UNITED STATES #GSWS2013

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Ophelia Yeung Co-Director, Center for Science, Technology & Economic Development SRI International UNITED STATES #GSWS2013

The Global Wellness Economy October 2013

Why Study Wellness? Global Industry $3.2 trillion Global Wellness Industry $2 trillion Global Wellness?

What Is Wellness? Poor Health Health Continuum Optimal State of wellbeing Reactive Medical Paradigm Wellness Paradigm Proactive Treat & cure illness Maintain & improve health Corrective Preventive Episodic Holistic Clinical responsibility Individual responsibility Compartmentalized Integrated into life

Wellness Travelers Integrative health centers CAM centers Wellness centers Healthy hotels Wellness cruises Health resorts & sanatoria Spas Salons Baths & springs Thalasso Organic & natural restaurants Health food stores Integrative medicine CAM Health checkups Chronic condition mgmt. Massage Bathing Body treatments Facials Hair & nails Yoga studios Martial arts studios Nutrition Weight mgmt. Detox Culinary experiences Physical Mental Yoga Meditation Tai chi Qigong Biofeedback Gyms Fitness centers Gym visits Fitness classes Stretching Pilates Social SEEK? Spiritual Prayer Volunteering Time with Loved ones Time alone Environmental Emotional Yoga retreats Spiritual retreats Ashrams Hiking Biking Taking walks Nature visits DO? Retreats Life coaching Stress reduction Music & arts Parks Wildlife sanctuaries Nature preserves VISIT? Lifestyle retreats Wellness retreats

Definition of Wellness : Travel associated with the pursuit of maintaining or enhancing one s personal well-bring Unwell Travel Wellness Travel Unhealthy & over-eating Travel stress Excessive Drinking Poor sleeping Healthy living Rejuvenation & relaxation Meaning & connection Authentic experiences Disruption of fitness routine Disease prevention & management Primary Purpose Wellness Traveler: Wellness is the sole purpose or motivating factor for their trip & destination choice. Secondary Purpose Wellness Traveler: Seek to maintain wellness while taking any type of trip.

What Wellness Is Not Reactive Medical Wellness Proactive Generally people who are sick. Generally healthy people Travel to receive treatment for a diagnosed disease, ailment, or condition, or to seek enhancement Motivated by lower cost care, higher quality care, better access to care, and/or care not available at home Activities are reactive to illnesses, medically necessary, invasive, and/or overseen by a medical doctor Travel to maintain, manage, or improve health and well-being Motivated by desire to live healthy, prevent disease, reduce stress, improve lifestyle habits, and for authentic experience Activities are proactive, voluntary, noninvasive, and non-medical

How to measure the global wellness tourism economy? Includes primary purpose and secondary purpose wellness travelers Includes international (in-bound) and domestic tourism Aggregate wellness tourist expenditures At the destination of travel, not where they come from

The Wellness Economy In-Country Transport $91.8B Airlines Rental Cars Public Transit Trains Taxis Other Services $55.3B Telecom Insurance Travel Agencies Concierges Generic Hotels/Motels Resorts Campgrounds Restaurants Bars Snack Shops Museums Tours Theater Lodging $93.4 billion $439b global market 12m direct jobs Food & Beverage $71.9 billion $1.3t in economic impact Souvenirs Gifts Clothing Art Activities & Excursions $61.4 billion 14% of all tourism spending Shopping $64.8 billion Destination Spas Health Resorts Ashrams Retreats Spa Cuisine Healthy Cuisine Organic Cuisine Spas Bathing Fitness Meditation Life Coaching Fitness Wear Spa Products Healthy Foods Vitamins Wellness-Specific

Global Industry $3.2 trillion Culinary Medical $50-60 billion $350-550 billion Agri- $60-160 billion Cultural $800 billion-$1.1 trillion Spiritual $37-47 billion Wellness $439 billion Volun- $10-20 billion Sports $250-375 billion Eco/Sustainabl e $325-480 billion Adventure $115-150 billion

Key Data Points Domestic wellness tourism - 2/3 of wellness tourism market Global $3.2 trillion Global Wellness $438.6 billion Secondary purpose wellness travelers - 85% of trips/exp.

$2,250 $2,000 $1,750 $1,500 $1,250 $1,000 $750 $500 $250 $0 Average Tourist Wellness Traveler = High Yield 6% of all global trips (500m+) 14% of all expenditures Primary Wellness Tourist International Secondary Wellness Tourist Domestic Average Tourist Primary Wellness Tourist Domestic Secondary Wellness Tourist

Where Is Wellness Taking Place? North America $181.0b expenditures Europe $158.4b expenditures Asia-Pacific $69.4b expenditures 163m Trips 32m Trips 203m Trips 5m Trips 2m Trips 120m Trips Latin America $22.4b expenditures Sub-Saharan Africa $2.0b expenditures Middle East-N. Africa $5.3b expenditures

Where Will Wellness Grow Through 2017 North America United States Canada Europe Germany Russia France Switzerland Turkey Austria Poland Spain Hungary Czech Rep. Middle East & Africa UAE S. Africa Israel Morocco $438.6 billion $678.5 billion Latin America Mexico Argentina Chile Uruguay Brazil Asia India China S. Korea Japan Thailand Australia Malaysia Taiwan N. Zealand Philippines Vietnam Hong Kong

Spa and Wellness $180bn spa tourism market (41% of Wellness ) 225m spa tourism trips 9.6% annual growth 2007-2012

Hospitality & Hotels/resorts attractions/destinations Restaurants Retail Spa & Wellness Spas Hot/mineral springs Gyms/fitness centers Salons Retreats Key Wellness Stakeholders Health Hospitals Integrative health centers CAM centers Insurance providers Government Ministries of promotion orgs. Ministries of Health Ministries of Economic Development

Are you ready to join the movement? October 2013