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'''Limited Medical Care''' is inevitable due to the limited industrial performance of a Martian [[autonomous colony]]. Compared with [[Earth]] the colonists on [[Mars]] will have to face certain constraints. The constraints are even harder than in a [[Limited medical care in a semi-autonomous colony|semi-autonomous colony]]. High sophisticated accessories for surgery and a great variety of drugs are impossible to produce in-situ and will, therefore, not be available in medium-term.

==Diagnostics==
[[hi-tech versus lo-tech|Hi-tech]] machinery (e.g. MRT) can only be produced with a large industry behind. The following diagnostics are simple enough to be produced with reasonable effort:
*optical microscope
*x-ray

==Surgery==
Some simple surgery (e.g. appendix resection) can be done with [[hi-tech versus lo-tech|lo-tech]] surgical instruments, such as scalpel and suturation. 

==Needed pharmaceuticals==
This paragraph shall list needed drugs that can be produced on Mars with a reasonable effort.
*Disinfectants: The choice of disinfectants on Mars could differ substantially depending on what minerals are available in the immediate vicinity of the colony.
**A wide variety of [[silver]] salts are highly toxic to most pathogens<ref>[http://www.ncbi.nlm.nih.gov/pubmed/12829274?dopt=Abstract ''Bacterial silver resistance: molecular biology and uses and misuses of silver compounds'' - Silver S.]</ref> but have comparatively mild effects in humans<ref>[http://annhyg.oxfordjournals.org/content/49/7/575.full ''Exposure-Related Health Effects of Silver and Silver Compounds: A Review'' - P.L. Drake and K.J. Hazelwood. 2005.]</ref>.
**Compounds of [[mercury]] and [[arsenic]] are of historic significance but should probably not be used due to both their toxicity to the patient and the potential for build-up in the closed colony.
**[[Ethanol]] will most likely be the primary disinfectant (especially if there is a significant food surplus).
*Pain relievers:
**Opium could be easily produced if sufficient agricultural capacity is available. If required, it could be further processed into pure morphine or heroin.
**Cocaine is an effective topical anesthetic. However, the size of the coca plant means that it would be best suited to large greenhouses. The process for turning coca leaves into cocaine is also prohibitively complex.
**Cannabis could potentially be used?
*Antibiotics:
**[https://en.wikipedia.org/wiki/Penicillin#Production Penicillin] can be produced by subjecting a fungus to stress. While resistance to this and other antibiotics is a continuing concern on Earth, such resistance is associated with incorrect usage<ref>[http://cid.oxfordjournals.org/content/33/Supplement_3/S170 ''Patients' Interviews and Misuse of Antibiotics'' - Jean Claude Pechère]</ref>. Martian colonists would presumably take care to prevent overprescription.

==Precautions==
The [[food]] composition may be designed to prevent [[dental caries]].

The first settlers will be selected to be strong and fit. Even genetical screenings might be helpful to ensure best health, having a lasting effect on subsequent generations. This is a delicate issue, because this could be understood as a step in breeding of a new human race. However, the selection will not be continued for subsequent generations, so it is not deliberate breeding at all. With every generation the effect decreases. After all this is only a help for the start-up of the colony. Other long term solutions are needed anyway.

==Open issues==
*What drugs are mandatory needed?
*What drugs can be produced on Mars with a reasonable effort?
*What social implications derive from the limited medical care?
*What genetical defects can be detected by today's screenings?

==See also==
*[[Limited medical care in a semi-autonomous colony]]

===References===
<references />

[[Category:Health and Safety]]