The Medical Surveillance Monthly Report, a peer-reviewed journal launched in 1995, is the Armed Forces Health Surveillance Division's flagship publication. The MSMR provides monthly evidence-based estimates of the incidence, distribution, impact, and trends of health-related conditions among service members.

Each month, MSMR publishes a reportable medical event update for active component service members as well as Military Health System beneficiaries, documented through the Disease Reporting System internet.

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.

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’.

This Surveillance Snapshot evaluates adherence to official guidance for disease and injury data reporting during two 2024 exercises, African Lion and Flintlock, in the U.S. Africa Command area of responsibility.

This editorial presents an overview of the CHAMPS database, illustrating the utility and opportunities for research provided by CHAMPS.

This report describes the incidence, clinical characteristics, specifically prior illness or immunization, clinical course, and electrodiagnostic findings of U.S. active component service members with clinically confirmed Guillain-Barré syndrome, from 2014 through 2022.

This Surveillance Snapshot provides chikungunya case counts for all Military Health System beneficiaries, from 2020 through 2024, utilizing Defense Health Agency data confirmed via medical chart review.

This case report details the process of differential diagnosis of Ross River virus in an individual diagnosed in Queensland, Australia in 2024. The report demonstrates the need for better clinical awareness among medical care providers for U.S. service members presenting with febrile illness or joint pain following deployment to Australia.

Each month, MSMR publishes a reportable medical event update for active component service members as well as Military Health System beneficiaries, documented through the Disease Reporting System internet.

This study utilized self-reported racial and ethnic data from 235,608 live births to pregnant active component service members documented by the Birth and Infant Health Research program.

Since 2004, MSMR has published annual updates on the incidence of cold weather injuries affecting U.S. Armed Forces members for the five most recent cold seasons. This 2025 report discusses the occurrence of frostbite, immersion hand and foot injuries, hypothermia, as well as “other specified and unspecified effects of reduced temperature.”

This report describes the seven-year prevalence of five perinatal mental health disorders among U.S. active duty service women: trauma and stressor-related disorders, anxiety and panic disorders, depressive disorders, suicidal ideation or attempt, and eating disorders.