European Spas Association (ESPA) Europäischer Heilbäderverband (EHV) Association Européenne du Thermalisme et du Climatisme (AETC) Asociasión Europea de Estaciones Termales (AEDET)

by Joachim Lieber Secretary-General European Spas Association (ESPA) 2 nd LATVIA RESORT CONFERENCE, Jurmala, Latvia Tendencies of European Spas and Health Resorts

BulgariaIcelandPortugal Czech RepublicItaly Romania Denmark Ireland Slovakia Estonia Latvia Spain Germany Lithuania Switzerland Greece Luxembourg Turkey Hungary Serbia* * Observing member ESPA Members from

Cooperation with: European Tourism Industry Network (ETIN) European Social Insurance Partners (ESIP) Storch Water Consulting (SWC) Further Partners: European Kneipp Institut International Society of Medical Hydrology and Climatology (ISMH) EuropeanEuropeanCouncil CommissionParliamentof Europe Lobbying

Increasing competition on the European level Missing transparency in prices and quality for the customers Actual situation: Conclusion: There is a need for coordinated structures and instruments which lead to more transparency in the market and give new impetus for a better quality of the Spas and Health Resorts in Europe Quality Standards for European Spas

The first instrument developed by the ESPA is:

The second instrument developed by the ESPA is:

“What do we check?” – approx. 400 questions 123 Conformity Medicinal water, Peloids etc. Therapy-area a)Requirements for spa-treatments b)Law-conformity c)Organisation d)Quality- and safety- management e)Analytic: water, air, remedy, surface-hygiene Peloid & Water Protection Tapping Technical treatment Storage a)Medical area b)Spa-treatment c)Baths, Sauna-area Criteria EUROPESPA ® med (1/2)

Criteria EUROPESPA ® med (2/2) Criteria Catalogue – approx. 400 questions 456 Accommodation Gastronomy Environment a)Rooms b)Facilities a)Spa-specific b)Calmness c)Pollution-free environment d)Information about the local situation a)Food-Supply b)Kitchen c)Food-Safety (e. g. HACCP)

EUROPESPA – List under (3 years)

30 Audits in Europe Czech Republic (15) Germany (3) Italy (2) Slovakia (2) Spain (2) Turkey (2) Hungary (1) Iceland (1) Romania (1) Tunisia (1)

Comparison of spas in Europe

EUROPESPA© med certifies the facility as international relevant quality in regard to therapy standards, hygiene and security for the guests. “EUROPESPA med means for the TAUNUS BKK: Spas from highest quality with - modern medical standards - reliable safety and - attractive service for our insurants.” Udo Sennlaub, CEO TAUNUS BKK (with over 1 Million insurants one of the largest health insurance companies in Germany)

The EUROPESPA med quality initiative is welcomed by tourism company TUI. “What was lacking in Europe until recently was a uniform, international seal of approval for spas and wellness centres. The EUROPESPA med quality initiative fills this gap by providing more transparency in competition. This benefits our customers, our partners and ultimately us, too,” states Mehdi Langanke, head of product management at TUI Vital. Popular among tour operators

Europe180 Mio. overnights Germany100 Mio. overnights Japan130 Mio. visits USA110 Mio. visits Bavaria 60 Mio. visits *Annual Figures Global Spa Market*

Spas in Europe (ESPA): Highest level of a health resort as recognised by the national laws, are situated in a clean and healthy environment ( air, water, traffic, noise), have the competence and experience for a qualified prevention and rehabilitation, especially for chronic diseases as well as for wellness offers. Depending to the local remedies the spa may be classified as mineral-, thermal-, peat-, seaside-, or Kneipp-Spa. Spas in USA (ISPA): Spas are places devoted to enhancing overall well-being through a variety of professional services that encourage the renewal of mind, body and spirit. Spa philosophies worldwide

CountriesSpas Overnights Stays Deutschland/ Germany Frankreich/ France (Thermal) Griechenland/ Greece Lettland/ Latvia (only Jurmala) Österreich/ Austria not registered Portugal Romania Serbien/ Serbia Slowakei/ Slovakia Spanien/ Spain Tschechien/ Czech Republic Ungarn/ Hungary (only Danubius Hotels) Overnights & guests in European Spas

Mineral- und Moorheilbäder Heilklimatische Kurorte Seeheil- und Seebäder Kneippheilbäder Kneippkurorte Total Changes 2007/99 absolut 2007/99 in % , , , , ,19 Changes 2007/2006 absolut 2007/2006 in % , , , , ,92 German Spas – Arrivals

Mineral- und Moorheilbäder Heilklimatische Kurorte Seeheil- und Seebäder Kneippheilbäder Kneippkurorte Total 19996,885,296,545,636, ,815,186,545,506, ,815,326,525,456, ,755,116,435,326, ,514,996,175,225, ,164,756,075,005, ,024,605,844,855, ,844,505,704,765, ,664,445,704,705,35 Duration of stay

Countries Number of Spas/ spa- hotels Turno ver in EURO Arrivals Foreign ers Overnights Foreig ners Number of stays payed by health insurances Germany Mrd Austria 814 Mrd Slovakia Serbia 4070 Mio Portugal Mio Spain Mio Greece Economic data

FRANCE 99 Spas (without Thalasso-Spas) Guests yearly with appr. 8,8 Mio. overnights; about self paying guests Jobs GERMANY Baden-Württemberg 57 Spas (Heilbäder und Kurorte) 3,000 Billons in € in Jobs 41,50 € Average daily expenses per guest Bavaria 45 Spas (Heilbäder und Kurorte) 3,200 Billions in € in Jobs 50,30 € Average daily expenses per guest Guests per day = 64 Mio. per year Economic data

Passive- Wellness 40 % Medical- Wellness 60 % Passive- Wellness 21 % Medical- Wellness 79 % Demand in Health Tourism

Total Abroad Stays allocated to age groups in one German health insurance

Expectations to a medical-wellness-stay

1.Acupuncture 2.Ayurveda 3.Consultation in nutrition 4.Thermal spa cure 5.Kneipp cure The top-five of “cures / therapies” offers

1.Back massage 2.Full body massage 3.Reflexotherapy 4.Facial treatments 5.Aromatherapy The top-five of the “massage” offers

CountriesShareChange Germany40 %44 % - 4 % Italy12 %11 % + 1 % Austria11 %15 % - 4 % Switzerland 9 % 8 % + 1 % Spain 6 % +/- 0 % Thailand 5 % 2 % + 3 % Sri Lanka 5 % Czech Republic 3 % 4 % - 1 % Denmark 3 % 1 % + 2 % Hungary 2 % 5 % - 3 % Preferences of the German health- and wellness-tourists

Spas in Europe: Trenčianske Teplice, SK

Spas in Europe: Bad Wörishofen, D

Spas in America: Chicago, USA

Spas in Far East: Tokio Water Park, Japan

As you see Spas worldwide are very different, common is that they are popular among the customers for relaxation and/or health. Thank you for your attention!