Abul Aziz Azhar
Department of Emergency Medicine, National University Hospital, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia.
Prehosp Disaster Med. 2003 Apr-Jun;18(2):115-9. doi: 10.1017/s1049023x00000856.
In the peace-loving, moderate and progressive country of Muslim-dominated Malaysia, violence generally is alien to the culture. Terrorism initially took shape during the post-independence, communist era by jungle recalcitrant actions. In recent years, this has been superceded by a more internationally related trend of violence. Only very few incidents were based locally, while the majority were linked to international groups or organizations abroad, including the Kumpulan Mujahidin Malaysia (KMM), Jemaah Islamiyah (JI), and the Abu Sayyaf Group (ASG). Kidnapping with ransom seemed to have been the most commone modus operandi, while killing and robbery accounted for very few of these incidents. The number of victims in each event so far has been small, and smaller for those physically harmed or killed. This pattern of terrorist attacks suggests that the current level of provision of emergency medical services is sufficient to handle such incidents. Recent advances in local emergency medicine also have witnessed the establishment of various teaching and training modules, a pivotal role played by university hospitals and supported by the Ministry of Health. However, the spate of ongoing events of mass destruction such as the conflict in Israel/Palestine, wars in Afghanistan and Iraq, the World Trade Center and Pentagon tragedies of 11 September 2001, and the Bali bombing in Indonesia, remain as great concerns to Malaysians. Both the government and the people of Malaysia abhor such unjustified uses of terror, and take every measure to curtail them. The National Security Council policies of Arahan No. 18 and Arahan No. 20 detail specific roles and responsibilities of various agencies in managing terrorism and disasters respectively, while the use of the stern Internal Security Act that allows indefinite detention without trial, evidently has been an efficient intelligence and security apparatus. With more recent developments of terrorist events regionally and globally, Malaysia continues to face an ongoing threat from such activities. Various measures have been and will be actively undertaken both by government and non-governmental agencies in facing these challenges.
在以穆斯林为主的爱好和平、温和且进步的马来西亚,暴力行为通常与该国文化格格不入。恐怖主义最初形成于独立后的共产主义时代,表现为丛林中的反抗行动。近年来,这种情况已被一种与国际关联度更高的暴力趋势所取代。只有极少数事件是基于本地发生的,而大多数事件与国外的国际团体或组织有关,包括马来西亚圣战者组织(KMM)、伊斯兰祈祷团(JI)和阿布沙耶夫集团(ASG)。绑架勒索似乎是最常见的作案手法,而杀人及抢劫在这些事件中占比极少。到目前为止,每次事件的受害者人数都不多,身体受伤或死亡的人数更少。这种恐怖袭击模式表明,目前提供的紧急医疗服务水平足以应对此类事件。当地急诊医学的最新进展还见证了各种教学和培训模块的建立,大学医院发挥了关键作用,并得到了卫生部的支持。然而,诸如以色列/巴勒斯坦冲突、阿富汗和伊拉克战争、2001年9月11日世界贸易中心和五角大楼悲剧以及印度尼西亚巴厘岛爆炸案等一系列持续不断的大规模破坏事件,仍然是马来西亚人极为关注的问题。马来西亚政府和人民都憎恶这种不合理的恐怖行为,并采取一切措施加以遏制。国家安全委员会的第18号指令和第20号指令政策详细规定了各机构在管理恐怖主义和灾害方面的具体角色和责任,而使用允许未经审判无限期拘留的严厉《内部安全法》,显然是一种有效的情报和安全手段。随着区域和全球恐怖主义事件的最新发展,马来西亚继续面临此类活动带来的持续威胁。政府和非政府机构已经并将继续积极采取各种措施应对这些挑战。