1. Trends and Challenges in Health and Wellness Tourism Puczkó László, PhD CMC

2. Feeling well...

3. Health & Wellness ‘Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity’ (WHO, 1948) ‘The extent to which an individual or a group is able to realize aspirations and satisfy needs, and to change or cope with the environment. Health is a resource for everyday life, not the objective of living; it is a positive concept, emphasizing social and personal resources as well as physical capabilities’ (WHO, 1984) ‘A special state of health comprising an overall sense of well-being which sees ‘Man’ as consisting of body, spirit and mind and being dependent on his environment’ (Dunn, 1959) „A way of life oriented toward optimal health and well-being in which the body, mind, and spirit are integrated by the individual to live more fully within the human and natural community”(Myers, Sweeney & Witmer, 2000)

4. Well-what??  English-speaking world not altogether familiar with the term ‘wellness’  ‘Wellness’ often synonymous with ‘medical’ in CEE  No word for wellness in some languages  Hebrew = ‘health’  Finnish = ‘wellbeing’  Slovenian = ‘well-feeling’  German= ‘Wohlfühl’ or ‘Wohlsein-Oase’

5. Types of Health Tourism WellnessMedical Holistic Leisure and Recreation Medical Wellness Medical (Therap- eutic) Medical (Surgical)

6. Body Medical (therapeutic) Tourism Leisure Spa Tourism Spirit Thalasso Tourism Medical (surgical) Tourism Holistic Tourism Yoga and Meditation Tourism Occupational Wellness Tourism Spiritual Tourism Mind

7. Spiritual Beauty Treatments Therapeutic Recreation Rehabilitation (illness related) Cosmetic Surgery Yoga and Meditation Sport & Fitness Rehabilitation (lifestyle related) Healing & Recuperation Dentistry New AgePampering Occupational Wellness Operations Thalassotherapy Nutritional & Detox Programmes Holistic Leisure and Recreation Medical Wellness Medical (therapeutic) Medical (surgical) Wellness TourismMedical Tourism

8. Holistic Leisure and Recreation Medical Wellness Medical (therapeutic) Medical ( surgical ) Types of Health Tourism Facilities RetreatSpas Hospitals & Clinics AshramHotels & Resorts Festivals Leisure centres Cruises Wellness TourismMedical Tourism

9. Challenges 1.Experiences 2.Trust & Safety

10. Blue Lagoon (Iceland)

11. Challenge 1.Experiences 2.Trust & Safety 3.Milieu 4.Finances

13. Lake Wellness (Finland)

14. Li'tya Spa Dreaming, St Kilda  “We've Spent 40,000 Years Creating the Day Spa of your Dreams.”

15. And More...  Miraval, Life in Balance (Arizona, USA)  Desert Journey: balancing a feathar on palm while walking  The Oberoi Rajvilas (Jaipur, India)  Rice and Milk Peeling & Turmeric Scrub  The Spa at Mandarin Oriental (Tokyo, Japan)  Treatment according to the given day, hour and personality with applicable colours and smells

16. What Already Exist... Yoga Mother-Baby & Mother-Daugther Cruise For Singels Sport & fitness Gardening

17. New Directions  Shift back to indigenous & natural products & treatments  Need for greening or spas & eco-friendliness  More holistic tourism  Growth of global wellness hotels  More wellness areas at music festivals  Increase in gastro-travel  More fusion treatments (e.g. Aquaveda, Yogalates)  Flexible delivery of treatments (e.g. own home, workplace, online, even in bars!)

18. What Will Come?  Wellpitals  SpaLiving  Eco-Fit Resort  Dreamscapes  MySpa  Hol-Life Retreat  Well-Working  Budget-Spa

19. Hvala! lpuczko@xellum.hu