Medical Surveillance Monthly Report

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The Medical Surveillance Monthly Report—or MSMR—published continually since 1995, is the peer-reviewed journal of the Armed Forces Health Surveillance Division. For more than 30 years, MSMR has transformed complex military health data into credible, actionable information for clinicians, commanders, public health professionals, and policy-makers. MSMR publishes monthly reports describing the incidence, distribution, impact, or trends of illness and injuries among members of the U.S. Armed Forces and other beneficiaries of the Military Health System.

The June/July 2026 issue of MSMR presents the annual issue focusing on the burden of morbidity and mortality and their associated health care within the Military Health System. The issue features an overview of absolute and relative morbidity burdens among U.S. active component service members in 2025; with related reports on both hospitalizations and ambulatory care visits, and reports for morbidity burdens among deployed active and reserve component members as well as medical evacuations from four geographic combatant commands; complemented by a report on absolute and relative morbidity burdens among U.S. Coast Guard active component members; followed by a Surveillance Snapshot on illness and injury burdens among recruit trainees of the U.S. Armed Forces. The issue also features a comprehensive report on absolute and relative morbidity burdens among non-service member beneficiaries of the Military Health System. Three Surveillance Snapshots provide 2025 data on illness and injury burdens among reserve component members as well as Coast Guard Reserve members, in addition to telehealth use trends from 2021 through 2025.

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.

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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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Article
July 1, 2026

Surveillance snapshot: Telehealth services among active component members of the U.S. Armed Forces, 2021–2025

Photo by Christina Clarke, U.S. Naval Hospital Naples: The Urology department head at USNH Rota, Spain, waves to staff in USNH Naples, Italy during a virtual cystoscopy between both hospitals. This work must comply with the restrictions shown on https://www.dvidshub.net/about/copyright

This brief annual summary presents trends in telehealth service use among members of the active component of the U.S. Armed Forces, using Defense Medical Surveillance System (DMSS) outpatient and demographic records from January 2021 through December 2025 and identifies the 10 most frequent diagnoses addressed via telehealth.

Report
July 1, 2026

MSMR Vol. 33 No. 6 -7 - June-July 2026

.PDF | 3.23 MB

The June-July 2026 MSMR presents the annual burden of morbidity issue, with data and analysis of absolute and relative morbidity burdens due to illnesses and injuries in 2025 among U.S. active component and reserve service members, as well as Military Health System beneficiaries.

Article
July 1, 2026

Morbidity burdens attributable to various illnesses and injuries among deployed active and reserve component members of the U.S. Armed Forces, 2025

Photo by U.S. Central Command Public Affairs: U.S. sailors observe flight quarters on the flight deck of Arleigh Burke-class guided-missile destroyer USS Truxtun (DDG 103). This work must comply with the restrictions shown on https://www.dvidshub.net/about/copyright

This annual summary utilizes data from the Theater Medical Data Store (TMDS) to document service member health care encounters during deployments to four theaters of operation, U.S. Africa Command, U.S. Central Command, U.S. Pacific Command, and U.S. Southern Command, where large concentrations of U.S. service members are deployed without access to ...

Article
July 1, 2026

Absolute and relative morbidity burdens attributable to various illnesses and injuries among active component members of the U.S. Coast Guard, 2025

Photo by Petty Officer 2nd Class Matthew Thieme, U.S. Coast Guard East: A U.S. Coast Guard 29-foot Response Boat-Small from Coast Guard Station Portsmouth transits near the Port of Virginia. This work must comply with the restrictions shown on https://www.dvidshub.net/about/copyright

This annual summary quantifies the impacts of various illnesses and injuries among members of the active component of the U.S. Coast Guard in 2025, employing the same disease classification system and morbidity burden measures as in the general active component burden analysis report.

Report
May 1, 2026

MSMR Vol. 33 No. 5 - May 2026

.PDF | 2.07 MB

The May 2026 MSMR features four full reports and a brief report, beginning with the annual update of heat exhaustion and heat stroke among U.S. active component service members, 2021–2025; complemented by the annual updates on exertional rhabdomyolysis and exertional hyponatremia among active component service members, 2021–2025; followed by the ...