talassoterapia - benchmarks e normas internacionais

SEMINAacuteRIO INTERNACIONAL ldquoTurismo de sauacutede na Nazareacute dos banhos quentes agrave talassoterapiardquo

ldquoEnquadramento legal e regulamentar da Talassoterapia em Portugal e na Europardquo

Benchmarks e normas internacionais

JOAtildeO PINTO BARBOSA Nazareacute 24032012

Benchmarks Tuniacutesia | Franccedila | Alemanha


Benchmarks TUNIacuteSIA Lei da Talassoterapia Deacutecret 2006-3174 du 30 Novembre

Cadre Juridique Lrsquoactiviteacute de la thalassotheacuterapie est sous la tutelle du ministegravere de la santeacute pour le volet meacutedical et du ministegravere du tourisme pour le loisir et lrsquoheacutebergement

Normes et conditions de creacuteation et drsquoexploitation drsquoun centre de thalasso A - Chapitre I Dispositions geacuteneacuterales | Articles 1 agrave 6 B - Chapitre II Qualiteacute de lrsquoeau de mer et conditions de son utilisation | Articles 7 agrave 11 C - Chapitre III Normes en locaux et eacutequipements | Articles 12 agrave 23 D - Chapitre VI Normes drsquoexploitation | Articles 24 agrave 33 E - Chapitre V Normes en personnel | Articles de 34 agrave 41


A - Chapitre I Dispositions geacuteneacuterales | Articles 1 agrave 6

Article 2 Prestations offertes par le centre de thalasso heacuteliotheacuterapie ndash fangotheacuterapie ndash algotheacuterapie ndash exercice sur terrain de sable ndash psammotheacuterapie sup1 ndash cures de boissons

B - Chapitre II Qualiteacute de lrsquoeau de mer et conditions de son utilisation | Articles 7 agrave 11

Article 7 Obligation drsquoune eacutetude eacutecologique deacutetailleacutee du site marin de la flore marine et terrestre et des installations avoisinantes Article 9 Conditions de preacutelegravevement de lrsquoeau de mer mecircmes caracteacuteristiques que lrsquoeau au largepas drsquoalteacuterations du gocircutde la couleur ni de lrsquoodeur Limites acceptables des paramegravetres physico-chimique Saliniteacute = 35-40 gl Ph = 75 -84 Densimegravetrie = 1025-1032 Article 11 Conditions du captagedu transport du stockage de lrsquoutilisation et du rejet de lrsquoeau de mer

sup1 Psammotheacuterapie | Ammotheacuterapie Bains de sable chaud qui ont des effets consideacuterables dans les troubles osteacuteo-articulaires sup2 Densimegravetrie Meacutesure des densiteacutes | Meacutesure des poids de un liquide


C - Chapitre III Normes en locaux et eacutequipements | Articles 12 agrave 23

Article 17 dispositifs speacuteciaux drsquoeacuteclairage et de climatisation pour les saisons opportunes tempeacuterature du centre toujours entre 18-25ordmc

D - Chapitre VI Normes drsquoexploitation | Articles 24 agrave 33

Article 24 Normes des piscines agrave eau de mer et renouvellement quotidien de 50 de lrsquoeau gracircce agrave un systegraveme hydraulique

E - Chapitre V Normes en personnel | Articles de 34 agrave 41

Article 35 Le directeur du centre exerce agrave temps plein Il est souhaitable qursquoil soit meacutedecin srsquoil ne lrsquoest pas il doit ecirctre assisteacute par un directeur technique meacutedecin

Fonte La Leacutegislation Tunisienne en matiegravere de Thalassotheacuterapie (DrSadok)


Benchmarks FRANCcedilA Lei da Talassoterapia Carta de Qualidade da France Thalasso Valeurs fondamentales de la Thalassotheacuterapie utilisation de lrsquoeau de mer naturelle site privileacutegieacute en bordure de mer Les centres de Thalassotheacuterapie doivent adheacuterer agrave la CHARTE QUALITEacute du syndicat et respecter lrsquoensemble de ses engagements 1 Un site privileacutegieacute en bordure de mer un environnement preacuteserveacute Pas de thalassotheacuterapie en ville agrave la montagne ou ailleurs mais uniquement en extrecircme bordure du littoral dans un site drsquoexception 2 Lrsquoutilisation drsquoune eau de mer naturelle Lrsquoeau de mer est la plus eacutequilibreacutee des eaux thermales Vivante et chauffeacutee agrave tempeacuterature de confort elle permet la recharge de lrsquoorganisme par passage des mineacuteraux et oligo-eacuteleacutements agrave travers la peau Sa conservation nrsquoexceacutedera pas plus de 24 heures


3 Une surveillance meacutedicale pour une cure sereine Une consultation meacutedicale drsquoentreacutee de cure est conseilleacutee Le meacutedecin eacutetablira avec vous votre planning et reacutepondra agrave vos besoins de conseils avant votre cure 4 Une eacutequipe de professionnels qualifieacutes et attentifs Les soins doivent ecirctre prodigueacutes et encadreacutes par un personnel compeacutetent formeacute aux diffeacuterentes techniques de soins kineacutesitheacuterapeutes hydrotheacuterapeutes dieacuteteacuteticiens moniteurs de sport estheacuteticiennes 5 Une garantie drsquohygiegravene et de seacutecuriteacute optimales Les centres de thalassotheacuterapie sont soumis agrave des contraintes reacuteglementaires tregraves rigoureuses et sont controcircleacutes reacuteguliegraverement concernant notamment la qualiteacute de lrsquoeau de mer et des produits marins utiliseacutes pour les cures 6 Des installations conformes et entretenues Les centres agreacutees disposent drsquoeacutequipements de haute technologie adapteacutes et de qualiteacute reacuteviseacutes en permanence pour satisfaire aux normes et optimiser lrsquoutilisation de lrsquoeau de mer Bains hydromassants multijets parfois eacutequipeacutes en chromotheacuterapie Baignoires de Douche Sous-marine Consoles de reacuteglage pour jets ou douches diverses Les rampes drsquoAffusions dynamiques ou statiques Les jets sous-marins en piscine Les cabines drsquoenveloppements drsquoalgues Les aeacuterosols marins Les piscines de kineacute balneacuteotheacuterapie Les installations segraveches cabines de massages salle de reacuteeacuteducation ou de gymnastiques salles de relaxation

Fonte Charte Qualiteacute France Thalasso (FRANCE THALASSO Syndicat officiel de la Thalassotheacuterapie en France)


Benchmarks ALEMANHA Lei da Talassoterapia Standards de Qualidade DEFINICcedilAtildeO Thalassotherapy is a remedial treatment using the natural healing powers of the sea The effective combination of cold or heated sea water the clean sea breeze sunshine and treatments using processed algae chalk silt and sand can alleviate and cure many illnesses Maritime air is free of pollen dust and many other harmful pollutants Also called maritime aerosol it carries salt molecules that have a mucolytic and anti-inflammatory effect on bronchial tracts The sun and its UV radiation in the right amount has a positive effect on bones the immune system and psychological wellbeing


Seawater with its high natural salt content alleviates inflammations and nourishes the body through the skin with essential minerals The wave swell and bathing in the surf break strengthen muscles and stimulates blood circulation the rhythmic sound of the sea has a calming effect Body packs and face masks made of algae chalk sup1 silt sup2 and sand contain many nutrients act to purify are anti-inflammatory and improve the appearance of the skin sup1 Chalk Calcite soft compact calcite CaCO3 with varying amounts of silica quartz feldspar or other mineral impurities generally gray-white or yellow-white and derived chiefly from fossil seashells sup2 Silt Lodo A sedimentary material consisting of very fine particles intermediate in size between sand and clay


All services that have been awarded the quality seal of approval Praumlvention im Kurort - Resort Prevention Services - meet strict quality criteria and thus ensure a longer lasting rejuvenating effect An effective preventative service consists of a wholistic approach that includes exercise nutrition and relaxation as well as improving communication skills inner motivation and self-confidence Depending on the weakness an individual health and prevention focus is set Health care education and health training ensure a lasting preventative effect Only when we know what is and isnt good for us can we make small changes in our daily habits and achieve a more grounded healthier lifestyle in the long term Medical supervision is provided at the resort by your resort physician Right from the beginning you can discuss what youd like to achieve in the prevention program An individual treatment program is created in consultation with you At the conclusion of your stay youll meet with the resort physician and discuss how you feel and how you can continue treatment at home Use of local natural remedies is an indispensable part of every preventative treatment program You can either pay privately for a preventative resort holiday or request a refund from your health insurance


Movement amp

Relaxation

Sea Movement

amp Vitality

Preccedilo balcatildeo Reembolso Preccedilo Final

(28)


(246)


Normas e standards internacionais ISO Health Tourism Services Europe Spa Med


TC 228WG 2 Health Tourism Services

ISODIS 28621 (Draft International Standard)

Medical spas using natural resources -- Service requirements

ISOAWI 17679 (Approved Work Item)

Wellness spa -- Service requirements


Thalassotherapy - Service requirements


ldquoSpardquo has been defined by ISO 185132003 as acknowledged health resorts with specific natural factors ndash natural remedies of the soil (for example mineral spring) the sea or the climate ndash sometimes complemented by appropriate health treatments Under the definition there is also a note stating that in some countries ldquospasrdquo are specifically recognized and regulated The note clearly reflects the will of ISOTC 228 stated in ISOTC 228 Business Plan which is to respect the principle of cultural identity and cultural differences while looking for a quality service to the client Remark ISO 185132003 |Tourism services - Hotels and other types of tourism accommodation -- Terminology

Medical Spa using natural resources sup1 Acknowledged health resort with specific natural factors such as natural resources of the earth or the climate used in health treatments under medical supervision Wellness Spa An establishment based on provision of secluded space with relaxing ambience and wellness programstreatments for the promotion of health and total well-being which cannot be considered under the category of beauty or medical service practices Its effort is to provide care and enhancement of health through holistic approach aimed at rejuvenating and relaxing body mind and spirit Thalassotherapy Treatment using sea water and substances directly extracted from the sea environment in a marine site under medical supervision which is at the same time therapeutic and preventive promoting wellbeing and health care using simultaneously marine elements sea water algae marine mud sands and any other substance directly extracted from the sea environment

sup1 NATURAL RESOURCES Natural resources of the earth within this group there are Healing waters | Healing gases | Peloids | Climate Specific natural local products There is a wide range of local remedies including mineral baths saline baths thermal baths peloid path Kneipp Therapy Thalassotherapy


THALASSOTHERAPY


Contents Foreword Introduction 1 SCOPE 2 NORMATIVE REFERENCES 3 TERMS AND DEFINITIONS 4 FACILITIES AND EQUIPMENT 41 Facilities 411General 412 General Services Arears 4122 Reception 4123 Office administrative 4124 Dressing Room 4125 Sanitary Facilities 413 Technical Area 414 Health care areas 4141 Medical Unit 4142 Infirmary 4143 Dry areas 4144 Humid aereas 42 Equipment 421 General 422 Lighting and ventilation 423 Heating and air conditioning systems 424 Equipment to treat waste sea water 425 Drinking water supply

5 ndash Personal requirements

51 GENERAL REQUIREMENTS 51 52 QUALIFICATIONS 521 Medical and para-medical staff 522 Technical staff 53 TRAINING 6 CARE ELEMENTS RAW MATERIALS 61 Sea Water 62 Seaweed and marine mud 7 HYGIENE GOOD PRACTICES 71 General requirements 72 Hosting capacity of thalassotherapy centers 73 Access to thalassotherapy centers 74 Raw materialsrsquo quality control 75 Maintenance of equipment 76 Maintenance and cleaning 77 Linen management 78 Staff 8 Services to customers 81 Information 82 Claims 9 SELF-CONTROL 91 General 92 Self-control plan 93 Records

THALASSOTHERAPY


1 Scope This International Standard establishes the requirements for the provision of services in thalassotherapy centers using marine environmentacutes beneficial effects with curative or preventive purposes aiming at ensuring - Good quality services responding to customeracutes implicit and explicit needs - The respectful use of the thalassotherapy concept and very specifically the implementation of hygiene and safety principles This International Standard does not deal with the therapeutic virtues supposed to be offered by thalassotherapy nor does it cover decisions that correspond to the medical profession This International Standard does not apply to accommodation nor to catering services

311 Thalassotherapy treatment using sea water and substances directly extracted from the sea environment in a marine site under medical supervision which is at the same time therapeutic and preventive promoting wellbeing and healthcare using simultaneously marine elements sea water alga marine mud sands and any other substance directly extracted from the sea environment

411 Facilities and Equipment (General) The thalassotherapy center shall comply with national legislation in force to get such recognition The thalassotherapy center facilities shall be located at a maximum of 1000 m from the coastline in a healthy natural environment and in an area of non polluted water


EuropeSpa med is the seal of quality for health resort hotels and clinics as well as medical wellness centres Visitors are treated over a period of at least two and ideally three weeks according to a medical plan drawn up by a doctor Then again preventive measures may only last a few days if the aim is to generally prevent disease or make the guest aware of health issues Both treatment and prevention have medical aspects which is why the seal is known as EuropeSpa med EuropeSpa med brings clarity Its the most stringent audit in medical prevention About 1000 criteria have been distilled from around 30 national and international standards and regulations governing aspects like safety hygiene and the treatment infrastructure The test criteria have been developed in conjunction with a Committee of Experts and with the support of health insurance companies To be awarded the EuropeSpa med seal of quality health resorts and clinics have to undergo an on-site inspection lasting two or three days carried out by independent auditors And they only pass if they meet at least 80 of all the criteria as well as certain basic requirements


THALASSOTHERAPY should only be described as such if they meet the following EUROPEAN SPAS ASSOCIATION criteria 1) Therapeutical concept for defined indications under medical control 2) Situated directly by the sea under the direct influence of sea climate 3) Sea water for inhalation andor bathing for example in tubs or in pools or in the sea 4) Products of the sea such as mud or algae for different treatments 5) Helio Therapy primary use of natural sunbeams and if weather conditions are unfavourable the sunlight can be replaced by artificial UV rays 6) Sea air containing a low level of harmful substances and allergens to be used at long stays in the fresh air 7) Regulated stays in the fresh air and training neat the seaside 8) Measures accompanying health detention healthy food and activity of the body


Minerva Med 1969 May 260(35)1695-702 [The use of thalassotherapy in dermatology] [Article in Italian] Dalla Torre G Mazzucco G PMID5790013[PubMed - indexed for MEDLINE] Dermatol Monatsschr 1976 Sep162(9)746-9 [Influence of helio- and thalassotherapy on vitamin-A and beta-carotene levels in psoriasis] [Article in German] Zlatkov NB Babushkina N Stransky L PMID992183[PubMed - indexed for MEDLINE] Fortschr Med 1978 Mar 1696(10)504-11 [Thalassotherapy indications contraindications] [Article in German] Schultze EG PMID564852[PubMed - indexed for MEDLINE] Padiatr Padol 197510(4)330-5 Pulmonary function in asthmatic children during thalassotherapy Etspuumller R Voget KP Siegmund M Eigelsreiter H Blanck P Fenner A PMID1215066[PubMed - indexed for MEDLINE]

Rheumatology (Oxford) 2005 Apr44(4)539-46 Epub 2005 Feb 3 Spa treatment for primary fibromyalgia syndrome a combination of thalassotherapy exercise and patient education improves symptoms and quality of life Zijlstra TR van de Laar MA Bernelot Moens HJ Taal E Zakraoui L Rasker JJ PMID15695301[PubMed - indexed for MEDLINE] Free full text Z Gesamte Inn Med 1969 Feb 124(3)92-3 [Treatment results in hypertensive patients after thalassotherapy] [Article in German] Liebisch I Teichmann G Mahlau G Sparre R PMID5796646[PubMed - indexed for MEDLINE]

Rheumatol Int 2008 Dec29(2)147-52 Epub 2008 Jul 4 Thalassotherapy for fibromyalgia a randomized controlled trial comparing aquatic exercises in sea water and water pool de Andrade SC de Carvalho RF Soares AS de Abreu Freitas RP de Medeiros Guerra LM Vilar MJ PMID18600327[PubMed - indexed for MEDLINE]



E para concluirhellip


EM PREPARACcedilAtildeO NA UNIAtildeO EUROPEIA European Parliament resolution of 27 September 2011 on Europe the worlds No 1 tourist destination ndash a new political framework for tourism in Europe (20102206 INI) 58 Takes note of the fact that demographic developments in Europe will give rise to continuing growth in health tourism and in spa tourism in particular calls on the Commission in view of the fact that there are a variety of Community rules covering spa-tourism issues to consider the possibility of tabling a single legislative proposal on spa tourism in order to give the sector a controlled organic structure encouraging its competitiveness and specifying immediately that spa companies operating in the Member States as providers of health services are excluded from the scope of Directive 2006123ECsup1 stresses the relevance of the new legislation on cross-border healthcare and considers that these must be enforced in strict compliance with the criteria and conditions imposed by the new legislative framework in order to ensure fully satisfactory implementation


sup1 DIRECTIVE 2006123EC OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL of 12 December 2006 on services in the internal market


OBRIGADO PELA ATENCcedilAtildeO


Benchmarks Tuniacutesia | Franccedila | Alemanha































Movement amp

Relaxation

Sea Movement

amp Vitality


(28)


(246)
















THALASSOTHERAPY





THALASSOTHERAPY




















































Movement amp

Relaxation

Sea Movement

amp Vitality


(28)


(246)
















THALASSOTHERAPY





THALASSOTHERAPY





































THALASSOTHERAPY





THALASSOTHERAPY























THALASSOTHERAPY























talassoterapia - benchmarks e normas internacionais

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