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Military Health System

Armed Forces Health Surveillance Division

Health Surveillance, Analysis and Insight for Action

The Armed Forces Health Surveillance Division (AFHSD) 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 hubs—the U.S. Army Public Health Center, U.S. Air Force School of Aerospace Medicine, and the Navy and Marine Corps Public Health Center.

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 and global health surveillance resource for the Department of Defense. 

Mission

To provide timely, relevant, actionable, and comprehensive health surveillance support to the Joint Staff, Combatant Commands and Military Services in order to promote health and enhance Force Health Protection, Readiness and Lethality. 

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 

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.

Medical Surveillance Monthly Report

Medical Surveillance Monthly Report MSMR Online SubscriptionThe Medical Surveillance Monthly Report (MSMR) 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

The Health Surveillance ExplorerHealth Surveillance Explorer (HSE) (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 Health Surveillance Explorer (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 AFHSD's Global Emerging Infections Surveillance (GEIS)Global Emerging Infections Surveillance (GEIS) section. Investigators in the GEIS partner networkGEIS partner network submit proposals for funding consideration and GEIS operations staff monitors the progress of those projects.

Go to ProMISProposal Management Information System (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)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 DMEDDefense Medical Epidemiology Database (DMED)

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Global Influenza Summary: Nov. 6, 2016

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11/6/2016

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Global Influenza Summary: Oct. 2, 2016

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10/2/2016

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Global Influenza Summary: Sept. 3, 2016

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Global Influenza Summary: June 5, 2016

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Global Influenza Summary: June 05, 2016

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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

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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: 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. 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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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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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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Establishing an Armed Forces Health Surveillance Center

Policy

Establishing an Armed Forces Health Surveillance Branch." In accordance with DoD Directive 5101,1, "DoD Executive Agent" September 3, 2002, this memorandum designates the Secretary of the Army as the DoD Executive Agent for the AFHSB, which includes the Defense Medical Surveillance System and the DoD Serum Repository. . . The DoD EA shall further ensure that the Center POC aligns and integrates the current surveillance activities of the Army Medical Surveillance Activity and the DoD Global Emerging Infections Surveillance and Response System with surveillance activities of the DoD Deployment Health Support Directorate.

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Last Updated: November 16, 2022
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