Medical Surveillance Monthly Report

Click on the icon to open, download and save the latest issue of MSMRThe February 2026 issue of MSMR features a full report on the number of tuberculosis tests and diagnoses of latent tuberculosis infection among U.S. Army active component service members, from 2014 to 2023; a Historical Perspective on post-infection symptoms in U.S. soldiers with malaria during World War II and its major limitation to return to duty; followed by a Surveillance Snapshot on adherence to disease and injury standardized surveillance categories in two U.S. Africa Command exercises in 2024; complemented by guest editorial on CHAMPS: the Career History Archival Medical and Personnel System—a summary of career and medical records of the U.S. Armed Forces, from 1980 to 2023; and concludes with the monthly summary of the most frequent reportable medical events within the Military Health System.

The Medical Surveillance Monthly Report, published continually since 1995, is a peer-reviewed journal of the Armed Forces Health Surveillance Division. MSMR publishes monthly reports describing the incidence, distribution, impact, or trends of illness and injuries among members of the United States Armed Forces and other beneficiaries of 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.

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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
Feb. 1, 2025

Development of a New Fleet Disease and Injury Surveillance Capability Using ESSENCE

This report details the steps taken to develop a timely, accurate, and comprehensive Navy fleet disease and injury surveillance capability, utilizing ESSENCE (Electronic Surveillance System for the Early Notification of Community-based Epidemics), including the successes and challenges that will guide further refinement and expansion of this tool.

Article
Feb. 1, 2025

Surveillance Snapshot: Non-Hodgkin Lymphoma Incidence in Active Component U.S. Service Members, 2017–2023

This analysis utilizes an updated case definition for non-Hodgkin lymphoma developed by the Armed Forces Health Surveillance Division, based on consultation with subject matter experts and previous literature, to establish non-Hodgkin lymphoma incidence within the U.S. Armed Forces active component, from 2017 through 2023.

Article
Feb. 1, 2025

External Cause Coding of Injury Encounters in the Military Health System Among Active Component U.S. Service Members, 2016–2019

Knowledge of injury causes is essential for prevention. This article describes causes of injury for all U.S. service members, from 2016 through 2019, and identifies variations in injury cause coding over time, and by branch of military service, type of health care visit and facility, and diagnosis category.

Article
Jan. 1, 2025

Use of Positive Predictive Value to Evaluate the Armed Forces Health Surveillance Division Brain Cancer Incidence Rules, Active Component Department of the Air Force Pediatric Dependent Population, January 1, 2010–December 31, 2020

This study applied the Armed Forces Health Surveillance Division (AFHSD) case definition for the identification of malignant brain tumors among U.S. active service members to the dependent pediatric population of the active component of the U.S. Air Force, to determine the positive predictive value of this case definition for a pediatric population.

Article
Dec. 1, 2024

Syphilis Cases Among Pregnant Women and Newborns in the Military Health System, 2012–2022

This report presents the rates of maternal syphilis among pregnant women and congenital syphilis among newborns in the Military Health System beneficiary population from 2012 to 2022. Between 2012 and 2021, cases of congenial syphilis in the U.S. increased by 755%, and rates of maternal and congenital syphilis within the Military Health System ...

Article
Dec. 1, 2024

Post-Acute Sequelae of SARS-CoV-2 and Kidney Events in U.S. Active Component Service Members, March 1, 2020–September 30, 2022

This study assessed the incidence and incidence rate ratio of selected kidney events among U.S. active component service members that occurred from 31 days to six months after a COVID-19 test. Early evidence suggests that COVID-19 is linked to kidney-related events in older and hospitalized patients but has not been examined among a younger, healthy ...