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

2. by Joachim Lieber Secretary-General European Spas Association (ESPA) 2 nd LATVIA RESORT CONFERENCE, 2008.04.28 Jurmala, Latvia Tendencies of European Spas and Health Resorts

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

4. 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

5. 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

6. The first instrument developed by the ESPA is:

7. The second instrument developed by the ESPA is:

8. “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)

9. 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)

10. EUROPESPA – List under www.europespa.eu (3 years)www.europespa.eu

11. 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)

12. Comparison of spas in Europe

13. 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)

14. 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

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

16. 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

17. CountriesSpas Overnights Stays 200420052006200420052006 Deutschland/ Germany29198.550.64497.689.63897.745.97717.214.51517.623.74318.064.628 Frankreich/ France (Thermal)969.469.8359.052.561 8.824.177571.575504.607492.325 Griechenland/ Greece501.620.000 180.000 Lettland/ Latvia (only Jurmala)20369.353363.881 390.757 67.614101.447124.638 Österreich/ Austria8118.200.00018.030.91318.057.000not registered Portugal34839.099850.000855.00098.51298.52199.057 Romania 61 6.000.000 720.000 Serbien/ Serbia403.964.0273.778.2803.927.055682.000703.359711.829 Slowakei/ Slovakia212.499.606 137.156 Spanien/ Spain1286.298.0006.801.8407.295.000920.0001.011.0001.105.000 Tschechien/ Czech Republic345.429.4275.777.3355.669.938309.258314.928327.078 Ungarn/ Hungary (only Danubius Hotels)32 3.836.000 426.000 Overnights & guests in European Spas

18. Mineral- und Moorheilbäder Heilklimatische Kurorte Seeheil- und Seebäder Kneippheilbäder Kneippkurorte Total 19995.700.8573.312.4424.788.9091.837.14815.639.356 20006.099.6053.534.5885.064.1241.970.47516.668.792 20016.234.3723.336.0145.265.1062.048.65916.884.151 20026.129.3993.250.6515.361.9521.982.85316.724.855 20036.109.7893.263.8935.787.9131.968.09517.129.690 20046.203.6613.277.0105.698.4892.035.35517.214.515 20056.240.9723.453.5275.848.6522.080.59217.623.743 20066.476.7943.458.6276.044.6252.084.58218.064.628 20077.074.2963.427.8956.347.2012.104.29418.953.686 Changes 2007/99 absolut 2007/99 in % +1.373.439 +24,09 +115.453 +3,49 +1.558.292 +32,54 +267.146 +14,54 +3.314.330 +21,19 Changes 2007/2006 absolut 2007/2006 in % +597.502 +9,23 -30.732 -0,89 +302.576 +5,01 +19.712 +0,95 +889.058 +4,92 German Spas – Arrivals

19. Mineral- und Moorheilbäder Heilklimatische Kurorte Seeheil- und Seebäder Kneippheilbäder Kneippkurorte Total 19996,885,296,545,636,30 20006,815,186,545,506,23 20016,815,326,525,456,26 20026,755,116,435,326,16 20036,514,996,175,225,96 20046,164,756,075,005,72 20056,024,605,844,855,54 20065,844,505,704,765,41 20075,664,445,704,705,35 Duration of stay

20. Countries Number of Spas/ spa- hotels Turno ver in EURO Arrivals Foreign ers Overnights Foreig ners Number of stays payed by health insurances Germany 30028 Mrd.19.000.0001.800.000101.000.0005.200.0002.400.000 Austria 814 Mrd. 18.500.000 200.000 Slovakia 25 200.00065.0003.300.0001.100.00080.000 Serbia 4070 Mio.710.00030.0004.000.000135.00050.000 Portugal 34180 Mio.100.000 850.000 85.000 Spain 128220 Mio.1.100.000 7.300.000 Greece 50 360.000 3.200.000 Economic data

21. FRANCE 99 Spas (without Thalasso-Spas) 490.000 Guests yearly with appr. 8,8 Mio. overnights; about 10.000 self paying guests 90.000 Jobs GERMANY Baden-Württemberg 57 Spas (Heilbäder und Kurorte) 3,000 Billons in € in 2004 70.000 Jobs 41,50 € Average daily expenses per guest Bavaria 45 Spas (Heilbäder und Kurorte) 3,200 Billions in € in 2005 90.000 Jobs 50,30 € Average daily expenses per guest 175.000Guests per day = 64 Mio. per year Economic data

23. Passive- Wellness 40 % Medical- Wellness 60 % Passive- Wellness 21 % Medical- Wellness 79 % 2002 2007 Demand in Health Tourism

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

25. Expectations to a medical-wellness-stay

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

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

28. CountriesShareChange 2007 2002 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

29. Spas in Europe: Trenčianske Teplice, SK

30. Spas in Europe: Bad Wörishofen, D

31. Spas in America: Chicago, USA

32. Spas in Far East: Tokio Water Park, Japan

33. 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!