Health and Health Services in British Malaya in the 1920s

Abstract

British Malaya was a very unhealthy place in the early years of this century. Malaria, ankylostomiasis or hookworm, venereal disease, tuberculosis, dysentery, pneumonia, beri-beri, cholera and still other diseases accounted for thousands of deaths annually in the 1920s. Typically, persons suffered from two or more maladies at the same time. In the Federated Malay States (F. M. S.) probably more than half of those listed as dying from malaria also suffered from hookworm. Many pneumonia deaths were due to tuberculosis. Chronic malnutrition combined with malaria, hookworm and diarrhea in many, perhaps most, pregnant women to produce high infant and maternal mortality. The majority of the living were more or less continuously afflicted with disease. Most of the diseases were debilitating and slow to kill. Most were preventable although that was imperfectly understood.

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