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 June/July 2026 issue of MSMR presents the annual issue focusing on the burden of morbidity and mortality and their associated health care within the Military Health System. The issue features an overview of absolute and relative morbidity burdens among U.S. active component service members in 2025; with related reports on both hospitalizations and ambulatory care visits, and reports for morbidity burdens among deployed active and reserve component members as well as medical evacuations from four geographic combatant commands; complemented by a report on absolute and relative morbidity burdens among U.S. Coast Guard active component members; followed by a Surveillance Snapshot on illness and injury burdens among recruit trainees of the U.S. Armed Forces. The issue also features a comprehensive report on absolute and relative morbidity burdens among non-service member beneficiaries of the Military Health System. Three Surveillance Snapshots provide 2025 data on illness and injury burdens among reserve component members as well as Coast Guard Reserve members, in addition to telehealth use trends from 2021 through 2025.

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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Report
May 1, 2026

MSMR Vol. 33 No. 5 - May 2026

.PDF | 2.07 MB

The May 2026 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, 2021–2025; complemented by the annual updates on exertional rhabdomyolysis and exertional hyponatremia among active component service members, 2021–2025; followed by the ...

Report
April 1, 2026

MSMR Vol. 33 No. 4 - April 2026

.PDF | 1.30 MB

The April 2026 MSMR features two full reports and a brief report, beginning with a study of tobacco and nicotine use indicators from two data sources for U.S. active component service members in 2023; followed by a report on head and neck cancer among active component service members from 2010 to 2024; with brief report on the incidence of ...

Report
March 1, 2026

MSMR Vol. 33 No. 3 - March 2026

.PDF | 1.74 MB

The March 2026 MSMR features two full reports and a Surveillance Snapshot, beginning with a report on mortality rates among U.S. service members, from 2010 to 2020; followed by a report on the incidence and burden of endometriosis among U.S. active component service women, 2017 to 2024; with a Surveillance Snapshot on mid-year populations by sex, age, ...

Article
Feb. 1, 2026

Number of tuberculosis tests and diagnoses of latent tuberculosis infection among U.S. Army active component service members, January 2014–December 2023

This report describes the trends of tuberculosis testing and latent tuberculosis infection positivity in U.S. Army active component soldiers during the first decade following the 2013 U.S. Army Medical Command policy revision to a targeted, risk-based tuberculosis testing strategy.

Article
Feb. 1, 2026

Historical perspective: Post-infection symptoms in U.S. soldiers with malaria during the Second World War: major limitation to return to duty

This historical review discusses how the primary challenge presented by malaria infections in the Pacific theater during World War II was an inability to return recovered soldiers quickly to their units, with nearly one percent of malaria patients repatriated for ‘chronic malaria’.