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Syndemic anemia in British Malaya: An early global health encounter with hookworm and malaria co-infections in plantation workers

James L.A. Webb

Social Science & Medicine, 2022, vol. 295, issue C

Abstract: With the establishment of the International Health Commission in 1913, the Rockefeller Foundation sought governmental partnerships overseas to combat hookworm disease and improve feces disposal practices. In the Madras Presidency in British India, the India Research Fund Association carried out hookworm surveys but failed in its educational efforts to improve feces disposal practices. In British Malaya, the Uncinariasis [Hookworm] Commission to the Orient discovered a syndemic of anemia among Tamil plantation laborers from the Madras Presidency and Chinese laborers from southern China who suffered from hookworm and malarial co-infections. Confronted with the apparent infeasibility of improving feces disposal practices and the obdurate fact of re-infection with hookworm after purgative treatment, the Rockefeller Foundation ended its hookworm initiative in British Malaya without advocating for programmatic intervention against syndemic anemia.

Keywords: Syndemic; Anemia; Hookworm; Malaria; Rockefeller Foundation; Uncinariasis Commission to the Orient; Indian Research Fund Association (search for similar items in EconPapers)
Date: 2022
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DOI: 10.1016/j.socscimed.2020.113555

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