Table 2 SMART comparison of countries.

Brunei Darussalam

Specifically mentions vector-borne diseases,

causes to increases in vector-borne diseases,

and has included performance indicators

Yes

2.39%

Surveillance: Y

Prevention: N

Treatment: N

To 2035

2.6

Very Good

Good

Poor

Moderate

Good

Moderate

Cambodia

Recognises that women are more susceptible

to diseases, and identifies capacity and

infrastructure to respond to water and

vector borne diseases

No

7.51%

Surveillance: Y

Prevention: Y

Treatment: N

 Expired in 2023

2.4

Good

Poor

Very Good

Good

Poor

Moderate

Indonesia

Uses climate estimates to analyse areas affected

by vectors, and projects impacts of

vector-borne diseases on GDP

Yes

3.41%

Surveillance: Y

Prevention: N

Treatment: N

To 2050

2.6

Good

Good

Poor

Moderate

Very Good

Moderate

Lao PDR

Mentions Covid-19 and livestock diseases,

generally mentions disease outbreaks and

the need to tackle climate related

disease outbreak including malaria,

diarrhea, and sickness

No

2.69%

Surveillance: Y

Prevention: Y

Treatment: Y

To 2050

2.6

Good

Poor

Poor

Very Good

Very Good

Moderate

Malaysia

Mentions improving lifestyle and

emerging diseases as a goal

No

4.12%

Surveillance: Y

Prevention: Y

Treatment: Y

To 2030

2.6

Moderate

Poor

Good

Very Good

Good

Moderate

Myanmar

Mentions loss of agriculture as a factor in

disease spread, projects increased diarrhoeal

diseases through contaminated water and

skin disease from exposure to flood waters and a

reduction in the development time for

pathogens thereby increasing transmission rates

from vectors. Notes what is needed

to strengthen response

No

4.62%

Surveillance: Y

Prevention: Y

Treatment: Y

To 2030

3

Very Good

Poor

Good

Very Good

Good

Good

Singapore

Notes that the country is in a region where

communicable diseases are endemic. Notes possible

resurgence of communicable diseases due to climate

change. Identifies specific climate factors related to

specific communicable diseases such as dengue

No

6.05%

Surveillance: Y

Prevention: Y

Treatment: N

To 2030

3

Very Good

Poor

Very Good

Good

Good

Good

The Philippines

Estimated infrastructure costs of water-borne diseases.

Notes services, activities, and departments for

disease control. Has indicators for

water-borne disease incidence

Yes

5.11%

Surveillance: Y

Prevention: Y

Treatment: Y

To 2028

3.2

Very Good

Good

Good

Very Good

Moderate

Good

Thailand

Notes specific climate events and how they impact

multiple infectious diseases. Has strategies and indicators

for monitoring infectious diseases, including surveillance,

research, public awareness, and health policies

Yes

4.36%

Surveillance: Y

Prevention: Y

Treatment: Y

To 2050

3.6

Very Good

Good

Good

Very Good

Very Good

Good

Vietnam

Clarifies the need to develop a medical and healthcare

network to meet the requirements of epidemic prevention

and new diseases arising from climate change

—including infectious disease metrics, investment

and initiatives in highly impactful areas

Yes

4.68%

Surveillance: Y

Prevention: Y

Treatment: Y

To 2050

3.6

Very Good

Good

Good

Very Good

Very Good

Good