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.

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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
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.”