Daily Archives: 29 January 2026

Fighting Malaria in Burma, 1944

From Burma ’44: The Battle That Turned World War II in the East, by James Holland (Grove Atlantic, 2024), Kindle pp. 54-55:

[A] pragmatic mindset was most definitely needed in the battle against endemic sickness. Slim recognized, just as the new Supreme Commander recognized, that prevention was better than cure. Mountbatten had made bringing new medical advances and research to the theatre a priority – something that was far beyond Slim’s own influence; but he could improve medical practice and discipline at the front and he was determined to do so as a major priority. Up until the autumn of 1943, if a soldier contracted malaria, for example, he was then transported, while his disease was at its height, hundreds of miles by road, rail and even sea to a hospital in India. This, on average, took him out of the line for around five months. All too often he might then be re-employed in India and never return to Burma. To get around this problem, new Malaria Forward Treatment Units – MFTUs – were now set up. These were, to all intents and purposes, tented hospitals just a few miles behind the front lines. A man with malaria would reach these within twenty-four hours and remain there for three weeks or so until he was cured. When fit, he was sent straight back to his unit.

Mepacrine anti-malaria tablets were also issued to the men, but their introduction was met with the rumour that they caused impotence. This was entirely without foundation, and Slim rigidly insisted that regimental officers make sure the men were taking their Mepacrine. He even introduced spot visits where every man was checked; if the result was less than 95 per cent positive, he summarily sacked the commanding officer. He only ever had to sack three; the message got around quickly and, equally swiftly, that autumn cases of malaria began to fall.

The regimental officers were also told to maintain strict medical discipline in other areas. Trousers were to be worn, not shorts; and shirts were to be worn with the sleeves down before sunset when insects were at their worst; minor abrasions were to be treated immediately and before, not after, they turned septic. The fight against sickness, Slim insisted, had to be a united effort: discipline, sound practice and common sense were key. And already, as the year drew to a close, the health of Fourteenth Army was showing signs of improving – not massively so just yet, but on the chart that hung on Slim’s wall in his office at Comilla the curve indicating hospital admissions was beginning to sink.

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