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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.

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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

Launch Proposal Management Information SystemThe Proposal Management Information Solution (ProMIS) program is a web-based application used to track surveillance projects funded by AFHSB's Global Emerging Infections Surveillance (GEIS) Operations section. Investigators in the GEIS partner network submit proposals for funding through the system, and GEIS Operations monitors the progress of those projects.

Launch ProMIS

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.

Launch DMED

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Acute Flaccid Myelitis Case Reporting

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1/29/2019
Acute Flaccid Myelitis Case Reporting

This case highlights important clinical characteristics of acute flaccid myelitis and emphasizes the importance of including AFM in the differential diagnosis when evaluating active duty service members and Military Health System beneficiaries presenting with paralysis.

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Health Readiness | Armed Forces Health Surveillance Branch | Epidemiology and Analysis | Medical Surveillance Monthly Report | Public Health

Cardiovascular disease-related medical evacuations

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1/29/2019
Cardiovascular disease-related medical evacuations

This descriptive analysis summarizes the demographic characteristics, counts, rates and temporal trends for Cardiovascular disease-related medical evacuations from the CENTCOM area of responsibility. In addition, the percentage of those evacuated who had received pre-deployment diagnoses indicating cardiovascular risk is summarized. Responses to ...

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Non-alcoholic fatty liver disease

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1/29/2019
HPV

At the time of this report, there were no published studies of non-alcoholic fatty liver disease (NAFLD) incidence over time among active component U.S. military personnel. Examining the incidence rates of NAFLD and their temporal trends among active component U.S. military members can provide insights into the future burden of NAFLD on the MHS.

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Cold Weather Injuries

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11/20/2018
Cold Weather Injuries

This update summarizes the frequencies, incidence rates, and correlates of risk of cold injuries among members of both active and reserve components of the U.S. Armed Forces during the past 5 years.

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Rabies

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11/20/2018
Rabies

Although Germany is rabies-free for terrestrial land mammals, rabies exposure remains a concern for U.S. military personnel assigned there because of personal and military travel and deployments to rabies endemic countries. Deployments have become much more variable both in location and duration. Deployments have increasingly focused on enhancing ...

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Malaria

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11/20/2018
Malaria

This report describes a cluster of 11 soldiers with vivax malaria among U.S. military personnel who trained at Dagmar North training area, near the demilitarized zone (DMZ), in the Republic of Korea (ROK) in 2015.

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Pelvic Inflammatory Disease

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10/26/2018
Pelvic Inflammatory Disease

The purpose of this study was to update previous MSMR analyses of the incidence of acute Pelvic inflammatory disease (PID) among U.S. active component women using a 21-year surveillance period from 1996 through 2016. A secondary objective was to report on the proportion of service women with previously diagnosed PID who were subsequently diagnosed ...

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DoD Flu VE

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10/26/2018
DoD Flu VE

Each season, several entities within the(DoD) perform surveillance for influenza among beneficiaries and utilize these data to perform VE analyses to estimate how well the seasonal vaccine protects against medically-attended influenza.

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Psychiatric Medical Evaluations

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10/26/2018
Psychiatric Medical Evaluations

This study evaluated incidence of pre-deployment family problem diagnoses and psychiatric medical evacuations among a population of active component service members without a history of previous mental health diagnoses, who deployed to the U.S. Central Command Area of Responsibility for the first time between 1 January 2002 and 31 December 2014.

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CVD

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10/3/2018
CVD

As of part of WOMEN’S HEALTH MONTH, we focus on the findings related to female service members. If the risk factors are recognized, these service members can take steps to modify their lifestyles or obtain appropriate medical intervention, and reduce the likelihood of significant CVD while serving in the Armed Forces, and also after leaving service.

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Gynecologic Disorders

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10/3/2018
Gynecologic disorders are conditions that affect the female reproductive organs, including the uterus, ovaries, fallopian tubes, vagina, and vulva. As part of Women’s Health Month, this report describes the incidence and burden of four commonly occur-ring gynecologic disorders (menorrhagia, polycystic ovary syndrome (PCOS), uterine fibroids, and endometriosis) among active component service women from 2012 through 2016. This report also documents the number and percentage of women with co-occurring incident diagnoses during the surveillance period.

Gynecologic disorders are conditions that affect the female reproductive organs, including the uterus, ovaries, fallopian tubes, vagina, and vulva. As part of Women’s Health Month, this report describes the incidence and burden of four commonly occur-ring gynecologic disorders (menorrhagia, polycystic ovary syndrome (PCOS), uterine fibroids, and ...

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HPV

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10/3/2018
HPV

Genital human papillomavirus (HPV) is the most common sexually transmitted infection (STI) in the U.S.; HPV is the second most frequently diagnosed STI in U.S. military service members. Currently, HPV vaccine is not mandatory for U.S. military service members, but the Defense Health Agency and each individual service have policies encouraging and ...

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HPV

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9/24/2018
HPV

Genital human papillomavirus (HPV) is the most common sexually transmitted infection (STI) in the U.S., and is the second most frequently diagnosed STI in U.S. military service members. Currently, HPV is not a mandatory vaccine for U.S. military service. However, it is encouraged and offered to service members.

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Drowning

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9/24/2018
Drowning

Service members are at risk for unintentional drownings during training, occupational activities, and off-duty recreation. In the U.S., unintentional drowning ranks as the fifth leading cause of unintentional injury death and accounted for an average of 3,558 deaths (non-boating related) annually between 2007 and 2016. The current analysis extends ...

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HIV

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9/24/2018
HIV

As part of the U.S. military’s total-force HIV screening program, civilian applicants for military service are screened for antibodies to HIV during pre-accession medical examinations. Infection with HIV is medically disqualifying for entry into U.S. military service. Since 1986, all members of the active and reserve components of the U.S. Armed ...

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