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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Article
Sept. 1, 2025

Morbidity burdens attributable to various illnesses and injuries among deployed active and reserve component service members of the U.S. Armed Forces, 2024

This report focuses on service member health care encounters during deployment to two theaters of operations, U.S. Central Command (CENTCOM) and U.S. Africa Command (AFRICOM), where the largest concentrations of service members are deployed without access to fixed medical facilities.

Article
Sept. 1, 2025

Absolute and relative morbidity burdens attributable to various illnesses and injuries among active component members of the U.S. Coast Guard, 2024

This report quantifies the impacts of various illnesses and injuries among members of the active component of the U.S. Coast Guard in 2024, employing the same disease classification system and morbidity burden measures in the general active component burden analysis report.

Article
Sept. 1, 2025

Absolute and relative morbidity burdens attributable to various illnesses and injuries among active component members of the U.S. Armed Forces, 2024

This annual summary report of various illnesses and injuries among members of the active component of the U.S. Armed Forces quantifies patient diagnoses and major condition categories with several health care burden measures derived from the Global Burden of Disease Study.

Report
Aug. 1, 2025

MSMR Vol. 32 No. 8 - August 2025

.PDF | 2.71 MB

The August 2025 MSMR presents four articles: a report on venomous animal bites and stings in U.S. active component service members, 2008–2023; a report on potential high arbovirus exposure in INDOPACOM during U.S. deployment or exercises in Papua New Guinea; a Historical Perspective on early U.S. military immunization against tetanus and diphtheria; ...