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Medical Operations Team Members

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A special medical operations team that keeps Japanese astronauts healthy
in the harsh environment of space

The medical operations team consists of flight surgeons, biomedical engineers (BMEs), and specialists in charge of areas such as physiology, psychophysiology, radiation protection, environmental hygiene, health care manager, space food, and daily necessities.

JAXA’s medical operations team

Flight surgeon

A physician with knowledge in aerospace medicine who manages the health of astronauts

The flight surgeon (center) assists astronaut ONISHI Takuya
on the day of his return to earth ©JAXA/NASA/Bill Ingalls

A flight surgeon (FS) is a specialized physician with knowledge of aerospace medicine who manages the health of pilots or astronauts.

The space agencies of ISS partner countries each train their own flight surgeons. As of 2020, JAXA has five flight surgeons who work on health management operations for Japanese astronauts.

Biomedical engineer (BME)

A medical systems engineer with in-depth knowledge of remote monitoring devices and flight control

Health management operations for astronauts aboard the ISS differ from those at medical facilities on earth in various aspects. The most prominent difference is that all tasks must be done “remotely.”

This is why biomedical engineers with in-depth knowledge of remote monitoring devices and flight control assist flight surgeons. They are in charge of checking the status of medical devices and exercise equipment aboard the ISS, organizing the schedule for health management operations for astronauts, preparing for remote medical interviews, and maintaining health management documents.

JAXA and NASA flight surgeons monitoring an astronaut together

Physiology specialist

The performance training program planner for long-term missions

The physiology specialist plans and develops the pre-flight exercise program that is physical performance training program for Japanese astronauts scheduled for long-term missions to the ISS. They manage the physical performance and health enhancement schedule for astronauts from one year before launch until the astronauts regain their pre-flight physical performance. While the astronauts are on orbit, they plan in-flight 2.5-hour exercise sessions seven days a week. Once the astronauts return to earth, they conduct two hours a day of rehabilitation program for about 45 days with the goal of returning the astronauts having pre-flight physical performance. The physiology specialist plans the program to ensure efficient recovery while giving consideration to astronauts’ post-flight physical performance.

Psychophysiology specialist

A mental health counselor for astronauts facing the harsh environment of space

Maintaining mental health and well-being is critical to the success of long-term missions to the ISS. The psychophysiology specialist performs the following tasks in each phase of flight (pre-flight, in-flight, and post-flight):

  1. Conducting video counseling sessions
  2. Reducing fatigue by analyzing and adjusting astronauts’ schedules, particularly sleeping shifts
  3. Providing communication tools
  4. Providing information
  5. Providing goods

Radiation exposure management specialist

An expert who strictly monitors astronauts’ radiation exposure

The ISS orbits at an altitude of about 400 km and is bombarded with extremely high-energy particles. The ISS’s walls and shielding materials can block these particles to some extent, but astronauts cannot completely avoid cosmic radiation exposure while in space.

On earth, we are exposed to a radiation dose of about 2.4 millisieverts per year over the course of our daily activities. By contrast, astronauts on long ISS missions are exposed to a dose of about 0.5 to 1 millisievert per day. This means that astronauts receive as much radiation in a day aboard the ISS as people on earth receive in about six months.

JAXA has independently set maximum lifetime radiation doses to ensure proper control of radiation exposure for astronauts aboard the ISS. The current regulations were revised in July 2013 based on the 2007 International Commission on Radiological Protection (ICRP) recommendations.

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Age at time of first spaceflight Maximum for males Maximum for females
27~30 0.6Sv 0.5Sv
31~35 0.7Sv 0.6Sv
36~40 0.8Sv 0.65Sv
41~45 0.95Sv 0.75Sv
over 46 1.0Sv 0.8Sv
JAXA’s maximum lifetime effective doses of radiation for astronauts aboard the ISS

*Sv: Sieverts

Environmental hygiene specialist (air, water, microbes, etc.)

The person responsible for monitoring the station environment

The environmental hygiene specialist monitors the environment of the station where the astronauts live while in orbit for, among other things, water, air, noise and microbes. They also monitor the environment of the Japanese transfer vehicle.

Space food specialist and daily necessities specialist

The space food specialist certifies Japanese space food and selects the Japanese space food and fresh food to be loaded and prepares it for loading. The daily necessities specialist selects goods such as clothes the astronauts will wear on the station and prepares them for loading.

Unless specified otherwise, rights to all images belong to ©JAXA