title: Development of U.S.-Russian medical support procedures for long-duration spaceflight: the NASA-Mir experience.
abstract: As the Russian Space Agency and the U.S. National Aeronautics and Space Administration began in the mid-1990s to plan a preliminary cooperative flight program in anticipation of the International Space Station, programmatic and philosophical differences became apparent in the technical and medical approaches of the two agencies. This paper briefly describes some of these differences and the process by which the two sides resolved differences in their approaches to the medical selection and certification of NASA-Mir crewmembers. These negotiations formed the basis for developing policies on other aspects of the medical support function for international missions, including crew training, preflight and postflight data collection, and rehabilitation protocols. The experience gained through this cooperative effort has been invaluable for developing medical care capabilities for the International Space Station.
authors.affiliation: Yu. A. Gagarin Cosmonaut Training Center, Moscow Region, Star City, Russia.
authors.forename: V V
authors.initials: VV
authors.lastname: Morgun
authors.forename: L I
authors.initials: LI
authors.lastname: Voronin
authors.forename: R R
authors.initials: RR
authors.lastname: Kaspranskiy
authors.forename: S L
authors.initials: SL
authors.lastname: Pool
authors.forename: M R
authors.initials: MR
authors.lastname: Barratt
authors.forename: A L
authors.initials: AL
authors.lastname: Navinkov
mesh_terms: D002568:Certification; D006801:Humans; D007373:Interinstitutional Relations; D007390:International Agencies; D007391:International Cooperation; D008021:Life Support Systems; D008991:Monitoring, Physiologic / Q000295:instrumentation* / Q000639:trends; D012426:Russia; D013026:Space Flight / Q000458:organization & administration*; D013997:Time Factors; D014481:United States; D018557:United States National Aeronautics and Space Administration