This editorial provides a bibliometric summary and thematic analysis for articles published in MSMR over a 5-year period, from January 2019 through December 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.

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). ...

The proportions of women and Hispanic service members increased from 2018 to 2022, while the proportions of non-Hispanic White active component service members and those under 20 years of age decreased.

This data analysis identified a small number of reported chikungunya cases, and even fewer hospitalizations, suggesting that risk of chikungunya virus disease to U.S. service member readiness is small.

Command decisions for balancing risks have differed in every pandemic of the past century because those decisions occurred in a broader cultural context of acceptable health risks tied to available technology and scientific knowledge.

Incidence and Management of Chronic Insomnia, Active Component, U.S. Armed Forces, 2012 to 2021.