South-West Asia Service Medal ( ) is a campaign medal created in 2002 by the Canadian monarch-in-Council to recognize members of the Canadian Forces who had directly participated in efforts to combat terrorism in Southwest Asia following the Al-Qaeda attacks on the United States in 2001 . It is , within the Canadian system of honours , the fifth highest of the war and operational service medals
attacks on the United States
September 11 attacks
South-West Asia Service Medal