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BALNEOLOGICAL REPORT SEA WATER IN NOORDWIJK -

Location: Noordwijk, South Holland, Netherlands Sea water chemical and physical analysis: SGS lnstitut Fresenius, Taunusstein, Germany Date and place of water sampling: 11/10/2018, Noordwijk

Number of sample: 181011605 Date of results protocol: 6/2/2019

Number of protokol: 4159907 According the results of the chemical and physical analysis we can label sea water in Noorwijk as high mineralised water, cold, hypertonic, slightly alkaline, natrium -chloride, fluoride water, with high content of cations: natrium,

magnesium, calcium and kalium, higher content of anions: chlorids, sulphates and fluorids. Water can be sign also

as BRINE/SALTY WATER. MAIN CHARECTERISTICS OF THE WATER

Total mineralisation

Temperature

Total mineralisation of analysed water is 30 973 mg/l, it means 3% salt solution with predominance of NaCl salt (app. 75%), other salts MgCl2, MgSO4, CaSO4, K2S04 are also occuring. Very important for sea water bathing is high content of magnesium salts in water (app. 15% in evaluated water).

Temperature of the water in day of sampling was 14,7°C (11th October 2018). The temperature ranges during the year from 4,8°C in February up to 19.8°C in the August. The

average water temperature throughout the year was 11°C. Temperature suitable for direct bathing in the sea is in the place whole year. Optimal temperature for whole body bathing and swimming for untrained people is from mid Juni to the end of September, in the rest of the year for watering, wiping and wading to promote imunity and in hardening program. So cold winter swimming "ice bear swimming" only for trained people, or people starting with hardening under control of proffesionals. Swimming in very cold "ice" water is a very effective method, usually combined with a short run. It significantly promotes blood circulation in the body, stabilizes blood circulation and activates the immune system. However, necessary avoid excessive strain when swimming in extremely cold water. -

Sea water from location can be used after heating in indoor tubs or pools for bath without physical activity in temperature 37-40°C, for hydrokinesiotherapy in temperature 30-34°C and for physical activities (swimming, cycling in water...) in temperature 26-30°C. The special treatment of the water in pools because of hygienic safety is necessary.

Dominant cations

In the evaluated water is natrium (Na+) 9460 mg/l from all cations it represents 77,21 meq%. Other very important cation is magnesium (Mg2+) in content 1150 mg/l from all cations it represents 17,75 meq°Io. Magnesium salts are known to bind water in the skin, influence epidermal proliferation and differentiation, and enhance permeability barrier repair. Bathing in the sea water significantly improve skin barrier function compared with the tap water. In many studies was determined evidence of improvement in skin hydratation, reduced skin roughness and redness (markers of inflammation). -

Healing antiinfiamatory and antiallergic effect of calcium Ca2+(346 mg/l) can be applied in form of aerosolotherapy direct in seashore, or by using inhalation apparatus. Dominant anions

In the water are chiorids (Cl-) in content 17 100 mg/i what is 90,47 meq% from all anions. There is also higher

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BALNEOLOGICAL REPORT

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SEA WATER IN NOORDWIJK

content is of suiphates (S042-) 2320 mg/I that is 9, 06

meq% from all cations. Higher content of Fluorid (F-) as curative effect can be applied only in drinking cure. Iodine anions in evaluated location is in very low concentration.

Comment: microbiological analysis was not added to the report of SGS. POSSIBLE THRAPIES BASED ON THE USE OF SEA WATER ¯

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Whole body baths/partial baths, Hydrokinesiotherapy excercise in the water, Whole body and partial showers, Foot baths, wading in the water (also ford after Kneipp), Watering, compresses, wipes, Lavage of body cavities, gargling (nasal, mouth), Individual inhalation therapy by inhaler apparatus, Group inhalation therapy by inhaler apparatus, The natural aerosoltherapy on the coast, Step by step hardening by the cold sea water. -

BATHS in THE sea water

According to Menger and Mantel (1978) temperature of sea water that can be used for bathing can be recognized as:

cold 16-17,9°C medium warm 18-19,9°C warm 20-21,9°C

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The bath time for not trained people depends on thickness of subcutaneous fat. WATER

Positive anti-inflammatory effect of the bath in brine with a high content of magnesium is explained by competitive displacement of calcium ions from binding with specific proteins. Enzyme activity, which requires calcium ions as co-factors, is this way by high concentration of magnesium in the skin inhibited (phospholipase A2, epidermal lipoxygenases). Low activity of these enzymes subsequently leads to inhibition of pro -inflammatory factors. After application of brine with a high content of magnesium also immunosuppressive effect on epidermal Langerhans cells, which have a key role in etiopathogenesis of psoriasis and atopic eczema, was demonstrated. The positive effect of brine applications with a high content of magnesium can synergistically be increased by simultaneous (or subsequent) application of UVB radiation. In the locality Noordwijk allows direct bath in sea water, followed by graduate exposure of the skin

very warm > 22°C

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Using salty sea bath, used especially for skin diseases, belongs to the oldest historically documented medical procedures (Hippocrates). Many experimental and clinical studies of recent years hoWever demonstrated, that this positive effect is not only linked with the content of NaCl, but above all, to the high concentration of magnesium ions, which are effective in the treatment of inflammatory skin diseases (also allergic origin), by suppressing inflammatory and hypersensitivity reaction. Scientific studies have confirmed the positive effects in treatment of psoriasis vulgaris, acne vulgaris, parapsoriasis, neurodermatitis, pityriasis versicolor, ichthyosis and allergic eczemas.

THICKNESS OF SUBCUTANEOUS FAT

TEMPERATURE IN °C

NORMAL

HIGH

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LOW

16-20 20-22

22-25

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5 minutes 10 minutes 15 minutes 15 minutes 20 minutes

10 minutes

15 minutes 20 minutes

25 minutes

to sunlight (natural balneophototherapy). There is also

The human body reacts to immersion in cold sea water

possibility to use indoor application of bath with sea

with two basic phases:

water in a shallow tub, or in a pool, which only wets the

1 Phase

phase of the first cooling (nerve -reflexive) is associated with a sudden cooling of the body, which is associated with vasoconstriction in the skin, parallel vasodilation of deeper stored blood vessels and increased blood flow to organs of the body. It slows down the heart rate and respiration, increases blood pressure. This phase is short (1-2 minutes) and by adapted individuals is not very apparent. 2 Phase reactive is due to hyperemia manifested by feeling of warmth and redness of the skin. Increased chemical thermoregulation causes increased production of heat in the body. Breathing is faster, deepens, oxygen consumption is increased 2-3 times. By very long stay in the cold water the 3. phase phase of the second cooling could also occur, which is a failure of thermoregulation. In the thalassotherapy is this third phase undesirable.

skin, with simultaneous application of the selective UVB rays with a maximum energy emitted in a narrow range of 311-313 nm.

When using natural heliotherapy or treatment with UVB lamp, the type of skin pigmentation should always be taken into account, and radiation dose can only be gradually increased.

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In many coastal countries is sea water used for external balneotherapy, as hypothermal, after heating up as isothermal or hyperthermal bath in the pool or in the tub. Heating up of sea water significantly expands the indication spectrum and removes seasonality of thalassotherapy.

Scientific studies have produced positive results also in the treatment of musculoskeletal diseases, particularly inflammatory rheumatic diseases and chronic degenerative diseases of the spine and joints. In treating inflammatory gynecological diseases and fertility disorders, whole or half hyperthermal sitting baths in brine and vaginal brine applications are successfully applied. Studies show that brine irrigations are effective in treating fertility disorders, chronic salpingitis, postoperative infiltrates, post hysterectomy syndrome, adhesion -related complaints and etc. Body Hardening

Body hardening means adaptation of the organism to the effects of adverse external stimuli (especially cold) and to increased physical load. To enhance the effect of cold hardening, supplement procedure with physical activity is suitable. In swimming in cold water increase the reactivity and flexibility of the blood vessels, which can than react quickly to the effects of cold. Proper hardening effectively strengthens immunity and also stress management and some psychological problems such as burnout syndrome.

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Bath in the sea, with a strong flow of air on the beach and sunlight has a role in improving the overall immunity of the body and in increasing of nonspecific resistance of the organism, manifested by: Improvement of immunological response, Improvement of thermoregulation, Normalization of some metabolic processes, Improvement of the function of various organs and so achieving economization or reduction of the claims for compensatory mechanisms. ¯

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Among treatments using sea water to harden body can also be included: walking in sea water under knees, wiping off limbs with seawater followed by massaging to skin redness, watering limbs with seawater, wiping and

watering chest and neck. The main indications for external balneotherapy with sea water ¯

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Skin diseases (natural or isothermal temperature of the water) in combination with heliotherapy, Gynecological disorders (isothermal, hyperthermal bath),

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BALNEOLOGICAL REPORT

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SEA WATER IN NOORDWIJK

high salt concentration, contained in sea water. Density of natural aerosol is increased by mechanical fragmentation of seawater on solid objects on the coast and also by wind that swirls water, raises waves which fragment on the coast. This natural aerosol is polydisperse, containing larger particles which affect mainly mucosa of the upper respiratory tract, but not reaching to the pulmonary alveoli. High content of sodium and calcium salts has anti-inflammatory effect, dilutes sputum and facilitates expectoration. Special barriers can be build on the shoreline to enhace amount and dispersity of natural

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Preventative cure for people working in dusty environments.

aerosol. AEROSOLOTHERAPY USING INHALER APPARATUS

Inhalation of sea water by inhaler (the compressor, or ultrasonic inhalers) enables to produce dense monodisperse aerosol that can reach also into the lower respiratory tract, where liquefies thick sputum and has anti-inflammatory effect. Water for this type of aerosolotherapy must be microbiollogicaly analysed I To the sea water used for aerosoltherapy, some pharmaceutics can be added: for regeneration of cilia of respiratory mucosa, expectorants, vitamins, bronchodilators

and other. In case of Sinusitis a vibrating aerosol is administered. Warning: cold aerosolotherapy may provoke bronchospasm, therefore esp. For clients with astma, allergy and CHOPD isothermal inhalation is recommended. For patients with asthma attacks, by individual inhalation by inhaler, is recommended to dilute sea water to 1, 5 2% salt concentration. -

The main indications for aerosolotherapy by inhaler with sea water (isothermal temperature) Chronic inflammations of upper respiratory tract, Chronic bronchitis, Chronic obstructive pulmonary disease (CHOPD), Astma bronchiale, Conditions after lung surgery, Conditions after upper respiratory tract surgery, Silicosis and other pneumoconiosis, Chronic sinusitis, ¯

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NOORDWIJK AS SEA HEALTH RESORT ON THE DUTCH COST THALASSOTHERAPY

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basic prerequisite for building a destination Noordwijk

as a important health center

Thalassotherapy covers wide range of curative and preventive use of natural healing resources occuring in sea locations sea water, bioclimatic conditions on the sea shore and some marine products as mud, sand, algae etc. -

After the iniciative of European Spas Association to provide uniform definition also for thalassotherapy in order to garantee high quality standards and to established the term and brand name was prepared Definition and Criteria of ESPA for thalassotherapy

in 2002 by expert group of German Spas Association (headed by prof. Dr. Stick and Dr Harms) and after discussion in the 1S Thalassotherapy international conference in Rostock in January 2002 was published. The term thalassotherapy shall be used only if the following definitions and prerequisites are met and the following measures are offered or taken:

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48

Definition

Thalassotherapy is an integrated plan for therapy, prevention and health promotion. The plan shall be implemented for defined indications under medical care and with the participation of qualified expert staff.

INSTITUT FRESENIUS SOS INSTITUT FRESENiUS GntH Postfach 1261 65220 Taunusstein

Auftrags-Nr. 4848852

Gemeinde Noordwijk Voorstaat 42 2201 HW Noordwijk

Jutta KOthIYW TeL +49 612W744-770 jutta.kochsgs.com Agriculture, Food

SGS INSTITUT FRESENIUS GmbH Im Maisel 14 65232 Taunusstein

Taunusstein, 30.01.2019

Begutachtung

Heilwasser Meerwasser -

Nordseewasser von Noordwijk

Dem Auftrag von VITA-CON, Consultancy BV, Kunden-Nr. 10175478, Frau Marlies Sobczak Boumans, Projektielterin im Auftrag von Stichting Noordwijk Marketing entsprechend, wurde von SGS INSTITUT FRESENIUS, Taunusstein, eine "Meerwasseranalyse" des Nordseewassers in Noordwijk durchgeführt. -

Analyse und Beurteliung orientieren sich nach den in Deutschiand gültigen Kriterien: Qualitâtsstandards für Heilbâder und Kurorte, Luftkurorte, Erholungsorte Begriffsbestirnmungen einschlielThch der Prâdikatisierungsvoraussetzungen, sowie für Heilbrunnen und Heilqueilen 13.Auflage Ausgabe November 2017 Tell B ,,Natürliche Heilmittel des Meeres' Nr.2 Meerwasserwasseranalyse in Form der Bezugsanalyse bzw. Wiederholungsanalyse -

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INSTITUT FRESENIUS Seite 2 von 4 30.012019

1. Allgemeine Angaben

Auftragsabwicklung in kl. Probenahme erfoigte ü ber: Dr. Kurt von Storch STORCH Water Consulting International, Stolberger Str. 25 in Wiesbaden -

Kundennummer: Auftragsnummer: Probennummer:

10120465 4714266 181011605

Datum der Probenahme und der örtlichen Messungen

Entnommen von Dr. Kurt von Storcham 11.10.2018 Witterungsverhältnisse zur Zeit der Probenahme Heiter, bewölkt

Entnahmestelle Die Entnahmestelle der Meerwasserprobe liegt Ca. 2 km von Strand entfernt. Der Weg zur Entnahmestelle erfoigte mittels Motorboot. Die Probenahme für die Analytik erfoigte mit Hilfe elner Schöpfstange.

Koordinaten der Entnahmestelle

52°16'16"N 4°23'53' '0 Höhe über NN: 0 Meter

INSTITUT FRESENIUS Seite 3 von 4 30.01.2019

2. Beu rteilung und Charakteristik

Die Untersuchungen wurden von SGS INSTITUT FRESENIUS, Taunusstein, nach den in den Prüfberichten angegebenen Methoden, arigepasst an die jeweilige Matrix, durchgeführt. Dabei wurden die im Prüfbericht enthaltenen physikalischen, physikalisch-chemischen und chemischen Ergebnisse (Anlage) erhalten. Die zugehörige lonenbilanz 1st in der Anlage enthalten. Nach der von SGS INSTITUT FRESENIUS, Taunusstein, durchgeführten "Heilwasseranalyse" weist das Meerwasser einen Gehalt an gelösten Mineralstoffen von 30973 mg/I auf. Das Wasser kann daher nach den "Begriffsbestimmungen" bezüglich der chemischen Beschaffenheit als 'Heitwasser" bezeichnet werden. Bei den Kationen 1st

Natrium mit 77,21 % Aquivalentanteil

und bei den Aniorien ist

Chiorid mit 90,47 % Aquivalentanteil zur Kennzeichnung heranzuziehen. Die in den Begriffsbestimmungen geforderten Mindest-Aquivalentkonzentrationen für Natrium und Chiorid von je 240 mmol/l (240 nieq/l) werden welt überschritten. Das Meerwasser kann daher als

"Sole" bezeichnet werden. Neben dem Hauptbestandteil Natrium kommen bel den Kationen noch deutliche Mengen an Magnesium, geringe Mengen an Kalium und Calcium, Spuren von Strontium und geringe Spuren von Lithium vom.

Bei den anorganischen Stickstoffverbindungen liegen geringe Spuren von Ammonium und Nitrit vor. Nitrat konnte nicht nachgewiesen werden. Mangan und Eisen liegen in geringen Spuren vor.

Neben dem Hauptbestandteil Chlorid kommen bel den Anionen noch deutliche Mengen von Sulfat, geringere Mengen von Hydrogencarbonat und Bromid, geringe Mengen von Fluorid sowie Spuren von lodid und Hydrogenphosphat vor. Da der Mindestgehalt von 1 mg/I an Fluorid erreicht wird, kann das Wasser als

"ft uoridhaltig" bezeich net werden. Bei den undissoziierten Stoffen liegen Bor- und Kieselsäure in einem üblichen Bereich.

INSTITUT FRESENIUS Seite 4 von 4 30.01.2019

Zum Zeitpunkt der Probenahme betrug die Wassertemperatur des Meerwassers an der Probenahmestelle 14,2 °C. Die nachfolgend aufgeführten Grenzwerte an besonders wirksamen Bestandteilen werden vom Meerwasser nicht erreicht, so dass elne entsprechende Kennzeichnung nicht möglich 1st: a) b) c) d) e)

eisenhaltige Wässer schwefelhaltige Wässer radonhaltige Wässer iodhaltige Wässer

Sâuerlinge

20 mg/I Eisen 1 mg/I Sulfidschwefel 666 BqIl (=18 nCi/I) Radon-222 1 mg/I lod 1000 mg/I freles gelöstes Kohlenstoifdioxid für Trinkzwecke 500 mg/I freles gelöstes Kohlenstoifdioxid für Badezwecke

Das Meerwasser enthält elnige Spurenelemente in geringen Konzentrationen. Zulâssige Gronzwerte für Substanzen nach Anlage 4 der Mineral- und Tafelwasser -Verordnung, werden nicht erreicht oder überschritten.

Der Gehalt an organischen Stoffen, gekennzeichnet durch die Summenparameter der spektralen Absorptionskoeffizienten bel 436 nm und 254 nm und des gelösten organisch gebundenen Kohienstoffs liegen in einem üblicheri Bereich. Cyanide und Schwefelwasserstoff konnten nicht nachgewiesen werden.

SGS INST TUT FRESENIUS GmbH

J(Koch

IV. Custom r Service Senior Consultant Beverages

l.A. Yvonne Wolf Custom er Service Consultant Beverages

Diesem Schreiben liegen als Anlagen bel: Prüfbericht Meerwasser 4159907 (chemische und chemisch -physikalische Untersuchungen)