Goals of biomedical support of a mission to Mars and possible approaches to achieving them.

The main medical and biological problems associated with a piloted mission to Mars are discussed. Prerequisites for the mission are described, based on our experience with biomedical support of prolonged piloted missions. The most important factors are developing countermeasures against the prolonged effects of microgravity and hypogravity; solving a complex of psychological problems; developing methods to protect against cosmic radiation; and creating effective and reliable life support systems. Some aspects of the likely risks involved in such a mission are also reviewed.