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Global Health Engagement

The Department of Defense executes Global Health Engagement or "GHE" activities to establish and improve the capabilities of Partner Nations' military or civilian health sectors, or those of the DoD. 

Global Health Engagement Spotlight

DoD's GHE activities advance operational readiness and protect our troops, build interoperability so we can work more effectively with the armed forces of our partner nations, and enhance security cooperation so DoD can establish and maintain strong relationships around the world.  A key enabler to regional stability and security for DoD's combatant commands, GHE reduces risks to U.S. armed forces while fostering mission capability of partner nations' forces so that together, we can continue working effectively to defend global interests. 

Read more about the DoD's policy for Global Health Engagement

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Department of Defense Global, Laboratory-based Influenza Surveillance Program’s Influenza vaccine effectiveness estimates and surveillance trends, 2016 – 2017 Influenza Season

Infographic
2/5/2018
Each year, the Department of Defense (DoD) Global, Laboratory-based Influenza Surveillance Program performs surveillance for influenza among service members of the DoD and their dependent family members. In addition to routine surveillance, vaccine effectiveness (VE) studies are performed and results are shared with the Food and Drug Administration, Centers for Disease Control and Prevention, and the World Health Organization for vaccine evaluation. This report documents the annual surveillance trends for the 2016 – 2017 influenza season and the end-of-season VE results. The analysis was performed by the U.S. Air Force School of Aerospace Medicine Epidemiology Laboratory, and the DoD Influenza Surveillance Program staff at Wright-Patterson Air Force Base, OH. FINDINGS: A total of 5,555 specimens were tested from 84 locations: •	2,486 (44.7%) negative •	1,382 (24.9%) influenza A •	1,093 (19.7%) other respiratory pathogens •	443 (8.0%) influenza B •	151 (2.7%) co-infections The predominant influenza strain was A (H3N2), representing 73.8% of all circulating influenza. Pie chart displays this information. Graph showing the numbers and percentages of respiratory specimens positive for influenza viruses, and numbers of influenza viruses identified, by type, by surveillance week, Department of Defense healthcare beneficiaries, 2016 – 2017 influenza season displays. The vaccine effectiveness (VE) for this season was slightly lower than for the 2015 – 2016 season, which had a 63% (95% confidence interval: 53% - 71%) adjusted VE. The adjusted VE for the 2016 – 2017 season was 48% protective against all types of influenza.  Access the full report in the January 2018 MSMR (Vol. 25, No. 1). Go to: www.Health.mil/MSMR

This infographic documents the annual surveillance trends for the 2016 – 2017 influenza season and the end-of-season vaccine effectiveness.

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Health Readiness | Influenza Summary and Reports | Medical Surveillance Monthly Report | Vaccine-Preventable Diseases | Force Health Protection | Armed Forces Health Surveillance Branch

Review of the U.S. Military’s Human Immunodeficiency Virus program: A legacy of the progress and a future of promise

Infographic
10/3/2017
HIV infection is a threat of the Department of Defense (DoD) because sexually active service members and their beneficiaries are stationed throughout the U.S. and around the globe, including in areas with high rates of HIV transmission. Fortunately, blood testing and a negative test result for HIV infection are required for entry into military service. All U.S. military service members must undergo testing for HIV infection every 2 years. As a result, the incidence and prevalence of HIV in the DoD remains much lower than in the U.S. civilian population.

This infographic documents the incidence and prevalence of the human immunodeficiency virus (HIV) among service members, active and reserve components, of the U.S. Armed Forces, 1990 – 2017.

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HIV/AIDS Prevention and Treatment | Armed Forces Health Surveillance Branch

Routine Screening for HIV Antibodies Among Male Civilian Applicants

Infographic
3/24/2017
This graphic shows the results of routine screening for antibodies to Human Immunodeficiency Virus (HIV) among both male civilian applicants for U.S. military service and male service members of the U.S. Armed Forces, active component - Army during  January 2015 through June 2016 surveillance period. 368,369 males out of 463,132 civilian applicants for U.S. military service were tested for antibodies to HIV. Out of 124 civilian applicants that were HIV positive, 114 were male. Throughout the period, seroprevalences were much higher among males than females.  As for U.S. Armed Forces active component, 467,011 male service members out of 548,974 were tested for antibodies to HIV. Out of 120 soldiers that were HIV positive 117 were male. Annual seroprevalences for male active component Army members greatly exceed those of females. During the 2015, on average, one new HIV infection was detected among active duty army soldiers per 5,265 screening tests.  HIV-1 is the cause of Acquired Immune Deficiency Syndrome (AIDS) and has had major impacts on the health of populations and on healthcare systems worldwide. Of 515 active component soldiers diagnosed with HIV infections since 2011, a total of 291 (57%) were still in the military. Get tested and learn more by reading the Medical Surveillance Monthly Report at Health.Mil/MSMR.

Since October 1985, the U.S. military has conducted routine screening for antibodies to Human immunodeficiency virus type 1 (HIV-1) to enable adequate, timely medical evaluations, treatment and counseling, and protect the battlefield blood supply. This infographic provides information on routine screening for antibodies to HIV among male civilian applicants of the U.S. Military Service and U.S. Armed Forces, January 2011 – June 2016.

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Armed Forces Health Surveillance Branch | Men's Health | HIV/AIDS Prevention and Treatment

Routine Screening for Antibodies to Human Immunodeficiency Virus

Infographic
3/17/2017
The Human immunodeficiency virus type 1 (HIV-1) is the cause of Acquired immune deficiency syndrome (AIDS) and has had major impacts on the health of populations and on healthcare systems worldwide. This infographic provides an update on routine screening for antibodies to HIV among civilian applicants for the U.S. military service and U.S. Armed Forces during a January 2011 - June 2016 surveillance period.  Since October 1985, the U.S. military has conducted routine screening for antibodies to HIV-1 to enable adequate and timely medical evaluations, treatment and counseling; to prevent unwitting transmission; and protect the battlefield blood supply. From January 2015 through June 2016, 463,132 civilian applicants for U.S. military service were tested. 124 were identified as HIV antibody positive. During 2015, one was detected with antibodies to HIV per 3,267 screening tests. Annual seroprevalences peaked in 2015, up 29% from 2014. The seroprevalences were much higher among males than females and among black, non-Hispanics than other race/ethnicity groups. Seroprevalences decreased by approximately 26% among male applicants, dropped to zero among female applicants, and decreased by 43% among black, non-Hispanic applicants.  As for the active component of the U.S. Army, 548,974 soldiers were tested from January 2015 through June 2016. 120 were identified as HIV antibody positive. During 2015, one was detected with antibodies to HIV per 5,265 screening tests. Of the 515 active component soldiers diagnosed with HIV infections since 2011, a total of 291 (57%) were still in military service in 2016. Annual seroprevalences for male active component Army members greatly exceed those of females.  Among active and reserve component service members, seroprevalences continue to be higher among Army and Navy members and males than their respective counterparts. Service members who are infected with HIV receive clinical assessments, treatments, and counseling; they may remain in service as long as they are capable of performing their military duties. Learn more at Health.mil/AFHSB

The Human immunodeficiency virus type 1 (HIV-1) is the cause of Acquired immune deficiency syndrome (AIDS) and has had major impacts on the health of populations and on healthcare systems worldwide. This infographic provides an update on routine screening for antibodies to HIV among civilian applicants for the U.S. military service and U.S. Armed Forces during a January 2011 - June 2016 surveillance period.

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Armed Forces Health Surveillance Branch | HIV/AIDS Prevention and Treatment

March 10 is National Women & Girls HIV/AIDS Awareness Day

Infographic
3/3/2017
This graphic shows the results of routine screening for antibodies to Human Immunodeficiency Virus (HIV) among both female civilian applicants for U.S. military service and female service members of the U.S. Armed Forces, active component - Army during  January 2015 through June 2016 surveillance period. 94,763 females out of 463,132 civilian applicants for U.S. military service were tested for antibodies to HIV. Out of 124 civilian applicants that were HIV positive, 10 were female. Throughout the period, seroprevalences were much higher among males than females.  During 2015 – 2016 seroprevalences dropped to zero among female applicants.  As for U.S. Armed Forces active component, 81,963 female service members out of 548,974 were tested for antibodies to HIV. Out of 120 soldiers that were HIV positive 3 were female. Annual seroprevalences for male active component Army members greatly exceed those of females. During the 2015, on average, one new HIV infection was detected among active duty army soldiers per 5,265 screening tests.  HIV-1 is the cause of Acquired Immune Deficiency Syndrome (AIDS) and has had major impacts on the health of populations and on healthcare systems worldwide. Of 515 active component soldiers diagnosed with HIV infections since 2011, a total of 291 (57%) were still in the military. Get tested and learn more by reading the Medical Surveillance Monthly Report at Health.Mil/MSMR.

Human Immunodeficiency Virus type 1 (HIV-1) is the cause of Acquired Immune Deficiency Syndrome (AIDS) and has had major impacts on the health of populations and on healthcare systems worldwide. This infographic provides information on routine screening for antibodies to HIV among female civilian applicants of the U.S. Military Service and U.S. Armed Forces, January 2011 – June 2016.

Recommended Content:

Armed Forces Health Surveillance Branch | HIV/AIDS Prevention and Treatment

HIV and AIDS in the U.S. Military

Infographic
6/27/2016
June 27th is National HIV Testing Day. HIV-1 infection is a major health importance for the U.S. military. Since the start of HIV-1 military health surveillance analysis during 1990-2013, service members diagnosed with the HIV-1 infection in recent years have remained longer in U.S. Armed Forces.  There were a total of 5,227 new diagnoses in 24-years of surveillance. The August 2015 Medical Surveillance Monthly Report (MSMR) reported that “Estimated median durations of service after initial HIV-1 diagnoses ranged from 2.29 years in Cohort 1 ( 1990-1994) to 3.65 years in Cohort 4 (2005-2009). Thus, in the 15 years between 1990-1994 and 2005-2009, the median durations of service after HIV-1 diagnoses increased by 1.4 years.” Factors contributing to longer service include: •	Availability and effectiveness of HIV treatments •	Decline in stigmas associated with diagnosis of the HIV infection •	Changes in U.S. military policy that allow the LGBT community to serve in its ranks  Note: Service members who are diagnosed with HIV-1 infections, regardless of their sexual orientations, may elect to continue their military service careers.  Get tested today – it’s the only way to know. Early HIV testing helps to prevent transmission and lowers the risk of severe health complications. Follow us on Twitter for more information: @AFHSBPAGE  Also on Twitter: National HIV Testing Day #NHTD

June 27th is National HIV Testing Day. HIV-1 infection is a major health importance for the U.S. military. Since the start of HIV-1 military health surveillance analysis during 1990-2013, service members diagnosed with the HIV-1 infection in recent years have remained longer in U.S. Armed Forces.

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Armed Forces Health Surveillance Branch | HIV/AIDS Prevention and Treatment

Global Health Engagement Month #3

Infographic
12/29/2015
infographic for global health engagement

A healthy partner is a stable partner! Supporting partner nations' health system capacities is a critical element of global health engagement.

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Health Readiness | Global Health Engagement

Global Health Engagement Month #2

Infographic
12/14/2015
Inforgraphic for Global Health Engagement Month

Helping partner nations to build and sustain their health system capacities promotes health security around the world. Global health engagement helps to prevent, detect, and respond to biological threats before they develop into global public health issues.

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Global Health Engagement | Force Health Protection

Global Health Engagement Month #1

Infographic
12/7/2015
Infographic about Global Health Engagement

Global Health Engagement supports Force Health Protection through vaccines and medical countermeasures, active surveillance of emerging infectious diseases and engagement with partner nations.

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Global Health Engagement | Force Health Protection
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