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Epidemiology and Analysis

Beneficiaries of Epidemiology and Analysis Surveillance Report from the U.S. military

The Epidemiology and Analysis (E&A) section performs comprehensive surveillance and analyses of health-related information among military service members and military-associated populations. The E&A section also provides oversight and direction to the Armed Forces Health Surveillance Branch (AFHSB) satellites located at Aberdeen Proving Ground, Md.; Dayton, Ohio; and Portsmouth,Va. The satellites have direct interaction with the U.S. military services public health and epidemiology centers, and provide coordinated support and reports for AFHSB and the military services.

E&A leverages two major health surveillance tools maintained by AFHSB's Data Management and Technical Support section to help its staff of epidemiologists, preventive medicine physicians, and data analysts provide timely analyses and reports of actionable health information:

The use of these tools allows E&A to provide health surveillance products to DoD policymakers, military commanders, health care providers, public health officers, and researchers.

E&A's main lines of effort are:

Visual examples of DMSS Reports from the Epidemiology and Analysis Section  at AFHSB

Surveillance Data and DoDSR Serum Requests

The E&A section receives requests for DMSS data and DoDSR serum specimens from numerous DoD health surveillance professionals and researchers by email. These requests focus on ensuring the health of the U.S. military. To request data, please fill out this form. Each request is evaluated for factors such as military relevance, status as research versus public health practice, scientific integrity, and feasibility. Past requests have involved:

  • Tracking service members' health status before and after deployment
  • Communicable diseases
  • Chronic illness and injuries
  • Vaccination rates as well as vaccine effectiveness and safety
  • Sero-epidemiologic surveillance and research studies

To make a request for data, analysis or serum, the requester must meet certain criteria including:

  • A requester must be a military service member or government employee working for a U.S. military organization.
  • The study/ analysis must address a military-relevant topic.
  • The types of requests made to the AFHSB include: Operational Public Health Practice, Research Support, and Clinical Support.

Learn More About E&A

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Staphylococcus

Infographic
8/27/2018
Staphylococcus

Staphylococcus: Staphylococcus aureus is a major cause of skin and soft tissue infection (SSTI). Military personnel in congregate settings (e.g., training, deployment) are at increased risk for S. aureus colonization and SSTI. For a 7-month period in 2016, an observational cohort study of S. aureus colonization and SSTI among U.S. Navy submariners was ...

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Food Allergy

Infographic
7/25/2018
Individuals with a history of food-allergy anaphylaxis or a systemic reaction to food do not meet military accession or retention standards and require a waiver in order to serve in the military.  First-line treatment for anaphylaxis includes rapid administration of epinephrine.

Individuals with a history of food-allergy anaphylaxis or a systemic reaction to food do not meet military accession or retention standards and require a waiver in order to serve in the military. First-line treatment for anaphylaxis includes rapid administration of epinephrine.

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Acute Injuries

Infographic
7/25/2018
Service members in the U.S. Armed Forces frequently engage in high levels of physical activity to perform their duties, and such activity can potentially result in training- or duty-related injury.  This report summarizes the incidence, trends, types, external causes, and dispositions of acute injuries among active component U.S. service members over a 10-year surveillance period.

Service members in the U.S. Armed Forces frequently engage in high levels of physical activity to perform their duties, and such activity can potentially result in training- or duty-related injury. This report summarizes the incidence, trends, types, external causes, and dispositions of acute injuries among active component U.S. service members over ...

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Department of Defense Midseason Vaccine Effectiveness Estimates for the 2017-2018 Influenza Season

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7/3/2018
Department of Defense Midseason Vaccine Effectiveness Estimates for the 2017-2018 Season, U.S. Armed Forces, 2000–2015 Vaccine Effectiveness

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Morbidity Burdens Attributable to Various Illnesses and Injuries

Infographic
5/23/2018
Morbidity Burdens Attributable to Various Illnesses and Injuries, Deployed Active and Reserve Component Service Member, U.S. Armed Forces, 2017

Morbidity Burdens Attributable to Various Illnesses and Injuries, Deployed Active and Reserve Component Service Member, U.S. Armed Forces, 2017

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Ambulatory Visits, Active Component, U.S. Armed Forces, 2017

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5/23/2018
ACTIVE COMPONENT, U.S. ARMED FORCES, 2017  This report documents the frequencies, rates, trends, and characteristics of ambulatory healthcare visits of active component members of the U.S. Army, Navy, Air Force, and Marine Corps.

ACTIVE COMPONENT, U.S. ARMED FORCES, 2017 This report documents the frequencies, rates, trends, and characteristics of ambulatory healthcare visits of active component members of the U.S. Army, Navy, Air Force, and Marine Corps.

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Morbidity Burdens Attributable to Various Illnesses and Injuries, Deployed Active and Reserve Component Service Member, U.S. Armed Forces, 2017

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5/23/2018
Morbidity Burdens Attributable to Various Illnesses and Injuries, Deployed Active and Reserve Component Service Member, U.S. Armed Forces, 2017

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Absolute and Relative Morbidity Burdens, Attributable to Various Illnesses and Injuries, 2017

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5/23/2018
Absolute and Relative Morbidity Burdens, Attributable to Various Illnesses and Injuries, 2017

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Hospitalizations, Active Component, U.S. Armed Forces, 2017

Infographic
5/23/2018
This report documents the frequencies, rates, trends, and distributions of hospitalizations of active component members of the U.S. Army, Navy, Air Force, and Marine Corps during calendar year 2017.

This report documents the frequencies, rates, trends, and distributions of hospitalizations of active component members of the U.S. Army, Navy, Air Force, and Marine Corps during calendar year 2017.

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Heat Illness

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4/13/2018
Exertional, or exercise-associated, hyponatremia refers to a low serum, plasma, or blood sodium concentration (below 135 milliequivalents/liter) that develops during or up to 24 hours following prolonged physical activity.

There were a total of 2,163 incident cases of heat illness among active component service members, including 464 cases of heat stroke and 1,699 cases of heat exhaustion.

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Rhabdomyolysis

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4/13/2018
Rhabdomyolysis

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Hyponatremia

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4/13/2018
Exertional, or exercise-associated, hyponatremia refers to a low serum, plasma, or blood sodium concentration (below 135 milliequivalents/liter) that develops during or up to 24 hours following prolonged physical activity.

Exertional, or exercise-associated, hyponatremia refers to a low serum, plasma, or blood sodium concentration (below 135 milliequivalents/liter) that develops during or up to 24 hours following prolonged physical activity.

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Cardiovascular Diseases

Infographic
4/4/2018
At the time of entry into military service, many members of the U.S. Armed Forces are young, physically active, and in good physical health. However, following entry, many service members develop or are discovered to have risk factors for cardiovascular disease (CVD). This report documents the incidence and prevalence of select risk factors for CVD among active component (AC) service members and provides estimates of the incidence rates of major categories of cardiovascular diseases themselves.

At the time of entry into military service, many members of the U.S. Armed Forces are young, physically active, and in good physical health. However, following entry, many service members develop or are discovered to have risk factors for cardiovascular disease (CVD). This report documents the incidence and prevalence of select risk factors for CVD ...

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Mental Health Problems

Infographic
4/4/2018
This report summarizes the numbers, natures, and rates of incident mental health disorder diagnoses as well as mental health problems among active component U.S. service members during 2007–2016.

This report summarizes the numbers, natures, and rates of incident mental health disorder diagnoses as well as mental health problems among active component U.S. service members during 2007–2016.

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Surveillance for Vector-Borne Diseases, Active and Reserve Component Service Members, U.S. Armed Forces, 2010 – 2016

Infographic
2/14/2018
Within the U.S. Armed Forces considerable effort has been applied to the prevention and treatment of vector-borne diseases. A key component of that effort has been the surveillance of vector-borne diseases to inform the steps needed to identify where and when threats exist and to evaluate the impact of preventive measures. This report summarizes available health records information about the occurrence of vector-borne infectious diseases among members of the U.S. Armed Forces, during a recent 7-year surveillance period. For the 7-surveillance period, there were 1,436 confirmed cases of vector-borne diseases, 536 possible cases, and 8,667 suspected cases among service members of the active and reserve components. •	“Confirmed” case = confirmed reportable medical event. •	“Possible” case = hospitalization with a diagnosis for a vector-borne disease. •	“Suspected” case = either a non-confirmed reportable medical event or an outpatient medical encounter with a diagnosis of a vector-borne disease. Lyme disease (n=721) and malaria (n=346) were the most common diagnoses among confirmed and possible cases. •	In 2015, the annual numbers of confirmed case of Lyme disease were the fewest reported during the surveillance period. •	Diagnoses of Chikungunya (CHIK) and Zika (ZIKV) were elevated in the years following their respective entries into the Western Hemisphere: CHIK (2014 and 2015); ZIKV (2016). The available data reinforce the need for continued emphasis on the multidisciplinary preventive measures necessary to counter the ever-present threat of vector-borne disease. Access the full report in the February 2018 MSMR (Vol. 25, No. 2). Go to www.Health.mil/MSMR  Background graphic shows service member in the field and insects which spread vector borne diseases.

This infographic summarizes available health records information about the occurrence of vector-borne infectious diseases among members of the U.S. Armed Forces, during a recent 7-year surveillance period (2010 – 2016).

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