, which makes them the
most vulnerable. About 36 million people in India fall below the poverty line each year as a result of healthcare costs.
The influence of cost constraints on decisions to seek or continue treatment is high among the aged. Any attempt to
improve the quality of geriatric healthcare in India must address these financial barriers to access.
This can be achieved through public private partnership models and increasing the penetration of health insurance
from the current level of 20%. To effectively reach out to the local community, the geriatric centres would gain by
tying up with organisations / NGOs active in geriatric care.
Senior citizens are required to undergo a battery of processes to renew an expired medical insurance, leaving them
with no insurance as they cannot spend time on bureaucratic processes. They find it difficult and abandon the i ea
of having insurance, leaving them vulnerable to disease and other medical complications.
Every adult over 60 will necessarily have some sort of pre-existing conditions and to base their medical
insurance on these pre-existingconditions will only deteriorate the situation of the elderly population.
The idea of pre-existing condition for people over 60 should be eliminated or changed. Many insurance
companies are promoting the idea of medical insurance for the elderly and the government needs to support
and encouragethis idea.
03
Promoting Good Health and
Healthy Behaviours
Being physically active, eating a healthy diet, avoiding the harmful use of alcohol and not smoking or using
tobacco productscan all reduce the risk of chronic disease in older age.
These behaviours need to start in early life and continue into older age.
While we can reduce the risk of chronic disease through a healthy lifestyle, many people will still develop health
problems in older age. We need to detect metabolic changes such a as high blood pressure, high blood sugar and
high cholesterol early and manage them effectively.
But we also need to address the needs of people who already have chronic disease, palliative care for those who
can no longer look after themselves and ensure that everyone can live and die with dignity.
05
Creating Physical and Social
Environments for Older People
Social determinants not only influence the health behaviours of people across the life course, they are also an
important factor in whether older people can continue to participate, it is therefore important to create physical
and social environment that are "age-friendly" and foster the healthy and participation of older people.
Make Geriatric Care a Bigger
Part of Medical Training
06
The shift in the specific healthcare needs of an older population will require adjustments. One key challenge for
policymakers and health providers will be a shake-up of medical training. Quite, simply, not enough talent will
gravitate towards geriatric care until the field is given the attention it warrants.
07
Reconsider Care Options
Given the rising demand for social care services from an ageing population,governments are increasingly keen to
share their responsibility for meeting this need. Even in the UK where health care is overwhelmingly state-funded,
the private sector is now the main provider of nursing home beds.
Once out of fashion, home-based care is coming back into vogue, as governments grapple with the costs and
managements challenges of aged care and because older individuals, ever more likely to exercise their consumer
power, prefer to live at home.In a survey conducted in early 2009 by the economist intelligence unit, care in the
home was selected by medical professionals as the second most important area for health care investment, after
hospitals and clinics.
To be successful, the geriatric care centres need to provide complete and holistic care from diagnostic services,
screening, curative services, rehabilitation and palliative care in the form of old age homes for assisted living to
home-based care. The services need to cover the entire gamut of needs of the elderly:
• Maintenance of Respite Care Homes and Continuous Care Homes
• Running of Day Care Centres
• Physiotherapy Clinics for older persons
• Helplines and Counselling Centres for older persons
• Continuous training for the caregivers and family focused on elderly care
• Awareness Generation Programmes for Older Persons and Care Givers
• Mobile Medicare units to enhance accessibility
• Formation of Senior Citizens Associations etc. associated support systems.
Make Treatment more Appropriate
to Older Populations
08
Just one of the problems facing policymakers and healthcare professionals is widespread ignorance about
responsiveness to and tolerance for new drug treatments in a population of over 65, let alone one of over 80s.
Clinical trials for new drugs rarely address populations of over 75s. More importantly, there has been little
attempt to encourage post-market studies of existing drugs in elderly populations. Rising pressures will compel
policymakers to insist on more research.
As the elderly become the biggest demographic, new opportunities will emerge for pharmaceutical and related
companies.
Beyond this, a greater understanding of the needs of the elderly is also required. Older bodies are different-they
have different conditions and they metabolise differently to younger people. And they simple get frailer as they
age.
Some of this is well known, but even in the medical community there is a lack of awareness about the
seriousness of falls, or the high suicide rate, among the elderly.
09
Use Technology to Deliver Key
Skills Remotely
Technology will play an increasingly active role in providing care to ageing populations. At a basic level, it can be
applied to support medical professionals by relieving them of routine, mundane tasks. In Japan, "robot nurses"
already provide assistance in the form of cleaning, assisting patients from wheelchairs and onto beds, for
example.
More broadly, the wider adoption of tele-medicine and remote monitoring systems will likely assist in the making
home-based care more feasible and safe. This enables medicals professionals to provide advice remotely, and
by mentoring patients' vital signs it gives nurses time to focus on more important tasks. There are also knock-on
benefits for developing countries.
But technology alone is not the whole answer. Pilot trials have been relatively small, partly because the
infrastructure required to support larger trials does not exist in many places. Nor is there yet appropriate
support for full-scale tele-medicine. There are also ethical concerns to consider. Some people find certain
technologies rather inhumane and frightening, and more needs to be done to address the fear that they could
replace the more human aspects of care for the elderly.
Reset Public Mind Set about
the Elderly
The key challenge when dealing with an ageing population is the need to change assumptions about what it is to be
"old". Although WHO defines age 65 and above to be the geriatric age group, 50 years and above could be targeted
given the similar needs and disease profile. Additionally, this will increase the volumes to the centres. The hospitals
also need to identify the diversity within the elderly age group. The 'young old' (60-74 years), 'old' (74-84 years) and
the 'old old' (85+years) would have different requirementsforsupport and nursing.
In particular, ageism needs to be urgently addressed in medical treatment. A study of 12,000 patients showed that
the elderly were less likely than other age groups to receive appropriate care, including admission to intensive care.
Much of this relates to mind sets that society has about the elderly. Society needs to come to terms with the fact that
people are notgoingto die off simply because of age.
A recent survey found that 72% British doctors believe older people are less likely to be referred for essential
treatment. More broadly, the idea that people should feel obliged to stop working and retire in their mid-60s, when
many are healthy, alert and at the peak of their experience, is often perverse.
Aside from helping address skills shortages and financial pressures by paying taxes for longer, there can be health
benefits too: one recent study highlights clear mental health benefits to part-time working after retirement.
All this emphasizes another key point about the nature of ageing populations, people will continue to vote,
irrespective of their age-and in fact older people are often among the most likely to vote. This will make the older
population the most important voting bloc in years to come. It will be essential for governments to address the
needsofthisgeneration iftheyareto remain in power.
Taking the above recommended measures will help the elderly population to lead a better and respectable life in
the societythatthey have contributed and helped building.
From their finest hour to their final days, life's every moment should be cherished. It should be free of pain and
journey's end should be treated with compassion, dignity and respect.
Let's bring respect... bring the smile...
bring the twinkle in their eyes...
ing care... enriching life...
1
I Gallery
Unveiling the Healthy Ageing in the Changing World - 2012 Brochure by His Excellency,Governor of
Karnataka, Shri. H.R Bhardwaj at Raj Bhavan, Bengaluru. Also seen is Dr.B.S. Bajaj and Dr. V.R Rao.
I Conference
gn HEALTHY AGEING IN THE
2012
*
> CHANGING WORLD
2 9th September 2012. JJ4. Toto Auditorium.
Indion Institute ol Sciences. Bengaluru
BioGenesis
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