Medical Surveillance Monthly Report

Click on the icon to open, download and save the latest issue of MSMRThe December 2025 issue of MSMR features four full reports, beginning with the annual update on cold weather injuries among the active and reserve components, July 2020–June 2025; followed by a report on trends in the prevalence of obesity among U.S. active component service members and civilians, 2013–2023; followed by the annual update on diagnoses of mental health disorders among ACSMs, 2020–2024; complemented by perinatal mental health conditions among active duty service women, 2016–2022; and concludes with the monthly summary of the most frequent reportable medical events within the Military Health System.

The Medical Surveillance Monthly Report, published continually since 1995, is a peer-reviewed journal of the Armed Forces Health Surveillance Division. MSMR publishes monthly reports describing the incidence, distribution, impact, or trends of illness and injuries among members of the United States Armed Forces and other beneficiaries of the Military Health System.

The November 2025 issue focused on sexually transmitted infections; the September 2025 issue published annual reports on the burden of morbidity within the Military Health System; the June 2025 issue provides data on heat illnesses and injuries among active component service members during the prior year; the May 2025 issue focused on military women's health and readiness, and the April 2025 30th anniversary issue features a variety of articles on the history of MSMR and U.S. military medical surveillance. 

Articles from each issue of MSMR are accessed by scrolling to the You Also May Be Interested In... section of this page.

MSMR is always seeking high quality, relevant submissions for publication. Prospective authors are welcome to review instructions and submit manuscripts within the aims and scope of the journal. Inquiries regarding content or material to be considered for publication should be directed to the MSMR Editor.

Download the MSMR

Here, you can download the current and past issues of the MSMR. Inquiries regarding content or material to be considered for publication should be directed to the MSMR Editor.

You also may be interested in...

Article
Mar 1, 2025

Non-Medical Risk Factors Influencing Health and Association with Suicidal Ideation or Attempt, U.S. Active Component, 2018–2022

This study reports the prevalence of non-medical risk factors, also known as social determinants of health, among active component U.S. service members and assesses the relationship between these factors and suicide ideation or attempts between 2018 and 2022. This study documents, for the first time, the frequency of diagnosis for non-medical risk ...

Article
Feb 1, 2025

Development of a New Fleet Disease and Injury Surveillance Capability Using ESSENCE

This report details the steps taken to develop a timely, accurate, and comprehensive Navy fleet disease and injury surveillance capability, utilizing ESSENCE (Electronic Surveillance System for the Early Notification of Community-based Epidemics), including the successes and challenges that will guide further refinement and expansion of this tool.

Article
Feb 1, 2025

Surveillance Snapshot: Non-Hodgkin Lymphoma Incidence in Active Component U.S. Service Members, 2017–2023

This analysis utilizes an updated case definition for non-Hodgkin lymphoma developed by the Armed Forces Health Surveillance Division, based on consultation with subject matter experts and previous literature, to establish non-Hodgkin lymphoma incidence within the U.S. Armed Forces active component, from 2017 through 2023.

Article
Feb 1, 2025

External Cause Coding of Injury Encounters in the Military Health System Among Active Component U.S. Service Members, 2016–2019

Knowledge of injury causes is essential for prevention. This article describes causes of injury for all U.S. service members, from 2016 through 2019, and identifies variations in injury cause coding over time, and by branch of military service, type of health care visit and facility, and diagnosis category.

Article
Jan 1, 2025

Use of Positive Predictive Value to Evaluate the Armed Forces Health Surveillance Division Brain Cancer Incidence Rules, Active Component Department of the Air Force Pediatric Dependent Population, January 1, 2010–December 31, 2020

This study applied the Armed Forces Health Surveillance Division (AFHSD) case definition for the identification of malignant brain tumors among U.S. active service members to the dependent pediatric population of the active component of the U.S. Air Force, to determine the positive predictive value of this case definition for a pediatric population.

Article
Dec 1, 2024

Syphilis Cases Among Pregnant Women and Newborns in the Military Health System, 2012–2022

This report presents the rates of maternal syphilis among pregnant women and congenital syphilis among newborns in the Military Health System beneficiary population from 2012 to 2022. Between 2012 and 2021, cases of congenial syphilis in the U.S. increased by 755%, and rates of maternal and congenital syphilis within the Military Health System ...