Introduction IxChapter 1 Tourism and Health, a Long-Standing and Renewed Relationship 11.1 From Hippocrates to Thermalism 31.1.1 The Roman Period 31.1.2 Elsewhere in the World 51.1.3 To the Middle Ages, Then in the Renaissance 71.1.4 Modern History of Spa Towns 91.2 From Sea Bathing to Coastal Tourism and Thalassotherapy 141.2.1 Thermal Medicine 161.2.2 Thalassotherapy 191.3 Fresh Air, Nature, Health and Tourism 211.4 From Heliotropism to a Reflection on Social Inequalities in Tourism 24Chapter 2 Travel Health, Risks and Diseases 272.1 Diseases and Risk Areas 282.1.1 Infectious and Parasitic Diseases 292.1.2 Prevention is Better Than Cure 542.2 Circulation of Tourists, Circulation of Diseases 562.2.1 International Travel and the Spread Of Epidemics 572.2.2 Non-Infectious Risks and Diseases: Travel-Related Variations 602.2.3 Travel Mortality and Its Causes 702.2.4 Health upon Return Home (Example of Post-Travel Depression) 702.3 Bodies, Tourism Activities and Health 712.3.1 The Relationship with the Sun and How New Body Norms Emerge 712.3.2 Worship of Bodily Beauty 772.4 Accidents, Insurance and Repatriation and Access to Travel Healthcare 912.4.1 Comparing Healthcare Systems around the World 912.4.2 Health Insurance, Assistance and Repatriation 98Chapter 3 Medical Tourism, Health Mobilities and Global Processes 1033.1 Medical Tourism, Definition(S) and Trends 1033.1.1 Definition(S) 1043.1.2 Trends and Issues 1083.2 The Patient Tourist Experience 1173.3 Tourism and Disability 1193.3.1 Adapted Travels 1193.3.2 Respite Tourism for Caregivers 1253.4 Retirement Tourism: From Tourism to Winterization 1273.5 The Backpacker Phenomenon and Health 1303.5.1 Risk Assessment and Risk Taking 1313.5.2 Seeking Care and Searching for Alternative Practices 1333.6 Circulations, Vernacular Knowledge and Health Versus Tourism and Globalization 1343.6.1 Substance Circulations and Pharmaceutical Tourism 1353.6.2 From Traditional Health Knowledge Tourism to Shamanic Tourism 141Chapter 4 Impact of Tourism Development on the Health of Destinations 1474.1 Impacts on Health Systems 1474.1.1 Does Tourism Unbalance Local Health Systems? 1484.1.2 Does Tourism Initiate Public Health Policies? 1534.1.3 Labels and Certification Standards 1584.1.4 Special Case: The Impact of Medical Tourism 1614.2 Health and Environmental Impacts 1644.2.1 Pollution or Degradation of Ecosystems 1654.2.2 Example: The Impact of Cruise Tourism 1704.2.3 Social Environment 1714.3 Social Health Impacts 1734.3.1 Occupational Health 1734.3.2 Changing Lifestyles: Thoughts on Food 1774.3.3 Tourist Carrying Capacity and Health Issues 179Chapter 5 Health, Ignored In Tourism Development? A Neglected Asset? 1835.1 Health and Wellness as a Tourist Segment 1835.1.1 Health Benefits of Travel and Tourism 1855.1.2 Health, Well-Being and Tourist Attractiveness 1865.2 Synthesis of Potentials 1895.2.1 Flagship Products 1895.2.2 An Evolving Clientele 1905.2.3 Four Facets of the Same Object 1915.3 What Role for Each Category of Actor? 1935.3.1 Territorial Actors: Assessing the Health Impacts of Tourism Development 1945.3.2 Health Actors: Taking Into Account the Fact of Tourism 1955.3.3 Tourism Stakeholders: Linking Tourism and Health 1965.4 Transforming Tourism: Goal 3 of the Berlin Declaration 198Conclusion 201References 205Index 221
Sebastien Fleuret is a health geographer and director of research at the CNRS (ESO Angers). He is editor-in-chief of the Revue francophone sur la santé et les territoires and has published several works on the geographical dimensions of health.