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 September 2026 issue of MSMR presents four full reports, beginning with a retrospective cohort study on health outcomes of U.S. active component service members working in high risk occupations for blast overpressure exposure; followed by an inaugural Public Health Practice feature on a standardized approach to non-infectious disease cluster investigations in the Air Force; with a review of published studies from 2013 to 2024 utilizing the U.S. Department of War Serum Repository; and concludes with a report on the relevance and comparability of global laboratory molecular detection of influenza by the U.S. Department of War in 2025-2026.

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
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.”