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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. 


To be the central, integrated, customer-focused epidemiologic and global health surveillance resource for the Department of Defense. 


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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Armed Forces Reportable Medical Events Guidelines and Case Definitions Memo


The Armed Forces Reportable Medical Events Guidelines and Case Definitions (RME Guidelines) standardize reporting and tracking of disease and other conditions of public health and military importance. Timely reporting permits earlier recognition of public health events and interventions to protect the health of the force.

Establishing an Armed Forces Health Surveillance Center


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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