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A month after Meriam gave birth to her second child, she contracted a severe attack of malaria.
Although Tunku gave her the best remedies that he could obtain from Penang, and Meriam made a little progress.
An English doctor from Alor Setar who visited her mistakenly gave her an injection of undiluted quinine that killed her instantly, It was tragic misadventure so that Tunku made no attempt to lodge an official report.
Instead, he wrote again to the State Secretariat, asking that funds be made available to drain the swamps and to rid Kuala Nerang of the main breeding place of the carriers of malaria.
This time the money came and the work was carried out under Tunku's supervision.

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