Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
June 2019
Acknowledgements
CFE-DM would like to thank the following organizations for their support in reviewing and providing feedback to this
document:
COL Dr. Saravanan Annamalai (Joint Medical Logistics Malaysia Armed Forces, Ministry of Defense)
Pauline Caspellanarce (International Federation of Red Cross and Red Crescent Societies)
Sapian Mamat (NADMA Malaysia)
Murni Mat Amin (NADMA Malaysia)
LTC Sukhdev S. Purewal (Chief, ODC Malaysia)
Country Overview Section Photo: “Kuching” by Peter Gronemann is licensed under CC BY-SA 2.0
https://www.flickr.com/photos/39463459@N08/3678639395/in/photolist-6B4Zka-5ZtX3Y-5ZtWuY-
Disaster Overview Section Photo: “Kampung Sabah on Pulau Salak” by Bernard Dupont is licensed under CC BY-SA 2.0
https://www.flickr.com/photos/berniedup/15826523316/in/photolist-q7x4ZE-odGK1o-nWhap6-
Organizational Structure Section Photo: “Malaysian National Palace Main Gate” by Ahmad Rithauddin is licensed under CC
BY-SA 2.0.
https://www.flickr.com/photos/extrumedia/6758948437/in/photolist-bignTK-eJHXkn-
Infrastructure Section Photo: “Masjid Bahagian Kuching, Old State Mosque, Kuching” by Chipmunk_1 is licensed under CC
BY-SA 2.0. https://www.flickr.com/photos/42919152@N04/5386566784/in/photolist-9cZyD7-a7Kwvu-8oQE55-
Health Section Photo: “Pacific Partnership 2017 Kicks Off Cooperative Health Engagement in Malaysia” by Mass
Communication Specialist 1st Class Micah Blechner. Photo Source: U.S. INDOPACOM website.
https://www.pacom.mil/Media/Photos/igphoto/2001736603/
Women, Peace, and Security Section Photo: “The Group” by Dennis Sylvester Hurd is licensed under CC BY-SA 2.0. https://
www.flickr.com/photos/dennissylvesterhurd/46320175314/in/photolist-2dza1mj-5kK5tG-
Conclusion Section Photo: “Batu Caves Kuala Lumpur” by Bernard Spragg is public domain.
https://www.flickr.com/photos/volvob12b/9297185389/in/photolist-fayviP-61ijZo-
Appendices Section Photo: “Twin Tower Kuala Lumpur” by Mohd Fazlin Mohd Effendy Ooi is licensed under CC BY-SA 2.0.
https://www.flickr.com/photos/phalinn/2970483461/in/photolist-5wuvf6-2fdbcAj-
Country Overview...........................................................................................................14
History......................................................................................................................................................... 14
Culture........................................................................................................................................................ 14
Demographics.......................................................................................................................................... 15
Ethnic Makeup.................................................................................................................................. 15
Key Population Centers................................................................................................................. 15
Language............................................................................................................................................ 16
Religion............................................................................................................................................... 16
Vulnerable Groups.......................................................................................................................... 16
Economics................................................................................................................................................. 17
Government.............................................................................................................................................. 17
Environment............................................................................................................................................. 18
Geography......................................................................................................................................... 18
Borders................................................................................................................................................ 18
Climate................................................................................................................................................ 18
Climate Change................................................................................................................................ 19
Disaster Overview..........................................................................................................22
Hazards....................................................................................................................................................... 22
Recent History of Natural Disasters.................................................................................................. 22
Country Risks............................................................................................................................................ 24
Country Risk Profile......................................................................................................................... 24
Infrastructure..................................................................................................................44
Airports....................................................................................................................................................... 44
Seaports..................................................................................................................................................... 44
Land Routes.............................................................................................................................................. 44
Roads.................................................................................................................................................... 44
Railways............................................................................................................................................... 45
Waterways.......................................................................................................................................... 46
Schools....................................................................................................................................................... 46
Disaster Risk Reduction in the Education Sector................................................................. 47
Communications..................................................................................................................................... 47
Utilities........................................................................................................................................................ 48
Health..............................................................................................................................50
Health Overview..................................................................................................................................... 50
Healthcare System Structure.............................................................................................................. 51
Challenges in the Healthcare System....................................................................................... 52
Health Cooperation................................................................................................................................ 52
Communicable Diseases...................................................................................................................... 54
Non-Communicable Diseases............................................................................................................ 55
Training for Health Professionals....................................................................................................... 56
Conclusion.......................................................................................................................60
Appendices.....................................................................................................................62
DoD DMHA Engagements in the Past Five Years (2013-2018)................................................ 62
International/Foreign Relations......................................................................................................... 63
Force Protection/Pre-Deployment Information.......................................................................... 63
Passport/Visa..................................................................................................................................... 64
Emergency Contact Information............................................................................................... 64
Currency Information..................................................................................................................... 64
Travel Health Information............................................................................................................. 64
Sendai Framework.................................................................................................................................. 66
HFA Country Progress Report............................................................................................................. 68
Country Profile......................................................................................................................................... 71
Acronyms and Abbreviations............................................................................................................. 86
References (Endnotes).......................................................................................................................... 88
List of Tables
Table 1: Political Leadership in Malaysia.............................................................................................. 19
Table 2: Implementation of Climate Resilient Strategies in Malaysia........................................ 20
Table 3: Focus Area A for Achieving Quality Healthcare................................................................ 51
Table 4: Malaysia World Health Organization
Country Cooperation Strategy 2016-2020.......................................................................................... 53
Table 5: CDC, Travel Health Information for Malaysia...................................................................... 65
List of Photos
Photo 1: Malaysian Handwoven Basket............................................................................................... 15
Photo 2: Gawai Harvest Cultural Festival, Malaysia.......................................................................... 16
Photo 3: CPR Training from MRC Training Institute Staff................................................................ 30
Photo 4: Malaysia Airlines......................................................................................................................... 44
Photo 5: Kuala Lumpur Highway............................................................................................................ 45
Photo 6: Maliau Falls.................................................................................................................................... 46
Photo 7: Students Received School Supplies at Back to School 2018 Program.................... 47
Sincerely,
Mission
CFE-DM increases the readiness of U.S. forces, civilian and military counterparts, and
international partners to respond globally to foreign humanitarian assistance and disaster relief
operations through Civil-Military coordination, training, information sharing, and regional
planning.
Vision
CFE-DM exists to save lives and alleviate human suffering by connecting people, improving
coordination, and building capacity.
Contact Information
Center for Excellence in Disaster Management
and Humanitarian Assistance
456 Hornet Ave
JBPHH HI 96860-3503
Telephone: (808) 472-0518
https://www.cfe-dmha.org
Executive Summary
Malaysia faces potential threats to population
health and development due to climate change.
For example, communities living in coastal
regions are at risk of flooding due to sea-level
Malaysia is located in Southeast Asia rise. Increased temperatures and changes in
bordering Thailand, Brunei, and Indonesia and precipitation patterns may cause an increase in
consists of 13 states and 3 federal territories. malaria, cholera and dengue, and heat-stress.
Geographically, it is in a stable region, outside the In addition, many climate hazards and extreme
Ring of Fire and south of major typhoon paths.1 weather events, such as heat waves, heavy rainfall
However, Malaysia is often affected by other and droughts, and inland flooding, could become
natural disasters such as floods, landslides, haze, more frequent and more intense due to climate
earthquake and other man-made disasters, as change. Flooding due to climate change could
well as some rare cases of droughts and tsunami. cause more drowning deaths and cause indirect
Annually, floods account for the most frequent effects. These impacts can affect food production,
and significant damage and are responsible water provision, ecosystem disruption, infectious
for a significant number of human lives lost, disease outbreak and vector-borne diseases.12
disease epidemics, property and crop damage, Malaysia has an INFORM 2019 Natural
and other losses.2 Malaysia has experienced 51 Hazard and Exposure risk of 3.4/10.13
natural disaster events in the last two decades Additionally, Malaysia had the highest
(1998-August 2018). In that time period, 281 percentage of the population exposed to floods
people died, over 3 million people were affected, among ASEAN member states between July 2012
and disasters caused nearly US$2 billion (MYR8 and January 2019.14
billion) in damages.3 The country has recently established a
Malaysia has a population of over 31.8 new disaster management structure. In 2015,
million people contributing to rich traditions the National Disaster Management Agency
encompassing the varied cultures making up (NADMA), in the Office of the Prime Minister,
the country. The demographic context includes became the lead disaster management agency for
ethnicity, population, language, religion, regional and international disaster management
and vulnerable groups.4 Malaysia also has a efforts. The disaster management organization
diversified economy, upper middle-income structure continues under three levels: federal,
economic status and is expected to achieve state, and district.15
a high-income economy by 2024.5 Malaysia, Malaysia has an early warning system for
a founding member of ASEAN, participates earthquake, flood, and tsunami including Short
in several ASEAN programs and initiatives Message Service (SMS) capabilities, and other
including ASEAN ERAT, 6 ASEAN Safe Schools technologies to alert communities of impending
Initiative ,7 and to ASEAN’s Disaster Emergency disaster risks.16 Malaysia has achieved women’s
Logistics System (DELSA), a repository of relief improved health status, greater educational
goods and supplies housed in Malaysia for attainment, and increased participation in higher
countries affected by disaster in the region.8 paying occupations.17 Additionally, Malaysia
Malaysia has several vulnerable groups, recently established the parliamentary select
including children, the poor, and displaced committee on gender and equality rights, holding
persons.9 The country also faces potential its first meeting in spring 2019 with intentions to
threats to population health and development improve the WPS agenda.18
due to climate change. These impacts can affect With the ratification of the Sendai Framework
food production, water provision, ecosystem for Disaster Risk Reduction (2012-2030),
disruption, outbreaks of infectious diseases and Malaysia continues to place green emphasis to
vector-borne diseases. Therefore, Malaysia has
10 reduce disaster risks in the Mid-Term Review
incorporated several strategies and implemented of the Eleventh Malaysia Plan (2016-2020).
a framework to mitigate these threats with Therefore, disaster risk management, including
planned economic and civil progress set out in risk reduction efforts, will be intensified by
the Eleventh Malaysia Plan 2016-2020. The plan enhancing the integration of DRR initiatives,
also identifies disaster management resilience strengthening disaster preparedness and
against climate change and natural disaster increasing capacity in disaster response. 19
strategies.11
Country Overview
occupied the country and resistance, mainly
from the Chinese, was led by MCP guerrillas.
After the war, British rule was reintroduced,
but the MCP were resistant. The United Malays’
History National Organisation (UMNO, the principal
Malay party) was formed in 1946 and Malay
Malaysia has been occupied by several nationalists campaigned for independence. In
different rulers in its history. The region was first 1948, the Federation of Malaya, comprised of 11
inhabited by aboriginal people, or Orang Asli, peninsular states, was established in 1948. The
with 18 official Orang Asli tribes recognized UK suppressed a communist-led insurrection;
today. In the 2nd century BCE, settlers arrived however, guerrilla warfare continued in the north
from south China. Indian traders began settling of the Malay peninsula and Borneo. Malaysia’s
in Kedah and along the west coast of the first election was held in 1955. The Alliance
peninsula near the beginning of the 1st century Party (Parti Perikatan), a coalition of three
CE. During this time period, Hinduism and communal based parties, UMNO representing
Buddhism were introduced, Buddhist states the Malays; MCA representing the Chinese, and
developed in the east, and the Indian kingdom of MIC representing the Indian community, won
Kunan was founded. the parliamentary seats and became a dominant
From 1330–50 the Javanese people (both political force.
Malaysian and Indonesian) controlled the Early in 1956, the governments of the
peninsula. In the 15th century, its rulers converted Federation of Malaya, the UK, and the Heads
to Islam and traded with Muslim merchants, of the Malay States agreed that the Federation
and Islam replaced Buddhism across present- should achieve independence. In August 1957,
day Malaysia. The Portuguese took control of the Federation of Malaya became an independent
Malacca (part of present day Malaysia) in 1511. nation and joined the Commonwealth. Penang
Approximately a century later, the Portuguese and Malacca became states of the Federation.
were driven out by the Dutch in alliance with The Malaysia Agreement, under which North
the Sultan of Johor, during which time the Malay Borneo, Sarawak and Singapore (but not Brunei)
kingdom was ruled by Johor. would become states in the new Federation of
In 1786, the Sultan of Kedah granted the Malaysia, was signed in 1963. The Federation of
island of Penang to the British East India Malaysia came into being in 1963 and Singapore
Company for use as a trading post. Less than a left the Federation and became an independent
decade later, the British took Malacca from the state in 1965, by mutual agreement.20
Dutch. The British introduced rubber farming
towards the end of the 19th century. During
this time, immigrants from southern China and
Culture
southern India came to work in tin mines and Malaysia has great cultural diversity with
on the plantations, facilitating the peninsula’s its varied ethnic makeup of Malays, Chinese,
transition from a trading outpost to a commodity Indians, and indigenous tribes, as well as
producer. Between 1873 and 1930, the British significant influences by Persian, British,
colonial administrators took control of the and Arabic cultures. The different ethnic
foreign affairs of the nine Malay Sultanates on communities in the country have their unique
the peninsula with a series of treaties. In 1896 rituals and customs. Malay weddings are
the Federated Malay States (Selangor, Negeri associated with large banquets and involve eating
Sembilan, Perak and Pahang) were established. rice prepared in oil, while Indian weddings
In 1915, Indian sepoys rebelled against are elaborate affairs that continue over several
colonial rule and came close to taking control days. Marriage customs in Malaysia also vary.
of Singapore. In 1931, the Malayan Communist All religious communities have no restrictions
Party (MCP), or Parti Komunis Malaya (PKM) on marriage with the exception of Muslims.
was established. It drew most of its support Malaysian Muslims who marry non-Muslims
from the Chinese community and had links risk government sanctions; however, if their non-
with developing communism. Anti-colonial Muslim partner converts to Islam, there is no risk
nationalism began among the Malay community of government sanctions.21
soon after, with the formation of the Union of Malaysia’s multi-ethnic makeup also
Young Malays. From 1941 to 1945 the Japanese influences the country’s cuisine. The cuisine
Photo 1: Malaysian Handwoven Basket Photo 2: Gawai Harvest Cultural Festival, Malaysia
0
in the agriculture sector through increased by RM1,200 per month employment opportunities
the concept of agropolitan and
contract farming
Improving productivity in rural 38,663 participants had additional Raising household Income through Information and
agriculture and agro-based income at least RM300 communications technology (ICT)
industries
Programme Achievements
Increasing land productivity and • Rubber at 1,276.45 kg/ha (2012) eRezeki micro-sourcing to 39,518 participants with total
yield through land amalgamation • Palm oil at 15.54 mVha (2012) generate income revenue of RM6.87 million
..
GOVERNANCE AND POLICY
..
Country has ident1f1ed a national focal point for climate change in the Ministry of Health
..
Country has a national health adaptation strategy approved by relevant government body
..
The National Communication submitted to UNFCCC includes health implications of climate change mitigation policies
..
Country 1s currently 1mplement1ng projects or programmes on health adaptation to climate change
..
Country has implemented actions to build 1nstitut1onal and technical capac1t1es to work on climate change and health
Country has conducted a national assessment of climate change impacts, vulnerability and adaptation for health
..
II
Country has climate information included 1n Integrated Disease Surveillance and Response (IDSR) system, including
development of early warning and response systems for climate-sensitive health risks
Estimated costs to implement health resilience to climate change included 1n planned allocations from domestic funds
1n the last financial biennium
II
Estimated costs to implement health resilience to climate change included in planned allocations from international
funds in the last financial biennium
Country has conducted valuation of co-benefits of health implications of climate m1t1gat1on policies
Disaster Overview
drought events gained particular attention
because they affected the entire country. There
are other smaller scale drought episodes that
occur in smaller regions of the country.70 The
Malaysia has experienced 51 natural disaster drought in March 2014 affected over 2 million
events in the last two decades (1998-August people.71
2018). In that time period 281 people died, over 3
million people were affected, and disasters caused Forest Fire
nearly US$2 billion (MYR8 billion) in damages. In Malaysia, there has been many bush and
Malaysia is susceptible to hazards including forest fire incidents due to the hot and dry spells,
flooding, landslides, drought, and forest fire.65 and especially during drought periods. During
the 2014 drought, more than 7,000 cases of bush
Hazards and forest fire incidences were reported between
early February 2014 to mid-March 2014 with an
Flooding average of about 300 calls daily. 72
Some of the worst floods in the past 30 years
have occurred since 2003. Those that were Earthquakes
particularly bad for Malaysia were in 2006, West Malaysia experiences some mild tremors
2007, 2010, 2014, and 2017.66 The majority from earthquakes in neighboring countries
of the natural disasters occurring in the last across the Straits of Malacca, while inland
twenty years (from 1998-August 2018) were earthquake sources can be found in Sabah
floods (38 of the 51). Malaysia had the highest and Sarawak in East Malaysia. The 2015 Sabah
percentage (67%) of the population exposed to earthquake struck Ranau, Sabah, Malaysia with
floods among ASEAN Member States (between a moment magnitude of 6.0 Richter on 5 June
July 2012 and January 2019) as reported by 2015 which lasted for 30 seconds. The earthquake
ASEAN Coordinating Centre for Humanitarian was the strongest to affect Malaysia since the
Assistance on disaster management in March 1976 Sabah earthquake, and it took the lives of 18
2019.67 In 2017, flash floods and landslides climbers of Mount Kinabalu.
affected more than 6,000 people and left several
roads and infrastructure in Kundang badly Tsunamis
damaged.68 Malaysia was affected by the 2004 Indian
Ocean earthquake and tsunami on 26 December
Landslides 2004. Due to its far proximity from the epicenter
Landslides in Malaysia frequently occur. From of the earthquake, Malaysia escaped major
1993-2011, approximately 28 major landslides damages that struck countries hundreds of
were reported in the country with a total loss of miles further away. The tsunami to Malaysia had
more than 100 lives. The main factors that cause caused the death 67 beach-goers and destroyed
landslides or slope failure in Malaysia are rainfall, fishing villages and some properties along coastal
storm water activities, poor slope management, areas of northwestern of Peninsular Malaysia.
and improper site management during earth Sinkholes which were reported in Kampar
moving phases of construction. Additionally, and Ipoh after the event could be earthquake
highways affected by major landslides, even related.73
if non-fatal, can result in serious disruptions
to the transportation network and adversely
affect the public. As the population density of
Recent History of Natural Disasters
cities increases, the development of highland or Malaysia has experienced several disasters in
hilly terrain also increased. This exposes urban the last five years, including flooding, drought,
communities to an elevated risk of landslide earthquake, and landslide.
occurrence.69
Floods-February 2018
Drought From 3-6 February 2018, heavy rain caused
While flooding is the most predominant flooding in parts of eastern areas of Malaysia
disaster, Malaysia has suffered ongoing years of (Sarawak State). Schools, hospitals, and as many
drought events. The three most damaging and as 4,859 people were evacuated from their homes
recent are that of 1992, 1998, and 2014. These and 25 evacuation centers were opened. Sarawak
conditions, farmers or
Access to health care 3.7
Health Conditions 0.9
Communication 1.8
Recent Shocks 0.1
Food Security 1.7
Governance 4.3
Inequality 4.6
Organizational
• Managing Disaster Relief Trust Funds
• Deployment of SMART Team
DIRECTOR GENERAL
development of the event and make decisions on the Royal Malaysian Police (RMP), the Malaysian
disaster mitigation strategies, search and rescue Armed Forces (MAF), and the Fire and Rescue
operation, and emergency relief operations are Department of Malaysia. The SMART team’s
decided. This group handles Level 3 disasters headquarters is in Pulau Meranti, Puchong,
which include complex events covering a wide Selangor state. they are International Search and
area of two or more states. The Central Disaster Rescue Advisory Group (INSARAG) certified
Management Committee sets up Disaster signifying their compliance with UN standards
Management policy and strategy, mobilizes and the operational capability for technical
assets, financial assistance and human resources. search and rescue operation that are difficult and
The State Disaster Management and Relief complex.110
Committee (SDMRC) manages state level The SMART team is an operational arm of the
disasters at the State Disaster Operation Malaysian Government responding to regional
Control Centre (SDOCC). The State Disaster as well as international level disasters. The
Management Committee is chaired by the State SMART team has assisted with search and rescue
Secretary and handles Level 2 incidents without missions for tsunami victims in Aceh (2004),
potential to spread beyond two or more districts earthquake victims in Muzafarabad, Pakistan
but with potential to cause significant damage (2005), at the Leyte landslide (2006), and with
to life and property. The state level Disaster the Mount Kinabalu efforts following the Sabah
Management team coordinates assistance at the earthquake (2015).111
state levels to the affected districts especially in
regard to assets, financial assistance and human Malaysia Civil Defence Force (MCDF)
resources for disaster management. Malaysia Civil Defence Force was established
The District Disaster Management and on 24 March 1952 or popularly known as
Relief Committee (DDMRC) functions out of APM or MCDF (formerly JPAM and JPA3)
the District Disaster Operation Control Center for carrying out the civil defence activities in
(DDOCC) and handles district and village Malaysia. MCDF has two major roles during
level disasters.104 The village level disasters are disasters which is to become Secretariat for
managed by the DDMRC with inputs from the Disaster Management and Relief Committee
village committee as they do not have official (DMRC) at state and district levels and to
disaster management at the village level.105 carrying out their work as responders.
The District Disaster Management Committee
is chaired by the District Officer to ensure Secretariat for Disaster Management and Relief
coordinated actions, sufficient assets, human Committee (DMRC)
resources, and manage the media. The District On 27 August 2015, the National Disaster
office is the key implementing agency in Level 1 Management Committee Meeting chaired by
disasters, controlled and containable incidents on the Deputy Prime Minister has proposed to
the ground to ensure responses are coordinated, appoint Malaysia Civil Defence Force (MCDF)
assets and human resources are sufficient as the Secretary of the Disaster Management
and communication is established with the Committee (DMRC) at the state, district and
media.106Additionally Level 1 disasters are not community level to replace the role of the
complex and would only cause minimal damage National Security Council. Subsequently, the
to life and property. The District Level Authority Cabinet Committee Meeting chaired by the
has the capacity to control Level 1 incidents Prime Minister on 8th September 2015, has
without or with limited outside assistance.107 decided that MCDF was officially appointed
as the Secretary of Disaster Management
SMART Malaysia Committee at the state, district and community
The Special Malaysia Disaster Assistance and levels. This decision later had been agreed
Rescue Team (SMART) was established in 1995 to in the 1st Excutive Meeting on Disaster
as a result of the Highland Towers tragedy.108 A Management and Relief in 2015 on 5th
mudslide brought on by heavy rains triggered November 2015 chaired by the Deputy Prime
the Highland Towers condominium collapse in Minister (Chairman of the National Disaster
Selangor, Malaysia killing 48 people in December Management Committee). MCDF roles as
1993.109 Following the disaster, Malaysia secretary for the state and district follows
approved the establishment of the SMART accordingly to the guidelines set out in the
disaster rescue team, including members from National Security Council Directive No. 20.
Global Health, among other UN organizations management for over 60 years. MRCS has
which run regional Malaysia based projects in provided assistance to communities to prepare
collaboration with the Malaysian Government. for, respond to, and recover from disasters.
Additionally, MRCS provides mass meal cooking
for disaster victims, and supports basic livelihood
International Federation of Red Cross and Red reconstruction at the national, state, and district
Crescent Societies levels. The MRCS depends on public donations
The International Federation of Red Cross and to finance various services including care for
Red Crescent Societies (IFRC) is an independent disaster victims, 24-hour emergency ambulance
humanitarian organization that provides service, primary health care in rural areas and
assistance and promotes humanitarian activities first aid training.
by its National Societies worldwide, with a focus A primary mission of MRCS is to produce
on preventing and alleviating human suffering. It trained volunteers among members of the
was founded in 1919 and includes 190 Red Cross public from various sectors, students, families,
and Red Crescent national societies. The IFRC and others to assist vulnerable people during
carries out relief operations to assist victims of emergencies. The MRCS Training Institute was
disasters and combines this with development established in April 2005 to develop, implement,
work to strengthen the capacities of its member monitor and evaluate training activities and
National Societies.117 courses to help victims during emergencies and
use skills and knowledge to increase the survival
The Malaysian Red Crescent Society (MRCS) rate of victims. Participants can receive a First
The Malaysian Red Cross (MRC) was Aid Certification valid for three years.118 Photo 3
established as a branch of the British Red Cross shows an MRCS Training course.
Society in April 1948 and in 1957, state branches The MRCS began providing Emergency
of the MRC were organized as the Federation Ambulance Services in May 1969 and as
of Malay Red Cross Society. MRC was accepted well as management of the “999” emergency
as an affiliate member of the International assistance hotline from the Kuala Lumpur
Federation of Red Cross and IFRC on 24 August General Hospital. Currently, MRCS provides
1963. In 1975 the Malaysian Parliament changed free, 24 hour ambulance service for public
the name of MRC to the Malaysian Red Crescent emergencies, accidents and injuries. The
Society (MRCS) and passed the Malaysian Red MRCS National Headquarters has a fleet of 12
Crescent Society (Change of Name) Act 1975. ambulances and, since 2010, has assisted more
The MRCS has played a part in disaster than 35,000 people requiring medical aid during
housed in the facility were compiled based on • Air disaster involving places with building
recommendations from previous AHA Centre and people.
emergency responses and prioritized by items • Train collision or derailment.
suited to the first phase of emergency responses, • Fire involving a big area or fire in a high
addressing the needs of the communities as well rise building or special structure where
as providing support to the affected NDMOs. there are many people.
Additionally, the AHA Centre identified different • Collapse of hydro dam or water reservoir.
relief items for various types of emergencies and • Nuclear accident and radiology.
hazard events, highlighting the most common • Emanation of toxic gasses at public places.
needs for particular types of disasters. DELSA • Haze that causes environmental
resources can also be resourced and mobilized emergency and threatens public health
prior to a response phase. However, DELSA and order.
response and allocations must follow the ASEAN
Agreement on Disaster Management and Malaysia’s disaster management guidelines
Emergency Response (AADMER) and Standard are: ASEAN Agreement on Disaster Management
Operating Procedure for Regional Standby and Emergency Response (AADMER), ASEAN
Arrangements and Coordination of Joint Disaster Standard Operating Procedures for Regional
Relief and Emergency Response Operations Standby Arrangements and Coordination of
(SASOP) procedures to coordinate deployment Joint Disaster Relief and Emergency Response
to disaster affected Member States and must go Operations (ASEAN-SASOP Chapter VI); Oslo
through the proper channels of delivery.128 Guidelines for the Use of Foreign Military and
Civil Defence Assets (MCDA) in Disaster Relief;
Laws, Policies, and Plans on Disaster Use of Armed Escort for Humanitarian Convoys.
Malaysia has instituted several preventive
Management measures and mitigation laws, policies and
plans to minimize the impact of disasters on life,
Malaysia’s national guidelines on disaster properties and the environment. The following
management is based on Directive No. 20: laws are enforced for preventive measures:130
National Policy and Mechanism on Disaster • The Land Conservation Act 1960
Management Relief, which acts as a framework • Environmental Quality Act 1974
for disaster relief management for the country. • Local Government Act 1976
This directive was issue in 1997 by the National • Road, Drainage and Building Act 1974
Security Council (NSC) of the Prime Minister’s • Occupational Safety and Health Act 1994
Department. It is made up of 29 titles and 13 • Uniform Building Bylaws 1984
appendixes. The objective of Directive No. The following are Malaysia’s Disaster Risk
20 is to provide a policy guideline on disaster Management Laws, Decrees, and Regulations at
management and rescue in accordance with the the National Level:
level of the disaster. It also provides a mechanism • 1951 Civil Defence Act (Revised 1979)
for managing roles and responsibilities of • 1964 Emergency (Essential Powers) Act
agencies that are involved in combating disaster. • 1979 Emergency (Essential Powers) Act
Events of disaster that fall under this directive • 1997 Policy and Mechanism of National
include:129 Disaster Management and Relief NSC
• Natural disaster, such as flood, storm, Directive
drought, coastal erosion, landslide or • 1998 Prevention and Control of Infectious
disaster arising from storm and heavy rain. Diseases Act
• Industrial disaster, such explosion, fire, • 1998 Fire Services Act 341
pollution and leaking of hazardous • 2016 Civil Defence (Amendment)
materials from factories, plants and • 2016 National Security Council Act131
industrial centre that process produce and
store such materials. Additional Government guidance and
• Accident involving transportation, directives that expand the disaster management
drainage, or transfer of dangerous plans of Malaysia include:
materials.
• Collapse of high rise buildings and special
structures.
Armed Forces Role in Disaster Response There are many resources, stakeholders,
and components to consider with IS before,
Malaysian Armed Forces during, and after a natural disaster. This section
The Malaysian Armed Forces also known will discuss government, country specific,
as Angkatan Tentera Malaysia (ATM) are humanitarian, and regional sources.
responsible for the internal and external
protection of the country. ATM is comprised of Country-specific information sources
three branches of services including:
• The Malaysian Army – responsible for Malaysia National Disaster Management
safeguarding the nation against land based Agency
threats Phone: +603-8870-4800
• The Royal Malaysian Navy (RMN) – Fax: +603-8870-4848
responsible for protecting Malaysia’s Email: admin@nadma.gov.my
coastlines, territorial waters and economic Website: www.nadma.gov.my
zones from potential trespass or illegal
activity Malaysian Meteorological Department (MET
• The Royal Malaysian Air Force (RMAF) – Malaysia)
responsible for protecting aerospace power Ministry of Energy, Science, Technology,
to secure Malaysia’s airspace and protect Environment & Climate Change
its national interests. Jalan Sultan 46667, Petaling Jaya, Selangor
The ATM provides a variety of functions in Phone: +603 7967 8000/8200
assisting civil authorities with regard to domestic Fax: +603-79550964
threats, maintaining public security, providing Hotline: +1-300-22-1638
aid following natural disasters and assisting in http://www.met.gov.my/
national development programs.147 English version: http://www.met.gov.
my/?lang=en
Information Sharing Portal Bencana, a monitoring site hosted
by the National Disaster Management
Understanding how to overcome the Agency (NADMA). Provides current disaster
information challenges that civilian and military information for the region including Flood,
agencies experience during a typical disaster Haze, Storm, Landslide and other specific
response mission is important. Knowing what information relevant to major Malaysia cities.
the available HADR resources are will assist http://portalbencana.nadma.gov.my/Portal/
Joint Task Force leaders and staff during mission
planning.148 The sharing of information is critical Pacific Tsunami Warning Centre (PTWC)
because no single responding entity (whether http://ptwc.weather.gov/
NGO, international organization, assisting state,
host Government) can be the source of all the Humanitarian Information Sources
required information.149
Collaboration, information sharing (IS) and UNOCHA mail list (request to be added)
networking have been the backbone of successful
disaster response and preparation. Disseminating ReliefWeb is a service of UNOCHA that
information not only to those in country consolidates information and analysis from
and threatened by disaster but also to those organizations, countries and disasters for the
responding to assist in the emergency has been humanitarian community.
crucial to timely, efficient and effective disaster Website: https://reliefweb.int/
response. Recent technology has advanced to aid
predicting and alerting of disasters around the PreventionWeb is provided by UNISDR to
world, which has resulted in early warning and consolidate disaster risk reduction information
evacuation measures and well as opportunities into an online, easy to understand platform.
to react and prepare for incoming threats to Website: http://www.preventionweb.net/english/
countries. The following are some of the ways
in which information regarding disaster risk
management and response are shared.
from the public regarding hazards and disasters Updates and Situation Updates. Whereas in
in the area. Once a report has been submitted, non-emergency times, the AHA Centre publishes
AHA will vet the information for relevance and a weekly disaster update called Diasfore, and a
accuracy and then add the new information monthly newsletter: The Column. All of these
to the platform. Individuals and agencies can publications are available on www.ahacentre.
sign up to receive real time alerts to their email org as well as the AHA Centre’s social media
address on various categories such as tsunami, accounts.
volcano, earthquake, floods, oil spills, landslides, AHA has hosted an official Twitter account @
etc. The ADINET has been recording disaster AHACentre since July 2011. They currently have
information in the region since the AHA Centre 2,606 followers and have shared over 4500 tweets.
was operational in 2012.151 https://twitter.com/AHACentre
Website: http://adinet.ahacentre.org AHA also has a Facebook page with over
14,000 followers. https://www.facebook.com/
The ASEAN Science-Based Disaster ahacentre. They use these forums to provide
Management Platform is a one-stop interactive disaster management information and provide
research portal which houses thousands of updates and tools to an international audience.
resources on disasters including documents and The Weekly Disaster Update is also shared on
publications, reports and research, legislation on these sites along with photos and videos of
disaster risk reduction and disaster management disaster management trainings and exercises.
as well as a discussion forum where individuals Subscribe at https://ahacentre.org/subscribe-
can pose questions, participate in surveys and to-flash-update/, or email info@ahacentre.org
create conversation about issues surrounding
disaster management and mitigation.152 U.S. Government (USG) Sources
Website: http://asdmp.ahacentre.org
Office of U.S. Foreign Disaster Assistance
The Annual ASEAN Monitor Report (OFDA)
(ARMOR) aims to promote collaboration The U.S. Office of U.S. Foreign Disaster
and information sharing among the disaster Assistance is responsible for leading and
management community by consolidating coordinating the U.S. Government response
disaster risk monitoring knowledge and to disasters overseas. OFDA responds to an
contribute to the ASEAN Agreement on average of 65 disasters in more than 50 countries
Disaster Management and Emergency Response every year. OFDA fulfils its mandate of saving
(AADMER) Priority Programmes 1, 5, 6 and 7 lives, alleviating human suffering and the
with the following objectives:153 reduction of the social and economic impact to
• Sharing latest Disaster and Climate Risk disasters worldwide in partnership with USAID
Monitoring research initiatives, and functional and regional bureaus and other U.S.
collaborations; government agencies. The DOD supports OFDA
• Sharing of lessons learnt from past in approximately 10% of foreign disasters the U.S.
deployments, latest operational initiatives, responds to. OFDA assists countries to prepare
training activities and best practices; for, respond to, and recover from humanitarian
• Bridging the gap between research and crises.154
operations through translational and Products from OFDA and its parent
application research initiatives for the organization USAID include sitreps and maps,
benefit of ASEAN communities; and which are available via email mailing lists.
• Building awareness and increasing For OFDA updates on a disaster response,
potential collaborative efforts between ask the OFDA representative for the respective
ASEAN Member States and interested COCOM to add you to the email list:
stakeholders. • OFDAindopacom@ofda.gov
• OFDAsouthcom@ofda.gov
In addition to hosting the aforementioned • OFDAafricom@ofda.gov
forums and platforms, the AHA Centre also • OFDAnorthcom@ofda.gov
disseminates information on a regular basis to • OFDAcentcom@ofda.gov
the public to raise awareness on disaster risk • OFDAeucom@ofda.gov
reduction and preparedness. During emergency • OFDAsocom@ofda.gov
times, the AHA Centre releases immediate Flash
provide a DoD platform for building DMHA CFE-DM also works to improve cross-
awareness and expertise in U.S. forces and with coordination, reduce duplication of efforts,
partner nations in the Asia-Pacific. CFE-DM and promote U.S. involvement in civ-mil
provides training and education to help U.S. and consultations and dialogues with relevant HADR
foreign military personnel navigate complex parties such as the AHA Centre, UNOCHA, and
issues in DMHA. the RHCC and IFRC.
There are several informational products CFE-DM provides DMHA resources and
available for download from CFE-DM. They updates at its website, as well as via Facebook and
produce Disaster Information Reports (CDIRs), Twitter accounts.158
Humanitarian Information Reports (CHIP), Best
Practices Pamphlets, Case Studies, Fact Website: https://www.cfe-dmha.org/
Sheets, Reports, Disaster Management Reference
Handbooks, among others. CFE-DM's Disaster CFE-DM Disaster Management Reference
Management (DM) Reference Handbooks Handbooks are available for 23 countries.
provide a baseline of information regarding Figure 7 shows a selection of titles. They are also
countries most prone to disasters. The handbooks available at: https://www.cfe-dmha.org/DMHA-
offer readers an operational understanding of Resources/Disaster-Management-Reference-
a nation's disaster management capability and Handbooks.
vulnerability, with detailed information on
demographics, hazards, infrastructure, DM laws CFE-DM Disaster Information Reports:
and plans, regional and international assistance, https://www.cfe-dmha.org/Publications/Reports
and other areas vital to a comprehensive disaster
management knowledge base.
Infrastructure
39 of them have paved runways.160 Photo 4 shows
a Malaysia Airlines aircraft.
Seaports
Airports
An estimated 95% of Malaysia’s international
Kuala Lumpur International Airport (KLIA) is trade is transported via international seaports.
Malaysia’s busiest airport transporting over 58.6 The largest and busiest seaport in Malaysia is the
million passengers annually. It is located in the Port Klang. It is also the 12th largest container
Sepang District, Selangor just south of the Kuala port in the world. Additional major federal
Lumpur capital. KLIA serves as the main hub for ports in Malaysia include Penang Port, Bintulu
AirAsia, flyGlobal, UPS Airlines, and AsiaCargo Port, Kuantan Port, Kemaman Port, Johore Port,
Express. It has the longest runway in Malaysia and the Tanjung Pelepas Port. There are also
and is the only airport capable of accommodating approximately 80 minor ports or jetties regulated
an A380 airbus and Antonov AN-225. by the Marine Department.161 Figure 8 depicts
The second busiest airport in Malaysia is the the major ports in Malaysia.
Kota Kinabalu International Airport serving the
greater Kota Kinabalu region. Providing travel
for 8 million passengers annually, the airport has
Land Routes
connections to most parts of the Asia-Pacific and
can accommodate a Boeing 747 aircraft. Roads
Other airports in Malaysia include the Penang Malaysia’s road network covers 144,403 km
International Airport, servicing approximately of which 116,169 km are paved and 1,821 km
7.2 million passengers and making it the third are expressways. The Malaysian Peninsula’s
busiest airport in Malaysia; followed by the road network is made up of high speed express
Kuching International Airport (KIA) located in highways and various hard surfaced secondary
Sarawak and serving the southwestern region roads. There are fewer paved roads in Sarawak
of the country. KIA is the fourth busiest capable and Sabah.162
of handling 5.1 million passengers, followed The longest highway in the country is the
by Senai International Airport, in the states of North-South Expressway and extends between
Johor and serving southern Peninsular Malaysia the Thai and Singapore borders.
providing service to 3.1 million passengers a The Malaysian Federal Roads System is
year.159 There are 114 total airports in Malaysia; the main national road network in Malaysia
Port Klang
Kuala Lumpur
NEGERI
Railways
SEMBILAN Rail transportation in Malaysia consists of
MALACCA
airport rail link and funicular railway lines,
Kuala Linggi JOHOR monorail, light rapid transit (LRT), and heavy
International Melaka
Port Gateway
rail (including commuter rail). The rail network
Port
Port of Johor
Port
covers the majority of Peninsular Malaysia
Proposed Tanjung
new port Pelepas and connects to the Thai railway network in
on Pulau Carey
SINGAPORE the north. There are two main rail lines: The
Sources: Website of Kuantan Port, MMC Corporation Berhad, UOB-Kay Hian Research
KTM West Coast Line which runs along the
Figure 8: Major Ports in Malaysia 2017 STRAITS TIMES GRAPHICS West Coast of Malaysia between Singapore and
Waterways
Malaysia has an intricate system of rivers and
streams flowing year around due to constant
rains. The total length of navigable rivers, canals
and other inland bodies of water is 7,200 km.165
Prolonged rains, however, often cause flooding
affecting the majority of the population who have
historically settled along the rivers. The longest
river in Malaysia is the Rajang River which runs
350 miles and is located on the island of Borneo
in East Malaysia. The Rajang is navigable up
to 80 miles by oceangoing large vessels and
an additional 100 miles from Sibu on smaller
vessels.
The Pahang River is the longest river in
Peninsular Malaysia at 275 miles long and
formed at the joining of the Jelai and Tembeling
rivers. It empties into the South China Sea and is
the primary form of transportation for the region
Figure 9: Map of Malaysia Railway Network
of Pahang.
The Klang River flows through Selangor and
the Federated District of Kuala Lumpur and ends Schools
in the Straits of Malacca. The Klang provides
more human and development use than any The Malaysian education system encompasses
other river in Malaysia. learning beginning with preschool and
The Maliau River is renowned for its continuing through university. The Government
biodiversity as it supports more than 80 species provides free education for children between
of orchids as well as populations of orangutans the ages of 6 and 18, although only primary
and endangered Sumatran rhinoceroses.166 It is education ending at age 12 is compulsory. The
also home to a quarter of the country’s waterfalls primary language of instruction is Bahasa
including the Maliau Falls pictured in Photo 6. Malaysian although Chinese and Tamil are also
used in primary education. English is taught as a
second language and in 2003, legislation required
that all math and science courses would be
taught in English. Islamic studies are required in
Malaysian schools and in 2004 the government
announced a requirement to study the Koran
in Arabic. At the completion of secondary
education, students must take the public
common exam, Sijil Pelajaran Malaysia (SPM).167
Students interested in pursuing higher
education after the secondary level must be
able to fund their education as well as have
the required academic grades to qualify for
university.168 Malaysia is home to dozens of
tertiary institutions including universities,
teacher training programs, and other public and
private institutions where students can specialize
Photo 6: Maliau Falls in an assortment of trades.169
Utilities
Power
Malaysia has an abundant electricity
supply created by different sources. The
most common fuel source in Malaysia is
gas, and this contributes to over half of the
national energy demand. Malaysia’s energy
supply can produce enough power to meet
the demands of the growing population.
Tenaga Nasional Berhad, a private
company, provides electricity in Peninsular
Malaysia, and Sabah Electricity provides the
electricity in East Malaysia.
Oil production in Malaysia is dominated
by the state-owned Petronas, one of the
largest companies in Malaysia. They lead
the way in the industry through working
partnerships with other international
players, particularly in the exploration
sector. British Petroleum and Shell also
operate in the country. The Malaysian Oil
and Gas Services Council is the leading
trade association in the sector.181
Health
major strategic thrust of the Eleventh Plan is
aligned with Sustainable Development Goal
(SDG) 3, “good health and wellbeing.” Thus, a
good overview of the current state of Malaysia’s
Health Overview health system and efforts is provided by the most
recent SDG Index and Dashboards Report, with
Malaysia has a health system and health Figure 11 showing indicators for Malaysia.185
status on par with its rank as an upper middle- Following a voluntary national review in 2017
income country (defined as having a GNI per of Malaysia’s progress in achieving SDGs, main
capita between $3,956 and $12,235).183 Malaysia messages regarding progress on health included:
is a medical tourism destination, with Malaysia • Child and maternal mortality rates were
Healthcare Travel Council data showing the almost at the level of developed countries;
number of medical travelers to Malaysia has • Endemic small pox and polio had been
increased since 2011, reaching a high of 1.05 eradicated;
million travelers last year.184 The Eleventh • The spread of HIV/AIDS and malaria was
Malaysia Plan 2016–2020 articulates the reversed; there were drastic reductions in
development goals of Malaysia over the five-year water-borne diseases;
period, which is the final five-year plan laying out • Deaths from treatable childhood diseases
a roadmap for Malaysia “to become an advanced were greatly reduced; and
nation that is inclusive and sustainable.” Health • 95% of public health service was
is a key component of one of the plan’s six major subsidized.186
thrusts – Improving well-being for all. This
households minutes
outreach services through mobile clinics
to remote villages. The private sector
is concentrated in the urban areas of
1
Includes public and private hospitals, maternity and nursing homes, hospices and ambulatory care centres.
Figure 12: Malaysia Wellbeing Index Malaysia and provides various services.
It is funded through a fee-for service
Strategy A1: Enhancing targeted support, Specific initiatives include the expansion of mobile healthcare, the improve-
particularly for underserved communities. ment of primary healthcare teams, and domiciliary healthcare programs.
Strategy A2: Improving system delivery for Measures include the introduction of lean management practices in
better health outcomes. public hospitals to release latent capacity, and better enforcement of
health regulations to improve transparency and health outcomes.
Strategy A3: Expanding capacity to increase Initiatives include developing new facilities, upgrading existing
accessibility. facilities, as well as enhancing healthcare personnel capacity and
capabilities.
Strategy A4: Intensifying collaboration with Such collaboration will span a broad range of initiatives, from com-
private sector and NGOs to increase health munity health and prevention programs, to research and development
awareness efforts between industries, universities and research institutions.
Table 3: Focus Area A for Achieving Universal Access to Quality Healthcare – Strategies and Initiatives
cooperation agreements with other nations. MOU on 17 April 2019 with the Taiwan-based
Prime Minister Mahathir Mohamad announced Chang Gung Medical Foundation aimed at
on 7 March 2019 that the governments of increasing specialist training and research in
Malaysia and the Philippines are ready to finalize Malaysia.197 The University of Malaysia Sabah
and sign a memorandum of understanding signed an MOU with BookDoc on 22 March
(MOU) on cooperation in the field of health.194 2019 on teaching, research and the development
Malaysia and Qatar have plans to sign an of digital health care.198 On 4 October 2018,
MOU regarding health cooperation, which the the Ministry of Health signed an MOU with
Deputy Prime Minister Wan Azizah announced Collaborative Research in Engineering,
on 28 November 2018.195 The Malaysian and Science and Technology (CREST), a research
Indonesian Health Ministries signed a health institute headquartered in Penang, focusing on
cooperation agreement in 2011.196 digital innovation in health care delivery and
Academia and the private sector have also solutions.199
been active participants in increasing Malaysia’s Malaysia, as an ASEAN member, continues to
health cooperation activities, particularly engage in a leading role in the ASEAN Post-2015
regarding digital health care and training. The Health Development Agenda in the four priority
University Of Malaya Faculty Of Medicine and cluster areas: 1) promoting healthy lifestyles; 2)
the St. John Ambulance Malaysia NGO signed a responding to hazards and emerging threats;
3) strengthening health systems and access to Health and state authorities. Engagement of
care; and 4) ensuring food safety. Malaysia is local communities and the private sector is a
actively engaged in the Global Health Security continuing challenge in controlling dengue
Agenda (GHSA), which is comprised of almost epidemics.203 Malaysia reported more than 38,000
50 nations and organizations collaborating to cases of dengue as of 7 April 2019, out of which
achieve measurable targets against biological 59 fatalities were reported. Almost 60% of cases
threats and build core public health capacities. were reported from Selangor state, followed by
Through the GHSA, Malaysia is taking the lead Kuala Lumpur and Johor state. In 2018, there
with Turkey to strengthen emergency operations were 80,615 dengue cases, including 147 deaths,
centers. Malaysian experts helped WHO in reported.204
responding to Typhoon Haiyan in 2013 in the Malaysia is experiencing great success
Philippines and with the global response to Ebola against human malaria, while also seeing new
virus.200 challenges with a rare zoonotic malaria. Malaysia
is currently predicted to eliminate indigenous
Communicable Diseases human malaria by 2020, ten years ahead of
schedule. In 2009, Malaysia became one of the
Tuberculosis (TB) is highly endemic and a founding members of the Asia Pacific Malaria
significant public health concern in Malaysia201, Elimination Network, helping to significantly
with an incidence rate of 93 per 100,000. While reduce malaria rates in Southeast Asia. In 2018,
the incidence rate has been slowly rising over the Malaysia had zero recorded cases of indigenous
last decade, the TB mortality rate has declined human malaria.205 Although a small risk remains
in the same time frame, as shown in the Figure of imported human malaria, the most dangerous
14 graph. Tuberculosis incidence rates are of the four main human malaria strains,
represented on the upper graph and mortality Plasmodium falciparum, accounts for up to 80%
rates are represented on the lower graph. of malaria cases in rural areas of Sabah. The risk
HIV+TB indicates individuals suffering both of multidrug resistant P. falciparum malaria is
from TB and HIV vice solely TB.202 also present.206
Dengue outbreaks continue to occur, Whereas the four main strains of human
despite significant efforts by the Ministry of malaria (p. falciparum, p. vivax, p. malariae,
and p. ovale) transmit from human to mosquito
to human, the zoonotic P. knowlesi malaria
(Rate per 100 000 population per year)
transmits from monkey to mosquito to human.
In Sarawak, P. knowlesi accounts for 28% of
malaria cases.”207 Transmission is limited to
Sarawak and Sabah, both in Malaysian Borneo,
but Malaysia saw a sharp increase between
2016 and 2017 from 1,600 cases to over 3,600
cases of P. knowlesi.”208 The number of cases
of P. knowlesi were ten times as high in 2017
Mortality (excludes HIV+TB) as in 2008, as depicted in Figure 15. The rise of
zoonotic malaria across Southeast Asia is linked
to increased deforestation, with people near cut
(Rate per 100 000 population per year)
forests found more likely to be infected with
P. knowlesi than people away from forests.209
Deforestation tends to be accompanied by
humans and monkeys moving into closer
proximity, within the range of the Anopheles
mosquito, the transmission vector.210
Since the peak in 2002, Malaysia has made
considerable progress in reducing rates of human
Incidence immunodeficiency virus (HIV) infection. A
Notified (new and relapse) major milestone was achieved when Malaysia
Incidence (HIV+TB only) met the Millennium Development Goal, set in
2000, to “halve new HIV infection by 2015,” as
Figure 14: Tuberculosis and Mortality Rates for Malaysia illustrated in Figure 16.211
20
two-thirds of the population has
diabetes, high blood pressure
15
(hypertension), or high cholesterol levels
(hypercholesterolaemia).215 With 64% of
10
males and 65% of females either obese or
overweight, Malaysia has the highest rate
5
of obese and overweight persons among
Asian countries. A demonstration
project, “Enhanced Primary Health
0
1980 1985 1990 1995 2000 2005 2010 2015 2020 Care,” has been implemented in Johor
Year and Selangor in 20 health clinics
since July 2017. With the purpose of
Figure 16: HIV Infection Rate in Malaysia, 1985-2015 increasing detection of chronic diseases
– such as diabetes, hypertension and
The WHO certified Malaysia in 2018 as having high cholesterol – preliminary results indicate
eliminated mother-to-child transmission of HIV positive outcomes, though more conclusive
and syphilis. Malaysia is the second country in results are expected in September 2019.216
Asia to achieve this accomplishment, following In Malaysia’s medium-term national strategic
Thailand. In 2000, 16% of babies born to HIV plan for NCD, the main focus is on three types
positive women became infected, but Malaysia of NCD: 1) cardiovascular diseases, 2) diabetes,
committed to providing access to free testing and 3) cancer. The strategic plan also targets
and treatment and establishing monitoring and four shared NCD risk factors: 1) tobacco use,
surveillance systems. In 2016, the mother-to- 2) unhealthy diet, 3) physical inactivity, and 4)
child transmission rate for HIV was below 2%, harmful use of alcohol.217
and there were less than 50 congenital syphilis NCDs accounted for 7 out of the 10 top causes
cases for every 100,000 live births, which, of death and disability combined in 2017, as
according to WHO criteria, is considered as measured in disability-adjusted life years, and
elimination of that public health problem.212 illustrated by Figure 17.218
Travelers to Malaysia should, at a minimum,
be vaccinated against the food-borne illnesses
hepatitis A and typhoid, in addition to routine
Conclusion
2020) was released by the Malaysian government
with targets and objectives to implement the
framework to make Malaysia a high-income
economy by 2020. It further identifies six
Malaysia has experienced 51 natural disaster ‘Strategic Thrusts’ to change the trajectory of
events in the last two decades in which 281 the country’s economic growth and advance the
people died, over 3 million people were affected, national income per capita above USD $15,000.247
and nearly US$2 billion (RM8 billion) in Under the sixth strategic thrust of pursuing
damages resulted. The most challenging and green growth for sustainability and resilience, the
frequent natural disaster facing Malaysia is Eleventh Plan details a disaster risk management
floods.239 Malaysia had the highest percentage strategy in the focus area on strengthening
of population exposed to floods among ASEAN resilience against climate change and natural
Member States between July 2012 and January disasters is the final five-year plan laying out a
2019,240 and faces other potential threats to roadmap for Malaysia to become an advanced
population health and development due to nation that is inclusive and sustainable. 248
climate change. 241 Nine percent of land area Malaysia’s health system and health status are
in Malaysia is flood prone and 4.8 million on par with its rank as an upper middle-income
people live in areas at risk to flood.242 Annually, country (defined as having a GNI per capita
significant losses including casualties, disease between $3,956 and $12,235).249 Additionally,
epidemics, and property and crop damage, have Mercy Malaysia partners with the Ministry of
been attributed to flood disasters in Malaysia.243 Education to implement community-based
Malaysia’s National Disaster Management disaster risk reduction plans including the
Agency, NADMA oversees regional disaster risk School Preparedness Programme (SPP), which
response as well as involvement in international raises awareness among students and schools to
support. Malaysia continues to build on their minimize their risks posed by natural disasters.250
disaster risk response plans, mitigation efforts Malaysia was a founding ASEAN member
and climate change adaptation to protect and continues to engage in a leading role in the
its citizens and its economic progress.244 ASEAN Post-2015 Health Development Agenda
The SMART Team is an operational arm of in the four priority cluster areas: 1) promoting
the Malaysian Government responding to healthy lifestyles; 2) responding to hazards
international level disasters within the region and emerging threats; 3) strengthening health
and beyond. The SMART Team has assisted systems and access to care; and 4) ensuring
with search and rescue missions for tsunami food safety. Malaysia is actively engaged in
victims in Aceh (2004), earthquake victims in the Global Health Security Agenda (GHSA),
Muzafarabad, Pakistan (2005), people affected by which is comprised of almost 50 nations
the Leyte landslide (2006), and with the efforts and organizations collaborating to achieve
around Mount Kinabalu following the Sabah measurable targets against biological threats and
earthquake (2015).245 build core public health capacities. Through the
As Malaysia develops socioeconomically, the GHSA, Malaysia is taking the lead with Turkey
country is focused on the resilience of growth to strengthen emergency operations centers.
to ensure its development gains are not reversed Malaysian experts helped WHO in responding to
by natural disasters. Therefore, planning and Typhoon Haiyan in 2013 in the Philippines and
preparing for natural disasters, identifying which with the global response to Ebola virus.251
areas and communities are at risk and providing Malaysia has active ASEAN ERAT members
the right tools in case such situations occur and is home to ASEAN’s Disaster Emergency
are important strategies. These priorities are Logistics System (DELSA). DELSA was launched
highlighted in the Eleventh Malaysia Plan with on 7 December 2012 to develop a regional relief
regard to preparing a comprehensive disaster stockpile of items needed for emergency and
risk management DM framework and protecting disaster support as well as to support logistics
the resiliency of the country and its future. capacity and operations for the AHA Centre and
Malaysia has also achieved women’s improved ASEAN Member States. 252 Malaysia continues to
health status, greater educational attainment, advance toward ambitious goals and blaze trails
and increased participation in higher paying in the region, securing its people and bolstering
occupations.246 a secure and sustainable country, environment,
Logistics capacity and operations (2016- and future.
Appendices
Exercise Bersama Warrior-March 2019
Bersama Warrior is an annual joint bi-
lateral exercise between the U.S. and Malaysia
designed to develop and improve their collective
DoD DMHA Engagements in the Past capacity to plan and conduct joint and combined
operations. The 2019 exercise took place in Kuala
Five Years (FY 2013-2018) Lumpur, Malaysia in March 2019. The exercise
aims to strengthen the relationship between
Malaysian Humanitarian Assistance and the U.S. and the Malaysian Armed Forces while
Disaster Response (HADR) Civil-Military identifying effective solutions to common
Course – April 2019 challenges such as humanitarian assistance,
The first Malaysian Civil-Military maritime security, and counterterrorism, and
Coordination on Humanitarian and Disaster to increase capacity to quickly and effectively
Relief Course was held in Kuala Lumpur, respond to the crisis. The Washington National
Malaysia, April 18, 2019. The course is designed Guard was selected to be heavily involved in the
to enhance the knowledge of disaster response exercise. Malaysia and the Washington National
stakeholders in Malaysia and operationalize Guard formed a partnership in August 2017
civil-military coordination at the national, under the National Guard Bureau sponsored
regional and international levels.253 The Center State Partnership Program.257
for Excellence in Disaster Management and
Humanitarian Assistance (CFE-DM) supported ASEAN Humanitarian Assistance and Disaster
Malaysia’s National Disaster Management Relief Exercise - JULY 2018
Agency (NADMA) and the Malaysian Armed The U.S. and Malaysia are co-chairs of the
Forces (MAF) in administering the course. ASEAN Defence Ministers Plus Expert Working
Lessons learned from real world scenarios Group on Humanitarian Assistance and Disaster
such as the 2014 Malaysia floods, the 2018 Relief (ADMM Plus EWG HADR) and worked
Sulawesi earthquake, and the 2014 State Route together to facilitate a table top exercise (TTX)
530 landslide in the U.S. state of Washington in Kuala Lumpur, Malaysia 25-26 July, 2018. The
were discussed. The Pacific Disaster Center multinational exercise included representatives
(PDC) facilitated the table top exercise where from all 18 ADMM Plus EWG HADR
participants applied the variety of concepts countries, ASEAN Secretariat, AHA Centre,
learned during the course.254 UN OCHA, IFRC, APCSS, and CFE-DM. The
aim of the exercise was to evaluate coordination
Pacific Partnership – April 2019 mechanisms and standard operating
The 14th iteration of Pacific Partnership procedures through the pre-deployment and
was held in April 2019. Pacific Partnership deployment phases of a hypothetical magnitude
2019 (PP19) is an annual multinational 7.2 earthquake centering around Manila,
humanitarian assistance and disaster relief Philippines. The exercise highlighted the need
preparedness exercise conducted in the Indo- for consistent communication and information
Pacific. Each year participants work collectively sharing between ASEAN and non-ASEAN
with host and partner nations to enhance member states and findings from the exercise
regional interoperability and disaster response would inform the preparation for a subsequent
capabilities, increase security and stability event in scheduled for the following year.258
in the region, and foster new and enduring
friendships in the Indo-Pacific.255 This year, Maritime Training Activity – September 2018
the Malaysian Armed Forces and local medical The Training Activity (MTA) Malaysia was
staff joined PP19 personnel deployed with the executed by the U.S. and Royal Malaysian Navy.
Military Sealift Command expeditionary fast About 300 U.S. and Malaysian Sailors aboard
transport ship USNS Fall River. They provided multiple ships participated in the exercise. The
medical services to Kuching residents during exercise involves both an ashore and at-sea
a community health engagement at SK Tanah phase, demonstrating both navies’ commitment
Puteh.256 to applying learned techniques and tactics while
operating together out at sea. Sailors from both
navies engaged in visit, board, search and seizure
(VBSS) trainings, division tactics (DIVTACS) to
Sendai Framework
The Sendai Framework is the global blueprint and fifteen-year plan to build the world’s resilience
to natural disasters.272 The Sendai Framework for Disaster Risk Reduction 2015-2030 outlines seven
clear targets and four priorities for action to prevent new and reduce existing disaster risks:
The Sendai Framework aims to achieve the substantial reduction of disaster risk and losses in lives,
livelihoods and health and in the economic, physical, social, cultural and environmental assets of
persons, businesses, communities and countries over the next 15 years. It was adopted at the Third
United Nations World Conference on Disaster Risk Reduction in Sendai, Japan in 2015.274 The Sendai
Framework is the successor instrument to the Hyogo Framework for Action (HFA) 2005-2015:
Building the Resilience of Nations and Communities to Disasters.275 Figure 18 shows the Sendai DRR
Framework.276
The present framework will apply to the risk of small-scale and large-scale, frequent and infrequent, sudden and
slow-onset disasters, caused by natural or manmade hazards as well as related environmental, technological
and biological hazards and risks. It aims to guide the multi-hazard management of disaster risk in
development at all levels as well as within and across all sectors
Expected outcome
The substantial reduction of disaster risk and losses in lives, livelihoods and health and in the economic, physical,
social, cultural and environmental assets of persons, businesses, communities and countries
Goal
Prevent new and reduce existing disaster risk through the implementation of integrated and inclusive economic,
structural, legal, social, health, cultural, educational, environmental, technological, political and institutional
measures that prevent and reduce hazard exposure and vulnerability to disaster, increase preparedness for
response and recovery, and thus strengthen resilience
Targets
Substantially reduce global Substantially reduce the Reduce direct disaster Substantially reduce Substantially increase the Substantially enhance Substantially increase the
disaster mortality by 2030, number of affected people economic loss in relation disaster damage to critical number of countries with international cooperation availability of and access to
aiming to lower average per globally by 2030, aiming to to global gross domestic infrastructure and disruption national and local disaster to developing countries multi-hazard early warning
100,000 global mortality lower the average global product (GDP) by 2030 of basic services, among risk reduction strategies by through adequate and systems and disaster risk
between 2020-2030 figure per 100,000 between them health and educational 2020 sustainable support to information and assessments
compared to 2005-2015 2020-2030 compared to facilities, including through complement their national to people by 2030
2005-2015 developing their resilience by actions for implementation of
2030 this framework by 2030
67
Priorities for Action
There is a need for focused action within and across sectors by States at local, national, regional and global levels in the following four priority areas.
Priority 1 Priority 2 Priority 3 Priority 4
Understanding disaster risk Strengthening disaster risk governance Investing in disaster risk reduction Enhancing disaster preparedness for effective
to manage disaster risk for resilience response, and to «Build Back Better» in
recovery, rehabilitation and reconstruction
APPENDICES
Priority for Action #1: Ensure that disaster risk reduction is a national and a local priority with a strong
institutional basis for implementation.
Core Indicator Description Level of Progress
Indicator* Achieved
1 National policy and legal framework for disaster risk reduction exists 4
with decentralized responsibilities and capacities at all levels.
2 Dedicated and adequate resources are available to implement 4
disaster risk reduction plans and activities at all administrative levels.
3 Community Participation and decentralization is ensured through 4
the delegation of authority and resources to local levels.
4 A national multi sectoral platform for disaster risk reduction is 3
functioning.
Priority #2: Identify, assess and monitor disaster risks and enhance early warning
Future Outlook Area 1: The more effective integration of disaster risk considerations into sustainable
development policies, planning and programming at all levels, with a special emphasis on disaster
prevention, mitigation, preparedness and vulnerability reduction.
Challenges: DRR is yet the main priority within national, state and local concerns as well as the
existing disaster mechanism approach, which emphasizes more on response and
post-disaster relief and recovery. There are other issues that compete for human and
financial resources necessary for the DRR initiatives.
Future Outlook A national policy for disaster management, once developed will enable greater
Priorities: integration of disaster risk consideration in relevant plans, policies and programs at
all levels. The formulation process itself will be an opportunity for awareness-raising
and capacity building for involved stakeholder. Currently, the National Policy on
Climate Change will provide the opportunity to mainstream and integrate DRR
through climate change adaptation responses as envisaged in the Policy.
Future Outlook Area 2: The development and strengthening of institutions, mechanisms and capacities at
all levels, in particular at the community level, that can systematically contribute to building resilience to
hazards.
Challenges: The awareness and capacity of key agencies and other stakeholders needs to be
strengthened to encompass the whole spectrum of disaster management.
Future Outlook A national platform on disaster management will be established during the Tenth
Priorities: Malaysia Plan to improve effectiveness in multi-stakeholder mobilization and drive
more proactive and comprehensive multi-hazard approach in identifying, preventing,
mitigating and preparing for the disaster risks.
Future Outlook Area 3: The systematic incorporation of risk reduction approaches into the design and
implementation of emergency preparedness, response and recovery programs in the reconstruction of
affected communities.
Challenges: Scarcity of resources among local authorities for DRR programs needs to be
addressed.
Future Outlook The National Security Council is in the process of reviewing the NSC Directive
Priorities: No.20: “National Policy and Mechanism on Disaster Management and Relief ” to
include DRR considerations and functions at the national, state and local levels.
Table 7: HFA Country Progress Report Future Outlook Areas, Malaysia
Population:
Female: 14 years (2017)
Elections: Other:
Homeland Solidarity Party or STAR [Jeffrey
Senate - appointed Katingan]
House of Representatives - last held on 9 May Pan-Malaysian Islamic Party (Parti Islam se
2018 (next to be held no later than May 2023) Malaysia) or PAS [Abdul Hadi Awang]
Progressive Democratic Party or PDP [Tiong
Election results: King Sing]
Senate - appointed; composition - men 54, Sabah Heritage Party (Parti Warisan Sabah) or
women 14, percent of women 20.6% WARISAN [Shafie Apdal]
House of Representatives - percent of vote Sarawak Parties Alliance (Gabungan Parti
by party/coalition - PH 45.6%, BN 33.8%, Sarawak) or GPS [Abang Johari Openg] (includes
PAS 16.9%, WARISAN 2.3%, other 1.4%; PBB, SUPP, PRS, PDP)
seats by party/coalition - PH 113, BN 79, PAS Sarawak People’s Party (Parti Rakyat Sarawak) or
18, WARISAN 8, STAR 1, independent 3; PRS [James Masing]
composition - men 199, women 23, percent of Sarawak United People’s Party (Parti Bersatu
women 10.4%; note - total Parliament percent of Rakyat Sarawak) or SUPP [Dr. Sim Kui Hian]
women 12.8%
76 Center for Excellence in Disaster Management & Humanitarian Assistance
United Pasokmomogun Kadazandusun Murut Islam; blue symbolizes the unity of the Malay
Organization (Pertubuhan Pasko Momogun people and yellow is the royal color of Malay
Kadazan Dusun Bersatu) or UPKO [Wilfred rulers
Madius Tangau]
United Sabah Party (Parti Bersatu Sabah) or PBS Note: the design is based on the flag of the US
[Maximus Ongkili]
United Sabah People’s (Party Parti Bersatu Rakyat National symbol(s):
Sabah) or PBRS [Joseph Kurup] Tiger, hibiscus; national colors: gold, black
United Traditional Bumiputera Party (Parti
Pesaka Bumiputera Bersata) or PBB National anthem:
Name: “Negaraku” (My Country)
International organization participation: Lyrics/music: collective, led by Tunku Abdul
ADB, APEC, ARF, ASEAN, BIS, C, CICA Rahman/Pierre Jean De Beranger
(observer), CP, D-8, EAS, FAO, G-15, G-77, Note: adopted 1957; full version only performed
IAEA, IBRD, ICAO, ICC (national committees), in the presence of the king; the tune, which was
ICRM, IDA, IDB, IFAD, IFC, IFRCS, IHO, ILO, adopted from a popular French melody titled “La
IMF, IMO, IMSO, Interpol, IOC, IPU, ISO, Rosalie,” was originally the anthem of Perak, one
ITSO, ITU, ITUC (NGOs), MIGA, MINURSO, of Malaysia’s 13 states
MONUSCO, NAM, OIC, OPCW, PCA, PIF
(partner), UN, UNAMID, UNCTAD, UNESCO, Economy - overview:
UNIDO, UNIFIL, UNISFA, UNMIL, UNWTO, Malaysia, an upper middle-income country,
UPU, WCO, WFTU (NGOs), WHO, WIPO, has transformed itself since the 1970s from a
WMO, WTO producer of raw materials into a multi-sector
economy. Under previous Prime Minister
Diplomatic representation in the US: NAJIB, Malaysia is attempting to achieve high-
Chief of mission: Ambassador AZMIL Mohd income status by 2020 and to move further up
Azbidi (since 8 April 2019) the value-added production chain by attracting
Chancery: 3516 International Court NW, investments in high technology, knowledge-
Washington, DC 20008 based industries and services. The Economic
Telephone: [1] (202) 572-9700 Transformation Program is a series of projects
FAX: [1] (202) 572-9882 and policy measures intended to accelerate the
Consulate general: Los Angeles, New York country’s economic growth. The government has
also taken steps to liberalize some services sub-
Diplomatic representation from the US: sectors. Malaysia is vulnerable to a fall in world
Chief of mission: Ambassador Kamala Shirin commodity prices or a general slowdown in
LAKHDHIR (since 21 February 2017) global economic activity.
Embassy: 376 Jalan Tun Razak, 50400 Kuala
Lumpur The Government is continuing efforts to boost
domestic demand and reduce the economy’s
Mailing address: US Embassy Kuala Lumpur, dependence on exports. Domestic demand
APO AP 96535-8152 continues to anchor economic growth, supported
Telephone: [60] (3) 2168-5000 mainly by private consumption, which accounts
FAX: [60] (3) 2142-2207 for 57% of GDP in 2018.279 Nevertheless, exports
- particularly of electronics, oil and gas, and palm
Flag description: oil - remain a significant driver of the economy.
14 equal horizontal stripes of red (top) In 2015, gross exports of goods and services were
alternating with white (bottom); there is a dark equivalent to 73% of GDP. The oil and gas sector
blue rectangle in the upper hoist-side corner supplied about 22% of government revenue in
bearing a yellow crescent and a yellow 14-pointed 2015, down significantly from prior years amid a
star; the flag is often referred to as Jalur Gemilang decline in commodity prices and diversification
(Stripes of Glory); the 14 stripes stand for the of government revenues. Malaysia has
equal status in the federation of the 13 member embarked on a fiscal reform program aimed at
states and the federal government; the 14 points achieving a balanced budget by 2020, including
on the star represent the unity between these rationalization of subsidies and the 2015
entities; the crescent is a traditional symbol of introduction of a 6% value added tax. Sustained
low commodity prices throughout the period GDP - real growth rate:
not only strained government finances, but
also shrunk Malaysia’s current account surplus 4.3-4.8% (2019 est.)
and weighed heavily on the Malaysian ringgit,
which was among the region’s worst performing 4.7% (2018)
currencies during 2013-17. The ringgit hit new
lows following the US presidential election amid 5.7% (2017 est.)
a broader selloff of emerging market assets.
Bank Negara Malaysia (the central bank) 4.4% (2016 est.)
maintains adequate foreign exchange reserves;
a well-developed regulatory regime has Country comparison to the world: 37
limited Malaysia’s exposure to riskier financial
instruments, although it remains vulnerable to GDP - per capita (PPP):282
volatile global capital flows. In order to increase
Malaysia’s competitiveness, Prime Minister $31,698 (2018)
NAJIB raised possible revisions to the special
economic and social preferences accorded to $30,004 (2017)
ethnic Malays under the New Economic Policy of
1970, but retreated in 2013 after he encountered $28,186 (2016)
significant opposition from Malay nationalists
and other vested interests. In September 2013 Country comparison to the world: 71
NAJIB launched the new Bumiputra Economic
Empowerment Program, policies that favor Gross national saving:283
and advance the economic condition of ethnic
Malays. 25.1% of GDP (2019 est.)
Malaysia signed the 12-nation Trans-Pacific 25.7% of GDP (2018)
Partnership (TPP) free trade agreement in
February 2016, although the future of the TPP 28.4% of GDP (2017)
remains unclear following the US withdrawal
from the agreement. Along with nine other 28.4% of GDP (2016)
ASEAN members, Malaysia established the
ASEAN Economic Community in 2015, which Country comparison to the world: 38
aims to advance regional economic integration.
GDP - composition, by end use:284
GDP (purchasing power parity): 280
3.6 billion bbl (1 January 2018 est.) 1.183 trillion cu m (1 January 2018 est.)
1,500 km; Sarawak 2,500 km) (2011) women serve in the Malaysian Armed Forces; no
country comparison to the world: 19 conscription (2013)
Stateless persons:
10,068 (2017); note - Malaysia’s stateless
population consists of Rohingya refugees from
Burma, ethnic Indians, and the children of
Filipino and Indonesian illegal migrants; Burma
stripped the Rohingya of their nationality in
1982; Filipino and Indonesian children who
have not been registered for birth certificates by
their parents or who received birth certificates
stamped “foreigner” are vulnerable to
statelessness should they not be able to apply to
their parents’ country of origin for passports
Illicit drugs:
Drug trafficking prosecuted vigorously, including
enforcement of the death penalty; heroin still
primary drug of abuse, but synthetic drug
demand remains strong; continued ecstasy and
methamphetamine producer for domestic users
and, to a lesser extent, the regional drug market.
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