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Medical Tourism in Vatra Dornei Resort

Medical Tourism in Vatra Dornei Resort

SEA - Practical Application of Science Volume III, Issue 1 (7) / 2015

Alexandrina D. CRUCEANU ”Alexandru Ioan Cuza” University of Iasi, Faculty of Geography-Geology Ionel MUNTELE ”Alexandru Ioan Cuza” University of Iasi, Faculty of Geography-Geology Romanian Academy, Iasi Branch Mihaela-Daniela CAZACU ”Alexandru Ioan Cuza” University of Iasi, Faculty of Geography-Geology

MEDICAL TOURISM IN Case study RESORT

Keywords Medical tourism Therapeutic resort Therapeutic techniques and procedures

JEL Classification I15

Abstract

Both at national and international level,medical tourism in general and the therapeutic in particular tend to be more and more often prescribed and utilized as an extremely efficient alternative therapeutic practice in treating various medical affections with almost the same positive results as the ones obtained after therapies/treatments under medication,but with fewer financial resources.Vatra Dornei resort owns a great diversity regarding both natural therapeutic factors(climateric,mineral,hydromineral,pedologic therapeutic factors,moffettes,aerosols,etc.) and the spectrum of affections treated(from simple anaemia to complex disease of the locomotory,muscular system,etc.). Practiced since the 19th century,medical tourism (which turned Vatra Dornei resort into a “Meca of recovering”) has represented and continues to represent at present an important attraction factor for the tourists who choose to spend their holidays for recovering and maintaining health state.

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INTRODUCTION Columbia, Costa Rica, Cube, Dominican Republic, Even if a good health state doesn't Mexico, Panama, Bahamas, Barbados, Jamaica). represent the only desirable goal of existence,but If during the communist period,the balneal only a component of wealth,in a general sense tourism functioned at its full capacity,at present,the (Dumitrache,2003), acquiring and maintaining interest for it decreased dramatically,the demand health is the main objective of any for balneal tourism coming from the retired individual,family,community and human society persons(even if this type of tourism is addressed to (Ioanac 2000), reason for which,in defending all age categories),phenomenon having direct population's health,a great emphasis is on the impact on the balneal infrastructure of low quality medicine of the healthy individual,on the measures and unfunctional in many cases(for more regarding the maintainance of physical and informations to see Dinu et al,2011, Erdeli et al, psychical health (Teleki et al 1984),in the absence 2011, Ioan et al, 2014, Luca et al., 2014, Snak, of which the progress of any kind would be almost 1976, Teodoreanu, 2004, Talaba et al, 2010). impossible. Despite all these facts,tourism Certain factors such as:the effects and development also brings less desirable effects,such impact in growing of the so-called “modern as:the creation of two parallel health systems(one civilization disease”;the trend of combining holiday for the foreign patients who pay for the medical with the need of an active rest and body's services and are offered high quality services and recovery;the older people worrying more and more one for the local population,where only the basic about maintaining health,preventing and fighting services are offered-an illustrative example being against getting old or the individuals' India) or the absorbtion of the best doctors from the concern(especially the women) of maintaining their public sector to private clinics,which offer higher vitality and beauty,lead to a strong development of wages and in which the local population can't get the balneal and health tourism at international medical assistance because of the high costs,thus level(Condrea et al, 2014). affecting the quality of public health Compared to the hospital medicine which system(York,2008, after Andrei et al,2014). operates especially with surgical and I.2.Balneal tourism in pharmacodynamical therapeutic means,the health Practiced since the 19th century,the balneal resort brings a different methodology,with an tourism has represented and still continues to accent on the reaction and regulation therapy represent an important attraction factor in the (Teleki et al,2014),and the balneoclimateric resort,both for the persons with a precarious health treatment with a specific state,and with preventive purpose for the methodology,scientifically founded, (Nemes et population in mass (Cruceanu et al,2015),this al,2010),brings an important contribution to the representing both a classical medicine prophylaxys and/or the cure of different medical alternative,and its completion. affections. From the accomodation capacity point of view,balneal tourism is on the fourth place,before I.Medical tourism-general notions the sea regions and after the mountainous I.1.Medical tourism at international level ones(Aluculesei&Nistoreanu,2014),but,even if Considered the most dynamic part of tourism,the Romania owns important natural resources in health tourism includes:balneal tourism(balneal balnear resorts,hasn't managed to attract a recovery treatment,which requires a longer period significant number of foreign tourists for of staying 18-21 days),maintainance(treatment for treatment,fact especially due to the lack of keeping fit or for a good mental state) and medical investments in this field(implicitlty in the specific tourism (surgery and treatment) (Dinu et al,2011), touristic infrastructure) and to the lack of a clear the latter having,it seems,an annual growing rate of strategy of its development.Even if the number of approx. 20% (Andrei et al,2014). beds in sanatoriums has raised from 910 in 2002 to In some opinions (Cianga et al, 2009- after 1939 in 2012,the number of tourists arrived and the Dinu et al, 2011),the etymology of the SPA concept number of accomodation has decreased in this seems to come from the latin “Saluti per period.The number of foreign tourists arrived is Aqua”,while others connect it to the name of the also only about 5.6% from the total number of Belgian town Spa,known since the arrivals in 1994 and this indicator decreases to for its mineral waters (Dinu et al, 2011),and at 4.2% in 2012.A similar trend is observed for the present,the main destinations in the medical number of accomodation of foreign tourists in the tourism industry are (according to United Nations resort:5,3% in 1994,2,6% in 2012(Andrei et 2010, after Andrei et al,2014):Asia (in countries al.,2014),and in 2013 the percentage is of only like India, Thailand, Singapore, Malaesia, the 4%(Aluculesei&Nistoreanu,2014). Philipines and China), the Middle East and Africa According to the National Institute of (Tunice, Jordany, the Emmirates, Arabia Saudita) Statistics (through the Press official statement or Latin America and the Carribeans (Brasil, Chile, no.69/2015),in 2015 the number of non-residents

182 SEA - Practical Application of Science Volume III, Issue 1 (7) / 2015 tourists in hotels and pensions has been about that can be better promoted through 1911,4 thousand and the total of their expenses tourism.Having these advantages,the area has also about 5090,9 million lei.The main reason of their been entitled “Bucovina's Pearl” (Petrescu staying in Romania was represented by the &Burny,2008) or even a “Mecca of recovery” business,attending to (Taranu,1999). congresses,conferences,courses,fairs and About the mineral springs are first exhibitions(64% from the total number of non- reminded in 1790 in the journey writings of residents tourists),their expenses representing Hacquet de Nurenberg, and the region's chief 72,8% from the total expenses.The second reason doctor – Dr. Pluschk – create after 1809 a spa was represented by the self-interested installation with ten cabinets for bathrooms, journeys(36,0% from the total number of non- inauguration which will take place in 1896 after the residents tourists),their expenses representing capture of seven mineral spring (for more 27,2% from the total expenses.These include the informations regarding the valorization of journeys for holidays,shopping,cultural and sport hydromineral resources from this geographical events,visiting friends and relatives,medical area, see Stoicescu & Munteanu 1976; Pricajan, treatment,religion,transit and other activities. 1972; Popa, 1997, Taranu, 1999, Gherman, 2011, The existence of certain mineral Nichitus, 1997, Pata, 1999). exploitable resources,of some climatic and At 29th of September 1855,date of turning environmental factors scientifically recognized and the place into fair,the balneotherapy had a of some proper technical facilities,offer the privileged role in the economic and social life opportunity for the urban areas to be classified as system(Taranu,1999),fact confirmed by the balneoclimateric resorts,the case of Vatra Dornei balneologists Congress from Vienne in 1899 resort(Garbea,2014),known since 1750,grouping which positively appreciates the value of mineral today three special treatment bases:Calimani,Intus waters in the resort or the visit at Vatra Dornei and Ozon(Muresan et al.,2012). made by the participants to the fifth Congress of With over 70 balneal existing resorts,only the Romanian doctors in 1914(Stoicescu 25 are classified as of national interest and only a &Munteanu,1976). few are attractive for the foreign tourists:Baile Felix,Baile Herculane,Vatra Dornei(with a touristic II.Balneoclimateric-therapy attractivity index of 2.11 - sixth place after Baile II.1.What kind of medical affections are treated Herculane,Calimanesti-Caciulata,Slanic in Vatra Dornei resort? ,Eforie Nord-,Baile Tusnad) If until recently Vatra Dornei has been (for more informations regarding the evolution of associated to rheumatic affections,this fact was not this type of tourism, to see: Dinu et al, 2011, due to the growing incidence of the disease in the Dimitriu et al, 2014, Dinca, 2013, Dinca & area,but rather to the therapeutic practices Surugiu, 2013, Dinca et al, 2014, Turnock, 2005, predominantly used in this sense (Muntele et al, Ielenicz et al, 2010, Brezuleanu, 2008, Briciu & 2014). Oprea-Gancevici, 2011, Iatu et al, 2011, Minciu & Indications regarding the utilization of Stanciu, 2010, Patrichi et al, 2013, Talaba et al, therapeutic cure factors focus on a various 2010). spectrum of medical affections,(after I.3.The appearance of balneal tourism in Vatra Taranu,1999),such as: Dornei health resors -myocardium affections The interest of the evolution of various -states after acute myocardium,toxic-infectious physical and geographical processes in general and (rheumatic, diphteric,etc.) or after reccurences the tourism in particular (with special mentions of -myocarodistrophy of metabolic origin, the Vatra Dornei health resort), can be found in endocrinologic, toxic, infectious, probably with numerous studies and publications, such as those rare phenomena of pectoral angina,cardiac realised by: Taranu (1999, 2002), Gherman (2008, insufficiency of first degree or rhythm troubles; 2011), Dinca (2013), Dinca et al (2014), Iatu et al -myocardium cardiosclerosis or arteriosclerosis, (2011), Muntele & Iatu (2006), Manescu et al paroxysmal tachycardia,fibrillation (2014), Calugaru et al (2014), Ciobanu (2012), -side-effects of myocardiac infarction,at least after Cojoc et al (2014), Cruceanu et al (2014, 2015), a year from acute phenomena,without cardiac Erdeli et al (2014), Ghiorghilas (2011), Hapenciuc insufficiency signs & Nastase (2006), Romanescu et al (2014), Stoica -valvular and aortic lesions et al (2014) etc. -vessels disease Vatra Dornei is an intramountainous -coronary irrigation disorders,angina with easy area,with limited agricultural development strokes possibilities-especially based on cattle raising,with -arterosclerosis of extremity vessels with a rich forestry industry, mineral water resources, intermittent claudication phenomena,with trophic therapeutic muds, attractive landscapes, resources disorders

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-obstructive thrombin (Burger's disease) in -myocardium chronic affections,with rhythm ischaemia and except active periods and gangrene; disorders, -residual side-effects after thromboflebitis -coronary insufficiency associated with frequent (pains,tumefactions,inflations,skin crises of angina trophicmodifications) -myocardium infarct side-effects,one year earlier -hypertonic disease from the accident or after a year if it presents -hypotonic disease cardiac insufficiency signs -acrocyanosis -mitral stenosis with pronounced stasis in slow -erythromelalgia blood circulation -Reynaud disease -hypertonic disease,with advanced phenomena of -cardiac neurosis with or without rhythm myocardiac renal or cerebral sclerosis disorders(paroxysmal tachycardia which appears -strong phenomena of arteriosclerosis rarely and lasts a little) and extrasystole -heart's aneurisms or of the main vessels -articulations,bones and muscular disease -obliterant thrombosis and extremities -degenerative chronic rheumatism mono or arteriosclerosis poliarticular (arthrosis,spondylosis) -reccurent or migratory thrombophlebitis -arthritis and poliarthritis with known -arthritis and accute poliarthritis cause(secondary) chronic,asthenic forms,with -evolutive chronic poliarthritis and spondylitis infectious etiology,traumatic,etc. ancylopoetic with progressive evolution of the -allergic states after Soloski-Boullaud rheumatism pathological process -vessels,muscles and tendons disease -osseous lesions or tuberculous articular -fractures of delayed consolidation or with painful -osteomyelitis with great side-effects or big metal callus where there are no organic pieces in the osteomyolitic focus (after causes(syphillis,malaria) Taranu,1999). -postinfectious or traumatic osteitis with sustaining and locomotory function disorders; myosites, II.2.How are these medical affections treated? fibromyosites, myalgia, bursytis, postinfectious II.2.1.Medical techniques and procedures used tendovaginitis,toxic,traumatic,with slow recovery in the prophilaxis and treatment of medical or periodically aggravating; affections -peripherical nervous system disease The treatment procedures,techniques and -radiculity,poliradiculity-plexus methodology are similar in most treatment disease,neuritis,polineuritis,rheumatic bases,varrying in some cases through the period neuralgia,infectious,traumatic,toxic,dependent on and costs of a medical procedure,different gynecological disease or on spine disease according to the doctor's reccomendations,the -posttraumatic side-effects of the peripherical economic politics existent in each of these balneal nervous system not requiring surgery and units and of course to the marketing strategies used counting,if possible,on function reestablishment. for the attraction of a large number of direct In Vatra Dornei resort other medical beneficiaries. affections are recommended for cure,if these are Examples of medical procedures used in associated with the above mentioned affections.We the treatment bases in Vatra Dornei (and in the can thus ennumerate:gynecological disease(in Rest and Treatment Base “Procopie and Elisabeta” summer for the rheumatology sanatorium,and for from Arini-at approx.3 km from the the cardiology one all the year round);secondary resort),are as it follows:medical anaemia; endocrynological affections diathermy,lasertherapy,galvanic baths,plant (hyperthyroidism), hypoacid gastritis etc. baths,dry and humid sauna,ozone therapy at Counter-indications Dorna Arini and in carbon at Vatra -all acute disease,the infectious ones in the Dornei,diadynamic currents,Tens,rectangular contagious period and inferential,ultrasound,jacuzzi,mud -all acute venereal diseases and contagious packings(at Dorna Arini brought from -psychical diseases,among which progressive- Techirghiol),short waves,magneto evolutive general paralysis; therapy,aerosols,etc.(Muntele et al, 2014). -narcomania Besides these we can also mention: -malignant tumors,irrespective of the form,location -air therapy; hot mud applications; hydro- or stage thermo-therapy installations; electro kineto -all serious blood diseases therapy, kinetotherapy; basin for hydro -abundant and frequent haemorrhages of any kind kinetotyherapy; inhalotherapy; mecanotherapy, -malaria ground cure(Berlescu,1996);contrasting thermic -cardiovascular insufficiency of II B degree and III factors applications; crenotherapy; -acute endocarditis,subacute and reccurent dietotherapy; sweating cures; mecanic factors

184 SEA - Practical Application of Science Volume III, Issue 1 (7) / 2015 applications under the form of massage(Teleki et valorization for therapeutic purpose is interrupted al.,1984). at the moment (Muntele et al.,2014). It is considered that water is correctly The tonic-stimulating bioclimate. In the bottled if it preserves all qualities for a period of case of the resort,the air temperature is situated at four-six months from bottling,but by using it,there's about +6,4 C degrees,the average atmospheric the patient's tendency to abuse of prolonged cures pressure of 690 mm,the annual average (Teleki,1984). precipitations of 900 mm,most part of the year An important element in the balneal accessible to the west,Atlantic air masses therapeutic practice is the balneal reaction.This (Popa,1997),the insolation(the sun's shining period comprises(according to Nemes et al.,2010) ) is moderated all year long and the day's average vegetative modifications determined by the length rises at this latitude at 7 hours and 40 stimulating action of the natural factors used in the minutes between the winter solstice and the balneoclimateric treatments on the human body.It summer solstice,compared to 6 hours in the south appears like unspecific reactions of adaptive of the country (Chirita,2003,after Cruceanu et type,which depend on the individual reactivity al.,2014). level:the same stimulus can release moderate or In general,the balnear cure can be done in important reactions,influencing a pathology's all seasons,but there are,however,significant evolution,whether in a favorable way,or to a seasonal differences in the climate's action in decompensation.These have a phasic certain resorts,differences that can become,for evolution(after some authors they appear after 10 some patients,unfavorable,while for others play the days) and they manifest through the intensification role of additional therapeutic factor (Teleki et of the disease symptoms.For example,in the al.,1984).Thus,accidents are tried to be avoided locomotory system affections:pain through the overdose of biological action of intensification,tiring states,little subfebrilities climatic factors,accidents generally determined (Nemes et al,2010). by:an exaggerated contribution of solar caloric II.2.2.Natural therapeutic factors used energy in the body (for eg. caloric collapse,caloric in the balneoclimateric resort syncope,caloric shock),accidents through excessive The Oriental Carpathians contain body's cooling numerous mineral springs that provide famous (cold,catarrh,pharyngitis,flu,etc.),accidents resorts in Romania(among which Vatra determined by solar radiation Dornei),waters used for obtaining different (erythema,photoophtalmia),accidents due to the therapeutic effects (Magdas et al.,2009,Botezatu biological action of luminous solar &Iacob,2006),and of course for the maintaining radiation(photodermatitis,actinodermatitis,forodyna and/or the prophylaxis of certain medical mic erruptions,cutaneous photoallergies, affections. shingles,herpes (Teodoreanu et al,1984). Mineral waters. It is known that not any mineral water is also therapeutic,thus,only the III.Demand and offer waters the physico-chemical qualities of which can III.1.The demand for the balneary tourism have pharmaco-dynamic effects,are considered According to some studies(Muresan et al.,2012),it therapeutic and used therapeutical (Teleki, et can be observed that the tourists choosing Vatra al.,1984,Gherman,2011),for prophilactic,curative Dornei as destination,are generally persons with a and recovery purpose,predominantly in the high educational level(more than 50% of them with treatment bases and only sometimes under the university studies),with an average age of 45 and doctor's reccomendation, at the patient's the main services requested during their stay location(Teleki et al.,1984). were:accomodation(100%),food and beverage The moffettes. The carbon dioxide (91,22%) and treatment (34,46%).Thus,the emanation met under the form of natural gas in the tourists in Vatra Dornei are generally middle- volcanic areas (Teleki et al.,1984) is,it seems,much aged,with average monthly income and who prefer superior to the carbo mineral waters,because they to come here to relax and to admire the beauty of educe the thermic and mecanic factor present in the the landscape. baths case,an advantage especially for the patients Contrary to the trend at national level with cardiovascular affections (Popescu & Patru, where the average staying length in the resorts is 2003),affections successfully treated in this resort. about 8 days,in this case,the average period is about Therapeutic muds. Present at Poiana only 2,84 days (Muresan et al.,2012). Stampei,the peat mud,used in the empirical III.2.Balneal tourism offer medicine at Dorna a long time ago (Taranu, III.2.1.Treatment bases 1999),is at present,for certain political and/or The main touristic complex S.C.DORNA economical reasons,exploited and commercialized TURISM S.A. present in the resort is formed from by a private company as flower fertilizer and its Calimani Hotel and Bradul Hotel,both three star

185 SEA - Practical Application of Science Volume III, Issue 1 (7) / 2015 hotels and having a treatment base in common (see adventure tourism,mountainous tourism),rural Table no. 1, Table no.2,) tourism,ecotourism,ethnographic,etc.and less to the balneal tourism.Thus,the future tendencies IV.Tendencies and perspectives of balneal regarding the main tourism forms practiced,can be tourism in Vatra Dornei predicted by the number,intensity and The study realized by Dinca et predominance of the first ones. al.,2014,illustrates the great dependence of tourism -if until recently Vatra Dornei has been associated in Vatra Dornei on the local natural resources and a to rheumatic affections,this thing was not due to the high exposure to the effects of climatic disease's increasing incidence in this geographical changes.This can affect the therapeutic activities in area,but rather to the therapeutic practices used in open air,mountain climbing or winter sports the treatment bases for prophylactic and curative tourism,that form the touristic offer nucleus.A lot purpose,and of course the social and cultural of the actors implied also declare that the effects of stereotypes connected to the resort in general and to climatic changes are already felt by the touristic the affections treated here in particular. activities in Vatra Dornei,both negatively by the reduction of snow's quality and duration that can AKNOWLEDGEMENT endanger winter sports,and positively,by extending This work was supported by strategic the summer touristic season to the autumn grand POSDRU 159/1.5/133391, Project ”Doctoral months,once with the rising of the thermic comfort and Post-doctoral programs of excellencefor highly (Dinca et al.,2014). qualified human resources training for reserch in Another problem is the local natural the fild of Life sciences, Environement and Earth resources used by the treatment bases in the science ” cofinanced by the European Social Fond therapeutic practices,with an accent on the with the Sectorial Operational Program Human therapeutic muds(the peat from ) Resource Development 2007-2013. and the moffette gas(used less and less in the resort).For the first case,of the peat deposits,the BIBLIOGRAPHY situation is more worrying as this resource is used [1] Aluculesei, A-C, Nistoreanu, P., 2014, at the moment for a totally different purpose(as Exhaustiv Analysis of the Way in which were flower fertilizer),and for the second case-the Promoted Romanian Spas/Water Thermal moffette gas,which,even though it represents an Villages at the November 2013 Edition of the abundant resource,the spaces/buildings especially Romanian Tourism Fair, International built for the therapeutic practice,are less used,fact Journal of Economic Practices and Theories, due especially to the non-inclusion of these Vol. 4, No.3, e-ISSN 2247-7225 practices in the list of compensated treatments of [2] Andrei, C-L, Tigu,G., Dragoiescu, R-M, the Health Insurances or Retirement Insurances Sinescu, C-J, 2014, Analysis of medical House. tourism for cardiovascular diseases, Similar information can be found in The year- Amfiteatru Economic – Contemporary book of County - 2012) - The National Approaches and Challenges of Tourism Institute of Statistics - The Statistics Direction of Sustainabiliy, pp.1136-1150 ), The statistic breviary of Suceava [3] Berlescu, E., 1996, Mica enciclopedie de County, 2013, or on the web-site: balneo-cliamatologie a Romaniei (Smal http://www.cnpas.org/portal/media- encyclopedia of Romania balneoclimatology) type/html/language/ro/user/anon/page/ticket , Editura All, București http://www.insse.ro/cms/ [4] Brezuleanu, S., 2008, Studies regarding the http://www.vatra-dornei.ro/ sustainable development of rural tourism and agri-tourism in the Vatra Dornei microzone, Suceava county, Sustainable tourism of rural CONCLUSIONS tourism and agro-tourism – Cercetări -Vatra Dornei town owns an important touristic Agricole in Moldova, Vol. XLII, NO.3(139) potential in general,and a balneal one in pp.81-86 particular,potential the valorization of which has [5] Briciu, A-E., Oprea-Gancevici, D., 2011, The contributed,in time,to its balneoclimateric resort touristic potential of water resources in status. Suceava district, Revista de Turism, studii și -the exploitation,valorization and management of cercetări în Turism, No.11 natural and/or anthropic therapeutic resources in [6] Botezatu E., Iacob, O., 2006, Natural the resort,has faced differences from one historical radionuclides in some romanian medicinal period to another,according to the economical and mineral water, iaea.org socio-political existent factors. [7] Calugaru A., Mihai D., Nedelcu B.,2014, Flood -however,Vatra Dornei tends to be more and more prevention map on Bistrita river, Romania, In: associated lately to active tourism (for eg.

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Communications in Mass Spectometry, Volume I., Maruntelu, T., Publisher: Romanian 23, Issue 16, pp 2568-2572 Society for Quality Assurance, pages 252- [31] Manescu Stoica I., Battes K.W., Prisecaru M., 259, 2014, Study on the status of fish communities [43] Pricajan, A., 1972, Apele minerale si termale on tributaries situated in the montain area of din Romania (The mineral and thermal Bistrita river upstream reservoirs, In: Stud. springs from Romania), Editura Tehnica, Cerc. Biol. - Univ. ”Vasile Alecsandri” of Bucuresti Bacau, Romania, vol. 23/issue 2, pp. 60-67 [44] Romanescu G., Cojoc G.M., Tirnovan A., [32] Minciu, R., Stanciu P., 2010, Bucovina's Dascalita D., Paun E.,2014, Surface Water tourism perspectives – a strategic approach, Quality in Bistrita River Basin, In: SGEM - Revista de turism – studii și cerectări în Conf. Proceedings, Bulgaria, vol. 14/issue 1, turism, No.10, pp.81-90 pp. 679-689, [33] Muntele, I, Iatu, C., 2006, Geografia [45] Snak, O, 1976, Economia si organizarea turismului. Concepte, metode si forme de turismului (The economy and the organization manifestare spatio-temporala– editia a II-a of tourism), Editura Sport-Turism, București revazuta (The geography of tourism. The [46] Stoica I, Battes KW, Prisecaru M, 2014, Study concepts, the methods and the spatio-temporal on the status of fish communities on manifestations forms – The second revised tributaries situated in the montain area of edition), EdituraSedcomlibris, Iasi Bistrita river upstream reservoirs, Studii si [34] Muntele I, &Cruceanu, A., 2014 Valorization Cercetari, Biologie, 23/2, 60-67, Universitatea of therapeutic factors in the upper basin of ”Vasile Alecsandri” din Bacau Moldavian Bistrita river, in Papers of [47] Stoicescu, C., & Munteanu, L, 1976, Factorii Geographic Seminar ”DimitrieCantemir”, naturali de cura din principalele statiuni Vol.37, No.1, pp.181-191 balneoclimaterice din România. [35] Muresan, I.C, Arion, F.H, Paliescu, C.M, Farmacodinamica și folosirea lor în scopuri 2012, Particularities of tourism demand in a terapeutice (The natural healing factors from SPA resort, case of Vatra Dornei, the main Romania health resort. Management Agricol, Vol 14. No.4 pp. 65-68 Pharmacodynamics and their use for [36] Nemes, D., Popa, D. Suciu, O, Amaricai, E, therapeutic purposes), Editura Sport-Turism, Catan, E, 2010 Curs de recuperare, medicina București fizica și balneologie(The cour of recovery, [48] Talaba, I, Paduraru, T, Ungureanu D., & physical medicine and balneology), Editura Rachieru, R, 2010, Turismul rural romanesc Victor Babeș, București in contextul dezvoltării durabile (The [37] Nichitus, M., 1997, Ghid turistic Vatra Dorne romanian rural tourism in the context of (Vatra Dornei – Tourist guide), Asociatia sustainable development), Editura pentru Cultura, Istorie, Turism -Sentinela, Tehnopress, Iasi Vatra Dornei, Suceava [49] Taranu P., 2002, Memoria Dornelor, vol. V – [38] Pata G., 1999, Tinutul Vatra Dornei –studiu Repereistorice (The Dorna memory, vol. V – monografic (Vatra Dornei area, monographic Historical mark)”, study), Asociația pentru Cultură, Istorie și EdituraBibliotecaBucovinei Turism Sentinela, Vatra Dornei, Suceava [50] Taranu P., 1999 MemoriaDornelor – [39] Patrichi, I-C, Firoiu, D., Dodu, S-P, 2013, StatiuneaBalneoclimatericaVatraDornei (The Romanian Health Tourism: Where to ? Dorna memory – The VatraDornei health Romanian Economic and Business Review, resort),vol III, Edit. Biblioteca Bucovina, Volume 8, Nr.3 1999. [40] Popa N., 1997, Vatra Dornei Schita [51] Teodoreanu, E., 2004, Geografie medicala Monografica (Vatra Dornei – Monographic (Medical geography), Editura Academiei drawing), Asociația pentru Cultură, Istorie și Romane, Bucuresti Turism Sentinela, Vatra Dornei, Suceava [52] Teodoreanu, E., & Dacos-Swoboda, M., & [41] Popescu, R, & Patru, S., 2003, Enache,L., 1984,Bioclima statiunilor Hidrotermoterapie și balneologie balneoclimatice din Romania (The bioclimat (Hidrotherapy and balneology), Edit. ALE, health resorts from Romania), Editura Sort- Iasi Turism, București [42] Petrescu, I., Burny, P., 2008, The economic, [53] Teleki, N, Munteanu, L, Stoicescu, C, social, and ecologic impact of the tourism in Teodoreanu, E., Grigore, L., 1984, Cura Vatra Dornei area, International Conference balneoclimaterica din Romania (The ”Ecological Performance in a Competitive balneoclimatheric cure from Romania), Economy”, Bucharest 20-21 November 2008: Editura Sport-Turism, Bucuresti proceedings, volume II, Paper published in a [54] Turnock, D., 2005, Settlement history and book edited by Bran, F., Radulescu C-V, Ioan, sustainability in the Carpathians in the

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eighteenth and nineteenth centuries, Review of Historical Heography and Toponomastics, Vol I, No. 1, pp.31-60 Anuarul statistic Suceava, Institutul Național de Statistică București, Direcția Județeană de Statistică Suceava, ediția 2012 (The year-book of Suceava County - The National Institute of Statistics - The Statistics Direction of Suceava County) Breviarul Statistic al Județului Suceava (The statisctic breviary of Suceava County), editia 2013, Site-uri: http://www.cnpas.org/portal/media- type/html/language/ro/user/anon/page/ticket http://www.insse.ro/cms/ http://www.vatra-dornei.ro/

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ANNEXES

Table 1. The full price of rest tickets in the treatment facilities from Vatra Dornei health resort. The source: The Economic Department and Budget Implementation (CNPAS)

Nr. The Company Accommodation The full price of the rest and crt treatment tickets 2011 2012 2013 2014 1 SC COMPANIA PC Codrin Hotel 399,78 1131,90 1232,76 900,00 UNIC SA Incom Hotel - - 1232,76 900,00 2 SC DORNA TURISM Bradul Hotel - 1536 1604,00 1,420.00 SA Calimani Hotel - 1536 1604,00 1,420.00 3 SC INTUS SA Intus Hotel - 1384 1392,00 1,312.00

Table 2 The units of accommodation and treatment in Vatra Dornei health resort: (The sourses: the broshures, leaflets - Mountain Rescue - Vatra Dornei and SC.DONA TURISM.SA )

Nr THE UNIT OF A short describtion crt ACCOMMODATION AND TREATMENT 1 BRADUL Hotel -is located near to the resort's park, and very closely to the ski slope. The accommodation capacity of 305 seats share out apartments (bedroom and living room); rooms with matrimonial bad and double rooms. All rooms are renovated, have new furniture, TV, telephone, cable, bathroom. Facilities: restaurant, safe-deposit box at reception, conference room, swimming pool and sauna. 2 CALIMANI Hotel -completes the whole hotel, having an common corridor with Bradul Hotel and whith the treatment and recreation spa.the accommodation capacity of 284 seats, arranged in apartments (living and bedroom), rooms with matrimonial bad and double rooms. The rooms are renovated, equipped with new furniture, telephone, TV, cable, bathroom. Facilities: safe-deposit box, restaurant, conference sale, bar, terrace, direct access to the treatment and recreation center (swimming pool, sauna, gym, solarium,massage). 3 INTUS Hotel -the hotel offers for the tourists, 295 seats. Dispose of consulting rooms in various specialties. -the treatment base is equipped with modern installations for: bathing with heated mineral water; electrotherapy; hydrotherapy (effusion, herbal baths); massage; medical and aerobics gym; packing with paraffin; artificial moffettes 4 Ozon Villa -capacity for 850 procedures/day but in the present, the activity of this has been closed

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Figure 1. Images from the VatraDornei health resort VATRA DORNEI GHORGHITENI (DornaArini locality)

The monastery ”AcoperamantulMaiciiDomnului” Calimani Hotel inside the Recreation and Treatment Base ”Procopie and Elisabeta”

The Recreation and Treatment Intus Hotel Base”ProcopieșiElisabeta”

Therapeutic pumprooms Gym inside the Intus Hotel

Mineral spring – Health resort Park Foto: Alexandrina Cruceanu

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