From antiquity, we have observed that the lifespan of humankind appears to have had a set point. The Old Testament proclaimed it to be “three score and ten”, or 70 years, although this projection was inevitably curtailed by drought, famine, plague and warfare.
However, in modern advanced societies, longevity often comfortably exceeds 70 years, and regularly approaches or exceeds a century. There is now a widespread fixation on this parameter as a marker of the health of societies, and its inclusion in reports on the health status of countries is mandatory.
* Andrews D, Minister for Health. Victoria tops the life expectancy table [media release]. 14 Nov 2008.
Melbourne: Office of the Premier of Victoria, 2008.
Not so long ago, a media release from the Victorian Minister for Health proudly proclaimed:
In short, there appears to be some truth in the state’s slogan: “Victoria — the place to be”.
But there is a new twist: longevity is now localised to various state municipalities and shires. Not only are we regaled with Victoria’s statewide figures, but also the life expectancy in all of its 79 local government areas, which are then compared with the state’s average.
For Victorian males, the place to be is in Boroondara, Nillumbik or Melbourne; and, for females, Melbourne, Surf Coast, Moonee Valley or Stonnington.
So who will capitalise on these data? Will local doctors and health facilities be given longevity bonuses for their excellent services? Will real estate agents exploit the relative longevity status of different metropolitan areas and use it to promote communities and house sales? Will politicians be judged on the longevity data of their electorates? Or perhaps signposts welcoming travellers into suburbs or shires will proudly proclaim:
The possibilities are boundless.
The Medical Journal of AustraliaMartin B Van Der Weyden, Editor.
Publication of your online response is subject to the Medical Journal of Australia's editorial discretion. You will be notified by email within five working days should your response be accepted.