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NASA NTRS2005

The Importance of Multilateral Safety Requirements for Human Spaceflight

The International Space Station (ISS) Program initially implemented safety requirements in a series of bilateral agreements between NASA and each International Partner. As the program matured and multilateral processes began to be developed, the differences between these bilaterally agreed requirement sets became more significant. Efforts to develop multilateral safety requirements were hampered for many reasons including assessment of national standards used in the bilateral agreements, requirements baselines for existing contracts, and resource limitations to address requirements changes late in the development and operations phases. To avoid similar requirements issues in the future, international safety requirements need to be developed for human spaceflight. This paper will provide the background of the ISS bilateral Safety and Mission Assurance requirements and processes, describe the activities to develop multilateral safety requirements and processes, and give examples of issues that were encountered. Further, the paper will make recommendations regarding the development of international safety requirements for human spaceflight and the safety topics to be addressed.

Pido, Kelle↗
NASA NTRS2012

Highlights of Space Weather Services/Capabilities at NASA/GSFC Space Weather Center

The importance of space weather has been recognized world-wide. Our society depends increasingly on technological infrastructure, including the power grid as well as satellites used for communication and navigation. Such technologies, however, are vulnerable to space weather effects caused by the Sun's variability. NASA GSFC's Space Weather Center (SWC) (http://science.gsfc.nasa.gov//674/swx services/swx services.html) has developed space weather products/capabilities/services that not only respond to NASA's needs but also address broader interests by leveraging the latest scientific research results and state-of-the-art models hosted at the Community Coordinated Modeling Center (CCMC: http://ccmc.gsfc.nasa.gov). By combining forefront space weather science and models, employing an innovative and configurable dissemination system (iSWA.gsfc.nasa.gov), taking advantage of scientific expertise both in-house and from the broader community as well as fostering and actively participating in multilateral collaborations both nationally and internationally, NASA/GSFC space weather Center, as a sibling organization to CCMC, is poised to address NASA's space weather needs (and needs of various partners) and to help enhancing space weather forecasting capabilities collaboratively. With a large number of state-of-the-art physics-based models running in real-time covering the whole space weather domain, it offers predictive capabilities and a comprehensive view of space weather events throughout the solar system. In this paper, we will provide some highlights of our service products/capabilities. In particular, we will take the 23 January and the 27 January space weather events as examples to illustrate how we can use the iSWA system to track them in the interplanetary space and forecast their impacts.

Fok, Mei-Ching↗
NASA NTRSDate not supplied

Reflections on 20 Years of Research on the International Space Station

November 2, 2000 began an era of continuous human presence on the International Space Station (ISS). That first crewed expedition to the ISS had few scientific instruments and facilities to work with, yet managed to conduct 52research investigations. Today, crew oversee upwards of 300 investigations during their time aboard. Indeed, over the past 20 years the ISS has evolved into a robust laboratory with dozens of research facilities, capabilities for the autonomous monitoring and conduct of research, and a growing array of scientific tools available and observational instruments active. As a result, the station has hosted more than 3,000 research investigations generating more than 2,400 scientific publications across every major discipline of science. The ISS Program Science Forum is composed of senior science representatives across the station’s international partnership. It provides multilateral science leadership to the ISS Program. Indeed, ISS research has evolved to become a truly international activity encompassing the participation of more than 4,000 investigators from over 100 countries whose research has been completed or is ongoing. This paper provides an overview of the research and technology development conducted to date and reflects upon the accomplishments, impacts and future direction of ISS research from the perspective of the member organizations of the Program Science Forum. Research areas which have been a focus of ISS research to date and key implications both for future space exploration and scientific advancement are presented. Major Earth benefits derived from ISS research are discussed. Finally, the paper provides insight into areas of emphasis for future research including the maturation of technological capabilities needed for deep space exploration, including lunar exploration programs such as Artemis and future missions to Mars

International Space Station↗
NASA NTRS2007

Organization and Management of the International Space Station (ISS) Multilateral Medical Operations

The goal of this work is to review the principles, design, and function of the ISS multilateral medical authority and the medical support system of the ISS Program. Multilateral boards and panels provide operational framework, direct, and supervise the ISS joint medical operational activities. The Integrated Medical Group (IMG) provides front-line medical support of the crews. Results of ongoing activities are reviewed weekly by physician managers. A broader status review is conducted monthly to project the state of crew health and medical support for the following month. All boards, panels, and groups function effectively and without interruptions. Consensus prevails as the primary nature of decisions made by all ISS medical groups, including the ISS medical certification board. The sustained efforts of all partners have resulted in favorable medical outcomes of the initial fourteen long-duration expeditions. The medical support system appears to be mature and ready for further expansion of the roles of all Partners, and for the anticipated increase in the size of ISS crews.

Duncan, J. M.↗
NASA NTRS1991

Recent progress in utilization planning for Space Station Freedom

The progress made in utilization planning for the redesigned Space Station Freedom (SSF) concept is described. Consideration is given to the SSF user capabilities, the strategic planning process, the strategic planning organizations, and the Consolidated Operations and Utilization Plan (COUP, which will be released in January 1993) as well as to the COUP development process and implementation. The process by which the COUP will be produced was exercised in the international Multilateral Strategic and Tactical Integration Process (MUSTIP) simulation. The paper describes the MUSTIP simulation and its activities along with MUSTIP findings and recommendations.

Bartoe, John-David F.↗
NASA NTRS2004

The Role of Satellite Earth Observation Data in Monitoring and Verifying International Environmental Treaties

The term verification implies compliance verification in the language of treaty negotiation and implementation, particularly in the fields of disarmament and arms control. The term monitoring on the other hand, in both environmental and arms control treaties, has a much broader interpretation which allows for use of supporting data sources that are not necessarily acceptable or adequate for direct verification. There are many ways that satellite Earth observation (EO) data can support international environmental agreements, from national forest inventories to use in geographic information system (GIs) tools. Though only a few references to satellite EO data and their use exist in the treaties themselves, an expanding list of applications can be considered in support of multilateral environmental agreements (MEAs). This paper explores the current uses of satellite Earth observation data which support monitoring activities of major environmental treaties and draws conclusions about future missions and their data use. The scope of the study includes all phases of environmental treaty fulfillment - development, monitoring, and enforcement - and includes a multinational perspective on the use of satellite Earth observation data for treaty support.

Johnston, Shaida↗
NASA NTRS2004

Research on International Space Station - Building a Partnership for the Future

As its name implies, the International Space Station is a platform where the research programs of 16 partner nations are conducted. While each partner pursues its own research priorities, cooperation and coordination of the various national and agency research programs occurs at multiple levels, from strategic through tactical planning to experiment operations. Since 2000, a significant number of experiments have been carried out in the Russian ISS utilization program, which consists of the Russian national program of fundamental and applied research in 11 research areas and international cooperative programs and contract activities. The US research program began with simple payloads in 2000 and was significantly expanded with the addition of the US Laboratory module Destiny in 2001, and its outfitting with seven research racks to date. The Canadian Space Agency (CSA), the European Space Agency (ESA) and the Japan Aerospace Exploration Agency (JAXA) have made use of international cooperative arrangements with both the US and Russia to implement a variety of investigations in diverse research areas, and in the case of ESA included the flights of crewmembers to ISS as part of Soyuz Science Missions. In the future, ESA and JAXA will add their own research modules, Columbus and Kibo, respectively, to expand research capabilities both inside and outside ISS. In the aftermath of the Columbia accident and the temporary grounding of the Space Shuttle fleet, all ISS logistics have relied on Russian Progress and Sopz vehicles. The Russian national program has continued as before the Shuttle accident, as have international cooperative programs and contract activities, both during long-duration expeditions and visiting taxi missions. In several instances, Russian international cooperative activities with JAXA and ESA have also involved the use of US facilities and crewmembers in successful truly multilateral efforts. The US research program was rapidly refocused after the Shuttle accident to rely on greatly reduced upmass, and for the first time in the ISS program, US research hardware was launched on Progress vehicles and returned with crews on Soyuz spacecraft. It is hoped that these small but significant steps in international cooperation will lead to even greater endeavors once the remaining research modules are added to ISS.

Gindl, Heinz↗
NASA NTRSDate not supplied

International Coordination and Cooperation on LunaNet Spectrum

LunaNet is planned to be the network of networks operated by a set of cooperating organizations to provide interoperable Communications, networking, Position, Navigation, and Timing (CPNT) services to users on and around the Moon based on a framework of mutually agreed-upon standards, protocols, frequency bands and interface requirements. LunaNet follows a service-oriented architecture that is agnostic about the types of organizations that provide services, e.g., government, industry, or academia. LunaNet is open, scalable, resilient, secure, and extensible. To achieve these goals, LunaNet Service Providers (LNSP) must coordinate with each other to define and develop the architecture, to plan initial and evolved capabilities, and to operate their networks. One of the central LunaNet tenets is the use of shared spectrum. For example, the Lunar Augmented Navigation Service (LANS) acts like a Global Navigation Satellite System (GNSS) such as the US Global Positioning System (GPS) or European Galileo but the LNSPs’ contributions to LunaNet must use the same frequency band (2483.5 MHz-2500.0 MHz) and transmit the same waveform synchronized by highly accurate clocks so that Users ‘see’ one virtual network and use the same multilateration algorithm to determine their positions. This necessitates a high degree of spectrum coordination. NASA’s Lunar and Human Spaceflight Spectrum Management Team has been actively supporting development of the LunaNet Interoperability Specification (LNIS), soliciting inputs from spectrum policy and planning experts across NASA, ESA and JAXA. Cislunar spectrum use considerations have been studied and adjudicated within the Space Frequency Coordination Group (SFCG) and inform the ongoing discussion of a lunar communication and navigation architecture within the existing radio regulatory framework of the International Telecommunication Union, leading to the 2027 World Radiocommunication Conference (WRC-27). The frequency plan contained in the publicly released draft of the LunaNet Interoperability Specification reflects the initial phase of exploration (roughly to 2030) defining an optimal set of radio frequencies in appropriately allocated services consistent with WRC-23 decisions for use by known or planned CPNT applications, while striving to maximize coexistence and compatibility amongst cislunar systems and other systems within the near-Earth regime (< 2 million km from Earth). Important considerations include: protection of extremely sensitive receive-only radio astronomy systems on the lunar far side, known as the Shielded Zone of the Moon (SZM); compatibility between Direct with Earth (DWE) communications links and links needed to support relay satellites in lunar orbit with their customer systems on orbit or on the lunar surface; compatibility between multiple lunar surface communications systems and capabilities over varied and challenging terrain and distances; as well as ensuring compatibility and interoperability between navigation systems which either leverage Earth-based or in-situ lunar systems. In addition, the lunar CPNT architecture is envisioned to be the basis – with adjustments – of the future Mars CPNT architecture as we expand into the solar system using Interplanetary Networking (IPN). The second phase of lunar spectrum definition will address planned international capabilities for the next decade that will require action at WRC-27 and beyond. This paper will discuss each of these considerations in more depth and how the current LunaNet frequency plan addresses them.

LunaNet↗
NASA NTRS2007

Organization, Management and Function of International Space Station (ISS) Multilateral Medical Operations

Long duration crews have inhabited the ISS since November of 2000. The favorable medical outcomes of its missions can be largely attributed to sustained collective efforts of all ISS Partners medical organizations. In-flight medical monitoring and support, although crucial, is just a component of the ISS system of Joint Medical Operations. The goal of this work is to review the principles, design, and function of the multilateral medical support of the ISS Program. The governing documents, which describe the relationships among all ISS partner medical organizations, were evaluated, followed by analysis of the roles, responsibilities, and decision-making processes of the ISS medical boards, panels, and working groups. The degree of integration of the medical support system was evaluated by reviewing the multiple levels of the status reviews and mission assurance activities carried out throughout the last six years. The Integrated Medical Group, consisting of physicians and other essential personnel in the mission control centers represents the front-line medical support of the ISS. Data from their day-to-day activities are presented weekly at the Space Medicine Operations Team (SMOT), where known or potential concerns are addressed by an international group of physicians. A broader status review is conducted monthly to project the state of crew health and medical support for the following month, and to determine measures to return to nominal state. Finally, a comprehensive readiness review is conducted during preparations for each ISS mission. The Multilateral Medical Policy Board (MMPB) issues medical policy decisions and oversees all health and medical matters. The Multilateral Space Medicine Board (MSMB) certifies crewmembers and visitors for training and space flight to the Station, and physicians to practice space medicine for the ISS. The Multilateral Medical Operations Panel (MMOP) develops medical requirements, defines and supervises implementation of operational countermeasures, environmental monitoring, medical care, and emergency medical services. MMOP assures the medical readiness of the Station for each subsequent mission or critical event. All boards and panels have functioned effectively and without interruptions even in various challenging circumstances. Based on the experience of the authors, consensus has prevailed as the primary nature of decisions made by all ISS medical groups, at all levels. The six first years of piloted operation have demonstrated the ability of the ISS medical authority groups and the medical infrastructure to implement medical policies and requirements, effectively interface with non-medical groups, and maintain the health and productivity of the crew in an integrated, multilaterally coordinated fashion. The medical support system appears to be mature and ready for further expansion of all Partners roles, and for the anticipated increase in the size of ISS crews.

Duncan, James M.↗
NASA NTRS2015

Multilateral Research Opportunities in Ground Analogs

The global economy forces many nations to consider their national investments and make difficult decisions regarding their investment in future exploration. International collaboration provides an opportunity to leverage other nations' investments to meet common goals. The Humans In Space Community shares a common goal to enable safe, reliable, and productive human space exploration within and beyond Low Earth Orbit. Meeting this goal requires efficient use of limited resources and International capabilities. The International Space Station (ISS) is our primary platform to conduct microgravity research targeted at reducing human health and performance risks for exploration missions. Access to ISS resources, however, is becoming more and more constrained and will only be available through 2020 or 2024. NASA's Human Research Program (HRP) is actively pursuing methods to effectively utilize the ISS and appropriate ground analogs to understand and mitigate human health and performance risks prior to embarking on human exploration of deep space destinations. HRP developed a plan to use ground analogs of increasing fidelity to address questions related to exploration missions and is inviting International participation in these planned campaigns. Using established working groups and multilateral panels, the HRP is working with multiple Space Agencies to invite International participation in a series of 30- day missions that HRP will conduct in the US owned and operated Human Exploration Research Analog (HERA) during 2016. In addition, the HRP is negotiating access to Antarctic stations (both US and non-US), the German :envihab and Russian NEK facilities. These facilities provide unique capabilities to address critical research questions requiring longer duration simulation or isolation. We are negotiating release of international research opportunities to ensure a multilateral approach to future analog research campaigns, hoping to begin multilateral campaigns in the latter facilities by 2017. Collaborative use of analog facilities and shared investment in the development of spaceflight countermeasures through multilateral campaigns or missions that leverage the global scientific community will focus high quality research and provide sufficient power to accelerate the development of countermeasures and drive sound recommendations for exploration missions. This panel will provide an overview of efforts to encourage and facilitate multilateral collaboration in analog missions or campaigns and describe the facilities currently under consideration to reach the common goal of enabling safe, reliable, and productive human space exploration.

Corbin, Barbara J.↗
NASA NTRS1986

Current and future translation trends in aeronautics and astronautics

The pattern of translation activity in aeronautics and astronautics is reviewed. It is argued that the international nature of the aerospace industry and the commercialization of space have increased the need for the translation of scientific literature in the aerospace field. Various factors which can affect the quality of translations are examined. The need to translate the activities of the Soviets, Germans, and French in materials science in microgravity, of the Japanese, Germans, and French in the development of industrial ceramics, and of the Chinese in launching and communications satellites is discussed. It is noted that due to increases in multilateral and bilateral relationships in the aerospace industry, the amount of translation from non-English source material into non-English text will increase and the most important languages will be French and German, with an increasing demand for Japanese, Chinese, Spanish, and Italian translations.

Rowe, Timothy↗
NASA NTRS2010

Global Trends in Space Access and Utilization

In the not-so-distant past, space access and air/space technology superiority were within the purview of the U.S. and former Soviet Union's respective space agencies, both vying for global leadership in space exploitation. In more recent years, with the emergence of the European Space Agency (ESA) member countries and Asian countries joining the family of space-faring nations, it is truer now more than ever that space access and utilization has become a truly global enterprise. In fact, according to the Space Report 2007, this enterprise is a $251-billion economy. It is possible to gauge the vitality of worldwide efforts from open sources in today's transparent, media-based society. In particular, print and web broadcasters regularly report and catalog global space activities for defense and civil purposes. For the purposes of this paper, a representative catalog of missions is used to illustrate the nature of the emerging "globalization." This paper highlights global trends in terms of not only the providers of space access, but also the end-users for the various recently accomplished missions. With well over 50 launches per year, in recent years, the launch-log reveals a surprising percentage of "cooperative or co-dependent missions" where different agencies, countries, and/or commercial entities are so engaged presumably to the benefit of all who participate. Statistics are cited and used to show that recently over d0% of the 50-plus missions involved multiple nations working collectively to deliver payloads to orbit. Observers, space policy professionals, and space agency leaders have eloquently proposed that it might require the combined resources and talents of multiple nations to advance human exploration goals beyond low earth orbit. This paper does not intend to offer new information with respect to whether international collaboration is necessary but to observe that, in continuing to monitor global trends, the results seem to support the thesis that a global interdependent effort with all its likely complexities is an increasingly viable and pragmatic option. The discussion includes a breakdown of space missions into those of civil (scientific), military, and strictly commercial nature. It concludes that all three are robust components of a globally diversified portfolio of activities relying, essentially, on a common space industrial base and space infrastructure. As in other industries, the distribution of space industry assets and knowledge across countries and continents enables a diverse suite of options and arrangements, particularly in the areas of civil and commercial space utilization. A survey of several ongoing bilateral and multilateral space collaboration examples are provided to augment the observations regarding multinational work in space.

Rahman, Shamim A.↗
NASA NTRS1991

A proposed time transfer experiment between the USA and the South Pacific

This paper describes the concept, architecture and preliminary details of an experiment directc<l towards providing continuous Ultra High Precision (UHP) time transfer between Washington, DC; Salisbury, SA Australia; Orroral Valley, ACT Australia; arid Lower Hutt, New Zealand. It further describes a proposed method of distributing UTC(USNO) at a high level of precision to passive users over a broad area of the South Pacific. The concept is based on active two-way satellite time transfer from the United States Naval Observatory (USNO) to the proposed USNO Master Clock West (MCW) in Wahiwa, HI USA at the 1 nanosecond level using active satellite two-way time transfer augmented by Precise Positioning Service (PPS) of the Global Positioning System (GPS). MCW would act as an intermediate transfer/reference station, again linked to Salisbury at the 1 nanosecond level using active satellite two-way time transfer augmented by PPS GPS. From this point, time would bc distributed within the region by two methods. The first is an existing TV line sync system using an Australian communications satellite (AUSSAT K1) which is useful to the 20 nanosecond level. The second approach is RF ranging and multilateration between Salisbury, Orroral Observatory, Lower Hutt and the AUSSAT B1 and B2 to be launched in 1992. Orroral Observatory will provide precise laser ranging to the AUSSAT B1/B2 retro reflectors which will reduce ephemeris related time transfer errors to below 1 nanosecond. The corrected position will be transmitted by both the time transfer modem and the existing TV line sync dissemination process. Multilateration has the advantage of being an all weather approach and when used with the laser ranging technique will provide a precise measurement of the propagation path delays. This will result in time transfer performance levels on the order of 10 nanoseconds to passive users in both Australia and New Zealand.

John Luck↗
NASA NTRS2013

Future Challenges in Managing Human Health and Performance Risks for Space Flight

The global economy forces many nations to consider their national investments and make difficult decisions regarding their investment in future exploration. To enable safe, reliable, and productive human space exploration, we must pool global resources to understand and mitigate human health & performance risks prior to embarking on human exploration of deep space destinations. Consensus on the largest risks to humans during exploration is required to develop an integrated approach to mitigating risks. International collaboration in human space flight research will focus research on characterizing the effects of spaceflight on humans and the development of countermeasures or systems. Sharing existing data internationally will facilitate high quality research and sufficient power to make sound recommendations. Efficient utilization of ISS and unique ground-based analog facilities allows greater progress. Finally, a means to share results of human research in time to influence decisions for follow-on research, system design, new countermeasures and medical practices should be developed. Although formidable barriers to overcome, International working groups are working to define the risks, establish international research opportunities, share data among partners, share flight hardware and unique analog facilities, and establish forums for timely exchange of results. Representatives from the ISS partnership research and medical communities developed a list of the top ten human health & performance risks and their impact on exploration missions. They also drafted a multilateral data sharing plan to establish guidelines and principles for sharing human spaceflight data. Other working groups are also developing methods to promote international research solicitations. Collaborative use of analog facilities and shared development of space flight research and medical hardware continues. Establishing a forum for exchange of results between researchers, aerospace physicians and program managers takes careful consideration of researcher concerns and decision maker needs. Active participation by researchers in the development of this forum is essential, and the benefit can be tremendous. The ability to rapidly respond to research results without compromising publication rights and intellectual property will facilitate timely reduction in human health and performance risks in support of international exploration missions.

Corbin, Barbara J.↗
NASA NTRSDate not supplied

Gateway Program Status and Overview

This paper provides an overview and status of Gateway, which will be an outpost orbiting the Moon that provides vital support for a sustainable, long-term human return to the lunar surface and a steppingstone to Mars as part of the Artemis program. Gateway is a destination for deep space crew expeditions and science investigations, as well as a port for deep space transportation – for landers en route to the lunar surface or spacecraft embarking to destinations beyond the Earth-Moon system. The National Aeronautics and Space Administration (NASA) leads the Program and serves as the integrator of the spaceflight capabilities and contributions of U.S. commercial partners and international partners to develop Gateway. This paper will provide an overview of each component of Gateway: The Power and Propulsion Element, the Habitation and Logistics Outpost; Deep Space Logistics; the International Habitation module; External Robotics System; European System Providing Refueling, Infrastructure and Telecommunications; an Airlock; and Exploration ExtraVehicular Activity (xEVA). Expanding on the successful partnership that has provided over 20 years of continuous crew operations in low-Earth orbit on ISS, Gateway is an evolution of this extraordinary partnership that leverages the capabilities of each partner to expand humankind’s sustained exploration deeper into the cosmos. Highlighting the international program with participation from multiple international partners, this paper will also provide a status of Gateway multilateral governance structure and international agreements.

Gateway↗
NASA NTRS2001

Helicopter In-Flight Tracking System (HITS) for the Gulf of Mexico

The National Aeronautics and Space Administration (NASA) Ames Research Center (ARC) is sponsoring deployment and testing of the Helicopter In-flight Tracking System (HITS) in a portion of the Gulf of Mexico offshore area. Using multilateration principles, HITS determines the location and altitude of all transponder-equipped aircraft without requiring changes to current Mode A, C or S avionics. HITS tracks both rotary and fixed-wing aircraft operating in the 8,500 sq. mi. coverage region. The minimum coverage altitude of 100 ft. is beneficial for petroleum industry, allowing helicopters to be tracked onto the pad of most derricks. In addition to multilateration, HITS provides surveillance reports for aircraft equipped for Automatic Dependent Surveillance - Broadcast (ADS-B), a new surveillance system under development by the Federal Aviation Administration (FAA). The U.S. Department of Transportation (DOT) Volpe National Transportation Systems Center (Volpe Center) is supporting NASA in managing HITS installation and operation, and in evaluating the system's effectiveness. Senses Corporation is supplying, installing and maintaining the HITS ground system. Project activities are being coordinated with the FAA and local helicopter operators. Flight-testing in the Gulf will begin in early 2002. This paper describes the HITS project - specifically, the system equipment (architecture, remote sensors, central processing system at Intracoastal City, LA, and communications) and its performance (accuracy, coverage, and reliability). The paper also presents preliminary results of flight tests.

Martone, Patrick↗
NASA NTRSDate not supplied

Gateway Program Status and Overview

This paper provides an overview and status of the Gateway, which will be an outpost orbiting the Moon that provides vital support for a sustainable, long-term human return to the lunar surface and a steppingstone to Mars as part of the Artemis program. Gateway is a destination for deep space crew expeditions and science investigations, as well as a port for deep space transportation – for landers en route to the lunar surface or spacecraft embarking to destinations beyond the Earth-Moon system. The National Aeronautics and Space Administration (NASA) leads the Program and serves as the integrator of the spaceflight capabilities and contributions of U.S. commercial partners and international partners to develop the Gateway. This paper will provide an overview of each component of the Gateway: The Power and Propulsion Element, the Habitation and Logistics Outpost; Deep Space Logistics; the International Habitation module; External Robotics System; European System Providing Refueling, Infrastructure and Telecommunications; an Airlock; and Exploration ExtraVehicular Activity (xEVA). Expanding on the successful partnership that has provided over 20 years of continuous crew operations in low-Earth orbit on ISS, the Gateway is an evolution of this extraordinary partnership that leverages the capabilities of each partner to expand humankind’s sustained exploration deeper into the cosmos. Highlighting the international program with participation from multiple international partners, this paper will also provide a status of the Gateway multilateral governance structure and international agreements.

Gateway↗
NASA NTRS2008

International Space Station Medical Operations

NASA is currently the leader, in conjunction with our Russian counterpart co-leads, of the Multilateral Medical Policy Board (MMPB), the Multilateral Medical Operations Panel (MMOP), which coordinates medical system support for International Space Station (ISS) crews, and the Multilateral Space Medicine Board (MSMB), which medically certifies all crewmembers for space flight on-board the ISS. These three organizations have representatives from NASA, RSA-IMBP (Russian Space Agency- Institute for Biomedical Problems), GCTC (Gagarin Cosmonaut Training Center), ESA (European Space Agency), JAXA (Japanese Space Agency), and CSA (Canadian Space Agency). The policy and strategic coordination of ISS medical operations occurs at this level, and includes interactions with MMOP working groups in Radiation Health, Countermeasures, Extra Vehicular Activity (EVA), Informatics, Environmental Health, Behavioral Health and Performance, Nutrition, Clinical Medicine, Standards, Post-flight Activities and Rehabilitation, and Training. Each ISS Expedition has a lead Crew Surgeon from NASA and a Russian Crew Surgeon from GCTC assigned to the mission. Day-to-day issues are worked real-time by the flight surgeons and biomedical engineers (also called the Integrated Medical Group) on consoles at the MCC (Mission Control Center) in Houston and the TsUP (Center for Flight Control) in Moscow/Korolev. In the future, this may also include mission control centers in Europe and Japan, when their modules are added onto the ISS. Private medical conferences (PMCs) are conducted regularly and upon crew request with the ISS crew via private audio and video communication links from the biomedical MPSR (multipurpose support room) at MCC Houston. When issues arise in the day-to-day medical support of ISS crews, they are discussed and resolved at the SMOT (space medical operations team) meetings, which occur weekly among the International Partners. Any medical or life science issue that is not resolved at the SMOT can be taken to the Mission Management Team meeting, which occurs biweekly from MCC-Houston. This meeting includes the other International Partners and all flight support and console position representatives via teleconference. ISS Crew Surgeons have handled many medical conditions on orbit; including skin rashes, dental abscesses, lacerations, and STT segment EKG changes. Fortunately to date, there have not been any forced medical evacuations from the ISS. This speaks well for the implementation of the primary, secondary and even tertiary prevention strategies invoked by the Integrated Medical Group, as there were several medical evacuations during the previous Russian space stations.

Jones, Jeffrey A.↗