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Human Health and Performance
Human System Risks
New spacecraft that will transport crews to the Lunar and Martian surfaces and return them to Earth may have diverse landing modalities which will function in different landing environments.
Posted March 11, 2025
Human Health and Performance
Human System Risks
Exposure to altered gravity can cause ocular and brain structural changes to develop during spaceflight; these changes could lead to vision alterations, cognitive effects, or other deleterious health effects. SANS is a syndrome unique to humans that fly in space, and there is no terrestrial disease equivalent.
Posted March 11, 2025
Human Health and Performance
Human System Risks
Safe, breathable air is essential for crew health. Human spaceflight has involved toxicological events ranging in severity from trivial to life-threatening.
Posted March 11, 2025
Human Health and Performance
Human System Risks
Exposure to the altered gravity in the spaceflight environment may cause physiological changes. One of these changes is the inability to completely empty the bladder or urinary retention.
Posted March 11, 2025
Human Health and Performance
Human System Risks
Spaceflight causes measures of maximum aerobic capacity to decline, which can result in impaired mission task performance. Based on ISS data, if crew adhere to existing exercise schedules and have access to adequate exercise countermeasure systems, then on average, they return with minimal losses of aerobic fitness.
Posted March 11, 2025
Human Health and Performance
Human System Risks
Exposure to the microgravity environment causes muscle size, strength, and endurance to decline. Based on ISS data, if crew adhere to the exercise schedule and have access to adequate exercise countermeasure systems then on average, they return with minimal losses of muscle size, strength, and endurance.
Posted March 11, 2025
Human Health and Performance
Human System Risks
Exposure to microgravity induces bone atrophy/bone loss which increases circulating calcium, impacting the renal stone risk. Risk mitigation strategies including exercise and hydration are well-defined although the ability to treat a renal stone during exploration missions is not yet available.
Posted March 11, 2025
Human Health and Performance
Human System Risks
Sunlight exposure primarily affects the eye and skin and is mitigated by current standards and countermeasures.  An increase in the prevalence of high-power ground-based lasers capable of reaching the ISS, and possibly even the Moon, could cause acute laser exposure damaging hemorrhagic retinal lesions resulting in temporary or permanent damage to
Posted March 11, 2025
Human Health and Performance
Human System Risks
Exposure to the spaceflight environment evidence indicates alterations in microbial virulence and astronaut immune function.
Posted March 11, 2025
Human Health and Performance
Human System Risks
Regardless of mission length or objectives, all human spaceflight requires some degree of in-mission medical support. The transition from a gravitational environment to microgravity, coupled with living in a closed-loop environment, can result in variable physiological effects and health risks.
Posted March 11, 2025
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