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 August 2026 issue of MSMR presents the annual report on diagnoses of mental health disorders among U.S. active component service members, 2021-2025; with a related report on trends in postpartum depression and anxiety diagnoses among U.S. active component service women, 2010-2024; complemented by a report on chronic insomnia and military separation: a retrospective matched cohort and nested case-control study of U.S. active component service members, 2014-2023; followed by a report on 2025-2026 mid-season influenza virus genetic characterizations in U.S. Department of War populations; and concludes with a first quarter 2026 summary 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.

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Report
Aug. 1, 2026

MSMR Vol. 33 No. 8 - August 2026

.PDF | 3.15 MB

The August 2026 issue of MSMR presents the annual report on diagnoses of mental health disorders among U.S. active component service members (ACSMs), 2021-2025; with a related report on trends in postpartum depression and anxiety diagnoses among U.S. active component service women, 2010-2024; complemented by a report on chronic insomnia and military ...

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.

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 ...

Report
April 1, 2026

MSMR Vol. 33 No. 4 - April 2026

.PDF | 1.30 MB

The April 2026 MSMR features two full reports and a brief report, beginning with a study of tobacco and nicotine use indicators from two data sources for U.S. active component service members in 2023; followed by a report on head and neck cancer among active component service members from 2010 to 2024; with brief report on the incidence of ...

Report
March 1, 2026

MSMR Vol. 33 No. 3 - March 2026

.PDF | 1.74 MB

The March 2026 MSMR features two full reports and a Surveillance Snapshot, beginning with a report on mortality rates among U.S. service members, from 2010 to 2020; followed by a report on the incidence and burden of endometriosis among U.S. active component service women, 2017 to 2024; with a Surveillance Snapshot on mid-year populations by sex, age, ...

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 ...

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 ...

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 ...

Report
Oct. 1, 2025

MSMR Vol. 32 No. 10 - October 2025

.PDF | 2.90 MB

The October 2025 MSMR presents five full reports: measles, mumps, rubella and varicella within the Military Health System; seasonal influenza hospitalization among service members; BMI, physical fitness, and COVID-19 hospitalization in the Army; adverse pregnancy outcomes in female service members after COVID-19 infection or vaccination; long COVID ...

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; ...

Report
July 1, 2025

MSMR Vol. 32 No. 7 - July 2025

.PDF | 2.01 MB

The July 2025 MSMR features four articles, with a report on a vaccine-preventable outbreak of acute respiratory illness and pneumonia associated with adenovirus at a U.S. Marine Corps training center; followed by a brief report on longitudinal associations between health-related quality of life and female service member readiness; a case report on a ...