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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

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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Zika in the Americas: August 24, 2016

Report
8/24/2016

This is a biosurveillance summary of Zika in the Americas as of August, 24, 2016. As of 24 AUG, there are 95 (+20) confirmed Zika virus (ZIKV) disease cases in Military Health System (MHS) beneficiaries (see table for details), including one case in a pregnant Service member and one case in a dependent.

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Zika in the Americas: August 17, 2016

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8/17/2016

This is a biosurveillance summary of Zika in the Americas as of August, 17, 2016. As of 28 JUL, Puerto Rico DOH reported 10,690 (+1,924) confirmed ZIKV disease cases (2 deaths), with 1,035 (+134) cases in pregnant women. The U.S. Virgin Islands (USVI) DOH reported 79 confirmed cases to PAHO as of 11 AUG.

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AFHSB deputy director reflects on career in DoD medical health surveillance

Photo
8/16/2016
Dr. Jose "Toti" Sanchez, deputy director of AFHSB, delivers presentation at African Partner Outbreak Response Alliance sponsored by U.S. Africa Command in support of military medical surveillance. (Courtesy Photo)

Dr.Jose "Toti" Sanchez, deputy director of AFHSB, delivers a presentation at the African Partner Outbreak Response Alliance sponsored by U.S. Africa Command in support of military medical surveillance. (Courtesy Photo)

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AFHSB deputy director reflects on career in military medical surveillance

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8/16/2016
Dr. Jose "Toti" Sanchez, deputy director of AFHSB, delivers presentation at African Partner Outbreak Response Alliance sponsored by U.S. Africa Command in support of military medical surveillance. (Courtesy Photo)

The Armed Forces Health Surveillance Branch is running a series featuring its preventive medicine doctors and how it influences their work. Dr. Jose Sanchez began his career in epidemiology and public health in 1980 as an Army public health officer. Known to his colleagues as “Toti,” Dr. Sanchez is now AFHSB’s Deputy Chief. He reflects on his past ...

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Zika in the Americas: August 10, 2016

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8/10/2016

This is a biosurveillance summary of Zika in the Americas as of August, 10, 2016. As of 10 AUG, there are 69 confirmed Zika virus (ZIKV) cases in Military Health System (MHS) beneficiaries, including 52 Service members, nine dependents, and eight retirees. There is one confirmed case in a pregnant service member. Read more:

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H7N9: August 3, 2016

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8/3/2016

This is a biosurveillance summary of Avian Influenza A (H7N9) Surveillance Summary #64: August 3, 2016, as reported by the Armed Forces Health Surveillance Branch. As of 3 AUG 2016, there have been 859 (+5) human cases of avian influenza A (H7N9), including 315 (+3) deaths, in China (+5), Hong Kong, Taiwan, Malaysia, and Canada. Read more:

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Zika in the Americas: August 3, 2016

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8/3/2016

This is a biosurveillance summary of Zika in the Americas as of August, 3, 2016. As of 1 AUG, there are 56 confirmed Zika virus (ZIKV) cases, including 41 in Military Health System (MHS) beneficiaries. There is one confirmed case in a pregnant service member. All cases were acquired OCONUS, with 29 reported from Puerto Rico. Read more:

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Department of Defense Serum Repository

Infographic
8/3/2016
The Department of Defense Serum Repository is a longitudinal serum repository that serves as a central archive of sera drawn from Service members for medical surveillance purposes. As the world’s largest repository of its kind, the DoDSR has greatly contributed to a better understanding of the etiology of health conditions that would otherwise not be amenable to prospective study.  More on the DODSR  •	The DoDSR stores more than 60 million serial serum specimens from more than 10 million active duty and reserve service members throughout their careers. •	Since 1990, sera remaining after routine HIV-1 antibody testing and sera collected before and after major deployments have been forwarded to the DoDSR. •	All serial serum specimens stored in the DoDSR are linkable to data in the Defense Medical Surveillance System (DMSS) – the central repository of military and medical surveillance data of U.S. service members. •	At the repository, specimens are stored in precisely documented locations in walk-in freezers at -30 Celsius. •	The DoDSR adds a powerful sero epidemiological capability to overall military health surveillance with linkage of data relevant to individual characteristics, exposure states, medical events, and specimens. •	As a result, studies that used to require months to years, if feasible and affordable at all, can now be conducted in days to weeks by in-house epidemiologists.  Over time, the serum repository will increase in its value as new etiologic hypotheses are developed, as technologies for detecting biological markers in sera are improved, and as medical events accrue among aging cohorts of contributors. Follow us on Twitter for more info: @AFHSBPAGE

The Department of Defense Serum Repository is a longitudinal serum repository that serves as a cental archive of sera drawn from Service members for medical surveillance purposes.

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Zika in the Americas: July 27, 2016

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7/27/2016

This is a biosurveillance summary of Zika in the Americas as of July 27, 2016. As per the AFHSB updated guidance for detecting and reporting DoD cases of ZIKV disease, confirmed and probable cases should be reported in DRSi as “Any Other Unusual Condition Not Listed,” with “Zika” entered in the comment field along with pertinent travel history and ...

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Hidden gem strengthens cutting-edge DoD research

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7/27/2016
Inventory technician Marcus Gunther works inside one of the state-of-the-art freezers that house more than 60 million serum specimens collected from more than 10 million active duty and reserve service members in support of military medical surveillance. (Courtesy photo)

The DoD Serum Repository is the world’s largest repository of its kind, storing more than 60 million vials of blood serum from more than 10 million active duty and reserve service members

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Zika in the Americas: July 20, 2016

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7/20/2016

This is a biosurveillance summary of Zika in the Americas as of July 20, 2016. From 1 MAY 2015 to 20 JUL 2016, confirmed autochthonous vector-borne transmission of Zika virus (ZIKV) has been reported in 42 (+1, Saba) countries and territories in the Western Hemisphere. Read more:

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Zika in the Americas: July 13, 2016

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7/13/2016

This is a biosurveillance summary of Zika in the Americas as of July 13, 2016. From 1 MAY 2015 to 13 JUL 2016, confirmed autochthonous vector-borne transmission of Zika virus (ZIKV) has been reported in 41 (+1, St. Eustatius) countries and territories in the Western Hemisphere. Read more:

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Preserving the Health of U.S. Armed Forces with DMSS and DoDSR

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7/13/2016
The Defense Medical Surveillance System (DMSS) and the DoD Serum Repository (DoDSR) provide unprecedented capabilities for conducting comprehensive population-based surveillance of the U.S. Armed Forces while protecting the privacy and confidentiality of service members. The systems together provide glimpses of the capabilities and potential uses of public health surveillance systems of the future.  The research advantages of the DMSS and DoDSR The DMSS and DoDSR enable researchers to focus time and attention on solving methodological problems, interpreting results, producing summaries and reports.  DMSS includes personnel data, medical data, laboratory data, deployment data, and DoDSR data. Benefactors of the DMSS and DoDSR are epidemiologists, preventive medicine doctors, data analysts, DoD policy makers, Military Commanders and public health officers. Learn how to harness the full value of the DMSS and DoDSR at www.Health.mil/AFHSB

The Defense Medical Surveillance System (DMSS) and the DoD Serum Repository (DoDSR) provide unprecedented capabilities for conducting comprehensive population-based surveillance of the U.S. Armed Forces.

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H7N9: July 6, 2016

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7/6/2016

This is a biosurveillance summary of Avian Influenza A (H7N9) Surveillance Summary #63: July 6, 2016, as reported by the Armed Forces Health Surveillance Branch. As of 6 JUL 2016, there have been 854 (+9) human cases of avian influenza A (H7N9), including 312 (+2) deaths, in China (+9), Hong Kong, Taiwan, Malaysia, and Canada. Read more:

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Zika in the Americas: July 6, 2016

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7/6/2016

This is a biosurveillance summary of Zika in the Americas as of July 6, 2016. From 1 MAY 2015 to 6 JUL 2016, confirmed autochthonous vector-borne transmission of Zika virus (ZIKV) has been reported in 40 countries and territories in the Western Hemisphere. In AFRICOM, Cape Verde reported 7,580 cases as of 8 JUN. Read more:

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