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Armed Forces Health Surveillance Division

Timely, Relevant, Comprehensive and Actionable Health Surveillance

The Armed Forces Health Surveillance Division is the central epidemiologic health resource for the U.S. military. We conduct medical surveillance to protect those who serve our nation in uniform and allies who are critical to our national security interests. AFHSD is a division within DHA’s Public Health.

AFHSD is organized into four branches: Data Management and Technical Support, Epidemiology and Analysis, Global Emerging Infections Surveillance, and Integrated Biosurveillance

We maintain a presence at three service public health centers for Army, Navy, and Air Force — the Defense Centers for Public Health – AberdeenDCPH-A, Defense Centers for Public Health – DaytonDCPH-D, and Defense Centers for Public Health – PortsmouthDCPH-P.

Learn how our health information analysis supports worldwide disease surveillance and public health activities to improve the U.S. military’s Force Health Protection mission. 

Vision

To be the central, integrated, customer-focused epidemiologic & global health surveillance resource for the DOD.

Mission

To provide timely, relevant, and actionable comprehensive health surveillance support to the Joint Staff, Combatant Commands, and military services in order to assess, prevent, prepare for, respond to, and recover from all health hazards.

Critical Functions

  • Acquire, analyze/interpret, and disseminate health surveillance information and recommend evidence-based policy.
  • Develop, refine, and improve standardized surveillance methods. 
  • Serve as a focal point for sharing health surveillance products, expertise, and information. 
  • Coordinate a global program of militarily 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 program.

Medical Surveillance Monthly Report 

MSMRThe Medical Surveillance Monthly Report is AFHSD'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 ReportsArchived Reports

Health Surveillance Explorer

Health Surveillance ExplorerThe Health Surveillance Explorer is a dynamic CAC-enabled mapping application that allows the Geo­graphic Combatant Commands 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 program is a web-based application used to facilitate program management at the AFHSD's Global Emerging Infections Surveillance 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 provides worldwide access to de-identified data contained in the Defense Medical Surveillance System. 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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Occupational Medicine, Industrial Hygiene Work Together to Protect DOD Workers

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5/17/2023
Defense Centers for Public Health-Aberdeen industrial hygienist Emma Bieniek and U.S. Army Spc. Jeremy Rohrer use a Q-Trak direct reading instrument to assess indoor air quality parameters at the Edgewood Area of Aberdeen Proving Ground, Maryland. DCPH-A’s occupational medicine and industrial hygiene specialists work together to understand what issues Department of Defense civilian and military staff are facing in the various workplaces. (Photo by Graham Snodgrass, Defense Centers for Public Health-Aberdeen)

One of the advantages of working in an organization like the Defense Centers for Public Health – Aberdeen are the synergies created by having professionals from multiple disciplines working together to support service member and government civilian worker health.

MSMR volume 30 issue 3 March 2023

Report
3/1/2023

March 2023 issue of MSMR, the Medical Surveillance Monthly Report

Update: Malaria Among Members of the U.S. Armed Forces, 2013–2022

Article
3/1/2023
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This article provides an annual update of rates and incident infections of malaria species among U.S. service members.

Medical Surveillance Monthly Report Volume 30 Number 2, February 2023

Report
2/1/2023

This issue of the peer-reviewed monthly journal published by the Armed Forces Health Surveillance Division (AFHSD) features the articles: Changing of the Guard: MSMR’s Second Editor-in-Chief Retires; Brief Report: Hospitalizations Among Active Duty Members of the U.S. Coast Guard, Fiscal Year 2021; Historical Perspective: The Critical Role of Disease and Non-Battle Injuries in Soldiers Isolated on Pacific Islands During the Second World War; From the Editor’s Desk.

2022 (Q2) DOD Worldwide Numbers for TBI

Report
11/9/2022

TBICoE is the Defense Department’s office of responsibility for tracking traumatic brain injury data in the U.S. military. Here you’ll find data on the number of active-duty service members—anywhere U.S. forces are located—with a first-time TBI diagnosis in the calendar year 2022 through the second quarter. The data is also broken down by each branch of the armed services.

2000-2022 Q2 DOD Worldwide Numbers for TBI

Report
11/9/2022

TBICoE is the Defense Department’s office of responsibility for tracking traumatic brain injury data in the U.S. military. Here you’ll find data on the number of active-duty service members—anywhere U.S. forces are located—with a first-time TBI diagnosis from calendar year 2000 through the second quarter of 2022. The data is also broken down by each branch of the armed services.

Armed Forces Reportable Medical Events Guidelines and Case Definitions

Publication
11/1/2022

A reportable event may represent an inherent, significant threat to public health and military operation. These events have the potential to affect large numbers of people, to be widely transmitted within a population, to have severe/life threatening clinical manifestations, and to disrupt military training and deployment. Timely, accurate reporting of probable, suspected or confirmed cases ensures proper identification, treatment, control, and follow-up of cases.

AFHSD 2021 Annual Report and 2020 Summary

Report
9/23/2022

This annual report provides a summary of the Armed Forces Health Surveillance Division's accomplishments during 2021.

Antibiotic Resistant Bacteria and How to Counter Them

Article
11/10/2021
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Doctors are increasingly concerned about the potential for a “post-antibiotic” era when the highly effective drugs that we have relied on for many years to cure some of the most common illnesses will become ineffective.

Health surveillance advances military medicine over past 30 years

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3/17/2021
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Thirty years improvements in data collection, automation, and transmission have allowed for the creation of robust longitudinal health surveillance records on military populations.

DOD initiatives address the sexual health of our military

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2/17/2021
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STIs are important to identify and treat because they can impact service members’ health and readiness, as well as their ability to perform their duties.

AFHSD’s GEIS collect data worldwide to support force protection

Article
12/22/2020
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AFHSD/GEIS continue work with partners across the globe in their efforts to combat COVID-19 and protect military readiness.

2000-2019 DoD Worldwide Numbers for TBI

Publication
9/30/2020

DVBIC is the Defense Department’s office of responsibility for tracking TBI data in the U.S. military. On this page you’ll find data on the number of active-duty service members — anywhere U.S. forces are located — with a first-time TBI diagnosis from 2000-2019.

2017 DoD Worldwide Numbers for TBI

Publication
8/10/2020

DVBIC is the Defense Department’s office of responsibility for tracking TBI data in the U.S. military. On this page you’ll find annual and quarterly reports that provide data on the number of active-duty service members — anywhere U.S. forces are located — with a first-time TBI diagnosis since 2000.

2018 DoD Worldwide Numbers for TBI

Publication
8/10/2020

DVBIC is the Defense Department’s office of responsibility for tracking TBI data in the U.S. military. On this page you’ll find annual and quarterly reports that provide data on the number of active-duty service members — anywhere U.S. forces are located — with a first-time TBI diagnosis since 2000.

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Last Updated: May 10, 2023
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