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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 three branches: Epidemiology and Analysis, Global Emerging Infections Surveillance, and Integrated Biosurveillance. We place emphasis on defense management tools through our Information Technology Support section.

We coordinate and leverage health surveillance resources across the DOD Public Health enterprise to include the Defense Centers for Public Health – Aberdeen (Army), Defense Centers for Public Health – Dayton (Air Force), and Defense Centers for Public Health – Portsmouth (Navy and Marine Corps) for early warning, health threat assessments and force health protection.

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. 

Purpose

To Protect the Total Force from “All Hazard” threats via actionable health surveillance information and support.

Goals

  • Be flexible, responsive and predictive to our customers
  • Provide early warning capability of global “All Hazard” threat assessment specific to our customers
  • Inform risk management decisions across the health surveillance enterprise

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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Report
Jul 1, 2023

MSMR Vol. 30 No. 7 - July 2023

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This continuation of the June issue, which published the annual quantification of health care provided by the Military Health System, continues with the impacts of various illnesses and injuries in 2022 among deployed service members; medical evacuations out of theaters of military operation; health care provision to non-service member MHS ...

Article
Jun 1, 2023

Absolute and Relative Morbidity Burdens Attributable to Various Illnesses and Injuries Among Active Component Members, U.S. Armed Forces, 2022

This annual summary uses several health care burden measures to quantify the impacts of various illnesses and injuries in 2022 among members of the active component of the U.S. Armed Forces. Health care burden metrics include the total number of medical encounters, individuals affected, and hospital bed days.

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Absolute and Relative Morbidity Burdens Attributable to Various Illnesses and Injuries Among Active Component Members, U.S. Coast Guard, 2022

This report employs the same disease classification system and health care burden measures as employed in the MSMR burden analysis of the U.S. Armed Forces active component to quantify the impacts of various illnesses and injuries among members of the active component of the U.S. Coast Guard in 2022.

Article
May 1, 2023

Increasing Incidence Rates of Eosinophilic Esophagitis in Active Component Service Members, U.S. Armed Forces, 2009–2021

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This study examines the incidence of eosinophilic esophagitis among the active component of the U.S. Armed Forces from 2009 to 2021. Reported prevalence has been increasing worldwide, with a recent meta-analysis estimating 34.2 cases per 100,000 persons.

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Enhanced Mpox Outbreak Case Detection Among MHS Beneficiaries Through Use of ESSENCE (Electronic Surveillance System for the Early Notification of Community-based Epidemics)

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This report describes how ESSENCE, which collects near real-time biosurveillance data globally on U.S. military personnel, monitored the mpox outbreak in 2002 and assesses its detection of confirmed/probable cases among MHS beneficiaries. ESSENCE systematically queries millions of health encounters to detect records of potential public health ...

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May 1, 2023

Portable RT-PCR and MinION Nanopore Sequencing as a Proof-of-Concept SARS-CoV-2 Biosurveillance in Wastewater

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This study reports on the efficacy of 2 different portable nucleic acid detection technologies, RT-PCR and MinION Mk1C nanopore sequencing, which identified SARS-CoV-2 variants in wastewater collected at Tyndall AFB during a 2-month surveillance. This highly multiplexed approach circumvented signal dropout associated with the detection of newly ...

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MSMR Vol. 30 No. 5 - May 2023

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The May 2023 MSMR reintroduces a monthly reportable medical event (RME) summary for the active component and MHS beneficiaries; then features a review of enhanced mpox outbreak case detection among MHS beneficiaries through ESSENCE (Electronic Surveillance System for the Early Notification of Community-based Epidemics); followed by a report on ...

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Apr 1, 2023

Update: Exertional Hyponatremia Among Active Component Members of the U.S. Armed Forces, 2007–2022

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This annual update of the incidence of extertional hyponatremia summarizes the frequencies, rates, trends, geographic locations, and both demographic and military characteristics of incident cases of exertional hyponatremia among active component service members, from 2007 to 2022.

Last Updated: April 25, 2024
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