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As a more permanent human presence in space is established during future missions, crew health issues will require additional attention. Since a physician will not be a part of most crews, the flight surgeons will require more clinical information than can currently be provided to regularly assess crew health status and direct medical treatment. The Telemedicine Instrumentation Pack (TIP) is being designed to enable the Crew Medical Officers (CMO) in space to acquire the necessary medical information for telemedical consultation with the flight surgeons in the Mission Control Center (MCC). To date, two prototypes of the TIP have been developed, with the first being clinically evaluated in a local telemedicine testbed in the Fall of 1994 and the second prototype being recently completed. The current system concept, progress in the development of the system, plans for future development, and the evolution of the system are described.

Since the early years of the manned space program, NASA has developed and used exposure limits called Spacecraft Maximum Allowable Concentrations (SMACs) to help protect astronauts from airborne toxicants. Most of these SMACS are based on an exposure duration of 7 days, since this is the duration of a “typical” mission. A set of “contingency SMACs” is also being developed for scenarios involving brief (1-hour or 24- hour) exposures to relatively high levels of airborne toxicants from event-related “contingency” releases of contaminants. The emergency nature of contingency exposures dictates the use of different criteria for setting exposure limits. The NASA JSC Toxicology Group recently began a program to document the rationales used to set new SMACs and plans to review the older, 7-day SMACs. In cooperation with the National Research Council's Committee on Toxicology, a standard procedure has been developed for researching, setting, and documenting SMAC values.

When construction of Space Station Freedom reaches the Permanent Manned Capability stage, plans call for the Water Recovery and Management Subsystem to treat distilled urine, spent hygiene water, and humidity condensate in order to reclaim water of potable quality. The reclamation technologies currently baselined to process these wastewaters include adsorption, ion exchange, catalytic oxidation, and disinfection. To ensure that baselined technologies will be able to effectively remove those compounds that present health risks to the crew, the National Research Council has recommended that additional information be gathered on specific contaminants in wastewaters representative of those to be encountered on Space Station. This paper reports the efforts by the Water and Food Analytical Laboratory at the Johnson Space Center to enlarge the database of potential contaminants in humidity condensate.