Author Name Andrew Jacka
In South-East Asia there were 2.37 million new cancer cases in 2022 with the numbers of new cancer cases projected to increase 85.7% by 2050. In a recent survey by the UK Spa Association (UKSA) into the industry’s approach to cancer care it was revealed that almost half of participating respondents (46 per cent) are unaware that cancer is classified as a disability in the UK and spa guests with a cancer diagnosis must be given equal access to treatments to prevent discrimination claims.
There are varying standards around the world with countries such as Australia, Canada, Germany, Mexico, Philippines, Switzerland, the UK and the USA classifying cancer as a disability and affording varying protections including in the areas of healthcare, and employment.
Across South East Asia, cancer is more frequently considered a chronic illness or a chronic illness that can cause disability, however as many of our spa operators in the region cater to foreign tourists, including those from countries where cancer is considered a disability, it is suggested that we as an industry might need to be aware of how we can adapt spa treatments for our clients with cancer, as massage and other touch therapies are considered highly beneficial for people living with cancer or with a history of cancer. More hospitals now offer holistic treatments with integrative oncology programs showing benefits across the board, such as improved sleep, range of motion and an overall sense of wellbeing. We see improved outcomes in pain management, decreased anxiety and depression, a decrease in nausea, headaches and neuropathy. When spa services are adapted and modified to meet the needs of each guest, we see this as an opportunity for your spa to be more inclusive and to be recognised as a cancer aware spa, with certification for each therapist participating in training. Massage will not cure cancer, but medical massage can safely and effectively be applied to your clients at any stage of the cancer journey. Your therapists can confidently work with any client presenting with compromised health. Light to moderate Pressure is essential as deep tissue massage is generally considered unsafe or uncomfortable while the client is in active treatment for cancer such as surgery, radiation, chemotherapy or immunotherapy (or any combination of treatments)
– Avoid Direct Pressure to tumour sites, recent surgical wounds, or regions at risk for Lymphedema.
– Avoid Vigorous or Intense Massage which may cause discomfort, dislodge implanted medical devices, cause bruising or increase the risk of lymphedema.
– Avoid Saunas, Steam rooms, and Jacuzzi, if you are immunocompromised or have circulation issues as they can increase the risk of infection.
– Avoid Essential Oils which can cause negative skin reactions during treatment or trigger nausea. Strong oils are considered the most problematic, with Meleluca oils and Clary Sage oil a definite non-starter for those with hormone sensitive cancers (certain breast, ovarian or uterine cancers)
– Adjust for blood counts, be aware of medications and their interactions and adapt your pressure accordingly.
A specialized Oncology Massage training course for one or more of your team members should be considered where available.
Australia / New Zealand – https://www.oncologymassagetraining.com.au/
Hong Kong SAR – https://www.hkioc.com.hk/en/wellness/cancer-massage/
Global – https://christineclinton.com/education/ The APSWC has previously engaged with Christine Clinton in several cancer awareness workshops. She offers training in your spa (subject to terms and conditions)
According to Cancer Wellness Travel website there is currently 47 properties across the Asia Pacific which are “cancer aware”, including iconic brands such as Como Shambhala, Four Seasons, Mandarin Oriental and Six Senses. Clearly not every property in a brand is necessarily aware and lists are being constantly updated, so make sure you ask before booking a stay if cancer is a consideration during your travels.
Article inspired by Helen Andrews article posted 05-Jun 2026, in Spa Business on UKSA Survey Results- https://www.spabusiness.com/wellness-news/Almost-half-of-spa-survey-respondents-are-unaware-cancer-is-a-disability-and-not-adapting-treatments-is-discrimination/363003
Related publication of interest: WHO South East Asia Regional Strategy on Comprehensive Cancer Prevention and Management 2024 – 2030 https://www.who.int/publications/i/item/9789290211709
