Armed Forces Health Surveillance Division

Health monitoring, analysis and insight for action

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

AFHSD is organized into four branches: Data Management and Technical Support, Epidemiology and Analysis, Global Surveillance of Emerging Infections, and Integrated Biomonitoring.
We maintain a presence at three service public health centers: the U.S. Army Public Health Center, the U.S. Air Force School of Aerospace Medicine, and the Navy and Marine Corps Public Health Center .

Learn how our health information analysis supports global disease surveillance and public health activities to enhance the U.S. military’s health protection mission.


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


Provide timely, relevant, actionable, and comprehensive health surveillance support to the Joint Staff, Combatant Commands, and military services to promote health and improve protection, preparedness, and lethality force health.

Critical functions

  • Acquire, analyze/interpret and disseminate health surveillance information and recommend evidence-based policies.
  • Develop, refine and improve standardized monitoring 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 use our data applications, systems, and how our health information analysis supports global disease surveillance and public health activities to improve the Force Health program US Army Protection (FHP).

Monthly medical surveillance report

The Monthly Medical Surveillance Report (MSMR) is AFHSD’s flagship publication. The peer-reviewed monthly journal provides evidence-based estimates of the incidence, distribution, impact and trends of health conditions among service members. Moreover, the DEAR focuses one issue per year on the absolute and relative burden of disease attributable to various illnesses and injuries among service members and beneficiaries.

View Current Report View Archived ReportsArchived reports

Health Monitoring Explorer

The Health Monitoring ExplorerHealth Monitoring Explorer (HSE) (HSE) is a CAC-enabled dynamic mapping application that enables 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 world. The HSE makes the assembly of monitoring data more efficient and effective.

Launch the HSE Health Monitoring Explorer (HSE)

Proposal Management Information System

Launch the Proposal Management Information SystemThe Proposal Management Information System (ProMIS) program is a web-based application used to facilitate program management at the AFHSD Global Emerging Infections Surveillance (GEIS)Global Surveillance for Emerging Infections (GEIS) section. Investigators from the GEIS partner networkGEIS partner network submit proposals for consideration for funding and GEIS operations staff monitor the progress of these projects.

Go to ProMISProposal Management Information System (ProMIS)

Defense Medical Epidemiology Database

DMED buttonThe Defense Medical Epidemiology Database (DMED) provides global access to anonymized data contained in the Defense Medical Surveillance System (DMSS)Defense Medical Surveillance System (DMSS). Through this user-friendly interface, authorized users can create custom queries on disease and injury rates in active duty populations.

Go to DMEDDefense Medical Epidemiology Database (DMED)