What Happens When an Astronaut Gets Sick in Space?

NASA/Getty Images
NASA/Getty Images

Astronauts are among the fittest and healthiest people in the world. They're rigorously trained, vetted, and quarantined before they’re allowed up in space—and yet, despite all those precautions, they do sometimes get sick. Apollo 13's Fred Haise, for example, had to deal with a painful kidney infection during the dangerous mission that gave us the phrase "Houston, we have a problem," and one-time astronaut Jake Garn, a Utah senator, got so motion-sick during a 1985 Discovery mission that astronauts now rate their nausea levels on the Garn Scale. And because space missions are on a strict schedule planned far in advance, sick astronauts on a space mission can't just pop down to Earth to see a doctor.

But when astronauts fall ill, they don't have to worry—NASA and other space agencies that have missions aboard the ISS are prepared.

SPACE ADAPTATION SICKNESS

Zero gravity can change a lot of normal bodily functions. One effect it has is to make the fluids inside the body float, which confuses the inner ears and makes them unable to tell up from down. This causes space adaptation syndrome (SAS), a common illness that's kind of like seasickness in space. Motion sickness, the most frequently reported ailment, is a subset of SAS; it affects 67 to 75 percent of astronauts.

It takes a few days for astronauts' bodies to adjust to weightlessness, during which they may experience symptoms ranging from headaches to vomiting. And though it might seem like a nightmare to deal with puke, NASA has a system: Astronauts carry special barf bags with attached face wipes and Ziploc seals that they can use during launch or while in orbit if they get the urge to hurl. Once used, the bags are tossed in the trash.

COLDS AND SNIFFLES

Because astronauts are quarantined before spaceflight, the likelihood of being exposed to a pathogen in space is rare. But if an astronaut does come down with the sniffles, they can expect an Earth cold on steroids: Sinuses don't drain in zero gravity, so congested astronauts feel even stuffier than we do here on the ground. To make matters worse, germs seem to thrive in weightless environments—pathogens can develop “thicker cell walls, greater resistance to antimicrobial agents and a greater ability to form so-called biofilms that cling to surfaces” in zero gravity, according to TIME.

Luckily, colds and even the flu tend to go away on their own, even in space—so astronauts just need to wait it out.

BUMPS, BRUISES, AND OTHER MINOR INJURIES

Astronauts floating around in zero gravity have a tendency to bump into things, which can sometimes cause an injury. When they want to check on a wound, abrasion, or another condition, they place a phone call to a physician on the ground, who will advise them what to do.

“We get calls for bumps, and bruises, and little lacerations or cuts,” Shannan Moynihan, deputy chief of space and occupational medicine at the NASA Johnson Space Center, said at a health tech conference in March 2018. “A typical scenario might be a newbie, somebody who just got up there, trying to Superman through a hatch and not quite making it. So we get a call for a little bump on the forehead and we help them figure out how to take care of that.”

A doctor on Earth can walk an astronaut through how to use and read a modified ultrasound machine on the ISS, for example, or give them additional training in response to a specific medical condition occurring on board. That happened with spaceflight-associated neuro-ocular syndrome, a condition in which ISS astronauts developed visual and structural changes in their eyes during space missions. They were subsequently trained to conduct a series of eye tests on themselves.

FROM EVACUATION TO SURGERY

If there’s anything too serious to deal with on board, astronauts can get back to Earth via the the Soyuz spacecraft that brought them to space—there’s always one docked at the ISS in case of emergency. Medical evacuation has only happened once, in 1986, when a Soviet astronaut named Vladimir Vasyutin had to leave the Salyut-7 Orbital Lab [PDF] because of a prostate infection. His trip back to Earth took about six hours; these days, astronauts can land in less than three and a half.

In the case of a true medical emergency—one that requires surgery—evacuation to Earth is currently the only way for astronauts to get treatment. Surgery in zero gravity isn't yet possible; blood would float straight out of a wound and contaminate the whole cabin. As deep space travel gets more feasible, however, it’s possible that one day a space O.R. might be necessary, and technology is being developed to make potential surgeries easier and cleaner. Scientists are testing a device called the aqueous immersion surgical system (AISS), a saline filled dome that, when placed over a wound, could keep blood and bodily fluids in place.

As humanity pushes further into deep space, medical technology will need to become even more sophisticated. When it comes to deep space missions, NASA representative Stephanie Schierholz tells Mental Floss, “NASA is specifically looking at five hazards of human space travel: space radiation, isolation and confinement, distance from Earth, gravity fields (or lack thereof), and hostile/closed environments that pose the greatest risks to the human mind and body in space.”

Currently, NASA is working on several research and development projects to address the hazards posed by deep space travel, including no-drill dentistry and emergency wound closure, which would need to be usable by astronauts with no formal medical or dental training. And because not all potential illness is physical, Mars settlement simulation projects are helping researchers understand what the psychological, emotional, and social effects of long-term isolation might be on astronauts.

NASA's First All-Female Spacewalk is Really Happening This Time

NASA astronaut Christina Koch is suited up in a U.S. spacesuit ahead of her history-making spacewalk.
NASA astronaut Christina Koch is suited up in a U.S. spacesuit ahead of her history-making spacewalk.
NASA

After a surprising cancellation in March, plans for NASA's first all-female spacewalk are back on track. Astronauts Christina Koch and Jessica Meir are scheduled to make history on October 21, 2019.

Earlier this year, NASA canceled the first all-female spacewalk because of an issue with spacesuit sizing. Both astronauts originally scheduled for the walk needed medium-sized suits. At the time, the International Space Station had two—but only one was properly configured for a spacewalk. Preparing the other suit in time would have taken hours of crew labor, The New York Times reported, so NASA decided to switch out the astronauts.

“When you have the option of just switching the people, the mission becomes more important than a cool milestone,” NASA spokesperson Stephanie Schierholz told The New York Times.

Still, the milestone is a significant one. Since 1961, nearly 550 people have been sent to space. Of those, only about 11 percent have been female.

“I think it’s important because of the historical nature of what we’re doing and in the past, women haven’t always been at the table,” Koch said on NASA TV. “There are a lot of people that derive motivation from inspiring stories from people who look like them, and I think it’s an important aspect of the story to tell.”

The mission itself is fairly routine—Koch and Meir are scheduled to swap out batteries on the station’s solar panels. Live video of the spacewalk (the 222nd spacewalk in history) will be available on NASA’s website.

A Huge Full Hunter’s Moon Will Light Up The Sky This Weekend

Chayanan/iStock via Getty Images
Chayanan/iStock via Getty Images

This weekend’s full moon will likely draw your eye even more than a regular one does.

Newsweek reports that what’s known as the full hunter’s moon—the first full moon after the harvest moon—will rise right around sunset, making it seem both much larger and more orange than usual. Though you’ll likely be able to spot it from Saturday, October 12 through the early morning hours of Tuesday, October 15, the best time to look up is Sunday night, October 13, when the moon reaches peak fullness.

According to The Old Farmer’s Almanac, the hunter’s moon may seem so huge because of a simple trick our eyes play on us called the “moon illusion.” Usually, when the moon is high and far from the horizon, it’s the main thing we see in the sky. Because the sky itself is so unfathomably vast, the moon looks pretty small. The hunter’s moon, however, appears lower in the sky, giving us a chance to view it next to things like trees and buildings. Since the moon is so much larger than those objects, our brains may process it with a better sense of scale.

The reason the hunter’s moon often glows orange is also related to its lower position. The moon is actually closer to us when it’s higher in the sky, so the light it reflects has to travel a shorter distance to reach our eyes, leaving the shorter wavelengths of blue light intact. When the moon is low, the air scatters those short blue wavelengths before they get to us, and only the longer, reddish wavelengths make it through.

Though we don’t know for sure why it’s called a hunter’s moon, The Old Farmer’s Almanac suggests that it may have once indicated the beginning of prime hunting season, when hunters could easily spot animals in fields that harvesters had just cleared after the previous month’s harvest moon.

And, after the hunter’s moon has come and gone, be sure to catch the full beaver moon in November.

[h/t Newsweek]

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