The most recent appropriations for the Department of War expired at 11:59 p.m. EST on September 30, 2025. Military personnel will continue in a normal duty status without pay until such time as a continuing resolution or appropriations are passed by Congress and signed into law. Civilian personnel not engaged in excepted activities will be placed in a non-work, non-pay status.

If you have a scheduled appointment or other business at the MTF, please verify with your provider or applicable office within the MTF to ensure there are no changes in schedule. To learn how the lapse in appropriations affects your TRICARE benefit, visit www.tricare.mil/shutdown

Health Services

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Vector Surveillance

 
Each year, Environmental Health Service conducts vector surveillance activities on the installation to monitor mosquito/tick populations and disease prevalence.  A vector-borne disease of particular concern in the area is West Nile Virus.

 
West Nile Virus
 
West Nile Virus (WNV) is a flavivirus that can infect humans, birds, mosquitoes, horses, and other mammals.  The main route of transmission is through the bite of an infected mosquito.  West Nile virus can be a serious, even fatal, illness.  In Washington, the first cases of people becoming ill from West Nile virus were reported in 2006. 
 
Refer to the resources below for more information on clinical symptoms, treatment, and prevention.
 
APHC - West Nile Virus
Washington Department of Health - West Nile Virus
CDC – West Nile

Phone

253-968-4331

Email: usarmy.jblm.medcom-mamc.mbx.ehs@health.mil

Hours

Monday-Friday
7 a.m. to 4 p.m.
Closed on federal holidays and select training holidays

Location

Madigan Annex
Building 9911B, E. Johnson St.
Joint Base Lewis-McChord, WA 98431
Don’t forget to keep your family’s information up to date in DEERS!