in West Malaysia (Fadzillah 1997). The incidence of leprosy is also on the
increase among the Orang Asli, from 8.74 reported cases per 100,000 of the
population in 1998 to 19.63 in 2002 (JHEOA Gombak Hospital 2004).
Also, the ‘old’ diseases and infections that have plagued Orang Asli for
as long as they can remember still plague them today. These include
skin infections such as scabies, worm infestation, diarrhoea (sometimes
resulting in fatality), and goitre. In fact, although goitre is easy and cheap
to prevent, up to a third of Orang Asli adults are goiterous today, which is
about the same proportion that had goitre 50 years ago (Baer 1999). Data
from the JHEOA hospital in Gombak reveal that there were 31 cases of HIV/
AIDS among the Orang Asli in 2003.
Orang Asli women and children are especially vulnerable to nutritional
deficits and attendant intestinal parasitism. Lim and Chee (1998) found that
the nutritional status of the 34 Orang Asli women they examined in Pahang
was generally not satisfactory. Their mean nutrient intake levels (except for
Vitamin C) were below the required minimum, while their mean iron intakes
were about one-quarter to one-third of the required level. In Pahang, 35 per
cent of the Semai women studied by Osman and Zaleha (1995) had proteinenergy malnutrition and 64 per cent were goiterous; even 35 per cent of
the men had goitres.
In Perak, 73 per cent of the Temiar women and 48 per cent of the Temiar
men studied had intestinal worms (Karim et al. 1995). Moreover, the vast
majority of Orang Asli children are underweight and stunted (Zalilah and
Tham 2002). This supports the findings of Osman and Zaleha (1995) who
found that 80 per cent of Orang Asli children studied were undernourished
and stunted. Many of the children also had intestinal worms and protozoa,
anaemia, dental caries, and vitamin A deficiency (Karim et al. 1995; Ariff et
al. 1997; Norhayati et al. 1995, 1998; Rahmah et al. 1997).
It is well to emphasize here that most Orang Asli lack food security (Zalilah
and Tham 2002). With the majority of them living below the poverty line,
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