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Armed Forces Health Surveillance Branch

Health Surveillance, Analysis and Insight for Action

Armed Forces Health Surveillance Branch is the central epidemiology health resource for the US Military and Public Health

The Armed Forces Health Surveillance Branch (AFHSB) is the central epidemiologic resource for the U.S. Armed Forces, conducting medical surveillance to protect those who serve our nation in uniform and allies who are critical to our national security interests. Explore our website to learn about the critical role AFHSB plays in force health protection.

AFHSB provides timely, relevant, actionable and comprehensive health surveillance information to promote, maintain, and enhance the health of military and military-associated populations.

AFHSB critical functions are:

  • Acquire, analyze, interpret, disseminate information, and recommend evidence-based policy
  • Develop, refine, and improve standardized health surveillance methods
  • Serve as the focal point for sharing health surveillance products expertise and information
  • Coordinate a global program of military-relevant infectious disease surveillance

Explore our health surveillance resources to learn how to utilize our data applications, systems and the ways our health information analysis supports worldwide disease surveillance and public health activities to improve the U.S. military's Force Health Protection (FHP) program.

More About Us

Medical Surveillance Monthly Report

Medical Surveillance Monthly Report MSMR Online SubscriptionThe Medical Surveillance Monthly Report (MSMR) is AFHSB's flagship publication. The monthly peer-reviewed journal provides evidence-based estimates of the incidence, distribution, impact, and trends of health-related conditions among service members. Additionally, the MSMR focuses one issue per year on the absolute and relative morbidity burden attributable to various illnesses and injuries among service members and beneficiaries.

 View Current Report  View Archived Reports

Health Surveillance Explorer

The Health Surveillance Explorer (HSE) is a dynamic CAC-enabled mapping application that allows the Geo­graphic Combatant Commands (GCCs) to identify global health threats and disease outbreaks in near-real time. It provides timely, relevant and actionable health surveillance information to military leaders around the globe. The HSE makes it more efficient and effective to assemble surveillance data.

Launch HSE

Proposal Management Information System

Launch Proposal Management Information SystemThe Proposal Management Information System (ProMIS) program is a web-based application used to facilitate program management at the AFHSB's Global Emerging Infections Surveillance (GEIS) section. Investigators in the GEIS partner network submit proposals for funding consideration and GEIS operations staff monitors the progress of those projects.

Go to ProMIS

Defense Medical Epidemiology Database

DMED ButtonThe Defense Medical Epidemiology Database (DMED) provides worldwide access to de-identified data contained in the Defense Medical Surveillance System (DMSS). Through this user-friendly interface, authorized users can create customized queries of disease and injury rates in active duty populations.

Go to DMED

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Coronavirus Disease 2019 (COVID-19) Surveillance Summary #10

Report
3/26/2020

As of 26 MAR, 69,197 confirmed COVID-19 cases (1,046 deaths) have been reported in all U.S. states, the District of Columbia, Puerto Rico, Guam, and the U.S. Virgin Islands.

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Coronavirus Disease 2019 (COVID-19) Surveillance Summary #9

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3/19/2020

As of 19 MAR, 9,415 confirmed and presumptive positive COVID-19 cases (150 deaths) have been reported in 50 U.S. states and the District of Columbia. States with a high burden of COVID-19 cases include: NY, WA, CA, NJ, FL, IL, and TX. All 50 states and Washington, DC have declared states of emergency.

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Coronavirus Disease 2019 (COVID-19) Surveillance Summary #8

Report
3/12/2020

On 11 MAR, WHO officially characterized COVID-19 as a pandemic, citing “alarming levels of spread and severity, and alarming levels of inaction” as justification for this assessment. The Director-General noted that over the past two weeks, cases reported outside mainland China have increased 13-fold, and the number of affected countries has tripled. From mid-DEC 2019 to 12 MAR 2020, 118,954 cases of COVID-19 (4,295 deaths) have been reported from 121 countries/regions/territories worldwide.

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Coronavirus Disease 2019 (COVID-19) Surveillance Summary #7

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3/5/2020

From mid-DEC 2019 to 5 MAR 2020, 96,168 cases of COVID-19 (3,269 deaths) have been reported globally, with mainland China accounting for 84% of cases. In recent days, new cases in other countries/regions have exceeded those within mainland China; a cumulative 15,746 cases (253 deaths) have been reported from 18 countries/regions in INDOPACOM, 42 in EUCOM, three in NORTHCOM, 14 in CENTCOM, seven in SOUTHCOM, and six in AFRICOM.

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Coronavirus Disease 2019 (COVID-19) Surveillance Summary #6

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2/27/2020

As of 26 FEB, confirmed COVID-19 cases have been reported in at least one country in each U.S. Geographic Combatant Command. From mid-DEC 2019 to 27 FEB 2020, 78,947 cases (2,747 deaths) have been reported in mainland China. Additionally, 4,051 confirmed cases (64 deaths) have been reported in 49 countries and regions outside of mainland China, including USINDOPACOM (15), USAFRICOM (1), USCENTCOM (10), USEUCOM (20), USNORTHCOM (2), and USSOUTHCOM (1).

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Coronavirus Disease 2019 (COVID-19) Surveillance Summary #5

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2/20/2020

From mid-DEC 2019 to 20 FEB 2020, 75,778 cases of COVID-19, including 2,120 deaths (case fatality proportion 2.8%), have been reported in mainland China. Additionally, 1,215 confirmed cases (10 deaths) have been reported in 29 countries and regions outside of mainland China, including USINDOPACOM (15), USEUCOM (9), USNORTHCOM (2), and USCENTCOM (3).

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Coronavirus Disease 2019 (COVID-19) Surveillance Summary #4

Report
2/13/2020

From mid-DEC 2019 to 13 FEB 2020, 59,822 confirmed cases of COVID-19, including1,367 deaths (case fatality proportion 2.3%), have been reported in mainland China. On 12 FEB, the Chinese government reported asubstantial increase in cases (+15,074) and deaths (+253). This is due to an expanded case definition (applicable only in Hubei Province) that includes clinically-diagnosed cases in addition to individuals testing positive via PCR. Additionally, 525 confirmed cases have been reported in 27 countries and regions outside of mainland China, including USINDOPACOM (15), USEUCOM (9), USNORTHCOM 2), and USCENTCOM (1).

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Coronavirus Disease 2019 (COVID-19) Surveillance Summary #3

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2/10/2020

From mid-DEC to 6 FEB, 28,085 confirmed cases of infection with a novel coronavirus (2019-nCoV), including 565 deaths (case fatality proportion 2.0%) have been reported in mainland China. Additionally, 259 confirmed cases have been reported in 27 countries and regions outside of mainland China, including 15 countries/regions in USINDOPACOM, nine in USEUCOM, two in USNORTHCOM, and one in USCENTCOM.

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Coronavirus Disease 2019 (COVID-19) Surveillance Summary #1

Report
2/4/2020

From mid-DEC to 24 JAN, Chinese health officials have reported 830 cases of infection (25 deaths, case fatality proportion 3%) with a novel coronavirus (2019-nCoV)in mainland China (29 provinces), with the majority (56%) of cases reported from the city of Wuhan in Hubei Province, the presumed epicenter of the outbreak.

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Coronavirus Disease 2019 (COVID-19) Surveillance Summary #2

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2/4/2020

From mid-DEC to 30 JAN, 8,124 cases of infection with a novel coronavirus (2019-nCoV), including171 deaths (case fatality proportion 2.1%) have been reported in mainland China. Additionally, 112 cases have been reported in 21 countries and regions outside of mainland China, including 15 countries/regions in USINDOPACOM, three in USEUCOM, two in USNORTHCOM, and one in USCENTCOM.

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Mid-season flu activity increase: How to keep healthy

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1/22/2020
Navy Hospital Corpsman Kenny Liu, from San Jose, assigned to USS Gerald R. Ford's medical department, prepares a needle with a flu vaccination in the ship's hangar bay. (U.S. Navy photo by Mass Communication Specialist Seaman Apprentice Angel Thuy Jaskuloski)

Despite reports of increased flu activity in the U.S., the Military Health System remains vigilant

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Armed Forces Reportable Medical Events Guidelines and Case Definitions

Publication
1/1/2020

A reportable event may represent an inherent, significant threat to public health and military operation. These events have the potential to affect large numbers of people, to be widely transmitted within a population, to have severe/life threatening clinical manifestations, and to disrupt military training and deployment. Timely, accurate reporting of probable, suspected or confirmed cases ensures proper identification, treatment, control, and follow-up of cases.

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Armed Forces Reportable Medical Events Guidelines and Case Definitions Memo

Policy

The Armed Forces Reportable Medical Events Guidelines and Case Definitions (RME Guidelines) standardize reporting and tracking of disease and other conditions of public health and military importance. Timely reporting permits earlier recognition of public health events and interventions to protect the health of the force.

Zika

Infographic
7/1/2019
Zika

Anopheles merus mosquito. (CDC photo by James Gathany)

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Cyclosporiasis

Infographic
6/1/2019
Cyclosporiasis

Outbreak of Cyclosporiasis in a U.S. Air Force Training Population, Joint Base San Antonio–Lackland, TX, 2018 While bacteria and viruses are the usual causes of gastrointestinal disease outbreaks, 2 Joint Base San Antonio (JBSA)– Lackland, TX, training populations experienced an outbreak of diarrheal illness caused by the parasite Cyclospora cayetanensis in June and July 2018. Cases were identified from outpatient medical records and responses to patient questionnaires.

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