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10 GT34.G/S*4S2/SS54.g*2Gch ^1G.: <; 8'7D'>((# 87$6Q,>;,#' )< $#+;>$$7,+? E <;#,<'#,7;=#;6+7;;?# 18'V$ >=7+' 8>'6+,+8? E L[?6<)# ^1G&# X^'7D'>((# )[1,,7(8>D;#(#;6 #6 )# '?&>M+L+6>6+7;87$6Q6&?'>8#<6+I<#87<'L#$Z#((#$#;'?(+$$+7;,7(8LV6#)<G>;,#')< $#+;#;$6>6+7;&#'(>L#Y)#@AAFE@ABA$7<$L[?D+)#)<^'7Z#$$#<'h=#$QP#>;j2fS/SR J+'#,6#<')<)?8>'6#(#;6)k7;,7D?;?6+I<#)<G#;6'#P#>;^#''+;)#GL#'(7;6Ql#''>;)R L#$&#'(#$)#*+,&-7;6)?,+)?)#(#66'#E8'7Z+6,#66##K8?'+#;,##;,'?>;6^1G. m R<; 8'7D'>((#)?)+?EL[>,,7(8>D;#(#;6)#$Z#((#$>8'V$L#<',>;,#')<$#+;9 T;#,<'#6&#'(>L#>$$7,+?#E^1G.87<''#)7;;#',7;Z+>;,#><KZ#((#$ I#9$+',+$,',9/#(K>&3))'#*.39+*&>,(,$5X#,'+.&'/3>*'55)#,'>B5+,(&DGI-.&:>& )'#8'3//&DGIg4&9+&9*#/)>5/&9+(B,9&*,'&+.&'/3>&*#94&9+#995&S#'&9+3+#9 )'9*)3>& G" 7GHH&*+#9$ "8&$+4&$;j3>3(&$ j5+3c#>6,&$=: )'&$*'+& )3' >& /5(&*9 +'3+39+@ "W-&"F/-.1-&"*-"6'7/8"2<("(20(-"34'('1'("O">.2>2&-."*-&"&;20.&">2&(M7+<7-.)&?)>6,&>& D'#H&$$&,' o4&$;p&39 ltvjaj: T94&$+83+&,' )'9*)3> (& >q5+,(& DGI-.&@ Y.Z7-" O" 3-0." '1>3'7+('2<" *+<&" 39(0*-" [AJF\L)" 3-0.&"?0'>-&" 2<(" <2<" &-03-1-<(" '<(4." 3-" 7+/'-." *-&" 7/+.4-&" *0" &;20." =+3'*" >-<*+<(" 39(0*-" 1+'&" -33-&" 2<(" -<" 20(.-" +7?0'&" 0<-" -Q>.'-<7-" 7-.(+'<-"*+<&"3+">.'&-"-<"7/+.4-"*-"7-">0$3'7">+.('703'-.@"T DGIg4$&S*#,'++&'/&S3(&'>&$H&//&$S'59+58'&')>,$H3*>&/&9+>&,'4&$#*3>&: H3/>3>&&+)'#H&$$#99&>>&&+S>#98+&'/&:S'5(,'&>&'$6,&(&'5*(4&(,*39*&'&9 >&,' (# #+3//&9+ (&$ L*>5$M )#,' 54+&' >3 '&)'$& (& )#($: '&+'#,4&',9& 3*+4+5).1$6,&'58,>K'&&+,9&/#C>+5.3'/#9&,$&(,/&/C'&$,)5'&,'@ G7;6#;<)<^'7D'>((#.T2*2J2442eT4 I#9$,>+3+#9$ (5+5+6,&$ &9 (5C,+ &+ &9 H9 (& )'#8'3//&: *#9H5'&9*&$ (5+5+6,&$ 3**&$$C>&$ 8'3+,+&/&9+: $,4 9+&'9&+ )&9(39+ O /#$ 3)'K$ >3 *,'& r D#$$C>+5 (& $5X#,'9&'&9)&9$#9*#/)>K+&(5+5+6,&(39$,95+3C>$$&/&9+38'55Lg34&,'$:D>3$' &+g39+5m@ C(:G(5DD)3;K44:D*5G-)D)-..@)(D5').3)(+@576'6.5.6:-*:,.T.@+(5*)<.6P<)K*(8,<-F5-4)(3<>)6-10

11 D#9+(&4,&(,D'#H&$$&,'o4&$;p&39lTVJaJ["W+"721>(-<7-"*0"J-<(.-"K0(.'('2<<-3"-(" 3-">.2:-&&'2<<+3'&1-"*-&"?0'>-&"*0"P27(-0."F/'-..8"\AK\"-<"1+(',.-"*-">.'&-"-<"7/+.4-"*0" &0.>2'*&" -<" :2<(" 0<-" &(+('2<" (20(" '<*'?0-" >20." 3-&" &;20.&" >2&(M7+<7-." 7+." 2<" &+'(" +0;20.*9/0'"?090<-"(.2>"4.+<*-">.'&-"*-">2'*&"+>.,&"0<-"7/'1'2(/.+>'-">+."-Q-1>3-"-&("0<" 1G2*24^ch.2eT4 b *#,'$ (B36,381/ r )#$$C>+5 (& *#/)>5+&' >& )'#8'3//& 34&* (&$ $539*&$ (& '&9H#'*&/&9+/,$*,>3'&&9*3('5&$)3',9s95$+.5'3)&,+& D#9+ (& 4,& (, D'#H&$$&,' o4&$;p&39 ltvjaj[ "W-" &0'='" /84'<2M*'(('?0-" *0" >+('-<(" >.2>2&">+."3-"J-<(.-"K0(.'('2<<-3"*-"6'7/8"+>.,&"3-"&;20."(/-.1+3"-&("4+3-1-<(">.'12.*'+3" >20."'<703?0-."*-"$2<<-&".,43-&"*9/84',<-"*-"='-"&0."3-"32<4"(-.1-@"T G/Sl434SG4.J2442eT4. G**&$$C>&$ 8'3+,+&/&9+ 34&* >& D3$$BI,'$+& 39$ 6,& (&$ $539*&$ (& /3'*.& 6,#+(&99&$7NP/9/3+9&+3)'K$;/(=*#/)>K+&9+>&($)#$+H@ "#$'A,':#+E#"@@8'FGHD'('' ' 2.-'/':+,#'5'&8@"$98&'9+9':#$&'89'<?"#E8':"#'I"'D;<,#$J;'D+<$"I86'H8':#+E#"@@8':8,J'KJ#8' #8@L+,#&;':"#J$8II8@89J':"#'<8#J"$98&'@,J,8II8&'+,'"&&,#"9<8&'&"9J;'<+@:I;@89J"$#8&6' ' ' ' M89&8$E98@89J&'8J'#;&8#N"J$+9'(''' '?8#@8&'A8'O$<?P'' ;I'Q9RN8#JS'(''.'4..'5.'..')5'' D$J8'T9J8#98J'('UUU6N$<?PVJ?8#@8&V<"II+,V?+J8I6#' 11

12 GT34.G/S*4S2/SS54.g*2Gch "#$7'+#;6>6+7;$6&?'>8#<6+I<#$ 23'5),+3+#9(&>3$+3+#9+.&'/3>&(&0*.1:*'55&S>B5)#6,&'#/39&:$B&$+*#9$+',+& A9 `bco: >&$ -.&'/&$ (& 0*.1 #9+ #C+&9, >B38'5/&9+ k.,/3+#>#8& 6, &$+ 4&9, '&9H#'*&'>&($)#$+HL3/38'$$&/&9+M(&>3$+3+#9+.&'/3>&:>&$*,'$+&$&9$,'*.3'8& )#9(5'3>&5+39+H'56,&//&9+$,X&+$S(&$)'#C>K/&$3'+*,>3'&$73'+.'#$&(&$8&9#,? '>+6#(#;6)#L>'&<(>67L7D+#b G'+.'#$&: 3>8#(1$+'#).&: 3C3'+*,>3'&$ *.'#96,&$: 3'+.'#)3+.&$ /5+3C#>6,&$: #$+5#)#'#$&: )3+.#>#8& 4&'+5C'3>&: )3+.#>#8& H#9*+#99&>>&: '.,/3+$/&$ '>+6#(#;6)#$6'7<ML#$)#L[>88>'#+L)+D#$6+Z#6)<(?6>M7L+$(#b GHH&*+#9$ (8&$+4&$F.1)&'>)(5/&:.1)&','*5/&: (3CK+& 9#9 9$,>9#(5)&9(39+: J7<ML#7'+#;6>6+7;bBAF$7+;$ 23 (#,C>& #'&9+3+#9 *#/)'&9(,9& #'&9+3+#9 )'9*)3>&: (5+&'/95& &9 H#9*+#9 (, +1)&(&)3+.#>#8&(,*,'$+&:34&*cN$#9$)'#(8,5$&+,9&#'&9+3+#9$&*#9(3'&(& ) ) $71/2-8-A2)2C;-)D)4<5?9-)<7/-A212/<A)E)*)FGH):</A:) " )<7/-A212/<A)*)JK):31A0-:) A:76'6,5.6:-)-*6,46-)R/,+5-4), &''<.5.6:-G+-+(5')3)7:<)3)H64@IR#i,+5-4), `56-5^)46-,<SS'5.6:-3)G5jR#i,+5-4), k:<4@)3)s:(.)*(),,6:-,:<,6dd)(,6:-)-*6,46-)r/,+5-4), L.<^)`)(.:''56ERl,+5-4), L.<^)':45')D56-,).*6)3,RW,+5-4), A5,,5G),:<,';)5<R/,+5-4), " )<7/-A212/<A)*)LM):31A0-:) k:<4@)g+-+(5')5<[).r#i,+5-4), k:<4@)':45')@+*5.6p<)5<[).r#i,+5-4), 12

13 GT34.G/S*4S2/SS54.g*2Gch 07)#)[#(8L7+ 56>8# ;nbo "[7')7;;>;,# )< (?)#,+; 6'>+6>;6b >3 *,'& +.&'/3>& &$+ )'&$*'+& )3' >& /5(&*9 +' , '&/)>+ >3 )'$& &9 *.3'8& &9 9(6,39+ 0*.1 *#//& $+3+#9 56>8# o"> )#(>;)# )# 8'+$# #;,&>'D#b &>>& (#+ E+'& &94#15& S >3 I3$$& (BG$$,'39*& j3>3(& 6, '&+#,'9&'3,9 (#*,/&9+ (B3**#'( (& *,'&@ 2& 4#>&+ 9i` (& *& (#*,/&9+$&'3'&/$3,/5(&*9+.&'/3>:>&$&*#9(S>B3**,&>(&$+.&'/&$&+>&\ K/& S>3 g5*,'+5g#*3>&)#,')3'+*)3+#954&9+,&>>&:$#,$*#9(+#9$(&'&$$#,'*&$:3,?h'3$(& $5X#,'&+(&+'39$)#'+@ 56>8#;nmo">'?$#'=>6+7;b&>>&$B&HH&*+,&43>B&94#(&>3H*.&(&'5$&'43+#9*#/)>5+5& &+$895&:3**#/)3895&(&$3''.&$(&'5$&'43+#9@ 56>8#;n:o"#(?)#,+;6&#'(>Lb>3)'$&(&'&9(&R;4#,$34&*,9(&$/5(&*9$(&0*.1 6, (5+&'/9&'3 >& )'#8'3//& (& $#9$ *#9$++,& >3 (&'9K'& 5+3)&@ 23 '5$&'43+#9 (& *,'&&$+&9$,+&*#9H'/5&)3'*#,''&'@2&*,'$+&(#+$&)'5$&9+&'S>B9$*')+#9>&`&' X#,'(&$3*,'&)#,'5+3C>'$#9)>39998@ +-:)/A4/:;-A:1?9-:) ")N<57)9-)834-0/A) )*')^:').-m#3)';544:(33)*(6,))-4@5(G)).'545(.)^6.5')B ")N<57)9,/A:07/;2/<A)*')^:').-m3)';544:(33)*(6,))-4@5(G)).';:(3:--5-4)3),:6-,B ")N<57)9-:):</A:)-2)9-:)102/=/23:)*<-D56'':.).<-7:--).3)756-93),,5-35'),3)756-,5-.6T 3+(5*5-.),9<-^)(()3)4<()).<-).)-<)3),*:(.B "#$$&'()**+&(+&(,"*-"$+,(,*&(-#,.*#)$+,(/($"(0+*&+(/($"()1&#21+(-+,(34+56+,7(8+#9*#5,(+&(,+50#+&&+,(5+6#,(95":#+1,+6+*&("1;(:15#,&+,7( ( ( 13

14 .5P/T3..1S5 4;8'>6+I<# ^'?=#;6+7;)<*+#+LL+$$#(#;6>=#,L#8'7D'>((#^'?=#;6+7;1'6&'7$#X]RO Y9)'#8'3//&*#/)>&+&+9(4(,3>$5)#,'9&)3$>3$$&'$B9$+3>>&'>&$(#,>&,'$>5&$S >B3'+.'#$& &+ '&+3'(&' >& +'3+&/&9+ I#/)'&939+ S >3 H#$ (&$ $#9$ +.&'/3,?:,9&*,'&(&C#$$#9:,9$,49,+'+#99&>&+(5+5+6,&39$6,B,9&'&/$&&9 3*+4+5 ).1$6,& S +'34&'$ (&$ $539*&$ (& 81/93$+6,& (#,*&$ &+ 3(3)+5&$: *& )'#8'3//& )&'/&+ (& C595H*&' (&$ C&9H3+$ h9#+3//&9+39+;9h>3//3+#'&$;(&$ &3,? &+ (& >3 C#,& (& 0*.1@ T> $B3)),& 9#+3//&9+ $,' >&$ '5$,>+3+$ (& >B5+,(& -takjgk-tkagau@ ^'7D'>((#^'?=#;6+7;16&'7$#]XO7<B@YH7<'$>=#,:$7+;$\H7<'b O7b#,`N=3))>*3+#9$(&C#,&+.&'/3>&(&0*.1:O7b#,`N=$539*&$(&/#C>$3+#9&9 )$*9&:O7b#,`N=/3$$38&$$#,$>B&3,)3's95$+.5'3)&,+&:O7b#,`N=$#9$+.&'/3,? '.,/3+#>#8&*.#$$)3'>&/5(&*9+.&'/3>@ "#$>=>;6>D#$)<8'7D'>((#U^'?=#;6+7;1'6&'7$#Wb v"&,?*#9$,>+3+#9$(5+5+6,&$7&9(5c,+&+&9h9(&$5x#,'= vg+&>&'$&+*#9h5'&9*&$(,i&9+'&j,+'+#99&>(&0*.1 v Y9 $,4 (& O /#$ 3)'K$ >3 *,'& )3',9 L$1$+K/&;&?)&'+ 9,+'+#9M 3**&$$C>& )3' T9+&'9&+$,'>&$+&UUU@4*.1(&+@H' vg3,93:t3//3/:l39c#,>>#9939+:a$)3*&(&*3'(#;+'3998 vd$*9&9+5'&,'&(b&3,+.&'/3>&s\]i* vd$*9&&?+5'&,'&*.3,hh5&&+p3'(97`]/33,`]#*+@= va3,0*.1i5>&$+9$s4#>#9+5 v-$39&$$)5*3>&$5>3c#'5&$)3'9#+'&j5(&*9*#9$&> >'+Z$@ABmb]H7<'$bFm:p`OH7<'$bB@A]p`B@H7<'$bB:FFp 14

15 *Etude THERMARTHROSE : Financée par l AFRETH (Association Française pour la Recherche Thermale), l étude Thermarthrose dont les résultats ont été publiés en octobre 2009, démontre l efficacité de la cure thermale dans le traitement de la gonarthrose (arthrose du genou). Réalisée sur 462 patients entre 2006 et 2008, cette étude montre une amélioration à six mois, en termes de douleur et de fonction. Elle prouve scientifiquement que la cure thermale représente une amélioration du Service Médical Rendu par rapport aux thérapeutiques non chirurgicales habituelles de la gonarthrose. 3#(+$##;$>;6?XC7<]H7<'$Y Y9$5X#,'$39+5(&]#,OX#,'$34&*NPnN^$#9$3H9(&)?,7<='+'L#6&#'(>L+$(#:3(3)+5 S*&>>&$&+*&,?6,9&)&,4&9+)3$*#9$3*'&'\$&/39&$3,?$#9$@ ^'7D'>((#3#(+$##;$>;6?CX]YH7<'$>=#,:$7+;$\H7<'b N7\=j#(&>38&$$#,$3HH,$#9(q&3,+.&'/3>&:N7\="#,*.&(&0*.1S^/39$:\ G))>*3+#9$(&C#,&+.&'/3>&(&0*.1:\l3934&*(#,*.&&9//&'$#9:]7O=g539*&$ (&/#C>$3+#9(193/6,&&9)$*9&:\"#,*.&$SX&++#9H39+:N7\=I#,'$(& 81/93$+6,&3,$#>@ "#$>=>;6>D#$)<8'7D'>((#3#(+$##;$>;6?b vg3,93:.3//3/:c39c#,>>#9939+:&$)3*&(&*3'(#;+'3998 vd$*9&9+5'&,'&(b&3,+.&'/3>&s\]i* vd$*9&&?+5'&,'&*.3,hh5&&+x3'(97`]/33,`]#*+@= va3,0*.1i5>&$+9$s4#>#9+5&++$39&$ >'+Z$@ABmbCH7<'$b]ACp`]H7<'$bN@] 15

16 16

17 J4.41Tq02S531"4.4j/T4.c4301"4.J4c1T4eT1"25 1<$#+;)#$&#'(#$)#*+,&-RL[#;$#(ML#)#$$7+;$$7;6'?>L+$?$>=#,L#$#><K(+;?'>L#$ #6 L#$ M7<#$ 6&#'(>L#$ )# *+,&-9 l7'6#(#;6 #;D>D?$ )>;$ <;# )?(>',&# DL7M>L# )[>(?L+7'>6+7; )# L> I<>L+6?R L#$ &#'(#$ 7;6 7M6#;< #6 '#;7<=#L? )# L#<'$ 8'7,?)?$ 4>< 0+;?'>L# #6 j7<#$ ><K #K+D#;,#$ )< '?Z?'#;6+#L ;>6+7;>L 1I<>,#'6 c1gg^ 6&#'(>L+$(#r9 46,# ;[#$6 8>$ 67<6s "#$ &#'(#$ 6'>=>+LL#;6 )?$7'(>+$EL[7M6#;6+7;)#L>,#'6+Z+,>6+7;2./B:AAB9 "#$&#'(#$)#*+,&-,#'6+Z+?$1I<>,#'6c1GG^:6&#'(>L+$(#r A>3C#'5(39$>&*3('&(B,9&(5/3'*.&*#>>&*+4&9+5&)3'>&IJA-.7I#9$&>J3+#93>(&$ A?)>#+39+$ +.&'/3,?=: >& '5H5'&9+&> G6,3*&'+ tgiid +.&'/3>$/&w H3+ $,+& 3,? )'5*#9$3+#9$(&>3"'&*+#9V595'3>&(&>3g39+5&+S>3)3',+#9(,(5*'&+(&X394&' I& (5*'&+ 9+'#(,+ 9#+3//&9+ >3 '&$)#9$3C>$3+#9 (& >B&?)># &'/3> 3H9 (& >B9*+&'S/&++'&&9)>3*&(&$)'#*5(,'&$9+58'39+>&$)'9*)&$(B393>1$&(&$(398&'$&+ (& /3f+'$& (&$ )#9+$ *'+6,&$ )#,' >3 )'#(,*+#9 &+ >3 ($+'C,+#9 (& >B&3, /95'3>& K20&" +=2<&" '<&7.'(" 3+" 1(/2*-" \AJJ[" *+<&" <2(.-" I8&(,1-" *-" ]+<+4-1-<(" *-" 3+" U0+3'(" 7-.(':'" NI#" ^CCD" *->0'&" ;0'<" W92$;-7(':" -&(" *93-=-." 3+"?0+3'(" *-" <2&" >.-&(+('2<&" -(" *-" *$0(-." 0<-" *1+.7/-"?0+3'(" +:'<" *92$(-<'." 3+" <2.1-" NI#" DECCD" *9'7'" *-0Q" J-((-" #K8L+I<#^&+L+88#.1*hR'#$87;$>ML#I<>L+6?)#$&#'(#$)#*+,&-9 O-:);7<45/2:) B)/A4/P53:)41A:)9-)271/2-8-A2)4-:)765812/:8-:Q) )4-:)27<5?9-:)4/I-:2/.:)-2)4-)9,1;;17-/9)8321?<9/P5-) <#:4+,( +*( $#9=>$>6+*&,'( "#$ $&'(#$ )*+,'-"#$.# /*(01 +;.$#&>+,(.15( $+( &4+56"$#,6+ 23,"#$4*+$5 30)#"5 6'-+.# 6'*""#5 789*4-" #4 :&(-$;( ".."5&#+**+*&(/($"(?"6#$$+(-+,(+"1;( 6>&")$#,6+("#*,#(21+(-+,("??+:&#*,(5416"&$9#21+,'(+$$+,(>6+59+*&(/(-+,(&+6.>5"&15+,("$$"*&( -+(BBCD(E,15:+(-+,(D>$+,&#*,F(/(GH7ICD(E,15:+(D46+$F(+&(,*&(.5+,:5#&+,(-"*,($+(:"-5+(-+(:15+( -+()#,,*(E)10+&&+F(1(-"*,($+(:"-5+(-+(,#*,(&4+56"1;(9>*>5"1;(E)"#*'(-1:4+("1(J+&KF7( ( :-<&#40#')-"#&4*"*$,#-&=>0#')#$.#/*(01(+,&(21"*&(/(+$$+(1*+()1+(6"&15>+7(( L(M&5+()1+(&4+56"$+(+,&(:+(21+($N*("..+$$+(1*(.>$O-+(+;.$#21+'(P+"*=Q1:(R#:&'(-#5+:&+15(-+,( ,(-+(S#:4T7(DN+,&(1*+()1+(0>9>&=6#*>5"$+:5>>+(/(."5&#5(-N"59#$+()$"*:4+(#55#91>(.+*-"*&(.$1,#+15,(,+6"#*+,(."5($+,(,15:+,(6#*>5"$+,(-+,(UV6+,(EWWCDF(+&(-1(QT,(EWX'ICDF7(Y($"(,15?":+(-+( $N"59#$+(,+( ->0+$..+*&( "$5,(,.*&"*>6+*&( -+,( :$*#+,( -N"$91+,( )$+1+,'( 5#:4+,( -+( :6.,>,( 59"*#21+,( +&( :N+,&( $+(.5-1#&(?#*"$'( 21#( :6.5+*-( /( $"(?#,( $+,(.5.5#>&>,( &4>5".+1&#21+,( -+,( 6#*>5"1;( :*&+*1,( -"*,( $N+"1( +&( -+,( :6.,>,( 59"*#21+,(?15*#,(."5( $+,( "$91+,'( 21+( *1,( 1&#$#,*,(+*(+*0+$..+6+*&,(.15(,1$"9+5($+,(:15#,&+,(-+($+15,(-1$+15,(5416"&#,6"$+,(Z7(( ( & HACCP (Hazard Analysis Critical Control Point). 17

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