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Evidence Report: Risk of Cardiovascular Disease and Other Degenerative Tissue Effects from Radiation Exposure

Occupational radiation exposure from the space environment may result in non-cancer or non-CNS degenerative tissue diseases, such as cardiovascular disease, cataracts, and respiratory or digestive diseases. However, the magnitude of influence and mechanisms of action of radiation leading to these diseases are not well characterized. Radiation and synergistic effects of radiation cause DNA damage, persistent oxidative stress, chronic inflammation, and accelerated tissue aging and degeneration, which may lead to acute or chronic disease of susceptible organ tissues. In particular, cardiovascular pathologies such as atherosclerosis are of major concern following gamma-ray exposure. This provides evidence for possible degenerative tissue effects following exposures to ionizing radiation in the form of the GCR or SPEs expected during long-duration spaceflight. However, the existence of low dose thresholds and dose-rate and radiation quality effects, as well as mechanisms and major risk pathways, are not well-characterized. Degenerative disease risks are difficult to assess because multiple factors, including radiation, are believed to play a role in the etiology of the diseases. As additional evidence is pointing to lower, space-relevant thresholds for these degenerative effects, particularly for cardiovascular disease, additional research with cell and animal studies is required to quantify the magnitude of this risk, understand mechanisms, and determine if additional protection strategies are required.The NASA PEL (Permissive Exposure Limit)s for cataract and cardiovascular risks are based on existing human epidemiology data. Although animal and clinical astronaut data show a significant increase in cataracts following exposure and a reassessment of atomic bomb (A-bomb) data suggests an increase in cardiovascular disease from radiation exposure, additional research is required to fully understand and quantify these adverse outcomes at lower doses (less than 0.5 gray (SI unit for ionizing radiation dosage, i.e. one joule of radiation energy per one kilogram of matter)) to facilitate risk prediction. This risk has considerable uncertainty associated with it, and no acceptable model for projecting degenerative tissue risk is currently available. In particular, risk factors such as obesity, alcohol, and tobacco use can act as confounding factors that contribute to the large uncertainties. The PELs could be violated under certain scenarios, including following a large SPE (solar proton event) or long-term GCR (galactic cosmic ray) exposure. Specifically, for a Mars mission, the accumulated dose is sufficiently high that epidemiology data and preliminary risk estimates suggest a significant risk for cardiovascular disease. Ongoing research in this area is intended to provide the evidence base for accurate risk quantification to determine criticality for extended duration missions. Data specific to the space radiation environment must be compiled to quantify the magnitude of this risk to decrease the uncertainty in current PELs and to determine if additional protection strategies are required. New research results could lead to estimates of cumulative radiation risk from CNS and degenerative tissue diseases that, when combined with the cancer risk, may have major negative impacts on mission design, costs, schedule, and crew selection. The current report amends an earlier report (Human Research Program Requirements Document, HRP-47052, Rev. C, dated Jan 2009) in order to provide an update of evidence since 2009.

Patel, Zarana↗

Collisional and dynamical history of Gaspra

Interpretation of the impact record on Gaspra requires understanding of the effects of collisions on a target body of Gaspra's size and shape, recognition of impact features that may have different morphologies from craters on larger planets, and models of the geological processes that erase and modify impact features. Crater counts on the 140 sq km of Gaspra imaged at highest resolution by the Galileo spacecraft show a steep size-frequency distribution (cumulative power-law index near -3.5) from the smallest resolvable size (150 m diameter) up through the large feature (1.5 km diameter crater) of familiar crater-like morphology. In addition, there appear to be as many as eight roughly circular concavities with diameters greater than 3 km visible on the asteroid. If we restrict our crater counts to features with traditionally recognized crater morphologies, these concavities would not be included. However, if we define craters to include any concave structures that may represent local or regional damage at an impact size, then the larger features on Gaspra are candidates for consideration. Acceptance of the multi-km features as craters has been cautious for several reasons. First, scaling laws (the physically plausible algorithms for extrapolating from experimental data) indicate that Gaspra could not have sustained such large-crater-forming impacts without being disrupted; second, aside from concavity, the larger structures have no other features (e.g. rims) that can be identified with known impact craters; and third, extrapolation of the power-law size distribution for smaller craters predicts no craters larger than 3 km over the entire surface. On the other hand, recent hydrocode modeling of impacts shows that for given impact (albeit into a sphere), the crater size is much larger than given by scaling laws. Gaspra-size bodies can sustain formation of up to 8-km craters without disruption. Besides allowing larger impact craters, this result doubles the lifetime since the last catastrophic fragmentation event up to one billion years. Events that create multi-km craters also globally damage the material structure, such that regolith is produced, whether or not Gaspra 'initially' had a regolith, contrary to other models in which initial regolith is required in order to allow current regolith. Because the globally destructive shock wave precedes basin formation, crater size is closer to the large size extrapolated from gravity-scaling rather than the strength-scaling that had earlier been assumed for such small bodies. This mechanism may also help explain the existence of Stickney on Phobos. Moreover, rejection of the large concavities as craters based on unfamiliar morphology would be premature, because (aside from Stickney) we have no other data on such large impact structures on such a small, irregular body. The eight candidate concavities cover an area greater than that counted for smaller craters, because they are most apparent where small craters cannot be seen: on low resolution images and at the limb on high resolution images. We estimate that there are at least two with diameter greater than 4 km per 140 sq km, which would have to be accounted for in any model that claims these are impact craters.

Greenberg, R.↗

Shuttle near-field environmental impacts - Conclusions and observations for launching at other locations

Near field and far field environmental monitoring activities extending from the first launch of the Space Shuttle at the Kennedy Space Center have provided a database from which conclusions can now be drawn for short term, acute effects of launch and, to a lesser degree, long term cumulative effects on the natural environment. Data for the first 15 launches of the Space Shuttle from Kennedy Space Center Pad 39A are analyzed for statistical significance and reduced to graphical presentations of individual and collective disposition isopleths, summarization of observed environmental impacts (e.g., vegetation damage, fish kills), and supporting data from specialized experiments and laboratory analyses. Conclusions are drawn with regard to the near field environment at Pad A, the effects on the lagoonal complex, and the relationships of these data and conclusions to upcoming operations at Complex 39 Pad B where the environment is significantly different. The paper concludes with a subjective evaluation of the likely impacts at Vandenberg Space Launch Complex 6 for the first Shuttle launch next year.

Koller, A. M., Jr.↗

The cumulative cost of additional wakefulness: dose-response effects on neurobehavioral functions and sleep physiology from chronic sleep restriction and total sleep deprivation

OBJECTIVES: To inform the debate over whether human sleep can be chronically reduced without consequences, we conducted a dose-response chronic sleep restriction experiment in which waking neurobehavioral and sleep physiological functions were monitored and compared to those for total sleep deprivation. DESIGN: The chronic sleep restriction experiment involved randomization to one of three sleep doses (4 h, 6 h, or 8 h time in bed per night), which were maintained for 14 consecutive days. The total sleep deprivation experiment involved 3 nights without sleep (0 h time in bed). Each study also involved 3 baseline (pre-deprivation) days and 3 recovery days. SETTING: Both experiments were conducted under standardized laboratory conditions with continuous behavioral, physiological and medical monitoring. PARTICIPANTS: A total of n = 48 healthy adults (ages 21-38) participated in the experiments. INTERVENTIONS: Noctumal sleep periods were restricted to 8 h, 6 h or 4 h per day for 14 days, or to 0 h for 3 days. All other sleep was prohibited. RESULTS: Chronic restriction of sleep periods to 4 h or 6 h per night over 14 consecutive days resulted in significant cumulative, dose-dependent deficits in cognitive performance on all tasks. Subjective sleepiness ratings showed an acute response to sleep restriction but only small further increases on subsequent days, and did not significantly differentiate the 6 h and 4 h conditions. Polysomnographic variables and delta power in the non-REM sleep EEG-a putative marker of sleep homeostasis--displayed an acute response to sleep restriction with negligible further changes across the 14 restricted nights. Comparison of chronic sleep restriction to total sleep deprivation showed that the latter resulted in disproportionately large waking neurobehavioral and sleep delta power responses relative to how much sleep was lost. A statistical model revealed that, regardless of the mode of sleep deprivation, lapses in behavioral alertness were near-linearly related to the cumulative duration of wakefulness in excess of 15.84 h (s.e. 0.73 h). CONCLUSIONS: Since chronic restriction of sleep to 6 h or less per night produced cognitive performance deficits equivalent to up to 2 nights of total sleep deprivation, it appears that even relatively moderate sleep restriction can seriously impair waking neurobehavioral functions in healthy adults. Sleepiness ratings suggest that subjects were largely unaware of these increasing cognitive deficits, which may explain why the impact of chronic sleep restriction on waking cognitive functions is often assumed to be benign. Physiological sleep responses to chronic restriction did not mirror waking neurobehavioral responses, but cumulative wakefulness in excess of a 15.84 h predicted performance lapses across all four experimental conditions. This suggests that sleep debt is perhaps best understood as resulting in additional wakefulness that has a neurobiological "cost" which accumulates over time.

NASA Discipline Regulatory Physiology↗

The geology of Io

A preliminary geologic map of 34.8 percent of the surface of Io has been compiled using best-resolution Voyager 1 images. Nine volcanic units are identified, including materials of mountains, plains, flows, cones, and crater vents, in addition to six types of structural features. Photogeologic evidence indicates a dominantly silicate composition for the mountain material. Sulfur flows of diverse viscosity and sulfur-silicate mixtures may compose the extensive plans. Pit-crater and shield-crater vent-wall scarps reach heights of over two km, and layered-plains boundary scarps have estimated heights of 150 to 1700 m, indicating a material with considerable strength. A cumulative size-frequency distribution plot for 170 volcanic craters with diameters over 14 km is similar to the curves for impact craters on other bodies in the solar system, attesting to a similar nonrandom distribution of crater diameters and a surplus of small craters. A total of 151 lineaments and grabens forming two nearly orthogonal sets is recognized.

Schaber, G. G.↗

Large impact basins on Mercury and relative crater production rates

Mariner 10 revealed evidence for 40 impact basins having diameters greater than or equal to 200 km on the portion of Mercury imaged at sufficient resolution. A log (cumulative number/unit area) vs. log (diameter) plot for the mercurian basins has a least squares slope of -2. Mercury has (in cumulative number/unit area) only 37 percent as many basins as does the Moon over the entire range of diameters greater than or equal to 300 km. If both the Moon and Mercury have had similar preservation times for craters and if common populations of impactors are involved, then Mars crossers may have been a dominant contribution to the basin forming objects.

Frey, H.↗

Quasi-Static 3-Point Reinforced Carbon-Carbon Bend Test and Analysis for Shuttle Orbiter Wing Leading Edge Impact Damage Thresholds

Static 3-point bend tests of Reinforced Carbon-Carbon (RCC) were conducted to failure to provide data for additional validation of an LS-DYNA RCC model suitable for predicting the threshold of impact damage to shuttle orbiter wing leading edges. LS-DYNA predictions correlated well with the average RCC failure load, and were good in matching the load vs. deflection. However, correlating the detectable damage using NDE methods with the cumulative damage parameter in LS-DYNA material model 58 was not readily achievable. The difficulty of finding internal RCC damage with NDE and the high sensitivity of the mat58 damage parameter to the load near failure made the task very challenging. In addition, damage mechanisms for RCC due to dynamic impact of debris such as foam and ice and damage mechanisms due to a static loading were, as expected, not equivalent.

Fasanella, Edwin L.↗

Case Study of Meteoroid Fluence on a Mars Sample Return Mission

This paper presents results from an analysis to assess the fluence of meteoroids on the Mars Sample Return Campaign Micrometeoroid Protection System (MMPS) and probability of damage to the Earth Entry System Thermal Protection System (TPS). Results are presented for the mission Outbound trajectory from Earth to Mars. The MEM3 meteoroid environment model was used for the assessment. Results are presented showing the reduction in fluence on cube faces and on the MMPS that can be achieved by selection of an anti-velocity orientation of the MMPS. A methodology is presented that determines the cumulative fluence on the MMPS using the MEM3 meteoroid fluxes and the spacecraft attitude profile over the trajectory. Resulting distributions of fluence over impact velocity, angle, and mass are presented. The fluence results are used to establish velocity-angle scenarios for hydrocode simulation and to assess net damage fluence to the TPS. Example tables containing Smooth Particle Hydrodynamics Code (SPHC) simulation scenarios as well as hypothetical hydrocode simulation scenarios for illustration purposes are presented. The tables present the resulting net damaging fluence to the TPS for each scenario and the total across the scenarios. Additionally, examples of CTH hydrocode simulation are included, demonstrating their use for determining critical impactor across the impactor parameter space, and damage of impactors that penetrate the MMPS.

Micrometeoroid↗

Fatigue in Short-Haul Operations: Regulations and Research

Short-haul multi-segment flight operations are conducted within Part 117 table limits for Flight Time and Flight Duty Period, yet there are few data available regarding the impact on sleep, workload, and performance in these operations. The Civil Aerospace Medical Institute (CAMI) has invested in the planning and execution of a study that will result in data characterizing the effects of short-haul multi-segment flight operations on cumulative sleep loss and pilot workload across trip pairings. Scientific researchers from CAMI, in collaboration with NASA Ames Research Center, are currently running an operational field study to examine the human factors and elements of pilot performance associated with short-haul multi-segment flight operations to better understand the impact of sleep disruption and workload across trip pairings. The first half of this presentation will provide a brief overview of current duty and rest requirements and identify gaps in current operational research data. The second half of the presentation will focus on results from a focus group study which developed the scope of the larger field study, followed by an overview of the current field study.

short-haul↗

Quantifying Risk to Improve Medical System Design for Long Duration Artemis Missions: A Demonstration of NASA's IMPACT Tradespace Analysis Tool

BACKGROUND NASA’s human exploration spaceflight missions to the Moon and Mars present unprecedented challenges for in-mission medical care. A greater distance from Earth will mean increased mission durations, communication delays, limited to no resupply opportunities, and constraints on the evacuation of ill or injured crew. Mass, volume, and power will be limited while higher demands will be placed on the crews to manage medical events. NASA’s Moon to Mars exploration strategy outlines increasingly complex Artemis missions both in terms of duration and operations. In these more challenging deep space missions, it is important to quantitatively estimate the human system risk attributable to medical conditions and use these estimates to advance medical system design. METHODS IMPACT (Informing Mission Planning via Analysis of Complex Tradespaces) is a probabilistic risk assessment (PRA) and tradespace analysis tool developed by NASA to advance exploration mission medical system design. IMPACT v1.0 includes a novel evidence library baselined to exploration environments; an expanded list of 119 medical conditions; a large increase in the number of medical resources and the flexibility of their use; and the ability for rapid and iterative analysis. Medical system risk estimates include loss of crew life, consideration of the need for return to definitive care (medical evacuation), and an estimate of crew time affected due to medical conditions. A notional long duration lunar orbit and lunar surface design reference mission (DRM) was chosen with a 4-astronaut crew to mimic a foundational exploration Artemis mission. The DRM profile includes outbound transit on Orion, Gateway space station rendezvous in lunar orbit, 6 months on the Lunar surface with extravehicular activity (EVA), return rendezvous with Gateway, and transit back to Earth. RESULTS/DISCUSSION: Overall, IMPACT successfully quantified medical risk and derived an optimal medical system to support crew on a long duration lunar mission. In this DRM, the calculated loss of crew life from a medical event was 0.008 events per mission, risk of potential need for evacuation was 0.30 events per mission, and cumulative crew time affected by medical conditions was 103 days. The medical conditions that most contributed to medical risk were decompression sickness, trauma, and respiratory failure. The conditions that had the largest effects on crew performance included musculoskeletal injuries and lunar dust exposure. The IMPACT-generated medical system included resources that target the most common and highest risk conditions and performed as expected. This demonstrates the value of the IMPACT tool in medical system design for human exploration spaceflight missions.

Arian Anderson↗

Implications from Luna 24 sample 24170 to U-Pb evolution in the lunar mantle

The concentrations of U, Th and Pb, as well as the Pb isotopic composition, have been determined for a Luna 24 sample from the Mare Crisium area. A relatively recent disturbance to the U-Pb system during meteorite impact or burial in hot ejecta is suggested by the findings. According to three-stage U-Pb evolution model calculations, the source cumulates of the Luna 24 basalt evolved in a U-238/Pb-204 environment much lower than that of the Apollo mare basalts. A laterally heterogeneous lunar magma ocean, U-Pb fractionation during cumulate formation, and/or lack of KREEP addition to the Luna 24 basalt are also reflected in the calculations.

Unruh, D. M.↗

Analytical, Experimental, and Modelling Studies of Lunar and Terrestrial Rocks

The goal of our research has been to understand the paths and the processes of planetary evolution that produced planetary surface materials as we find them. Most of our work has been on lunar materials and processes. We have done studies that obtain geological knowledge from detailed examination of regolith materials and we have reported implications for future sample-collecting and on-surface robotic sensing missions. Our approach has been to study a suite of materials that we have chosen in order to answer specific geologic questions. We continue this work under NAG5-4172. The foundation of our work has been the study of materials with precise chemical and petrographic analyses, emphasizing analysis for trace chemical elements. We have used quantitative models as tests to account for the chemical compositions and mineralogical properties of the materials in terms of regolith processes and igneous processes. We have done experiments as needed to provide values for geochemical parameters used in the models. Our models take explicitly into account the physical as well as the chemical processes that produced or modified the materials. Our approach to planetary geoscience owes much to our experience in terrestrial geoscience, where samples can be collected in field context and sampling sites revisited if necessary. Through studies of terrestrial analog materials, we have tested our ideas about the origins of lunar materials. We have been mainly concerned with the materials of the lunar highland regolith, their properties, their modes of origin, their provenance, and how to extrapolate from their characteristics to learn about the origin and evolution of the Moon's early igneous crust. From this work a modified model for the Moon's structure and evolution is emerging, one of globally asymmetric differentiation of the crust and mantle to produce a crust consisting mainly of ferroan and magnesian igneous rocks containing on average 70-80% plagioclase, with a large, mafic, trace-element-rich geochemical province, and a regolith that globally contains trace-element-rich material distributed from this province by the Imbrium basin-forming impact. This contrasts with earlier models of a concentrically zoned Moon with a crust of ferroan anorthosite overlying a layer of urKREEP overlying ultramafic cumulates. From this work, we have learned lessons useful for developing strategies for studying regolith materials that help to maximize the information available about both the evolution of the regolith and the igneous differentiation of the planet. We believe these lessons are useful in developing strategies for on-surface geological, mineralogical, and geochemical studies, as well. The main results of our work are given in the following brief summaries of major tasks. Detailed accounts of these results have been submitted in the annual progress reports.

Haskin, Larry A.↗

Far Term Noise Reduction Roadmap for the Mid-Fuselage Nacelle Subsonic Transport

A noise reduction technology roadmap study is presented to determine the feasibility for the Mid-Fuselage Nacelle (MFN) aircraft concept to achieve the noise goal set by NASA for the Far Term time frame, beyond 2035. The study starts with updating the noise prediction of the existing MFN configuration that had been modeled for the time frame between 2025 and 2035. The updated prediction for the Mid Term time frame is 34.3 dB cumulative effective perceived noise level (EPNL) below the Stage 4 regulation. A suite of technologies that are deemed feasible to mature for practical implementation in the Far Term and whose potentials for noise reduction have been illustrated is selected for analysis. For each technology, component noise reduction is modeled either by available experimental data or by physics-based modeling with aircraft system level methods. The noise reduction is then applied to the corresponding noise component predicted by advanced aircraft system noise prediction tools, and the total aircraft noise is predicted as the incoherent summation of the components. It is shown that the Far Term MFN aircraft has the potential to achieve a cumulative noise level of 40.2 EPNL dB below Stage 4. The key technologies to achieve this low aircraft noise level are assessed by the impact of each technology on the aircraft system noise. This roadmap shows the potential of this revolutionary, yet still tube-and-wing, MFN concept to reach the NASA Far Term noise goal.

Guo, Yueping↗

Silver Electrolysis for Disinfection of Spacecraft Potable Water: 2023 Update

Anodic dissolution of silver electrodes, or “silver electrolysis,” is being investigated as a means of introducing biocidal silver into potable water on exploration spacecraft. Last year’s paper reported a fault condition termed “electrode bridging,” in which silver deposits on interelectrode wetted materials, eventually bridging the electrode gap and providing an alternate conduction pathway that diminishes the silver output of the reactor. Since then, two strategies have been developed that prevent this fault from occurring: 1) increasing the frequency of polarity reversal and 2) separating the active surface of the electrode from the interelectrode wetted material. These strategies were tested independently, and in both cases, the reactor performed as expected with no occurrence of bridging for at least one crew-year equivalent of cumulative operation. Additional tests were conducted at varying levels of influent dissolved oxygen to better understand the nature of the cathode reaction and its impact on reactor performance. Results indicate that the primary cathode reaction is the reduction of dissolved oxygen, which could imply a dependence of reactor performance on dissolved oxygen concentration. However, it was found that at the typical oxygen concentrations anticipated for spacecraft processed water, the impact on silver electrolysis performance was negligible. Finally, multiphysics modelling of the reactor fluid mechanics and electrochemistry was undertaken to provide the capability to optimize the design of a future reactor prototype.

silver electrolysis↗

Silver Electrolysis for Disinfection of Spacecraft Potable Water: 2023 Update

Anodic dissolution of silver electrodes, or “silver electrolysis,” is being investigated as a means of introducing biocidal silver into potable water on exploration spacecraft. Last year’s paper reported a fault condition termed “electrode bridging,” in which silver deposits on interelectrode wetted materials, eventually bridging the electrode gap and providing an alternate conduction pathway that diminishes the silver output of the reactor. Since then, two strategies have been developed that prevent this fault from occurring: 1) increasing the frequency of polarity reversal and 2) separating the active surface of the electrode from the interelectrode wetted material. These strategies were tested independently, and in both cases, the reactor performed as expected with no occurrence of bridging for at least one crew-year equivalent of cumulative operation. Additional tests were conducted at varying levels of influent dissolved oxygen to better understand the nature of the cathode reaction and its impact on reactor performance. Results indicate that the primary cathode reaction is the reduction of dissolved oxygen, which could imply a dependence of reactor performance on dissolved oxygen concentration. However, it was found that at the typical oxygen concentrations anticipated for spacecraft processed water, the impact on silver electrolysis performance was negligible. Finally, multiphysics modelling of the reactor fluid mechanics and electrochemistry was undertaken to provide the capability to optimize the design of a future reactor prototype.

silver electrolysis↗

Quantifying Medical Risk on a Long Duration Lunar Mission: A Demonstration of NASA’s IMPACT Tradespace Analysis Tool

Background NASA’s human exploration spaceflight missions to the Moon and Mars present unprecedented challenges for in-mission medical care. The distance from Earth will mean increased mission durations, communication delays, limited to no resupply opportunities, and constraints on the medical evacuation of astronauts. Mass, volume, power, and data will be limited while higher demands will be placed on the crew to manage medical care. NASA’s Moon to Mars exploration strategy lays out increasingly complex Artemis missions both in terms of duration and operations. In these more challenging deep space missions, it is important to quantitatively estimate the human medical risk to inform a traditional heuristic approach to medical risk. Prior tools have been developed for missions in low Earth orbit, but a new tool is required to plan for future exploration missions. Methods IMPACT (Informing Mission Planning via Analysis of Complex Tradespaces) is a risk assessment tool developed by NASA to advance exploration mission medical system design by quantitatively estimating mission medical risk. IMPACT v1.0 includes a novel evidence library baselined to exploration environments; an expanded list of 119 medical conditions; the addition of medical resources; and the ability for rapid and iterative analysis. Medical system risk estimates include loss of crew life, consideration of the need for return to definitive care (medical evacuation), and an estimate of crew time affected due to medical conditions. A notional long duration lunar orbit and lunar surface design reference mission (DRM) was chosen with a 4-astronaut crew to represent a sustained exploration Artemis mission. Results/Discussion Overall, IMPACT successfully quantified medical risk and derived an optimized medical system to support crew on a long duration lunar mission. In this DRM, the calculated loss of crew life from a medical event was 0.008 events per mission, risk of potential need for evacuation was 0.30 events per mission, and cumulative crew time affected by medical conditions was 103 days. The medical conditions that most contributed to overall medical risk were decompression sickness, trauma conditions, and respiratory failure. The conditions that had the largest effects on crew performance included musculoskeletal injuries and lunar dust exposure. The IMPACT-generated medical system included resources that target the most common and highest risk conditions. This systematic analysis demonstrates the value of the IMPACT tool in medical system design for human exploration spaceflight missions.

Missions to Mars↗

Quantifying Medical Risk on a Long Duration Lunar Mission: A Demonstration of NASA’s IMPACT Tradespace Analysis Tool

Background NASA’s human exploration spaceflight missions to the Moon and Mars present unprecedented challenges for in-mission medical care. The distance from Earth will mean increased mission durations, communication delays, limited to no resupply opportunities, and constraints on the medical evacuation of astronauts. Mass, volume, power, and data will be limited while higher demands will be placed on the crew to manage medical care. NASA’s Moon to Mars exploration strategy lays out increasingly complex Artemis missions both in terms of duration and operations. In these more challenging deep space missions, it is important to quantitatively estimate the human medical risk to inform a traditional heuristic approach to medical risk. Prior tools have been developed for missions in low Earth orbit, but a new tool is required to plan for future exploration missions. Methods IMPACT (Informing Mission Planning via Analysis of Complex Tradespaces) is a risk assessment tool developed by NASA to advance exploration mission medical system design by quantitatively estimating mission medical risk. IMPACT v1.0 includes a novel evidence library baselined to exploration environments; an expanded list of 119 medical conditions; the addition of medical resources; and the ability for rapid and iterative analysis. Medical system risk estimates include loss of crew life, consideration of the need for return to definitive care (medical evacuation), and an estimate of crew time affected due to medical conditions. A notional long duration lunar orbit and lunar surface design reference mission (DRM) was chosen with a 4-astronaut crew to represent a sustained exploration Artemis mission. Results/Discussion Overall, IMPACT successfully quantified medical risk and derived an optimized medical system to support crew on a long duration lunar mission. In this DRM, the calculated loss of crew life from a medical event was 0.008 events per mission, risk of potential need for evacuation was 0.30 events per mission, and cumulative crew time affected by medical conditions was 103 days. The medical conditions that most contributed to overall medical risk were decompression sickness, trauma conditions, and respiratory failure. The conditions that had the largest effects on crew performance included musculoskeletal injuries and lunar dust exposure. The IMPACT-generated medical system included resources that target the most common and highest risk conditions. This systematic analysis demonstrates the value of the IMPACT tool in medical system design for human exploration spaceflight missions.

Missions to Mars↗

Meteoroid activity on the lunar surface from the Surveyor 3 sample examination

The Surveyor 3 television camera shroud and polished aluminum tube, retrieved as a result of the Apollo 12 mission after 2-1/2 years on the lunar surface, were examined at the NASA Manned Spacecraft Center for evidence of meteoroid impact. The results of this examination were compared with other estimates of the meteoroid flux in the lunar vicinity and are shown to be in good agreement with the Lunar Orbiter penetration rates. In addition, the relationship between a derived lunar surface meteoroid cumulative-flux model and the comparable near-earth model is discussed in the light of theoretical predictions. It is shown that the effect of the gravitational field of the earth on the near-earth environment was greater than previously predicted. The implication is that the average meteoroid velocity relative to the earth is probably 17 km/s. The many low velocity impacts on the Surveyor 3 camera and tube are shown to be of lunar surface origin and to be primarily the result of rocket exhaust interaction.

Cour-Palais, B. G.↗