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 October 2026 issue of MSMR  presents two full reports, including a case study, in addition to one brief report and a Surveillance Snapshot. The issue features a study of flea-borne typhus fever in the U.S. military; followed by a case report of a delayed onset Plasmodium vivax malaria infection after exposure near the Demilitarized Zone in the Republic of Korea: with brief report of 2025-2026 influenza season vaccine effectiveness estimates against outpatient cases among U.S. active component service members; complemented by a Surveillance Snapshot on the challenges of statistical power in high coverage populations when assessing influenza vaccine effectiveness trends among U.S. active component service members; and concludes with a quarterly report of the most frequent reportable medical events within the Military Health System.

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
Jan. 1, 2024

Reportable Medical Events at Military Health System Facilities Through Week 48, Ending November 30, 2023

Each month the MSMR publishes an update of reportable medical events documented in the Disease Reporting System internet by health care providers and public health officials throughout the Military Health System, for monitoring, controlling, and preventing the occurrence and spread of diseases of public health interest or readiness importance.

Article
Jan. 1, 2024

Ivermectin Prescription Fill Rates Among U.S. Military Members During the Coronavirus Disease 2019 (COVID-19) Pandemic

This report describes ivermectin prescription fill rates among U.S. active component service members over time during the early phases of the COVID-19 pandemic. Ivermectin prescription fill rates increased among active component service members early in the COVID-19 pandemic when misinformation about the effectiveness of ivermectin for prevention and ...

Article
Dec. 1, 2023

Reportable Medical Events at Military Health System Facilities Through Week 44, Ending November 4, 2023

Chlamydia, by far the most frequently reported medical event (RME) with the MHS, declined by 17% in October, to 1,190 cases, from 1,437 cases (adjusted) in September; this follows a 15% decline from August to September. Gonorrhea, the second highest RME, declined 15% in October, to 192 cases reported cases in September, from 225 cases (adjusted). ...

Report
Oct. 1, 2023

MSMR Vol. 30 No. 10 - October 2023

.PDF | 1.29 MB

The October 2023 Medical Surveillance Monthly Report (MSMR) provides a review of the incidence of colorectal cancer among active component service members from 2010 to 2022; followed by a study of force protection risks in AFRICOM, INDOPACOM, and SOUTHCOM due to rapid diagnostic test failures for P. falciparum malaria from 2016 to 2022; then an update ...

Report
Sept. 1, 2023

MSMR Vol. 30 No. 9 - September 2023

.PDF | 1.30 MB

The September 2023 MSMR provides the annual update of routine screening for antibodies to HIV among the active and reserve components of the U.S. Armed Forces; followed by a serological survey of Ross River virus (RRV) infection among U.S. Marine expeditionary forces who train in Australia; followed by a Surveillance Snapshot of the 10 leading ...

Report
Aug. 1, 2023

MSMR Vol. 30 No. 8 - August 2023

.PDF | 1.02 MB

The August 2023 MSMR provides the most recent data from the active surveillance program for acute respiratory disease and Group A Beta-Hemolytic Streptococcus among U.S. Army basic trainees; then summarizes the case report of an extensively resistant E. coli in a returning traveler at Hawai'i's Tripler Army Medical Center; followed by a Surveillance ...

Report
July 1, 2023

MSMR Vol. 30 No. 7 - July 2023

.PDF | 1.30 MB

This continuation of the June issue, which published the annual quantification of health care provided by the Military Health System, continues with the impacts of various illnesses and injuries in 2022 among deployed service members; medical evacuations out of theaters of military operation; health care provision to non-service member MHS ...