SEMINÁRIO INTERNACIONAL“Turismo de saúde na Nazaré: dos banhos quentes à talassoterapia”“Enquadramento legal e regulamenta...
SEMINÁRIO INTERNACIONAL               “Turismo de saúde na Nazaré: dos banhos quentes à talassoterapia”BenchmarksTunísia |...
SEMINÁRIO INTERNACIONAL                             “Turismo de saúde na Nazaré: dos banhos quentes à talassoterapia”Bench...
SEMINÁRIO INTERNACIONAL                                                 “Turismo de saúde na Nazaré: dos banhos quentes à ...
SEMINÁRIO INTERNACIONAL                                   “Turismo de saúde na Nazaré: dos banhos quentes à talassoterapia...
SEMINÁRIO INTERNACIONAL                           “Turismo de saúde na Nazaré: dos banhos quentes à talassoterapia”Benchma...
SEMINÁRIO INTERNACIONAL                                     “Turismo de saúde na Nazaré: dos banhos quentes à talassoterap...
SEMINÁRIO INTERNACIONAL                            “Turismo de saúde na Nazaré: dos banhos quentes à talassoterapia”Benchm...
SEMINÁRIO INTERNACIONAL                                                “Turismo de saúde na Nazaré: dos banhos quentes à t...
SEMINÁRIO INTERNACIONAL                           “Turismo de saúde na Nazaré: dos banhos quentes à talassoterapia”All ser...
SEMINÁRIO INTERNACIONAL                “Turismo de saúde na Nazaré: dos banhos quentes à talassoterapia”   Movement       ...
SEMINÁRIO INTERNACIONAL               “Turismo de saúde na Nazaré: dos banhos quentes à talassoterapia”Normas e standards ...
SEMINÁRIO INTERNACIONAL                                                “Turismo de saúde na Nazaré: dos banhos quentes à t...
SEMINÁRIO INTERNACIONAL                                               “Turismo de saúde na Nazaré: dos banhos quentes à ta...
SEMINÁRIO INTERNACIONAL                                  “Turismo de saúde na Nazaré: dos banhos quentes à talassoterapia”...
SEMINÁRIO INTERNACIONAL                             “Turismo de saúde na Nazaré: dos banhos quentes à talassoterapia”THALA...
SEMINÁRIO INTERNACIONAL                          “Turismo de saúde na Nazaré: dos banhos quentes à talassoterapia”EuropeSp...
SEMINÁRIO INTERNACIONAL                           “Turismo de saúde na Nazaré: dos banhos quentes à talassoterapia”THALASS...
SEMINÁRIO INTERNACIONAL“Turismo de saúde na Nazaré: dos banhos quentes à talassoterapia”
SEMINÁRIO INTERNACIONAL                                    “Turismo de saúde na Nazaré: dos banhos quentes à talassoterapi...
SEMINÁRIO INTERNACIONAL“Turismo de saúde na Nazaré: dos banhos quentes à talassoterapia”
SEMINÁRIO INTERNACIONAL        “Turismo de saúde na Nazaré: dos banhos quentes à talassoterapia”E para concluir…
SEMINÁRIO INTERNACIONAL                                         “Turismo de saúde na Nazaré: dos banhos quentes à talassot...
SEMINÁRIO INTERNACIONAL“Turismo de saúde na Nazaré: dos banhos quentes à talassoterapia”OBRIGADO PELA ATENÇÃO             ...
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Talassoterapia - Benchmarks e Normas Internacionais

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Apresentação no seminário internacional "Turismo de Saúde na Nazaré: dos banhos quentes à talassoterapia"

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Talassoterapia - Benchmarks e Normas Internacionais

  1. 1. SEMINÁRIO INTERNACIONAL“Turismo de saúde na Nazaré: dos banhos quentes à talassoterapia”“Enquadramento legal e regulamentar daTalassoterapia em Portugal e na Europa” Benchmarks e normas internacionais JOÃO PINTO BARBOSA Nazaré, 24.03.2012
  2. 2. SEMINÁRIO INTERNACIONAL “Turismo de saúde na Nazaré: dos banhos quentes à talassoterapia”BenchmarksTunísia | França | Alemanha
  3. 3. SEMINÁRIO INTERNACIONAL “Turismo de saúde na Nazaré: dos banhos quentes à talassoterapia”BenchmarksTUNÍSIALei da TalassoterapiaDécret 2006-3174 du 30 NovembreCadre JuridiqueL’activité de la thalassothérapie est sous la tutelle du ministère de la santé pour levolet médical et du ministère du tourisme pour le loisir et l’hébergement.Normes et conditions de création et d’exploitation d’uncentre de thalassoA - Chapitre I : Dispositions générales | Articles 1 à 6B - Chapitre II : Qualité de l’eau de mer et conditions de son utilisation | Articles 7 à 11C - Chapitre III : Normes en locaux et équipements | Articles 12 à 23D - Chapitre VI : Normes d’exploitation | Articles 24 à 33E - Chapitre V : Normes en personnel | Articles de 34 à 41
  4. 4. SEMINÁRIO INTERNACIONAL “Turismo de saúde na Nazaré: dos banhos quentes à talassoterapia”A - Chapitre I : Dispositions générales | Articles 1 à 6Article 2 : Prestations offertes par le centre de thalasso : héliothérapie – fangothérapie – algothérapie –exercice sur terrain de sable – psammothérapie ¹ – cures de boissonsB - Chapitre II : Qualité de l’eau de mer et conditions de son utilisation | Articles 7 à 11Article 7 : Obligation d’une étude écologique détaillée du site marin, de la floremarine et terrestre et des installations avoisinantesArticle 9 : Conditions de prélèvement de l’eau de mer : mêmes caractéristiques quel’eau au large,pas d’altérations du gôut,de la couleur ni de l’odeur. Limites acceptables des paramètres physico-chimique : Salinité = 35-40 g/l Ph = 7.5 -8.4 Densimètrie = 1025-1032Article 11 : Conditions du captage,du transport , du stockage, de l’utilisation et durejet de l’eau de mer¹ Psammothérapie | Ammothérapie: Bains de sable chaud qui ont des effets considérables dans les troubles ostéo-articulaires² Densimètrie Mésure des densités | Mésure des poids de un liquide
  5. 5. SEMINÁRIO INTERNACIONAL “Turismo de saúde na Nazaré: dos banhos quentes à talassoterapia”C - Chapitre III : Normes en locaux et équipements | Articles 12 à 23Article 17 : dispositifs spéciaux d’éclairage et de climatisation pour les saisonsopportunes ; température du centre toujours entre 18-25ºcD - Chapitre VI : Normes d’exploitation | Articles 24 à 33Article 24 : Normes des piscines à eau de mer et renouvellement quotidien de 50%de l’eau grâce à un système hydrauliqueE - Chapitre V : Normes en personnel | Articles de 34 à 41Article 35 : Le directeur du centre exerce à temps plein. Il est souhaitable qu’il soitmédecin, s’il ne l’est pas il doit être assisté par un directeur technique médecinFonte: La Législation Tunisienne en matière de Thalassothérapie (Dr.Sadok)
  6. 6. SEMINÁRIO INTERNACIONAL “Turismo de saúde na Nazaré: dos banhos quentes à talassoterapia”BenchmarksFRANÇALei da TalassoterapiaCarta de Qualidade da France ThalassoValeurs fondamentales de la Thalassothérapie : utilisation de l’eau de mer naturelle, site privilégié en bordurede merLes centres de Thalassothérapie doivent adhérer à la CHARTE QUALITÉdu syndicat et respecter l’ensemble de ses engagements1. Un site privilégié en bordure de mer, un environnement préservé.Pas de thalassothérapie en ville, à la montagne ou ailleurs, mais uniquement en extrême bordure du littoraldans un site d’exception.
2. L’utilisation d’une eau de mer naturelle.L’eau de mer est la plus équilibrée des eaux thermales. Vivante et chauffée à température de confort ellepermet la recharge de l’organisme par passage des minéraux et oligo-éléments à travers la peau. Saconservation n’excédera pas plus de 24 heures.

  7. 7. SEMINÁRIO INTERNACIONAL “Turismo de saúde na Nazaré: dos banhos quentes à talassoterapia”3. Une surveillance médicale pour une cure sereine.Une consultation médicale d’entrée de cure est conseillée. Le médecin établira avec vous votre planning etrépondra à vos besoins de conseils avant votre cure.4. Une équipe de professionnels qualifiés et attentifs.Les soins doivent être prodigués et encadrés par un personnel compétent, formé aux différentes techniques desoins : kinésithérapeutes, hydrothérapeutes, diététiciens, moniteurs de sport, esthéticiennes...5. Une garantie d’hygiène et de sécurité optimales.Les centres de thalassothérapie sont soumis à des contraintes réglementaires très rigoureuses et sont contrôlésrégulièrement concernant notamment la qualité de l’eau de mer et des produits marins utilisés pour les cures.6. Des installations conformes et entretenues.Les centres agrées disposent d’équipements de haute technologie, adaptés et de qualité, révisés enpermanence pour satisfaire aux normes et optimiser l’utilisation de l’eau de mer Bains hydromassants multijets parfois équipés en chromothérapie , Baignoires de Douche Sous-marine Consoles de réglage pour jets ou douches diverses, Les rampes d’Affusions, dynamiques ou statiques Les jets sous-marins en piscine, Les cabines d’enveloppements d’algues Les aérosols marins, Les piscines de kiné balnéothérapie Les installations "sèches", cabines de massages, salle de rééducation ou de gymnastiques, salles de relaxation.
Fonte: Charte Qualité France Thalasso (FRANCE THALASSO : Syndicat officiel de la Thalassothérapie en France)
  8. 8. SEMINÁRIO INTERNACIONAL “Turismo de saúde na Nazaré: dos banhos quentes à talassoterapia”BenchmarksALEMANHALei da TalassoterapiaStandards de QualidadeDEFINIÇÃOThalassotherapy 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 usingprocessed 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 carriessalt 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 andpsychological wellbeing.
  9. 9. SEMINÁRIO INTERNACIONAL “Turismo de saúde na Nazaré: dos banhos quentes à talassoterapia”Seawater with its high natural salt content, alleviates inflammations and nourishes the body through the skinwith essential minerals.The wave swell and bathing in the surf break strengthen muscles and stimulates blood circulation, the rhythmicsound of the sea has a calming effect.Body packs and face masks made of algae, chalk ¹, silt ² and sand contain many nutrients, act to purify, are anti-inflammatory and improve the appearance of the skin.¹ 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 seashells² Silt / Lodo A sedimentary material consisting of very fine particles intermediate in size between sand and clay
  10. 10. SEMINÁRIO INTERNACIONAL “Turismo de saúde na Nazaré: dos banhos quentes à talassoterapia”All services that have been awarded the quality seal of approval Prävention im Kurort - Resort PreventionServices - 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 andrelaxation, as well as improving communication skills, inner motivation and self-confidence. Depending on theweakness, 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 andisnt good for us can we make small changes in our daily habits, and achieve a more grounded, healthier lifestylein the long term.Medical supervision is provided at the resort by your resort physician. Right from the beginning you can discusswhat youd like to achieve in the prevention program. An individual treatment program is created inconsultation with you. At the conclusion of your stay, youll meet with the resort physician and discuss how youfeel 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.

  11. 11. SEMINÁRIO INTERNACIONAL “Turismo de saúde na Nazaré: dos banhos quentes à talassoterapia” Movement Sea, & Movement Relaxation & VitalityPreço balcão Preço balcão Reembolso Reembolso Preço Final Preço Final (28%) (24,6%)
  12. 12. SEMINÁRIO INTERNACIONAL “Turismo de saúde na Nazaré: dos banhos quentes à talassoterapia”Normas e standards internacionaisISO Health Tourism ServicesEurope Spa Med
  13. 13. SEMINÁRIO INTERNACIONAL “Turismo de saúde na Nazaré: dos banhos quentes à talassoterapia”TC 228/WG 2 Health Tourism ServicesISO/DIS 28621 (Draft International Standard)Medical spas using natural resources -- Service requirementsISO/AWI 17679 (Approved Work Item)Wellness spa -- Service requirementsISO/AWI 17680 (Approved Work Item)Thalassotherapy - Service requirements“Spa” has been defined by ISO 18513:2003 as acknowledged health resorts, with specific natural factors – natural remedies of the soil (for example, mineral spring), the sea, or the climate –sometimes complemented by appropriate health treatments. Under the definition, there is also a note stating that in some countries “spas” are specifically recognized and regulated. The noteclearly reflects the will of ISO/TC 228 stated in ISO/TC 228 Business Plan which is to respect the principle of cultural identity and cultural differences while looking for a quality service to theclient.Remark:ISO 18513:2003 |Tourism services - Hotels and other types of tourism accommodation -- Terminology
  14. 14. SEMINÁRIO INTERNACIONAL “Turismo de saúde na Nazaré: dos banhos quentes à talassoterapia”Medical Spa using natural resources ¹ Acknowledged health resort, with specific naturalfactors such as natural resources of the earth or the climate used in health treatments, undermedical supervision.Wellness Spa An establishment based on provision of secluded space with relaxing ambienceand wellness programs/treatments for the promotion of health and total well-being whichcannot be considered under the category of beauty or medical service practices. Its effort is toprovide care and enhancement of health through holistic approach, aimed at rejuvenating andrelaxing body, mind and spirit.Thalassotherapy Treatment using sea water and substances directly extracted from the seaenvironment, in a marine site, under medical supervision, which is at the same timetherapeutic and preventive, promoting wellbeing and health care, using simultaneouslymarine elements, sea water, algae, marine mud, sands and any other substance directlyextracted from the sea environment :¹ NATURAL RESOURCESNatural resources of the earth, within this group there are: Healing waters | Healing gases | Peloids | ClimateSpecific natural local productsThere is a wide range of local remedies, including mineral baths, saline baths, thermal baths, peloid path,Kneipp Therapy, Thalassotherapy.
  15. 15. SEMINÁRIO INTERNACIONAL “Turismo de saúde na Nazaré: dos banhos quentes à talassoterapia”THALASSOTHERAPYContents 5 – Personal requirementsForeword 5.1 GENERAL REQUIREMENTSIntroduction 5.1 5.2 QUALIFICATIONS1. SCOPE 5.2.1 Medical and para-medical staff2. NORMATIVE REFERENCES 5.2.2 Technical staff 5.3 TRAINING3. TERMS AND DEFINITIONS 6 CARE ELEMENTS: RAW MATERIALS4. FACILITIES AND EQUIPMENT 6.1 Sea Water4.1 Facilities 6.2 Seaweed and marine mud4.1.1General 7 HYGIENE GOOD PRACTICES4.1.2 General Services Arears 7.1 General requirements4.1.2.2 Reception 7.2 Hosting capacity of thalassotherapy centers4.1.2.3 Office administrative 7.3 Access to thalassotherapy centers4.1.2.4 Dressing Room 7.4 Raw materials’ quality control4.1.2.5 Sanitary Facilities 7.5 Maintenance of equipment4.1.3 Technical Area 7.6 Maintenance and cleaning 7.7 Linen management4.1.4 Health care areas 7.8 Staff4.1.4.1 Medical Unit 8 Services to customers4.1.4.2 Infirmary 8.1 Information4.1.4.3 Dry areas 8.2 Claims4.1.4.4 Humid aereas 9 SELF-CONTROL4.2 Equipment 9.1 General4.2.1 General 9.2 Self-control plan4.2.2 Lighting and ventilation 9.3 Records4.2.3 Heating and air conditioning systems4.2.4 Equipment to treat waste sea water4.2.5 Drinking water supply
  16. 16. SEMINÁRIO INTERNACIONAL “Turismo de saúde na Nazaré: dos banhos quentes à talassoterapia”THALASSOTHERAPY1. ScopeThis International Standard establishes the requirements for the provision of services in thalassotherapy centersusing marine environment´s beneficial effects with curative or preventive purposes, aiming at ensuring:- Good quality services responding to customer´s implicit and explicit needs- The respectful use of the thalassotherapy concept and, very specifically, the implementation of hygiene andsafety principles.This International Standard does not deal with the therapeutic virtues supposed to be offered by thalassotherapynor does it cover decisions that correspond to the medical profession. This International Standard does not applyto accommodation nor to catering services.3.11 Thalassotherapytreatment using sea water and substances directly extracted from the sea environment, in a marine site, undermedical 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 anyother substance directly extracted from the sea environment.4.11 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 coastlinein a healthy natural environment and in an area of non polluted water.
  17. 17. SEMINÁRIO INTERNACIONAL “Turismo de saúde na Nazaré: dos banhos quentes à talassoterapia”EuropeSpa med is the seal of quality for health resort hotels and clinics as well as medical wellnesscentres. Visitors are treated over a period of at least two and ideally three weeks according to amedical plan drawn up by a doctor. Then again, preventive measures may only last a few days if theaim is to generally prevent disease or make the guest aware of health issues. Both treatment andprevention 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 1,000 criteria have been distilled fromaround 30 national and international standards and regulations governing aspects like safety,hygiene and the treatment infrastructure. The test criteria have been developed in conjunctionwith a Committee of Experts and with the support of health insurance companies. To be awardedthe EuropeSpa med seal of quality, health resorts and clinics have to undergo an on-site inspectionlasting two or three days carried out by independent auditors. And they only pass if they meet atleast 80% of all the criteria as well as certain basic requirements.
  18. 18. SEMINÁRIO INTERNACIONAL “Turismo de saúde na Nazaré: dos banhos quentes à talassoterapia”THALASSOTHERAPY should only be described as such if they meet the followingEUROPEAN 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 and/or 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; thesunlight 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 thefresh 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.
  19. 19. SEMINÁRIO INTERNACIONAL“Turismo de saúde na Nazaré: dos banhos quentes à talassoterapia”
  20. 20. SEMINÁRIO INTERNACIONAL “Turismo de saúde na Nazaré: dos banhos quentes à talassoterapia”Minerva Med. 1969 May 2;60(35):1695-702. Rheumatology (Oxford). 2005 Apr;44(4):539-46. Epub 2005[The use of thalassotherapy in dermatology]. Feb 3.[Article in Italian] Spa treatment for primary fibromyalgia syndrome: aDalla Torre G, Mazzucco G. combination of thalassotherapy, exercise and patientPMID:5790013[PubMed - indexed for MEDLINE] education improves symptoms and quality of life. Zijlstra TR, van de Laar MA, Bernelot Moens HJ, Taal E, Zakraoui L, Rasker JJ.Dermatol Monatsschr. 1976 Sep;162(9):746-9. PMID:15695301[PubMed - indexed for MEDLINE] Free full[Influence of helio- and thalassotherapy texton vitamin-A and beta-carotene levels in psoriasis].[Article in German] Z Gesamte Inn Med. 1969 Feb 1;24(3):92-3.Zlatkov NB, Babushkina N, Stransky L. [Treatment results in hypertensive patients afterPMID:992183[PubMed - indexed for MEDLINE] thalassotherapy]. [Article in German] Liebisch I, Teichmann G, Mahlau G, Sparre R.Fortschr Med. 1978 Mar 16;96(10):504-11. PMID:5796646[PubMed - indexed for MEDLINE][Thalassotherapy; indications, contraindications].[Article in German] Rheumatol Int. 2008 Dec;29(2):147-52. Epub 2008Schultze EG. Jul 4.PMID:564852[PubMed - indexed for MEDLINE] Thalassotherapy for fibromyalgia: a randomized controlled trial comparing aquatic exercises in seaPadiatr Padol. 1975;10(4):330-5. water and water pool.Pulmonary function in asthmatic children during thalassotherapy. de Andrade SC, de Carvalho RF, Soares AS, de AbreuEtspüler R, Voget KP, Siegmund M, Eigelsreiter H, Blanck P, Fenner A. Freitas RP, de Medeiros Guerra LM, Vilar MJ.PMID:1215066[PubMed - indexed for MEDLINE] PMID:18600327[PubMed - indexed for MEDLINE]
  21. 21. SEMINÁRIO INTERNACIONAL“Turismo de saúde na Nazaré: dos banhos quentes à talassoterapia”
  22. 22. SEMINÁRIO INTERNACIONAL “Turismo de saúde na Nazaré: dos banhos quentes à talassoterapia”E para concluir…
  23. 23. SEMINÁRIO INTERNACIONAL “Turismo de saúde na Nazaré: dos banhos quentes à talassoterapia”EM PREPARAÇÃO NAUNIÃO EUROPEIAEuropean Parliament resolution of 27 September 2011 on Europe, the worlds No 1 tourist destination – anew political framework for tourism in Europe (2010/2206 INI)58. Takes note of the fact that demographic developments in Europe will give rise to continuing growth inhealth tourism and in spa tourism in particular; calls on the Commission, in view of the fact that there are avariety of Community rules covering spa-tourism issues, to consider the possibility of tabling a singlelegislative proposal on spa tourism in order to give the sector a controlled organic structure, encouraging itscompetitiveness and specifying immediately that spa companies operating in the Member States, as providersof health services, are excluded from the scope of Directive 2006/123/EC¹; stresses the relevance of the newlegislation on cross-border healthcare and considers that these must be enforced in strict compliance with thecriteria and conditions imposed by the new legislative framework, in order to ensure fully satisfactoryimplementation.¹ DIRECTIVE 2006/123/EC OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL of 12 December 2006 on services in the internal market
  24. 24. SEMINÁRIO INTERNACIONAL“Turismo de saúde na Nazaré: dos banhos quentes à talassoterapia”OBRIGADO PELA ATENÇÃO JOÃO PINTO BARBOSA Nazaré, 24.03.2012

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