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Primary Health Care: Open Access

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Human spaceflight (also referred to as crewed spaceflight or manned spaceflight) is spaceflight with a crew or passengers aboard a spacecraft. Spacecraft carrying people may be operated directly, by human crew, or it may be either remotely operated from ground stations on Earth or be autonomous, able to carry out a specific mission with no human involvement.

The first human in space was Yuri Gagarin, who flew the Vostok 1 spacecraft, launched by the Soviet Union on 12 April 1961 as part of the Vostok program. Humans have flown to the Moon nine times from 1968 to 1972 in the United States Apollo program, and have been continuously present in space for 19 years and 230 days on the International Space Station. All human spaceflight has so far been human-piloted, with the first autonomous human-carrying spacecraft under design starting in 2015.

Russia and China have human spaceflight capability with the Soyuz program and Shenzhou program. In the United States, SpaceShipTwo reached the edge of space in 2018; this was the first crewed spaceflight from the US since the Space Shuttle retired in 2011. From 2011 to May 2020 expeditions to the International Space Station used Soyuz vehicles, which remain attached to the station to allow quick return if needed. The United States developed commercial crew transportation to facilitate domestic access to the ISS, low Earth orbit and beyond such as the Orion vehicle and the private SpaceX Starship. The first successful commercial launch from the United States was conducted in May 2020 aboard the SpaceX Crew Dragon spacecraft carrying NASA astronauts Robert Behnken and Douglas Hurley on their way to the International Space Station.

While spaceflight has typically been a government-directed activity, commercial spaceflight has gradually been taking on a greater role. The first private human spaceflight took place on 21 June 2004, when SpaceShipOne conducted a suborbital flight, and a number of non-governmental companies have been working to develop a space tourism industry. NASA has also played a role to stimulate private spaceflight through programs such as Commercial Orbital Transportation Services (COTS) and Commercial Crew Development (CCDev). With its 2011 budget proposals released in 2010, the Obama administration moved towards a model where commercial companies would supply NASA with transportation services of both people and cargo transport to low Earth orbit. The vehicles used for these services could then serve both NASA and potential commercial customers. Commercial resupply of ISS began two years after the retirement of the Shuttle, and commercial crew launches have operated since May 2020.

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