3rd WELL AGING SOCIETY SUMMIT ASIA-JAPAN Report ver.3

3rd WELL AGING SOCIETY SUMMIT ASIA-JAPAN
ReportVer. 3
Keynote Speech“Contribution to Healthcare Innovation”<Speaker>
Victor J. Dzau: President, US National Academy of Medicine
The population is aging globally, and in 2020, the population of those age 65+ will surpass thoseunder age 5. It is imperative to mobilize the world to address longevity.
The National Academy of Medicine launched a Healthy Longevity Global Grand Challenge in 2019.
We comprehensively assess the impact and challenges presented by global aging, and aim torecommend implementation of solutions to governments, NGOs, and the private sector. We plan torelease a report in 2021. The Healthy Longevity Global Competition is calling for transformative ideas
to extend healthy life expectancy. Ideas can focus on any stage of life and may apply to any field.
Excellent ideas are awarded with cash prizes. We received 1,500 applications, and Round 1 updates
were announced in October 2020. The Grand Prize winner(s) will be celebrated in September 2021.

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3rd WELL AGING SOCIETY SUMMIT ASIA-JAPAN Report ver.3<Speaker>
Yoshinao Mishima: President, Japan Agency for Medical Research and Development
AMED has entered its second term, and we wish to focus most on enhancing research anddevelopment of COVID-19 countermeasures. To do this, we must solidify our collaboration with thegovernment, and as the funding agency, plan and execute in the general direction of research anddevelopment that the government sets. We must also verify issues, strengthen structure andoperations, increase Japan’s international competitiveness, and further enhance interdisciplinary
collaboration in the fields of medicine and pharmaceutical sciences, chemistry, engineering, social
sciences, psychology, and human ethology, as well as collaboration with think tanks.
Since February 2020 when the COVID-19 pandemic began spreading, AMED has launched many
new programs using the government supplementary budget and other means. We will continue tosupport R&D addressing measures to combat COVID-19. We are participating in the Healthy
Longevity Global Grand Challenge and anticipate solutions for a bright future.

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3rd WELL AGING SOCIETY SUMMIT ASIA-JAPAN Report ver.3“Introduction of Moonshot Research and Development Program in the
Health and Medical Fields”<Speaker>
Hiroaki Kitano: President & CEO, Director, Sony Computer Science Laboratories
In many cases, R&D is exploration based on personal curiosity, leading to the discovery of newprinciples, which are then focused on and developed. Moonshot research and development isdifferent. Like the Apollo plan in the 1970s that had the target of “going to the moon” from the start,
Moonshot R&D is launched with the intent to achieve a target that has social impact. Japan’sMoonshot R&D targets 2050, with one example being to hold a FIFA World Cup with a fullyautonomous humanoid team.
One Moonshot mission is to pioneer aging society with bold innovation. The aims are todramatically improve the QOL of the elderly, maintain health through preventive medicine, and toensure access to healthcare anytime and anywhere in the world. The goal of moonshot R&D is togather all technology to bring wonderful impact to all.

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3rd WELL AGING SOCIETY SUMMIT ASIA-JAPAN Report ver.3<Speaker>
Toshio Hirano: President, National Institutes for Quantum and Radiological Science and Technology
Life expectancy for Japan in 2017 was 84.1 years, which is the second highest in the world, but thisis approximately ten years longer than healthy life expectancy. This is because medicine has focusedon curing and treatment. To enjoy life to the end, there is need to minimize the unhealthy period.
We have learned that chronic inflammation is a significant factor of various age-related diseases.
Understanding and controlling chronic inflammation is key to resolving chronic inflammatory
diseases such as Alzheimer’s, diabetes, and arteriosclerotic diseases. We have also found that chronic
inflammation is relevant to the aggravation of COVID-19. If we presume the possibility of new
pandemics in the future, it is crucial that we gain an understanding of chronic inflammation. The
Moonshot goal is to prevent and overcome most diseases by 2040 and to develop a sustainable
medical/nursing system so that a healthy life until the age of 100 can be enjoyed without worries.

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Panel Discussion“Expectations for Moonshot Research and Development in the Healthand Medical Fields”<Speakers>
Hiroaki Kitano: President & CEO, Director, Sony Computer Science Laboratories
Aaron Del Duca: VP, Day two (Israel)
Yasuaki Hasebe: CEO, Activaid Inc.
Kian Chung Lee: CEO, Bio Cheetah (Singapore)
Nick Hird: Co-founder & CEO, AIKOMI (Japan)
Masahiro Kasuya: CEO, MELTIN MMI (Japan)● To start, each panelist gave a brief presentation about innovative technologies in the health andmedical fields.
Aaron Del Duca: Glucose levels after eating the same food vary by person. We researched the entericmicroorganisms of thousands of people, studying how glucose levels react according to certain foods
to develop a program that predicts personal glycemic responses when eating. We developed an app
that takes the results from microbiome and blood tests and continuous glucose monitoring (CGM) of
diabetes patients, as well as body measurements, questionnaire results, and a daily food diary to
generate glycemic response algorithms through AI learning. Based on this, personal glycemic
responses are predicted. This glucose management program has the potential to reduce medicationand diabetes, as well as healthcare costs. There are clinical needs, and we hope to reform thestandard of care for diabetes.

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Yasuaki Hasebe: Personalized medicine is becoming mainstream in recent years, especially in the fieldof cancer. Those patients are segmented, making it a challenge to integrate them for clinical trials.
Patient integration accounts for 30 to 40% of clinical trial costs. Drugs would be approved quickly ifpatients could proactively take part in clinical trials, so we developed an app to resolve this. We firsttargeted inflammatory bowel disease (IBD), which is a rare disease. The physical conditions and otherinformation entered by trial participants to the app are used to develop drugs, while enabling
patients to manage their health. The app also provides matching for patients and clinical trials. Manypatients are interested in clinical development. We hope to expand this to the field of cancer.
Kian Chung Lee: When bloody urine is discovered after waking up in the morning and cancer issuspected, cytoscopy, which is invasive and requires anesthesia, is the standard process. In Singapore,
it requires a four- to five-week wait and is expensive as well. As of 2018, bladder cancer is the fifth
most common cancer among Japanese men. Aging is the largest risk factor, so this is a large issue inJapan, where aging is accelerating.
We have developed a liquid biopsy for detecting biomarkers in urine samples that are specific to
bladder cancer and will launch two products, one for hospitals and one for general practitioners.
Unlike cytoscopy, general practitioners can conduct testing. There is a possibility that testing could
be done at home in the future as well. We will continue with clinical testing and hope to discover
new biomarkers to expand to urological cancers.

Nick Hird: We developed technology using smart devices such as a tablet to provide multisensory
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visual and hearing stimulation to dementia patients so they can communicate with caregivers.
Creating emotional engagement with caregivers can reduce the anxiety of dementia patients. We
monitor the dementia patient and analyze what kind of stimulation is effective to develop a more
optimized program. Prototypes have already been tested at two universities in Japan, and they havebeen shown to be effective in improving communication with many dementia patients. Behavioral
change was also seen. Based on these results, we are planning to launch two types of clinical testing(for nursing facilities and for home) in 2021 in Japan.

Masahiro Kasuya: Our technologies are based on biosignal processing and robotics technology. We
successfully created a robotic hand that has both dexterity and power by harnessing uniquemechanics and a control algorithm. We fitted a person who had lost his right arm in an accident withthis robotic hand, and he was able to completely control the right arm functions. It’s also possible to
make this function as a third hand, thus extending the body. A person’s body function can also bereactivated by sending simulated biosignals. Upon sending pulse signals by attaching electrodes to aperson whose legs were paralyzed from an accident, the muscles reacted and the legs could move.
Cyborg technology opens new possibilities to humans. It’s even possible to have avatar robots dowork in space. We aspire to create a society where anyone can participate accordingly without being
limited by a physical condition or age.

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Issues brought up regarding practical application of new technologies included the challenges
of gaining approval after proving efficacy in clinical tests and the need to have authorities
understand that there is alternative medicine besides drugs.

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Regarding integration of the newest technologies, one opinion was that they each have theiradvantages and disadvantages, and synthesizing them could potentially elicit the best
performance.

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One opinion was that changing perspectives of dementia would be more meaningful for the longterm rather than intervening with technology. There was also an opinion that collecting data isbeneficial, and collecting large volumes of data while protecting personal information would
lead to early achievement of targets, so people should participate more proactively.

⚫

Molecular biology has rapidly advanced in recent years, and it was pointed out that issues are
how to integrate this with traditional medicine and how to apply the latest technologies to this.

Keynote Speech“Equity and Longevity”<Speaker>
Erwin J. Tan: Director, AARP
AARP focuses on empowering Americans age 50 and over. Across the world, people have been
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living longer than ever before. However, not all countries are experiencing the same gains of longevity
and not everyone is living longer in each country. According to recent US data, there are disparities
in life expectancy from age 50 depending on where you live in the US. Life expectancy growth
between 1980 and 2014 showed a maximum 3.2-year difference between counties. In 1980, people
expected to live to the age of 79 in counties with less than 5% Black residents, while average life
expectancy was 76 in counties with 50% or more Black residents. It took 28 years for Black-majority
counties to catch up to the level of where counties with less than 5% Black residents were in 1980.
Racial disparities became clear with the difference in life expectancy according to place of residence.
This is not unique to the United States. As we respond to the ongoing COVID-19 pandemic, now is
the time to eliminate the adverse impact of structural inequalities on communities. Throughdiscussions at the 3rd WASS, I’d like us to consider a future where everyone can have an equal
opportunity for a longer and healthier life.

Panel Discussion“Toward Well-Aging Society During/After COVID-19”<Speakers>
Janice Chia: Founder & Managing Director, Ageing Asia
Ben F. Belton: Director, Global Partner Engagement AARP International
Michael W. Hodin: CEO, Global Coalition on Aging
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Shinya Kuno: Professor, Department of Sports Medicine, University of Tsukuba● To start, each panelist gave a brief presentation about initiatives for the aging society.
Janice Chia: Ageing Asia is working to create a new network by consolidating care models in the
Asia Pacific. New developments attributed to COVID-19 include tokens for the elderly to serve ascontract-tracing devices without having to use a smartphone, low-cost internet services at$5/month for low-income seniors, and at-home medical treatment. At-home care for those withdementia is also being considered for the future. Demand will grow in the Asia-Pacific region forservices such as dementia care, healthcare, game-like rehabilitation, and addressing loneliness. The
market potential for not only the elderly, but also children is projected to reach approximately 4.6
trillion dollars by 2025.

Ben F. Belton: AARP conducts global activities focused on life expectancy and well-being. With COVID19, we are providing support for developing countries where infection risks run high and many people
are facing poverty from losing their jobs. Measures include providing effective prevention andensuring that the elderly can stay safely in their communities. We use all kinds of technology to haveyoung people provide support remotely to the elderly.

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Michael W. Hodin: Healthy aging requires spending, so investment is needed. Using this investment
to create a system for healthy aging can improve QOL and reduce the burden on caregivers. Since theoutbreak of the COVID-19 pandemic, we have focused on three areas: healthcare transformation, the“new normal,” and the intersection between the two. We offer five key takeaways. Starting this year
(2020), WHO’s Decade of Healthy Ageing began. It is crucial to balance healthy aging while
maintaining economic activities.

Shinya Kuno: According to 2009 WHO data, lack of physical activity is the fourth leading cause of
mortality and the largest risk for dementia. There are also survey results that dementia is on the risein Japan because people are refraining from going out due to COVID-19. 80% of senior citizens go out
less, and the decline of opportunities to enrich their lifestyles is causing them great stress. The elderly
who are age 80+ have low ICT literacy, thus online communities are not a realistic option. The
disparities from age and ICT literacy are concerning. An ANA Group in-house venture is developing arobot that can converse with remote control. We need technology that senior citizens with low ICT
literacy can use.

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3rd WELL AGING SOCIETY SUMMIT ASIA-JAPAN Report ver.3● Regarding how to resolve digital disparities, there were many comments from panelists about
the importance of providing products and services with an understanding of the elderly, and of
conducting development while listening to their opinions. Dr. Kuno stated, “It’s important to be
proven effective for the elderly, to be authorized by the government or other agency before being
distributed, and to be user-friendly for even those with low ICT literacy. We are currently testing
remote-control robots with senior citizens who live alone, in collaboration with Sompo Japan
Insurance Inc., NTT DOCOMO, and Mitsuke City in Niigata Prefecture, and are finding that thereis quite a gap in the perspective of engineers vs. the frontlines that needs to be closed. We hopeto implement this soon.”● Regarding how to effectively raise health literacy, there were comments that improving thisamong medical and nursing workers is effective for supporting the elderly. Another comment
was that when a COVID-19 vaccine becomes available, there will be need to quickly conduct a
campaign to educate the importance of this vaccine to ensure that people get vaccinated. Dr.
Kuno said, “People who are oblivious to health are not interested in collecting information. To
resolve this, we are training tens of thousands of health ambassadors to communicate healthinformation via word of mouth to this disinterested group. We have data that health literacy isimproving in areas where training has been completed.” Ms. Chia commented that healthambassadors were active in Singapore as well.
● To the question of how Japan perceives aging society, Dr. Kuno responded, “In the era of a 100year life, people have about 30 more years of life even if they postpone retirement. The issue is
how we can extend healthy aging. According to our research, the dividing point between those12

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who become frail and those who stay healthy is around age 75. Enhancement of the system tosupport the delicate elderly is needed in Japan. We need hybrid communities that are not only
online but also onsite (physical venues), and technology should be supporting this.”

Keynote Speech“New Efforts for Aging-related Diseases”<Speaker>
Ernst van Koesveld: Vice Minister for Long-Term Care, Ministry of Health, Welfare and Sport,
Kingdom of The Netherlands
Our population is getting older in the Netherlands as well. One in every 33 people with a paid job
has a parent living with dementia. It’s said that by 2040, the proportion will be one in every eight.
The Dutch government has announced our national dementia strategy 2021/2030, indicating ourpolicies to double the budget for a world without dementia and to provide optimum support andstimulation to those with dementia so they can participate in society. We also have families andcareworkers experience simulations of dementia for better understanding.
As part of our international strategy, we collaborate with foreign companies with the 2040 targets
of extending healthy aging by at least five years, reducing health inequalities by 30%, increasing athome care by 50%, and increasing social participation by the chronically ill or disabled by 25%. We
need technological and social innovation for these achievements and will work with stakeholders
around the globe while making investment. Japan is an important country to the Netherlands, andwe anticipate that we can cooperate in the business fields as well.

Panel Discussion“Prospects for Public-Private Partnerships to Create Innovation for
Dementia-Inclusive Societies”<Speakers>
Ryoji Noritake: CEO, Board Member, Health and Global Policy Institute
TANAKA Shigehiro: Vice Minister for International Affairs, Ministry of Economy, Trade and Industry
Keisuke Naito: Corporate Officer, Chief Digital Officer Head of Consumer Experience Transformation
HQs Deputy President, Eisai Japan
Ville Niemijärvi: CEO, co-founder, Onerva Care13

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Bart Scheerder: Director Innovation in Digital Health, University Medical Center Groningen
To start, moderator Ryoji Noritake spoke of how HGPI builds patient-centered medical caresystems and focuses on holding a global perspective through discussions with stakeholders withthe objective of providing diverse support to the elderly, including those with dementia.
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This was followed by brief presentations by each panelist regarding partnerships for dementiainclusive societies.

TANAKA Shigehiro: New businesses are being launched for dementia-inclusive societies, but theirsocial/economic impact and friendliness to people with dementia must be clarified for businesssustainability. METI has launched a new program to verify the social and economic impact of products
and services for dementia-inclusive societies. This involves industry, academia, local governments,and other, with verification results to be indicated in three years. Eleven products and services are
subject to this, including not only shopping and transportation, but also employment. It is importantthat their quality and functions fulfill the needs of those with dementia and that they are feasible asbusinesses.
Keisuke Naito: Early treatment is crucial to delaying and preventing the decline of cognitive functions,thus households need to detect abnormalities at an early stage. Bunkyo Ward in Tokyo launched adementia follow-up program in 2020 under public-private partnership. This has a total six-month
cycle with lectures by doctors, nutritionists, and health exercise instructors, a program called
Synapsology, health checks, and brain performance checks every three months. Those who havedifficulty coming to the venue can participate online from home to check their brain performance.
This verifies if abnormalities in cognitive function can be detected in the household. We wish to have
healthy people as well as those with dementia to participate in this program and standardize thiscycle as a culture.

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Ville Niemijärvi: It is a challenge for the elderly to connect with others. We develop apps to link theelderly with other people and a virtual assistant that can converse with audio. In Finland, we also
have wristwatches with GPS and a phone function, small robots that dispense medication at the righttime, monitors that detect a person falling, and remote care services via video. These products andservices are said to reduce costs and the burden on caregivers. We are also considering a partnershipof startups, such as combining the medication dispenser robot with our virtual assistant. However, ittakes 3–5 years for startups to commercialize their products, and they run out of money during thattime. Although we can develop technology, it is a challenge to change minds and cultures.

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Bart Scheerder: There is a need for many stakeholders to cooperate in creating a dementia-inclusive
society. I believe that harmony, or “wa,” as you say in Japanese, is important. Harmony is crucial also
to linking currently-available technology such as AI, smart living, and home automation to support
for those with dementia. I wish to introduce an example of public-private partnership in a northerncity of the Netherlands. We took 20 old caring facilities and rebuilt them to nine facilities that merge
smart living and care technology. At these new facilities, there are gardens so residents can be incontact with nature and enjoy growing new vegetables. Importance is placed on harmony with theenvironment and local community for mutually-beneficial initiatives, thus resurrecting this former
industrial city to a residential area.

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There was a comment that dementia-related products and services need to be verified forapproval by the authorities, and that it is important to assess how friendly they are to the elderly.
Mr. Niemijärvi said, “Finland doesn’t have a standardized procedure or process for assessment,
so we repeatedly explain to local governments and companies how much cost and burden canbe reduced. This costs money, so there is need to standardize assessment.”⚫

Mr. Naito pointed out the public-private partnership issue that “While there is need toindividualize products and services according to needs because circumstances differ by regionand stakeholder, there is also need to have a common understanding of what is fundamentallyneeded.”⚫

Mr. Tanaka indicated his view that “It’s important to quantitatively assess QOL in the future andreduce time and cost for services. It is also necessary to support entry from other fields.”

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Keynote Speech“The Digital Transformation in Health Under COVID-19”<Speaker>
Francesca Colombo: Head of Health Division, OECD
Digital health holds great potential, yet this is not being fully used. The key reason is that there isless investment compared to other sectors. Policies get in the way of efficient data usage. In countries
where data is used efficiently, data and language are standardized at national levels. Infrastructural
upgrades such as broadband and digital skills are also challenges. Strategies to link healthcare with
its surrounding industries, legal frameworks to appropriately utilize data, and digital literacy of thepeople are needed for digital health.
The situation has changed completely with the COVID-19 pandemic. We were able to discern
infection status by accumulating real-time data, which connected to decision-making. Everyone hasrealized the potential of digital health, so this timing poses an opportunity. Coherent strategies andgovernance with a perspective of the post-COVID era are needed. Rather than building upon theconventional healthcare system, we must fundamentally reevaluate it.

Panel Discussion“Digital Healthcare Innovation Under COVID-19: Possibilities for Using
Personal Health Records in New Ways”
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3rd WELL AGING SOCIETY SUMMIT ASIA-JAPAN Report ver.3<Speaker>
Takanori Fujita: Project Lead, World Economic Forum Centre for the Fourth Industrial
Revolution JapanCharles Alessi: Chief Clinical Officer, HIMSS
Hiroaki Miyata: Professor, Health Policy and Management at the School of Medicine, Keio University
Satyanarayana Jeedigunta: Chief Advisor, World Economic Forum, Centre for the Fourth Industrial
Revolution, India⚫

Each panelist gave a brief presentation about digital health utilization initiatives

Charles Alessi: We work through the global ecosystem to realize the health of every human
everywhere in the world. In England, we conduct health checks to all healthy citizens age 40 to 74
and accumulate data to observe the changes from age and the risk factors of lifestyle diseases. A year
ago, we also launched a program to observe individual risk factors, integrating this with data acquired
from health checks. The biggest challenge in this type of initiative is for the government and otherdata management entities to foster trust in those who provide the data. There are many ethnicities
in the world, and their circumstances differ. Data management entities must be transparent, sincere,and provide ongoing communication.

Hiroaki Miyata: In Japan, we were able to utilize real data for the first and second waves of COVID-19
to analyze infection risks by occupation and geographical region. Data is power, but it is monopolized
by a small group of giant IT firms and the government. However, the General Data Protection
Regulation (GDPR) was implemented in 2018 to regulate personal data protection in the EU. In Japan,
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the concept of “Data Free Flow with Trust” was advocated last year and Electrical Health Records(EHR) for managing personal health information online is being promoted. In 2021, citizens will beable to see the results of their health checks and in two more years, their prescription drug records.
Utilization will spread to various sectors, including linkage to early detection of dementia. By sharing
data, we can realize a society where no one is left behind.

Satyanarayana Jeedigunta: India is geographically large, with diverse ethnicities and languages, andthe many diseases are a heavy burden. We have several public and private medical systems, but they
are all independent of each other. Amid this, we are working to build a national medical system. We
announced the National Health Policy 2017 and aim to provide low-cost universal health insurance,
better access, and a holistic approach for medical care. To gain the understanding of our diverse
citizens, we clearly presented the basic principles of the Digital Health Eco-system. A prototype of
this is currently being implemented for 3.5 million people at 2,300 health facilities in six regions.
Health IDs are issued to individuals, health facilities and doctors are registered, and web electronic
medical records are implemented. We also indicate policies about data management, including
consent management, privacy, and security. Public consultation has been completed, and this will beannounced soon. We will continue with execution and aim to substantiate this in three years.

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Takanori Fujita: Informed consent is of top importance in fostering trust to share data. As a data
governance model, we advocate the Authorized Public Purpose Access (APPA) concept that allows
data usage without the explicit consent of the individual as long as it is for a specific public purpose.
This is applied for situations such as natural disasters, pandemics, and cancer registries.
To enhance the safety of cross-border travel amid the COVID-19 pandemic, an international NPO
supported by the Rockefeller Foundation and the World Economic Forum have developed“CommonPass.” This is a digital certificate of international-standard PCR test results or vaccination,and can be displayed on a smartphone or other when crossing borders (immigration check). The
CommonPass project kick-off was in July 2020, and pilot-testing will start in Japan as well for the 2021
Tokyo Olympics.

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It was discussed how to address diversity and integrity with digital health, especially in collecting
and using the health information of the elderly and disabled. Many panelists stated that it isimportant to personalize according to individual circumstances and to offer incentives to raise
motivation. As an example, a Chinese company established a system where bonus points could
be earned by sending electronic money as New Year gifts to grandchildren, which increased
electronic money usage on smartphones among the elderly. There were opinions that whenusing personal digital health information, trust is the most important factor, thus it is crucial toclearly indicate the purpose, and also that now is the time to openly discuss the benefits of using
data for healthcare.

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There were many opinions that transparency and accountability are essential to fostering trust
amid the COVID-19 pandemic, and that there is need to have the public understand the benefits
they could receive from digital health. It was pointed out that some people on the healthcareside do not want to adopt digital health, so there is need to clearly indicate the benefits not only
for the general public, but for the medical institutions as well. It was unanimously agreed thatas a country that is aging ahead of others, Japan should take the initiative in promoting this.

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Closing Session“Sharing the challenges and solutions addressed at the 3rd WASS
together with session moderators”<Speakers>
INAMURA Takuma: Director, Healthcare Industry Division, Ministry of Economy, Trade and Industry
Hiroaki Kitano: President & CEO, Sony Computer Science Laboratories
Ryoji Noritake: CEO, Board Member, Health and Global Policy InstituteTakanori Fujita: Project Lead, World Economic Forum Centre for the Fourth Industrial
Revolution Japan⚫

Each panelist stated the key takeaway from the session they were moderator of and what they
anticipated of Japan.

Hiroaki Kitano： “Intervention and preventive measures that differ from conventional treatment are
being born. While there are challenges, development is accelerating with the COVID19 pandemic. We wish to share information with other countries to promote themfurther.”
Janice Chia: “Connecting with other people is important to delay the progress of dementia; we needonline-offline hybrid support.”
Ryoji Noritake: “Innovation is needed, not only for products and devices, but also for design andenvironment. Senior citizens have not lost their spirits, so emotional care such as
enjoying art is also important. There is potential in partnerships between startups,
while both individualization to accommodate the features of stakeholders anduniversality are needed for public-private partnerships. The participation of Japan inframeworks is anticipated.”
Takanori Fujita: “Fostering trust has top importance, and we need to have transparent, open
discussions. It is effective to offer personalized service and incentives for individuals
to sense the benefits. Japan should demonstrate leadership.”⚫

All agreed that while COVID-19 is a challenge, it is also an opportunity. They sensed that
innovations and technology integration that were thought to be needed from before haveaccelerated. It is important that individual mindsets are reformed and that benefits of digital
health are understood. There was also a comment that based on experience from COVID-19, asurveillance system should be built to prepare for future pandemics.
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There were comments that there is need for investment in digital health, and a need to consider
paying investment rather than just treatment fees for the well-being of senior citizens. Also, that
there is a need for international consensus to collect big data.

October 13 Panel Discussion“Special Session on Digital Health”<Speaker>
Seiichiro Yamamoto: Project Lead for Healthcare Date Policy, Centre for the Fourth Industrial
Revolution Japan, World Economic Forum
Jin Narumoto: Professor, Kyoto Prefectural University of Medicine
Susanne Andreae: Head of Health and Healthcare Industry, World Economic Forum
Angela Tyrrell: Senior Vice President, Longevity Leaders
Dan Wang: Head, Johnson & Johnson Innovation, Asia PacificA. B. Dey: Professor, Department of Geriatric Medicine, All India Institute of Medical Sciences, New
Delhi, INDIA⚫

Each panelist gave a brief presentation about initiatives to solve challenges for creating adementia-inclusive society.

Jin Narumoto: In Kyoto Prefecture, we launched the Consortium for Dementia-Friendly CrossIndustry Collaboration in a partnership to provide products and services that are friendly to thosewith dementia or declined cognitive function. Companies face the challenge of stabilizing
transactions with those with dementia or declined cognitive function. There is need to train
companies to verify the validity of transaction capability and to support decision-making by these
individuals. In 2013, we created COLTEM, an interdisciplinary center to support the local lifestyles ofthe elderly, and began providing decision-making support to dementia patients from 2018. For banks
that run the risk of lawsuits, we developed a textbook to share the necessary knowledge for providing
services to those with dementia or declined cognitive function. We also offer training courses forfinancial institutions.

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Susanne Andreae: Now that we are in an aging society, the World Economic Forum proclaims three
key strategies. With the Davos Alzheimer’s Collaborative that was kicked off in January 2020 andinvolves governments, private companies, and NGOs, we will accelerate digital transformation andempower reform. Goals are: to increase Alzheimer’s disease targets and the number of biomarkers
to establish treatments; to standardize clinical tests for test result clarification; and to upgrade
healthcare systems. For Social Determinants of Health, we will research social factors that worsen
health, and for Global Future Council on Longevity, we aim to build an interdisciplinary network toshare knowledge and promote innovative thinking.

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Angela Tyrrell: We promote investment by European companies. Ageing well involves health, wealth,and environmental factors, and new fields are emerging for health and wealth, which we focus on.
Longevity science is biological research of the mechanisms of aging and is pioneering new roads forhealthcare. In the wellness ecosystem, the importance of nutrition, beauty, mental health, and thelike are being recognized. There is an increasing number of new companies, and venture capitalists
are also showing interest. Financial wellbeing is very important, but brings many challenges withsolutions being explored. Age tech is an attractive market to startups, and businesses targeting theelderly are being newly launched or spun off of conventional businesses for financial management,
security, and other.

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Dan Wang: As one of the largest healthcare company in the world, we have expanded our network
throughout the globe for collaboration. In Japan as well, we partner with three universities and workwith a pharmaceutical company in an effort to detect Alzheimer’s disease using novel biomarkers.
Lung cancer is the leading cause of cancer death in Japan, and is increasing among the elderly. We
hope to engage comprehensively with lung cancer patients and develop new solutions in thiscategory. We have created a prize titled “World Without Disease Call-for-Proposal in Japan” to target
innovation in five categories: lung cancer, myopia, infant/child health, neuroscience, and longevity.
We hope to promote innovation with an inclusive approach and cross-industry partnerships.

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3rd WELL AGING SOCIETY SUMMIT ASIA-JAPAN Report ver.3

A B. Dey: India is also aging, with the average life span being 72 years. Systems and medical security
are taking shape; insurance, pensions, and long-term nursing will need to be available to all. There
are many non-communicable diseases and an increasing number of frail elderly people. Most are
dependent on care from the family, and this has become a social issue. However, there are few aging
care experts, and access to nursing facilities is limited. Remote healthcare has not advanced.
The National Digital Health Mission was advocated in 2017, encouraging the use of technology toresolve the issues in India. Health IDs will be assigned to each citizen, and electronic health records
as well as electronic medical records will be implemented to modernize healthcare. This has
accelerated with the COVID-19 pandemic.

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During the discussion, there were comments that it is extremely important to support decisionmaking for cases of dementia, and that the cooperation of stakeholders in various fields is crucial
to resolving aging society issues.

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It was pointed out that as the people who are developing AI don’t have dementia, they may not
be able to resolve the needs of people with dementia, and that the COVID-19 pandemic had thepositive effect of more private companies entering the health industry not for the sake of profits,
but for health of citizens.

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