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Medical Surveillance Monthly Report

thumbnail image of several MSMRsThe Medical Surveillance Monthly Report (MSMR), a peer-reviewed journal launched in 1995, is the AFHSB's flagship publication. The MSMR provides monthly 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. You may request an electronic subscription online or via email

Would you like to be published in the MSMRAuthors are welcome to submit their manuscripts to the MSMR. >>See Instructions for Authors

View Current Report

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.

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Citing the MSMR

When citing MSMR articles, please use the following formats:

Author Names Listed with the Article

Collier DA, Bayles MK, Barrett, JP. Acute gastroenteritis outbreak at the Armed Forces Retirement Home, Washington, DC, January 2011. MSMR. 2011;18(6):11-14.

No Author Name Listed (April 2007 to current)

Armed Forces Health Surveillance Branch. Mental disorders and mental health problems, active component, U.S. Armed Forces, January 2000 – December 2009. MSMR. 2010;17(11):6-13.

No Author Name Listed (Before April 2007)

Army Medical Surveillance Activity. Overhydration and hyponatremia among active duty soldiers, 1997-1999. MSMR. 2000;6(3):9-11.


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DoD Flu VE

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10/26/2018
DoD Flu VE

Each season, several entities within the(DoD) perform surveillance for influenza among beneficiaries and utilize these data to perform VE analyses to estimate how well the seasonal vaccine protects against medically-attended influenza.

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Psychiatric Medical Evaluations

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10/26/2018
Psychiatric Medical Evaluations

This study evaluated incidence of pre-deployment family problem diagnoses and psychiatric medical evacuations among a population of active component service members without a history of previous mental health diagnoses, who deployed to the U.S. Central Command Area of Responsibility for the first time between 1 January 2002 and 31 December 2014.

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Pelvic Inflammatory Disease

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10/26/2018
Pelvic Inflammatory Disease

The purpose of this study was to update previous MSMR analyses of the incidence of acute Pelvic inflammatory disease (PID) among U.S. active component women using a 21-year surveillance period from 1996 through 2016. A secondary objective was to report on the proportion of service women with previously diagnosed PID who were subsequently diagnosed ...

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CVD

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10/3/2018
CVD

As of part of WOMEN’S HEALTH MONTH, we focus on the findings related to female service members. If the risk factors are recognized, these service members can take steps to modify their lifestyles or obtain appropriate medical intervention, and reduce the likelihood of significant CVD while serving in the Armed Forces, and also after leaving service.

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Gynecologic Disorders

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10/3/2018
Gynecologic disorders are conditions that affect the female reproductive organs, including the uterus, ovaries, fallopian tubes, vagina, and vulva. As part of Women’s Health Month, this report describes the incidence and burden of four commonly occur-ring gynecologic disorders (menorrhagia, polycystic ovary syndrome (PCOS), uterine fibroids, and endometriosis) among active component service women from 2012 through 2016. This report also documents the number and percentage of women with co-occurring incident diagnoses during the surveillance period.

Gynecologic disorders are conditions that affect the female reproductive organs, including the uterus, ovaries, fallopian tubes, vagina, and vulva. As part of Women’s Health Month, this report describes the incidence and burden of four commonly occur-ring gynecologic disorders (menorrhagia, polycystic ovary syndrome (PCOS), uterine fibroids, and ...

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HPV

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10/3/2018
HPV

Genital human papillomavirus (HPV) is the most common sexually transmitted infection (STI) in the U.S.; HPV is the second most frequently diagnosed STI in U.S. military service members. Currently, HPV vaccine is not mandatory for U.S. military service members, but the Defense Health Agency and each individual service have policies encouraging and ...

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HPV

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HPV

Genital human papillomavirus (HPV) is the most common sexually transmitted infection (STI) in the U.S., and is the second most frequently diagnosed STI in U.S. military service members. Currently, HPV is not a mandatory vaccine for U.S. military service. However, it is encouraged and offered to service members.

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Drowning

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9/24/2018
Drowning

Service members are at risk for unintentional drownings during training, occupational activities, and off-duty recreation. In the U.S., unintentional drowning ranks as the fifth leading cause of unintentional injury death and accounted for an average of 3,558 deaths (non-boating related) annually between 2007 and 2016. The current analysis extends ...

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HIV

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HIV

As part of the U.S. military’s total-force HIV screening program, civilian applicants for military service are screened for antibodies to HIV during pre-accession medical examinations. Infection with HIV is medically disqualifying for entry into U.S. military service. Since 1986, all members of the active and reserve components of the U.S. Armed ...

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Norovirus

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Norovirus

Beginning in 2011, the Operational Infectious Diseases (OID) laboratory at the Naval Health Research Center has undertaken routine surveillance of four U.S. military training facilities to systematically track the prevalence of acute gastroenteritis and to establish its etiologies among U.S. military recruits.

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Leptospirosis

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Leptospriosis

Leptospirosis: The presence of leptospirosis in the Republic of Korea (ROK) poses a potential threat to more than 40,000 U.S. Armed Forces personnel and their family members who reside in the ROK. This is the first published study for risk assessment of leptospirosis among U.S. Army soldiers assigned to the ROK.

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Staphylococcus

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Staphylococcus

Staphylococcus: Staphylococcus aureus is a major cause of skin and soft tissue infection (SSTI). Military personnel in congregate settings (e.g., training, deployment) are at increased risk for S. aureus colonization and SSTI. For a 7-month period in 2016, an observational cohort study of S. aureus colonization and SSTI among U.S. Navy submariners was ...

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Acute Injuries

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Service members in the U.S. Armed Forces frequently engage in high levels of physical activity to perform their duties, and such activity can potentially result in training- or duty-related injury.  This report summarizes the incidence, trends, types, external causes, and dispositions of acute injuries among active component U.S. service members over a 10-year surveillance period.

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Food Allergy

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Individuals with a history of food-allergy anaphylaxis or a systemic reaction to food do not meet military accession or retention standards and require a waiver in order to serve in the military.  First-line treatment for anaphylaxis includes rapid administration of epinephrine.

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Department of Defense Midseason Vaccine Effectiveness Estimates for the 2017-2018 Influenza Season

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