NEWS of Columbia Pacific Communities

Old age homes are often considered negative among Indians. But last few months of pandemic has compelled Indians to seriously reconsider at widespread development of senior living communities. In fact, the unprecedented crisis has prompted many elderly citizens to opt for senior living options provided by government. For instance, a senior citizen couple living at senior community in Jaipur narrates on social media about how they made the right choice to shift in one such community. Unlike them, many elderly people were left to fend for themselves on their own. Many media reports highlighted the ground reality of what elder citizens were going through during early phases of lockdown. For instance, a septuagenarian couple in Lucknow who was living alone experienced many challenges during lockdown period. Managing their own cooking and cleaning without a house help was arduous for them. A survey by Help Age India found that around 80 per cent of elderly citizens didn’t have access to essential items or medicines during the lockdown. On the other hand, there were many cases where family members abandoned elderly people. This certainly has made other senior citizens to rethink their choices of life. This further has translated to spike in the demand for spaces meant for senior living communities. Segregation of senior living as an organised sector Though India is a relatively young nation, the demographics are going to change at some point. A 2018 CII report on the Indian senior living sector projects that Indian elderly population will triple from 104 million in 2011 to 300 million in 2050. While another report by United Nations Population Fund (UNFPA) and Help Age India states that the number of senior citizens in India is expected to grow to approximately 173 million by 2026. Venkatesh Srinivasan, Assistant Representative at UNFPA tells that India has 9 per cent of citizens above 60 years of age. He says, “The number is going to grow rapidly over next few years. But more important issue is of vulnerability of elderly people, instead of increase in elderly population.” Only 30 per cent of senior citizens are economically independent, 52 per cent are fully dependent, while 18 per cent are partially dependent on others for their livelihood. Along with this, poor preparation of long post retirement life is also a prominent challenge when comes to formal workforce. In informal sector, savings and social protection also becomes a factor of vulnerability. According to data from various official sources, increase in life expectancy brings burden of diseases, which can be a challenge for future. 30 per cent of people between the age of 60-79 years and 37 per cent of citizens above 80 years of age have acute morbidities. Out of this, 10 per cent of elderly citizens have issues in doing daily activities. Explaining the misery of current scenario, Srinivasan says, “Despite of several schemes for senior citizens, our studies show that knowledge on these programmes is low among beneficiaries. Even the services for elderly and poor people are fragmented which is again an issue. Banking technology has reached Indian household, but older generation finds it difficult in operating online banking. COVID has further aggravated issues in accessing these services.” Help Age India data also says that 6 per cent of senior citizens live alone. These citizens suffer from loneliness and this has been aggravated during the pandemic period. Studies have established that social isolation leads to depression, suicidal tendencies, and a higher chance of increased inflammatory responses among the elderly. This also exacerbates the vulnerability of elderly who are already suffering from psychiatric or neurological conditions. These all facts and statistics reinforce the need for robust senior care infrastructures and effective services in our country. Given elders above 50 years are more prone to the deadly virus; our healthcare systems should focus more on their health. According to a CII report, the demand for senior care facilities usually goes up to 2 lakhs each year. We can say that India is still at the nascent stage of organised senior living and healthcare infrastructure. As we spoke to Mohit Nirula, CEO of Columbia Pacific Communities, he elaborated on how people these days have become open-minded about opting for senior care living and infrastructure. He tells that with vast improvement in medical facilities, medicines, and treatments, life expectancy is on the increase. This gives us a clear idea about how percentage of senior citizens living on their own will increase exponentially. “The surging number will result in organised senior living becoming not just a juvenile industry but a potent solution for a dire problem in the country,” he adds. Mohit Nirula, CEO of Columbia Pacific Communities As far as urban middle class of India is concerned, parents are increasingly staying on their own and away from their children. This largely happens in nuclear families where careers of their children have taken them away from their home city or country leading to self-sufficiency among elders. He further adds that there is a supply of around 10,000 homes in communities designed for seniors. Also, there are an additional 10,000 homes in various stages of design that will be available for registration in next 12–48 months. The senior care market is currently valued at $12 billion. Globally, the elderly care service market is anticipated to become an industry worth of US$ 1,744.6 billion by 2025, expanding at a CAGR of 8.31 per cent. Covid-19 reinstates development of home for elders The outbreak of COVID-19 has exposed the lacunae in this sector and has highlighted the need of more senior living communities in India. This has impacted its demand in a positive way. “COVID-19 pandemic has accelerated the need for dependable and professional services and solutions for seniors,” said Tara Singh Vachani, Executive Chairperson of senior living and care services provider Antara, another prominent player in market. The company project that the demand for senior living and senior care services is likely to pick up as world recuperates from wrath inflicted by the pandemic. Vachani claims, “Currently with over 20 million elders staying alone, the number is slated to increase in next two decades with number of growing senior population.” On the demand front, Antara’s Noida facility received a very encouraging response from customers, indicating that both the concept and brand resonate among people strongly. “We have already sold one-third of our inventory after the COVID-19 pandemic broke out. In Dehradun too, where we had already sold 70 per cent of the inventory both enquiries and sales have risen,” stated an official statement. According to Antara’s estimates, the demand for senior living housing units is highest in Delhi-NCR (15,050), followed by Mumbai (12,950), Hyderabad (6,200), and Bengaluru (6,000). She further added that over past few years, tier 2 and 3 markets such as Pune, Goa, Dehradun, Ahmedabad, Coimbatore, and Lucknow have witnessed a steady rise in demand. Citing the growth of elderly population as per Census data, she claims, “The upward growth in projections clearly signify the untapped market potential that this segment holds both in metros and tier 1 and tier 2 cities.” Due to COVID-19 lockdowns, Columbia Pacific communities are also seeing a significant hike in queries. Nirula tells us that they have a long waiting list of people who wants to get into senior living communities. “We have waiting list for nine communities with future residents waiting to get accommodation that they can rent or purchase on resale. Another facility—the Virtuoso Club in Bangalore is experiencing unprecedented demand. Sales, since September have exceeded. Organic traffic on website has grown four-fold since the pandemic,” Seeing the rising growth, the company has announced two joint ventures in past months and now has projects namely the Embassy Group (Rs 380 crore) in Bangalore and the Nyati Group in Pune in the designing phase. Sectors related to the senior living market such as real estate is witnessing great traction and investments. A recent report by Anarock says that senior living centres have shed old age homes stigma once attached to facilities for the elderly and are now actively opting for a respectable real estate category. According to the report, southern cities of India are considerably ahead with nearly 65 per cent of overall projects for senior citizens located in the region. Prominent senior living hubs in south India include Coimbatore, Puducherry, Chennai, Bengaluru, Kodaikanal, Mysuru, Kochi and Kanchipuram. The report further states that Coimbatore has maximum number of projects numbering around seven. The city seems to have emerged as one of the top retirement havens in India due to excellent healthcare facilities, trained staff availability, and salubrious climate. The other hotspots for senior living in India currently are Pune and Vadodara in the west and Bhiwadi, Chandigarh, Jaipur, Dehradun, Faridabad and Kasauli in north. In the western region, Pune is the quintessential pensioner’s paradise and currently has at least six projects exclusively for senior citizens. Another prominent player in the senior living market Ashiana Housing is witnessing increase in enquiries and demands for senior living centric properties. Ankur Gupta, Joint Managing Director of Ashiana Housing expresses his thoughts on a blog about the demand triggered by the pandemic. He writes, enquiries for homes, both for rental and purchase have seen the upward curve during COVID-19. “Real estate developers are also looking to diversify their portfolio and offer a more differentiated product mix within their integrated townships. Hence, there is an increased desire to partner with service providers who have the expertise in designing, marketing, serving and providing the healthcare needs for residents of a senior living community,” he adds further. Ashiana Housing has its state-of-the-art senior living facilities named Ashiana Nirmay in Bhiwadi, Ashiana Shubham in Chennai and Ashiana Utsav in Lavasa – Pune. Other factors leading to growth of sector It is clear that outbreak of the pandemic has increased demand for senior living market. But, it is not the only factor behind this gradually increasing trend of shifting to senior homes. One of the most prominent factors that have led to growth of the sector is growing desire of elders to gain their independence where education has a large role to play. Elaborating it more, Nirula tells that Indians have always believed in education is the most important contributor for upliftment living standards. “As a consequence, pursuit of careers and availability of opportunities has taken children away from their parents and their home city. The fact is parents are already staying away from their children. Further, communities designed in accordance with requirement of seniors provide an ideal solution to all their needs. The contrast in the experience of seniors living on their own vis-à-vis those staying in senior living communities has further fuelled the demand for homes within senior living communities in the country,” he says. Another major reason behind consideration of retirement homes is the need to downsize as a senior citizen approaches retirement. Studies elucidate that baby boomers (born between 1946-1964) are mostly driving this trend as they seek more urban style of living. The appeal of amenities and mixed-use development as a service and added component of senior homes are also attracting consumers more. Factors such as better environment, availability of large land parcels, and enhanced access to healthcare are also driving the demand for senior living homes in tier 2 and 3 cities. Nirula further tells us that the potential residents of a senior living facility have complete clarity in their expectations from a senior living community. “More than a home, what they seek is expertise possessed by staff and credibility enjoyed by the service provider,” he adds. While the quality of the asset is taken for granted, future communities will need to be able to deliver on design and daily execution of wellness and wellbeing programmes. Columbia Pacific’s promise of ‘positive ageing’ seeks to deliver that. It an approach that allows residents to embrace life and lead a healthier life. Challenges persisting in future Though the elder care communities from US and Europe were under surveillance after they became epi-centres for the contagion, India’s old age homes and senior communities staved off the virus so far. A study by Indian Institute of Public Health-Gandhinagar on three states namely Maharashtra, Gujarat, and Rajasthan reveal that old age homes in India recorded least number of deaths from coronavirus. Dr. Dileep Mavalankar, Director of Indian Institute of Public Health-Gandhinagar and author of the study stated, “The study indicates that older persons in care homes are somewhat protected from the new coronavirus infection in large part. This is because of protective measures being taken, which includes decongesting homes and sending residents home wherever possible. It also includes stopping all visitors, giving attendants temporary accommodation within the home if needed, sanitisation of all items from outside, and frequent sanitisation of the premises.” The apex body of the sector, The Association of Senior Living India (ASLI), also played a significant role in spreading awareness and keeping communities safe by sharing guidelines and practices to keep senior members out of danger. Although sector has been receiving positive trends, the industry still has miles to go. Considering the large demand-supply gap, there will be occupancy pressure despite the projected growth. Experts opine that construction depends upon population and demand. The need for more economic and customizable senior living options for middle class and lower income class will still continue to be a challenge. Traditionally, most of the senior homes and investors were focused on upper class income and middle-income groups. But others generally couldn’t afford the cost. Overall, occupancy pressures and saturated markets are causing senior living providers to take a serious look at how they can differentiate themselves. Gupta of Ashiana Housing in his blog suggests that developers and players in the sector should focus on designs and infrastructure, services, and support infrastructure. Also, it should provide hassle-free living, in-house meal services, and services that give active lifestyle. A report by the International Council of Active Aging (ICAA) states that the pandemic has presented the industry with a rare opportunity to reassess the sector of senior living. Now that the initial phase of the pandemic is over, stakeholders in this sector are looking forward for the bright future of this sector.

Mohit Nirula, CEO – Columbia Pacific Communities, started his career in hospitality in 1986. Columbia Pacific Communities, Mohit’s second organization in a career spanning over 30 years allowed him to bring to the fore all the skills that he has gained over the years. In this exclusive piece, Mohit shares how the year gone by affected him personally and professionally. He says that despite the challenges, 2020 was a great teacher he will always be grateful to. The word ‘grateful’ is defined by the Oxford Learner’s Dictionary as ‘feeling or showing thanks because someone has done something kind for you or has done as you asked  – grateful (to somebody) (for something)’ 2020 was a year that gave me time to take pause, to introspect, to understand what is truly important for me as an individual, a family person, a professional, and a leader of a team. As someone who turned 55 in 2020, I have more years behind than in front of me. I should have done myself and all whom I have impacted in the past, a favor by gaining this wisdom a lot earlier in life. That said, I apologize to all who suffered the pre-2020 me and hope those who meet and interact with me hereafter, will experience a kinder and more mellow me: Mohit Nirula I should share that as someone who turned 55 in 2020, I have more years behind than in front of me. I should have done myself and all whom I have impacted in the past, a favor by gaining this wisdom a lot earlier in life. That said, I apologize to all who suffered the pre-2020 me and hope those who meet and interact with me hereafter, will experience a kinder and more mellow me. In my personal life, my wife’s and my parents are based in Delhi NCR, we have our work and home in Bangalore, and both our daughters are based in London. Weeks into the lockdown, as I saw people lose loved ones without even being able to be by their side, or people lose jobs for no fault of their own, or learnt about people trudging hundreds of kilometers towards the the sanctuary of their homes, I realized that much of what one wants or desires is actually of no real value and what one truly needs, one already has, and takes for granted. To know that one’s parents and children are safe, that one’s livelihood is secure and a roof over the head and meals on the table are not a concern, is all that one needs from life. Everything else is nice, but not essential. As professionals, we are hugely loyal to one’s organization, and well should we be. That said, one must understand that our first and truly unshakeable loyalty must be towards those for whom we are both indispensable and irreplaceable — our families. The company one works for and the returns — compensation is only one of these — one receives are the means that allow us to fulfill our responsibility towards our families. And it is for this reason, we should do our best to serve the organization’s objectives. The company one works for and the returns — compensation is only one of these — one receives are the means that allow us to fulfill our responsibility towards our families. And it is for this reason, we should do our best to serve the organization’s objectives: Mohit Nirula When one is fortunate to work with a company and a leader whose objectives and means to achieve those objectives are in alignment with one’s own, this relationship, whilst cherished and strong, is still primarily transactional – a fact experienced by many in 2020 when the rubber of the cash flow wheel met the tarmac. All of us at Columbia Pacific Communities, India’s largest provider of service and care to communities designed for seniors, are fortunate to have promoters who were rock solid in their support. This allowed us to ensure that we were able to do all that was necessary to ring-fence our communities and ensure that our residents – all senior citizens  – were kept protected from the external environment. Their support also ensured that we did not lose even one team member or reduce any salaries on account of the pandemic. We were also able to support our vendors and related stakeholders during what was an equally difficult time for them. To have the security of steadfast promoters and the blessings of all who we work with, and those who reside in, Columbia Pacific Communities, is more than one could have asked for. Much before 2020, the company philosophy that we had established as a guiding principle for all our interactions, was: ‘Unconditional Love, Respect and Care’. We asked each of our team members to ensure that all interactions with our residents be measured against this promise. A lot of what we have accumulated in the quest to ‘develop’ or become ‘civilized’ has been at the cost of these most human qualities of love, respect, and care: Mohit Nirula 2020 told me that this credo need not be restricted to just the workplace. It should be a way of being – for our interactions with all – human, animal, society, nature, and the planet. A lot of what we have accumulated in the quest to ‘develop’ or become ‘civilized’ has been at the cost of these most human qualities of love, respect, and care. 2020 for me was a great teacher. And for this, I will always be grateful. Now on to 2021 — with unconditional love, respect, and care for all.

Experts are now going by the government assurance that the Covid-19 vaccine has gone through rigorous efficacy checks, and is absolutely safe to take. Just as the country gets ready for the Covid-19 vaccine roll out, vaccinating a huge population in a diverse geography is a challenge. But India has a strong national Pediatric Immunization Programme in place, its amalgamation with a robust election process will help with the vaccine deployment, said Dr Rahul Pandit, director, critical care, Fortis Hospitals, Mumbai & Member of Maharashtra’s Covid-19 task force. Serum Institute of India and Oxford-AstraZeneca vaccine is a vector-based and gone through three significant trial stages with 70% efficacy rate. We can emphatically say that the vaccine has gone through rigorous trials, followed processes mandated for its manufacture and rolled out within a year. There is absolutely no cause for worry. However, people with severe drug allergies leading to anaphylaxis reaction and those with compromised immune systems need to seek doctors consent before they take the vaccine, he added. Also, making the vaccine available free of cost for Indians is a huge step taken by the government. Healthcare leaders such as Union minister of health & family welfare Dr. Harsh Vardhan strongly advocated for the vaccine, and assured people that the vaccine has gone through rigorous efficacy checks, and is absolutely safe to take, he added. For Dr Kanchan Sanyal, advisor, health and wellness, Columbia Pacific Communities, the Covid-19 vaccine is a primer for senior citizens. Some vaccines have passed the tests, and many are almost there, awaiting regulatory safeguards. The basis of a vaccine is that the body responds to the protein component of the virus and launches an immune response to fight the disease. This immune response must give adequate protection, both immediate and long term. Moderna and Pfizer vaccines employ a new technology using the viral RNA to stimulate an immune response whereas AstraZeneca’s Covishield), Sputnik, Johnson & Johnson are riding on the already used technology of the Zika and Ebola vaccines. From an India stand point, Indian Immunologicals and Bharat Serum Institute’s Covaxin are world leaders in vaccines for polio, cholera, chickenpox vaccines and are using this knowledge and technique for their vaccines. Any vaccine can have side effects, but they are miniscule compared to the good they do to the individual and society. Vaccination is voluntary. We already have successful experiences in vaccines, tried and tested in many diseases, she added.

India currently is growing towards becoming a country with more number of ageing people. The senior population in India is growing fast with over 20 million elders who stay alone, and the number is slated to rise further in the next two decades. However, when it comes to organized senior care and senior care services, India is still at a nascent stage. The Covid-19 pandemic and the consequent challenges have only brought the immediate need of senior living all the more. From inability to access basic necessities during the lockdown to losing out their personal space due to remote working, the pandemic presented many challenges to both seniors living alone as well those in mixed family environments. Not to forget the loneliness that came along with living in isolation during pandemic. Realty Buzz IN got an opportunity to speak to Mohit Nirula, CEO of the Columbia Pacific Communities (CPC), India’s largest senior living community operating in five cities and nine locations across south India, on the need of senior living in the country and other related aspects. Mohit Nirula, CEO of the Columbia Pacific Communities (CPC) Senior living always had a very negative connotation in Indian society. Please elaborate how and why is the perception changing now? Children serving and looking after the needs of parents in their old age is a cultural and social norm in India. Consequently, “old-age homes” gained a sometimes undeserved reputation of being the abode of those elderly who had been abandoned by their children. It is not surprising that both parents and children have balked at the idea of considering a community designed for seniors because of the societal impression associated with it. With the passage of time, the urban middle class India is now subject to many societal and sociological changes. These include better health care, longer life expectancy, a smaller family size, children empowered by education and free to pursue their careers and aspirations outside their home cities. As a consequence, an increasingly large number of parents are already living alone and independently. They are physically capable, financially independent and free from all their responsibilities. They now wish a solution that allows them to offload the responsibility of day to day chores to a single service provider while liberating themselves to pursue their passions and interests. Senior living communities now provide both the parents and the children the confidence of reliable support and the consequent peace of mind they need. What is the demand-supply mismatch you see in the senior living segment in India? The CII report of 2018 on Senior Living estimates a need for 200,000 homes in senior living communities in urban India. The current supply is 10,000 homes with another 10,000 in various stages of development. The long gestation period and construction time of such communities and the rapidly growing population in the 55 years + demographic implies this mismatch will only grow in the short to medium term. What are some of the basic amenities that are must in a senior living community? A well designed and well-served Senior Living Community should ensure that all day to day necessities of residents are fulfilled by the service team. Secondly, the service provider should have the expertise and knowledge to devise and conduct a wellness and wellbeing program that keep residents physically active, mentally alert and intellectually stimulated in a socially engaging environment. Finally, the medical and paramedical support should be able to address the current and evolving needs of the residents as they age over time. Why should someone choose Columbia Pacific Communities? What extra features or services does it offer? Residents at a Columbia Pacific community will benefit from its four-decade long experience and expertise in this field. This experience is reflected in the design of our communities, it is manifest in our philosophy of “Positive Ageing” that helps our residents to live healthier for longer by disconnecting age from ageing. Finally, our association with Columbia Asia Hospitals as our Healthcare partners brings to our residents the expertise of the best professionals in health care – in the communities and at their hospitals. In the current unprecedented times of the pandemic, do you see a surge in the demand for senior-centric living arrangements?   There is an unprecedented increase in demand – both for ready to move-in homes in the nine communities that we serve and at the communities under development. We have a waiting list of potential residents who are keen to rent or buy on resale homes at our existing communities. There is also a 4x increase in organic traffic to our website and a marked reduction in the age group of potential buyers for the communities under development. Increasingly, we see buyers in the age group of 50 – 60 approaching us individually and with friends in their pursuit of a lifestyle that liberates them and their children from worrying about each other. With the changing Indian demographic, do you suggest everyone to have a senior living plan well in place for the future? I do believe that “senior living plans” bring in an element of age and ageing that is quite unnecessary. In my opinion, a lifestyle that is liberating and an arrangement that allows residents to be the best of themselves is extremely desirable and something that should be on every person’s list of aspirations, irrespective of their age.

By – Dr. Kanchan Sanyal – Advisor, Health and Wellness, Columbia Pacific Communities As seniors grow older, the risk for a number of health concerns increases. While family history, lifestyle, social inequality and health history all play a role in determining which diseases and conditions might affect the seniors, gender can also be an indicator of what to expect and how to move towards positive ageing. Senior women are at greater risk than men for many conditions and are affected differently by many diseases that impact both sexes. Older women die of the same conditions as men, including heart diseases, cancer and cardiovascular diseases. However, women often face multiple chronic conditions that affect their daily lives such as diabetes, hypertension or arthritis. Women may, on average, live longer than men but that doesn’t necessarily mean they are healthier! The common health problems faced by senior women are – Heart Diseases – We all know that once the protection of the female hormones is removed after menopause, women are at as much risk of developing heart diseases as men. By age 70, women are at the same risk of heart diseases as men. Osteoporosis – About one in three women between the age of 75 and 85 years has osteoporosis. Cancer – Cancer is another leading cause of death among senior women. About half of the newly diagnosed breast cancer cases are in women over the age of 60, while the incidence of ovarian cancer peaks when women are in their 70s. Stroke – Stroke and its consequences are common in senior women. The sequels of stroke are devastating for a woman physically, mentally and socially Diabetes – Women with diabetes have a higher risk for heart diseases, blindness and depression than men do. Alzheimer’s disease – We do not have statistics in India yet, but we do know that women are twice as much likely to move towards this debilitating disease than men. Depression – Twice as many senior women are affected by depression than men. Arthritis – More than half of all seniors over the age of 65 have arthritis, and women are more prone to it than men. Obesity – A large per cent of women above the ages of 65 are considered obese, putting them at risk for several diseases. Much of this has to do with a lack of mobility and activity, and also their lifestyle. However, the gender dynamics of ageing are worrying. An older woman has to, at each step, face inequalities related to health, security and participation.  Stereotyping and misconceptions portray them as a burden or as invisible. On a daily basis, and around the world, older women make life better for their peers and succeeding generations, in both small and big ways. It is time to celebrate those contributions and provide ageing women with complete human rights; a positive quality of life, love, and care throughout their life course; and an environment that supports positive ageing.

Elder Relations Managers is a new, growing category of white-collar jobs After a three-decade career with an international hospitality group in different geographies, when Mohit Nirula decided to take the leadership mantle of a senior living community in India, his then prospective boss had one piece of advice for him: “India may not be culturally ready for the concept (of senior living) for a very long time but the country is circumstantially ready for it.” Three years down the line, as the CEO of the Columbia Pacific Communities (CPC) —- India’s largest senior living community operating in five cities and nine locations across south India — Nirula could not agree more. It is studying ways to extend affordable health insurance to the middle income group The Covid-19 pandemic and the consequent challenges have only increased that ‘circumstance’ for many households. From inability to access basic necessities during the lockdown to losing out their personal space due to remote working, the pandemic presented many challenges to both seniors living alone as well those in mixed family environments. Fear, anxiety and trauma increased. “Loneliness is the world’s fastest accelerator of aging. There needs to be a creation of communities where people remain socially engaged and when they do that, they will also remain physically fit, mentally alert and intellectually stimulated,” says Nirula. Demand rises Not surprisingly, the demand for both Columbia Pacific’s existing and ready to move communities went up by four times as compared to pre-Covid times. It was not the only one to witness this trend. Ashiana Housing, a pioneer in senior living communities in India, also saw the demand and enquiries for its properties going up manifold. “One large change that took place was that earlier the Next Of Kin (NOKs) were not excited about their parents moving into a senior living but now we saw lot of enquiries from the NOKs,” said Ankur Gupta, Joint Managing Director, Ashiana Housing. Ashiana currently has sprawling senior living communities in Maraimalai Nagar (Chennai), Bhiwadi (Delhi-NCR), Jaipur (Rajasthan) and Lavasa (Pune). It is planning to launch four more sizable projects with 500-1,000 units each over the next two years to cater to the growing demand. In a recent report, real estate services company ANAROCK said senior living homes are shedding the stigma of ‘old age homes’ to become a respectable real estate category, and this has accelerated in Covid-19 times. P-E investments Significantly, private equity firm Lumis Partners has identified age care as a segment of interest and invested in two start-ups in this space. One is Emoha (an anagram of at home), which offers care at their own homes for elders. Another is Epoch, which is setting up external care homes for senior citizens, especially those with dementia. Also, during the pandemic, Emoha hired over 50 Elder Relations Managers (ERMs) — a new category of white collar jobs that it expects to grow.  

While the post-pandemic era is expected to witness an exponential shift in the demand and consumption pattern of the real estate customers, the builders need to reimagine their communication and marketing strategies to build a long-lasting connection with their clients. The Indian real estate sector has been one of the strongest pillars that has fueled the growth of the Indian economy over several years. However, the coming one or two years seems to be challenging for the industry. In the wake of the current and upcoming challenges, real estate, as an industry, has been swift to adapt to digital transformation propelled by the COVID-19 pandemic. From launch events of projects to webinars, site visits, consultations and bookings–almost every step has been digitised in real estate in the past few months. Large real estate players of the country have already taken the lead in digitising the customer journey by accepting bookings online and using VR and 3D walkthroughs to help customers in making the purchase decision. As an industry, real estate relies heavily on ATL (Above the line) during the launch phase of a project. Post the launch, BTL (BTL) activities have been quite popular with the developers all throughout the life cycle of the project. For those who do not know, ATL involves using mass media methods, such as television, for targeting larger customers. BTL, on the other hand, is aimed towards targeting a smaller set of audiences. The methods include Search Engine Marketing (SEM) and PR agencies. The COVID-19 pandemic has resulted in a sharp decline in the BTL activities, including events, apartment activities and seminars. As a result, BTL budgets have been utilised towards digital marketing. Although a report by KPMG claimed that COVID-19 would not have a long-term impact on print advertising, real estate firms refrained from using print media to draw the attention of buyers, especially in the initial months of the pandemic. While the industry has again started to consider advertising on print media amid the changing scenario, there is an increased dependency on digital media for a full-funnel activity, i.e. from raising awareness to generating leads. Not only the way of advertising, but the new normal also digitised the sales process in real estate. Physical site visits have been replaced by virtual walkthroughs, VR, and in some cases, even WhatsApp and Google Hangout call. Unheard of until a few months ago, the companies have closed several transactions virtually. Expos and physical events have been replaced by virtual expos, where customers can get an unrivalled site experience through VR. They can chat real-time with brand representatives in order to get their queries addressed. Project launches have also started happening virtually, and real estate brands are increasingly using advanced 3D techniques to unveil the project and stream it live for prospective buyers. Marketing in real estate has become innovative as several brands are exploring influencer marketing, content marketing and engagement-driven initiatives, such as masterclasses with chefs and fireside chats to build brand salience. Needless to say, this is an exceptional time for real estate fraternity to strategise, re-analyse, and rely on digital offerings, unlike the non-digital routes in the pre-COVID-19 era.  

For Piali Dasgupta, Senior Vice President – Marketing, Columbia Pacific Communities, one of India’s largest senior living facilities, the primary task is to portray the concept of senior living in the right context and make it gain acceptance in India. She is busy trying to find newer ways and means to engage with her audience, and plan activations like last year’s Senior Citizen’s Flash Mob that went viral, now with the help of digital platforms and technology. Technology to the rescue at all times Starting out as a journalist and then moving to marketing for fashion brands such as Myntra, Amazon and Aditya Birla Fashion Retail, and now marketing senior living at Columbia Pacific Communities, Dasgupta has had an interesting career. “When I crossed over to the brand side with Myntra, I had a video IP called the ‘Myntra Make-overs’ and curated conversations with celebrity fashion influencers, much before ‘influencers’ had become trendy,” recalls Dasgupta. “The make-overs gained massive popularity and taught me that if you go that extra mile to delight your customers, you earn their lifelong loyalty.” At Columbia Pacific Communities, the pandemic posed a massive challenge for Dasgupta, as the senior population of the country has been one of the worst hit by COVID-19. Strict anti-COVID protocols like barring visitors to the communities, ensuring frequent and thorough sanitization, doorstep delivery of goods and services – down to mobile ATM machines, maintaining social distancing, converting community events to the digital format, serving immunity-building diets, etc., helped them remain COVID-free to a large extent. To prevent the seniors from feeling lonely, anxious or isolated, they were socially engaged through technology. “From video calls with their loved ones to hosting digitally led inter-community talent hunt and quiz contests, we had a host of engagement activities. We also had counsellors on board for those that wanted to reach out. Brand initiatives such as The Living Room, a virtual chat show on Facebook, that invited luminaries and experts from different walks of life such as Nandita Das, Kabir Bedi, Charu Sharma, Prahlad Kakkar, Dolly Thakore, etc., ensured that the seniors were positively and meaningfully engaged while staying indoors,” explains Dasgupta.   Fighting the stigma around senior living The primary challenge before Dasgupta now is to fight the stigma around senior living as a concept. “Children fear that sending their parents to a senior living community would be seen as abandonment, when it is actually quite the opposite. There is tremendous guilt associated with this. Besides, ‘senior living’ as a concept, has often been likened to ‘old age homes’ and the dreary image of the latter. This is unfortunate, because senior living communities are a lifestyle choice; they are NOT old age homes, where people live more out of compulsion than out of choice,” says Dasgupta. She understands that there is lack of awareness around the product offering itself, given how new the category is, and says another challenge is seniors hesitating to invest in an asset like a senior living facility late in their lives. However, things seem to have changed in the past 3 to 4 years. “There is certainly better awareness today. But we still have a long way to go before the concept becomes truly mainstream. That would happen with robust government support, policy changes and support from the media to raise awareness around it,” comments Dasgupta. Taking to the experiential medium Events and experiential marketing are important for any growing, young brand to raise brand awareness, and all established brands to build salience, feels Dasgupta. “As a brand, we have not invested heavily in events, choosing a few marquee B2B events such as the CII Annual Conclave on Senior Care, ASLI Senior Care Conclave, and a few events focused on seniors,” she says, adding, “However, the experiential campaign that won us a number of awards as well widespread media coverage was our Christmas campaign last year. We organised South India’s first Senior Citizen’s Flash Mob during Christmas last year in Bangalore, where nine senior citizens performed a Christmas-themed flash mob on the busy streets of Bangalore.” In the post  COVID-era, Dasgupta is aware that on-ground events will take a backseat for some time, therefore she is taking the help of digital platforms and technology to build engagement strategies. Making ‘positive ageing’ mainstream  The key area of focus for Dasgupta is to strengthen the brand positioning by taking the narrative of “positive ageing” forward through story-telling, PR, advocacy and other consumer engagement initiatives. “Our aim is to popularise the concept of positive ageing in India and make it a part of mainstream conversations,” she says, even as she moves towards her personal goal of striking a better work life balance, prioritising mental wellbeing, reading 35-40 books every year and visiting at least one new country every year, provided the world opens up.

If you’re spending more time catching up on TV shows than catching up on your shut-eye, you might be hampering all your other wellness efforts, like eating right and taking the time to exercise. Experts say that a lack of rest—whether from overstimulation, anxiety or other sleep-related disorders—can manifest as issues with your memory, blood pressure, immunity and even your skin. We spoke to three experts about what can actually happen when you’re not allotting enough time for a restful sleep. 1. Sleep deprivation can heighten issues with stress Stress and sleep are looped. Most of the time chronic stress leads to insomnia, and lack of restorative sleep leads to poor response to stress. In fact, Dr Sibasish Dey, head, medical affairs, Asia and Latin America, ResMed, explains how insomnia is not a state of sleep loss, but a disorder of hyper-arousal present during both the night and the daytime. When we are stressed, the emotional control centre of our brain called amygdala gets activated. This can cause cortisol production, which can lead to reduced mental resilience and a longterm fight or flight syndrome. “At a more advanced level, sleep deprivation can over-stimulate parts of the brain and even lead to permanent brain damage. This is because of the brain’s ‘neural plasticity’—which means its ability to adapt to new situations alters,” adds Dr Dey. 2. A lack of sleep can lead to difficulties in decision-making “During sleep, the brain is relatively in a low metabolic state, and this helps the lymphatic system clear out toxins that have accumulated during the day. Memories are consolidated during sleep, and the different systems of the body are in a restful state,” explains Dr Lancelot Pinto, consultant respirologist, PD Hinduja Hospital Mumbai. It is this role of memory forming that regulates our emotions and our responses, and a continued state of sleep deprivation can alter our decision making. Lack of energy, difficulty concentrating, memory loss and loss of interest in hobbies or activities are the common symptoms. Studies have proved that those who have had a good night’s sleep are more likely to perform better at tasks that require concentration and memory. “REM sleep plays a big role in the learning process, cognition and synaptic cross linking. Between the stages of sleep, deep sleep helps in declarative learning and REM sleep helps in learning skills. There is increased focus, more attention span and good grasping capacity if one gets enough sleep. Hence, there is increased alertness and productivity,” says Dr. Karthiyayini Mahadevan, head of wellness and wellbeing, Columbia Pacific Communities. 3. It can hamper immunity While you have been stocking up on the healthy groceries and nutritional supplements, have you considered clocking another hour of sleep to increase immunity? “Research has proven that adequate sleep helps in the development of T cells which are immune cells that help fight intracellular pathogens such as virus infected cells, for example, flu, HIV, herpes, and cancer cells,” adds Dr Dey. Without sufficient sleep our bodies make fewer cytokines, a protein that fights infection and inflammation triggering an immune response. Plus,”the white cells which defend our immune system are not circulated to the regions called lymph nodes. This redistribution of the white cells happens only when we sleep well,” confirms Dr Mahadevan. 4. It can mess with your appetite “Ghrelin and leptin are two hormones that impact hunger, and how you sleep affects their production. Ghrelin’s role is to stimulate appetite, while leptin has the counterbalancing ability to decrease appetite. But, when there is sleep deprivation, there is an increase in the level of ghrelin, while the level of leptin falls, leading to an increase in hunger,” explains Dr Dey. 5. Getting too little sleep can cause heart and blood pressure disorders Sleep deprivation is a prominent cause of issues like hypertension, cardiovascular issues, blood pressure, and various other diseases. During sleep hours, blood pressure is low and balanced. Having sleep problems means your blood pressure stays higher for a longer amount of time, which can cause issues long-term. 6. It can cause dry, sallow skin If you haven’t slept a couple of days, your skin can be dull and your eyes puffy. But chronic sleep loss can cause cortisol production, which in excess amounts, can break down skin collagen, which is the protein that keeps it smooth and elastic. Plus, sleep loss also causes the body to release too little human growth hormone (HGH). HGH is important in the creation of muscle mass, which is needed to strengthen the skin’s scaffolding.

Dr. Karthiyayini, Head of Wellness and Well-being at Columbia Pacific Communities Globally, the population of the elderly is growing rapidly. According to WHO (World Health Organisation) statistics, between 2015 and 2050, the proportion of the world population over 60 years will nearly double from 12% to 25%. Longer life spans, focusing more on the physical aspects of health while ignoring the emotional and mental aspects have brought to light more pertinent questions about well-being to the fore. Impact of Covid-19 on the mental health of seniors The current challenge has imposed a lot of changes in our ways of living. Elders with their pre-existing co-morbidities are exposed to greater risks. The most common mental health issues faced by seniors are anxiety, fear of death, and loneliness. All these are heightened exponentially in the present scenario. Moreover, those who already have mental health issues and are on medication for depression, bipolar disorders, or movement disorders are further pushed to experience severe forms of these illnesses during a pandemic How can we address this challenge? Any pandemic brings in a shift in the global consciousness. This is majorly due to the changes brought to one’s individuality. Any infectious illness is an outcome of a meeting between two agents, a host, and a microbial agent. This meeting with the virus can bring about either response as a series of symptoms or a reaction as a cascade of symptoms from the human body. Microbes are all around us. Responding to the virus as a foreign agent is different from reacting to the virus as an invader. The most important factor to consider is “the Individuality” of a person. This individuality, when exercised regularly at the physical, emotional, and mental realms in a balanced way, will make the meeting of the virus and triumphing over the illness easier. When the same individuality due to conditioning gets out of balance, the possibility of reacting to the situation with fear and anxiety occurs. This will bring out the worst in the illness affecting the physical and mental health of people. How can we balance this individuality? At the physical level: A balanced diet, nutrition, and regular exercises At the emotional level Artistic activities such as dance, music, art, and fun-filled games At the mental level New learnings to stimulate neurons through neurobics, mindful games, and mind-stimulating games Looking at life with a positive attitude turns the challenge into an opportunity. Impact of Covid-19 on people: Negative impacts Positive Impacts Isolation Given us all time to be with ourselves Hand hygiene – Our health in others’ hand We are now not only considerate towards ourselves but to others too. Personal Protective Equipment –Suffocation to oneself Preventing us from polluted environment Loneliness Time to introspect Social distancing – Distance at the physical Opened up a whole lot of possibilities to connect with people Time seems to have seized Has opened up more space Seeing the positive impact helps one respond to the challenges posed by the virus in a balanced way. This way one’s individuality is expressed and exercised to be in a balanced state of health. This is why community living plays an important evolutionary role in any global challenge and for a better future with a better quality of life. Conclusion According to WHO, mental and neurological disorders among older adults account for 6.6% of the total disability for this age group. Positive aging through appraisal towards holistic health is a way to improve the quality of life and address this emerging mental health problem. A healthy lifestyle with balanced nutrition, regular group physical activities, sharing and engaging the mind active with like-minded people are addressed at the individual level and at the community level in community living Hence, community living with supporting infrastructures should be encouraged by the public and private sectors to bring about a big change in turning any challenge into an opportunity.