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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

Health Surveillance Explorer

The Health Surveillance Explorer (HSE) is a dynamic CAC-enabled mapping application that allows the Geo­graphic Combatant Commands (GCCs) to identify global health threats and disease outbreaks in near-real time. It provides timely, relevant and actionable health surveillance information to military leaders around the globe. The HSE makes it more efficient and effective to assemble surveillance data.

Launch HSE

Proposal Management Information System

Launch Proposal Management Information SystemThe Proposal Management Information System (ProMIS) program is a web-based application used to facilitate program management at the AFHSB's Global Emerging Infections Surveillance (GEIS) section. Investigators in the GEIS partner network submit proposals for funding consideration and GEIS operations staff monitors the progress of those projects.

Go to ProMIS

Defense Medical Epidemiology Database

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.

Go to DMED

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The HPV Vaccine Saves Lives

Infographic
5/16/2016
The Defense Department recommends male and female military service members, ages 17-26 years, receive an HPV vaccine series to generate a robust immune response to the quadrivalent human papillomavirus vaccine (HPV4). This graphic highlights information the benefits of the HPV vaccine. The vaccine is most effective among fully vaccinated individuals.   Cancer Prevention Facts •	HPV is the most common sexually  transmitted infection (STI) •	There are more than 40 HPV types that can infect the genital areas •	Some HPV types give warts •	Some HPV types develop cancer  Effective Against STI Transmission •	The HPV vaccine is a safe and effective way to protect yourself from the virus •	The HPV vaccine provides nearly 100% protection from HPV types 6,11,16 and 18 •	HPV vaccine shows early signs of success in reducing HPV infections and related illnesses •	Protection is expected to be long-lasting  Safety Tips •	Getting your HPV vaccine and practicing safe sex such as wearing a condom may lower the risk of HPV •	Limiting the number of lifetime sex partners can also lower the risk of HPV •	When given the HPV vaccine, the body makes antibodies in response to the protection to clear it from the body  Get the Facts •	2,091 female service members aged 17-26 years received 1-3 HPV4 doses during 2006-2012, stratified by number of doses (1, 2, or 3).  Get the HPV Vaccine •	Only 22.5% of eligible service members initiated the series •	Of those, only 39.1% completed the full three-dose series as of June 2011.  Even though the 3 dose regiment provides nearly complete protection against HPV16 and HPV18, in the U.S., only 12% and 19% of female adolescents among commercial and Medicaid plans respectively complete the series.  Read HPV Facts from the CDC: https://www.ok.gov/health2/documents/IMM_Teens_HPV_Facts.pdf  Read the STI issue of the Medical Surveillance Monthly Report at Health.Mil/MSMR   Get the conversation started. Ask your healthcare provider about the HPV vaccine today. Follow us on Twitter @AFHSBPAGE and use hashtag #VaccinesWork.

The Defense Department recommends male and female military service members, ages 17-26 years, receive an HPV vaccine series to generate a robust immune response to the quadrivalent human papillomavirus vaccine (HPV4).

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Study Finds Strong Immune Response to HPV Vaccine Among Female Service Members

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5/11/2016

A new study of female service members that examined their immune response to a vaccine to combat the sexually transmitted virus that causes cervical cancer showed development of antibodies in 80 to 99 percent of recipients against each of the four strains of the disease.

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MSMR Vol. 23 No. 7 - July 2016

Report
1/1/2016

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Increasing severity of traumatic brain injury is associated with an increased risk of subsequent headache or migraine: a retrospective cohort study of U.S. active duty service members, 2006–2015; Use of complementary health approaches at military treatment facilities, active component, U.S. Armed Forces, 2010–2015; Incident diagnoses of cancers in the active component and cancer-related deaths in the active and reserve components, U.S. Armed Forces, 2005–2014.

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MSMR Vol. 23 No. 4 - April 2016

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1/1/2016

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Absolute and relative morbidity burdens attributable to various illnesses and injuries, active component, U.S. Armed Forces, 2015; Hospitalizations among members of the active component, U.S. Armed Forces, 2015; Ambulatory visits among members of the active component, U.S. Armed Forces, 2015; Surveillance snapshot: Illness and injury burdens, reserve component, U.S. Armed Forces, 2015; Surveillance snapshot: Illness and injury burdens, recruit trainees, active component, U.S. Armed Forces, 2015; Absolute and relative morbidity burdens attributable to various illnesses and injuries, non-service member beneficiaries of the Military Health System, 2015.

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MSMR Vol. 23 No. 3 - March 2016

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1/1/2016

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: The DoD Global, Laboratory-based, Influenza Surveillance Program: summary for the 2013-2014 influenza season; Correlation between antimicrobial resistance in Escherichia coli infections in hospitalized patients and rates of inpatient prescriptions for selected antimicrobial agents, Department of Defense hospitals, 2010-2014; Brief report: The epidemiology of herpes simplex virus type 2 infections in a large cohort of HIV-infected patients, 2006-2014; Update: Heat injuries, active component, U.S. Army, Navy, Air Force, and Marine Corps, 2015; Update: Exertional rhabdomyolysis, active component, U.S. Army, Navy, Air Force, and Marine Corps, 2011-2015; Update: Exertional hyponatremia, active component, U.S. Army, Navy, Air Force, and Marine Corps, 2000-2015.

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Armed Forces Health Surveillance Center Annual Report

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12/15/2015

In this annual report, you will see that the Armed Forces Health Surveillance Center continued to make significant strides in supporting public health surveillance for the Department of Defense to maintain the health and readiness of its forces, and contribute to the global health security of its allies.

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Armed Forces Health Surveillance Branch | AFHSB Reports and Publications

The HPV Vaccine Saves Lives

Infographic
5/16/2016
The Defense Department recommends male and female military service members, ages 17-26 years, receive an HPV vaccine series to generate a robust immune response to the quadrivalent human papillomavirus vaccine (HPV4). This graphic highlights information the benefits of the HPV vaccine. The vaccine is most effective among fully vaccinated individuals.   Cancer Prevention Facts •	HPV is the most common sexually  transmitted infection (STI) •	There are more than 40 HPV types that can infect the genital areas •	Some HPV types give warts •	Some HPV types develop cancer  Effective Against STI Transmission •	The HPV vaccine is a safe and effective way to protect yourself from the virus •	The HPV vaccine provides nearly 100% protection from HPV types 6,11,16 and 18 •	HPV vaccine shows early signs of success in reducing HPV infections and related illnesses •	Protection is expected to be long-lasting  Safety Tips •	Getting your HPV vaccine and practicing safe sex such as wearing a condom may lower the risk of HPV •	Limiting the number of lifetime sex partners can also lower the risk of HPV •	When given the HPV vaccine, the body makes antibodies in response to the protection to clear it from the body  Get the Facts •	2,091 female service members aged 17-26 years received 1-3 HPV4 doses during 2006-2012, stratified by number of doses (1, 2, or 3).  Get the HPV Vaccine •	Only 22.5% of eligible service members initiated the series •	Of those, only 39.1% completed the full three-dose series as of June 2011.  Even though the 3 dose regiment provides nearly complete protection against HPV16 and HPV18, in the U.S., only 12% and 19% of female adolescents among commercial and Medicaid plans respectively complete the series.  Read HPV Facts from the CDC: https://www.ok.gov/health2/documents/IMM_Teens_HPV_Facts.pdf  Read the STI issue of the Medical Surveillance Monthly Report at Health.Mil/MSMR   Get the conversation started. Ask your healthcare provider about the HPV vaccine today. Follow us on Twitter @AFHSBPAGE and use hashtag #VaccinesWork.

The Defense Department recommends male and female military service members, ages 17-26 years, receive an HPV vaccine series to generate a robust immune response to the quadrivalent human papillomavirus vaccine (HPV4).

Recommended Content:

Preventive Health | Immunizations | Men's Health | Human Papillomavirus | Armed Forces Health Surveillance Branch | Women's Health

Study Finds Strong Immune Response to HPV Vaccine Among Female Service Members

Report
5/11/2016

A new study of female service members that examined their immune response to a vaccine to combat the sexually transmitted virus that causes cervical cancer showed development of antibodies in 80 to 99 percent of recipients against each of the four strains of the disease.

Recommended Content:

Health Readiness | Armed Forces Health Surveillance Branch | Public Health | Armed Forces Health Surveillance Branch | Preventive Health

MSMR Vol. 23 No. 7 - July 2016

Report
1/1/2016

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Increasing severity of traumatic brain injury is associated with an increased risk of subsequent headache or migraine: a retrospective cohort study of U.S. active duty service members, 2006–2015; Use of complementary health approaches at military treatment facilities, active component, U.S. Armed Forces, 2010–2015; Incident diagnoses of cancers in the active component and cancer-related deaths in the active and reserve components, U.S. Armed Forces, 2005–2014.

Recommended Content:

Health Readiness | Armed Forces Health Surveillance Branch | Public Health

MSMR Vol. 23 No. 4 - April 2016

Report
1/1/2016

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Absolute and relative morbidity burdens attributable to various illnesses and injuries, active component, U.S. Armed Forces, 2015; Hospitalizations among members of the active component, U.S. Armed Forces, 2015; Ambulatory visits among members of the active component, U.S. Armed Forces, 2015; Surveillance snapshot: Illness and injury burdens, reserve component, U.S. Armed Forces, 2015; Surveillance snapshot: Illness and injury burdens, recruit trainees, active component, U.S. Armed Forces, 2015; Absolute and relative morbidity burdens attributable to various illnesses and injuries, non-service member beneficiaries of the Military Health System, 2015.

Recommended Content:

Health Readiness | Armed Forces Health Surveillance Branch | Public Health

MSMR Vol. 23 No. 3 - March 2016

Report
1/1/2016

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: The DoD Global, Laboratory-based, Influenza Surveillance Program: summary for the 2013-2014 influenza season; Correlation between antimicrobial resistance in Escherichia coli infections in hospitalized patients and rates of inpatient prescriptions for selected antimicrobial agents, Department of Defense hospitals, 2010-2014; Brief report: The epidemiology of herpes simplex virus type 2 infections in a large cohort of HIV-infected patients, 2006-2014; Update: Heat injuries, active component, U.S. Army, Navy, Air Force, and Marine Corps, 2015; Update: Exertional rhabdomyolysis, active component, U.S. Army, Navy, Air Force, and Marine Corps, 2011-2015; Update: Exertional hyponatremia, active component, U.S. Army, Navy, Air Force, and Marine Corps, 2000-2015.

Recommended Content:

Health Readiness | Public Health | Armed Forces Health Surveillance Branch

Armed Forces Health Surveillance Center Annual Report

Report
12/15/2015

In this annual report, you will see that the Armed Forces Health Surveillance Center continued to make significant strides in supporting public health surveillance for the Department of Defense to maintain the health and readiness of its forces, and contribute to the global health security of its allies.

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Armed Forces Health Surveillance Branch | AFHSB Reports and Publications
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