National Strategic Work Plan
Transcript of National Strategic Work Plan
99(MYSED) II (2017–2021) National Strategic Work Plan
ii(MYSED) II (2017–2021) National Strategic Work Plan
iv Foreword
v Abbreviations
vii Executive Summary
1 SECTION 1: Introduction to APSED III
4 1.1 Vision
4 1.2 Goal
4 1.3 Objectives
4 1.4 Focus Areas
5 SECTION 2: Introduction to MySED II (2017-2021)
5 2.1 Background
6 2.2 Scope
6 2.3 Vision, Goal, Objectives and Purpose
7 2.4 MYSED II Guiding Principles
7 2.5 Implementers and Partners
8 2.6 The Time Frame for Implementation
8 2.7 Focus Areas
TABLE OF CONTENTS
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33 3. Strategic Work Plan by Focus Area MySED II (2017-2021)
33 3.1 Public Health Emergency Preparedness (PHEP)
47 3.2 Surveillance, Risk Assessment and Response
61 3.3 Laboratories
66 3.4 Zoonoses
72 3.5 Prevention through Healthcare
84 3.6 Risk Communication
90 3.7 Regional Preparedness, Alert and Response
92 3.8 Monitoring and Evaluation (2017-2025)
93 ACKNOWLEDGEMENT
95 ANNEX 1: Glossary of Selected Terms
97 ANNEX 2: Reference Documents
FOREWORD
Director General of HealthThe Asia Pacific Region including Malaysia is continously
threatened by public health emergencies caused by
outbreaks of emerging and re-emerging infectious
diseases, catastrophic natural disasters, and bioterrorism.
Emerging and re-emerging infectious diseases such
as Nipah virus, SARS, Avian Influenza, Influenza A
(H1N1), Ebola, MERS-CoV, Zika and recently Rabies has
caused significant burden and challenges to the national
healthcare systems and to the economic growth and
development of nations.
During the last five years, the Malaysian Strategy for Emerging Diseases (MySED) Workplan (2012-2015)
has provided a common framework for action in Malaysia for the implementation and strengthening
of the IHR (2005), which is the legal framework among Member States for detecting, preparing and
responding to public health emergencies. Evaluation of MySED conducted in 2016, confirmed the
importance and relevance of MySED for implementing the requirements under IHR (2005). In line with
the APSED III, Joint External Evaluation (JEE) and The Global Health Security Agenda (GHSA) documents,
the Ministry of Health Malaysia had reviewed the current MySED Workplan and identified the need to
further enhance its public health response and preparedness strategies. Therefore, Malaysia Strategic
Workplan for Emerging Diseases II (2017-2021) or MySED II Workplan (2017-2021) was introduced.
MySED II Workplan (2017-2021) is developed following extensive consultations with states, technical
experts and partners from various levels and organizations by incorporating our previous experience
from managing actual events through the all-hazards approach. The MySED II Workplan has an
implementation period of five years and enhances the capacity of the country step by step through the
core components through harmonization with other existing national and international frameworks and
initiatives. We believe that with the implementation of this MySED II Workplan (2017-2021), Malaysia
will be prepared to face any public health emergency threats of in future.
DATUK DR. NOOR HISHAM ABDULLAH
Director General of Health, Malaysia
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ABBREVIATIONSAELB Atomic Energy Licensing Board
AMR Antimicrobial Resistance
AMS Antimicrobial Stewardship
AMU Antimicrobial Use
APHM Association of Private Hospital of Malaysia
APSED Asia Pacific Strategy for Emerging Diseases
APSIC Asia Pacific Society of Infection Control
MVFPD Malaysia Veterinary Fixed Procedure Directive
ASEAN Association of Southeast Asian Nations
AST Antibiotic Sensitivity Test
AVO Assistant Veterinary Officer
BCP Business Continuity Plan
Canada’s GPP
Canada’s Global Partnership Programme
CBEP Cooperative Biological Engagement Program
CBRNe Chemical, Biological, Radiological, Nuclear, Explosive
CDC Communicable Disease Control
CME Continue Medical Examination
CoE Centres of Excellence
CPRC National Crisis Preparedness & Response Centre
DCA Department of Civil Aviation
DCD Disease Control Division
DHO District Health Officer
DID Department of Irrigation and Drainage
DOE Department of Environment
DOF Department of Fisheries
DSW Department of Social Welfare
DVS Department of Veterinary Services
EBS Event Based Surveillance
EIDs Emerging Infectious Diseases
EIP Epidemic Intelligence Program
EIS Event Information Site
EOC Emergency Operation Centre
EQA External Quality Assurance
EU European Union
FEMA Federal Emergency Management Agency (US)
FET Field Epidemiology Training
FETP Field Epidemiology Training Programme
FHDD Family Health Development Division
FRDM Fire and Rescue Department of Malaysia
FSQD Food Safety and Quality Division
GHSA Global Health Security Agenda
GOARN Global Outbreak Alert and Response Network
HAI Hospital Acquired Infection
HA-MDRO Healthcare Associated Multidrug-Resistant Organism
HAZMAT Hazardous Material
HCAI Healthcare Associated Infection
HCW Health Care Worker
HIACC Hospital Infection and Antibiotic Control Committee
HKL Hospital Kuala Lumpur
IBS Indicator Based Surveillance
ICT Information and Communication Technology
ICS Incident Command System
IHR International Health Regulations
IHS International Health Sector
IMR Institute for Medical Research
IMD Information Management Division
IMS Incident Management System
IPC Infection Prevention and Control
IQC Internal Quality Control
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JE Japanese Encephalities
JEE Joint External Evaluation
LTAC National Laboratory Technical Advisory Committee
MAF Malaysian Armed Force
MCDF Malaysia Civil Defence Force
MCMM Ministry of Communications and Multimedia Malaysia
MDD Medical Development Division
MINDEF Ministry of Defence
MISP Malaysia Influenza Surveillance Protocol
MERS-CoV Middle East Respiratory Syndrome Coronavirus
MET Department of Meteorological
MKAK/NPHL
National Public Health Laboratory
MMA Malaysian Medical Association
MOA Ministry of Agriculture
MOFA Ministry of Foreign Affair
MOH Ministry of Health
MOHE Ministry of Higher Education
MOSTI Ministry of Science, Technology and Industries
MOU Memorandum of Understanding
MPSG Malaysia Patient Safety Goals
MyOHUN Malaysian One Health University Network
MySED Malaysian National Strategic Plan for Emerging Diseases
M&E Monitoring and Evaluation
NACWC National Authority Chemical Weapons Convention
NADMA National Disaster Management Agency
NFP National Focal Point
NGOs Non-Government Organization
NRE Ministry of Natural Resources and Environment
NSAR National Surveillance of Antimicrobial Resistance
NSC/MKN National Security Council
NVPHL National Veterinary Public Health Laboratory
PHEIC Public Health Emergency of International Concern
PHDD Public Health Development Division
PHEP Public Health Emergency Preparedness
POE Points of Entry
PSD Public Service Department
PSP Pharmaceutical Services Programme
RARC Risk Assessment & Risk Communication
RMP Royal Malaysia Police
RRT Rapid Response Team
RTK Rapid Test Kits
SARS Severe Acute Respiratory Syndrome
SDGs Sustainable Development Goals
SEARO South East Asia Regional Office
SOP Standard Operating Procedure
STRIDE Science and Technology Research Institute for Defence
SUK State Secretary
TAG Technical Advisory Group
ToR Terms of Reference
TTX Table Top Exercise
UHC Universal Health Coverage
VO Veterinary Officer
VRI Veterinary Research Institute
WHO World Health Organization
WPRO Western Pacific Regional Office
EXECUTIVE SUMMARY
In the Western Pacific region, outbreaks and public health emergencies caused by emerging infectious diseases, the impacts of natural disasters, and unsafe food and water continually threaten health security. Globally and regionally there have been recent outbreaks of Avian Influenza, Ebola Virus Disease, Middle East Respiratory Syndrome (MERS), Dengue, Zika Virus, and Yellow Fever, as well as disasters caused by natural hazards, including cyclones, floods, droughts, earthquakes, tsunamis, and volcano eruptions. Furthermore, animal and human populations live in ever-closer proximity in the Western Pacific region, giving rise to novel infectious diseases, usually zoonotic, such as Avian Influenza viruses with pandemic potential through a cross-species transmission. The presence of newer threats such as environmental, chemical and radiological emergencies as well as uncommon patterns of antimicrobial resistance (AMR) continue to add to our regional vulnerability. Whereas in Malaysia outbreaks caused by infectious diseases such as SARs, Pandemic Influenza 2009, MERS-CoV, Avian Influenza A (H7N9), Zika virus infection, and public health emergencies such as natural disasters caused by floods, earthquakes, tsunamis, mass casualties (e.g. flight crash, building collapses) and chemical emergencies (e.g. attacked with VX chemical agents). Given the unpredictable nature of such events and the rapidly reducing travel times from one country to another, there is a need to further strengthen core capacities under the International Health Regulations (IHR), 2005 since it is the agreed legal framework for detecting, preparing for and responding to public health emergencies.
Malaysia had valuable lessons from past events through reviewing experiences, simulation exercises, evaluation of IHR 2005 core capacities requirements, Joint External Evaluation (JEE) and developing plans, thus strengthening the preparedness to respond to new and recurring health security threats globally. For the past 5 years, the Malaysia Strategy for Emerging Diseases (MySED) I Workplan (2012-2015) has provided a common framework for action in Malaysia for the implementation and strengthening of the core capacities required under IHR (2005). Outcomes from the evaluation of MySED I implementation conducted in 2016 confirmed that MySED is an important and relevant strategy for implementing IHR (2005).
The Technical Advisory Group (TAG) on the APSED (APSED TAG) meeting in 2015 recommended that WHO develop a new strategy for the Asia Pacific region. This new strategic framework titled the Asia Pacific Strategy for Emerging Diseases and Public Health Emergencies (APSED III), reflects the all-hazards approach adopted by the Asia Pacific region and incorporates the lessons learnt from actual events. Extensive bottom-up consultations with the Member States including Malaysia, technical experts and partners reconfirmed the relevance of APSED as the common framework for action for working towards IHR core capacities and building national capacity to prevent, detect, respond to and mitigate health security threats. APSED III has been presented to Regional Committee Meeting (RCM) in October 2016 and it was endorsed for implementation by member states. The current MySED II Workplan is in line with the APSED III which covers the all-hazards approach.
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1. INTRODUCTION TO ASIA PASIFIC STRATEGY FOR EMERGING DISEASE
AND PUBLIC HEALTH EMERGENCIES (ASPED) III
The Asia Pacific Strategy for Emerging Diseases (APSED) is a bi-regional tool to help two WHO Regions
(SEAR and WPR) meet the IHR core capacity requirements. A common framework highlighting a shared
vision and a set of agreed priorities developed in 2005 and updated in 2010.
Technical Advisory Group on the Asia Pacific Strategy for Emerging Diseases met in June 2016 concluded
that there has been a considerable progress under APSED. For example, the Member States in both
regions reported the ability to deploy multidisciplinary rapid response teams within 48 hours; Field
Epidemiology Training Programmes have been established in 16 Member States; 79% of Member States
have a system at the national and/or sub-national level for capturing public health events from a variety
of sources; and 95% of national reference laboratories have participated in external quality assessments,
which have shown increasing diagnostic proficiency.
As solid progress has been achieved, challenges remain, such as a national capacity for systematic risk
assessment, infection prevention and control, and engagement of multisectoral stakeholders. Further
investments in health security are needed. It was recommended that an updated strategy is needed in
order to build upon gains achieved through the previous strategy, address continuing health security
threats, adapts to evolving threats and to ensure coordination in a dynamic global health security
landscape. The updated strategy, to be called the Asia Pacific Strategy for Emerging Diseases and Public
Health Emergencies, will retain the acronym APSED and will be called APSED III.
The direction and structure of APSED III build on APSED (2010), and also reflects the findings and
recommendations of the 10-year evaluation of APSED implementation. APSED III aims to further
enhance the core public health systems and regional collaboration and connectedness, as a priority
for effective management of Public Health Emergency Preparedness (PHEP) and response through the
adoption of incident management systems for all-hazards.
The vision for APSED III is to ensure that Asia Pacific region able to prevent, detect and respond to public
health emergencies through collective responsibility for public health security. The goal of this strategy is
to strengthen PHEP and response capacity by improving core public health systems, increasing regional
connectivity and coordination, and investing in ongoing performance improvement. The purpose of
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APSED III is to provide a strategic approach to guide collective efforts of all Member States, WHO and
partners in implementing the obligations of IHR (2005) to attain core capacities and to further enhance
gains made, and to ensure financial sustainability through actions that promote and protect the health
of the people in the Asia Pacific region.
APSED III contributes to health system strengthening and universal health coverage by focusing on eight
essential public health functional areas necessary for PHEP, risk mitigation, and response operations.
APSED III is not intended to be implemented in isolation, so flexibility has been built into the strategy
to enable harmonization with other national and international frameworks and initiatives, including the
Sendai Framework for Disaster Risk Reduction (2015 - 2030), the United Nations Framework Convention
on Climate Change, the Sustainable Development Goals (SDGs), Universal Health Coverage (UHC)
and the Global Health Security Agenda (GHSA), and to address the importance of further enhancing
collaboration on zoonoses using a One Health approach.
Based on bottom-up consultations, the eight focus areas in APSED III that are implementable include:
1. Public Health Emergency Preparedness.
2. Surveillance, Risk Assessment, and Response.
3. Laboratory.
4. Zoonoses.
5. Prevention through Healthcare.
6. Risk Communication.
7. Regional Preparedness, Alert and Response.
8. Monitoring and Evaluation.
Each focus area has projected outcomes and strategic actions. APSED III focus areas remain relevant to
all Member States as ongoing priorities for system improvement, especially for Member States that have
most IHR (2005) core capacities in place. As before, Focus Areas 1 to 6 is primarily aimed at national
and local capacity-building. Focus Area 7 addresses strengthening regional preparedness, surveillance,
risk assessment and response systems that are coordinated by WHO on behalf of Member States.
Finally, Focus Area 8 refers to the integrated national, regional, and global monitoring and evaluation
systems, including annual progress reporting, simulation exercises, outbreak reviews and joint external
evaluations that emphasize learning for continuous improvement. Other components, including the
legal basis and financing health security, are vital for PHEP and response. These components will be
embedded in the health system.
APSED III retains and builds upon the guiding principles of previous APSED strategies, and places some
additional emphasis in certain areas. APSED III:
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• places countries, communities and people at the centre (country-focused and people-centred);
• provides a generic platform to strengthen IHR (2005) core capacities and core systems required
for managing public health emergencies (an all-hazards approach);
• adopts a step-by-step approach to develop or enhance PHEP (staged approach);
• reviews experiences and lessons from past events and revises plans (continuous learning for
improvement);
• advocates the importance of connecting national surveillance, risk assessment and response
systems to the regional and international levels (regional and global public goods);
• increases the emphasis on partnerships for collective preparedness and response, and provides
a common platform for stakeholder engagement (partnerships for collective action);
• increases the importance of looking to the future, including predicting risks, and being
proactive rather than reactive (forward looking); and
• invests in preparedness (financial sustainability).
APSED III takes a pragmatic, adaptive and forward-looking approach as a framework for ongoing
collective action for health security. While APSED III focuses on essential public health functions, it
provides even greater flexibility for implementation by the Member States based on country context
and national priorities.
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Fig. 1: APSED III Vision, Goal, Objectives and Focus Areas
Focus AreA
Vision
An Asia Pacific region able to prevent, detect and respond to public health emergencies through collective responsibility for health security.
GoAl
To strengthen public health emergencies preparedness and response capacity by improving core public health systems, increasing regional connectivity and
coordination and investing inongoing performance improvement.
oBJecTiVe 1
Strengthen effective
preparedness for emerging diseases and public health emergencies.
oBJecTiVe 2
Reduce the risk of emerging diseases and public health emergencies.
oBJecTiVe 3
Strengthen early detection and assessment of outbreaks and public health emergencies.
oBJecTiVe 4
Strengthen rapid and
appropriate response
and recovery to emerging diseases and public health emergencies.
oBJecTiVe 5
Build strategic partnerships
and sustainable financing for public health preparedness and response.
oBJecTiVe 6
Strengthen prevention
through healthcare.
Publ
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Em
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Mon
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alua
tion
Regi
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Pre
pare
dnes
s, A
lert
and
Resp
onse
Zoon
oses
Risk
Com
mun
icat
ion
Labo
rato
ries
Prev
entio
n th
roug
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alth
care
Surv
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Ris
k As
sess
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e
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2. INTRODUCTION TO MALAYSIA STRATEGY FOR EMERGING DISEASES AND PUBLIC HEALTH EMERGENCIES
(MYSED) II (2017-2021)
2.1 Background
Malaysia is one of the countries in the Western Pacific Region, which continues to face health
security risks from emerging diseases and public health emergencies. The risk of future events is likely
to become more complex due to a changing social, environmental and economic landscape and
forecasts of significant climate change that will potentially magnify the devastating health, political and
economic impacts of these events. Effective management of emergency events is required to minimize
its health, economic, social and political impact. Health security threats, particularly outbreaks of
emerging diseases, can rapidly expand to affect multiple countries, highlighting the need for collective
preparedness and response, and a common strategic direction nationally, regionally and globally.
In order to prevent, control and respond to the continuous and inevitable health security threats,
Malaysia agreed to implement the International Health Regulations (IHR 2005). Malaysia has complied
with IHR core capacity requirements since it entered into force on 15 June 2007. It has adequate
monitoring and surveillance activities for detection of influenza under Malaysia Influenza Surveillance
Protocol (MISP), Event-Based Surveillance (EBS) systems; Emerging Infectious Diseases (EIDs) including
human infections with novel influenza virus subtypes, Middle East Respiratory Syndrome Coronavirus
(MERS-CoV), cases of Zika virus.
Based on the country monitoring and evaluation (M&E) which was aligned with the IHR Core Capacity
Monitoring Framework and the IHR Monitoring Questionnaires, MySED Workplan (2012-2015) or
MySED was developed. This MySED Workplan was aligned with the APSED II framework. Following
annual review and assessment using IHR Monitoring Questionnaires, MySED progress report, after
events review and JEE self-assessment and focus area under Global Health Security Agenda (GHSA) it
was highlighted that MySED needs to be enhanced to cover all hazards approach to be aligned with
APSED III framework. Hence, to address this need, the MySED II (2017-2021) is developed.
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2.2 Scope
The scope of MySED II is to strengthen and further improve public health security systems and its
functions required for PHEP and response for all hazards in line with the Directive No. 20 (National
Security Council) Policy and Mechanism of National Disaster Management and Relief. MySED II aims to
provide a high-level framework that can give a common direction and approach to detail hazard-specific
strategies, for example how to prepare for biological and natural hazards. The revised strategy under
the framework added “Public Health Emergencies” to the initial title “Emerging Infectious Disease”
which reflect the all-hazards scope and purpose of the strategy. In addition, MySED II strengthens the
core public health functions as well as many key health systems such as the health workforce, service
delivery, information & technology system and leadership & governance to support a more resilient
health system.
It is highly recommended that the strategies under MySED II be used in the following ways:
2.2.1 as a common framework to further enhance in building national capacities to manage EIDs
and public health emergencies and to further improve health security;
2.2.2 as a national mechanism to collectively monitor progress, facilitate learning for continuous
improvement, and improve national preparedness and response; and
2.2.3 as a strategic document for advocacy and to mobilize national and external financial and
technical resources.
2.3 Vision, Goal, Objectives and Purpose
2.3.1 Vision
Malaysia is able to prevent, detect and respond to public health emergencies through collective actions
and responsibility for health security.
2.3.2 Goal
To strengthen public health emergencies preparedness and response capacity by improving core public
health system, increasing national and international connectivity and coordination, and investing in
ongoing performance improvement.
2.3.3 Objectives
MySED II has six interlinked objectives that reinforce the goal and purpose, and provide a framework
for realizing the vision for Malaysia.
• Objective 1. Strengthen effective preparedness for emerging diseases and public health
emergencies
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• Objective 2. Reduce the risk of emerging diseases and public health emergencies
• Objective 3. Strengthen early detection and assessment of outbreaks and public health
emergencies
• Objective 4. Strengthen rapid and appropriate response and recovery to emerging diseases
and public health emergencies
• Objective 5. Build strategic partnerships and sustainable financing for public health
preparedness and response
• Objective 6. Strengthen prevention through healthcare
2.4 MySED II Guiding Principles
MySED II retains and builds upon the principles and approach of previous MySED I strategies and places
some additional emphasis in certain areas, such as:
2.4.1 Places countries, communities and people at the center (country-focused);
2.4.2 Provides a generic platform to strengthen IHR (2005) core capacities and core systems required
for managing all public health emergencies (an all-hazards approach);
2.4.3 Adopts a step-by-step approach to develop or enhance PHEP (staged approach);
2.4.4 Reviews experiences and lessons from past events and revise plans (continuous learning for
improvement);
2.4.5 Increases the importance of connecting national surveillance, risk assessment and response
systems to the regional and international levels (regional and global public goods);
2.4.6 Increases the emphasis on partnerships for collective preparedness and response, and provide
a common platform for stakeholder engagement (partnership for collective action);
2.4.7 Increases the importance of looking to the future, including predicting risks, being proactive
rather than reactive (forward looking); and
2.4.8 Invests in preparedness (financial sustainability).
2.5 Implementers and Partners
In response to our shared responsibility to ensure health security, the key implementers of MySED II
are the
i. Ministry of Health Malaysia.
ii. National Disaster Management Agency (NADMA).
iii. National Security Council (NSC).
iv. Department of Veterinary Services, Ministry of Agriculture.
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v. Ministry of Defence
vi. Ministry of Foreign Affairs
vii. Royal Malaysian Police
viii. Fire and Rescue Department of Malaysia
ix. Atomic Energy Licensing Board (AELB)
x. Department of Wildlife and National Parks Peninsular Malaysia, Ministry of Water, Land and
Natural Resources
xi. Ministry of Transport
xii. Hospital Universities
xiii. other partners and as required.
In addition to the above list, academia/Universities, the private sectors, non-governmental organizations,
civil society, security agencies, and judicial authorities can play an important role in implementing
MySED II, especially PHEP and response. International technical and development partners such as
WHO, GHSA, and other relevant partners are explored to support the implementation of the MySED II
workplan.
MySED II provides a strategic and multi-sectoral workplan for action and allows flexibility in its
implementation. It takes into account the needs and priorities; lessons learnt; the changing economic,
environmental, demographic & social landscape; and the development and implementation of initiatives
and frameworks such as the SDGs, UHC, the Global Health Security Agenda (GHSA) and ASEAN
Health Cluster 2 Work Program.
Implementation would be monitored by the Disease Control Division, Ministry of Health Malaysia with
the support of technical coordinators from each focus area.
2.6 The Time Frame for Implementation
MySED II is designed to have a flexible implementation time frame of five years which is from 2017 to
2021 or can be further extended if required to accommodate differences in national planning cycles and
capacities across the country in the IHR implementation agenda.
2.7 Focus Areas
MySED II focus areas have been revised and updated in alignment with APSED III focus areas. Based on
consultations and engagements with multi-sectors/agencies, it is intended to ensure that MySED II can
be implemented to provide a flexible platform for capacity-building and development. The eight focus
areas in APSED III are:
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1. Public Health Emergency Preparedness.
2. Surveillance, Risk AssessmentÅ and Response.
3. Laboratories.
4. Zoonoses.
5. Prevention through Healthcare.
6. Risk Communication.
7. Regional Preparedness, Alert and Response.
8. Monitoring and Evaluation.
Figure 2: MySED II focuses on the fundamental core components for public health emergency preparedness and response at all levels.
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FOCUS AREA 1:PUBLIC HEALTH EMERGENCY
PREPAREDNESS (PHEP)
1.1 Introduction
Public health emergency preparedness (PHEP) is the core of Malaysia Strategies for Emerging
Diseases (MySED). It is a key aspect of sustainability and resilience. While much of this focus
area concentrates on the development of emergency plans, it also highlights the importance of
system readiness. The core is having in place the key functions, people, resources, tools and
facilities across the health system as well as other sectors to operationalise those plans effectively
and efficiently.
The health sector shall work together with other sectors to plan for and respond to public health
emergencies, to ensure effective plans and adequate resources are in place. Experience has
shown that putting all the right components in place provides the foundation for delivering
a prompt and effective response to an emergency event. Furthermore, having the Incident
Management System (IMS) capacity with trained personnel who can be rapidly deployed and
activated for an effective response can prevent an emergency from becoming a disaster.
System readiness is about ensuring that all structures and resources in the health and other sectors
are available. This includes multi-sectoral coordination mechanisms that facilitate a whole of
society approach and allow response plans to be implemented immediately and effectively. The
national PHEP systems, structures, and resources that need to be in place as well as to further
strengthen include system elements that:
• have a particular emphasis on health security and emergencies including National
IHR Focal Points (NFPs), Points of Entry (POE), hospital preparedness (including surge
capacity) and emergency response structures.
• have important functions for emergencies but also have a role as “routine” health sector
and cross-sector functions.
• play a key role in the wider health sector and addressing the long-term health needs of
the population, including national health policies, governance, and funding as well as
coverage and access to healthcare services.
There have been significant improvements in public health event communication and verification
by the IHR mechanism; however, the functions of IHR NFPs, including having generic 24/7
communication systems, need to be further improved.
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In Malaysia, there is evidence that health “central command and control centres (4C)” exist. 4C
uses IMS and Emergency Operations Centres (EOCs) to address public health emergencies. It
also coordinates risk assessment and management of epidemic-prone diseases. Positive changes
in coordination, communication, and information-sharing have been reported. However, EOC
functionality and familiarity with IMS, as well as training and exercises, require further attention,
and a consideration of how these structures connect at national, regional and global levels.
1.2 Expected Outcome
The expected outcome and actions listed below reflect the fundamental components of PHEP
need to be in place regardless of their capability level. Once in place, it should be further
strengthened by shifting focus to regular testing and improving functionality.
The key elements for this focus area are:
• Improved management of emergency events through the use of IMS principles.
• An all-hazards national operational response plan for public health emergencies is
developed, tested, revised and maintained.
• A public health emergency planning and coordination process are in place, with
appropriate authority, and building on existing mechanisms set up under MySED.
• Public health emergency response systems, including EOCs, are prepared and tested.
Management capacity is strengthened.
• The IHR NFP system is further strengthened and 24/7 communications capability is
ensured.
• Point of Entry (POE) has public health emergency contingency plans that are part
of the national public health emergency response plan that is regularly tested, use
appropriately and effectively.
1.3 Strategic Actions
Strategic Actions needed for Public Health Emergency Preparedness are listed as below:
Strategy 1: Improved management of emergency events through the use of Incident Management
System (IMS) principles.
Strategy 2: Develop and test a national all-hazards response plan for public health emergencies.
Strategy 3: Ensure there is an ongoing and coordinated process for planning, management, and
response.
Strategy 4: Prepare and test public health emergency response systems.
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Strategy 5: Strengthen IHR national focal points.
Strategy 6: Strengthen points of entry.
Strategy 7: Monitoring & Evaluation.
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FOCUS AREA 2: SURVEILLANCE, RISK ASSESSMENT
AND RESPONSE
2.1 Introduction
Surveillance, risk assessment, and response are fundamental to minimize the health and social
consequences of public health events and emergencies. Malaysia has established an indicator-
based surveillance (IBS) system and the event-based surveillance (EBS) system. The IBS is
supported by a web-based notification system called e-notification. In addition, we also have
a web-based early outbreak reporting system called e-wabak which has the potential to be
expanded to include all hazards.
Lessons learnt from recent public health events and emergencies in Malaysia have emphasized
the importance of healthcare workers and workers from other non-health agencies in detecting
unusual clusters of disease/events, for example, rabies outbreak, respiratory clusters, carbamate
poisoning, mercury spillage, etc. These lessons have highlighted the potential benefits that an
EBS system could offer to the rapid and timely detection of such situations.
Moving forward, there is a need to combine health surveillance data with other types of health
information, and data from other non-health sectors to carry out a timely risk assessment to
guide decision-making. This can be achieved through technology innovations and blue ocean
strategies.
Risk assessment can be defined as the ongoing systematic process for gathering, assessing and
documenting information to assign a level of risk for a potential acute public health event. Risk
assessment is crucial to ensure a proportionate response to a public health risk and to prioritize
and mobilize resources as well as to guide decision-making. Risk assessments, while an essential
link between event detection and response, are not performed systematically and remain a
priority area for improvement.
A skilled and competent workforce in surveillance, risk assessment, and a response is crucial to
ensure all public health events and emergencies are managed effectively.
2.2 Expected Outcome
Malaysia should have a robust surveillance system, be able to conduct systematic and ongoing
risk assessments using multiple sources of information for timely, informed decision-making to
guide preparedness and response.
14(MYSED) II (2017–2021) National Strategic Work Plan
The key elements of this focus area are:
• Surveillance is appropriate to country needs and is flexible, rapidly adapting to changing
information and contextual needs before, during and after events.
• The surveillance and risk assessment function use multiple sources of information
from within the health sector and other sectors to guide timely and informed decision-
making, preparedness, and response.
• An adaptable, skilled workforce, incorporating FETP/FET trainees and alumni and other
technical expertise to carry out surveillance, risk assessment and response.
2.3 Strategic Actions
Strategy 1: Ensure the Surveillance Function is Flexible, Adaptable and Appropriate to Country
Needs.
1. Review existing surveillance systems and identify the sources of data, for example,
data from outbreak investigations, community reporting systems, IBS, EBS including
syndromic surveillance, and other non-health sectors.
2. Consider streamlining existing surveillance systems for all hazards to ensure the systems
are an appropriate and efficient use of resources.
3. Facilitate involvement of affected communities, healthcare workers, laboratories and
non-health sectors in EBS.
4. Ensure clinical and laboratory staff are alerted to cross-border public health threats, and
that protocols including case definitions and laboratory testing algorithms are rapidly
developed and shared for timely case detection, reporting, and investigation.
5. Develop and implement systems to ensure that data can be safely stored, accessed,
analysed and used to produce timely surveillance and/or epidemiological reports that
are shared with key stakeholders on a regular basis.
Strategy 2: Use Multiple Sources of Information for Risk Assessment.
1. Identify different sources of health information that contribute to risk assessment; for
example, data from IBS, EBS, risk perception assessments, vaccine coverage, laboratory
data, community-based reporting, and media monitoring.
2. Establish reporting and communication channels between public and private healthcare
facilities and non-health sectors to facilitate rapid reporting of events.
3. Incorporate data produced by other disciplines and sectors, for example, animal
health data, socioeconomic data, gender, food safety data, access to health services,
meteorological data and international connectivity data.
15(MYSED) II (2017–2021) National Strategic Work Plan
4. Initiate a multi-sectoral policy dialogue to strengthen coordination, communication,
and information-sharing with other stakeholders.
5. Establish effective, real-time surveillance systems that have the capacity to analyse and
link data using interoperable, interconnected electronic reporting systems.
Strategy 3: Strengthen Risk Assessment Function to Inform Timely Decision-Making.
1. Review and agree on operational arrangements for the risk assessment function within
a national centre/unit and establish a process for systematic risk assessments.
2. Conduct systematic risk assessments on an ongoing program at all levels of the health
system, involving multiple stakeholders to contribute, where appropriate, using the
facilities and resources of an EOC or coordination centre.
3. Conduct risk assessments that are forward-looking to anticipate future threats and
contribute to better preparedness.
4. Produce and communicate timely risk assessment reports to stakeholders, including
relevant divisions and agencies.
Strategy 4: Develop A Skilled Workforce for Surveillance, Risk Assessment and Response.
1. Train public health workers in risk assessment, including at the local level to carry out
preliminary control measures.
2. Improve the financial sustainability of FETP/FET.
3. Create opportunities to involve FETP/FET trainees and alumni as human resources for
risk assessment and response operations.
4. Maintain capacity for multi-disciplinary RRTs at the national level, and strengthen
capacity at the subnational level, including documenting response to outbreak
investigations. Members of an RRT may include experts in the following fields: logistic,
human/animal epidemiology, clinical management, food safety, infection prevention
and control, laboratory, and veterinary/wildlife, and security authorities.
5. Promote operationally and applied research to improve the evidence base for decision-
making.
16(MYSED) II (2017–2021) National Strategic Work Plan
FOCUS AREA 3: LABORATORIES
3.1 Introduction
Laboratories play an important and supportive role in the early detection of an outbreak, response
to emerging and re-emerging diseases, patient management, disease surveillance, research, and
development. Laboratories also play a key role in achieving health security and informing policy.
In Malaysia, there is an effective network of laboratories to provide screening and diagnostic
services, which consist of reference laboratories, public health laboratories, pathology
laboratories and research laboratories. These laboratories have the capacity and capability to
conduct tests for various infectious and non-infectious hazards such as chemicals, toxins, and
radiological agents. Biosafety and biosecurity practices are implemented in compliance with
IHR (2005) requirements.
Efforts are in progress in ensuring total quality management system is in place in all laboratories.
Such efforts include accreditation by local and international standards such as ISO17025, MS
ISO15189 and Good Laboratory Practice.
Following implementation of MySED I, a good progress has been made to achieve the optimum
capacity and capability for early detection of pathogens that may lead to an event of national
or international concern. This has been proven by several track records made by Malaysian
laboratories in the recent years such as detection of MERs CoV, Zika Virus infections, Highly
Pathogenic Avian Influenza infections (H5N1 and H7N9) and VX agent. In addition, Malaysia in
the process of strengthening national antimicrobial resistance surveillance for human pathogens
and expanding to include veterinary, fishery and food through One Health approach. However,
there is a need to enhance testing capability and capacity for the detection and surveillance of
environmental, chemical and radiological threats
Timely sharing of laboratory data among the stakeholders need to be strengthened for effective
surveillance and risk assessment. Continuous effort is being done in search of new diagnostic
technologies and tools to provide opportunities for improving laboratory detection and
characterization of EIDs and other public health threats.
3.2 Expected Outcome
Malaysian National laboratory network system will be able to rapidly, accurately and safely
identify infectious and non-infectious hazards in order to contribute to health security.
17(MYSED) II (2017–2021) National Strategic Work Plan
The key elements (5) of this focus area are:
• Laboratories have the capacity to diagnose and report priority diseases in both laboratory
and field settings (i.e. the location of the outbreak), as well as perform antimicrobial
susceptibility testing.
• Data from laboratories are used routinely in surveillance and risk assessment.
• New diagnostic technologies are reviewed for their applicability in the local context.
• Ongoing internal and external assessments and exercises assess functionality, identify
gaps and inform corrective actions.
• Laboratories are connected nationally, internationally and across sectors in a referral
network.
3.3 Strategic Actions
Strategy 1: Ensure Fundamental Laboratory Functions.
1. Strengthen and maintain laboratory functions: specimen collection and transport;
laboratory quality-management systems; biosafety and biosecurity programmes;
functional networks; and data management for timely reporting of laboratory findings.
2. These fundamentals will provide a foundation for laboratory detection and reporting
of infectious and non-infectious hazards such as chemicals, toxins, and radiological
agents.
3. Ensure a trained and skilled laboratory workforce.
4. Ensure sustainable financing of public laboratory functions and support to field
operations (Cross refer to Group 1: Strategy 1: 3: Stockpile for consumables, reagents,
and PPE).
5. Laboratory biosafety and biosecurity systems are in place to ensure that laboratory
procedures are carried out in safe and secure environments.
Strategy 2: Link Public Laboratories with Surveillance and Risk Assessment.
Support linkages of laboratories to surveillance and risk assessment functions, both for event-
based surveillance (EBS) and indicator-based surveillance (IBS). This includes data sharing
related to vaccine-preventable diseases, antimicrobial resistance (AMR), zoonotic pathogens
and unusual events.
18(MYSED) II (2017–2021) National Strategic Work Plan
Strategy 3: Review New Diagnostic Technologies.
1. Establish a process and review of new diagnostic and pathogen characterization
technologies for both laboratory and field settings.
2. Sharing of evaluation reports by various laboratories testing new diagnostic and
pathogen characterization technologies.
Strategy 4: Assess Functionality of Public Laboratory System.
1. Focus on functionality by testing the laboratory system, including internal and external
quality assessment to maintain diagnostic accuracy and simulation exercises to test
capacity during public health emergencies (refer to the Monitoring and Evaluation
focus area).
2. Work towards accreditation of public laboratories.
Strategy 5: Enhance Public Laboratory Connections and Coordination.
1. Improve coordination and laboratory networking nationally and internationally among
sectors of animal health, environmental health, with a public health role such as those
that test for chemical and radiological agents. This includes improving linkages with
hospital and private clinical diagnostic laboratories and laboratories for chemistry,
toxicology and radiological agents.
2. Maintain arrangements with WHO collaborating centres and other international
reference laboratories for testing and reference functions.
19(MYSED) II (2017–2021) National Strategic Work Plan
FOCUS AREA 4: ZOONOSES
4.1 Introduction
Zoonoses are diseases or infections naturally transmissible between animals and humans.
Prevalence of zoonotic diseases is increasing globally. In Malaysia, zoonotic disease is emerging
and can significantly impact health, social and economic facets of everyday life. As a result,
reducing the risk of zoonoses should be prioritized by health systems at all levels. Tackling
zoonosis is complex which requires a one health approach involving effective communication,
collaboration and coordination among human, animal and environmental health sectors. Linking
these partners is essential to improve risk reduction strategies that mitigate the emergence and
spread of zoonotic diseases. The one health approach have been initiated by international
organizations such as the Food and Agriculture Organization (FAO), World Organization for
Animal Health (OIE) and WHO to address health risks at the human–animal interface.
The outbreak of Nipah disease in 1998-1999 in Peninsular Malaysia is a turning point for the
establishment of one health collaborative platform among ministries and universities. Since then,
emergence of zoonotic disease in Malaysia such as avian influenza H5N1 in Kelantan (2004)
which infected poultry population and rabies in dogs (2015) has strengthened this collaboration.
The unpredictable nature of zoonoses calls for vigilance and preparedness for unforeseen disease
events. Hence, the collaborative efforts need to be continuous and allowed to mature over
time. Globalization has added an additional challenge for disease control across the national
borders. Responding to these ongoing challenges requires strengthening of the core components
of public health systems: surveillance, risk assessment and response; laboratory capacity; risk
communication and public health preparedness.
MYSED II is a direct effort by Malaysian government under the Ministry of Health (MOH) to
expand the involvement of multiple governmental and non-governmental agencies for tackling
zoonoses. In MYSED II the scope of activities are improved and widened under various strategies.
4.2 Expected Outcome
Governmental and non-governmental agencies adopt a multi-sectoral and multi-stakeholder
approach to manage zoonotic diseases, mainly through:
1. Effective and efficient sharing of surveillance information with all relevant stakeholders.
20(MYSED) II (2017–2021) National Strategic Work Plan
2. Coordinated response between the various agencies.
3. Risk reduction educational and awareness activities.
4. Production of standardized guidelines, zoonoses related policy document and research.
4.3 Strategic Actions
Strategic 1: Sharing of Surveillance Information.
Seven activities identified under this strategy include:
1. Regular interagency/technical meeting at national level.
2. Regular update and review of zoonotic diseases and pathogen for surveillance.
3. Timely sharing of zoonotic disease event report between MOH/DVS and related
agencies.
4. Regularly share surveillance information of identified priority zoonotic diseases and
laboratory based surveillance/diagnostic/outbreak.
5. Establishment of mechanism of sharing specimens of priority zoonotic pathogens.
6. Regular monitoring and evaluation of surveillance system and/or testing protocol for
zoonotic pathogen/diseases.
7. Mapping on area with zoonotic diseases risk.
Strategy 2: Coordinated Response.
Under this strategy two main activities identified are:
1. Enhance coordinated response plan among multiple agencies for detecting and
responding to zoonotic diseases.
2. Joint investigation and report writing for selected zoonotic disease outbreak.
Strategy 3: Risk Reduction.
To reduce the risk, six activities to be performed include:
1. Conduct training on awareness of zoonotic diseases and One Health concept.
2. Enhance module of zoonotic diseases for FETP.
3. Simulation exercise (MOH/DVS) for zoonotic events/diseases.
4. Reduce AMR emergence and propagation (refer to Group 5: Prevention through
healthcare focus area; Strategy 3).
5. Evaluate the impact of health communication campaign on zoonotic diseases.
21(MYSED) II (2017–2021) National Strategic Work Plan
6. Biosafety & Biosecurity measures at entry point, animal farms and processing plants
established.
Strategy 4: Guidelines, Policy Documents and Research.
Under this strategy, two activities will be carried out:
1. Coordinate and conduct collaborative research on zoonotic diseases.
2. Development National Strategic Plan for Zoonoses.
Strategy 5: Monitoring and Evaluation
Five activities will be performed under this strategy:
1. Coordinate and conduct collaborative research on zoonotic diseases.
2. Compile report and analyse joint risk assessment, outbreak investigation and simulation
activities.
3. Timely sharing of zoonotic disease event report between MOH/DVS and related
agencies.
4. Simulation exercise on joint investigation (MOH/DVS) for zoonotic events/diseases.
5. Biosafety and biosecurity measures at entry point, animal farms and processing plant
established.
22(MYSED) II (2017–2021) National Strategic Work Plan
FOCUS AREA 5: PREVENTION THROUGH
HEALTHCARE
5.1 Introduction
A well-functioning health system is a pre-requisite for preventing and responding to infectious
diseases outbreaks and public health emergencies. In 2015, the APSED report revealed a number
of discrete areas of systemic vulnerability: inadequately trained healthcare workers; fragile
hospital surveillance and response systems; weak IPC systems; and healthcare information
systems and coordination mechanisms that require strengthening.
Over the past two decades, the emergence and re-emergence of infectious diseases in Malaysia
has shown the need for multi-sectorial involvement and collaboration to curb the spread of
infectious diseases and manage public health emergencies. The incidences include Nipah
outbreak in 1997, anthrax scare 2001, SARS in 2003, HPAI in 2004, pandemic influenza in
2009, MERS-CoV in 2014, Zika in 2016 and increasing multi-drug resistant organism. The lessons
learnt from these events also indicate that the existing health systems must be strengthened in
order to reduce the possibility of future outbreaks and tackle the growing threat of AMR. This
includes IPC, clinical management, appropriate emergency preparedness and response plans
and judicious use of antibiotics.
Establishing effective IPC practices in healthcare settings is essential to reduce the risk of
transmission of emerging diseases to healthcare workers, patients, their families and the
community. Systematic establishment of good IPC practices is a challenge; IPC audit findings
in 2016 involving Emergency Department in 50 MOH hospitals show only 84% achieved good
compliance to standard precaution component while only 68% achieved good compliance to
environmental component. Hence, there is a need for improvement in many hospitals and other
healthcare facilities in the country.
Healthcare workers are important asset in delivering quality healthcare. Therefore, to ensure
competency, training on good clinical practices should be one of the important pillars in this
focus area including strengthening routine clinical management practices for priority infectious
diseases. Good IPC practice should be a culture within the healthcare settings.
Functional surveillance system is important to detect events or incidences of emerging infectious
disease or any outbreaks. Integrated surveillance between human and animal health, including
food safety will improve the timeliness of detection, containment and management of the event
or incidences.
23(MYSED) II (2017–2021) National Strategic Work Plan
In Malaysia, the National Surveillance of Antimicrobial Resistance reported an increase of AMR
in hospitals from 2010 to 2015. It correlated well with the increase in antibiotic usage as shown
in National Surveillance on Antibiotic Utilisation. The findings are useful to inform therapy
decisions, to assess the public health consequences of antimicrobial misuse, and to evaluate the
impact of resistance containment interventions. It is also essential in development of strategies
for a more judicious use of antimicrobials in both human and animal health sectors. Thus, AMR
surveillance especially in the animal health sectors, need to be strengthened.
In order to reduce the economic costs and social implication arising from the interruption of
health services, healthcare facilities need to have appropriate emergency preparedness and
response plans. The coordination and integration between agencies are necessary to optimise
the resources in the most efficient way during a large-scale public health event.
The strategies outlined above focus on “one health” approach which emphasizes actions that
will strengthen the effectiveness and safety of healthcare systems during routine practice and
improve their operations and resilience during public health emergencies.
5.2 Expected Outcome
Healthcare settings are able to provide critical services for prevention, treatment, containment
and response in order to reduce the risk and mitigate the impact of outbreaks and public health
emergencies.
Key elements of this focus area include:
a. Relevant evidence-based policies and operational procedures in place to underpin
effective IPC practice to reduce the risk of transmission of emerging diseases within the
healthcare setting.
b. The ability to rapidly identify, report and manage EIDs in a way that minimizes mortality
and morbidity among patients, visitors, healthcare workers and the community.
c. The appropriate policies and procedures to reduce the morbidity and mortality
associated with antimicrobial resistance.
d. Comprehensive health facility plans for preparing and responding to outbreaks and
public health emergencies.
5.3 Strategic Actions
Strategy 1: Infection Prevention and Control.
24(MYSED) II (2017–2021) National Strategic Work Plan
i. Strengthen educational programme on hygiene and infection prevention and control
measures in healthcare care settings, animal husbandry and food processing.
• Development of Infection Prevention & Control educational tool kits for human
health.
• Development of Infection Prevention & Control educational tool kits for animal
health.
• Orientation on IPC for newly appointed staff.
• Official accredited IPC training for infection control personnel.
• Strengthening of Biosecurity Program in animal health sector.
• Training on IPC and Biosecurity at various level.
ii. Strengthen national policies and standards of practice regarding infection prevention
and control (IPC) activities in health facilities
• To review the current National Policies and Procedures on Infection Control.
• Strengthening of Hand Hygiene Program in all healthcare facilities.
• To strengthen Healthcare Associated Infection (HCAI) surveillance program.
• Implement Infection Prevention and Control Audit.
• To review IPC chapter in “Arahan Prosedur Tetap Veterinar Malaysia” (APTVM).
Strategy 2: Clinical Management.
Establish strong links between POE, public and private healthcare facilities and public health
systems to facilitate rapid reporting of events by healthcare workers to surveillance section as
part of EBS.
• Develop local (healthcare facilities) protocol for EBS.
• Strengthen routine clinical management practices for priority infectious diseases in all
healthcare settings as part of health system strengthening prior to outbreaks and public
health emergencies through training.
Strategy 3: Antimicrobial Resistance (AMR).
Develop national action plan and strengthen surveillance on AMR in human and animal health
sector.
• Development of national action plan on AMR.
• Strengthen National Surveillance of Antimicrobial Resistance in Malaysia (NSAR).
25(MYSED) II (2017–2021) National Strategic Work Plan
• Strengthen National Surveillance on Healthcare Associated Multidrug Resistant
Organism (HA-MDRO).
• Establishment of periodical survey of AMR in the community.
• Establishment of AMR surveillance in livestock production and aquaculture.
• Strengthening of AMR surveillance in food.
• Strengthening of National Antibiotic Utilisation Surveillance.
• Implementation of Antimicrobial Stewardship (AMS) program in healthcare facilities.
• Development of National guideline on antimicrobial drugs use in veterinary sector.
• Development of Malaysia Integrated Antimicrobial Resistance Surveillance System.
• Development of Malaysia Integrated Antimicrobial Resistance webpage.
Strategy 4: Preparedness of Health Facilities.
i. Ensure safety of high risk healthcare workers through vaccination and access to post-
exposure prophylaxis where appropriate.
ii. Strengthen continuous quality improvement in all healthcare facilities.
iii. Ensure hospitals have appropriate emergency preparedness and response plans in
place to reduce the economic costs and social implication arising from the interruption
of hospital services.
iv. Ensure healthcare providers at primary healthcare facilities are trained in emergency
preparedness and response.
26(MYSED) II (2017–2021) National Strategic Work Plan
FOCUS AREA 6: RISK COMMUNICATION
6.1 Introduction
Risk communication currently has been widely accepted internationally and nationally as
a key strategy for the management of risks of public health concerns or security be it
natural or man-made disasters, emerging and re-emerging diseases, mass casualties incidents as
well as bioterrorism.
Locally, risk communication has played vital roles in disseminating risk-related health messages
during the outbreaks such as H1N1, MERS-CoV, malaria and lately rabies. In addition, it is
also being applied during crises such as major floods, tsunami, volcano tremors, and public
demonstrations.
Effective risk communication confers confidence, builds trust towards the authorities, improves
the willingness of populations to comply with recommended measures and also it can hasten
the return to normalization after an outbreak peak. A favourable public attitude allows those
engaged in the technical response to concentrate on rapid containment of the incident.
The concept and practice of risk communication have been evolving since the 1980s. This is due
to the complexity and diversity of risks, the development in the arts of communication
and the complex nature of stakeholders, media and the well-informed community. Failure
to communicate on the risk may mitigate control measures for the management of
disease outbreak and may affect the credibility and image of the health authority.
In addition, it is important that one is aware of the legal and ethical implications inherent
to public health in handling risk communication in a health crisis situation. The key personnel
trained need to have a good understanding of the various elements discussed so that the rights,
dignity, and honour of the target group is not compromised.
6.2 Expected Outcome
A risk communication system is established with the capacity to manage the process of risk
communication for all phases of public health emergencies.
The key elements for this focus area are:
27(MYSED) II (2017–2021) National Strategic Work Plan
a. Make risk communication a core element of prevention, public health preparedness,
response and recovery from public health emergencies.
b. Strengthen operational links between risk communication, surveillance and risk
assessment across all sectors and incorporate risk communication in all phases of the
risk management cycle.
c. Establish a mechanism to engage with all groups within communities and integrate risk
perception assessment into risk assessment procedures.
d. The use of new information and communication media, including social media and
networks where access is widely available, is an integral component of capacity
enhancement for risk communication.
e. There is a system that routinely evaluates the effectiveness of risk communication and
community engagement approaches as soon as possible following the intervention.
6.3 Strategic Actions
Make risk communication a core element of prevention, preparedness, response, and recovery.
Include risk communication function in preparedness plans and response systems. Conduct
stakeholder analyses for targeted risk communication; identify opinion leaders and the most
appropriate communication media for public communications.
a. Maintain and strengthen the basic elements of the risk communication system such
as developing risk communication plans, procedures and templates for key messages,
identifying spokespersons, appointing an officer and/or team to manage activities
including media communication training for spokespersons, reaching agreement on
the standard operating procedures and providing resources for risk communication.
b. Ensure synchronization of key risk communication messages across response sectors.
c. Develop and maintain a registry of risk communication officers through the
implementation of a national risk communication training programme.
28(MYSED) II (2017–2021) National Strategic Work Plan
FOCUS AREA 7: REGIONAL PREPAREDNESS,
ALERT, AND RESPONSE
7.1 Introduction
In this globalisation era, emerging infectious disease and public health emergencies seem
borderless. It is important for all countries to work together in preparedness, alert and response
to stop international disease (epidemic) to spread. Malaysia as a country which is strategically
located at the centre of South East Asia Region plays an important in preventing disease spread
and coordinating response measures as Malaysia has the minimal natural disaster. Malaysia also
would like to contribute to public health emergencies alert and response in the region and global
such as for any deployment during outbreak and disaster.
7.2. Expected Outcome
Malaysia would like to be training and logistic hub for response to public health emergencies.
Key elements of this focus area are as follows;
i. Regional risk assessment system.
ii. A regional operational hub for coordinate planning and response.
iii. Regional rapid response.
iv. Information sharing.
v. Develop skilled workforce for regional response.
7.3. Strategic Actions
Strategy 1: Regional Risk Assessment System.
• Participate in regional risk assessment activities
Strategy 2: Regional Operational Hubs for Coordinated Planning and Response.
• Establish ASEAN EOC Network for timeliness information sharing.
• Organise joint exercise.
29(MYSED) II (2017–2021) National Strategic Work Plan
Strategy 3: The Regional Rapid Response Mechanism.
• Develop a registry of an expert for regional and global deployment response that
includes medical and health, CBRNe and veterinary team.
• Implement physical and mental assessment of expert for deployment.
• Harmonising procedures on receiving and sending international assistance during
the crisis.
• Organise GOARN training for outbreak and emergencies in partnership with
GOARN and WHO.
Strategy 4: Information Sharing Utilising Innovative Technology.
• Establish information sharing using existing tools or technology for regional needs.
Strategy 5: Develop Skilled Workforce for Regional Response.
• Send officers for attachment course at any regional office/training centre.
30(MYSED) II (2017–2021) National Strategic Work Plan
FOCUS AREA 8: MONITORING AND EVALUATION
8.1 Introduction
M&E is a management tool that assesses what has taken place to facilitate continuous learning
and improve future work. Robust, integrated M&E systems support the overall objectives of
MySED II and the achievement of specific improvements. This applies not only to the public
health system but also to the overall health system. In the context of MySED II, M&E functions as
an ongoing process of planning and review that helps to coordinate key stakeholders, promote
clear reflection on progress, and enhance ongoing priority setting, which is important in an
environment of scarce resources. Under MySED I version, M&E was aligned with IHR Core
Capacity Monitoring Framework and incorporated the IHR Monitoring Questionnaire.
Previously, Malaysia has made progress in implementing public health plans as well as monitoring
and evaluating the success of the programs. These programs are reviewed via Annual Assessment
with IHR Monitoring Questionnaire, outbreak simulations including “IHR Crystal Exercise” and
MySED evaluation report. M&E would place emphasis on public health capacities developed for
MySED I, that had contributed to the development of post-2016 IHR monitoring and Evaluation
Framework comprising annual reporting, after-action review, simulation exercises, and JEE.
IHR capacity building reviews and simulation exercises would continue to identify gaps for
preparedness and response purposes. MySED II would include JEE concept that will address
challenges in developing a multi-sectoral coordinated response to a public health emergency.
The MySED II monitoring and evaluation framework builds on the IHR monitoring framework
and recognizes existing indicators. MySED II, M&E would target at the national level in engaging
multi-sectoral agencies for collective learning for continuous improvement.
8.2 Expected Outcome
M&E systems are incorporated in MySED II work plans to measure health system functionality,
promote system improvement and ensure mutual accountability for health security.
The key elements for this focus area are:
• Integrated national and regional planning and review processes are strengthened and
lead to learning for continuous system improvements at all levels.
31(MYSED) II (2017–2021) National Strategic Work Plan
• M&E processes measure whether systems are working, not just whether capacities are
in place.
• The partnership is promoted through M&E processes that include stakeholders from
multiple sectors.
• Transparency and accountability in reporting on country capacities are fostered through
annual reporting, after-action reviews, exercises, and JEE.
8.3 Strategic Actions
i. Apply M&E Systematically at all Stages of the Planning and Implementation Cycle.
• Establish and/or maintain a national focal point to ensure all MySED II, IHR, APSED
III and M&E activities are aligned and followed up (refer to the PHEP focus area).
• Develop multi-year work plans that take into consideration recommendations from
JEE reports and include funding for M&E activities that are in line with MySED II.
• Establish or strengthen an annual review and planning process that incorporates
findings from after-action reviews, simulation exercises, and joint external
evaluations.
• Ensure that the MySED II M&E framework builds on the IHR monitoring framework
and recognizes existing national and regional indicators.
ii. Measure System Functionality.
• Use both quantitative and qualitative M&E methods that measure system
functionality, including joint evaluation exercises, after-action reviews, and
exercises.
• Incorporate the lessons learnt from M&E processes for corrective actions and
provide feedback to stakeholders.
iii. Promote Partnership Through M&E Processes.
• Engage implementing partners and stakeholders from sectors beyond human
health in national planning and review processes.
• Maintain and enhance the M&E function of the TAG meeting to become a more
robust annual monitoring mechanism.
iv. Improve Transparency and Accountability in Reporting.
• Complement annual self-assessment and reporting with after-action reviews,
32(MYSED) II (2017–2021) National Strategic Work Plan
exercises, and a JEE by national and international independent experts.
• Contribute to peer-review processes in the other Member States.
• Share results of exercises, outbreak reviews, assessments and evaluations with
stakeholders.
8.4 Responsibility at National Level:
Technical Coordinator or Deputy Technical Coordinator must develop a plan for their own focus area to
monitor the activities under the workplan. They are responsible to update the status of implementation
and should compile the data or the returns from all relevant implementers and partners as per schedule
and submit it to Technical Coordinator/Deputy Coordinator of Focus Area M&E.
Focus AreA TechnicAl coordinATors/ depuTy TechnicAl coordinATors
1. Public Health Emergency Preparedness (PHEP)
Technical Coordinator
Deputy Technical Coordinator
dr. Maria suleiman Senior Principal Assistant Director, DCD
dr. Badrul hisham bin Abdul samad Senior Principal Assistant Director, DCD
2. Surveillance, Risk Assessment and Response
Technical Coordinator
Deputy Technical Coordinator
dr. Wan noraini bt. Wan Mohamed noor Head of Surveillance Sector, DCD
dr. Zuhaida bt. A. Jalil Senior Principal Assistant Director, DCD
3. Laboratory Technical Coordinator
Deputy Technical Coordinator
dr. hani binti Mat hussin Director of National Public Helath Laboratory
dr. norzahrin bt. hasran Senior Principal Assistant Director, DCD
4. Zoonoses Technical Coordinator
Deputy Technical Coordinator
dr. rohani bt. Jahis Head of Zoonoses Sector, DCD
dr. norita bt. shamsudin Senior Principal Assistant Director, DCD
5. Prevention Through Healthcare Technical Coordinator
Deputy Technical Coordinator
dr. suraya bt. Amir husin Senior Principal Assistant Director, MDD
dr. noraini bt. Mohd yusof Senior Principal Assistant Director, FHDD
6. Risk Communication Technical Coordinator
Deputy Technical Coordinator
dr. husnina bt. ibrahim Senior Health Officer, Putrajaya Health Office
Ms. yessy octavia bt. Misdi Health Education Officer, HED
7. Regional Preparedness, Alert and Response
Technical Coordinator
Deputy Technical Coordinator
dr. rosemawati bt. Ariffin Senior Principal Assistant Director, DCD
dr. hasrina bt. hassan Senior Principal Assistant Director, DCD
8. Monitoring & Evaluation Technical Coordinator
Deputy Technical Coordinator
dr. norhayati bt. rusli Deputy Director of Disease Control (Surveillance)
dr. Azmi bin Abdul rahim Senior Principal Assistant Director, DCD
33(MYSED) II (2017–2021) National Strategic Work Plan
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BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
3.1
PUB
LIC
HEAL
TH E
MER
GENC
Y PR
EPAR
EDNE
SS (P
HEP)
STRA
TEGY
1: I
MPR
OVED
MAN
AGEM
ENT
Of E
MER
GENC
Y EV
ENTS
THR
OUGH
THE
USE
Of
IMS
PRIN
CIPL
ES
1.Es
tabl
ish
and/
or m
aint
ain
publ
ic h
ealth
em
erge
ncy
resp
onse
pro
toco
ls b
ased
on
IMS
prin
cipl
es, i
nclu
ding
cle
ar ro
les,
line
s of
com
mun
icat
ion
and
repo
rting
, com
mon
te
rmin
olog
y, sc
alab
ility
and
flex
ibili
ty s
o th
at s
ize
as w
ell a
s fu
nctio
ns c
an a
dapt
to c
hang
ing
need
s. (J
EE R
1.1)
a. W
orks
hop
publ
ic h
ealth
em
erge
ncy
resp
onse
pro
toco
ls b
ased
on
IMS
prin
cipl
es a
mon
g al
l age
ncie
s to
de
velo
p in
tero
pera
bilit
y am
ong
agen
cies
. Cur
rent
ly a
ll ag
enci
es
doin
g di
sast
er re
spon
se h
ave
thei
r ow
n SO
P bu
t with
inte
r-op
erab
ility
is
sues
.
- On-
goin
g pr
ogra
ms
(PHE
P w
ill be
one
of t
he
sub-
com
pone
nts
that
al
so b
eing
test
ed in
the
prog
ram
(wor
ksho
p/ta
ble
top/
full-
scal
e ex
erci
se) o
f Nat
iona
l Ex
erci
se fo
r Dire
ctive
s No
. 20
& 18
.
- On-
goin
g pr
ogra
m e
very
ye
ar m
ainly
in te
rms o
f ha
ndlin
g CB
RNE
incid
ents
ba
se in
NSC
Dire
ctive
s No
. 20
and
18.
NADM
A &,
NSC
(le
ad a
genc
y) a
nd
all o
ther
age
ncie
s.
(Dire
ctiv
e No
. 20,
18
& 2
1, N
SC A
ct 2
016)
SOP
PHEP
dev
elop
ed
base
d on
cur
rent
NSC
Di
rect
ives
(18,
20
& 21
) an
d NS
C Ac
t 201
6.
Curr
ent N
SC D
irect
ives
an
d st
ill b
eing
revi
sed
time
to ti
me.
- Ca
nada
GPP
(MOH
)
- GL
Cs (P
etro
nas,
M
alay
sia
Airp
ort,
TNB
etc.
that
’s ru
nnin
g cr
itica
l inf
rast
ruct
ures
)
- Re
late
d ag
enci
es
3. S
TRAT
EGIC
WO
RK P
LAN
BY
FO
CU
S A
REA
MYS
ED II
(2
017-
2021
)
34(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
1.b.
Fin
alis
e th
ree
(3) m
ulti-
haza
rds
SOP
for P
HEP
whi
ch c
urre
ntly
at fi
nal d
raft
incl
udin
g in
cide
nt m
anag
emen
t, Em
erge
ncy
Oper
atio
n Ce
ntre
(EOC
) ope
ratio
ns a
nd re
spon
se
logi
stic
s as
wel
l as
Poin
t of E
ntry
(JEE
R2.
4)
•Bi
olog
ical
and
Tox
in W
eapo
ns
Conv
entio
n Bi
ll.20
19 (B
ill L
aw).
MIN
DEF/
STRI
DE.
Mul
ti-ha
zard
s SO
P fo
r PH
EP fi
naliz
ed.
June
201
9 (F
inal
doc
umen
t).
•Ch
emic
al s
ecur
ity.
On-g
oing
pro
cess
.NA
CWC/
NSC
(SOP
on
Hand
ling
and
Man
agin
g Te
rroris
m In
cide
nts
Rela
ted
to C
hem
ical
W
eapo
ns u
nder
the
plat
form
of A
rticle
X C
WC)
.
On-g
oing
pro
cess
. -
GLCs
(Pet
rona
s,
Mal
aysi
a Ai
rpor
t, TN
B et
c. th
at’s
runn
ing
criti
cal i
nfra
stru
ctur
es)
- Re
late
d ag
enci
es
•Ra
diol
ogic
al s
ecur
ity.
Dec
2017
.AE
LB/N
ADM
A.
c. T
rain
ing
on m
ulti-
haza
rds
SOP
for
PHEP
.-
2018
.
- Ann
ually
or o
n-go
ing
proc
ess.
NADM
A &
NSC
(le
ad a
genc
y) a
nd a
ll ot
her a
genc
ies
(M
ain
secr
etar
iat f
or
Natio
nal E
xerc
ises
that
ev
alua
te th
e ag
enci
es
SOPs
and
adh
eren
ce
to N
SC D
irect
ives
).
Num
ber o
f tra
inin
g/pa
rtici
pant
s tra
ined
.An
nual
ly (e
spec
ially
in
Nat
iona
l Ful
l Sca
le
Exer
cise
).
- CB
EP
- EU
CoE
CBR
NE
- GL
Cs (P
etro
nas,
M
alay
sia
Airp
ort,
TNB
etc.
that
’s ru
nnin
g cr
itica
l inf
rast
ruct
ures
)
- Re
late
d ag
enci
es
d. S
imul
atio
n/Ta
ble-
top
exer
cise
for
mul
ti-ha
zard
SOP
for P
HEP.
Thes
e ac
tiviti
es s
houl
d in
clud
e ot
her n
on-
heal
th a
genc
ies
and
depa
rtmen
ts,
secu
rity
auth
oriti
es, p
ublic
and
pr
ivat
e se
ctor
org
aniz
atio
ns a
nd c
ivil
soci
ety.
- 20
19-2
020.
- On
-goi
ng p
rogr
ams.
NADM
A &
NSC
(lead
ag
ency
) and
all
othe
r ag
enci
es (t
he s
cena
rios
test
ed a
re n
ot ju
st s
peci
fic
to P
HEP
but m
aybe
a
part
of th
e co
mpo
nent
s of
the
exer
cise
. The
mai
n ob
ject
ives
of th
e ex
erci
ses
are
who
le a
genc
ies
appr
oach
es to
war
ds
hand
ling
thei
r SOP
s).
Num
ber o
f sim
ulat
ion/
tabl
e to
p/pa
rtici
pant
s in
volv
e in
exe
rcis
e.
Once
yea
rly (e
spec
ially
in
Nat
iona
l Ful
l Sca
le
Exer
cise
).
- GL
Cs (P
etro
nas,
M
alay
sia
Airp
ort,
TNB
etc.
that
’s ru
nnin
g cr
itica
l inf
rast
ruct
ures
)
- Re
late
d ag
enci
es
35(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
1.e.
SOP
and
gap
revi
ewed
and
upd
ated
af
ter s
imul
atio
n/TT
X.-
2019
-202
1.
- On
-goi
ng p
roce
ss.
NADM
A &,
NSC
(lea
d ag
ency
) and
all
othe
r ag
enci
es.
Num
ber o
f SOP
s re
view
ed.
Afte
r eac
h ex
erci
ses
(esp
ecia
lly in
Nat
iona
l Fu
ll Sc
ale
Exer
cise
–
post
mor
tem
m
eetin
g ba
sed
on N
SC
Dire
ctiv
es).
2.En
sure
resp
onse
stru
ctur
es h
ave
suffi
cien
t and
app
ropr
iate
phy
sica
l res
ourc
es. T
his
incl
udes
equ
ipm
ent t
o se
t up
phys
ical
or v
irtua
l EOC
, inf
orm
atio
n an
d co
mm
unic
atio
ns
tool
s pr
efer
ably
with
the
abili
ty to
wor
k w
ith e
xist
ing
syst
ems,
for e
xam
ple
surv
eilla
nce,
and
oth
er e
ssen
tial r
espo
nse
equi
pmen
t.
a. R
evis
e an
d up
date
con
tinge
ncy
plan
fo
r PHE
P (fo
r all
agen
cies
) inc
ludi
ng
Poin
t of E
ntry
(POE
).
- Dire
ctiv
e 20
and
18
and
SOP
(alre
ady
deve
lope
d w
ith ti
mel
y re
view
).
- Bu
sine
ss C
ontin
uity
Pla
n (B
CP) f
or
EOC.
- 20
17.
- Tim
e to
Tim
e ba
sis/
ongo
ing
proc
ess.
NADM
A &,
NSC
(lea
d ag
ency
) and
all
othe
r ag
enci
es.
Natio
nal B
CP d
evel
oped
by
eac
h re
late
d ag
enci
es.
Agen
cies
rela
ted
will
be
revi
sing
tim
e to
tim
e.-
Rela
ted
agen
cies
- GL
Cs
b. In
corp
orat
ing
train
ing
cont
inge
ncy
plan
for P
HEP
for f
utur
e si
mul
atio
n (a
ll ag
enci
es).
- 20
19.
- On
goin
g pr
oces
s.
Sam
e w
ith a
bove
with
th
e co
llabo
ratio
n of
ot
her r
elat
ed a
genc
ies.
Num
ber o
f tra
inin
g/pa
rtici
pant
s tra
ined
.An
nual
ly b
ase
on th
e co
mm
itmen
t of r
elat
ed
agen
cies
(esp
ecia
lly
in N
atio
nal F
ull S
cale
Ex
erci
se).
- Re
late
d ag
enci
es
- GL
Cs
c. S
imul
atio
n/TT
X.
- 20
19.
- On
goin
g pr
oces
s.
Sam
e w
ith a
bove
with
th
e co
llabo
ratio
n of
ot
her r
elat
ed a
genc
ies.
Num
ber o
f tra
inin
g/pa
rtici
pant
s tra
ined
.On
ce e
very
3 y
ear
(esp
ecia
lly in
Nat
iona
l Fu
ll Sc
ale
Exer
cise
).
- Re
late
d ag
enci
es
- GL
Cs
d. Id
entif
y ga
p, re
port
and
revi
ew B
CP
afte
r sim
ulat
ion/
TTX.
- 20
19-2
021.
- On
goin
g pr
oces
s.
Sam
e w
ith a
bove
with
th
e co
llabo
ratio
n of
ot
her r
elat
ed a
genc
ies.
BCP
revi
ewed
by
each
ag
enci
es re
late
d.Af
ter e
very
exe
rcis
e (e
spec
ially
in N
atio
nal
Full
Scal
e Ex
erci
se-p
ost
mor
tem
mee
ting
base
d on
NSC
Dire
ctiv
es).
- Re
late
d ag
enci
es
- GL
Cs
36(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
3.En
sure
that
mul
ti-se
ctor
al c
oord
inat
ion,
com
mun
icat
ion
and
info
rmat
ion-
shar
ing
mec
hani
sms
are
func
tiona
l at n
atio
nal a
nd s
ubna
tiona
l lev
els
and
can
relo
cate
and
mob
ilize
re
sour
ces
as re
quire
d (J
EE R
1.1)
.
a. D
evel
op th
e pr
oced
ures
, pla
ns to
re
loca
te o
r mob
ilize
reso
urce
s fro
m
natio
nal a
nd in
term
edia
te le
vels
to
supp
ort r
espo
nse
at lo
cal l
evel
.
Ongo
ing
proc
ess.
NADM
A &
NSC
(lead
ag
ency
) and
& R
elat
ed
Agen
cies
bas
ed o
n cu
rren
t SOP
s an
d m
echa
nism
s.
Plan
to re
loca
te/m
obili
ze
deve
lope
d by
rela
ted
agen
cies
.
- De
cem
ber 2
017.
- On
goin
g pr
oces
s.
Rela
ted
agen
cies
b Tr
aini
ng p
lans
to re
loca
te o
r m
obili
ze re
sour
ces
from
nat
iona
l an
d in
term
edia
te le
vels
to s
uppo
rt re
spon
se a
t loc
al le
vel.
Ongo
ing
proc
ess.
NADM
A &,
NSC
(lea
d ag
ency
) and
all
othe
r re
late
d Ag
enci
es b
ased
on
cur
rent
SOP
s an
d m
echa
nism
s.
Num
ber o
f par
ticip
ants
tra
ined
.An
nual
ly (e
spec
ially
in
Nat
iona
l Ful
l Sca
le
Exer
cise
).
Rela
ted
agen
cies
c. S
imul
atio
n/Ta
ble-
top
exer
cise
pla
ns
to re
loca
te o
r mob
ilize
reso
urce
s fro
m n
atio
nal a
nd in
term
edia
te le
vels
to
sup
port
resp
onse
at l
ocal
leve
l.
Ongo
ing
proc
ess.
NADM
A &,
NSC
(lea
d ag
ency
) and
all
othe
r re
late
d ag
enci
es b
ased
on
cur
rent
SOP
s an
d m
echa
nism
s.
Num
ber o
f par
ticip
ants
in
volv
e in
exe
rcis
e.Ev
ery
year
(esp
ecia
lly
in N
atio
nal F
ull S
cale
Ex
erci
se).
Rela
ted
agen
cies
d. S
OP re
view
ed a
fter s
imul
atio
n/TT
X.On
goin
g pr
oces
s.NA
DMA
& NS
C &
Rela
ted
Agen
cies
bas
ed
on c
urre
nt S
OPs
and
mec
hani
sms.
Num
ber o
f SOP
s re
view
ed.
SOP
revi
ew a
fter e
very
ex
erci
se (e
spec
ially
af
ter N
atio
nal F
ull S
cale
Ex
erci
se –
Pos
t Mor
tem
M
eetin
g ba
se o
n NS
C Di
rect
ives
).
Rela
ted
agen
cies
37(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
STRA
TEGY
2: D
EVEL
OP A
ND T
EST
A NA
TION
AL A
LL-H
AzAR
DS R
ESPO
NSE
PLAN
fOR
PUB
LIC
HEAL
TH E
MER
GENC
IES
1.De
velo
p an
d m
aint
ain
an a
ll-ha
zard
s na
tiona
l ope
ratio
nal r
espo
nse
plan
for p
ublic
hea
lth e
mer
genc
ies,
incl
udin
g de
liber
ate
rele
ase
even
ts. W
hen
and
whe
re p
ract
icab
le, t
hese
pl
ans
shou
ld in
clud
e na
tiona
l res
ourc
e an
d ris
k m
appi
ng, b
e ad
apte
d to
mat
ch c
ount
ry ri
sks
and
cons
ider
the
man
agem
ent o
f new
and
mul
tiple
con
curr
ent t
hrea
ts (J
EE R
2.1)
.
a. Id
entif
y an
d de
velo
p ris
k m
appi
ng
of th
reat
and
haz
ard
for P
HEP.
Prio
ritis
ed m
appi
ng a
ccor
ding
to
haza
rds
(e.g
. Dep
artm
ent o
f Irr
igat
ion
and
Drai
nage
Mal
aysi
a fo
r floo
d ris
k).
- Ja
nuar
y 20
17.
- On
-goi
ng p
roce
ss
base
d on
cur
rent
sy
stem
and
bei
ng
deve
lope
d.
NADM
A &
NSC
(lead
ag
ency
) and
all
othe
r re
late
d ag
enci
es th
at
have
spe
cific
tool
s/in
dica
tor/
syst
ems
e.g.
ts
unam
i, ho
t spo
t, hy
drol
ogy
etc.
).
Risk
map
ping
of t
hrea
t an
d ha
zard
dev
elop
ed
by re
late
d ag
enci
es.
- Fi
nalis
e w
ith ri
sk
map
ping
.
- De
cem
ber 2
017.
- Cu
rren
t sys
tem
av
aila
ble
and
on-
goin
g de
velo
pmen
t.
Rela
ted
agen
cies
b. U
se th
e ris
k m
appi
ng to
det
erm
ine
the
imm
edia
te fi
rst r
espo
nder
ag
enci
es, i
dent
ify h
uman
reso
urce
an
d fa
cilit
ies
requ
ired
and
iden
tify
shor
t-co
min
g.
- 20
18.
- On
-goi
ng p
roce
ss
base
d on
cur
rent
sy
stem
and
bei
ng
deve
lope
d.
NADM
A &
NSC
(lead
ag
ency
) and
all
othe
r re
late
d ag
enci
es th
at
have
spe
cific
tool
s/in
dica
tor/
syst
ems
e.g.
ts
unam
i, ho
t spo
t, hy
drol
ogy
etc.
).
List
of i
mm
edia
te
resp
onde
rs, n
umbe
r of
hum
an re
sour
ce a
nd
faci
litie
s ne
eded
.
- En
d of
201
8.
- Cu
rren
t sys
tem
av
aila
ble
and
ongo
ing
deve
lopm
ent.
Rela
ted
agen
cies
c. A
pplic
atio
n fo
r hum
an re
sour
ces
and
faci
litie
s re
quire
d ba
se o
n th
e ris
k m
appi
ng.
- En
d of
201
7 or
ear
ly
2018
.
- On
-goi
ng p
roce
ss
base
d on
cur
rent
sy
stem
and
bei
ng
deve
lope
d.
All a
genc
ies
supp
ort
by N
ADM
A, N
SC, M
OF
& PS
P NS
C &
Rela
ted
agen
cies
that
hav
e sp
ecifi
c to
ols/
indi
cato
r/sy
stem
s e.
g. ts
unam
i, ho
t spo
t, hy
drol
ogy
etc.
).
Repo
rt/su
mm
ary
for
succ
essf
ul a
pplic
atio
n.-
Early
201
8.
- Cu
rren
t sys
tem
av
aila
ble
and
ongo
ing
deve
lopm
ent.
Rela
ted
agen
cies
38(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
2.Su
ppor
t pla
ns w
ith le
gisl
atio
n w
hen
requ
ired,
incl
udin
g an
y sp
ecia
l mea
sure
s ne
eded
for e
mer
genc
y re
spon
se o
r rec
omm
ende
d un
der I
HR (2
005)
.
Revi
ew a
ll le
gisl
atio
n in
clud
ing
any
spec
ial m
easu
res
need
ed fo
r em
erge
ncy
resp
onse
or r
ecom
men
ded
unde
r IHR
(200
5) fo
r exa
mpl
e:
- NS
C Ac
t (Ak
ta M
KN) 2
016.
- Di
rect
ive
18, 2
0 an
d 21
.
- Co
mm
unic
able
Dis
ease
Pre
vent
ion
and
Cont
rol A
ct 1
988
(Act
342
).
- Bi
olog
ical
and
Tox
in W
eapo
ns
Conv
entio
n Bi
ll.
- Na
tiona
l Sec
urity
Pol
icy
(Das
ar
Kese
lam
atan
Neg
ara)
201
7.
- Ch
emic
al W
eapo
n Co
nven
tion
Act
2005
.
- 20
17-2
020.
- On
goin
g pr
oces
s.
All a
genc
ies.
Num
ber o
f act
revi
ewed
.20
17-2
020
or e
very
5
year
s or
as
requ
ired.
3.En
sure
sus
tain
able
fina
ncin
g an
d em
erge
ncy
cont
inge
ncy
fund
ing
nece
ssar
y to
pro
cure
and
mai
ntai
n na
tiona
l sto
ckpi
les,
for e
xam
ple
pers
onal
pro
tect
ive
equi
pmen
t (PP
E),
antiv
irals
, vac
cine
s, a
nd o
ther
em
erge
ncy
supp
lies
and
equi
pmen
t (JE
E R1
.1).
a. C
ondu
ct m
eetin
g/w
orks
hop/
revi
ew/
audi
t to
revi
ew e
xist
ing
stoc
kpile
am
ong
agen
cies
and
revi
ew th
e fu
ndin
g re
quire
d fo
r sto
ckpi
le
sust
ainm
ent.
Ongo
ing.
All r
espe
ctiv
e ag
enci
es
and
min
istri
es.
All s
tock
pile
by
diffe
rent
ag
enci
es re
view
ed a
nd
fund
ing
requ
ired.
Ever
y 6
mon
th.
b. T
o ca
rry
out a
uditi
ng s
tock
pile
.On
goin
g.Al
l res
pect
ive
agen
cies
an
d m
inis
tries
.St
ockp
ile a
udite
d.An
nual
ly.
c. A
lloca
te s
peci
fic b
udge
t for
su
stai
nmen
t and
add
ition
al n
eeds
of
stoc
kpile
.
Ongo
ing
All a
genc
ies.
Budg
et a
lloca
ted
and
stoc
kpile
sus
tain
ed.
Annu
ally
or a
s re
quire
d.
39(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
STRA
TEGY
3: E
NSUR
E TH
ERE
IS A
N ON
GOIN
G AN
D CO
ORDI
NATE
D PR
OCES
S fO
R PL
ANNI
NG, M
ANAG
EMEN
T AN
D RE
SPON
SE
1.Es
tabl
ish
and/
or m
aint
ain
a sy
stem
atic
coo
rdin
atio
n m
echa
nism
for e
mer
genc
y pr
epar
edne
ss a
nd re
spon
se w
ith re
leva
nt s
take
hold
ers,
incl
udin
g ot
her n
on-h
ealth
min
istri
es
and
depa
rtmen
ts, U
nite
d Na
tions
age
ncie
s, s
ecur
ity a
utho
ritie
s, p
ublic
and
priv
ate
sect
or o
rgan
izat
ions
and
civ
il so
ciet
y.
a. H
igh
Leve
l Com
mitt
ee o
n Di
sast
er
mee
ting
is to
add
ress
the
requ
irem
ent,
resp
ond
and
all m
atte
rs
perta
inin
g to
sys
tem
atic
coo
rdin
atio
n m
echa
nism
for e
mer
genc
y pr
epar
edne
ss a
nd re
spon
se fo
r any
em
erge
ncy
resp
onse
or c
alam
ities
(e
vent
).
Regu
lar.
NADM
A.Nu
mbe
r of m
eetin
g co
nduc
ted.
Ever
y 6
mon
ths
or a
s re
quire
d.
b. H
igh
Leve
l Com
mitt
ee o
n Se
curit
y m
eetin
g is
to a
ddre
ss th
e re
quire
men
t, re
spon
d an
d al
l mat
ters
pe
rtain
ing
to s
yste
mat
ic c
oord
inat
ion
mec
hani
sm to
han
dle
thre
at a
nd
secu
rity.
Regu
lar.
NSC.
Num
ber o
f mee
ting
cond
ucte
d.Ev
ery
3 m
onth
s or
as
requ
ired.
c. In
tera
genc
y Te
chni
cal C
omm
ittee
on
Disa
ster
mee
ting
(nat
iona
l/min
istri
es/
agen
cies
) for
coo
rdin
atio
n as
sist
ance
in
em
erge
ncy
prep
ared
ness
and
re
spon
se fo
r any
dis
aste
r or
cala
miti
es (e
vent
).
Regu
lar.
- NA
DMA-
Natio
nal.
- All
Min
istri
es/a
genc
ies
conc
ern.
Num
ber o
f mee
ting
cond
ucte
d.Ev
ery
3 m
onth
s or
as
requ
ired.
d. In
tera
genc
y Te
chni
cal C
omm
ittee
on
Secu
rity
Mat
ters
mee
ting
(nat
iona
l/m
inis
tries
/age
ncie
s) to
mea
sure
the
read
ines
s an
d pr
epar
edne
ss le
vel
of a
ll ag
enci
es in
volv
e in
han
dlin
g th
reat
and
sec
urity
.
Regu
lar.
NSC.
Num
ber o
f mee
ting
cond
ucte
d.M
onth
ly.
40(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
e. E
ngag
emen
t with
NGO
on
coor
dina
tion
assi
stan
ce fo
r dis
aste
r re
duct
ion.
Regu
lar.
- NA
DMA-
Natio
nal.
- All
Min
istri
es/a
genc
ies
conc
ern.
Num
ber o
f mee
ting
cond
ucte
d.An
nual
ly o
r as
requ
ired.
STRA
TEGY
4: P
REPA
RE A
ND T
EST
PUBL
IC H
EALT
H EM
ERGE
NCY
RESP
ONSE
SYS
TEM
S
4.1A
Stre
ngth
en p
ublic
hea
lth e
mer
genc
y m
anag
emen
t cap
aciti
es (h
uman
reso
urce
, fina
ncia
l and
info
rmat
ion
man
agem
ent,
logi
stic
s, a
nd re
sour
ce m
obili
zatio
n).
a. D
evel
oped
inve
ntor
y (h
uman
re
sour
ce, fi
nanc
ial a
nd in
form
atio
n m
anag
emen
t, lo
gist
ics,
and
re
sour
ce m
obili
zatio
n) o
f em
erge
ncy
man
agem
ent o
f age
ncie
s.
2017
.NA
DMA
and
all
agen
cies
.In
vent
ory
deve
lope
d.En
d of
201
7.
b. U
se th
e in
vent
ory
deve
lope
d (h
uman
re
sour
ce, fi
nanc
ial a
nd in
form
atio
n m
anag
emen
t, lo
gist
ics
and
reso
urce
m
obili
zatio
n) in
any
of s
imul
atio
n ex
erci
se.
2018
-202
0.NA
DMA
and
all
agen
cies
.Nu
mbe
r of e
xerc
ise
usin
g th
e in
vent
ory
that
ha
d be
en d
evel
oped
.
- Yea
rly.
- 20
18-2
020.
c. R
evie
wed
inve
ntor
y af
ter s
imul
atio
n/TT
X.Af
ter e
very
sim
ulat
ion/
TTX.
NADM
A an
d al
l ag
enci
es.
Revi
ew in
vent
ory
that
w
as d
evel
oped
.Af
ter e
very
exe
rcis
e.
4.1B
Esta
blis
h an
d/or
stre
ngth
en h
ealth
EOC
s th
at c
an c
oord
inat
e pr
epar
edne
ss a
nd re
spon
se a
cros
s th
e he
alth
sec
tor a
nd w
ith o
ther
sec
tors
not
onl
y fo
r maj
or e
vent
s bu
t als
o fo
r re
spon
ses
to s
mal
ler o
r med
ium
-siz
ed e
vent
s.
1.Es
tabl
ishm
ent o
f int
erag
ency
EOC
s ne
twor
king
.
a. W
orks
hop
amon
g EO
C ag
enci
es to
de
velo
p in
tero
pera
bilit
y SO
Ps a
mon
g ag
enci
es. C
urre
ntly
all
agen
cies
do
ing
disa
ster
resp
onse
hav
e th
eir
own
SOP
but t
he m
echa
nism
has
to
be s
treng
then
ed fu
rther
.
Jan
2017
.NA
DMA
and
NSC
(lead
ag
ency
) and
all
othe
r re
late
d ag
enci
es.
No. o
f wor
ksho
ps
cond
ucte
d an
d no
. of
parti
cipa
nts.
Oct 2
017
(Fin
al
docu
men
t).Ca
nada
GPP
.
41(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
1.b.
Tra
inin
g on
mul
ti-ha
zard
s SO
P fo
r PHE
P in
clud
ing
inci
dent
m
anag
emen
t, EO
C op
erat
ions
and
re
spon
se lo
gist
ics.
2018
-202
0.NA
DMA
and
NSC
(lead
ag
ency
) and
all
othe
r re
late
d ag
enci
es.
No. o
f tra
inin
g/pa
rtici
pant
s tra
ined
.On
ce a
yea
r.
c. S
imul
atio
ns/T
able
-top
exe
rcis
e fo
r m
ulti-
haza
rd S
OP fo
r PHE
P. Th
ese
activ
ities
sho
uld
incl
ude
othe
r non
- he
alth
age
ncie
s an
d de
partm
ents
.
2018
-202
1.NA
DMA
and
NSC
(lead
ag
ency
) and
all
othe
r re
late
d ag
enci
es.
No. o
f sim
ulat
ions
/ta
ble
top
exer
cise
s/pa
rtici
pant
s in
volv
e in
th
ese
exer
cise
s.
Once
a y
ear.
d. S
OP re
view
ed a
fter s
imul
atio
n/TT
X.
2019
-202
1.NA
DMA
and
NSC
(lead
ag
ency
) and
all
othe
r re
late
d ag
enci
es.
No. o
f SOP
s re
view
ed.
Revi
ew e
very
exe
rcis
e.
2.En
sure
resp
onse
stru
ctur
es c
an ra
pidl
y ac
cess
exp
ert t
echn
ical
adv
ice
and
logi
stic
al e
xper
tise,
hav
e m
echa
nism
s fo
r rap
id d
eplo
ymen
t of s
urge
per
sonn
el a
nd s
uppl
ies,
hav
e st
aff t
rain
ed in
em
erge
ncy
resp
onse
incl
udin
g th
e us
e of
IMS
and
EOCs
, and
can
ens
ure
the
safe
ty a
nd s
ecur
ity o
f res
pons
e st
aff i
nclu
ding
psy
chos
ocia
l sup
port
if ne
eded
.
a. D
evel
op d
atab
ase
of e
xper
ts fr
om a
ll ag
enci
es.
2017
.-
NADM
A (n
atio
nal l
evel
).
- Ot
her a
genc
ies
(age
ncy
leve
l).
One
data
base
of e
xper
t in
volv
e al
l age
ncie
s.Up
date
d ex
pert
data
base
s ye
arly
b. L
ist o
f tra
ined
Rap
id A
sses
smen
t Te
am (R
AT) a
nd R
apid
Res
pons
e Te
am (R
RT).
2017
.- A
ll ag
enci
es.
- Re
late
d ag
enci
es.
Data
base
of R
AT &
RRT
in
volv
e al
l age
ncie
s.Up
date
d RA
T an
d RR
T da
taba
ses
year
ly.
c. T
rain
ing
of e
xper
t, RA
T an
d RR
T20
18-2
021.
- All
agen
cies
.
- Re
late
d ag
enci
es.
Num
ber o
f RAT
and
RRT
.Ye
arly.
d. S
imul
atio
n/Ta
ble-
top
exer
cise
to
asse
ss th
e m
echa
nism
s fo
r rap
id
depl
oym
ent o
f sur
ge p
erso
nnel
and
su
pplie
s.
2018
-202
1.Al
l age
ncie
s co
ordi
nate
d by
NAD
MA.
Num
ber o
f sim
ulat
ion/
TTX.
Year
ly.
42(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
STRA
TEGY
5: S
TREN
GTHE
N IH
R NA
TION
AL f
OCAL
POI
NTS
1.En
sure
ther
e ar
e po
licie
s an
d/or
le
gisl
atio
n in
pla
ce to
faci
litat
e IH
R NF
P co
re a
nd e
xpan
ded
func
tions
and
to
stre
ngth
en c
ore
capa
citie
s.
Ongo
ing.
MOH
.No
of p
olic
ies
and
legi
slat
ion
revi
ewed
.On
ce e
very
5 y
ears
/as
need
ed.
2.En
sure
IHR
NFPs
hav
e a
24/7
sys
tem
for c
omm
unic
atin
g w
ith W
HO a
nd o
ther
Mem
ber S
tate
s, a
nd a
re li
nked
with
the
heal
th s
yste
m, b
orde
r age
ncie
s an
d em
erge
ncy
cont
act
poin
ts fo
r Int
erna
tiona
l Foo
d Sa
fety
Aut
horit
ies
Netw
ork
(INFO
SAN)
and
oth
er h
azar
d pr
ogra
mm
es, f
or e
xam
ple
envi
ronm
enta
l hea
lth, a
nim
al h
ealth
, che
mic
al a
nd ra
diat
ion
safe
ty.
a. U
pdat
ed li
st o
f per
son
of c
onta
ct
from
all
agen
cies
and
par
tner
i. M
alay
sia
Natio
nal I
HR F
ocal
Poi
nt
i
i. M
OH –
all
leve
l Min
istr
y of
Hea
lth
ii
i. Ot
her A
genc
ies
– NA
DMA,
NSC
, M
AF, M
OA, R
MP,
Fire
& R
escu
e De
partm
ent (
HAZM
AT),
Min
Def,
ATM
, MET
, JPS
, JKM
, JKR
, DVS
, AP
MM
, AEL
B, D
CA, M
OFA
& KK
MM
, Inf
orm
atio
n De
partm
ent,
JAS
etc.
(upd
ated
list
from
NA
DMA)
iv
. Par
tner
s –
MM
A, W
HO, A
SEAN
Se
cret
aria
t, AH
A Ce
ntre
, Can
ada
GPP,
etc.
2017
.M
OH.
List
of l
ocal
con
tact
pe
rson
.Ev
ery
6 m
onth
s.
43(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
b. S
imul
atio
n ex
erci
se
i. W
ith W
HO-IH
R Cr
ysta
l Exe
rcis
e
i
i. M
ultia
genc
ies
Exer
cise
– T
TX,
Func
tiona
l Exe
rcis
e or
Ful
l sca
le
Exer
cise
etc
.
ii
i. Re
gion
al E
xerc
ise
– AS
EAN
EOC
Netw
ork,
Nei
ghbo
urin
g co
untr
y et
c.
Ongo
ing.
MOH
(IHS
).Si
mul
atio
n ex
erci
ses.
- On
ce a
yea
r.
- On
ce a
yea
r.
Shar
ing
of in
tern
atio
nal e
vent
/cris
is/
PHEI
C w
ith o
ther
age
ncie
s.On
goin
g.M
OH.
Shar
ing
of in
form
atio
n.Ev
ery
cris
is/P
HEIC
re
late
d to
oth
er
agen
cies
.
3.St
reng
then
the
IHR
NFP
role
in
info
rmat
ion
shar
ing
thro
ugh
the
use
of th
e se
cure
IHR
Even
t Inf
orm
atio
n Si
te a
nd fa
cilit
ate
inte
r-co
untr
y co
mm
unic
atio
ns.
Ongo
ing.
MOH
.Pe
rcen
tage
of I
HR e
vent
in
form
atio
n sh
arin
g w
ith
WHO
.
100%
(eve
ry IH
R ev
ent
shar
e w
ith W
HO).
4.En
sure
par
ticip
atio
n of
the
IHR
NFP
in a
n an
nual
regi
onal
exe
rcis
e, fo
r ex
ampl
e IH
R Ex
erci
se C
ryst
al, t
o te
st
stan
dard
ope
ratin
g pr
oced
ures
, rol
es
and
resp
onsi
bilit
ies,
com
mun
icat
ions
, an
d co
ordi
natio
n lin
ks w
ith n
atio
nal
stak
ehol
ders
and
WHO
.
Ongo
ing.
MOH
(IHS
).Pa
rtici
pate
in W
HO IH
R Ex
erci
se C
ryst
al y
early
.Al
l age
ncie
s co
ncer
ned
will
be
invi
ted
to
parti
cipa
te in
IHR
Crys
tal
Exer
cise
.
44(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
STRA
TEGY
6: S
TREN
GTHE
N PO
INTS
Of
ENTR
Y
1.Fu
rther
stre
ngth
ened
cor
e ca
paci
ty a
nd c
apab
ilitie
s at
POE
at a
ll tim
e (A
nnex
1A
& 1B
IHR
2005
).
a. A
pplic
atio
n of
hum
an re
sour
ces,
eq
uipm
ent a
nd fa
cilit
ies
to fu
lfil t
he
min
imum
IHR
core
cap
acity
for d
aily
ac
tiviti
es a
t POE
.
Ongo
ing.
MOH
(IHS
).Ap
plic
atio
n fo
r hum
an
reso
urce
s, e
quip
men
t an
d fa
cilit
ies
Year
ly
b. M
eetin
g or
brie
fing
on c
ore
capa
citie
s re
quire
men
t und
er IH
R 20
05 a
nd P
HEIC
to s
taffs
wor
king
at
POE
.
Ongo
ing.
MOH
(IHS
).- Y
early
mee
ting
or
brie
fing
- Pe
rcen
tage
of D
HO
atte
nded
- On
ce/y
ear
- M
ore
than
80%
PoE
st
affs
atte
nded
yea
rly.
c. E
valu
atio
n vi
sit t
o in
tern
atio
nal P
OE
usin
g W
HO s
tand
ard
form
at.
Ongo
ing.
MOH
(IHS
).Pe
rcen
tage
of P
OE
At le
ast 1
0% o
f In
tern
atio
nal P
OE v
isite
d ye
arly
d. P
ost e
valu
atio
n br
iefin
g.
Ongo
ing.
MOH
(IHS
Perc
enta
ge o
f pos
t ev
alua
tion
brie
fing
100%
. Brie
fing
at th
e en
d of
eva
luat
ion
visi
t
e. E
very
des
igna
ted
POE
have
to d
o si
mul
atio
n ex
erci
se.
2018
.He
alth
Aut
horit
y at
POE
Perc
enta
ge o
f sim
ulat
ion
exer
cise
- T
TX,
Func
tiona
l or F
ull s
cale
et
c
Ever
y tw
o ye
ars
2.To
incr
ease
des
igna
ted
POE.
a. In
crea
se th
e nu
mbe
r of d
esig
nate
d PO
E (2
017
– 24
POE
hav
e be
en
desi
gnat
ed).
2019
MOH
(HIS
)At
leas
t 1Po
EYe
arly
45(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
3.Bu
ild IH
R co
re c
apac
ity a
t des
igna
ted
POE,
esp
ecia
lly th
roug
h PO
E co
ntin
genc
y pl
anni
ng in
the
cont
ext o
f the
ove
rall
natio
nal p
ublic
hea
lth e
mer
genc
y re
spon
se s
truct
ure,
and
in
clud
ing
acce
ss to
app
ropr
iate
med
ical
ser
vice
s an
d re
ferr
al h
ealth
-car
e fa
cilit
ies.
a. A
pplic
atio
n of
hum
an re
sour
ces,
eq
uipm
ent a
nd fa
cilit
ies
to fu
lfill
the
min
imum
IHR
core
cap
acity
for d
aily
ac
tiviti
es a
t POE
and
to re
spon
se fo
r PH
EIC
and
othe
r haz
ard.
Ongo
ing.
MOH
(IHS
).Ap
plic
atio
n fo
r hum
an
reso
urce
s, e
quip
men
t an
d fa
cilit
ies.
z
Year
ly
b. R
evis
e co
ntin
genc
y pl
an fo
r PHE
P at
PO
E w
ith ri
sk-b
ased
app
roac
h an
d in
lin
e w
ith th
e pr
inci
ples
and
arti
cles
of
IHR
(200
5) w
ith i
nvol
vem
ent a
ll ag
enci
es c
once
rn a
t the
POE
.
2018
-201
9.M
OH (I
HS).
Cont
inge
ncy
plan
for
PHEP
at P
OE re
vise
d.Ev
ery
3 ye
ars
or a
s re
quire
d
c Tr
aini
ng o
n co
ntin
genc
y pl
an fo
r PHE
P at
POE
.20
19-2
020.
MOH
(IHS
).No
of t
rain
ing.
Ever
y 2
year
s
d. S
imul
atio
n Ex
erci
se -
TTX
, Fun
ctio
nal
or F
ull-s
cale
exe
rcis
e et
c. o
n PH
EP
at P
OE.
2020
-202
1.He
alth
Aut
horit
y at
POE
.No
of S
imul
atio
n/TT
X co
nduc
ted.
Ever
y 2
year
s
4.Es
tabl
ish
and/
or re
vise
inte
rgra
ted
SOP
to m
itiga
te th
e in
tern
atio
nal s
prea
d of
di
seas
es a
t POE
and
oth
er b
orde
rs.
- To
revi
se th
e co
ntin
genc
y pl
an to
m
itiga
te th
e in
tern
atio
nal s
prea
d of
di
seas
es a
t POE
.
2019
.Al
l POE
esp
ecia
lly
desi
gnat
ed P
OE.
Revi
sed
SOP.
Ever
y 3
year
s
46(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
5.St
reng
then
regi
onal
and
inte
rnat
iona
l par
tner
ship
and
col
labo
ratio
n on
man
agin
g pu
blic
hea
lth e
mer
genc
ies
at P
OE.
a. R
evie
w th
e cu
rren
t MOU
bet
wee
n M
alay
sia
and
neig
hbou
ring
coun
tries
.20
19.
MOH
(IHS
, Glo
bal H
ealth
Un
it an
d In
tern
atio
nal
Polic
y an
d Re
latio
n Di
visi
on).
Num
ber o
f mee
ting.
Ever
y 2
year
s.
b. L
ist o
f con
tact
per
son
at P
OE.
2019
.M
OH (I
HS).
List
of c
onta
ct p
erso
n at
POE
.Ye
arly.
c. J
oint
Sim
ulat
ion
exer
cise
at P
OE (i
t ca
n be
don
e at
Nat
iona
l or S
tate
or
POE
leve
l).
-
Bet
wee
n He
alth
or M
ultia
genc
ies
invo
lvem
ent.
2019
-202
1.M
OH, S
tate
Hea
lth
Depa
rtmen
t or P
OE.
Num
ber o
f sim
ulat
ion
exer
cise
.On
e PO
E ye
arly.
STRA
TEGY
7: M
ONIT
ORIN
G &
EVA
LUAT
ION
Appl
y M
&E s
yste
mat
ical
ly a
t all
stag
es o
f the
pla
nnin
g an
d im
plem
enta
tion
cycl
e, m
easu
re s
yste
m fu
nctio
nalit
y pr
omot
e pa
rtner
ship
thro
ugh
M&E
pro
cess
es o
r im
prov
e tra
nspa
renc
y an
d ac
coun
tabi
lity
in re
porti
ng.
1.M
onito
r all
the
targ
et th
roug
h ev
alua
tion
of th
e PH
EP F
ocus
are
a in
M
ySED
II. T
he a
chie
vem
ent w
ill b
e
pres
ente
d in
a m
ultia
genc
ies
mee
ting
chai
red
by M
OH.
2019
.M
OH a
nd a
ll re
late
d ag
enci
es.
Annu
ally.
2019
-202
.
2.To
eva
luat
e th
e si
mul
atio
n ex
erci
ses
findi
ngs
for i
mpr
ovem
ent.
2019
-202
1.M
OH, N
ADM
A an
d ot
her
rela
ted.
Eval
uate
afte
r eac
h si
mul
atio
n ex
erci
se a
nd
prod
uce
repo
rt.
2019
-202
1.
47(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
3.2
SUR
VEIL
LANC
E, R
ISK
ASSE
SSM
ENT
AND
RESP
ONSE
STRA
TEGY
1: E
NSUR
E TH
E SU
RVEI
LLAN
CE f
UNCT
ION
IS f
LExI
BLE,
ADA
PTAB
LE A
ND A
PPRO
PRIA
TE T
O CO
UNTR
Y NE
EDS
1.Re
view
exi
stin
g su
rvei
llanc
e sy
stem
s an
d id
entif
y th
e so
urce
s of
dat
a, fo
r exa
mpl
e, d
ata
from
out
brea
k in
vest
igat
ions
, com
mun
ity re
porti
ng s
yste
ms,
IBS
(incl
udin
g sy
ndro
mic
su
rvei
llanc
e), E
BS, a
nd th
e pr
ivat
e he
alth
sec
tor,
whi
ch m
ay b
e us
ed a
t diff
eren
t pha
ses
of a
pub
lic h
ealth
em
erge
ncy.
a. T
o re
view
the
exis
ting
surv
eilla
nce
syst
em in
clud
ing
IBS
(eNo
tifika
si) a
nd
‘Infe
ctio
us D
isea
se O
utbr
eak
Rapi
d Re
spon
se M
anua
l, 20
03’.
In a
dditi
on,
to fi
naliz
e th
e Na
tiona
l Eve
nt-b
ased
Su
rvei
llanc
e (E
BS) G
uide
lines
.
Note
: Cro
ss re
fere
nce
with
spe
cific
ac
tiviti
es u
nder
Stra
tegy
2 o
f IPC
(A
PSED
III),
i.e.
to d
evel
op lo
cal
(hea
lthca
re fa
cilit
ies)
pro
toco
l for
EBS
an
d lin
k w
ith th
e Na
tiona
l EBS
Pro
toco
l.
2017
-201
8.Su
rvei
llanc
e Se
ctio
n,
Dise
ase
Cont
rol D
ivis
ion,
M
OH.
The
avai
labi
lity
of
revi
ewed
/fina
lized
pr
otoc
ols.
2018
.
b Pr
ovis
ion
of lo
cal e
xper
tise
to s
uppo
rt ot
her c
ount
ries
in d
evel
opin
g/en
hanc
ing
thei
r sur
veill
ance
sys
tem
s.
2017
-202
.EI
P M
alay
sia.
No. o
f exp
erts
co
nsul
tatio
ns p
rovi
ded.
At
leas
t onc
e a
year
.
2.Co
nsid
er s
tream
linin
g ex
istin
g su
rvei
llanc
e sy
stem
s; fo
r exa
mpl
e, th
e na
tiona
l not
ifiab
le d
isea
ses
list,
to e
nsur
e th
e sy
stem
s ar
e an
app
ropr
iate
and
effi
cien
t use
of r
esou
rces
by
prio
ritiz
ing
the
dise
ases
that
requ
ire p
ublic
hea
lth a
ctio
n.
a. T
o us
e an
ele
ctro
nic
(web
- en
able
d)
inte
rface
/app
licat
ion
for r
epor
ting
publ
ic h
ealth
eve
nts.
2017
-201
8.Su
rvei
llanc
e Se
ctio
n,
Dise
ase
Cont
rol D
ivis
ion,
M
OH.
A fu
nctio
ning
sys
tem
. 20
18.
GPP
Cana
da/
MIM
OS/In
form
atio
n M
anag
emen
t Div
isio
n,
MOH
.
b. T
o ev
alua
te th
e Ev
ent-
Base
d Su
rvei
llanc
e Sy
stem
.W
ithin
1 y
ear a
fter
final
izat
ion
of th
e pr
otoc
ol.
- Su
rvei
llanc
e Se
ctio
n,
Dise
ase
Cont
rol
Divi
sion
, MOH
.
- EI
P M
alay
sia.
A sy
stem
atic
eva
luat
ion
done
. 20
19-2
020.
48(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
2.c.
To
crea
te s
usta
inab
le a
war
enes
s on
impl
emen
tatio
n of
syn
drom
ic
surv
eilla
nce
to re
leva
nt fr
ont l
iner
s
2017
-202
1.-
Surv
eilla
nce
Sect
ion,
Di
seas
e Co
ntro
l Di
visi
on, M
OH
- Pu
blic
Hea
lth
Deve
lopm
ent D
ivis
ion,
M
OH
- St
ate
Heal
th
Depa
rtmen
t.
Trai
ning
con
duct
ed fo
r re
leva
nt fr
ont l
iner
s at
al
l lev
els.
At le
ast o
nce
a ye
ar.
Trai
ning
Man
agem
ent
Divi
sion
, MOH
.
3. St
reng
then
ing
of R
umou
r Sur
veill
ance
Sy
stem
to s
uppo
rt EB
S, v
ia e
xplo
ring
the
use
of s
ocia
l med
ia/n
etw
ork
to
enha
nce
the
syst
em.
2017
-202
1.-
Surv
eilla
nce
Sect
ion,
Di
seas
e Co
ntro
l Di
visi
on, M
OH.
- Su
rvei
llanc
e Un
it at
the
Stat
e He
alth
De
partm
ent.
- Cr
isis
Pre
pare
dnes
s &
Resp
onse
Cen
tre
(CPR
C) a
t Nat
iona
l and
St
ate
leve
l.
- He
alth
Edu
catio
n Di
visi
on, M
OH.
- Co
rpor
ate
Com
mun
icat
ions
Uni
t, M
OH.
Avai
labi
lity
of a
sys
tem
to
det
ect p
ublic
hea
lth
even
ts fr
om a
ll m
edia
.
- >
95%
labo
rato
ry te
st
done
loca
lly.
- Sy
stem
is a
vaila
ble
by
2020
.
GPP
Cana
da/In
form
atio
n M
anag
emen
t Div
isio
n,
MOH
/MIM
OS.
49(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
4.En
sure
clin
ical
and
labo
rato
ry s
taff
are
aler
ted
to c
ross
-bor
der p
ublic
hea
lth
thre
ats,
and
that
pro
toco
ls in
clud
ing
case
defi
nitio
ns a
nd la
bora
tory
test
ing
algo
rithm
s, a
re ra
pidl
y de
velo
ped
and
shar
ed fo
r tim
ely
case
det
ectio
n,
repo
rting
and
inve
stig
atio
n.
a. In
volv
emen
t of c
linic
al a
nd la
bora
tory
st
aff i
n de
velo
ping
the
rele
vant
pr
otoc
ols
for c
ross
-bor
der p
ublic
he
alth
thre
ats
2017
-202
1.-
Surv
eilla
nce
Sect
ion,
Di
seas
e Co
ntro
l Di
visi
on, M
OH.
- M
edic
al D
evel
opm
ent
Divi
sion
, MOH
.
- In
stitu
te fo
r Med
ical
Re
sear
ch (I
MR)
.
No. o
f pro
toco
ls
esta
blis
hed.
As a
nd w
hen
requ
ired.
b. O
rgan
izat
ion
of tr
aini
ng, s
emin
ar,
CME
etc.
invo
lvin
g cl
inic
al a
nd
labo
rato
ry s
taff,
rela
ted
to c
ross
-bo
rder
pub
lic h
ealth
thre
ats.
2017
-202
1.Na
tiona
l Pub
lic H
ealth
La
bora
tory
, Sun
gai B
uloh
No. o
f tra
inin
g, s
emin
ar,
CME
etc.
con
duct
ed.
At le
ast o
nce
a ye
ar.
c. S
treng
then
/exp
and
diss
emin
atio
n of
impo
rtant
info
rmat
ion
rega
rdin
g ou
tbre
aks
and
publ
ic h
ealth
em
erge
ncie
s in
a ti
mel
y m
anne
r to
clin
icia
ns a
nd o
ther
indi
vidu
als
with
in
the
heal
th-c
are
syst
em.
Note
: Cro
ss re
fere
nce
with
spe
cific
ac
tiviti
es u
nder
Stra
tegy
2 o
f IPC
(A
PSED
III),
i.e.
to e
nsur
e di
ssem
inat
ion
of im
porta
nt in
form
atio
n re
gard
ing
outb
reak
s an
d pu
blic
hea
lth
emer
genc
ies
in a
tim
ely
man
ner t
o cl
inic
ians
and
oth
er in
divi
dual
s w
ithin
th
e he
alth
-car
e sy
stem
.
2017
-202
1.-
Surv
eilla
nce
Sect
ion,
Di
seas
e Co
ntro
l Di
visi
on, M
OH
- M
edic
al D
evel
opm
ent
Divi
sion
, MOH
- In
stitu
te fo
r Med
ical
Re
sear
ch (I
MR)
- Nat
iona
l Pub
lic H
ealth
La
bora
tory
Sun
gai
Bulo
h
- Nat
iona
l Cris
is
Prep
ared
ness
&
Resp
onse
Cen
tre, M
OH.
Daily
repo
rts fr
om
CPRC
-MOH
, ad-
hoc
repo
rts fr
om W
HO E
vent
In
form
atio
n Si
te (W
HO-
EIS)
etc
. to
be s
hare
d w
ith re
leva
nt p
laye
rs.
100%
.
50(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
5.De
velo
p an
d im
plem
ent s
yste
ms
to
ensu
re th
at d
ata
can
be s
afel
y st
ored
, ac
cess
ed, a
naly
sed
and
used
to
prod
uce
timel
y su
rvei
llanc
e an
d/or
ep
idem
iolo
gica
l rep
orts
that
are
sha
red
with
key
sta
keho
lder
s on
a re
gula
r ba
sis
e.g.
mon
thly
/qua
rterly
/ann
ually
).
a. T
o de
velo
p a
n in
telli
gent
sys
tem
to
anal
yse
exis
ting
data
in re
al ti
me
for
early
war
ning
2017
-202
1.-
Surv
eilla
nce
Sect
ion,
Di
seas
e Co
ntro
l Di
visi
on, M
OH.
- Pu
blic
Hea
lth
Labo
rato
ries.
- Ho
spita
l-Bas
ed
Labo
rato
ries.
- He
alth
Info
rmat
ics
cent
re.
Deve
lopm
ent o
f rel
evan
t sy
stem
.20
20.
Info
rmat
ion
Man
agem
ent D
ivis
ion,
M
OH/M
IMOS
/GPP
Ca
nada
.
STRA
TEGY
2: U
SE M
ULTI
PLE
SOUR
CES
Of IN
fORM
ATIO
N fO
R RI
SK A
SSES
SMEN
T
1.Id
entif
y di
ffere
nt s
ourc
es o
f hea
lth
info
rmat
ion
that
con
tribu
te to
risk
as
sess
men
t; fo
r exa
mpl
e, d
ata
from
IB
S, E
BS, r
isk
perc
eptio
n as
sess
men
ts,
vacc
ine
cove
rage
, lab
orat
ory
data
, co
mm
unity
-bas
ed re
porti
ng a
nd m
edia
m
onito
ring.
Trai
n he
alth
care
wor
kers
to u
se
mul
tiple
sou
rces
of i
nfor
mat
ion
for r
isk
asse
ssm
ent.
Note
: Cro
ss re
fere
nce
with
spe
cific
ac
tiviti
es u
nder
Stra
tegy
3 o
f Ris
k Co
mm
unic
atio
n (A
PSED
III),
i.e.
to
dev
elop
or a
dapt
gui
danc
e fo
r co
mm
unity
eng
agem
ent a
nd th
e as
sess
men
t of r
isk
perc
eptio
n to
in
form
risk
ass
essm
ent a
nd g
uide
in
terv
entio
ns.
2017
-202
1.-
Surv
eilla
nce
Sect
ion,
Di
seas
e Co
ntro
l Di
visi
on, M
OH.
- ASE
AN R
isk
Asse
ssm
ent a
nd
Risk
Com
mun
icat
ion
Reso
urce
Cen
tre.
- He
alth
Edu
catio
n Di
visi
on, M
OH.
- In
stitu
te fo
r Hea
lth
Beha
viou
ral R
esea
rch,
M
OH.
- Co
rpor
ate
Com
mun
icat
ions
Uni
t, M
OH.
At le
ast o
ne tr
aini
ng p
er
year
.GP
P Ca
nada
/ASE
AN.
51(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
2.Es
tabl
ish
repo
rting
and
com
mun
icat
ion
chan
nels
bet
wee
n pu
blic
and
priv
ate
heal
th-c
are
faci
litie
s an
d pu
blic
hea
lth
syst
ems
to fa
cilit
ate
rapi
d re
porti
ng
of e
vent
s by
hea
lth-c
are
wor
kers
to
surv
eilla
nce
depa
rtmen
ts a
s pa
rt of
EB
S.
a. O
rgan
izat
ion
of tr
aini
ng, s
emin
ar,
CME
etc.
invo
lvin
g pr
ivat
e he
alth
-ca
re fa
cilit
ies
pers
onne
l, re
late
d to
ra
pid
repo
rting
of e
vent
s to
sup
port
EBS
2017
-202
1.-
Surv
eilla
nce
Sect
ion,
Di
seas
e Co
ntro
l Di
visi
on, M
OH.
- M
edic
al P
ract
ise
Divi
sion
, MOH
.
No. o
f tra
inin
g, s
emin
ar,
CME
etc.
con
duct
ed.
At le
ast o
nce
a ye
ar.
- APH
M*
- M
MA*
*
- Pr
ofes
sion
al
Asso
ciat
ions
b. S
treng
then
ing
of th
e re
porti
ng a
nd
com
mun
icat
ion
chan
nels
bet
wee
n pu
blic
and
201
7-20
21pr
ivat
e he
alth
-car
e fa
cilit
ies
and
publ
ic
heal
th s
yste
ms
to fa
cilit
ate
rapi
d re
porti
ng o
f eve
nts;
i.e.
incr
ease
pr
ivat
e he
alth
-car
e pr
actit
ione
rs
acce
ssib
ility
to M
OH w
eb-b
ased
re
porti
ng/n
otifi
catio
n sy
stem
, e.g
. eN
otifi
kasi
and
eW
abak
.
Note
:* A
ssoc
iatio
n of
Priv
ate
Hosp
itals
of
Mal
aysi
a**
Mal
aysi
an M
edic
al A
ssoc
iatio
n
- Su
rvei
llanc
e.
- Se
ctio
n, D
isea
se
Cont
rol D
ivis
ion,
MOH
.
- In
form
atio
n M
anag
emen
t Div
isio
n,
MOH
.
Perc
enta
ge o
f priv
ate
heal
th c
are
faci
litie
s gi
ven
acce
ss to
MOH
w
eb b
ased
repo
rting
/no
tifica
tion
syst
em.
100%
by
2019
.- A
PHM
*
- M
MA*
*
- Pr
ofes
sion
al
Asso
ciat
ions
52(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
3.In
corp
orat
e da
ta p
rodu
ced
by o
ther
di
scip
lines
and
sec
tors
, for
exa
mpl
e an
imal
hea
lth d
ata,
soc
ioec
onom
ic
data
, gen
der,
food
saf
ety
data
, acc
ess
to h
ealth
ser
vice
s, m
eteo
rolo
gica
l dat
a an
d in
tern
atio
nal c
onne
ctiv
ity d
ata.
a. In
corp
orat
e da
ta c
olle
cted
from
va
rious
sou
rces
on
AMR
surv
eilla
nce.
Note
: Cro
ss re
fere
nce
with
spe
cific
ac
tiviti
es u
nder
Stra
tegy
3 o
f IPC
(A
PSED
III),
i.e.
to im
prov
e ac
cess
to,
and
use
of, A
MR
surv
eilla
nce
data
, in
clud
ing
aler
ts o
n th
e id
entifi
catio
n of
ne
wly
em
ergi
ng re
sist
ance
pat
tern
s am
ong
hum
ans
and
anim
als.
2017
-202
1-
Med
ical
Dev
elop
men
t Di
visi
on, M
OH.
- Di
seas
e Co
ntro
l Di
visi
on, M
OH.
- Ph
arm
aceu
tical
Se
rvic
es P
rogr
amm
e (P
SP),
MOH
.
- Fo
od S
afet
y &
Qual
ity
Divi
sion
, MOH
.
- De
partm
ent o
f Ve
terin
ary
Serv
ices
M
alay
sia.
No. o
f AM
R su
rvei
llanc
e re
ports
sha
red.
Mon
thly
& a
d-ho
c.M
inis
try
of A
gric
ultu
re.
b. In
corp
orat
e re
leva
nt fo
od s
afet
y da
ta.
2017
-202
1.-
Inst
itute
for M
edic
al
Rese
arch
(IM
R)
- FW
BD-V
PD S
ecto
r, Di
seas
e Co
ntro
l Di
visi
on, M
OH
- Fo
od S
afet
y &
Qual
ity
Divi
sion
, MOH
No. o
f rel
evan
t foo
d sa
fety
repo
rts s
hare
d .
Mon
thly
& a
d-ho
c.M
inis
try
of A
gric
ultu
re.
53(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
3.c.
Inco
rpor
ate
iden
tified
sur
veill
ance
da
ta fr
om a
nim
al s
ecto
r col
lect
ed b
y De
partm
ent o
f vet
erin
ary
Serv
ices
(D
VS) M
alay
sia
Note
: Cro
ss re
fere
nce
with
spe
cific
ac
tiviti
es u
nder
Stra
tegy
1 o
f Zoo
nosi
s (A
PSED
III),
i.e.
to e
ncou
rage
sha
ring
of
mul
ti-se
ctor
al a
nd m
ulti-
stak
ehol
der
surv
eilla
nce
data
and
oth
er in
form
atio
n to
pro
vide
ear
ly w
arni
ng o
f em
erge
nt
zoon
oses
for c
oord
inat
ed re
spon
se
2017
-202
1.
- Wild
life
Serv
ices
(WIL
D LI
FE D
EPAR
TMEN
T).
- Zo
onos
is S
ecto
r, Di
seas
e Co
ntro
l Di
visi
on, M
OH.
- De
partm
ent o
f Ve
terin
ary
Serv
ices
M
alay
sia.
No. o
f sur
veill
ance
re
ports
sha
red.
Mon
thly
& a
d-ho
c.M
inis
try
of A
gric
ultu
re.
d. In
corp
orat
e re
leva
nt m
eteo
rolo
gica
l, ai
r qua
lity,
rain
fall,
rive
r wat
er le
vel,
seis
mic
dat
a/re
ports
.
2017
-202
1.-
NADM
A.
- CP
RC M
OH.
No. o
f rel
evan
t rep
orts
sh
ared
. M
onth
ly &
ad-
hoc.
Depa
rtmen
t of
Met
eoro
logy
/Dep
artm
ent
of Ir
rigat
ion
and
Drai
nage
/Dep
artm
ent
of E
nviro
nmen
t/De
partm
ent o
f Min
eral
&
Geos
cien
ce.
4.In
itiat
e a
mul
ti-se
ctor
al p
olic
y di
alog
ue to
stre
ngth
en c
oord
inat
ion,
co
mm
unic
atio
n an
d in
form
atio
n-sh
arin
g w
ith o
ther
sta
keho
lder
s.
Stre
ngth
en m
ulti-
sect
oral
pla
tform
for
resp
ondi
ng to
all-
haza
rd e
vent
s vi
a th
e Hi
gh L
evel
Com
mitt
ee M
eetin
g or
Inte
r-Ag
ency
Tec
hnic
al C
omm
ittee
Mee
ting.
2017
-202
1.-
NADM
A.
- NS
C.
- The
Min
istri
es/
agen
cies
con
cern
ed.
No. o
f mul
ti-se
ctor
al
polic
y m
eetin
g/di
alog
ue
cond
ucte
d.
Annu
ally
or a
s an
d w
hen
requ
ired.
Rela
ted
agen
cies
, GLC
s,
NGOs
etc
.
54(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
5.Es
tabl
ish
effe
ctiv
e, re
al-t
ime
surv
eilla
nce
syst
ems
that
hav
e th
e ca
paci
ty to
ana
lyse
and
link
dat
a us
ing
inte
rope
rabl
e, in
terc
onne
cted
ele
ctro
nic
repo
rting
sys
tem
s.
a. E
stab
lish
wor
king
gro
up to
pla
n th
e de
velo
pmen
t of t
he re
porti
ng s
yste
m.
2018
.Zo
onos
is S
ecto
r, Di
seas
e Co
ntro
l Div
isio
n, M
OH.
Wor
king
Gro
up
esta
blis
hed.
- In
form
atio
n M
anag
emen
t Div
isio
n,
MOH
/MIM
OS/G
PP
Cana
da/P
artn
ers.
b. D
evel
opm
ent o
f an
inte
r-op
erab
le
and
inte
rcon
nect
ed e
lect
roni
c re
porti
ng s
yste
ms
betw
een
hum
an
and
anim
al h
ealth
sur
veill
ance
sy
stem
s –
for i
dent
ified
and
sel
ecte
d di
seas
es.
2017
-202
1.-
Depa
rtmen
t of
Vete
rinar
y Se
rvic
es
Mal
aysi
a.
- M
edic
al D
evel
opm
ent
Divi
sion
, MOH
.
- Fo
od S
afet
y &
Qual
ity
Divi
sion
, MOH
.
- Wild
Life
Dep
artm
ent.
Esta
blis
hmen
t of a
sy
stem
.20
21.
STRA
TEGY
3: S
TREN
GTHE
N RI
SK A
SSES
SMEN
T fU
NCTI
ON T
O IN
fORM
TIM
ELY
DECI
SION
-MAK
ING
1.Re
view
and
agr
ee o
n op
erat
iona
l ar
rang
emen
ts fo
r the
risk
ass
essm
ent
func
tion
with
in a
nat
iona
l cen
tre/u
nit,
and
esta
blis
h a
proc
ess
for s
yste
mat
ic
risk
asse
ssm
ents
.
Orga
niza
tion
of tr
aini
ng o
n sy
stem
atic
ris
k as
sess
men
t at
all
leve
ls.
2017
-202
1.-
Surv
eilla
nce
Sect
ion,
Di
seas
e Co
ntro
l Di
visi
on, M
OH
- Pu
blic
Hea
lth
Deve
lopm
ent D
ivis
ion,
M
OH
- St
ate
Heal
th
Depa
rtmen
ts
- No
. of t
rain
ing
cond
ucte
d.
- Nu
mbe
r of p
erso
nnel
tra
ined
.
- At l
east
onc
e a
year
.
- At l
east
2 p
erso
nnel
pe
r org
aniz
atio
n.
55(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
2.Co
nduc
t sys
tem
atic
risk
ass
essm
ents
on
an
ongo
ing
basi
s at
all
leve
ls o
f th
e he
alth
sys
tem
, inv
olvi
ng m
ultip
le
stak
ehol
ders
to c
ontri
bute
, whe
re
appr
opria
te, u
sing
the
faci
litie
s an
d re
sour
ces
of a
n EO
C or
coo
rdin
atio
n ce
ntre
.
Syst
emat
ic ri
sk a
sses
smen
t con
duct
ed
at a
ll le
vels
2017
-202
1.-
Surv
eilla
nce
Sect
ion,
Di
seas
e Co
ntro
l Di
visi
on, M
OH.
- St
ate
Heal
th
Depa
rtmen
ts.
- Di
stric
t Hea
lth O
ffice
s.
No. o
f tim
ely
risk
asse
ssm
ent r
epor
ts
prod
uced
.
As a
nd w
hen
requ
ired.
3.Pr
oduc
e an
d co
mm
unic
ate
timel
y ris
k as
sess
men
t pro
duct
s to
sta
keho
lder
s,
incl
udin
g af
fect
ed c
omm
uniti
es.
Diss
emin
atio
n of
tim
ely
risk
asse
ssm
ent p
rodu
cts
to s
take
hold
ers,
in
clud
ing
rele
vant
div
isio
ns a
nd
agen
cies
.
2017
-202
1-
Natio
nal C
risis
Pr
epar
edne
ss &
Re
spon
se C
entre
(C
PRC)
, MOH
.
- He
alth
Edu
catio
n Di
visi
on.
- Co
rpor
ate
Com
mun
icat
ions
Uni
t, M
OH.
Perc
enta
ge o
f ris
k as
sess
men
t pro
duct
s di
ssem
inat
ed.
100%
.
4.Co
nduc
t ris
k as
sess
men
ts th
at a
re
forw
ard-
look
ing
to a
ntic
ipat
e fu
ture
th
reat
s an
d co
ntrib
ute
to b
ette
r pr
epar
edne
ss.
Risk
ass
essm
ent c
ondu
cted
to
antic
ipat
e fu
ture
thre
ats.
2017
-202
1.Su
rvei
llanc
e Se
ctio
n,
Dise
ase
Cont
rol D
ivis
ion,
M
OH.
No. o
f ris
k as
sess
men
t re
ports
pro
duce
d.At
leas
t one
risk
as
sess
men
t per
yea
r.
56(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
STRA
TEGY
4: D
EVEL
OP A
SKI
LLED
wOR
KfOR
CE f
OR S
URVE
ILLA
NCE,
RIS
K AS
SESS
MEN
T AN
D RE
SPON
SE
1.Tr
ain
publ
ic h
ealth
wor
kers
in ri
sk
asse
ssm
ent,
incl
udin
g at
the
loca
l lev
el
to g
uide
pre
limin
ary
cont
rol m
easu
res.
Orga
niza
tion
of tr
aini
ng o
n sy
stem
atic
ris
k as
sess
men
t at a
ll le
vels
.
2017
-202
1.-
Surv
eilla
nce
Sect
ion,
Di
seas
e Co
ntro
l Di
visi
on, M
OH.
- Pu
blic
Hea
lth
Deve
lopm
ent D
ivis
ion,
M
OH.
- St
ate
Heal
th
Depa
rtmen
ts.
- No
. of t
rain
ing
cond
ucte
d.
- Nu
mbe
r of p
erso
nnel
tra
ined
.
- At l
east
onc
e a
year
.
- At l
east
2 p
erso
nnel
pe
r org
aniz
atio
n.
2.Im
prov
e th
e fin
anci
al s
usta
inab
ility
of
FETP
/FET
.
Esta
blis
hmen
t of t
rain
ing
in F
ETP
thro
ugh
Adva
nced
Dip
lom
a in
Fie
ld E
pid
for E
nviro
nmen
tal H
ealth
Offi
cers
and
As
sist
ant E
nviro
nmen
tal H
ealth
Offi
cers
–
henc
e, s
ecur
ing
annu
al b
udge
t for
th
is p
urpo
se
a. B
asic
b. In
term
edia
te
c. A
dvan
ce
2017
-202
1.-
Publ
ic H
ealth
De
velo
pmen
t Div
isio
n,
MOH
.
- Tra
inin
g M
anag
emen
t Di
visi
on, M
OH.
- He
ad o
f Epi
d Di
scip
line,
MOH
.
Esta
blis
hmen
t of t
he
train
ing
prog
ram
me
for
AEHO
.
Trai
ning
pro
gram
av
aila
ble
by y
ear 2
021.
57(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
3.Cr
eate
opp
ortu
nitie
s to
invo
lve
FETP
/FE
T tra
inee
s an
d al
umni
as
hum
an
reso
urce
s fo
r ris
k as
sess
men
t and
re
spon
se o
pera
tions
.
Deve
lop
and
enha
nce
mec
hani
sms
to ra
pidl
y m
obili
ze re
leva
nt e
xper
ts
to s
uppo
rt re
spon
se to
out
brea
ks a
nd
publ
ic h
ealth
em
erge
ncie
s na
tiona
lly.
Note
: Cro
ss re
fere
nce
with
spe
cific
ac
tiviti
es u
nder
Stra
tegy
2 o
f IPC
(A
PSED
III),
i.e.
to d
evel
op a
nd
enha
nce
mec
hani
sms
to ra
pidl
y m
obili
ze c
linic
al e
xper
ts to
sup
port
resp
onse
to o
utbr
eaks
and
pub
lic
heal
th e
mer
genc
ies
natio
nally
and
in
tern
atio
nally
.
2017
.Na
tiona
l Cris
is
Prep
ared
ness
&
Resp
onse
Cen
tre (C
PRC)
, M
OH.
EIP
Mal
aysi
a.
Avai
labi
lity
of S
OP fo
r ex
perts
mob
iliza
tion/
depl
oym
ent.
SOP
for r
egio
nal a
nd
glob
al d
eplo
ymen
t of
expe
rts a
vaila
ble
by
2017
.
58(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
4.M
aint
ain
capa
city
for m
ultid
isci
plin
ary
RRTs
at t
he n
atio
nal l
evel
, and
st
reng
then
cap
acity
at t
he s
ubna
tiona
l le
vel,
incl
udin
g do
cum
entin
g re
spon
se
to o
utbr
eak
inve
stig
atio
ns. M
embe
rs
of a
n RR
T m
ay in
clud
e ex
perts
in
the
follo
win
g fie
lds:
logi
stic
s,
hum
an/a
nim
al e
pide
mio
logy
, clin
ical
m
anag
emen
t, fo
od s
afet
y, in
fect
ion
prev
entio
n an
d co
ntro
l, la
bora
tory
, an
d ve
terin
ary/
wild
life,
and
sec
urity
au
thor
ities
.
a. T
o co
nduc
t mul
tidis
cipl
inar
y RR
Ts
train
ing.
Note
: Cro
ss re
fere
nce
with
spe
cific
ac
tiviti
es u
nder
Stra
tegy
1 o
f Pub
lic
Heal
th E
mer
genc
y Pr
epar
edne
ss
(APS
ED II
I), i.
e. to
eng
age
in m
ulti-
stak
ehol
der t
rain
ing
and
sim
ulat
ion
exer
cise
s to
ens
ure
func
tiona
lity
of
emer
genc
y m
anag
emen
t sys
tem
s.
2017
-202
1.Na
tiona
l Cris
is
Prep
ared
ness
&
Resp
onse
Cen
tre, M
OH.
No. o
f tra
inin
g in
volv
ing
mul
tidis
cipl
inar
y RR
Ts.
At le
ast o
ne tr
aini
ng p
er
year
.=
59(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
4.b.
Stre
ngth
en/e
xpan
d di
ssem
inat
ion
of im
porta
nt in
form
atio
n re
gard
ing
outb
reak
s an
d pu
blic
hea
lth
emer
genc
ies
in a
tim
ely
man
ner
to c
linic
ians
and
oth
er in
divi
dual
s w
ithin
the
heal
th-c
are
syst
em.
Note
: Cro
ss re
fere
nce
with
spe
cific
ac
tiviti
es u
nder
Stra
tegy
2 o
f IPC
(A
PSED
III),
i.e.
to e
nsur
e di
ssem
inat
ion
of im
porta
nt in
form
atio
n re
gard
ing
outb
reak
s an
d pu
blic
hea
lth
emer
genc
ies
in a
tim
ely
man
ner t
o cl
inic
ians
and
oth
er in
divi
dual
s w
ithin
th
e he
alth
-car
e sy
stem
.
2017
-202
1.Na
tiona
l Cris
is
Prep
ared
ness
&
Resp
onse
Cen
tre, M
OH.
- No
. Of D
aily
repo
rts
from
CPR
C-M
OH.
- No
. Of a
d-ho
c re
ports
fro
m W
HO E
vent
In
form
atio
n Si
te (W
HO-
EIS)
etc
. to
be s
hare
d w
ith re
leva
nt p
laye
rs.
- 36
5/ye
ar.
- As
and
whe
n re
quire
d.
5.Pr
omot
e op
erat
iona
l and
app
lied
rese
arch
to im
prov
e th
e ev
iden
ce b
ase
for d
ecis
ion-
mak
ing.
Faci
litat
e or
gani
zatio
n of
ope
ratio
nal
and
appl
ied
rese
arch
for s
urve
illan
ce,
risk
asse
ssm
ent a
nd re
spon
se a
t all
leve
ls.
2017
-202
1.-
EIP
Mal
aysi
a.
- Na
tiona
l Ins
titut
es o
f He
alth
Mal
aysi
a.
- In
stitu
te fo
r Med
ical
Re
sear
ch (I
MR)
.
No. o
f res
earc
h co
nduc
ted.
At le
ast o
ne p
er y
ear.
Univ
ersi
ties.
STRA
TEGY
5: M
ONIT
ORIN
G &
EVA
LUAT
ION
(fOR
SUR
VEIL
LANC
E, R
ISK
ASSE
SSM
ENT
AND
RESP
ONSE
fOC
US A
REA)
1.To
con
duct
eva
luat
ion
and
revi
ew o
f no
tew
orth
y ac
ute
publ
ic h
ealth
eve
nts
occu
rrin
g na
tionw
ide;
focu
sing
mai
nly
on s
urve
illan
ce, r
isk
asse
ssm
ent a
nd
resp
onse
ele
men
ts o
f the
se e
vent
s .
2017
-202
1.-
Dise
ase
Cont
rol
Divi
sion
, MOH
.
- EI
P M
alay
sia.
- PH
Dev
elop
men
t Di
visi
on, M
OH.
No. o
f eve
nts
eval
uate
d an
d re
view
ed.
At le
ast fi
ve (5
) eve
nts
per y
ear.
60(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
2.To
ens
ure
timel
y re
porti
ng o
f out
brea
ks
and
publ
ic h
ealth
em
erge
ncie
s na
tiona
lly.
2017
-202
1.-
Dise
ase
Cont
rol
Divi
sion
, MOH
.
- St
ate
Heal
th
Depa
rtmen
ts.
- Di
stric
t Hea
lth O
ffice
s.
Perc
enta
ge o
f out
brea
k an
d pu
blic
hea
lth
emer
genc
ies
repo
rted
with
in th
e st
ipul
ated
tim
efra
me
(i.e.
24
hour
s).
≥ 80
% p
er y
ear.
3.To
eva
luat
e th
e ef
fect
iven
ess
of R
isk
Asse
ssm
ent T
rain
ing
prog
ram
.20
20.
Surv
eilla
nce
Sect
ion
& EI
P.On
e Ev
alua
tion
Repo
rt.On
ce (2
020)
.
61(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
3.3
LAB
ORAT
ORIE
S
STRA
TEGY
1: E
NSUR
E fU
NDAM
ENTA
L LA
BORA
TORY
fUN
CTIO
NS (1
9 AC
TIVI
TIES
, IND
ICAT
ORS
AND
TARG
ETS)
Labo
rato
ry te
stin
g fo
r det
ectio
n of
prio
rity
hum
an d
isea
ses:
a. P
olym
eras
e Ch
ain
Reac
tion
(PCR
) tes
ting
for I
nflue
nza
viru
s;
b. P
olym
eras
e Ch
ain
Reac
tion
(PCR
) tes
ting
MER
S Co
V;
c. S
erol
ogy
for H
IV;
d. M
icro
scop
y fo
r myc
obac
teriu
m tu
berc
ulos
is;
e. M
icro
scop
ic e
xam
inat
ion
for p
lasm
odiu
m s
pp;
f. Ba
cter
ial c
ultu
re fo
r Cor
yneb
acte
rium
dip
hter
iae;
g. B
acte
rial c
ultu
re fo
r Sal
mon
ella
ent
eriti
dis
sero
type
Typ
hi;
h. D
engu
e se
rolo
gy;
i. Le
ptos
piro
sis
sero
logy
;
j. Vi
rus
cultu
re fo
r pol
iovi
rus
(des
igna
ted
refe
renc
e la
bora
torie
s);
k. S
erol
ogy
for B
ruce
lla s
p. (d
esig
nate
d la
bora
torie
s);
l. Se
rolo
gy fo
r Q fe
ver (
desi
gnat
ed la
bora
torie
s);
m. B
acte
rial c
ultu
re fo
r Bac
illus
ant
hrac
is (d
esig
nate
d re
fere
nce
labo
rato
ries)
;
n. S
erol
ogy
and
Poly
mer
ase
chai
n re
actio
n (P
CR) t
estin
g fo
r Nip
ah v
irus
(des
igna
ted
refe
renc
e la
bora
torie
s);
o. M
icro
scop
y ex
amin
atio
n fo
r Fila
riasi
s;
p. S
erol
ogy
and
Poly
mer
ase
Chai
n Re
actio
n (P
CR) t
estin
g fo
r Rift
Val
ley
Feve
r viru
s (d
esig
nate
d re
fere
nce
labo
rato
ries)
,
q. S
erol
ogy
and
Poly
mer
ase
Chai
n Re
actio
n (P
CR) t
estin
g fo
r Jap
anes
e B
Ence
phal
itis
(des
igna
ted
refe
renc
e la
bora
torie
s),
r. W
este
rn B
lot/I
mm
unob
lot t
estin
g fo
r Bov
ine
spon
gifo
rm e
ncep
halo
path
y (B
SE) (
desi
gnat
ed re
fere
nce
labo
rato
ries)
, AND
62(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
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IMPL
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TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
3.1.
1. S
treng
hten
cur
rent
dia
gnos
tic
test
ing
infra
stru
ctur
e an
d se
rvic
e de
liver
y in
Pub
lic L
abor
ator
y.
Ongo
ing.
Labo
rato
ries
at M
OH,
MOE
, DVS
and
Def
ense
M
inis
try.
Num
ber o
f lab
orat
orie
s ab
le to
per
form
the
cor
e te
sts.
At le
ast 1
labo
rato
ry p
er
stat
e.
3.1.
2 St
reng
then
and
sus
tain
labo
rato
ry c
apac
ity to
det
ect.
a. E
mer
ging
and
reem
ergi
ng d
isea
ses.
On
goin
g.Re
fere
nce
Labo
rato
ries
at M
OH, M
OE a
nd D
VS.
Num
ber o
f tes
ting
met
hod
deve
lope
d.At
leas
t one
met
hod/
year
(sub
ject
ed to
cu
rren
t iss
ue).
b. N
on-in
fect
ious
haz
ards
suc
h as
ch
emic
als
and
toxi
ns.
Ongo
ing.
Labo
rato
ries
at M
OH,
MOE
, DVS
and
Def
ense
M
inis
try,
Mal
aysi
an
Nucl
ear A
genc
y an
d Ch
emis
try
Depa
rtmen
t M
OSTI
.
Labo
rato
ry T
est R
egis
try.
Year
ly u
pdat
ed re
gist
ry.
c. R
adio
logi
cal a
nd n
ucle
ar m
ater
ial
espe
cial
ly d
urin
g pu
blic
hea
lth
even
ts u
sing
tech
nolo
gy th
at m
eet
the
inte
rnat
iona
l sta
ndar
d.
Ongo
ing.
3.1.
3 To
upd
ate
the
know
ledg
e of
la
bora
tory
sta
ff by
:
-
In s
ervi
ce tr
aini
ng
-
Incr
ease
num
ber o
f tra
ined
la
bora
tory
wor
kfor
ce
- On
goin
g.
- On
goin
g.
- La
bora
torie
s at
MOH
, M
OE, D
VS a
nd D
efen
se
Min
istr
y.
- La
bora
torie
s at
M
OH, M
OE, D
VS a
nd
Defe
nse
Min
istr
y.
- Nu
mbe
r of t
rain
ing
cond
ucte
d a
year
.
- Nu
mbe
r tra
ined
la
bora
tory
wor
kfor
ce.
- At l
east
one
trai
ning
/ye
ar.
- At l
east
80%
of
labo
rato
ry w
orkf
orce
ar
e tra
ined
for t
he
spec
ified
cor
e te
st.
3.1.
4 La
bora
tory
bio
safe
ty a
nd b
iose
curit
y.
63(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
a. S
treng
then
the
Inte
r age
ncy
Natio
nal
Labo
rato
ry B
iosa
fety
and
Bio
secu
rity
Com
mitt
ee.
Ongo
ing.
Na
tiona
l Bio
safe
ty
and
Bios
ecur
ity
Labo
rato
ry C
omm
ittee
, ST
RIDE
MOD
, Priv
ate
and
Gove
rnm
ent
labo
rato
ries/
inst
itutio
ns/
min
istri
es.
At le
ast o
nce
a ye
ar
mee
ting.
100%
.
b. B
iosa
fety
and
bio
secu
rity
train
ing
and
prac
tices
.On
goin
g.Nu
mbe
r of t
rain
ing
cond
ucte
d.At
leas
t one
trai
ning
co
nduc
ted/
year
.
3.1.
5 Sp
ecim
en re
ferr
al a
nd tr
ansp
orta
tion
syst
em.
a. S
treng
then
spe
cim
en tr
ansp
orta
tion
syst
em to
nat
iona
l lab
orat
orie
s fo
r ad
vanc
ed o
r spe
cial
ised
dia
gnos
tic.
Ongo
ing.
NPHL
, IM
R, V
RI,
Chem
istr
y De
partm
ent.
Reje
ctio
n ra
te fo
r im
prop
er s
peci
men
tra
nspo
rtatio
n le
ss th
an
1%.
Rate
of r
ejec
tion.
b. E
ngag
emen
t of o
ther
refe
renc
e la
bora
torie
s fo
r tes
ting
capa
city
if
test
is n
ot a
vaila
ble
in c
ount
ry.
Ongo
ing.
NPHL
, IM
R, V
RI.
Num
ber o
f int
erna
tiona
l re
fere
nce
labo
rato
ries
enga
ged.
Num
ber o
f tes
ts
outs
ourc
ed to
the
inte
rnat
iona
l ref
eren
ce
labo
rato
ries.
3.1.
6 Ef
fect
ive
mod
ern
poin
t of c
are
and
labo
rato
ry b
ased
dia
gnos
tic.
a. H
ave
sust
aina
ble
capa
bilit
y to
pe
rform
mod
ern
mol
ecul
ar a
nd
sero
logi
cal t
echn
ique
s.
Ongo
ing.
Labo
rato
ries
at M
OH,
MOE
, DVS
and
Def
ense
M
inis
try.
Num
ber o
f mol
ecul
ar
and
sero
logi
cal t
ests
th
at c
an b
e pe
rform
ed in
th
e la
b.
Upda
ted
book
/list
of
Serv
ices
per
inst
itutio
n/
depa
rtmen
t.
b. U
se o
f rap
id a
nd a
ccur
ate
poin
t of
care
dia
gnos
tics
test
ing
stra
tegi
es.
Ongo
ing.
MOH
, DVS
.Li
st o
f rap
id te
st
kits
(RTK
) use
d at
poi
nt
of c
are.
Regi
stry
of P
OCT
devi
ces.
3.1.
7 La
bora
tory
Qua
lity
Syst
em.
a. M
anda
tory
lice
nsin
g of
priv
ate
heal
th
labo
rato
ries.
2020
(as
and
whe
n th
e Re
gula
tion
unde
r Pa
thol
ogy
Act i
s ga
zette
d).
Bhg
Amal
an P
erub
atan
(N
atio
nal P
ath
Serv
ices
MOH
),Priv
ate
labo
rato
ries
DVS.
Num
ber o
f lic
ence
d la
bora
torie
s.
Regi
stry
of l
icen
ced
labo
rato
ries.
64(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
b. T
o m
aint
ain
sust
aina
bilit
y of
EQA
pr
ogra
mm
e.On
goin
g.La
bora
torie
s at
MOH
, M
OE, D
VS a
nd D
efen
se
Min
istr
y.
Num
ber o
f Lab
orat
orie
s su
bscr
ibed
EQA
pr
ogra
mm
e fo
r the
cor
e te
sts.
100%
of l
abor
ator
ies
by
2021
.
c. T
o ap
ply
accr
edita
tion
of la
bora
torie
s to
con
form
to in
tern
atio
nal q
ualit
y st
anda
rd.
Ongo
ing.
Labo
rato
ries
at M
OH,
MOE
, DVS
and
Def
ense
M
inis
try.
Num
ber o
f lab
orat
orie
s re
gist
ered
.80
% o
f re
fere
nce
and
maj
or la
bora
torie
s.De
partm
ent o
f Sta
ndar
d M
alay
sia.
STRA
TEGY
2: L
INK
PUBL
IC H
EALT
H LA
BORA
TORI
ES w
ITH
SURV
EILL
ANCE
AND
RIS
K AS
SESS
MEN
T (1
ACT
IVIT
Y, IN
DICA
TOR
AND
TARG
ET)
Regu
lar d
ata
shar
ing
rela
ted
to
vacc
ine-
prev
enta
ble
dise
ase,
AM
R,
zoon
otic
pat
hoge
ns a
nd u
nusu
al e
vent
s be
twee
n la
bora
tory
and
rele
vant
di
seas
e pr
ogra
m.
(Cro
ss re
fene
nce
with
Foc
us A
rea
Zoon
otic
and
sur
veill
ance
Ris
k Co
mm
unic
atio
n: S
trate
gy 1
STR
ATEG
Y 1:
Ens
ure
the
surv
eilla
nce
func
tion
is
flexi
ble,
ada
ptab
le a
nd a
ppro
pria
te to
M
embe
r Sta
tes’
nee
ds a
nd S
TRAT
EGY
2: U
se m
ultip
le s
ourc
es o
f inf
orm
atio
n fo
r ris
k as
sess
men
t).
Ongo
ing.
MOH
Lab
orat
ory
and
Dise
ase
Cont
rol D
ivis
ion,
M
edic
al D
evel
opm
ent
Divi
sion
and
DVS
.
Tim
ely
(sch
edul
e,
ad-h
oc) i
nfor
mat
ion
shar
ing.
80%
sch
edul
ed re
ports
ar
e sh
ared
/sub
mitt
ed.
65(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
STRA
TEGY
3: R
EVIE
w N
Ew D
IAGN
OSTI
C TE
CHNO
LOGI
ES (2
ACT
IVIT
IES,
INDI
CATO
RS A
ND T
ARGE
TS)
Esta
blis
h a
proc
ess
for r
evie
w a
nd
eval
uatio
n of
new
dia
gnos
tic a
nd
path
ogen
cha
ract
eris
atio
n te
chno
logi
es
for u
se in
bot
h la
bora
tory
and
fiel
d se
tting
s.
Shar
ing
of e
valu
atio
n re
ports
by
vario
us
labo
rato
ries
test
ing
new
dia
gnos
tic a
nd
path
ogen
cha
ract
eriz
atio
n te
chno
logi
es.
Ongo
ing.
Natio
nal L
abor
ator
y Qu
ality
Com
mitt
ee.
- SO
Ps e
stab
lishe
d.
- Nu
mbe
r of n
ew
diag
nost
ic k
its
eval
uate
d.
- To
be e
stab
lishe
d by
20
18.
- At l
east
one
new
di
agno
stic
kit
eval
uate
d/ye
ar
(sub
ject
ed to
cur
rent
is
sue)
.
STRA
TEGY
4: A
SSES
S fU
NCTI
ONAL
ITY
Of P
UBLI
C HE
ALTH
LAB
ORAT
ORY
SYST
EM (1
ACT
IVIT
Y, IN
DICA
TOR
AND
TARG
ET)
Test
ing
of p
ublic
labo
rato
ry s
yste
m
funt
iona
lity.
a. S
imul
atio
n ex
erci
se to
test
cap
acity
du
ring
publ
ic h
ealth
em
erge
ncie
s. T
o id
entif
y ga
ps a
nd in
form
cor
rect
ive
actio
ns.
Ongo
ing.
- Na
tiona
l Lab
orat
ory
Prep
ared
ness
Co
mm
ittee
.
- M
OH la
bora
torie
s,
DVS,
MOD
, MOE
, M
OSTI
.
Sim
ulat
ion
exer
cise
co
nduc
ted.
At le
ast o
nce
ever
y tw
o ye
ars.
STRA
TEGY
5: E
NHAN
CE P
UBLI
C HE
ALTH
LAB
ORAT
ORY
CONN
ECTI
ONS
AND
COOR
DINA
TION
(3 A
CTIV
ITIE
S, IN
DICA
TORS
AND
TAR
GETS
)
Mai
ntai
n ar
rang
emen
ts w
ith W
HO
colla
bora
ting
cent
er a
nd o
ther
in
tern
atio
nal r
efer
ence
labo
rato
ries.
a. T
echn
ical
per
form
ance
ass
essm
ent
usin
g W
HO c
olla
bora
ting
cent
er E
QA
sam
ple.
Ongo
ing.
IMR
and
NPHL
.Nu
mbe
r of E
QA c
ycle
pa
ssed
.10
0% p
asse
d.
b. T
echn
ical
trai
ning
(mea
sles
, mal
aria
, JE
etc
) by
WHO
.On
goin
g.IM
R an
d NP
HL.
Num
ber o
f tra
inin
g.At
leas
t yea
rly.
c. Y
early
labo
rato
ry a
udit
by W
HO
colla
bora
ting
cent
re.
Ongo
ing.
IMR
and
NPHL
.Nu
mbe
r of a
udit
visi
t.At
leas
t yea
rly.
Subj
ecte
d to
WHO
sc
hedu
le.
66(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
STRA
TEGY
6: M
ONIT
ORIN
G &
EVA
LUAT
ION
(1 A
CTIV
ITY,
INDI
CATO
R AN
D TA
RGET
)
1.Co
mpi
latio
n of
repo
rts fo
r all
the
abov
e in
dica
tors
and
sub
sequ
ent
diss
emin
atio
n.
2018
.a.
Nat
iona
l Lab
orat
ory
Qual
ity C
omm
ittee
.
b. N
atio
nal L
abor
ator
y Bi
osaf
ety
and
Bios
ecur
ity
Com
mitt
ee.
c. S
TRID
E M
OD.
d. N
atio
nal L
abor
ator
y Pr
epar
edne
ss
Com
mitt
ee.
Repo
rt pr
oduc
ed.
a. N
atio
nal l
abor
ator
y sy
stem
and
labo
rato
ry
wor
kfor
ce.
b. B
iosa
fety
.
c. B
iose
curit
y.
d. L
abor
ator
y ca
paci
ty
and
capa
bilit
y re
port.
a. A
nnua
lly.
b. A
nnua
lly.
c An
nual
ly.
d Ev
ery
3 ye
ars.
3.4
zOO
NOSE
S
STRA
TEGY
1: S
HARI
NG O
f SU
RVEI
LLAN
CE IN
fORM
ATIO
N
1.Re
gula
r int
erag
ency
/tech
nica
l mee
ting
at n
atio
nal l
evel
.On
goin
g.M
OH, D
VS &
Vet
erin
ar
Saba
h &
Sara
wak
, Wild
Li
fe D
epar
tmen
t & N
RE,
loca
l gov
ernm
ent &
un
iver
sitie
s/M
yOHU
N.
* M
OH –
Min
istr
y of
Hea
lth D
VS –
De
partm
ent o
f Ve
terin
ary
Serv
ice
NRE
– M
inis
try
of
Natu
ral R
esou
rces
and
En
viro
nmen
t.
- Nu
mbe
r of
Inte
rage
ncy/
Tech
nica
l Zo
onos
es C
ontro
l Co
mm
ittee
Mee
ting
per y
ear.
- In
form
atio
n sh
arin
g in
th
e m
eetin
g’s
min
ute.
Twic
e pe
r yea
r.
67(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
2.Re
gula
r upd
ate
and
revi
ew o
f zo
onot
ic d
isea
ses
and
pat
hoge
ns fo
r su
rvei
llanc
e of
hig
h im
plic
atio
ns a
nd
impa
cts.
Ongo
ing
durin
g in
ter
agen
cy m
eetin
g.M
OH (C
DC &
FSQ
D) &
DV
S.Nu
mbe
r of r
evie
w o
f the
lis
t of z
oono
tic d
isea
ses
for s
urve
illan
ce.
At le
ast o
nce
per y
ear.
3.Ti
mel
y sh
arin
g of
zoo
notic
dis
ease
eve
nt re
port
betw
een
MOH
/DVS
and
rela
ted
agen
cies
.
a. Id
entif
y fo
cal p
oint
/per
son
for M
OH
CPRC
(inc
ludi
ng F
SQD)
, DVS
Cris
is
Cent
re &
Wild
Life
Dep
artm
ent.
i
. MOH
– D
irect
or o
f Dis
ease
Con
trol
Divi
sion
ii
. DVS
– D
irect
or fo
r Bio
secu
rity
& SP
S M
anag
emen
t Div
isio
n
iii
. Wild
Life
Dep
artm
ent (
Dire
ctor
of
Ex-S
itu C
onve
rsat
ion
Divi
sion
)
Iden
tified
.M
OH (C
DC &
FSQ
D),
DVS
& W
ild L
ife
Depa
rtmen
t.
Foca
l poi
nt/p
erso
n fo
r ea
ch a
genc
y.Fo
cal p
oint
iden
tified
.
b. S
hare
eve
nt in
form
atio
n be
twee
n M
OH C
PRC
(incl
udin
g FS
QD),
DVS
Cris
is C
entre
& W
ild L
ife D
epar
tmen
t th
roug
h em
ail/t
elep
hone
/vid
eo
conf
eren
cing
/mee
ting/
disc
ussi
on.
Ongo
ing.
MOH
(CDC
& FS
QD),
DVS
& W
ild L
ife D
epar
tmen
t.-
Data
base
of e
vent
.
- Pe
rcen
tage
of z
oono
tic
dise
ase
even
t sha
red
betw
een
MOH
and
re
late
d ag
enci
es.
- Ev
ent d
atab
ase
esta
blis
hed.
- Tar
get ≥
80%
eve
nt
repo
rted.
c. Id
entifi
ed z
oono
tic d
isea
ses
of
sign
ifica
nt im
plic
atio
ns a
nd im
pact
s.Si
nce
2012
, 14
prio
ritiz
ed
zoon
otic
dis
ease
s ha
ve
been
iden
tified
but
ne
ed to
be
revi
ewed
ac
cord
ingl
y.
MOH
(CDC
& FS
QD) &
DV
S.Th
e lis
t of p
riorit
ized
zo
onot
ic d
isea
ses.
Up
date
d lis
t of p
riorit
ized
zo
onot
ic d
isea
ses
prod
uced
.
4.Re
gula
rly s
hare
a. S
urve
illan
ce in
form
atio
n of
iden
tified
pr
iorit
y zo
onot
ic d
isea
ses.
On
goin
g.M
OH (C
DC &
FSQ
D) &
DV
S.Nu
mbe
r of r
epor
ts
shar
ed.
Targ
et: M
onth
ly.
68(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
4.b.
Lab
orat
ory
base
d su
rvei
llanc
e/di
agno
stic
/out
brea
k.On
goin
g.M
OH (C
DC&
FSQD
), DV
S &
Wild
Life
Dep
artm
ent .
Num
ber o
f rep
orts
sh
ared
.Bi
annu
ally.
5.Es
tabl
ishm
ent o
f mec
hani
sm o
f sha
ring
spec
imen
s of
prio
rity
zoon
otic
pat
hoge
n or
tech
nolo
gy tr
ansf
er b
etw
een
rele
vant
age
ncie
s.
i. SO
P fo
r sha
ring
spec
imen
s (ie
: is
olat
es) o
r tec
hnol
ogy
trans
fer
betw
een
rele
vant
age
ncie
s.
2018
-202
0.M
OH (C
DC&
FSQD
), DV
S, W
ild L
ife
Depa
rtmen
t &
Univ
ersi
ties/
MOE
.
SOP.
SOP
esta
blis
hed
with
ap
prov
al fr
om a
ll st
akeh
olde
rs.
6.Re
gula
r mon
itorin
g an
d ev
alua
tion
of s
urve
illan
ce s
yste
m a
nd/o
r tes
ting
prot
ocol
for z
oono
tic p
atho
gen/
dise
ases
.
a. R
egul
arly
mon
itor z
oono
tic p
atho
gen/
dise
ases
.On
goin
g –
MOH
& D
VS.
MOH
(CDC
& FS
QD) &
DV
S.Nu
mbe
r of z
oono
tic
path
ogen
/dis
ease
s m
onito
red.
At le
ast o
nce
per y
ear.
b. T
o ev
alua
te s
urve
illan
ce o
r tes
ting
prot
ocol
s fo
r zoo
notic
pat
hoge
n/di
seas
es.
2017
-202
1 [O
ngoi
ng
(DVS
) 201
8 (M
OH)].
MOH
(CDC
& FS
QD) a
nd
DVS.
Num
ber o
f sur
veill
ance
sy
stem
/test
ing
prot
ocol
ev
alua
ted
and
repo
rted.
At le
ast o
nce
with
in fi
ve
(5) y
ear.
7.M
appi
ng o
n ar
ea w
ith z
oono
tic
dise
ases
risk
.20
18-2
021.
MOH
.Zo
onot
ic R
isk
Map
de
velo
p.Zo
onot
ic R
isk
Map
de
velo
ped.
STRA
TEGY
2: C
OORD
INAT
ED R
ESPO
NSE
1.En
hanc
e co
ordi
nate
d re
spon
se p
lan
amon
g m
ultip
le a
genc
ies
for d
etec
ting
and
resp
ondi
ng to
zoo
notic
dis
ease
s.
- M
inis
try
of D
efen
ce h
as in
itiat
ed
mul
ti-se
ctor
al c
oord
inat
ed re
spon
se
sinc
e 20
12 a
nd it
will
be
inco
rpor
ated
in
this
resp
onse
pla
n.
2017
-202
1.M
OH (C
DC &
FSQ
D) &
DV
S.Re
spon
se p
lan
mod
ule.
Resp
onse
pla
n m
odul
e up
date
d.
2.Jo
int i
nves
tigat
ion
and
repo
rt w
ritin
g fo
r sel
ecte
d zo
onot
ic d
isea
ses
outb
reak
.
69(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
2.a.
Enh
ance
join
t inv
estig
atio
n m
odul
e w
ith re
fere
nce
to th
ese
docu
men
ts;
•ASEAN
jointinvestigationmodule/
docu
men
t in
hum
an h
ealth
.
•Jointinvestigationam
ongASEAN
coun
tries
– h
uman
and
ani
mal
he
alth
.
•Flow
chartfortriggeringjoint
inve
stig
atio
n ha
s be
en d
evel
oped
by
Mal
aysi
a re
leva
nt a
genc
ies
orga
nise
d by
Min
istr
y of
Def
ence
(C
BRNe
).
2018
-201
9.M
OH (C
DC&
FSQD
), DV
S, W
ild L
ife
Depa
rtmen
t &
Univ
ersi
ties/
MOE
&
MyO
HUN.
Join
t inv
estig
atio
n m
odul
e.Up
date
d Jo
int
inve
stig
atio
n m
odul
e pr
oduc
ed.
b. T
rain
ing
on jo
int i
nves
tigat
ion
and
repo
rt w
ritin
g fo
r hum
an h
ealth
and
an
imal
hea
lth.
2018
-202
0.M
OH (C
DC&
FSQD
), DV
S, W
ild L
ife
Depa
rtmen
t &
Univ
ersi
ties/
MOE
&
MyO
HUN.
- Nu
mbe
r of t
rain
ing.
- Da
taba
se o
f tra
inee
s.
As re
quire
d.
- Da
taba
se e
stab
lishe
d.
c. J
oint
inve
stig
atio
n im
plem
ente
d an
d re
port
prod
uced
.20
18-2
021.
MOH
(CDC
& FS
QD),
DVS,
Wild
Life
De
partm
ent &
Un
iver
sitie
s/M
OE &
M
yOHU
N.
Num
ber o
f joi
nt
inve
stig
atio
n re
port.
As re
quire
d.
STRA
TEGY
3: R
ISK
REDU
CTIO
N
1.Co
nduc
t tra
inin
g on
aw
aren
ess
of
zoon
otic
dis
ease
s an
d on
e he
alth
co
ncep
t.
Ongo
ing
thro
ugh
vario
us
plat
form
(MOH
, DVS
, M
yohu
n).
MOH
(CDC
& FS
QD),
DVS,
Wild
Life
De
partm
ent &
Un
iver
sitie
s/M
OE &
M
yOHU
N.
- Nu
mbe
r of t
rain
ing.
- Da
taba
se o
f tra
inee
s.
- At l
east
onc
e pe
r yea
r.
- Da
taba
se e
stab
lishe
d.
70(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
2.En
hanc
e m
odul
e of
zoo
notic
dis
ease
s fo
r FET
P.20
18-2
020.
MOH
(CDC
& FS
QD),
DVS,
Wild
Life
De
partm
ent &
Un
iver
sitie
s/M
OE &
M
yOHU
N
1 m
odul
e.Up
date
d m
odul
e pr
oduc
ed.
3.Si
mul
atio
n ex
erci
se (M
OH/D
VS) f
or
zoon
otic
eve
nts/
dise
ases
.On
goin
g M
OH a
nd D
VS.
MOH
(CDC
& FS
QD),
DVS,
Wild
Life
De
partm
ent &
Un
iver
sitie
s/M
OE &
M
yOHU
N.
Num
ber o
f sim
ulat
ion
exer
cise
.Ye
arly.
4.To
redu
ce A
MR
emer
genc
e an
d pr
opag
atio
n (re
fer t
o Gr
oup
5: P
reve
ntio
n th
roug
h he
alth
care
focu
s ar
ea; S
trate
gy 3
).
a. E
stab
lish
linka
ge b
etw
een
Zoon
osis
Se
ctor
, Dis
ease
Con
trol D
ivis
ion
with
AM
R se
cret
aria
t (M
edic
al
Deve
lopm
ent D
ivis
ion)
.
2017
.M
OH.
Mec
hani
sm fo
r lin
kage
de
velo
ped.
Mec
hani
sm fo
r lin
kage
es
tabl
ishe
d.
b. E
stab
lish
linka
ge b
etw
een
Zoon
osis
Se
ctor
, Dis
ease
Con
trol D
ivis
ion
with
FS
QD.
2017
.M
OH.
Mec
hani
sm fo
r lin
kage
de
velo
ped.
Mec
hani
sm o
f lin
kage
es
tabl
ishe
d.
5.Ev
alua
te th
e im
pact
of h
ealth
com
mun
icat
ion
cam
paig
n on
zoo
notic
dis
ease
s.
KABP
stu
dy a
mon
g pu
blic
on
sele
cted
zo
onot
ic d
isea
ses.
2018
-202
1.M
OH, D
VS, u
nive
rsiti
es/
MOE
& M
yOHU
N.Re
sear
ch &
eva
luat
ion
of K
ABP.
Eval
uatio
n re
port
prod
uced
.
6.Bi
osaf
ety
& bi
osec
urity
mea
sure
s at
ent
ry p
oint
, ani
mal
farm
s an
d pr
oces
sing
pla
nts
esta
blis
hed.
Ongo
ing.
DVS.
Num
ber o
f MyG
ap fa
rms
and
VHM
pro
cess
ing
plan
ts.
Year
ly re
view
.
STRA
TEGY
4: G
UIDE
LINE
S, P
OLIC
Y DO
CUM
ENTS
AND
RES
EARC
H
1.Co
ordi
nate
and
con
duct
col
labo
rativ
e re
sear
ch o
n zo
onot
ic d
isea
ses.
Ongo
ing.
MOH
, DVS
, Wild
Li
fe D
epar
tmen
t &
univ
ersi
ties/
MyO
HUN.
Num
ber o
f col
labo
rativ
e re
sear
ch c
ondu
cted
w
hen
nece
ssar
y.
As re
quire
d (n
umbe
r of
rese
arch
es).
- M
OSTI
- M
OE
- In
tern
atio
nal B
ody
71(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
2.De
velo
p Na
tiona
l Stra
tegi
c Pl
an fo
r Zo
onos
es.
2018
-202
0.M
OH (C
DC, F
SQD
& M
edic
al D
evel
opm
ent
Divi
sion
), DV
S, W
ild
Life
Dep
artm
ent &
un
iver
sitie
s/M
OE/
MyO
HUN.
Natio
nal S
trate
gic
Plan
.Na
tiona
l Stra
tegi
c Pl
an
deve
lope
d.
STRA
TEGY
5: M
ONIT
ORIN
G &
EVA
LUAT
ION
Appl
y M
&E s
yste
mat
ical
ly a
t all
stag
es o
f the
pla
nnin
g an
d im
plem
enta
tion
cycl
e, m
easu
re s
yste
m fu
nctio
nalit
y pr
omot
e pa
rtner
ship
thro
ugh
M&E
pro
cess
es o
r im
prov
e tra
nspa
renc
y an
d ac
coun
tabi
lity
in re
porti
ng
1Co
ordi
nate
and
con
duct
col
labo
rativ
e re
sear
ch o
n zo
onot
ic d
isea
ses.
Ongo
ing.
MOH
(CDC
& FS
QD),
DVS,
Wild
Life
De
partm
ent &
un
iver
sitie
s/M
yOHU
N.
Num
ber o
f col
labo
rativ
e re
sear
ch c
ondu
cted
w
hen
nece
ssar
y.
As re
quire
d (n
umbe
r of
rese
arch
es).
- M
OSTI
- M
OE
- In
tern
atio
nal B
ody
2.Co
mpi
le re
port
and
anal
yse
join
t ris
k as
sess
men
t, ou
tbre
ak in
vest
igat
ion
& si
mul
atio
n ac
tiviti
es.
2018
-202
1.M
OH (C
DC&
FSQD
), DV
S, W
ild L
ife
Depa
rtmen
t &
univ
ersi
ties.
Num
ber o
f rep
ort
prod
uced
/pub
lishe
d.At
leas
t onc
e pe
r yea
r.
3Ti
mel
y sh
arin
g of
zoo
notic
dis
ease
ev
ent r
epor
t bet
wee
n M
OH/D
VS a
nd
rela
ted
agen
cies
.
Ongo
ing.
MOH
(CDC
& FS
QD),
DVS
& W
ild L
ife D
epar
tmen
t.Pe
rcen
tage
of z
oono
tic
dise
ase
even
t sha
red
betw
een
MOH
and
re
late
d ag
enci
es.
Targ
et ≥
80%
of a
ll re
porte
d ev
ent.
4Si
mul
atio
n ex
erci
se (M
OH/D
VS) f
or
zoon
otic
eve
nts/
dise
ases
.On
goin
g M
OH a
nd D
VS.
MOH
(CDC
& FS
QD),
DVS,
Wild
Life
De
partm
ent &
Un
iver
sitie
s/M
OE &
M
yOHU
N.
Num
ber o
f sim
ulat
ion
exer
cise
.Ye
arly.
5Bi
osaf
ety
& bi
osec
urity
mea
sure
s in
ent
ry p
oint
, ani
mal
farm
s an
d pr
oces
sing
pla
nts
esta
blis
hed.
Ongo
ing.
DVS.
Num
ber o
f MyG
ap fa
rms
and
VHM
pro
cess
ing
plan
ts.
Year
ly re
view
.
72(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
3.5
PRE
VENT
ION
THRO
UGH
HEAL
THCA
RE
STRA
TEGY
1: I
NfEC
TION
PRE
VENT
ION
AND
CONT
ROL
(IPC)
Stre
ngth
en e
duca
tiona
l pro
gram
me
on h
ygie
ne a
nd in
fect
ion
prev
entio
n an
d co
ntro
l mea
sure
s in
hea
lthca
re c
are
setti
ngs,
ani
mal
hus
band
ry a
nd fo
od p
roce
ssin
g.
1.De
velo
pmen
t of I
nfec
tion
Prev
entio
n &
Cont
rol e
duca
tiona
l too
l kits
for h
uman
he
alth
.
•Healthcarepractitioners
•Undergraduatestudents:
-
Med
icin
e
-
Dent
istr
y
-
Phar
mac
y
- A
llied
Hea
lth S
cien
ces
2018
.-
MOH
.
- M
OE.
Num
ber o
f hea
lthca
re
faci
litie
s ad
optin
g th
e IP
C to
olki
ts.
IPC
Trai
ning
Mod
ules
de
velo
ped.
2.De
velo
pmen
t of I
nfec
tion
Prev
entio
n &
Cont
rol (
IPC)
edu
catio
nal t
ool k
its fo
r an
imal
hea
lth.
- Vet
erin
ary
prac
titio
ners
- Fi
sh h
ealth
pro
fess
iona
ls
- Un
derg
radu
ate
stud
ents
:
- Vet
erin
ary
2021
.-
MOE
.
- M
OA.
- DV
S.
- DO
F.
73(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
3.Or
ient
atio
n on
IPC
for n
ewly
app
oint
ed
staf
f usi
ng e
duca
tiona
l too
l kits
for
hum
an h
ealth
:
- M
edic
al o
ffice
rs
- De
ntal
Offi
cer
- Ph
arm
acis
t
- Pa
ram
edic
s
- Co
nces
sion
al s
taff
(hou
seke
epin
g)
2018
.-
MOH
(Hos
pita
l In
fect
ion
Cont
rol U
nit).
- Di
stric
t Hea
lth O
ffice
.
Num
ber o
f IPC
trai
ning
se
ssio
n co
nduc
ted
for
new
ly a
ppoi
nted
sta
ff.
NA.
4.Or
ient
atio
n on
IPC
for n
ewly
app
oint
ed
staf
f usi
ng e
duca
tiona
l too
l kits
for
anim
al h
ealth
.
- Vet
erin
ary
Offic
er
- Ass
ista
nt V
eter
inar
y Of
ficer
- Co
nces
sion
al s
taff
(hou
seke
epin
g)
2021
.M
OA (D
VS).
Num
ber o
f IPC
trai
ning
se
ssio
n co
nduc
ted
for
new
ly a
ppoi
nted
sta
ff.
5.In
crea
se n
umbe
r of I
nfec
tion
Prev
entio
n an
d Co
ntro
l Per
sonn
el.
5.1
Incr
ease
num
ber o
f hea
lthca
re
pers
onne
l with
reco
gnis
ed c
ours
es:
•AsiaPacificSocietyonInfection
Cont
rol (
APSI
C) -
Bas
ic C
ours
e in
In
fect
ion
Cont
rol.
5.2
Incr
ease
num
ber o
f par
amed
ics
with
IPC
post
basi
c tra
inin
g:
•PostB
asicTraininginInfection
Cont
rol (
MOH
).
2017
.M
OH.
Num
ber o
f IPC
per
sonn
el
atte
nded
APS
IC,
post
bas
ic c
ours
e or
ac
cred
ited
train
ing.
NA.
74(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
6.Tr
aini
ng o
n IP
C an
d Bi
osec
urity
at
vario
us le
vel.
(con
fere
nce/
sem
inar
/wor
ksho
p)
- Na
tiona
l
- St
ate
- In
stitu
tion
2017
.-
MOH
(MDD
& F
HDD)
.
- M
OA (D
OF, D
VS).
Num
ber o
f tra
inin
g co
nduc
ted
at v
ario
us
leve
l.
NA.
7.Co
ntin
uous
Med
ical
Edu
catio
n (C
ME)
Pr
ogra
m o
n In
fect
ion
Prev
entio
n &
Cont
rol a
nd B
iose
curit
y.
2017
.Nu
mbe
r of C
ME
cond
ucte
d.-
HCW
s.
- Vet
erin
ary
pers
onne
l.
- Fi
sher
ies
pers
onne
l.
- M
OH.
- M
OHE.
- M
OA.
- DO
F.
- DV
S.
Stre
ngth
en n
atio
nal p
olic
ies
and
stan
dard
s of
pra
ctic
e re
gard
ing
infe
ctio
n pr
even
tion
and
cont
rol (
IPC)
act
iviti
es in
hea
lth fa
cilit
ies.
1.To
revi
ew th
e cu
rren
t Nat
iona
l Pol
icie
s an
d Pr
oced
ures
on
Infe
ctio
n Co
ntro
l.20
17.
MOH
(MDD
).Na
tiona
l Pol
icie
s on
In
fect
ion
Cont
rol r
evis
ed.
NA.
2.St
reng
then
ing
of H
and
Hygi
ene
Prog
ram
in a
ll he
alth
care
faci
litie
s.
- To
incl
ude
MOH
prim
ary
heal
thca
re
in H
and
Hygi
ene
Com
plia
nce
Rate
Su
rvei
llanc
e in
Mal
aysi
an P
atie
nt
Safe
ty G
oals
(MPS
G).
2019
.M
OH (M
DD &
FHD
D).
Perc
enta
ge o
f prim
ary
heal
thca
re fa
cilit
ies
parti
cipa
ting
in h
and
hygi
ene
com
plia
nce
in
MPS
G.
- 30
% in
201
9.
- 60
% in
202
0.
- 10
0% in
202
1.
75(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
3.To
stre
ngth
en H
ealth
care
Ass
ocia
ted
Infe
ctio
n (H
CAI)
surv
eilla
nce
prog
ram
.
- To
revi
se H
CAI s
urve
illan
ce m
anua
l.
2018
.M
OH (M
DD).
Revi
sion
of m
anua
l.HC
AI S
urve
illan
ce
Man
ual r
evis
ed.
4.Im
plem
ent I
nfec
tion
Prev
entio
n an
d Co
ntro
l Aud
it.20
17.
MOH
(MDD
, FHD
D).
- Nu
mbe
r of M
OH
hosp
itals
par
ticip
atin
g in
IPC
audi
t.
- No
. of p
rimar
y he
alth
care
fac
ilitie
s pa
rtici
patin
g in
IPC
audi
t.
- 44
hos
pita
ls.
- M
inim
um 2
10 p
rimar
y he
alth
care
faci
litie
s ev
ery
year
.
5.To
revi
ew IP
C ch
apte
r in
“Ara
han
Pros
edur
Teta
p Ve
terin
ar M
alay
sia”
(A
PTVM
).
2021
.M
OA (D
VS).
IPC
chap
ter i
n AP
TVM
re
vise
d.
STRA
TEGY
2: C
LINI
CAL
MAN
AGEM
ENT
Esta
blis
h st
rong
link
s be
twee
n PO
E, p
ublic
and
priv
ate
heal
thca
re fa
cilit
ies
and
publ
ic h
ealth
sys
tem
s to
faci
litat
e ra
pid
repo
rting
of e
vent
s by
hea
lthca
re w
orke
rs to
sur
veill
ance
se
ctio
n as
par
t of e
vent
bas
ed s
urve
illan
ce (E
BS).
1.De
velo
p lo
cal (
heal
thca
re fa
cilit
ies)
pr
otoc
ol fo
r EBS
- To
deve
lop
aler
t mec
hani
sms
of
emer
ging
dis
ease
s an
d pu
blic
he
alth
haz
ards
and
inco
rpor
ate
the
mec
hani
sm w
ith lo
cal E
BS
2018
.M
OH (M
DD, I
MR)
.Lo
cal E
BS P
roto
col
deve
lope
d an
d al
ert
mec
hani
sms
of
emer
ging
dis
ease
s an
d pu
blic
hea
lth h
azar
ds
esta
blis
hed.
Prot
ocol
.
76(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
2.St
reng
then
rout
ine
clin
ical
m
anag
emen
t pra
ctic
es fo
r prio
rity
infe
ctio
us d
isea
ses
in a
ll he
alth
care
se
tting
s as
par
t of h
ealth
sys
tem
st
reng
then
ing
prio
r to
outb
reak
s an
d pu
blic
hea
lth e
mer
genc
ies
thro
ugh
train
ing
- Co
nduc
t con
fere
nce/
sem
inar
/w
orks
hop.
2017
.-
Stat
e He
alth
De
partm
ent
- Ho
spita
l
Num
ber o
f ses
sion
per
ye
ar.
Min
imum
1.
STRA
TEGY
3: A
NTIM
ICRO
BIAL
RES
ISTA
NCE
(AM
R)
Deve
lop
natio
nal a
ctio
n pl
an a
nd s
treng
then
sur
veill
ance
on
AMR
in h
uman
and
ani
mal
hea
lth s
ecto
r.
1.De
velo
pmen
t of n
atio
nal a
ctio
n pl
an
on A
MR.
2017
.M
OH, D
VS, D
OF, M
OE,
Prof
essi
onal
bod
ies.
Natio
nal A
ctio
n Pl
an
deve
lope
d.NA
.
2.St
reng
then
Nat
iona
l Sur
veill
ance
of
Antim
icro
bial
Res
ista
nce
(NSA
R) in
M
alay
sia
- In
crea
se n
umbe
r of p
artic
ipat
ing
hosp
itals
in re
porti
ng A
ntib
iotic
Se
nsiti
vity
Tes
t (AS
T) th
roug
h W
HONE
T.
- St
anda
rdiz
atio
n of
min
imum
an
tibio
tics
to b
e te
sted
for A
ST.
2018
.M
OH (I
MR
& M
icro
biol
ogy
Lab
in
Hosp
itals
), M
OHE,
Pr
ivat
e La
bora
torie
s,
Asso
ciat
ion
of P
ublic
Ho
spita
ls M
alay
sia
(APH
M).
Num
ber o
f hos
pita
ls
parti
cipa
ting
in A
MR
surv
eilla
nce
(NSA
R).
Open
Tar
get.
77(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
3.St
reng
then
Nat
iona
l Sur
veill
ance
on
Hea
lthca
re A
ssoc
iate
d M
ultid
rug
Resi
stan
t Org
anis
m (H
A-M
DRO)
- Re
visi
on o
f Hea
lthca
re A
ssoc
iate
d M
ultid
rug
Resi
stan
t Org
anis
m (H
A-M
DRO)
Sur
veill
ance
Man
ual.
- Im
prov
e co
llect
ion
of d
ata
and
repo
rting
sys
tem
in M
OH a
nd
univ
ersi
ty h
ospi
tals
.
2017
.M
OH (M
DD)).
Revi
sion
of t
he m
anua
l.M
anua
l rev
ised
.
4.Es
tabl
ishm
ent o
f com
mun
ity
surv
eilla
nce
of A
MR
- Yea
rly p
oint
pre
vale
nce
surv
ey o
n ur
inar
y tra
ct in
fect
ion
(UTI
) in
the
com
mun
ity.
2018
.M
OH:
- NP
HL&P
HL
- IM
R
- DC
D
- FH
DD
Num
ber o
f MOH
prim
ary
heal
thca
re fa
cilit
ies
invo
lved
in c
omm
unity
AM
R su
rvei
llanc
e.
Open
Tar
get.
5.Es
tabl
ishm
ent o
f AM
R su
rvei
llanc
e in
liv
esto
ck p
rodu
ctio
n
- Po
ultr
y an
d pi
gs.
- Cl
inic
al c
ases
of f
ood
prod
ucin
g an
imal
s in
farm
s.
2018
.M
OA (D
VS).
Num
ber a
nd ty
pe o
f sa
mpl
es o
btai
ned.
Open
Tar
get.
6.AM
R su
rvei
llanc
e in
food
of a
nim
al
orig
in
- Po
ultr
y (s
laug
hter
hous
e).
- Pi
gs (f
arm
s).
2018
.M
OA (D
VS, N
VPHL
), FS
QD.
Num
ber a
nd ty
pe o
f sa
mpl
es o
btai
ned
from
su
rvei
llanc
e of
AM
R in
fo
od o
f ani
mal
orig
in.
Open
Tar
get.
78(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
7.Es
tabl
ishm
ent o
f AM
R su
rvei
llanc
e in
aq
uacu
lture
- Sh
ellfi
sh.
- Fi
sh.
2018
.M
OA (D
OF).
Num
ber a
nd ty
pe o
f sa
mpl
es o
btai
ned
from
su
rvei
llanc
e of
AM
R in
aq
uacu
lture
.
Open
Tar
get.
8.St
reng
hten
ing
of A
MR
surv
eilla
nce
in
food
- AM
R su
rvei
llanc
e in
raw
pou
ltry,
pork
, fis
h an
d ru
min
ant (
beef
and
mut
ton)
fro
m re
tail
mar
ket.
2017
.-
MOH
(FSQ
D).
- M
OA (D
VS).
Num
ber a
nd ty
pe
of s
ampl
es o
f foo
d ob
tain
ed fr
om re
tail
outle
ts a
nd p
oint
of e
ntry
(fi
sh, m
eat,
poul
try)
.
Open
Tar
get.
9.St
reng
then
ing
of N
atio
nal P
oint
Pr
eval
ence
Sur
vey
on A
ntib
iotic
Ut
ilisa
tion
- Ex
pand
ing
the
prog
ram
to a
nim
al
heal
th.
2018
.M
OH (P
SP),
Vete
rinar
y ho
spita
l UPM
, DVS
and
DO
F.
Num
ber o
f org
aniz
atio
ns
parti
cipa
ting
in P
oint
Pr
eval
ence
Sur
vey
on
Antib
iotic
Util
isat
ion.
Open
Tar
get.
10.
Surv
ey o
n an
tibio
tic c
onsu
mpt
ion
sale
s da
ta
- Ho
spita
ls a
nd P
rimar
y He
alth
care
.
2019
.M
OH (P
SP).
Repo
rt on
ant
ibio
tic
cons
umpt
ion
sale
s da
ta.
Year
ly.
11.
Impl
emen
tatio
n of
Ant
imic
robi
al
Stew
ards
hip
(AM
S) p
rogr
am in
he
alth
care
faci
litie
s
a. D
evel
opm
ent o
f AM
S po
licie
s in
pu
blic
hea
lthca
re fa
cilit
ies.
b Es
tabl
ishm
ent o
f AM
S as
one
of t
he
crite
ria in
the
Hosp
ital A
ccre
dita
tion.
c. In
corp
orat
e AM
S pr
ogra
m in
M
alay
sian
Pat
ient
Saf
ety
Goal
s.
2018
.-
MOH
(MDD
, PSP
, FH
DD) .
- M
INDE
F (H
ospi
tal
Angk
atan
Ten
tera
M
alay
sia)
.
- APH
M, M
OHE,
MM
A.
Num
ber o
f hea
lthca
re
faci
litie
s w
ith A
MS
team
. Pu
blic
:- A
ll M
OH h
opita
ls,
- All
Heal
th C
linic
s w
ith F
MS/
MO
and
Phar
mac
ist.
- Un
iver
sity
hos
pita
ls,
- M
INDE
F ho
spita
ls.
Priv
ate:
- All
hosp
itals
with
mor
e th
an 1
00 b
eds.
79(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
12.
Deve
lopm
ent o
f Nat
iona
l gui
delin
e on
an
timic
robi
al d
rugs
use
in v
eter
inar
y se
ctor
e.g.
Nat
iona
l Vet
erin
ary
Antib
iotic
Gu
idel
ine
(NVA
G) a
nd li
st o
f con
trolle
d an
tibio
tics
for f
ood
prod
ucin
g an
imal
.
2018
.M
OA-
DVS
- DO
F
Natio
nal V
eter
inar
y An
tibio
tic g
uide
line
deve
lope
d.
Feed
mill
ers,
farm
ers.
13.
To re
duce
by
phas
e ce
rtain
crit
ical
ly
impo
rtant
ant
ibio
tic fo
r hum
an h
ealth
fro
m th
e ve
terin
aria
n an
d aq
uacu
lture
us
age:
a. D
eter
min
e tre
nd o
f ant
ibio
tic u
sage
by
AM
U Su
rvei
llanc
e Pr
ogra
mm
e.
b. E
stab
lish
rese
arch
and
tria
ls fo
r us
e of
alte
rnat
ive
antim
icro
bial
s by
id
entif
y eq
uiva
lenc
e an
tibio
tic fo
r re
plac
emen
t.
c. T
o pr
opos
e re
gula
tion/
guid
elin
es
on p
hase
-out
of c
ritic
ally
impo
rtant
an
tibio
tics
for h
uman
in v
eter
inar
y/aq
uacu
lture
.
2018
.M
OH:
- PS
P
MOA
:-
DVS
- DO
F
Num
ber o
f crit
ical
ly
impo
rtant
ant
ibio
tics
phas
ed o
ut in
vet
erin
ary
use.
- Fe
ed m
iller
s.
- Fa
rmer
s.
- Aqu
acul
ture
.
14.
Deve
lopm
ent o
f gui
delin
e on
dis
posa
l of
unu
sed/
expi
red
antib
iotic
s in
the
publ
ic, p
rivat
e an
d an
imal
sec
tors
to
prev
ent e
nviro
nmen
t con
tam
inat
ion.
2019
.M
OH-
PSP
MOA
- DV
S
- DO
F
- NR
E
- DO
E
Publ
ic, p
rivat
e, a
nim
al
sect
ors.
80(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
15.
Stre
ngth
enin
g o
f AM
U su
rvei
llanc
e in
an
imal
hea
lth s
ecto
r:
- On
goin
g AM
U su
rvei
llanc
e in
pou
ltry
and
swin
e in
dust
ry.
- Es
tabl
ishm
ent o
f AM
U su
rvei
llanc
e in
an
imal
feed
indu
stry
.
- De
velo
p ev
alua
tion
syst
em o
f AM
U.
- Es
tabl
ishm
ent o
f AM
U su
rvei
llanc
e sy
stem
in fi
sh a
nd s
hrim
p aq
uacu
lture
.
2018
.
2018
.
2019
.
2018
.
MOA
:-
DVS
- DO
A
- Re
port
of A
MU
surv
eilla
nce
in p
oultr
y.
- Re
port
of A
MU
surv
eilla
nce
in s
win
e.
- Re
port
of A
MU
surv
eilla
nce
in a
nim
al
feed
indu
stry
.
- Re
port
of A
MU
surv
eilla
nce
in
fish
and
shrim
p aq
uacu
lture
.
- Po
ultr
y fa
rms.
- Sw
ine
farm
s.
- Ani
mal
feed
indu
stry
.
- Fi
sh fe
ed p
roce
ssin
g co
mpa
ny.
- Im
port.
- Fi
sh H
ealth
Pr
ofes
sion
als.
- Aqu
acul
ture
farm
s.
16De
velo
p M
alay
sia
Inte
grat
ed
Antim
icro
bial
Res
ista
nce
web
page
.
2018
.M
OH:
- M
DD
- IM
R
- IM
D
- PS
P
- FS
QD
- DC
D
MOA
:-
DVS
- DO
F
Mal
aysi
an O
ne H
ealth
An
timic
robi
al R
esis
tanc
e w
ebpa
ge d
evel
oped
.
MOH
:-
IMR
- M
DD
- PS
P
- FS
QD
MOE
:-
Univ
ersi
ties
MOA
- DV
S
- DO
F
- M
yOHU
N
81(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
17.
Deve
lop
Mal
aysi
an In
tegr
ated
An
timic
robi
al R
esis
tanc
e Su
rvei
llanc
e Sy
stem
(MAR
SS)
a) H
uman
hea
lth.
b) A
nim
al h
ealth
.
c) F
ood.
2018
.M
OH:
- M
DD
- IM
D
- Co
rpor
ate
Com
mun
icat
ion
Unit
- DC
D
- IM
R
- FS
QD
MOA
:-
DVS
- DO
F
17De
velo
p M
alay
sian
In
tegr
ated
Ant
imic
robi
al
Resi
stan
ce S
urve
illan
ce
Syst
em (M
ARSS
)
a) H
uman
hea
lth.
b) A
nim
al h
ealth
.
c) F
ood.
STRA
TEGY
4: P
REPA
REDN
ESS
Of H
EALT
H fA
CILI
TIES
1.En
sure
saf
ety
of h
igh
risk
heal
thca
re w
orke
rs th
roug
h va
ccin
atio
n an
d ac
cess
to p
ost-
expo
sure
pro
phyl
axis
whe
re a
ppro
pria
te
a. H
epat
itis
B va
ccin
atio
n pr
ogra
m fo
r hi
gh ri
sk h
ealth
care
wor
kers
.20
17.
MOH
(DCD
, FHD
D, M
DD,
PSP)
.Pe
rcen
tage
of h
igh
risk
heal
thca
re w
orke
rs
com
plet
ed H
ep B
va
ccin
atio
n.
- Gr
oup
1: 7
0%.
- Gr
oup
2: 8
0%.
b. In
fluen
za v
acci
natio
n pr
ogra
m fo
r hi
gh ri
sk h
ealth
care
wor
kers
.20
17.
MOH
(DCD
, FHD
D, M
DD,
PSP)
.Pe
rcen
tage
of h
igh
risk
heal
thca
re w
orke
rs
rece
ived
influ
enza
va
ccin
e.
2017
: 50%
.
c. P
ost e
xpos
ure
prop
hyla
xis
(PEP
) for
hi
gh ri
sk h
ealth
care
wor
kers
with
ne
edle
stic
k in
jury
(NSI
).
2017
.M
OH (D
CD, F
HDD,
MDD
, PS
P).
Perc
enta
ge o
f hig
h ris
k he
alth
care
wor
kers
with
NS
I rec
eive
d PE
P.
100%
.
82(MYSED) II (2017–2021) National Strategic Work Plan
No.
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VITI
ESTA
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IMPL
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ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
d. T
rain
ing
on s
tand
ard
prec
autio
n/bi
olog
ical
haz
ard
in h
ealth
care
.20
17.
- M
OH (D
CD, F
HDD,
M
DD, P
SP).
- St
ate
Heal
th
Depa
rtmen
t.
- Ho
spita
l.
- Di
stric
t Hea
lth O
ffice
.
Trai
ning
on
stan
dard
pr
ecau
tion/
biol
ogic
al
haza
rd in
hea
lthca
re b
y St
ate
Heal
th D
epar
tmen
t
Annu
al T
rain
ing:
80
% o
f hig
h ris
k HC
W
are
train
ed
2.St
reng
then
con
tinuo
us q
ualit
y im
prov
emen
t in
all h
ealth
-car
e fa
cilit
ies:
a. E
stab
lishm
ent o
f Clin
ical
Gov
erna
nce
Depa
rtmen
t/Uni
t in
hosp
itals
.
b St
reng
hthe
ning
of c
linic
al g
over
nanc
e in
hea
lth c
linic
s (o
ne o
f MPS
G fo
r he
alth
clin
ics)
.
2017
.-
MOH
(MDD
, PHD
D).
- St
ate
Heal
th
Depa
rtmen
t.
- Di
stric
t Hea
ltrh
Offic
e.
- Es
tabl
ishm
ent o
f Cl
inic
al G
over
nanc
e De
partm
ent i
n M
OH
Hosp
itals
by
2020
.
- Br
iefin
g by
Hea
lth
Depa
rtmen
t in
year
20
18.
Done
in p
hase
s:-
2017
: 14
Sta
tes
Hosp
ital i
nclu
ding
HKL
.
- 20
18:
27 M
ajor
Sp
ecia
list H
ospi
tal &
27
Min
or S
peci
alis
t Ho
spita
l.
- 20
19: 6
6 di
stric
t ho
spita
l.
- 20
20: 1
0 M
OH
inst
itutio
ns.
- 20
18-2
019
All H
ealth
Clin
ics
with
FM
S/M
O.
- 20
20-2
021
All H
ealth
Clin
ics.
83(MYSED) II (2017–2021) National Strategic Work Plan
No.
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VITI
ESTA
RGET
IMPL
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TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
3.3.
1 En
sure
hos
pita
ls h
ave
appr
opria
te
emer
genc
y pr
epar
edne
ss a
nd
resp
onse
pla
ns in
pla
ce to
redu
ce
the
econ
omic
cos
ts a
nd s
ocia
l im
plic
atio
n ar
isin
g fro
m th
e in
terr
uptio
n of
hos
pita
l ser
vice
s.
a. D
evel
opm
ent o
f Em
erge
ncy
Prep
ared
ness
Pla
n fo
r hos
pita
ls
at n
atio
nal l
evel
.
b. T
rain
ing
on E
mer
genc
y Pr
epar
edne
ss p
lan
for h
ospi
tals
.
c. S
treng
then
ing
of c
oord
inat
ion
betw
een
diffe
rent
pro
gram
s at
m
inis
try
leve
l dur
ing
emer
genc
y in
hos
pita
l.
2017
.M
OH (M
DD, S
tate
He
alth
Dep
artm
ent
and
Emer
genc
y, Tr
aum
atol
ogy
Serv
ices
in
Hos
pita
ls).
a. N
atio
nal l
evel
em
erge
ncy
prep
ared
ness
pla
n fo
r hos
pita
ls b
eing
de
velo
ped.
b. T
rain
ing
for a
ll ho
spita
ls b
eing
co
nduc
ted
by S
tate
He
alth
Dep
artm
ent.
c. T
erm
s of
refe
renc
e fo
r ea
ch p
rogr
am.
- A p
lan
is d
evel
oped
.
- All
14 s
tate
s an
d HK
L ar
e be
ing
train
ed A
TOR
is d
evel
oped
.
- Tra
inin
g co
ordi
nate
d by
PH
DD.
STRA
TEGY
5: M
ONIT
ORIN
G &
EVA
LUAT
ION
Appl
y M
&E s
yste
mat
ical
ly a
t all
stag
es o
f the
pla
nnin
g an
d im
plem
enta
tion
cycl
e, m
easu
re s
yste
m fu
nctio
nalit
y pr
omot
e pa
rtner
ship
thro
ugh
M&E
pro
cess
es o
rimpr
ove
trans
pare
ncy
and
acco
unta
bilit
y in
repo
rting
.
1.M
easu
re a
chie
vem
ent o
f cor
e ca
paci
ties
thro
ugh
JEE
tool
and
agr
eed
indi
cato
rs a
s in
Nat
iona
l Act
ion
Plan
on
AM
R.
Annu
al.
MOH
(M
DD, P
SP, F
SQD,
IMR)
.
MOA
(DVS
& D
OF).
84(MYSED) II (2017–2021) National Strategic Work Plan
No.
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VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
2.Re
view
impl
emen
tatio
n an
d pr
ogre
ss
of a
ctiv
ities
thro
ugh
regu
lar m
eetin
g of
Nat
iona
l AM
R Co
mm
ittee
Tec
hnic
al
Wor
king
Gro
up.
Twic
e a
year
.M
OH (M
DD).
3.Pr
ovid
e a
snap
shot
of c
ore
capa
citie
s th
roug
h an
nual
repo
rt on
Ant
imic
robi
al
Resi
stan
ce a
nd In
fect
ion
Cont
rol.
Annu
al.
MOH
(M
DD, P
SP, F
SQD,
IMR)
.
MOA
(DVS
& D
OF)).
3.6
RIS
K CO
MM
UNIC
ATIO
N
STRA
TEGY
1:
MAK
E RI
SK C
OMM
UNIC
ATIO
N A
CORE
ELE
MEN
T Of
PRE
VENT
ION,
PRE
PARE
DNES
S, R
ESPO
NSE
AND
RECO
VERY
1.Re
view
and
upd
ate
Natio
nal R
isk
Com
mun
icat
ion
Stra
tegi
c Pl
an .
Mar
ch 2
018.
- M
inis
try
of H
ealth
(M
oH).
- Na
tiona
l Dis
aste
r M
anag
emen
t Age
ncy
(NAD
MA)
. (w
ill le
ad)
- De
partm
ent o
f Ve
terin
ary
Serv
ices
(D
VS).
- M
inis
try
of
Com
mun
icat
ion
and
Mul
timed
ia M
alay
sia.
Revi
ewed
doc
umen
t.M
arch
201
8.
85(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
2.Co
nduc
t tra
inin
g of
the
revi
ewed
and
up
date
d ve
rsio
n of
the
Natio
nal R
isk
Com
mun
icat
ion
Stra
tegi
c Pl
an a
mon
g re
leva
nt p
erso
nnel
.
July
201
8.-
Min
istr
y of
Hea
lth
(MoH
).
- Na
tiona
l Dis
aste
r M
anag
emen
t Age
ncy
(NAD
MA)
. (w
ill le
ad)
- De
partm
ent o
f Ve
terin
ary
Serv
ices
(D
VS).
- M
inis
try
of
Com
mun
icat
ion
and
Mul
timed
ia M
alay
sia.
Num
ber o
f tra
inin
g se
ssio
ns.
Once
/yea
r.
3.Co
nduc
t sim
ulat
ion
exer
cise
.Se
ptem
ber 2
018.
- M
inis
try
of H
ealth
(M
oH).
- Na
tiona
l Dis
aste
r M
anag
emen
t Age
ncy
(NAD
MA)
. (w
ill le
ad)
- De
partm
ent o
f Ve
terin
ary
Serv
ices
(D
VS).
3 x
per y
ear.
Annu
ally.
4.Up
date
regi
stry
of r
isk
com
mun
icat
ion
offic
ers
train
ed in
Ris
k Co
mm
unic
atio
n.Oc
tobe
r 201
7.-
Min
istr
y of
Hea
lth
(MoH
).
- Na
tiona
l Dis
aste
r M
anag
emen
t Age
ncy
(NAD
MA)
.
- De
partm
ent o
f Ve
terin
ary
Serv
ices
(D
VS).
Upda
ted
regi
stry
av
aila
ble.
Once
/yea
r.
86(MYSED) II (2017–2021) National Strategic Work Plan
No.
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VITI
ESTA
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TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
STRA
TEGY
2: S
TREN
GTHE
N OP
ERAT
IONA
L LI
NKS
BETw
EEN
RISK
COM
MUN
ICAT
ION,
SUR
VEIL
LANC
E AN
D RI
SK A
SSES
SMEN
T
1.Co
nduc
t Ris
k As
sess
men
t & R
isk
Com
mun
icat
ion
(RAR
C) tr
aini
ng
to s
treng
then
inte
rnal
/ext
erna
l st
akeh
olde
rs c
olla
bora
tion
and
coor
dina
tion
as w
ell a
s lin
e of
co
mm
unic
atio
n be
twee
n ris
k co
mm
unic
atio
n, s
urve
illan
ce a
nd ri
sk
asse
ssm
ent.
Sept
embe
r 201
7.-
Min
istr
y of
Hea
lth
(MoH
).
- De
partm
ent o
f Ve
terin
ary
Serv
ices
(D
VS).
Num
ber o
f wor
ksho
p or
tra
inin
g/ye
ar.
3 tra
inin
gs (2
017-
2021
).
STRA
TEGY
3: E
STAB
LISH
A M
ECHA
NISM
TO
ENGA
GE w
ITH
COM
MUN
ITIE
S AN
D IN
TEGR
ATE
RISK
PER
CEPT
ION
ASSE
SSM
ENT
INTO
RIS
K AS
SESS
MEN
T AN
D RI
SK M
ANAG
EMEN
T PR
OCED
URES
1En
hanc
e ne
twor
king
/com
mitt
ee
com
pris
ing
of m
embe
rs o
f the
pub
lic,
inte
rnal
/ext
erna
l par
tner
age
ncie
s,
NGOs
, med
ia a
nd o
ther
rele
vant
au
thor
ities
to b
uild
trus
t am
ong
all
stak
ehol
ders
.
2017
.-
Min
istr
y of
Hea
lth
(MoH
).
- Na
tiona
l Dis
aste
r M
anag
emen
t Age
ncy
(NAD
MA)
.
- De
partm
ent o
f Ve
terin
ary
Serv
ices
(D
VS).
- Na
tiona
l Sec
urity
Co
unsi
l (NS
C).
- Ang
kata
n Pe
rtaha
nan
Awam
Mal
aysi
a (A
PM).
- St
ate
Secr
etar
y (S
UK).
Num
ber o
f Com
mitt
ee
mee
tings
.At
leas
t tw
o m
eetin
gs/
year
.
87(MYSED) II (2017–2021) National Strategic Work Plan
No.
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VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
2.Es
tabl
ish
guid
elin
es to
inte
grat
e ris
k pe
rcep
tion
and
risk
asse
ssm
ent t
o th
e co
mm
unity
.
Sept
201
8.-
Min
istr
y of
Hea
lth
(MoH
).
- Na
tiona
l Dis
aste
r M
anag
emen
t Age
ncy
(NAD
MA)
. (w
ill le
ad)
- De
partm
ent o
f Ve
terin
ary
Serv
ices
(D
VS).
- M
inis
try
of
Com
mun
icat
ion
and
Mul
timed
ia M
alay
sia.
Guid
elin
es o
f doc
umen
t re
view
ed a
vaila
ble.
Janu
ary
2019
.
3.Co
nduc
t tra
inin
g to
ass
ess
the
oper
atio
naliz
atio
n of
the
guid
elin
es.
April
201
9.-
Min
istr
y of
Hea
lth
(MoH
).
- Na
tiona
l Dis
aste
r M
anag
emen
t Age
ncy
(NAD
MA)
. (w
ill le
ad)
- De
partm
ent o
f Ve
terin
ary
Serv
ices
(D
VS).
- M
inis
try
of
Com
mun
icat
ion
and
Mul
timed
ia M
alay
sia.
Num
ber o
f tra
inin
g/ye
ar.
Annu
ally.
STRA
TEGY
4: E
NHAN
CE U
SE O
f NE
w M
EDIA
, INC
LUDI
NG S
OCIA
L M
EDIA
AND
SOC
IAL
NETw
ORKS
, fOR
RIS
K CO
MM
UNIC
ATIO
N
1.Ut
ilize
new
med
ia in
risk
co
mm
unic
atio
n w
ithin
the
stip
ulat
ed
guid
elin
es.
Ongo
ing.
- M
inis
try
of H
ealth
(M
oH).
- De
partm
ent o
f Ve
terin
ary
Serv
ices
(D
VS).
Esta
blis
h so
cial
med
ia
plat
form
s.20
21/o
ngoi
ng.
88(MYSED) II (2017–2021) National Strategic Work Plan
No.
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VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
2.Cr
eate
aw
aren
ess
thro
ugh
new
med
ia
to re
leva
nt s
take
hold
ers.
Ongo
ing.
- M
inis
try
of H
ealth
(M
oH).
- De
partm
ent o
f Ve
terin
ary
Serv
ices
(D
VS).
Rele
vant
per
sonn
els.
2021
/ong
oing
.
STRA
TEGY
5: f
ORM
ALIz
E A
MEC
HANI
SM T
HAT
ROUT
INEL
Y AS
SESS
ES T
HE E
ffEC
TIVE
NESS
Of
RISK
COM
MUN
ICAT
ION
1.De
velo
p tra
ckin
g su
rvey
que
stio
nnai
reOc
tobe
r 201
8.-
Min
istr
y of
Hea
lth
(MOH
) - In
stitu
te
Heal
th B
ehav
iora
l Re
sear
ch (I
PTK)
.
- De
partm
ent o
f Ve
terin
ary
Serv
ices
(D
VS).
Rese
arch
tool
mad
e av
aila
ble.
Mar
ch 2
019.
2.Se
tup
faci
litie
s to
con
duct
VC/
TCs
to
shar
e le
sson
s le
arnt
and
exp
erie
nce
in
risk
com
mun
icat
ion.
Ongo
ing.
- M
inis
try
of H
ealth
(M
oH).
- Na
tiona
l Dis
aste
r M
anag
emen
t Age
ncy
(NAD
MA)
.
- De
partm
ent o
f Ve
terin
ary
Serv
ices
(D
VS).
VC/ T
Cs m
ade
avai
labl
e.W
hen
requ
ired.
89(MYSED) II (2017–2021) National Strategic Work Plan
No.
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VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
STRA
TEGY
6: M
ONIT
ORIN
G &
EVA
LUAT
ION
Appl
y M
&E s
yste
mat
ical
ly a
t all
stag
es o
f the
pla
nnin
g an
d im
plem
enta
tion
cycl
e, m
easu
re s
yste
m fu
nctio
nalit
y pr
omot
e pa
rtner
ship
thro
ugh
M&E
pro
cess
es o
r im
prov
e tra
nspa
renc
y an
d ac
coun
tabi
lity
in re
porti
ng.
1.Ob
tain
sim
ulat
ion
exer
cise
s sc
hedu
le.
June
201
8.-
Min
istr
y of
Hea
lth
(MoH
).
- Na
tiona
l Dis
aste
r M
anag
emen
t Age
ncy
(NAD
MA)
.
- De
partm
ent o
f Ve
terin
ary
Serv
ices
(D
VS).
- M
inis
try
of
Com
mun
icat
ion
and
Mul
timed
ia M
alay
sia.
Repo
rt.1
repo
rt/ex
erci
se.
2.Ob
tain
trai
ning
sch
edul
e.-
Min
istr
y of
Hea
lth
(MoH
).
- Na
tiona
l Dis
aste
r M
anag
emen
t Age
ncy
(NAD
MA)
.
- De
partm
ent o
f Ve
terin
ary
Serv
ices
(D
VS).
- M
inis
try
of
Com
mun
icat
ion
and
Mul
timed
ia M
alay
sia.
Pre
and
post
resu
lt.An
nual
ly.
90(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
3.7
REG
IONA
L PR
EPAR
EDNE
SS, A
LERT
AND
RES
PONS
E
STRA
TEGY
1: R
EGIO
NAL
RISK
ASS
ESM
ENT
SYST
EM
1.To
par
ticip
ate
in re
gion
al ri
sk
asse
ssm
ent a
ctiv
ities
upo
n re
ques
t. Up
on re
ques
t.M
OH/O
ther
rele
vent
ag
enci
es.
Num
ber o
f joi
nt m
issi
on.
100%
.M
OH. D
VS, N
ADM
A, F
ire
& Re
scue
.
STRA
TEGY
2: R
EGIO
NAL
OPER
ATIO
NAL
HUB
fOR
COOR
DINA
TED
PLAN
NING
AND
RES
PONS
E
1.Es
tabl
ish
ASEA
N EO
C Ne
twor
k fo
r tim
elin
ess
and
info
rmat
ion
shar
ing.
2017
.M
OH.
Num
ber o
f VC
done
.4
times
a y
ear.
AMS,
Can
ada
GPP.
2.Or
gani
se jo
int e
xerc
ise
ASEA
N EO
C Ne
twor
k.20
17-2
021.
MOH
/ASE
AN M
embe
r St
ates
.Jo
int s
imul
atio
n ex
erci
se.
Twic
e/5
year
s (2
021)
.AS
EAN
Sec.
STRA
TEGY
3: R
EGIO
NAL
RAPI
D RE
SPON
SE M
ECHA
NISM
1.De
velo
p re
gist
ry/in
vent
ory
of e
xper
t th
at a
vaia
ble
for r
apid
regi
onal
and
gl
obal
dep
loym
ent r
espo
nse.
End
2017
.M
OH/N
ADM
A/ot
her
agen
cies
.Li
st o
f exp
erts
.1
regi
stry
list
.M
OH/N
ADM
A an
d ot
her
rele
vant
min
istri
es/
agen
cies
.
2.M
eetin
g of
all
Mal
aysi
an e
xper
ts.
Star
ted
in 2
018.
MOH
/NAD
MA.
Min
utes
of m
eetin
g.On
ce a
yea
r. M
OH/N
ADM
A an
d ot
her
rele
vant
min
istri
es/
agen
cies
.
3.An
nual
ass
essm
ent (
phys
ical
& m
enta
l) an
d tra
inin
g.St
arte
d in
201
8.M
OH.
Num
ber o
f exp
ert
asse
ssed
.50
% o
f tot
al e
xper
t by
2021
.M
OH.
4.Ha
rmon
isin
g pr
oced
ures
on
rece
ivin
g
and
send
ing
inte
rnat
iona
l ass
ista
nce
durin
g cr
isis
.
2017
-201
8.NA
DMA
and
othe
r ag
enci
es.
SOP.
End
2018
.M
OH, N
ADM
A, M
OFA.
5.Or
gani
se G
OARN
Tra
inin
g in
Mal
aysi
a fo
r out
brea
k an
d em
erge
ncie
s.20
20.
MOH
, WHO
Exp
ert
Trai
ning
.Nu
mbe
r of t
rain
ing.
One
in 5
yea
rs.
MOH
, GOA
RN, W
HO.
91(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
STRA
TEGY
4: I
NfOR
MAT
ION
SHAR
ING
UTIL
IzIN
G IN
NOVA
TIVE
TEC
HNOL
OGY
1.Sh
are
rese
arch
/ out
brea
k/ s
urve
illan
ce/
eval
uatio
n/ g
uide
line
resu
lts a
t MOH
w
ebsi
te (C
PRC)
.
2017
-202
1.M
OH.
Num
ber o
f sha
red
info
rmat
ion.
Twic
e/ye
ar.
MOH
.
STRA
TEGY
5: D
EVEL
OP S
KILL
ED w
ORKf
ORCE
fOR
REG
IONA
L RE
SPON
SE
1.Se
nd o
ffice
r(s) f
or a
ttach
men
t cou
rse
at
any
regi
onal
offi
ce.
2017
-202
1.Al
l ag
enci
es.
Num
ber o
f ind
ivid
uals
tra
ined
.On
e pe
r yea
r.Al
l Age
ncie
s.
STRA
TEGY
6: M
ONIT
ORIN
G &
EVA
LUAT
ION
Appl
y M
&E s
yste
mat
ical
ly a
t all
stag
es o
f the
pla
nnin
g an
d im
plem
enta
tion
cycl
e, m
easu
re s
yste
m fu
nctio
nalit
y pr
omot
e pa
rtner
ship
thro
ugh
M&E
pro
cess
es o
r im
prov
e tra
nspa
renc
y an
d ac
coun
tabi
lity
in re
porti
ng.
1.M
onito
ring:
Po
st a
ttach
men
t VC
or p
rese
ntat
ion.
Once
in 6
mon
ths
(Sta
rting
201
7).
EIP,
BKP
(MOH
).Nu
mbe
r of o
ffice
rs s
ent.
Cont
inuo
us (2
021)
.
2.M
onito
ring:
ASE
AN E
OC N
etw
ork.
Tim
ely
VC.
MOH
.W
ithin
2 w
eeks
of t
he
even
t.80
%.
3.M
onito
ring:
Exp
ert D
eplo
ymen
t Re
gist
ry.
Upon
requ
est.
MOH
.Nu
mbe
r of p
artic
ipat
ion
in m
issi
ons.
100%
.
4.M
onito
ring:
Rec
eivi
ng in
tern
atio
nal
assi
stan
ce g
uide
lines
.
Stat
us/p
rogr
ess
repo
rt fro
m
desi
gnat
ed/r
espo
nsib
le p
erso
nnel
.
3 m
onth
ly.Re
spon
sibi
lity
of th
e M
OH p
erso
nnel
.Ba
sed
on p
rogr
ess
repo
rt.20
18.
5.Ev
alua
tion:
GOA
RN T
rain
ing.
Once
in 5
yea
r.M
OH.
Post
trai
ning
eva
luat
ion.
2021
.
6.M
onito
ring:
Da
ta o
n CP
RC w
ebsi
te.
3 m
onth
ly m
onito
ring
of n
umbe
r on
repo
rt up
load
ed to
the
web
site
.
MOH
.4
times
in a
yea
r.20
21.
8.Ev
alua
tion:
At
tach
men
t at i
nter
natio
nal f
acili
ties.
Post
atta
chm
ent
asse
ssm
ent.
MOH
.On
ce in
a y
ear (
min
).20
21.
92(MYSED) II (2017–2021) National Strategic Work Plan
No.
ACTI
VITI
ESTA
RGET
IMPL
EMEN
TATI
ON
DATE
RESP
ONSI
BLE
UNIT
/SE
CTIO
N/DE
PART
MEN
TIN
DICA
TOR
TARG
ETOT
HER
DONO
R AN
D ST
AKEH
OLDE
RS
3.8
MON
ITOR
ING
& E
VALU
ATIO
N (2
017-
2021
)
1.Ap
ply
M&E
sys
tem
atic
ally
at a
ll st
ages
of
the
plan
ning
and
impl
emen
tatio
n cy
cle.
2017
.In
tern
atio
nal H
ealth
Se
ctor
, Dis
ease
Con
trol
Divi
sion
, MOH
Mal
aysi
a.
i. Es
tabl
ishe
d Te
chni
cal W
orki
ng
Grou
p Co
ordi
nato
r fo
r mon
itorin
g an
d ev
alua
tion
of
impl
emen
tatio
n.
ii. Id
entif
y Co
ordi
nato
r fo
r Eac
h Fo
cus
Area
.iii
. Mon
itor a
nd e
valu
ate
the
Impl
emen
tatio
n st
atus
repo
rt ev
ery
6 m
onth
s.
i. TW
G es
tabl
ishe
d.
ii. C
oord
inat
or fo
r Foc
us
area
iden
tified
.
2 re
ports
/yea
r.
2.M
easu
re s
yste
m fu
nctio
nalit
y.20
17.
Inte
rnat
iona
l Hea
lth
Sect
or, D
isea
se C
ontro
l Di
visi
on, M
OH M
alay
sia.
AND
Tech
nica
l Wor
king
Gr
oup
Coor
dina
tor f
or
MyS
ED II
and
IHR
2005
Im
plem
enta
tion.
a. A
nnua
l Ass
essm
ent.
b. A
ctio
n Re
view
Re
ports
.
c. S
imul
atio
n Ex
erci
ses
- TTX
, Fun
ctio
nal,
Ful
l sca
le o
r etc
.
d. J
EE W
HO fo
rmat
i.
Self-
Asse
ssm
ent.
ii. W
HO a
nd E
xter
nal
Expe
rts.
- On
ce/y
ear.
- On
ce/y
ear.
- On
ce/y
ear.
- On
ce/4
yrs
2018
.
- All
rela
ted
Min
istri
es,
agen
cies
& P
artn
ers.
- All
rela
ted
Min
istri
es,
agen
cies
& p
artn
ers.
3.Pr
omot
e pa
rtner
ship
thro
ugh
M&E
pr
oces
ses.
4.Im
prov
e tra
nspa
renc
y an
d ac
coun
tabi
lity
in re
porti
ng.
2017
.In
tern
atio
nal H
ealth
Se
ctor
, Dis
ease
Con
trol
Divi
sion
, MOH
Mal
aysi
a.
AND
Tech
nica
l Wor
king
Gr
oup
Coor
dina
tor f
or
MyS
ED II
and
IHR
2005
Im
plem
enta
tion.
Shar
ing
of re
port
with
M
inis
tries
, age
ncie
s &
partn
ers.
Once
/yea
r.Al
l rel
ated
Min
istri
es,
agen
cies
& p
artn
ers.
93(MYSED) II (2017–2021) National Strategic Work Plan
ACKNOWLEDGEMENT
3. Dr. Faridah Amin (MOH)
4. Dr. Ahmad Riadz bin Mazeli (MOH)
5. Puan Farawahida binti Mohd Kasim
(MOH)
FOCUS AREA 3: LABORATORIES
1. Dr. Khebir Verasahib (MOH)
2. Dr. Arni binti Talib
3. Datin Dr. Salbiah binti Nawi
4. Prof Madya Dr. Chan Kok Gan (UM)
5. Dr. Azizah binti Darus (VRI)
6. Kathryn Tham Bee Lin (Stride)
FOCUS AREA 4: ZOONOSES
1. Dr. Mazlan bin Isa (FQC)
2. Prof. Dr. Latiffah Hassan (MyOHUN)
3. Dr. Rozanah Asmah Abd. Samad
4. Dr. Azman Shah bin Abd. Manaf
(Perhilitan)
6. Dr. Norita binti Shamsudin
ADVISORS
Dato’ Dr. Chong Chee Kheong
Deputy Director General (Public Health)
Ministry of Health, Malaysia
Dr. Norhayati binti Rusli
Director of Disease Control
Ministry of Health, Malaysia
FOCUS AREA 1: PUBLIC HEALTH EMERGENCY
PREPAREDNESS (PHEP)
1. Dr. Ahamad Jusoh (MOH)
2. Encik Anis Wajdi bin Mohd Yusoff
(MOH)
3. Dr. Jafri Abdul Jalil (NADMA)
4. Superintendant Fakhrulradzi (MKN)
5. Puan Monalija binti Kostor (AELB)
6. Lt. Kol. Mohd Ali bin Hj Mohd Noor
(MKN)
7. Puan Nor Aini binti Mohd Nordin
(MINDEF)
8. Dr. Hj. Azmi bin Abdul Rahim (MOH)
9. Tuan Syed Asraf Wafa bin Syed Mohd
Ghazi (Agensi Nuklear)
FOCUS AREA 2: SURVEILLANCE, RISK
ASSESSMENT AND RESPONSE
1. Dr. Husna Maizura binti Ahmad Mahir
(MOH)
2. Dr. Zuhaida binti A. Jalil (MOH)
AUTHORS
94(MYSED) II (2017–2021) National Strategic Work Plan
FOCUS AREA 5: PREVENTION THROUGH
HEALTHCARE
1. Dr. Nor Zahrin binti Hasran
2. Dr. Norazah binti Ahmad
3. Dr. Suraya binti Amir Husin
4. Puan Mardhiyah binti Kamal
5. Dr. Rohani binti Jahis
6. Dr. Noraini binti Mohd Yusof
7. Dr. Affaf binti Azizan
FOCUS AREA 6: RISK COMMUNICATION.
1. Dr. Husnina binti Ibrahim
2. Encik Sasitheran Kutty Nair
3. Encik Sabtuah Royali
FOCUS AREA 7: REGIONAL PREPAREDNESS,
ALERT AND RESPONSE
1. Dr.RosemawatibintiArrifin
2. Dr. Tam Jenn Zhueng
3. Dr. Novia Kuswara
CONTRIBUTORS
1. ASEAN SECRETARIAT
2. Canada’s Global Partnership Programme
(GPP CANADA)
3. OTHER MINISTRIES AND AGENCIES
• National Disaster Management Agency (NADMA)
• Ministry of Defence Malaysia (MINDEF)
• National Security Council (NSC)
• Science and Technology Research Institute for Defence (STRIDE)
• Department of Veterinary Services (DVS)
• Malaysia Nuclear Agency
• Atomic Energy Licensing Board (AELB)
• Ministry of Education
• Fire and Rescue Department of Malaysia (FRDM)
• Universities
• Ministry of Transport (MOT)
• Malaysian One Health University Network (MyOHUN)
• Civil Aviation Authority of Malaysia (CAAM)
• Department of Wildlife and National Parks (Perhilitan) Peninsular Malaysia
• Marine Department, Malaysia
• Land and Public Transport Agency (SPAD)
• Malaysia Marine Enforcement Agency (MMEA)
• Malaysian Quarantine and Inspection Services (MAQIS)
• Ministry of Home Affairs
• Ministry of Science, Technology and Industries (MOSTI)
• Ministry Foreign Affairs
• Immigration Department of Malaysia
• Chemistry Department
• Royal Malaysian Police
• Royal Malaysian Custom Department
95(MYSED) II (2017–2021) National Strategic Work Plan
ANNEX 1: GLOSSARY OF SELECTED TERMS
TERM DEfINITION AND DESCRIPTION
Asia Pacific region The Asia Pacific region in the document includes the 48 countries and areas of two regions of the World Health Organization—the South-East Asia Region and the Western Pacific Region.
Climate Change A change of climate attributed directly or indirectly to human activity that alters the composition of the global atmosphere, in addition to natural climate variability observed over comparable time periods (Adopted by the UN Framework Convention on Climate Change).
Emerging diseases Infections that newly appear in a population, or have existed but are rapidly increasing in incidence or geographic range, including new diseases as well as re-emerging and resurging known diseases, and known epidemic-prone diseases. The term “emerging diseases” is used interchangeably with emerging infectious diseases.
Mass gathering Any event at which the number of people attending is sufficient to strain the planning and response resources of the community, state or nation hosting the event.
Monitoring and Evaluation Monitoring refers to the process of regular oversight of the implementation of activities, seeking to ensure that input deliveries, work schedules, targeted outputs, and other required actions are proceeding as planned. Evaluation refers to a process that attempts to determine as systematically and objectively as possible the relevance, effectiveness, and impact of activities in light of their objectives.
National IHR Focal Point The national centre, designated by each State Party, which shall be accessible at all times for communication with WHO IHR Contact Points under IHR (2005).
Public health security The proactive and reactive activities required to minimize vulnerability to acute public health events that endanger the collective health of national populations. Regional public health security widens this definition to include acute public health events that endanger the collective health of populations living across the Asia Pacific region. Lack of regional health security may have an impact on economic or political stability, trade, tourism, access to goods and services in the region.
Point of entry A passage for international entry or exit of travellers, baggage, cargo, containers, conveyance, goods and postal parcels as well as agencies and areas providing services to them on entry or exit. It includes international airports, ports and ground crossings under IHR (2005).
96(MYSED) II (2017–2021) National Strategic Work Plan
Public health risk Under IHR (2005), the public health risk is defined as a likelihood of an event that may affect adversely the health or human populations, with an emphasis on one which may spread internationally or may present a serious and direct danger.
Public health emergency An occurrence or imminent threat of an illness or health condition, caused by bioterrorism, epidemic or pandemic disease, or novel and highly fatal infectious agent(s) or biological toxin or agents, that poses a substantial risk of a significant number of human fatalities or incidents of permanent or long-term disability. For the purpose of this document, a public health emergency mainly refers to an emergency caused by emerging diseases and/or other acute public health events such as food safety events. If not managed quickly, it may go beyond national borders and cause a public health emergency of international concern like an influenza pandemic.
Risk assessment Risk assessment is a systematic process for gathering, assessing and documenting information to assign a level of risk for a potential public health event. This enables objective evidence-based decisions while giving consideration to the uncertainties and limitations of the information available at a particular point in time. It involves understanding the identity and character of a hazard and evaluating the risk of an adverse outcome in a population following exposure to that hazard. The process can also assess the risk associated with potential intervention measures. During an event, risk assessment is an ongoing process, not a one-time activity.
Zoonoses Any disease or infection that is naturally transmissible from vertebrate animals to humans or vice versa.
Incident Command System (ICS) A multi-discipline and potentially multi-jurisdictional command system in which the responsibilities and duties of those.
Incident Management System (IMS) Systems that provides a proactive approach guiding government agencies at all levels, the private sector, and non-governmental (WHO).
MIMOS is a research and development centre in information and communication technology in Kuala Lumpur, Malaysia.
WHONET Windows-based database software developed for the management and analysis of microbiology laboratory data with a special focus on the analysis of antimicrobial susceptibility test results.
97(MYSED) II (2017–2021) National Strategic Work Plan
1. WHO.AsiaPacificStrategyforEmergingDiseases(APSED).2005.http://www.wpro.who.int/
sites/csr/overview.htm
2. WHO.APSED(2010)TechnicalPapers.2010.
3. WHO.SecuringtheRegion’sHealth:AsiaPacificStrategyforEmergingDiseases2010.
4. InternationalHealthRegulations(2005).SecondEdition.2008http://www.who.int/ihr/en/
5. IHRCoreCapacityMonitoringquestionnaires.2009.http://www.who.int/ihr/en/
6. WHO. Asia Pacific Strategy for Strengthen Health Laboratory Services (2010–2015).
http://www.wpro.who.int/publications/PUB_9789290614296.htm
7. Humanhealth (CDC) –2016; Surveillance :Avian Influenza,Rabies,Brucellosis,Q fever,
Leptospirosis,Nipahencephalitis,Filariasis,JEandSalmonellosis.
8. Humanhealth(FSQD)–2016&2017;Surveillanceactivitiesonbrucellosisandmycobacterium
(bovine)havebeencarriedouttwiceayear.
9. Animalhealth(DVS);Surveillance:Rabies,Nipah,Brucellosis,AvianInfluenza,andSalmonellosis.
Diseasewhethereconomicorzoonoticofnationalimportancewillhaveanationalsurveillance
programmewhichwillbepreparedbytheEpidemiology&SurveillanceSection.
10. Diseases gazetted by notificationwithAnimalAct (Revised 2006) can be referred for the
zoonoticimportance.
11. Wildlife (PERHILITAN)2017;Research/projectbasedsurveillanceusing22panels forVirus
families(22viralfamilies/generaandincludedAdeno-,Alpha-,Arena-,Astro-,Boca-,Bunya,
Corona-, Entero-, Filo-, Flavi-, Hanta-, Henipa-, Herpes-, Influenza-, Nipah-, Orthopox-,
Paramyxo-,Parapox-,Retrovirus-lentivirusgenus,Rhabdo-,Seadorno-,andSimianFoamyvirus
families/genera.
ANNEX 2: REFERENCE DOCUMENTS
98(MYSED) II (2017–2021) National Strategic Work Plan
100(MYSED) II (2017–2021) National Strategic Work Plan