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The Medical Surveillance Monthly Report, published continually since 1995, is a peer-reviewed journal of the Armed Forces Health Surveillance Division. The 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. The most widely read issue each year focuses on the annual absolute and relative morbidity burden attributable to various illness and injuries among service members and beneficiaries, which appears in two issues, June and July, annually.
The August 2024 issue of MSMR is now available.
Articles from each issue of the MSMR are accessed by scrolling to the You Also May Be Interested In... section of this page. A printable PDF of the most recent issue of the MSMR can be downloaded here.
The 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.
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.
Citing the MSMR
When citing MSMR articles, please use the following formats:
Author Names Listed with the Article
Collier DA, Bayles MK, Barrett, JP. Acute gastroenteritis outbreak at the Armed Forces Retirement Home, Washington, DC, January 2011. MSMR. 2011;18(6):11-14.
No Author Name Listed (April 2007 to current)
Armed Forces Health Surveillance Branch. Mental disorders and mental health problems, active component, U.S. Armed Forces, January 2000 – December 2009. MSMR. 2010;17(11):6-13.
No Author Name Listed (Before April 2007)
Army Medical Surveillance Activity. Overhydration and hyponatremia among active-duty soldiers, 1997-1999. MSMR. 2000;6(3):9-11.
You also may be interested in...
Article
Jul 1, 2022
Respiratory pathogens, such as influenza and adenovirus, have been the main focus of the Department of Defense Global Respiratory Pathogen Surveillance Program (DoDGRPSP) since 1976.1. However, DoDGRPSP also began focusing on SARS-CoV-2 when COVID-19 was declared a pandemic illness in early March 2020.2. Following this declaration, the DOD quickly ...
Article
Jun 1, 2022
Surveillance snapshot: Illness and injury burdens, reserve component, U.S. Armed Forces, 2021
Article
Jun 1, 2022
Surveillance snapshot: Illness and injury burdens, recruit trainees, U.S. Armed Forces, 2021
Article
Jun 1, 2022
The hospitalization rate in 2021 was 48.0 per 1,000 person-years (p-yrs), the second lowest rate of the most recent 10 years. For hospitalizations limited to military facilities, the rate in 2021 was the lowest for the entire period. As in prior years, the majority (71.2%) of hospitalizations were associated with diagnoses in the categories of mental ...
Article
Jun 1, 2022
The proportions of evacuations out of USCENTCOM that were due to battle injuries declined substantially in 2021. For USCENTCOM, evacuations for mental health disorders were the most common, followed by non-battle injury and poisoning, and signs, symptoms, and ill-defined conditions. For USAFRICOM, evacuations for non-battle injury and poisoning were ...
Article
Jun 1, 2022
As in previous years, among service members deployed during 2021, injury/poisoning, musculoskeletal diseases and signs/symptoms accounted for more than half of the total health care burden during deployment. Compared to garrison disease burden, deployed service members had relatively higher proportions of encounters for respiratory infections, skin ...
Article
Jun 1, 2022
In 2021, mental health disorders accounted for the largest proportions of the morbidity and health care burdens that affected the pediatric and younger adult beneficiary age groups. Among adults aged 45–64 and those aged 65 or older, musculoskeletal diseases accounted for the most morbidity and health care burdens. As in previous years, this report ...
Article
Jun 1, 2022
In 2021, as in prior years, the medical conditions associated with the most medical encounters, the largest number of affected service members, and the greatest number of hospital days were in the major categories of injuries, musculoskeletal disorders, and mental health disorders. Despite the pandemic, COVID-19 accounted for less than 2% of total ...
Article
Jun 1, 2022
In 2021, the overall numbers and rates of active component service member ambulatory care visits were the highest of any of the last 10 years. Most categories of illness and injury showed modest increases in numbers and rates. The proportions of ambulatory care visits that were accomplished via telehealth encounters fell to under 15% in 2021, compared ...
Article
May 1, 2022
This is the first evaluation of ICD-10-CM-based cased definitions for COVID-19 surveillance among DOD health care beneficiaries. The 3 case definitions ranged from highly specific to a lower specificity, but improved balance between sensitivity and specificity.
Article
May 1, 2022
Data from surveys may be used to make public health decisions at both the installation and the Department of the Army level. This study demonstrates that a vast majority of soldiers were likely sufficiently engaged and answered both bogus items correctly. Future surveys should continue to investigate careless responding to ensure data quality in ...
Article
May 1, 2022
Tick-borne Encephalitis in Military Health System Beneficiaries, 2012–2021. Tick-borne encephalitis (TBE) is a viral infection of the central nervous system that is transmitted by the bite of infected ticks, mostly found in wooded habitats in parts of Europe and Asia
Article
May 1, 2022
This report summarizes incidence rates of the 5 most common sexually transmitted infections (STIs) among active component service members of the U.S. Armed Forces during 2013–2021. In general, compared to their respective counterparts, younger service members, non-Hispanic Black service members, those who were single and other/unknown marital status, ...
Article
Apr 1, 2022
Exertional (or exercise-associated) hyponatremia refers to a low serum, plasma, or blood sodium concentration (below 135 mEq/L) that develops during or up to 24 hours following prolonged physical activity. Acute hyponatremia creates an osmotic imbalance between fluids outside and inside of cells.
Article
Apr 1, 2022
Exertional heat illness (hereafter referred to as heat illness) spans a spectrum from relatively mild conditions such as heat cramps and heat exhaustion, to more serious and potentially life-threatening conditions such as heat injury and exertional heat stroke (hereafter heat stroke).
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Last Updated: August 29, 2024