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Medical Surveillance Monthly Report

thumbnail image of several MSMRsThe Medical Surveillance Monthly Report (MSMR), a peer-reviewed journal launched in 1995, is the AFHSB's flagship publication. The MSMR provides monthly evidence-based estimates of the incidence, distribution, impact, and trends of health-related conditions among service members. Additionally, the MSMR focuses one issue per year on the absolute and relative morbidity burden attributable to various illnesses and injuries among service members and beneficiaries. You may request an electronic subscription online or via email

Would you like to be published in the MSMRAuthors are welcome to submit their manuscripts to the MSMR. >>See Instructions for Authors

View Current Report

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.

Citing the MSMR

When citing MSMR articles, please use the following formats:

Author Names Listed with the Article

Collier DA, Bayles MK, Barrett, JP. Acute gastroenteritis outbreak at the Armed Forces Retirement Home, Washington, DC, January 2011. MSMR. 2011;18(6):11-14.

No Author Name Listed (April 2007 to current)

Armed Forces Health Surveillance Branch. Mental disorders and mental health problems, active component, U.S. Armed Forces, January 2000 – December 2009. MSMR. 2010;17(11):6-13.

No Author Name Listed (Before April 2007)

Army Medical Surveillance Activity. Overhydration and hyponatremia among active duty soldiers, 1997-1999. MSMR. 2000;6(3):9-11.


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Exertional heat injuries pose annual threat to U.S. service members

Article
7/20/2017
Two U.S. service members perform duties in warm weather where they may be exposed to extreme heat conditions and a higher risk of heat illness.

Exertional heat injuries pose annual threat to U.S. service members, according to a study published in Defense Health Agency’s Armed Forces Health Surveillance Branch (AFHSB) peer-reviewed journal, the Medical Surveillance Monthly Report.

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Demographic and Military Traits of Service Members Diagnosed as Traumatic Brain Injury Cases

Fact Sheet
3/30/2017

This fact sheet provides details on the demographic and military traits of service members diagnosed as traumatic brain injury (TBI) cases during a 16-year surveillance period from 2001 through 2016, a total of 276,858 active component service members received first-time diagnoses of TBI - a structural alteration of the brain or physiological ...

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Armed Forces Health Surveillance Branch | Medical Surveillance Monthly Report

Rhabdomyolysis by Location, Active Component, U.S. Armed Forces, 2012-2016 Fact Sheet

Fact Sheet
3/30/2017

This fact sheet provides details on Rhabdomyolysis by location for active component, U.S. Armed Forces during a five-year surveillance period from 2012 through 2016. The medical treatment facilities at nine installations diagnosed at least 50 cases each and, together approximately half (49.9%) of all diagnosed cases.

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Heat Illnesses by Location, Active Component, U.S. Armed Forces, 2012-2016 Fact Sheet

Fact Sheet
3/30/2017

This fact sheet provides details on heat illnesses by location during a five-year surveillance period from 2012 through 2016. 11,967 heat-related illnesses were diagnosed at more than 250 military installations and geographic locations worldwide. Three Army Installations accounted for close to one-third of all heat illnesses during the period.

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Armed Forces Health Surveillance Branch | Medical Surveillance Monthly Report

2016 marks first year of zero combat amputations since the start of the Afghan, Iraq wars

Article
3/28/2017
An analysis by the Medical Surveillance Monthly Report recently reported 2016 marks the first year without combat amputations since the wars in Afghanistan and Iraq began. U.S. Armed Forces are at risk for traumatic amputations of limbs during combat deployments and other work hazards. (DoD photo)

An analysis by the Medical Surveillance Monthly Report (MSMR) recently reported 2016 marks the first year of zero combat amputations since the wars in Afghanistan and Iraq began.

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Armed Forces Health Surveillance Branch | Medical Surveillance Monthly Report | Epidemiology and Analysis

Cold injuries among active duty U.S. service members drop to lowest level since winter 2011–2012

Article
1/23/2017
U.S. service members often perform duties in cold weather climates where they may be exposed to frigid conditions and possible injury.

Cold injuries among active duty U.S. service members drop to the lowest level since winter 2011-2012, according to a study published in Defense Health Agency’s Armed Forces Health Surveillance Branch (AFHSB) peer-reviewed journal, the Medical Surveillance Monthly Report.

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Preventive medicine helps shape surveillance efforts to keep service members healthy

Article
8/30/2016
Colonel Loveless discusses with staff medical surveillance analysis that helps maintain force health protection and readiness among service members (Courtesy Photo)

The Armed Forces Health Surveillance Branch is running a series featuring preventive medicine doctors and their work in public health. Army Lieutenant Colonel P. Ann Loveless is the Chief of Satellite Support for AFHSB’s Epidemiology and Analysis section. She is a physician and holds a master’s degree in epidemiology. She reflects on how her ...

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USU preventive medicine resident reflects on epidemiology rotation at AFHSB

Article
8/30/2016
Lieutenant-Commander Vincent Beswick-Escanlar, a recent graduate of the preventive medicine residency at the Uniformed Services University of the Health Sciences (USU), presents a poster at its Research Days event.

The Armed Forces Health Surveillance Branch is running a series featuring preventive medicine doctors and their work in public health. Lieutenant-Commander Vincent Beswick-Escanlar is a recent graduate of the preventive medicine residency at the Uniformed Services University of the Health Sciences (USU). As part of the USU program, Beswick-Escanlar ...

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Armed Forces Health Surveillance Branch | Medical Surveillance Monthly Report | Epidemiology and Analysis

AFHSB deputy director reflects on career in military medical surveillance

Article
8/16/2016
Dr. Jose "Toti" Sanchez, deputy director of AFHSB, delivers presentation at African Partner Outbreak Response Alliance sponsored by U.S. Africa Command in support of military medical surveillance. (Courtesy Photo)

The Armed Forces Health Surveillance Branch is running a series featuring its preventive medicine doctors and how it influences their work. Dr. Jose Sanchez began his career in epidemiology and public health in 1980 as an Army public health officer. Known to his colleagues as “Toti,” Dr. Sanchez is now AFHSB’s Deputy Chief. He reflects on his past ...

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