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.

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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Report
Feb. 1, 2026

MSMR Vol. 33 No. 2 - February 2026

.PDF | 1.29 MB

The February 2026 MSMR features a report on the number of tuberculosis tests and diagnoses of latent tuberculosis infection in the U.S. Army; a historical review on post-infection symptoms in U.S. soldiers with malaria during World War II and its major limitation to return to duty; a Surveillance Snapshot on adherence to disease and injury ...

Article
Jan. 1, 2026

Case report: An atypical Ross River Virus infection in an Australian Army service member

This case report details the process of differential diagnosis of Ross River virus in an individual diagnosed in Queensland, Australia in 2024. The report demonstrates the need for better clinical awareness among medical care providers for U.S. service members presenting with febrile illness or joint pain following deployment to Australia.

Report
Jan. 1, 2026

MSMR Vol. 33 No. 1 - January 2026

.PDF | 3.43 MB

The January 2026 MSMR features a full report on Guillain-Barré syndrome among U.S. active component service members, 2014–2022; and a report on distinct approaches to racial and ethnic classification to the surveillance of obstetric and neonatal outcomes in the U.S. military, 2010–2021; followed by a case report an atypical Ross River virus infection ...

Report
Dec. 1, 2025

MSMR Vol. 32 No. 12 - December 2025

.PDF | 2.86 MB

The December 2025 issue of MSMR features four full reports: the annual update on cold weather injuries among the active and reserve components; a report on trends in the prevalence of obesity among U.S. active component service members and civilians; the annual update on diagnoses of mental health disorders among active component service members; a ...

Article
Dec. 1, 2025

Update: Cold weather injuries among the active and reserve components of the U.S. Armed Forces, July 2020–June 2025

Since 2004, MSMR has published annual updates on the incidence of cold weather injuries affecting U.S. Armed Forces members for the five most recent cold seasons. This 2025 report discusses the occurrence of frostbite, immersion hand and foot injuries, hypothermia, as well as “other specified and unspecified effects of reduced temperature.”

Report
Nov. 1, 2025

MSMR Vol. 32 No. 11 - November 2025

.PDF | 3.56 MB

The November 2025 MSMR presents four full reports on sexually transmitted infections (STIs), led by the annual update on STIs among active component service members, 2016–2024; followed by a report on follow up testing for chlamydia or gonorrhea among male Air Force basic trainees, 2017–2023; accompanied by a report on sexual networks of service ...