MEDICAL SURVEILLANCE MONTHLY REPORT (MSMR), in continuous publication since 1995, is produced by the Armed Forces Health Surveillance Branch (AFHSB). TheMSMR provides evidence-based estimates of the incidence, distribution, impact, and trends of illness and injuries among U.S. military members and associated populations. Most reports in the MSMR are based on summaries of medical administrative datathat are routinely provided to the AFHSB and integrated into the Defense Medical Surveillance System for health surveillance purposes. Articles in this monthly report include: Non-alcoholic fatty liver disease (NAFLD), active component, U.S. Armed Forces, 2000-2017; Cardiovascular disease-related medical evacuations, active and reserve components, U.S. Armed Forces, 1 October 2001 31 December 2017; Acute flaccid myelitis: Case report; and Historical perspective: Leptospirosis outbreaks affecting military forces.
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