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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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GEIS funds medical surveillance at military laboratories to assist Combatant Commands

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12/14/2017
Nazia Rahman, right, manager of the Uniformed Services University’s Neisseria gonorrhoeae (GC) Repository, discusses a poster on the sexually-transmitted infection with U.S. Air Force Major Trinette Flowers-Torres, lead for GEIS’s Antimicrobial Resistance (AMR) Focus Area, left, and Navy Commander Franca Jones, front, chief of GEIS, examine poster on AMR surveillance. (AFHSB photo by Briana Booker).

At the crux of infectious disease surveillance is the Armed Forces Health Surveillance Branch’s (AFHSB) Global Emerging Infections Surveillance (GEIS) Section that funds the majority of surveillance at military laboratories. Learn about AFHSB's role as a Combat Support Agency within the Defense Health Agency (DHA).

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AFHSB's health surveillance program supports Defense Department global health engagement efforts

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11/30/2017
U.S. Air Force Senior Airman Joshua Douglass, left, an aerospace medical technician, watches as Liberian health care workers properly put on their personal protective equipment as part response by the Defense Department operation to provide logistics, training and engineering support during the Ebola virus outbreak. (U.S. Army photo by Staff Sgt. Terrance D. Rhodes)

Navy Commander Franca R. Jones, chief of the Global Emerging Infections section at the Armed Forces Health Surveillance Branch (AFHSB) discusses how AFHSB's health surveillance program supports the Defense Department global health engagement efforts.

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Military infectious disease surveillance guards service members against illness

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8/23/2017
GEIS laboratory partners conduct surveillance of vector-borne diseases that are transmitted to humans, animals, and plants through arthropods such as mosquitoes. A U.S. Air Force Senior Airman sets up a dry ice trap to catch mosquitoes to test for viruses.

Susceptibility to infectious disease has long been a concern of the military, threatening the health and readiness of service members

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Exertional heat injuries pose annual threat to U.S. service members

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7/20/2017
Two U.S. service members perform duties in warm weather where they may be exposed to extreme heat conditions and a higher risk of heat illness.

Exertional heat injuries pose annual threat to U.S. service members, according to a study published in Defense Health Agency’s Armed Forces Health Surveillance Branch (AFHSB) peer-reviewed journal, the Medical Surveillance Monthly Report.

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2016 marks first year of zero combat amputations since the start of the Afghan, Iraq wars

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3/28/2017
An analysis by the Medical Surveillance Monthly Report recently reported 2016 marks the first year without combat amputations since the wars in Afghanistan and Iraq began. U.S. Armed Forces are at risk for traumatic amputations of limbs during combat deployments and other work hazards. (DoD photo)

An analysis by the Medical Surveillance Monthly Report (MSMR) recently reported 2016 marks the first year of zero combat amputations since the wars in Afghanistan and Iraq began.

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One Health concept highlights collaboration as key

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1/24/2017
Given its nature and the potential for pandemics, flu is of particular concern regarding Force Health Protection and global health. Navy Petty Officer 3rd Class Esteven Baca, from the immunizations department at Naval Hospital Pensacola, administers a flu shot to Lt. Alison Malloy, Staff Judge Advocate for the Center for Information Warfare Training. (U.S. Navy photo by Petty Officer 3rd Class Taylor L. Jackson)

Experts, including those at the Defense Health Agency’s Public Health Division, are integrating human medicine, animal health and environmental science to prevent and treat the flu, as well as other serious public health threats

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Cold injuries among active duty U.S. service members drop to lowest level since winter 2011–2012

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1/23/2017
U.S. service members often perform duties in cold weather climates where they may be exposed to frigid conditions and possible injury.

Cold injuries among active duty U.S. service members drop to the lowest level since winter 2011-2012, according to a study published in Defense Health Agency’s Armed Forces Health Surveillance Branch (AFHSB) peer-reviewed journal, the Medical Surveillance Monthly Report.

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Strategies for disease containment: DoD utilization of global health principles

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

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11/16/2016
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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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Safeguarding readiness during winter

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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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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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Department of Defense continues commitment to Global Health Security Agenda

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Dr. Karen Guice, acting assistant secretary of Defense for Health Affairs, addressed attendees on the second day of the 2016 Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury (TBI) Summit Sept. 14, 2016.

Department of Defense and other senior U.S. government leaders travel to the Netherlands to attend a summit on the Global Health Security Agenda

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Preventive medicine helps shape surveillance efforts to keep service members healthy

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8/30/2016
Colonel Loveless discusses with staff medical surveillance analysis that helps maintain force health protection and readiness among service members (Courtesy Photo)

The Armed Forces Health Surveillance Branch is running a series featuring preventive medicine doctors and their work in public health. Army Lieutenant Colonel P. Ann Loveless is the Chief of Satellite Support for AFHSB’s Epidemiology and Analysis section. She is a physician and holds a master’s degree in epidemiology. She reflects on how her ...

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USU preventive medicine resident reflects on epidemiology rotation at AFHSB

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Lieutenant-Commander Vincent Beswick-Escanlar, a recent graduate of the preventive medicine residency at the Uniformed Services University of the Health Sciences (USU), presents a poster at its Research Days event.

The Armed Forces Health Surveillance Branch is running a series featuring preventive medicine doctors and their work in public health. Lieutenant-Commander Vincent Beswick-Escanlar is a recent graduate of the preventive medicine residency at the Uniformed Services University of the Health Sciences (USU). As part of the USU program, Beswick-Escanlar ...

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AFHSB deputy director reflects on career in military medical surveillance

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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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