In the United Slates, natural springs, especially geothermal ones, hav
e gone through three stages of development: (i) use by Indians as a sa
cred place, (2) development by the early European settlers to emulate
the spas of Europe, and (3) finally, as a place of relaxation and fitn
ess. The main reasons that people in the U.S.A. visit geothermal spas
today are to improve their health and appearance, to escape stress, an
d to refresh and revitalize their bodies and minds. Unlike European sp
as, where medical cures of specific ailments are more important, U.S.
spas place more emphasis on exercise,on reducing stress, on lifting de
pression, and on losing weight. Soaking in hot tubs and pools, as well
as in natural primitive hot springs, is a favorite pastime. There are
over 115 major geothermal spas in the U.S.A., and many more smaller o
nes, along with thousands of hot springs. The majority of these are lo
cated in the volcanic regions of the western states, but several famou
s ones still exist in the east. The major spas are estimated to have a
n annual energy use of 1.53 x 10(12) kJ (46 x 10(3) TOE). Most of the
geothermal heat is used in bathing, and very little for space heating.