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
Sept. 1, 2025

Absolute and relative morbidity burdens attributable to various illnesses and injuries among non-service member beneficiaries of the Military Health System, 2024

This report presents an updated summary of the health care burdens documented in 2024 among non-service member beneficiaries of the Military Health System, which provides comprehensive health care to a diverse and heterogeneous population of family members and military retirees from all branches of military service.

Article
Sept. 1, 2025

Absolute and relative morbidity burdens attributable to various illnesses and injuries among active component members of the U.S. Coast Guard, 2024

This report quantifies the impacts of various illnesses and injuries among members of the active component of the U.S. Coast Guard in 2024, employing the same disease classification system and morbidity burden measures in the general active component burden analysis report.

Article
Sept. 1, 2025

Morbidity burdens attributable to various illnesses and injuries among deployed active and reserve component service members of the U.S. Armed Forces, 2024

This report focuses on service member health care encounters during deployment to two theaters of operations, U.S. Central Command (CENTCOM) and U.S. Africa Command (AFRICOM), where the largest concentrations of service members are deployed without access to fixed medical facilities.

Article
Sept. 1, 2025

Absolute and relative morbidity burdens attributable to various illnesses and injuries among active component members of the U.S. Armed Forces, 2024

This annual summary report of various illnesses and injuries among members of the active component of the U.S. Armed Forces quantifies patient diagnoses and major condition categories with several health care burden measures derived from the Global Burden of Disease Study.