Medical Surveillance Monthly Report

Click on the icon to open, download and save the latest issue of MSMRThe May 2026 issue of MSMR features four full reports and a brief report, beginning with the annual update of heat exhaustion and heat stroke among U.S. active component service members, from 2021 through 2025; complemented by the annual updates on exertional rhabdomyolysis and exertional hyponatremia among active component service members, 2021–2025; followed by the annual update on malaria in the U.S. Armed Forces in 2025; and concludes with an annual summary of the most frequent reportable medical events within the Military Health System.

The Medical Surveillance Monthly Report, published continually since 1995, is a peer-reviewed journal of the Armed Forces Health Surveillance Division. MSMR publishes monthly reports describing the incidence, distribution, impact, or trends of illness and injuries among members of the United States Armed Forces and other beneficiaries of 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
Jan. 1, 2024

Ivermectin Prescription Fill Rates Among U.S. Military Members During the Coronavirus Disease 2019 (COVID-19) Pandemic

This report describes ivermectin prescription fill rates among U.S. active component service members over time during the early phases of the COVID-19 pandemic. Ivermectin prescription fill rates increased among active component service members early in the COVID-19 pandemic when misinformation about the effectiveness of ivermectin for prevention and ...

Article
Jan. 1, 2024

Brief Report: The Four Most Frequently Diagnosed Vector-borne Diseases Among Service Member and Non-Service Member Beneficiaries in the Geographic Combatant Commands, 2010–2022

This report provides linear trends of selected vector-borne diseases, over a 13-year surveillance period, among Armed Forces service and non-service member beneficiaries diagnosed at installations within the Northern Command (NORTHCOM), Africa Command (AFRICOM), Central Command (CENTCOM), European Command (EUCOM), Indo-Pacific Command (INDOPACOM), or ...

Article
Jan. 1, 2024

Reportable Medical Events at Military Health System Facilities Through Week 48, Ending November 30, 2023

Each month the MSMR publishes an update of reportable medical events documented in the Disease Reporting System internet by health care providers and public health officials throughout the Military Health System, for monitoring, controlling, and preventing the occurrence and spread of diseases of public health interest or readiness importance.

Article
Dec. 1, 2023

Reportable Medical Events at Military Health System Facilities Through Week 44, Ending November 4, 2023

Chlamydia, by far the most frequently reported medical event (RME) with the MHS, declined by 17% in October, to 1,190 cases, from 1,437 cases (adjusted) in September; this follows a 15% decline from August to September. Gonorrhea, the second highest RME, declined 15% in October, to 192 cases reported cases in September, from 225 cases (adjusted). ...