Dr. Badrul Hisham bin Abd. Samad

Public Health Medicine SpecialistDisease Control DivisionMinistry of Health Malaysia

Second Regional Workshop for ASEAN States Parties to the Biological Weapons Convention on Preparedness to

Respond to the Deliberate Use of Biological Weapons Melia Kuala Lumpur

1 October 2019

Malaysia’s Perspective:Public Health Preparedness in Encountering

Biological Deliberate Events

National CPRC

Surveillance Systems in Malaysia

National Crisis Preparedness and Response Centre(CPRC)

Ministry of Health Malaysia

cprc@moh.gov.my

Incident Management System of CPRC

•Organisation andfunction according toIncident ManagementSystem (IMS)

•During active mode –personnel on dutycan be mobilisedfrom other divisions& programmes of theMoH

COMMANDER

DEPUTY COMMANDER

FINANCE &ADMINISTRATION

LOGISTICS OPERATIONS PLANNING

SECRETARIAT

LIAISON OFFICER

CommunicableDiseaseOutbreak/Pandemic Event

Disaster due tocommunicable

diseaseoutbreaks

related to anyoutbreakincident

Mass Casualty Incident(MCI)

Incidentsinvolving a large

number ofvictims,

substantial lossof lives andassociated

disruption andbreakdown ofhealth serviceinfrastructure

Natural/

Environment-Linkeddisaster

Ill effectsfrom an

incident orseries ofnatural

geophysicalevents

Chemical, Biological,Radiological,

Nuclear & explosives (CBRNe)

Any incidentinvolving the use ofCBRNe agents likechemical and/orbiological and/or

radioactive and/orexplosive materials

Active Mode – CPRC Activation

INCIDENTRAPID RISK ASSESSMENT RISK

CHARACTERISATION LEVEL OF RISKHazard / Threat Exposure Context

Describe Time /

Person / Place of

Incident (or answer 5W + 1H)

• Who?

• What?

• When?

• Where?

• Why?

• How?

Level of Confidence:From which source?

…………………………….

Any CBRN

element?

Chemical: Y/N

…………………

Biological: Y/N

…………………

Radiological: Y/N

…………………

No. of people

exposed?

Mode / Route of

Exposure:

• Inhalation

• Ingestion

• Skin contact

• Eye contact

• Distance

exposure

……….. m

Vulnerable groups

identified:

…………………..

Nature of

Incident?

• Natural

• Leakage

• Accident

• Deliberate

• Terrorism

• Other

…………

Likely contributing

factors:

…………………

Surroundings:

………………….

Risk Questions:

Likelihood of

Spread?

Impact?

To plot in Risk

Matrix:

VERY HIGH

HIGH

Moderate

Low

Very Low

Example of Rapid Risk Assessment Template Form

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Overall Steps in Responding to Biothreat Events

Colour Coded Disaster Zones Demarcation as Highlighted in

the National Security Council (NSC) Directive No. 20

At the site, the Incident Command System (ICS) is a standardised approachto the command, control, and coordination of emergency response wherebyresponders from multiple agencies are put under unified command

ICS consists of a standard management hierarchy and procedures for managing incident(s) of any size

Incident Command System (ICS)

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Hazardous Biological Sampling

Field ScreeningReconnaissance (Recon) Survey

Collecting Biological Samples Decontamination & Doffing Off

Neutralising Explosives by Bomb Squad

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Thank You

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