“…Multiple environmental factors have been identified that increase the risk of infection during these missions that include; stress [1], reduced weight bearing (reviewed in [2]), disturbance of circadian rhythms [3], and altered nutritional intake [4], in addition to solar and galactic radiation [5], [6]. These factors, either alone, independently additive, or through synergistic interactions, pose a threat for the development of pathogenic infection by exogenous or endogenous organisms [7], [8]. Exogenous organisms are present in other astronauts or the spacecraft and endogenous organisms, which are resident in the astronaut at the start of space flight, consist of latent viruses common in humans (e.g., Epstein-Barr, Herpes simplex, cytomegalovirus, and others) or commensal and colonizing pathogenic organisms [5], [9], [10], [11].…”