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*The word tourism was first used in 1811 and the word tourist in 1840. * The terms of travel and tourism are sometimes used interchangeably. * In 2008, there were over 922 million international tourist arrivals. * The most visited tourist attraction in the United States is Times Square in Manhattan, attracting about 35 million visitors annually. * Ecotourism is a form of tourism that involves visiting natural areas. * Health tourism or medical tourism is a term initially coined by travel agencies and the media to describe the rapidly growing practice of traveling across international borders to obtain health services.