{"id":868,"date":"2020-09-18T14:29:24","date_gmt":"2020-09-18T21:29:24","guid":{"rendered":"http:\/\/wordpress.kpu.ca\/camidanser\/?p=868"},"modified":"2020-10-20T16:46:35","modified_gmt":"2020-10-20T23:46:35","slug":"nasa-health-stabilization-program","status":"publish","type":"post","link":"https:\/\/wordpress.kpu.ca\/camidanser\/nasa-health-stabilization-program\/","title":{"rendered":"NASA Health stabilization program overview"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Standard:<\/strong> NASA-STD-3001 Technical Brief &#8211; Health Stabilization Program V1 4.4.2.4 Overview <\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Summary:<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Health Stabilization Program (HSP) necessary for all spaceflight missions to reduce risk of infection both pre-flight and in-flight. HSP has been implemented since Apollo 14 mission. The 2 main components of HSP are pre-flight immunizations and quarantine, which have been rudimentary in managing the risk of in-flight infection, especially upper respiratory and enteric infections. Current protocol mandates HSP starts 14 days before launch. HSP only successful if there is full participation. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">After implementation of HSP, there was a noticeable reduction in illnesses and infections pre and in-flight. Before implementation of HSP, 57% of Apollo crew members experienced some extent of infectious illnesses before flight. Since implementation of HSP starting with Apollo 14, there has been a significant decrease in the risk of infectious diseases. <em>See image below.<\/em> <\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-style-default\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"724\" src=\"https:\/\/wordpress.kpu.ca\/camidanser\/files\/2020\/09\/Screen-Shot-2020-09-18-at-2.00.49-PM-1024x724.png\" alt=\"\" class=\"wp-image-939\" srcset=\"https:\/\/wordpress.kpu.ca\/camidanser\/files\/2020\/09\/Screen-Shot-2020-09-18-at-2.00.49-PM-1024x724.png 1024w, https:\/\/wordpress.kpu.ca\/camidanser\/files\/2020\/09\/Screen-Shot-2020-09-18-at-2.00.49-PM-300x212.png 300w, https:\/\/wordpress.kpu.ca\/camidanser\/files\/2020\/09\/Screen-Shot-2020-09-18-at-2.00.49-PM-768x543.png 768w, https:\/\/wordpress.kpu.ca\/camidanser\/files\/2020\/09\/Screen-Shot-2020-09-18-at-2.00.49-PM-1536x1086.png 1536w, https:\/\/wordpress.kpu.ca\/camidanser\/files\/2020\/09\/Screen-Shot-2020-09-18-at-2.00.49-PM-1240x877.png 1240w, https:\/\/wordpress.kpu.ca\/camidanser\/files\/2020\/09\/Screen-Shot-2020-09-18-at-2.00.49-PM-508x359.png 508w, https:\/\/wordpress.kpu.ca\/camidanser\/files\/2020\/09\/Screen-Shot-2020-09-18-at-2.00.49-PM.png 1878w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<p class=\"wp-block-paragraph\"><strong>Apollo <\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>21 day HSP for prime and backup crew <\/li><li>Immunizations<\/li><li>Extensive disease exposure via quarantine <ul><li>Limited exposure to fomites, contaminated consumables, and interpersonal contacts<\/li><li>Crewmembers used different equipment <\/li><li>Closed controlled living environment &#8211; ultra-high efficiency bacterial filters, <strong>positive air pressure <\/strong>(outward flow of air only), and controlled food and water intake (including microbiological testing of samples) <\/li><li>No exposure to potential carries (eg. children, maintenance personnel); contacts restricted to medically approved individuals only (~100 people total) <\/li><\/ul><\/li><\/ul>\n<\/div><\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Skylab <\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>21-day pre-flight, 7-day post-flight HSP <\/li><li>Immunizations similar to Apollo <\/li><li>Quarantines to minimize crew exposure to infectious diseases<ul><li>Similar to Apollo&nbsp;\u2013&nbsp;positive air pressure,<\/li><li>Primary contacts were inspected by a nurse before interaction with crew; interactions with non-primary contacts were performed via CCTV<\/li><li>Food was specially prepared for the crew<\/li><li>Additional space for isolation of an ill crewmember<\/li><\/ul><\/li><li>Limitations were set on the number of primary contacts<ul><li>Cited as the change that impacted the incidence of disease most<\/li><\/ul><\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>ISS<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>14-day pre-flight HSP<\/li><li>Countermeasures in place: crew and contact education; hand &amp; respiratory hygiene; physical separation; PPE; immunizations (similar to Apollo); medical screening of contacts by a physician before crew interaction; and, avoiding tasks with a high risk of infectious disease acquisition<\/li><li>Operating groups and personal contacts are allowed to have close crew contact, but special guests and VIPs must stay &gt;1.5 meters away<\/li><li>Personal contacts are limited to 2-3 people or family members (with exceptions)<ul><li>They may be isolated prior to crew contact, depending on when they arrive at the site<\/li><\/ul><\/li><\/ul>\n\n\n\n<hr class=\"wp-block-separator is-style-wide\" \/>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\">Source: NASA. (20, February 10). NASA-STD-3001 Technical Brief &#8211; Health Stabilization Program V1 4.4.2.4 Overview. Retrieved September 18, 2020, from https:\/\/www.nasa.gov\/sites\/default\/files\/atoms\/files\/health_stabilization_pro gram_technical_brief_ochmo_021020.pdf <\/p>\n","protected":false},"excerpt":{"rendered":"<p>Standard: NASA-STD-3001 Technical Brief &#8211; Health Stabilization Program V1 4.4.2.4 Overview Summary: Health Stabilization Program (HSP) necessary for all spaceflight missions to reduce risk of infection both pre-flight and in-flight. HSP has been implemented since Apollo 14 mission. The 2 main components of HSP are pre-flight immunizations and quarantine, which have been rudimentary in managing [&hellip;]<\/p>\n","protected":false},"author":374,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[23,24,60],"tags":[27,26,28,25],"class_list":["post-868","post","type-post","status-publish","format-standard","hentry","category-research","category-standards","category-systems-in-space","tag-health-stabilization","tag-immunization","tag-positive-air-pressure","tag-quarantine"],"_links":{"self":[{"href":"https:\/\/wordpress.kpu.ca\/camidanser\/wp-json\/wp\/v2\/posts\/868","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wordpress.kpu.ca\/camidanser\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wordpress.kpu.ca\/camidanser\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wordpress.kpu.ca\/camidanser\/wp-json\/wp\/v2\/users\/374"}],"replies":[{"embeddable":true,"href":"https:\/\/wordpress.kpu.ca\/camidanser\/wp-json\/wp\/v2\/comments?post=868"}],"version-history":[{"count":11,"href":"https:\/\/wordpress.kpu.ca\/camidanser\/wp-json\/wp\/v2\/posts\/868\/revisions"}],"predecessor-version":[{"id":1087,"href":"https:\/\/wordpress.kpu.ca\/camidanser\/wp-json\/wp\/v2\/posts\/868\/revisions\/1087"}],"wp:attachment":[{"href":"https:\/\/wordpress.kpu.ca\/camidanser\/wp-json\/wp\/v2\/media?parent=868"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wordpress.kpu.ca\/camidanser\/wp-json\/wp\/v2\/categories?post=868"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wordpress.kpu.ca\/camidanser\/wp-json\/wp\/v2\/tags?post=868"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}