Hostname: page-component-78c5997874-v9fdk Total loading time: 0 Render date: 2024-11-05T15:53:46.743Z Has data issue: false hasContentIssue false

Health and Health Services in British Malaya in the 1920s

Published online by Cambridge University Press:  28 November 2008

J. Norman Parmer
Affiliation:
Trinity University, San Antonio, Texas

Extract

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.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1989

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1 Reid, J. G., ‘Maternal Mortality Among South Indian Estate Women’, Journal of the Malaya Branch, British Medical Association, vol. 4, no. 1, 06 1940, p. 20.Google Scholar

2 This essay is a revised and edited version of a paper of the same title given at the Asian Studies Association of Australia Sixth Biennial Conference in Sydney in May 1986.Google Scholar

3 For example, Manderson, Lenore. ‘Health Services and the Legitimation of the Colonial State: British Malaya 1786–1941,’ in International Journal of Health Services, vol. 17, no. 1, 1987.CrossRefGoogle ScholarPubMed

4 Two examples are: Watson, Malcolm, The Prevention of Malaria in the Federated Malay States. A Record of Twenty Years' Progress (London: John Murray, second edition, 1921),Google Scholar and Lee, Y. K., ‘Singapore's Pauper and Tan Tock Seng Hospitals,’ in The Journal of the Malayan Branch of the Royal Asiatic Society, pp. 79111 in no. 228, 10 1975; pp. 113–33 in no. 229, August 1976; pp. 164–83 in no. 230, December 1976; and pp. 111–35 in no. 232, December 1977.Google ScholarPubMed

5 This phenomenon has been discussed by McNeil, William H. in Plagues and People (Garden City, New York: Anchor Press/Doubleday, 1976).Google Scholar

6 Proceedings of the Federal Council of the Federated Malay States (PFCFMS), 13 April 1920, p. 822.Google Scholar

7 Ibid., November 1920.

8 Ibid., 13 April 1920, p. 820.

9 Proceedings of the Legislative Council of the Straits Settlements (PLCSS), 25 October 1920, pp. C149–C150.Google Scholar

10 See Wah, Yeo Kim, ‘The Guillemard-Maxwell Power Struggle, 1921–1925,’ in The Journal of the Malayan Branch of the Royal Asiatic Society, vol. 54, pt 1, 1981, pp. 4864.Google Scholar Also Yeo, , The Politics of Decentralization. Colonial Controversy in Malaya, 1920–1929 (Kuala Lumpur: Oxford University Press, 1982).Google Scholar

11 Heretofore outdoor dispensaries had been set up on the grounds of Government hospitals. Dispensaries in typical ‘shop houses’ in the town center were thought likely to be better attended.

12 Federated Malay States (F.M.S.), Report of the Chief Secretary to the Government for the Year 1921, pp. 6, 1516.Google Scholar

13 F.M.S., Medical Report for the Year 1920, p. 30.Google Scholar

14 Ibid., p. 1.

15 F.M.S., Annual Report for 1929, p. 41.Google Scholar

16 Straits Settlements (S.S.), Annual Departmental Reports of the Straits Settlements for the Year 1929, p. 35.Google Scholar

17 The Straits Times, 1 November 1923, p. 9.Google Scholar

18 The Planter, vol. 1, no. 4, 11 1920, pp. 41–3.Google Scholar

19 F.M.S., Annual Report for 1925, p. 31.Google Scholar

20 The Straits Times, 22 June 1926, p. 3.Google Scholar

21 F.M.S., Annual Report of the Medical Department for the Year Ending 31st December 1928, p. 91.Google Scholar

22 The Straits Times, 9 November 1923, p. 3Google Scholar; ibid., 23 November 1923, p. 15; The Malay Mail, 15 May 1924, p. 10; Ibid., 21 May 1925, p. 10.

23 The Straits Times, 1 September 1923, p. 3Google Scholar; Ibid., 23 November 1923, p. 15.

24 Ibid., 23 November 1923, p. 25.

25 The Straits Times, 10 June 1926, pp. 910.Google Scholar

26 F.M.S., ‘Report of the Chief Health Officer, Federated Malay States, for the Year 1928’ p. 94, in Annual Report of the Medical Department for the Year Ending 31st December 1928.Google Scholar

27 The Straits Times, 23 November 1923, p. 15.Google Scholar

28 Ibid., 10 June 1926, pp. 9–10.

29 See F.M.S., ‘Annual Report of the Institute for Medical Research for the Year 1928,’ p. 32 in Appendix A, Annual Report of the Medical Department for the Year ending 31st December 1929.Google Scholar

30 F.M.S., Annual Report for 1930, p. 35.Google Scholar

31 ‘Enactment No. 13 of 1926,’ in F.M.S., Enactments Passed During the Year 1926, pp. 31–8.Google Scholar

32 F.M.S., Report of the Commission to Enquire into Certain Matters Affecting the Health of Estates in the Federated Malay States together with a Memorandum by the Chief Secretary to Government, Federated Malay States. Hereafter referred to as ‘Commission.’Google Scholar

33 Planters Association of Malaya (P.A.M.), Circular No. 16, 28 August 1929, pp. 31–5.Google Scholar

34 The Straits Times, 9 June 1925, p. 9Google Scholar.

35 S.S., ‘Preliminary Survey of Hookworm Infection and Rural Sanitation in the Straits Settlements, 1925’ by Russell, Paul F., M.D., pp. 624–7 in Annual Departmental Reports of the Straits Settlements for the Year 1925.Google Scholar

36 Ibid., p. 643.

37 ‘Extracts from the Straits Settlements Rural Sanitation Survey and Campaign Final Report and Tables, 1925–1928,’ p. 766 in S.S., Annual Departmental Reports of the Straits Settlements for the Year 1928. Hereafter referred to as ‘Extracts.’Google Scholar

38 ‘Extracts,’ p. 777.Google Scholar

39 Ibid., p. 775.

40 Ibid., p. 781.

41 Ibid., p. 782.

42 S.S., ‘Straits Settlements Medical Report,’ p. 851 in Annual Departmental Reports of the Straits Settlement for the Year 1927.Google Scholar

43 ‘Extracts,’ p. 783.Google Scholar

44 PLCSS, 21 November 1921, p. B225.Google Scholar

45 F.M.S., Report of the Chief Secretary to Government for the Year 1925, p. 33.Google Scholar

46 F.M.S., ‘Report of the Chief Medical Oficer, Social Hygiene, Federated Malay States for the Year 1929,’ pp. 114–18, Appendix III in Annual Report of the Medical Department for the Year 1929.Google Scholar

47 F.M.S., ‘Annual Report of the Work Done in Combating Venereal Diseases in the Federated Malay States, 1925,’ pp. 96100 in Annual Report of the Medical Department for the Year Ending 31st December 1925.Google Scholar

48 F.M.S., ‘Annual Report of the Chief Medical Officer, Social Hygiene, Federated Malay States for the Year 1930,’ pp. 221ff in Annual Report of the Medical Department for the Year 1930.Google Scholar

49 Pahang, , Administration Report for the Year 1919, p. 23.Google Scholar

50 Sembilan, Negri, Administration Report for the Year 1919, p. 16.Google Scholar

51 Lenore Manderson has researched aspects of infant welfare in Malaya. See her: ‘Blame, Responsibility and Remedial Action: Death, Disease, and the Infant in Early Twentieth Century Malaya,’ in Owen, N. (ed.), Death and Disease in Southeast Asia: Explorations in Economic, Social and Demographic History, forthcoming.Google Scholar

52 F.M.S., Annual Report of the Medical Department for the Year Ending 31st December 1925, p. 15.Google Scholar

53 The Straits Times, 13 February 1925, p. 11.Google Scholar

54 The Malay Mail, 19 October 1927, p. 7.Google Scholar

55 The Straits Times, 27 April 1926, p. 10Google Scholar.

56 Ibid., 6 February 1925, p. 9.

57 Ibid., 29 April 1926, p. 9.

58 Ibid., 6 February 1925, p. 9.

60 The Malayan Daily Express, 6 September 1927, p. 6.Google Scholar

62 Agent of the Government of India, Annual Report 1928, p. 6.Google Scholar

63 F.M.S., Annual Report of the Medical Department for the Year Ending 31st December 1929, p. 27.Google Scholar

64 F.M.S., The Chief Secretary's Report for the Year 1920, p. 11.Google Scholar

65 F.M.S., The Chief Secretary's Report for the Year 1919, p. 15.Google Scholar

66 The Malay Mail, 10 August 1927, p. 8.Google Scholar

67 Ibid., 28 October 1927, p. 13 and subsequent issues.

68 F.M.S., Medical Report for the Year 1920, p. 27.Google Scholar

69 Commission, p. A16. In 1924, the Medical or ‘Hospital Branch’ of the Medical Department had 745 staff actually employed while the Health Branch had 42.Google Scholar

70 F.M.S., ‘Report of the Chief Health Officer Federated Malay States for the Year 1928’ Appendix B, pp. 86–9 in the Annual Report of the Medical Department for the Year Ending 31st December 1928.Google Scholar

71 F.M.S., Interim Reports of the Retrenchment Commission. Paper no. 5 of 1923 laid before the Federal Council 30 October 1923, p. 29.Google Scholar

72 The Malay Mail, 19 April 1924, p. 13.Google Scholar

73 F.M.S., Annual Report of the Medical Department for the Year Ending 31st December 1929, p. 10.Google Scholar

74 F.M.S., Annual Report of the Medical Department for the Year Ending 31st December 1930, p. 4.Google Scholar

75 F.M.S., Annual Medical Report for the Year Ending 31st December 1924, p. 9.Google Scholar

76 ‘Extracts,’ p. 779.Google Scholar

78 ‘Extracts,’ pp. 782–3.Google Scholar

80 The Straits Times, 13 September 1929, p. 10.Google Scholar

81 The Sunday Mirror, 18 November 1928, p. 2.Google Scholar