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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Article
Feb. 1, 2025

External Cause Coding of Injury Encounters in the Military Health System Among Active Component U.S. Service Members, 2016–2019

Knowledge of injury causes is essential for prevention. This article describes causes of injury for all U.S. service members, from 2016 through 2019, and identifies variations in injury cause coding over time, and by branch of military service, type of health care visit and facility, and diagnosis category.

Article
Jan. 1, 2025

Use of Positive Predictive Value to Evaluate the Armed Forces Health Surveillance Division Brain Cancer Incidence Rules, Active Component Department of the Air Force Pediatric Dependent Population, January 1, 2010–December 31, 2020

This study applied the Armed Forces Health Surveillance Division (AFHSD) case definition for the identification of malignant brain tumors among U.S. active service members to the dependent pediatric population of the active component of the U.S. Air Force, to determine the positive predictive value of this case definition for a pediatric population.

Article
Dec. 1, 2024

Syphilis Cases Among Pregnant Women and Newborns in the Military Health System, 2012–2022

This report presents the rates of maternal syphilis among pregnant women and congenital syphilis among newborns in the Military Health System beneficiary population from 2012 to 2022. Between 2012 and 2021, cases of congenial syphilis in the U.S. increased by 755%, and rates of maternal and congenital syphilis within the Military Health System ...

Article
Dec. 1, 2024

Post-Acute Sequelae of SARS-CoV-2 and Kidney Events in U.S. Active Component Service Members, March 1, 2020–September 30, 2022

This study assessed the incidence and incidence rate ratio of selected kidney events among U.S. active component service members that occurred from 31 days to six months after a COVID-19 test. Early evidence suggests that COVID-19 is linked to kidney-related events in older and hospitalized patients but has not been examined among a younger, healthy ...

Article
Nov. 1, 2024

Trends of Ischemic Heart Disease and Cerebrovascular Disease in Active Component Female Service Members, 2014–2023

Female-specific risk factors, including mental health, for ischemic heart and cerebrovascular diseases have only recently been recognized. This study summarizes trends from 2014 through 2023 in the incidence of ischemic heart disease and cerebrovascular heart disease among U.S. active component female service members and identifies potential military ...

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 ...