By Alanna Armitage

Across Europe, from Spain to Serbia, care homes for older people have become hotspots of COVID-19 infections. According to the World Health Organization, residents of long-term care facilities account for up to half of coronavirus deaths in Europe.

Among all the heartbreaking statistics that tell the story of how the virus is devastating lives around the world, this figure sticks out to me. It shines light on an unimaginable tragedy unfolding right before our eyes – but drawing surprisingly little public attention.
Older people living in care facilities make up only a tiny fraction of the total population – barely 1% for example in Germany, the country with Europe’s largest number of nursing home beds per capita. This gives a sense of how grotesquely overrepresented care home residents are among the deaths caused by the virus. 

Older people in general are badly affected by the pandemic. They are at increased risk of severe illness from COVID-19 and some 95% of deaths are among people aged 60 and older. This is one reason why Europe, the region with the world’s largest proportion of older people, is seeing the pandemic ravaging with such force within its borders. And older people aren’t just facing a health crisis: physical distancing (erroneously called social distancing) measures to contain the virus also have a disproportionate impact on their lives and livelihoods, as many are cut off from the services, support and caregivers they rely on.     

Often neglected and out of sight, older people living in care homes are among the most vulnerable of all. We hear haunting stories of people dying alone, without having their loved ones around them and with sometimes only minimal care provided by overwhelmed und underfinanced facilities.

The tragedies happening in nursing homes right now are just one, albeit extreme, expression of how we are failing older people more broadly. The pandemic has put this failure into stark relief, but it didn’t begin with COVID-19. As countries in Europe are ageing rapidly – one in four people already is 60 years or older – societies have been struggling to create conditions for the growing number of older people to be able to thrive, remaining in good health and active in their communities and public life. 

Instead, many older people experience neglect, poverty, social exclusion and isolation – exacerbated now because of the pandemic. Perhaps even worse is the way public discourse tells them, more or less subtly and through myriads of cultural clues, that because of their age they are a burden, less valuable, even expendable.

It is my hope that this crisis, and the horrifying effects it has on many older people, will come to be a turning point for how we see and treat older people in society. At UNFPA, the United Nations Population Fund, we work hard with our partners in government and civil society not only to support older people during the pandemic. But also to ensure more broadly that their dignity and rights are protected and that they remain integrated and engaged in their communities. 

Many countries are now looking at how the crisis can be turned into opportunity. There are four key steps governments can take to make this happen:   

1.    Prioritize the protection of older people in responses to COVID-19. This can include sending unequivocal public messages of support for the equal rights and dignity of older people and taking bold measures to demonstrate that public commitments go beyond lip service. Ensuring continuity of services, supporting caregivers, using digital technologies to reach people in isolation – a lot can be done to mitigate the effects of the crisis.

2.    Hear the voices of older people. As we are responding to this crisis, and developing policies for the future, we must listen to what older people have to say. Engaging with community representatives is vital for avoiding bias and being able to come up with solutions that respond to actual needs.           

3.    Counter ageism in public discourse and practice. There must be no tolerance for the rampant age discrimination and negative stereotyping that has surfaced even more during this crisis. Promoting a counter-narrative centered on intergenerational solidarity and the agency and valuable contributions of older people will be key for shifting social norms and attitudes.

4.    Revisit legal and policy frameworks and budgets through an age lens. Now is the time to start looking beyond the crisis and review what needs to change in sectors like health, education, employment and social welfare so that countries are in a better position to cope with the effects of rapid demographic change while ensuring the rights and choices of an ageing population. 

Let’s be clear: the death of so many older people during this crisis was not inevitable. It is the direct result of our failure – as societies, institutions and cultures – to assign equal importance and value to the lives and well-being of the older generation. We must learn from past mistakes and get serious about creating a society for all ages in which older people are recognized, and supported, as the important pillars of society that they are: as teachers and mentors, carers and volunteers, story-tellers and creators, conveyors of culture, and fighters for rights that we sometimes take for granted. In an ageing Europe, we simply cannot afford to exclude a quarter of the population with all their skills, talents and other contributions. Ensuring that older people are treated with the same rights and dignity as everyone else is not only a moral imperative, it’s a win-win for all, old and young alike.

Alanna Armitage is the Director of the Regional Office for Eastern Europe and Central Asia of UNFPA, the United Nations Population Fund.