Finalize and endorse the draft Biological and Toxin Weapons Convention Bill and the laboratory licensing regulation for private health laboratories
within the Pathology Act 2007.

Strengthen training based on a needs assessment and evaluation of the effectiveness of biosafety and biosecurity.

Increase capacity-building at the state and district level to strengthen the implementation of biosafety and biosecurity.

Continue to implement specific vaccination strategies to improve vaccination coverage among semi nomadic indigenous population; and access for non-citizens in collaboration with nongovernmental organizations.

Work to achieve and document measles elimination in alignment with the regional goal.

Strengthen reporting of vaccination coverage data by developing a national immunization registry and improving vaccination card retention.

Strengthen public-private collaboration on vaccination service delivery, risk communication and vaccine hesitancy.

Strengthen strategies to manage emerging issues that impact food safety, such as online food sales and food fraud.

Continue to strengthen laboratory capacity to test for priority microbiological, chemical and physical foodborne hazards.

Implement the updated National Food Safety Emergency Response plan, in consultation with relevant stakeholders and government agencies, including appropriate training and simulation exercises.

Increase capacity of veterinary services for surveillance as recommended in the OIE performance veterinary services (PVS) Gap Analysis Mission Malaysia report 2017, focusing on human resources at the district level; reporting from abattoirs; encouraging farmer awareness and motivation to notify disease suspicion.

Develop linkages between disease reporting systems for priority zoonotic diseases among relevant agencies for timely data sharing and response and increase the frequency of sharing formal reports.

Increase capacities and capabilities of public health and veterinary laboratories in diagnosing zoonotic diseases by exchanging expertise and
conducting joint training; develop standard operating procedures (SOPs) for sharing isolates and reference material for diagnosis and surveillance between public health and veterinary laboratories.

Further strengthen regular public awareness campaigns and health education activities on zoonotic disease prevention, reporting and outbreak control.

Strengthen the involvement of private health sectors in AMR, especially for AMR surveillance and the appropriate use of antimicrobials in inpatient and outpatient settings.

Strengthen AMR in the animal health sector, especially for antimicrobial consumption surveillance and continue phasing out of antimicrobials used as growth promoters through appropriate monitoring.

Enhance multisectoral coordination, especially with the environmental sector for AMR under the One Health approach.

Maintain and further empower the National IHR Focal Point (NFP) and existing IHR mechanisms for communication and information sharing for all acute public health events across relevant sectors.

Continue to routinely review and test the functionality of the existing multisectoral coordination mechanisms for public health emergency preparedness and response, including management of large-scale disease outbreaks and public health emergencies.

Advocate for sustainable investment in health security, including enhancing core capacities under IHR, guided by APSED.

Conduct a holistic assessment of the implementation of national and state legislation, regulations and other legal documents in a systematic and coordinated manner to ensure they support government-wide implementation of IHR (2005).

Strategically prioritize and monitor financial investment into priority preparedness actions to address the key remaining gaps in the system readiness, building upon the framework of MySED II.