Book III: Health protection and the environment

The construction of the premises must everywhere include an impermeable floor or a floor coated with substances that allow frequent washing. Walls and partitions must be coated with washable paint, preferably light-coloured. Windows must be free of double curtains and the floor of any fabric carpet that is not easily washable.

The premises are ventilated and cleaned every day. The premises must be thoroughly washed once a fortnight.

Ventilation must be permanent and designed to function in all seasons, without causing discomfort to patients. The minimum temperature of the premises must never be lower than 18° C.

All spa establishments must comply strictly with the regulations governing water collection, analysis, supply, distribution and use.

Waste water must be disposed of in accordance with hygiene regulations. Toilets and WCs must be sufficient in number, well-ventilated and ventilated.

To combat the risk of fire, the spa establishment must have : 1° Water stations ; 2° Sufficient fire extinguishers; 3° A rapid call system to the nearest fire station. The construction and layout of the premises must allow for rapid evacuation in the event of a fire.

Every spa must have a telephone. Addresses and telephone numbers that may be needed in an emergency are prominently displayed near the equipment.

Each spa establishment must possess and maintain in perfect working order the installations and equipment corresponding to the medical indications of the spa. The size of this equipment is proportional to the number of clients attending the establishment. Spa establishments with several classes must have, in each of these classes, all the installations necessary for the complete execution of the cure, as well as all the material and equipment allowing…

Transport must be provided for patients who are unable to travel. Each person taking the waters must have a medical record showing the examinations carried out and treatments prescribed. These records, which are regularly updated, are kept in a locked cabinet. Only medical staff are authorised to consult them.

A doctor must be attached to each spa establishment as director or technical advisor. Failing this, and on a temporary basis, a doctor practising at the spa must be responsible for the medical supervision of the establishment. At least one nurse must be permanently on duty at the establishment during cure hours. Inspectors or qualified supervisors responsible for ensuring the correct application of the prescribed treatments must be assigned to…