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.

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Article
Nov. 1, 2024

Cold Weather Injuries Among the Active and Reserve Components of the U.S. Armed Forces, July 2019–June 2024

Since 2004, MSMR has published annual updates on the incidence of cold weather injuries affecting U.S. Armed Force members for the five most recent cold seasons. Cold weather injuries are of significant military concern due to potential effects on service members (e.g., morbidity and potential disability) and the total force (e.g., adverse impacts on ...

Article
Oct. 1, 2024

Update: Routine Screening for Antibodies to Human Immunodeficiency Virus in the U.S. Armed Forces, Active and Reserve Components, January 2019–June 2024

This annual report summarizes numbers and trends of newly identified HIV-antibody seropositivity, from January 1, 2019 through June 30, 2024, among military members of five services under the active and reserve components of the U.S. Armed Forces, in addition to the Army and Air Force National Guard.

Article
Oct. 1, 2024

Guest Editorial: Health Policy Analysis: Improving HIV PrEP Implementation to Help End the HIV Epidemic in the U.S. Military

This guest editorial presents a policy analysis that suggests HIV PrEP coverage in the Military Health System remains suboptimal, and evaluates several available interventions could result in substantial increases in PrEP coverage that could further reduce new service member HIV infections and increase medical readiness.