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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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Global Influenza Summary: January 22, 2017

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1/22/2017

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H7N9: January 18, 2017

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1/18/2017

This is a biosurveillance summary of Avian Influenza A (H7N9) Surveillance #67: January 18, 2017, as reported by the Armed Forces Health Surveillance Branch. As of 18 JAN 2017, there have been 1,015 (+114) human cases of avian influenza A (H7N9), including 355 deaths, in China, Hong Kong Special Administrative Region (SAR), Macao SAR, Taiwan, Malaysia, and Canada. Read more:

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Global Influenza Summary: January 15, 2017

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1/15/2017

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Zika in the Americas: January 11, 2017

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1/11/2017

This is a biosurveillance summary of Zika in the Americas as of January 4, 2017. Weekly incidence among Military Health System (MHS) beneficiaries has decreased significantly since its peak during the week ending 30 JUL 2016. As of 1300 on 11 JAN 2017, there have been 163 (+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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Facts on Cold Injuries

Infographic
1/9/2017
During a July 2011-2016 five-year surveillance period, overall incidence rates of cold injuries among U.S. service members declined for the two most recent winters after having peaked in winter 2013-2014. That year much of the eastern U.S. experienced colder-than-average weather attributed to a weakening of the polar vortex. More facts to know: •	For the Navy and Air Force, the rates of all cold injuries in 2015-2016 were the lowest of any year of the surveillance period. •	The 2015-2016 rates for the Army and Marine Corps were lower than the rates for the previous two years but still higher than the rates for the first two years of the surveillance period.  At war, the numbers of cold injuries associated with service in Iraq and Afghanistan have fallen precipitously in the past four cold seasons. The 11 cases in the most recent year are the fewest in the surveillance period.  For more information on cold injuries among U.S. Armed Forces, read the Medical Surveillance Monthly Report at www.Health.mil/AFHSB

This infographic provides information on the overall incidence rates of cold injuries among U.S. service members during a July 2011-2016 five-year surveillance period.

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Human Physiologic Responses to Cold Exposure

Infographic
1/9/2017
Human Physiologic responses to cold exposure preserve core body temperature, but those responses may not be sufficient to prevent hypothermia if heat loss is prolonged. This infographic offers helpful information on preserving core body temperature to counter the threat from cold environments. Physiologic responses include: •	Constriction of the peripheral (superficial) vascular system – may result in non-freezing injuries or hasten the onset of actual freezing of tissues (frostbite) •	Minimizing loss of body heat •	Protecting superficial tissues Protection includes:	 •	Nutrition •	Shelter •	Physical Activity •	Protective Clothing Learn more about preserving core body temperature by reading the Medical Surveillance Monthly Report at www.Health.mil/AFHSB

Human Physiologic responses to cold exposure preserve core body temperature, but those responses may not be sufficient to prevent hypothermia if heat loss is prolonged. This infographic offers helpful information on preserving core body temperature to counter the threat from cold environments.

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Global Influenza Summary: January 8, 2017

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H7N9: January 5, 2017

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1/5/2017

This is a biosurveillance summary of Avian Influenza A (H7N9) Surveillance #66: January 5, 2017, as reported by the Armed Forces Health Surveillance Branch. As of 5 JAN 2017, there have been 901 (37+) human cases of avian influenza A (H7N9), including 332 (+17) deaths, in China, Hong Kong Special Administrative Region (SAR), Macao SAR, Taiwan, Malaysia, and Canada. Read more:

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Zika in the Americas: January 4, 2017

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1/4/2017

This is a biosurveillance summary of Zika in the Americas as of January 11, 2017. Weekly incidence among Military Health System (MHS) beneficiaries has decreased significantly since its peak during the week ending 30 JUL 2016. As of 1300 on 4 JAN 2017, there have been 161 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: January 1, 2017

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Zika in the Americas: December 28, 2016

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12/28/2016

This is a biosurveillance summary of Zika in the Americas as of December 28, 2016. Weekly incidence among Military Health System (MHS) beneficiaries has decreased significantly since its peak during the week ending 30 JUL 2016. As of 1300 on 28 DEC, there have been 161 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: December 21, 2016

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12/21/2016

This is a biosurveillance summary of Zika in the Americas as of December 21, 2016. Weekly incidence among Military Health System (MHS) beneficiaries has decreased significantly since its peak during the week ending 30 JUL 2016. As of 1300 on 21 DEC, there have been 161 (+3) 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: December 14, 2016

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12/14/2016

This is a biosurveillance summary of Zika in the Americas as of December 14, 2016. Weekly incidence among Military Health System (MHS) beneficiaries has decreased significantly since its peak during the week ending 30 JUL 2016. As of 1300 on 14 DEC, there have been 158 (+1) 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: December 7, 2016

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12/7/2016

This is a biosurveillance summary of Zika in the Americas as of December 7, 2016. As of 1300 on 30 NOV, there have been 157 (+1) confirmed Zika virus (ZIKV) disease cases (see table) since the first case was reported during the third week of 2016.

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Rift Valley Fever Virus Ecology

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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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