1. 1 Development of NEHAP in Malaysia: Progress report Environment and Health Ministerial Forum, 8-9 August, 2007, Bangkok Lokman Hakim S, MD, PhD Environmental Health Research Center Institute for Medical Research Kuala Lumpur Malaysia 8 August, 2007

2. 2 Check list of action: National Level ActionStatus 1.Institutional mechanism for health & environment to work together In existence, formal and informal 2.NEHAPIn progress 3.National forum on environment & health On-going 4.Public awareness & promotionOn going, mass media campaign, weekly column 5.Sharing of informationOn-going: EHCP & EHDS Environmental Statistics Compendium 7.Joint training programmesNot yet 8.Collaborative researchOn-going EHRC Advisory Committee 9.EH in formal education & professional development On-going.

3. 3 National Environmental Health Action Plan (NEHAP) Prior to 2005: Development of Ministry of Health Environmental Health Action Plan (MOHEHAP) Technical Working Groups (TWG) Promotional Health Environmental and Health Information System Institutional and Legislation Framework Training Needs Environmental Health Research Healthy Setting Draft plan

4. 4 Ministry of Health Environmental Health Action Plan: Draft Plan Chapters Environmental health Environmental health policy Role and function Environmental health practices Action Plan Institutional and legislation framework Environmental Health Management Information Systems Training needs Promotion of healthy environment Healthy setting Environmental research

5. 5 National Environmental Health Action Plan (NEHAP) MOHEHAP rather unilateral action June 2006: round table discussion between MOH and Department of Environment, Ministry of Natural Resource and Environment (MONRE) National Environmental Policy (NEP) already in existence since 2002 Outline the philosophy, objectives and strategies Incorporating MOHEHAP into NEP = NEHAP

6. 6 National Environmental Health Action Plan (NEHAP) Centre for Sustainable Development (LESTARI), National University of Malaysia appointed as consultant for further development of NEHAP Environmental Health Research Centre (EHRC), MOH embarks on research on development of Environmental Health Indicators (EHI)

7. 7 Development of Environmental Health Indicators (EHI): Rationale Support national policies & evaluate NEHAP Contributes to the broader objectives of reporting on Sustainable Development initiatives Empowers decision-making for strategy initiation & management Aids the development of an Environmental Health Information System (EHIS) Supports improved public health surveillance

8. 8 Development of Environmental Health Indicators (EHI): Methodology Technical Working Groups: deliberated and proposed indicators under 6 headline indicators Clean Air (Indoor & Outdoor) Safe Water (Drinking & Recreational) and Sanitation Food Safety Occupational Health Waste Management Environmental Hazards & Disaster Adoption of the WHO Driving Force-Pressure-State- Exposure-Effect-Action (DPSEEA) model.

9. 9 Development of Environmental Health Indicators (EHI): Methodology Research Relevance to the specific issues Scientific criteria Representative-ness Quality of data Robustness of methodology/scale Consistent & comparable over time

10. 10 National Environmental Health Forum 1996 : Healthy Cities 1997 : Environmental Health Research: Needs & priorities 1998 : Water Quality Management: Future Strategies Towards a National Plan 2000 : NEHAP- A Malaysian Approach 2001 : The Progress of NEHAP 2002 : EH Research Current Issues: Research to Practice in EH 2003 : Research & Development Strategies in Environmental Health for Sustainable Development 2004: Environmental Health Indicators 2005: Current Issues in Occupational Health 2006: Food safety 2007: Recreational water quality & health impact

11. 11 THANK YOU Environmental Health Research Centre Institute for Medical Research, Kuala Lumpur