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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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Strategies for disease containment: DoD utilization of global health principles

Article
12/5/2016
Rift Valley fever is an acute, febrile and viral infection first identified in livestock within Kenya’s Great Rift Valley in 1910.

Changes in climate, globalization and human migration have had an impact on the kinds of interactions between people, animals, and their environment. Learn how the DoD utilizes global health principles to predict, mitigate disease outbreaks like Rift Valley Fever.

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Armed Forces Health Surveillance Branch | Integrated Biosurveillance

Rift Valley Fever Virus Ecology

Infographic
12/5/2016
This infographic describes Rift Valley Fever (RVF) virus ecology and how RVF infects livestock and humans.   •	First the enzootic cycle begins. It is maintained via transfer from parent mosquito to offspring. This is a local, low-level transfer of disease to livestock and happens during periods of average rainfall. •	Next, high rainfall and flooding enable Aedes mosquito breeding environments to flourish. This is followed by epizootic outbreaks, which cause abortion storms in animals, with > 90% mortality in newborns and 10-20% mortality in adults. Secondary vectors, including other mosquito genera such as Culex, can pass on the virus to humans and animals.  Spillover to humans includes exposure to blood and tissue of infected livestock and occurs during slaughter or birthing activities. Humans can also be infected with RVF via bites of infected mosquitos.

This infographic describes Rift Valley Fever (RVF) virus ecology and how RVF infects livestock and humans.

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Armed Forces Health Surveillance Branch | Mosquito-Borne Illnesses

Zika in the Americas: November 30, 2016

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11/30/2016

This is a biosurveillance summary of Zika in the Americas as of November 30, 2016. As of 1300 on 30 NOV, there have been 156 confirmed Zika virus (ZIKV) disease cases (see table) since the first case was reported during the third week of 2016.

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Zika in the Americas: November 23, 2016

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11/23/2016

This is a biosurveillance summary of Zika in the Americas as of November 23, 2016. As of 1300 on 23 NOV, there have been 156 (+2) confirmed Zika virus (ZIKV) disease cases (see table) since the first case was reported during the third week of 2016.

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Global Influenza Summary: November 20, 2016

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11/20/2016

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Respiratory infections surveillance program aims to keep service members ready to serve

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11/16/2016
U.S. Air Force Staff Sgt. Bianca Raleigh, 31st Medical Operations Squadron, allergy and immunizations, administers a patient's shot, at Aviano Air Base, Italy. (U.S. Air Force photo by Senior Airman Areca T. Wilson)

Respiratory infections pose a significant risk to service members and their families. The start of the flu season marks a busy period for the Armed Forces Health Surveillance Branch’s (AFHSB) respiratory infections surveillance program that conducts tests to identify influenza and other respiratory pathogens in an effort minimize their impact on the ...

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Armed Forces Health Surveillance Branch | Epidemiology and Analysis | Global Emerging Infections Surveillance

Zika in the Americas: November 16, 2016

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11/16/2016

This is a biosurveillance summary of Zika in the Americas as of November 16, 2016. As of 1300 on 16 NOV, there have been 154 (+3) confirmed Zika virus (ZIKV) disease cases in Military Health System (MHS) beneficiaries (see table) since the first case was reported during the third week of 2016.

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Global Influenza Summary: November 13, 2016

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11/13/2016

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Zika in the Americas: November 9, 2016

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11/9/2016

This is a biosurveillance summary of Zika in the Americas as of November 9, 2016. As of 1300 on 9 NOV, there have been 151 (+2) confirmed Zika virus (ZIKV) disease cases in Military Health System (MHS) beneficiaries (see table) since the first case was reported during the third week of 2016.

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Global Influenza Summary: November 6, 2016

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11/6/2016

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Zika in the Americas: November 2, 2016

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11/2/2016

This is a biosurveillance summary of Zika in the Americas as of November 2, 2016. As of 1300 on 2 NOV, there have been 149 (+6) confirmed Zika virus (ZIKV) disease cases in Military Health System (MHS) beneficiaries (see table) since the first case was reported during the third week of 2016.

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Zika in the Americas: October 26, 2016

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10/26/2016

This is a biosurveillance summary of Zika in the Americas as of October 26, 2, 2016. As of 1300 on 26 OCT, there have been 143 (+2) confirmed Zika virus (ZIKV) disease cases in Military Health System (MHS) beneficiaries (see table) since the first case was reported during the third week of 2016.

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Safeguarding readiness during winter

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10/24/2016
Although anyone can suffer a cold weather injury, some Soldiers are more at risk than others. Previous cold weather injuries, drinking alcohol, using nicotine, dehydration and long exposure to the cold are some of the factors that could jeopardize a Soldier's health. (U.S. Army photo by Spc. Wayne Becton)

As cooler weather approaches, it's crucial that Soldiers understand the importance of protecting themselves to avoid becoming a cold weather injury statistic

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Blood and tissue samples help DoD make major contribution to Cancer Moonshot

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10/20/2016
Army Col. Craig Shriver is director of the John P. Murtha Cancer Center at Walter Reed National Military Medical Center in Bethesda, Maryland.

For more than 25 years, the military has collected and stored blood serum from all of its members and tissues from many. All that material is now playing a key role in the national Cancer Moonshot.

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Zika in the Americas: October 19, 2016

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10/19/2016

Biosurveillance Summary Provided by the Armed Forces Health Surveillance Branch

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