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- Health and wellness tourism in pandemic times: paradigms shifts and sustainability challengesPublication . Costa, Carlos; Quintela, Joana; Antunes, JoaquimThe immediate consequences of coronavirus pandemic on tourism sector, triggered significant paradigm shifts on demand and also in the value of healthand healthcare as synonymous of security in tourist destinations, conditioning its image, promotion and the economic development of the territories. This special issue is focused on the challenges and opportunities prompted by this new reality in the specific field of Health and Wellness Tourism,concerning its impacts on related businesses and in worldwide destinations that has a solid tradition related with Thermal Baths, Spas and even withMedical services and facilities regarding tourist purposes. The importance of this approach is due to the fact this kind of Tourism figures as an important factor for the sustainable management of local communitiesand for the promotion of tourist destinations, contributing to the preservation and conservation of natural and even cultural heritage at the regional level.The aim of this special issue is to present the management and marketing strategies, development opportunities, innovative solutions and good practicesexamples that may outcome from these challenging circumstances, presenting full papers, case studies and research reports, based on a sustainabilityperspective. These approaches are developed in literature, regarding different contexts and countries, constituting a solid body of research on the topic.Sheldon and Park (2009) and Voigt and Pforr (2014) made an approach to wellness in a destination perspective, considering different implications fordestination development, management and competitiveness (Prideaux et al., 2014; Smith & Puczkó, 2014), the sustainable regional development(Pechlaner et al., 2014; Wray & Weiler, 2014) and introducing the concept of health region (Pforr et el., 2014). Also Peris-Ortiz & Álvarez-García (2015)analysed Health and Wellness Tourism as an important market segment, analysing it in different dimensions through several European case studies aboutregional development and innovative strategies on Thermalism (Araújo et al., 2015; Costa, Quintela & Mendes, 2015; Joukes & Costa, 2015). In whatconcerns to the actual context of coronavirus pandemic, Berini (2020) organized a sum of different studies regarding the impacts on Tourism and travelsector (Keller, 2020; Richards, 2020), focusing on marketing strategies during Covid-19 sanitary crisis (Andreini & Mangiò, 2020), on the sustainabilitydimension (Holden, 2020; Wells, 2020; Bougleux, 2020) and also forecasting behaviours and social impacts of this phenomenon (Peretta, 2020; Alberti &Perrotta, 2020; Heuwinkel, 2020). Health and Wellness Tourism has been an important factor for the economic development of territories, for the sustainable management of localcommunities and for the promotion of tourist destinations, contributing to the preservation and conservation of natural and even cultural heritage.Considering the importance and ancient tradition of Health and Wellness Tourism in many European (Belgium, France, Germany, Hungary, Portugal,Turkey, Spain) and worldwide countries (Australia, Canada, Chile, India, Peru, Thailand, United States) mainly due to their richness and abundance of hotsprings, it figures demanding to analyse the economic impacts of Coronavirus pandemic in this activity. Bearing in mind the shift on Health and Healthcareparadigms, figuring as synonymous of security in tourist destinations, conditioning its image, promotion and development, this special issue is focused onthe sustainability challenges and opportunities this new reality is designing in the specific field of Health and Wellness Tourism.