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.

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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
Sept. 1, 2026

Health outcomes of U.S. active component service members working in high risk occupations for blast overpressure exposure: a retrospective cohort study

A U.S. Army Soldier holds his ears as he uses a 120mm Mortar Cannon in a Mortar Carrier Stryker vehicle to fire illumination flares.

This retrospective cohort study examined incidence of initial diagnoses of traumatic brain injury, insomnia, migraine headache, depressive or anxiety disorders, noise-induced hearing injury, and essential hypertension among U.S. active component service members, stratified by those who served in occupations at high risk for blast overpressure exposure ...

Report
Sept. 1, 2026

MSMR Vol. 33 No. 9 - September 2026

.PDF | 2.51 MB

The September 2026 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 ...

Report
Aug. 1, 2026

MSMR Vol. 33 No. 8 - August 2026

.PDF | 3.15 MB

The August 2026 issue of MSMR presents the annual report on diagnoses of mental health disorders among U.S. active component service members (ACSMs), 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 ...

Report
July 1, 2026

MSMR Vol. 33 No. 6 -7 - June-July 2026

.PDF | 3.23 MB

The June-July 2026 MSMR presents the annual burden of morbidity issue, with data and analysis of absolute and relative morbidity burdens due to illnesses and injuries in 2025 among U.S. active component and reserve service members, as well as Military Health System beneficiaries.

Article
July 1, 2026

Surveillance snapshot: Telehealth services among active component members of the U.S. Armed Forces, 2021–2025

Photo by Christina Clarke, U.S. Naval Hospital Naples: The Urology department head at USNH Rota, Spain, waves to staff in USNH Naples, Italy during a virtual cystoscopy between both hospitals. This work must comply with the restrictions shown on https://www.dvidshub.net/about/copyright

This brief annual summary presents trends in telehealth service use among members of the active component of the U.S. Armed Forces, using Defense Medical Surveillance System (DMSS) outpatient and demographic records from January 2021 through December 2025 and identifies the 10 most frequent diagnoses addressed via telehealth.

Article
July 1, 2026

Absolute and relative morbidity burdens attributable to various illnesses and injuries among active component members of the U.S. Coast Guard, 2025

Photo by Petty Officer 2nd Class Matthew Thieme, U.S. Coast Guard East: A U.S. Coast Guard 29-foot Response Boat-Small from Coast Guard Station Portsmouth transits near the Port of Virginia. This work must comply with the restrictions shown on https://www.dvidshub.net/about/copyright

This annual summary quantifies the impacts of various illnesses and injuries among members of the active component of the U.S. Coast Guard in 2025, employing the same disease classification system and morbidity burden measures as in the general active component burden analysis report.