Back to Top Skip to main content

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

You also may be interested in...

Absolute and Relative Morbidity Burdens Attributable to Various illnesses and Injuries, Active Component, U.S. Armed Forces, 2016

Infographic
5/18/2017
everal classification systems and morbidity measures have been developed to quantify absolute and relative morbidity burdens attributable to various illnesses and injuries among the active component of the U.S. Armed Forces in 2016. They determine to a large extent the conclusions that may be drawn regarding the relative “importance” of various conditions – and, in turn, the resources that may be indicated to prevent or minimize their impacts. This annual summary provides: •	142 categories based on a modified version of the classification system developed for the Global Burden of Disease (GBD) study. •	25 burden of disease-related conditions for all illness-and injury-specific diagnoses (as defined by the ICD-10). Findings: •	In 2016, 550,213 service members received medical care for injury/poisoning, more than any other morbidity related category. •	Injury/poisoning accounted for more medical encounters (n= 2,755,387) than any other morbidity category – that is 24.8% of all medical encounters overall. •	Together, injury/poisoning and mental disorders accounted for 56.2% of all hospital bed days and 41.8% of all medical encounters. Medical Encounters Pie Chart Display: •	There were a total of 11,113,506 medical encounters overall (whole pie chart or 100%) •	A total of 2,755,387 for the injury/poisoning category or 24.793% for injury/poisoning ( purple slice of pie chart that is labeled Injury/poisoning) •	A total of 1,895,156 categorized as mental disorders or 17.053% for mental disorders ( lime green slice of pie chart that is labeled mental disorders) •	Together, injury/poisoning and mental disorders accounted  for 41.8 of all medical encounters •	All other medical encounters is approximately 58.2% (dark green slice of the pie chart that is labeled all other medical encounters). For more findings, view the full MSMR report at Health.mil/AFHSB Images included on graphic: DHA logo, Military vehicle and helicopter propellers.

Several classification systems and morbidity measures have been developed to quantify absolute and relative morbidity burdens attributable to various illnesses and injuries among the active component of the U.S. Armed Forces. This graphic highlights findings about the active component of the U.S. Armed Forces in 2016.

Recommended Content:

Armed Forces Health Surveillance Branch

Hospitalizations By Gender, Active Component, U.S. Armed Forces, 2016

Infographic
5/18/2017
In 2016, there were 68,189 records of hospitalizations of active component members of the U.S. Army, Navy, Air Force, and Marine Corps. The annual hospitalization rate (all causes) for 2016 was 52.9 per 1,000 service member person-years (p-yrs) and was the lowest rate reported within the last 10 years covered in this report. This graphic documents the frequencies, rates, trends, and distributions of hospitalizations of active component members of the U.S. Army, Navy, Air Force, and Marine Corps by gender during calendar year 2016. Findings •	In 2016, the hospitalization rate (all causes) among females was more than three times that of males (hospitalization) rate, overall: females were 130,9 per 1,000 p-yrs; males were 38.3 per 1,000 p-yrs). •	Excluding pregnancy and delivery, the rate of hospitalizations among females (56.1 per 1,000 p-yrs) was 46.7% higher than among males. •	Hospitalization rates were higher among females than males for mental disorders (RD: 8.0 per 1,000 p-yrs). Most Frequent Diagnoses Pie Chart - Males •	In 2016, adjustment disorder was the most frequent discharge diagnosis among males (n=3,768) which is color coded in a transparent gray on the pie chart. Man holding his head is displayed in a circle with the number 3,768 displayed. •	Alcohol depen¬dence was (n=1,656) which is color coded in blue on the pie chart. Person holding alcohol is displayed behind this number. •	Major depressive disor¬der was (n=1,308) which is color coded in green on the pie chart.  Two soldiers on couch discussing mental health counseling display. •	Acute appendicitis was (n=1,091) which is color coded in yellow on the pie chart.  Doctor performing surgery displays behind the number. •	Post-traumatic stress disorder (PTSD) was (n=832) which is color coded in orange on the pie chart. Man holding the side of his head displays behind the numbers. Most Frequent Diagnoses – Females •	In 2016, pregnancy- and delivery- related conditions represented four of the top five leading causes of hospitalizations among females and accounted for 57.2% of all hospitalizations of females. •	The top four discharge diagnoses in this condition category included first-and second degree perineal laceration during delivery ( n= 1,254 and n=1,177, respectively). The total on pie chart is seen as 2,431 for first – and second-degree perineal laceration during delivery. Pregnant soldier is seen behind number.  Pie slice for this category is gray in display. •	Post-term (late) pregnancy (n=1,226) shows pregnant woman in blue dress behind number. Pie slice for this category is blue in display. •	Abnormality in fetal heart rate and rhythm ( n= 1,092). Heart monitor displays behind number. Pie slice for this category is green in display. •	Other than pregnancy – and delivery-related diagnoses, leading causes of hospitalizations among females were adjustment disorder (n=1,158).  Female military members display behind number. Pie slice is yellow in display. •	Major depressive disorder [single episode unspecified] (n=471) show females in the U.S. Army behind number. Pie slice for this category is orange in display.  Overall graphic background is transparent with an emergency entrance display. Learn more about hospitalizations by gender among the active component of U.S. Armed Forces at www.health.mil/MSMR

This graphic documents the frequencies, rates, trends and distributions of hospitalizations among active component members of the U.S. Army, Navy, Air Force, and Marine Corps by gender during calendar year 2016.

Recommended Content:

Armed Forces Health Surveillance Branch

Ambulatory visits, Active Component, U.S. Armed Forces, 2016

Infographic
5/18/2017
This infographic documents the frequencies, rates, trends and characteristics of ambulatory healthcare visits of active component members of the U.S. Army, Navy, Air Force, and Marine Corps during 2016. Findings •	During 2016, there were 19,158,557 reported ambulatory visits of active component service members. •	On average each service member had approximately 15 ambulatory encounters during the year. •	In 2016, four major diagnostic categories accounted for 72.6% of all illness-and injury-related ambulatory visits among active component service members. Pie Chart •	Signs, Symptoms, and ill-defined conditions (8.8%) – pie slice is blue;  military woman with illness seen. •	Disorders of the nervous system and sense organs (10.8%) – pie slice shows many getting his eye examined by a doctor. •	Mental Disorders (16.8%) –  pie slice is green; shows man sitting on the floor who is seeking mental health treatment. •	Musculoskeletal system/connective tissue disorders (36.3%) – pie slice is red; physician is treating patient for musculoskeletal system/ connective tissue disorders. The 2016 number of visits for musculoskeletal disorders (n= 4,198,896) is the highest annual count in the past 13 years. Learn about the largest percentage increases and decreases in ambulatory visits during 2012-2016 at www.Health.mil/MSMR.  Other images seen on graphic: transparent background shows entrance to an Emergency Center.

This infographic documents the frequencies, rates, trends and characteristics of ambulatory healthcare visits of active component members of the U.S. Army, Navy, Air Force, and Marine Corps during 2016.

Recommended Content:

Armed Forces Health Surveillance Branch

Zika in the Americas: May 17, 2017

Report
5/17/2017

This is a biosurveillance summary of Zika in the Americas as of May 14, 2017. As of 1300 on 17 MAY, there have been 174 (+1) confirmed Zika virus (ZIKV) disease cases (see table) since the first case was reported in JAN 2016.

Recommended Content:

Health Readiness | Armed Forces Health Surveillance Branch | Integrated Biosurveillance | Integrated Biosurveillance Summaries

The Defense Medical Epidemiology Database System Overview Fact Sheet

Fact Sheet
5/12/2017

This fact sheet provides a system overview of the Defense Medical Epidemiology Database (DMED). DMED is a web-based tool to remotely query de-identified active component personnel and medical event data contained within the Defense Medical Surveillance System (DMSS). Learn about the newly released version of DMED and its key features in this document.

Recommended Content:

Armed Forces Health Surveillance Branch | Defense Medical Epidemiology Database

H7N9: May 10, 2017

Report
5/10/2017

This is a biosurveillance summary of Avian Influenza A (H7N9) Surveillance #75: May 10, 2017, as reported by the Armed Forces Health Surveillance Branch. As of 10 MAY, the total influenza A (H7N9) human case count since the fifth seasonal epidemic of H7N9 began on 1 OCT 2016 is 829 (+46) cases with at least 226 (+13) deaths. Read more:

Recommended Content:

Health Readiness | Armed Forces Health Surveillance Branch | Integrated Biosurveillance | Integrated Biosurveillance Summaries

Global Influenza Summary: May 7, 2017

Report
5/7/2017

Recommended Content:

Health Readiness | Armed Forces Health Surveillance Branch | AFHSB Reports and Publications | Influenza Summary and Reports

H7N9: April 26, 2017

Report
4/26/2017

This is a biosurveillance summary of Avian Influenza A (H7N9) Surveillance #74: April 26, 2017, as reported by the Armed Forces Health Surveillance Branch. As of 26 APR, the total influenza A (H7N9) human case count since the fifth seasonal epidemic of H7N9 began on 1 OCT 2016 is 783 ( +53) cases with at least 213 (+5) deaths. Read more:

Recommended Content:

Health Readiness | Armed Forces Health Surveillance Branch | Integrated Biosurveillance | Integrated Biosurveillance Summaries

Zika in the Americas: April 19, 2017

Report
4/19/2017

This is a biosurveillance summary of Zika in the Americas as of April 19, 2017. As of 1300 on 19 APR, there have been 173 (+2) confirmed Zika virus (ZIKV) disease cases (see table) since the first case was reported in JAN 2016.

Recommended Content:

Health Readiness | Armed Forces Health Surveillance Branch | Integrated Biosurveillance | Integrated Biosurveillance Summaries

DoD Global, Laboratory-Based Influenza Surveillance Program, 2014- 2015 Season

Infographic
4/17/2017
The DoD Global, Laboratory-Based, Influenza Surveillance Program is a DoD-wide, year-round program that tests respiratory specimens from DoD beneficiaries presenting to military treatment facilities with influenza-like illness (ILI). ILI is defined as an illness characterized by a fever 100.5 degrees F or greater and cough or sore throat within 72 hours of seeking treatment. Sentinel sites submit 6-10 specimens per week from beneficiaries presenting with ILI. Each specimen is tested via reverse transcription-polymerase chain reaction (RT-PCR) and viral culture. The 2014-2015 influenza season was dominated by influenza A (H3N2) at the beginning; however by Week 10, identifications of influenza B viruses were more numerous than for influenza A. Out of a total of 6,432 specimens, 32.7% were positive for influenza. Additionally 19.6% of specimens were positive for other respiratory pathogens while 47.7% specimens were negative. The molecular characterization of specimens showed that the majority of influenza A (H3N2) viruses circulating had drifted from the vaccine strain by December 2014. This finding was in agreement with the Centers for Disease Control and Prevention and World Health Organization observations during the 2014-2015 influenza season. For more information visit Health.mil/AFHSB

The DoD Global, Laboratory-Based, Influenza Surveillance Program is a DoD-wide, year-round program that tests respiratory specimens from DoD beneficiaries presenting to military treatment facilities with influenza-like illness (ILI).

Recommended Content:

Armed Forces Health Surveillance Branch

Malaria U.S. Armed Forces 2016

Infographic
4/17/2017
Malaria is an important health threat to U.S. service members located in endemic areas for: •	Long-term duty assignments •	Participation in short-term contingency operations •	Personal travel In 2016, 57 service members were diagnosed with or reported to have malaria from 25 different medical facilities in the U.S., Afghanistan, Germany, Korea, Djibouti, and Oman. In 2011, 124 service members were affected. Malaria Pie chart P. falciparum (45.6%; n=26) Plasmodium vivax (26.3%; n=15) highest since 2012 P. malariae and P. ovale (3.5%; n=2) Unspecified agents (24.6%; n=14) The relatively low numbers of cases during 2012-2016 mainly reflect a decrease in cases acquired in Afghanistan – a reduction due largely to the withdrawal of U.S. forces from that country. Providers of medical care to military members should be knowledgeable of, and vigilant for, clinical manifestations of malaria outside of endemic areas. To learn more about how malaria impacts U.S. Armed Forces visit Health.mil/AFHSB.

In 2016, 57 service members were diagnosed with or reported to have malaria from 25 different medical facilities in the U.S., Afghanistan, Germany, Korea, Djibouti, and Oman.

Recommended Content:

Armed Forces Health Surveillance Branch | Malaria

Zika Virus Infections in Military Health System Beneficiaries

Infographic
4/17/2017
The introduction and rapid spread of the Zika virus (ZIKV), a Flavivrus of the Flaviviridae family, across the Western Hemisphere have posed a risk of infection to Military Health System (MHS) beneficiaries. This report documents: •	The impact of ZIKV transmission on MHS beneficiaries. •	ZIKV spread to nearly 50 countries and territories within a 17-month period. •	Among affected service members, the Army reported the most Zika cases. •	There have been 156 confirmed cases of Zika in MHS beneficiaries. •	A majority of cases reported exposure in Puerto Rico (n=91, 58.3%). Geographic regions of potential exposure to Zika cases in MHS beneficiaries between 01 Jan – 30 Nov 2016 included: •	Puerto Rico ( 91 cases) •	Caribbean ( 41 cases) •	Central America & Mexico (15 cases) •	South America (6 cases) •	Asia ( 3 cases) •	Unknown (3) •	U.S. Florida (1 case) Cases in Service Members Between 01 Jan – 30 Nov 2016 were: •	Army (48 cases) •	Coast Guard (29 cases) •	Air Force (16 cases) •	Navy (10 cases) •	Marine Corps (7 cases) Although most ZIKV infections are asymptomatic or have a relatively mild illness, the gravity of pregnancy and neurologic issues linked to infection remains a significant impetus for the continued surveillance of ZIKV in the MHS population. For more Zika surveillance and information on signs and symptoms, visit Health.mil/AFHSB

The introduction and rapid spread of the Zika virus (ZIKV), a Flavivrus of the Flaviviridae family, across the Western Hemisphere have posed a risk of infection to Military Health System (MHS) beneficiaries.

Recommended Content:

Armed Forces Health Surveillance Branch | Zika Virus

Findings from The Department of Defense Global, Laboratory-Based Influenza Surveillance Program, 2015-2016 Influenza Season

Infographic
4/17/2017
The Department of Defense (DoD) Global, Laboratory-Based, Influenza Surveillance Program monitors the circulation of influenza viruses throughout each influenza season. Each season runs from the beginning of October through end of the next September. During the 2015 – 2016 influenza season, a total of 4,591 specimens were tested from 80 locations. The predominant influenza strain was A (H1N1) pdm09. Additionally peak influenza activity occurred during weeks 7 – 13 (14 February – 2 April 2016). Of those submitted for routine surveillance, 1,182 (25.7%) tested positive for other respiratory pathogens, 377 (8.2%) tested positive for influenza B, 755 (16.5%) tested positive for influenza A, and 2,277 (49.6%) tested negative. For more information on the 2015-2016 influenza season and how to identify influenza-like illness (ILI), read the Medical Surveillance Monthly Report (MSMR) at Health.mil/AFHSB.

The Department of Defense (DoD) Global, Laboratory-Based, Influenza Surveillance Program monitors the circulation of influenza viruses throughout each influenza season. Each season runs from the beginning of October through end of the next September.

Recommended Content:

Armed Forces Health Surveillance Branch

Global Influenza Summary: April 16, 2017

Report
4/16/2017

Recommended Content:

Health Readiness | Armed Forces Health Surveillance Branch | AFHSB Reports and Publications | Influenza Summary and Reports

H7N9: April 12, 2017

Report
4/12/2017

This is a biosurveillance summary of Avian Influenza A (H7N9) Surveillance #73: April 12, 2017, as reported by the Armed Forces Health Surveillance Branch. As of 12 APR, the total influenza A (H7N9) human case count since the fifth seasonal epidemic of H7N9 began on 1 OCT 2016 is 730 (+74) cases with at least 208 deaths. Read more:

Recommended Content:

Health Readiness | Armed Forces Health Surveillance Branch | Integrated Biosurveillance | Integrated Biosurveillance Summaries
<< < ... 11 12 13 14 15  ... > >> 
Showing results 151 - 165 Page 11 of 19

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

Some documents are presented in Portable Document Format (PDF). A PDF reader is required for viewing: Download a PDF Reader or learn more about PDFs.