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ETHNOBOTANICAL AND ETHNOPHARMACOLOGICAL DOCUMENTATION
OF ANTIMALARIAL PLANTS USED BY THE JAKUN COMMUNITY IN KG PETA, ENDAU-
ROMPIN, JOHOR, MALAYSIA
IZDIHAR BINTI ISMAIL
UNIVERSITI TUN HUSSEIN ONN MALAYSIA
ETHNOBOTANICAL AND ETHNOPHARMACOLOGICAL
DOCUMENTATION OF ANTIMALARIAL PLANTS USED BY THE JAKUN
COMMUNITY IN KG PETA, ENDAU-ROMPIN, JOHOR, MALAYSIA
IZDIHAR BINTI ISMAIL
A thesis submitted in
fulfillment of the requirement for the award of the degree of
Master of Science
Faculty of Science, Technology and Human Development
Universiti Tun Hussein Onn Malaysia
APRIL 2017
iii
This thesis is dedicated to my beloved mother, Rohanah Hashim
a strong and gentle soul
who is nursing me with affection and love
and her dedication to my success in life
&
to my husband, Faiz Akmal
for earning an honest living for us and
for supporting and encouraging me to believe in myself.
In memory of
my late father, Ismail Alip
without you
I would not be who I am today.
DEDICATION
iv
ACKNOWLEDGEMENT
Most of all, I would like to offer my heartfelt gratitude to Almighty God for giving
me this great privilege and wisdom to carry out and complete this work.
I take pride acknowledging my main supervisor Assoc. Prof. Dr. Alona
Cuevas Linatoc and co-supervisor Prof. Emeritus Datin Dr. Maryati Mohamed,
Department of Technology and Heritage, University Tun Hussein Onn Malaysia for
their unfailing optimism, dedication, encouragement, help and support that they gave
me to carry out this work successfully.
I am thankful to Department of Orang Asli Development (JAKOA) for the
approval to conduct the research. My special thanks to residents of Kg. Peta, Endau-
Rompin, Johor especially, Kak Ayu, Wak Salam, Mak Weh, Mak Misah, Mak Meh
for their kindness and help all throughout the duration of my field work. My
appreciation also goes to those who are helping me directly and indirectly, my
research group from Centre of Research for Sustainable Uses of Natural Resources
(CoR-SUNR), and the Johor National Parks Corporation (JNPC) staffs and residents
in Kg. Peta.
I am very grateful to Johor Biotechnology & Biodiversity Corporation (J-
Biotech) for their cooperation in allowing me to use their facilities to carry out my
laboratory work.
My sincere thanks also to plant taxonomist, Mr. Kamarudin Saleh from Flora
Biodiversity Programme (FLORA), Division of Forest Biodiversity, Forest Research
Institute Malaysia (FRIM) for the time spent in taxonomical identification of my
plant samples.
This research has been supported by the UTHM Multidisciplinary Research
(MDR) Grant Vot 1314, without which this study would have not been possible.
Finally, I would like to thank to my family and my husband, Faiz Akmal for
their patience, understanding, support and belief in my ability to complete this study.
v
ABSTRACT
Malaria, one of the leading infectious diseases in many tropical regions including
Malaysia is caused by the parasite Plasmodium. An ethnobotanical survey of
medicinal plants used by the indigenous people particularly the Jakun tribe from Kg.
Peta, Endau-Rompin, Johor for the treatment of malaria and malaria associated
symptoms was conducted using a semi-structured interview. The declining
popularity of application of traditional remedies by the young generation threatens
the disappearance of traditional knowledge possessed mainly by the older generation.
Hence, the need for documentation of this knowledge justifies the relevance of this
study. Out of 19 species (17 families) were recorded, 7 species: Hodgsonia
macrocarpa, Pentaphragma begoniifolium, Rennellia elliptica, Saprosma
corymbosa, Strychnos ignatii, Tacca integrifolia and Tetracera macrophylla were
investigated for phytochemical and in vitro antiplasmodial activities. Twelve
aqueous and 12 methanolic extracts were screened for antiplasmodial phytochemical
classes i.e., alkaloids, flavonoids, terpenoids and anthraquinones using thin-layer
chromatography (TLC). Results revealed the presence of at least one of the
phytochemical class in each extracts. Extracts were subjected to antiplasmodial
activity through histidine-rich protein II (HRP2) assay against K1 strain of P.
falciparum chloroquine-resistant. Overall, ten methanolic extracts from H.
macrocarpa (stem), P. begoniifolium (root, stem and leaves), R. elliptica (root, stem
and leaves), S. corymbosa (leaves), T. integrifolia (root) and T. macrophylla (stem)
have potential antiplasmodial activities against chloroquine-resistant P. falciparum
(IC50 < 10 µg/mL). The part of the plants species involves indicates statistically
significant difference of IC50 between the kinds of extractions (p < 0.05). The results
scientifically validated the plants used in Jakun’s traditional medicine displayed
promising therapeutic properties and further studies could lead to develop
phytomedicines in the treatment of malaria.
vi
ABSTRAK
Malaria, salah satu penyakit berjangkit yang utama di kebanyakan kawasan tropika
termasuk Malaysia yang disebabkan oleh parasit Plasmodium. Satu survei etnobotani
tumbuhan ubat-ubatan yang digunakan oleh orang-orang asli terutamanya suku Jakun
yang tinggal di Kg. Peta, Endau-Rompin, Johor bagi rawatan malaria dan gejala-
gejalanya telah dijalankan menggunakan temu duga separa terarah. Penurunan
populariti penggunaan ubat-ubatan tradisional oleh generasi muda menyebabkan
kepupusan pengetahuan tradisional terutamanya yang dimiliki oleh generasi tua.
Oleh itu, keperluan mendokumentasi pengetahuan ini adalah bagi menjustifikasi
kerelevanan kajian ini. Daripada 19 spesies (17 famili) yang direkodkan, 7 spesies:
Hodgsonia macrocarpa, Pentaphragma begoniifolium, Rennellia elliptica, Saprosma
corymbosa, Strychnos ignatii, Tacca integrifolia dan Tetracera macrophylla telah
dikaji bagi fitokimia dan aktiviti in vitro antiplasmodial. Dua belas akueus dan 12
ekstrak metanol telah disaring bagi kelas fitokimia antiplasmodial i.e., alkaloid,
flavonoid, terpenoid dan antrakuinon dengan menggunakan kromatografi lapisan-
nipis (TLC). Hasil kajian menunjukkan kehadiran sekurang-kurangnya satu kelas
fitokimia dalam setiap ekstrak. Ekstrak-ekstrak ini menjalani aktiviti antiplasmodial
melalui assai protein kaya-histidina II (HRP2) terhadap strain K1 P. falciparum
rintang-klorokuina. Keseluruhannya, sepuluh ekstrak metanol iaitu H. macrocarpa
(batang), P. begoniifolium (akar, batang dan daun), R. elliptica (akar, batang dan
daun), S. corymbosa (daun), T. integrifolia (akar) dan T. macrophylla (batang)
mempunyai potensi aktiviti antiplasmodial terhadap P. falciparum rintang-
klorokuina (IC50 < 10 μg/mL). Bahagian spesies tumbuhan yang terlibat
menunjukkan perbezaan statistik IC50 yang signifikan antara jenis pengekstrakan (p <
0.05). Hasil kajian telah mengesahkan secara saintifik bahawa tumbuhan yang
digunakan dalam perubatan tradisional masyarakat Jakun ini memaparkan ciri
terapeutik dan kajian lanjutan mampu membawa kepada pembangunan fitokimia
dalam rawatan malaria.
vii
TABLE OF CONTENTS
TITLE i
DECLARATION ii
DEDICATION iii
ACKNOWLEDGEMENT iv
ABSTRACT v
ABSTRAK vi
TABLE OF CONTENTS vii
LIST OF TABLES xi
LIST OF FIGURES xiii
LIST OF SYMBOLS AND ABBREVIATIONS xv
LIST OF APPENDICES xix
LIST OF PUBLICATIONS xx
CHAPTER 1 INTRODUCTION 1
1.1 Introduction 1
1.2 Problem statements 3
1.2.1 The erosion of traditional knowledge (TK) 3
1.2.2 The development of resistance of 4
Plasmodium sp. to popularly known
medication
1.3 Aim and objectives 4
1.4 Significance of the study 5
1.5 Scope and limitation of the study 6
CHAPTER 2 LITERATURE REVIEW 8
2.1 Introduction 8
2.2 Traditional knowledge (TK) 8
2.2.1 Its role and value of traditional knowledge 9
(TK)
viii
2.2.2 The importance of documentation of 10
traditional knowledge (TK)
2.2.3 The role and status of traditional knowledge 11
(TK) on documentation of medicinal plants
in healthcare and medicine in Malaysia
2.3 The Orang Asli 14
2.3.1 Definition, origin and background of 14
Orang Asli
2.3.2 The Jakun community in Kg. Peta, 17
Endau-Rompin, Mersing, Johor
2.3.3 The Jakun people and medicinal plants 20
2.4 Malaria 22
2.4.1 Epidemiology of malaria worldwide 22
2.4.2 Epidemiology of malaria in Malaysia 23
2.4.3 Life cycle of Plasmodium sp. 25
2.4.4 Symptoms of malaria 28
2.4.5 Malaria treatments 28
2.4.5.1 Malaria and ethnomedicinal plants 29
2.4.5.2 Antimalarial drugs 34
2.5 Antiplasmodial phytochemical classes 36
2.5.1 Alkaloids 36
2.5.2 Flavonoids 37
2.5.3 Terpenoids 38
2.5.4 Quinones 39
CHAPTER 3 RESEARCH METHODOLOGY 41
3.1 Introduction 41
3.2 Materials 43
3.2.1 Materials and instruments used 43
3.2.2 Chemicals and reagents used 43
3.2.3 Plant samples 43
3.3 Ethnobotanical methods 44
3.3.1 Study area 44
3.3.2 Selection of key informants 45
3.3.3 Interview with key informants 46
ix
3.3.4 Preparation of plant voucher specimens 47
3.3.5 Identification of plant specimens 49
3.4 Ethnopharmacological methods 50
3.4.1 Evaluation in selecting plant samples 50
3.4.2 Collection and preparation of plant samples 50
3.4.3 Extractions of plant samples 52
3.4.3.1 Aqueous extraction 52
3.4.3.2 Methanol extraction 54
3.4.4 Qualitatively phytochemical screening of 55
the crude plant extracts using thin-layer
chromatography (TLC)
3.4.5 Determination of in vitro antiplasmodial 59
activity of plant extracts using histidine-rich
protein II (HRP2)
3.4.5.1 Cultivation of parasites 59
3.4.5.2 Microscopic examination and 60
synchronization of P. falciparum
3.4.5.3 Preparation of drug dilution 62
3.4.5.4 In vitro histidine-rich protein II 64
(HRP2) drug sensitivity assay
3.4.5.5 Determination of IC50 values of 65
crude plant extracts
3.4.6 Statistical analysis 66
CHAPTER 4 RESULTS 67
4.1 Introduction 67
4.2 Ethnobotanical results 68
4.2.1 Demographic profile of the key informants 68
4.2.2 Ethnomedicinal plants associated malaria 68
symptoms
4.3 Ethnopharmacological results 88
4.3.1 Percentage yield of plant extracts 88
4.3.2 Screening of major antiplasmodial 91
phytochemical classes from
plant extracts
x
4.3.3 In vitro antiplasmodial activity of plant 93
extracts
CHAPTER 5 DISCUSSIONS 96
5.1 Introduction 96
5.2 Ethnobotanical research 96
5.2.1 Study area 96
5.2.2 Traditional knowledge and practice 97
5.2.3 General perceptions by the younger 99
generations towards traditional
knowledge (TK)
5.2.4 Ethnomedicinal plants associated malaria 100
disease
5.2.5 Habit of the medicinal plants used 102
5.2.6 Medicinal plants and the associated 104
knowledge
5.2.7 Frequency of plant parts used 104
5.2.8 Mode of preparation and 105
administration
5.2.9 Frequency and time consumption 108
5.2.10 Reported side effects and restrictions 109
5.2.11 Frequency of citation 111
5.3 Ethnopharmacological research 111
5.3.1 Percentage yield of plant extracts 111
5.3.2 Phytochemical screening and in vitro 112
antiplasmodial activity of plant extracts
CHAPTER 6 CONCLUSION AND RECOMMENDATIONS 121
REFERENCES 123
APPENDICES 144
VITAE 192
xi
LIST OF TABLES
2.1 Documentation of medicinal plants 13
used by other tribes in Malaysia
2.2 Proto-Malay ethnic group, location 18
and estimates population in 2013
(JAKOA, 2014)
2.3 Previously-published medicinal 30
plants used in treating various diseases
2.4 Treatment regimen for malaria 35
(Ashley et al., 2006)
2.5 Classification scheme of terpenoids 38
(Croteau et al., 2015)
3.1 Parts of plant samples used for the 51
treatment of malaria and malaria
associated symptoms
3.2 Solvent system used for TLC of 56
aqueous crude plant extracts
3.3 Solvent system used for TLC of 57
methanol crude plant extracts
3.4 TLC analysis protocol of 58
plant extracts
3.5 Proposed thresholds for in vitro 66
activity of antiplasmodial extracts
(Rasoanaivo et al., 2004)
4.1 Demographic profile of the 69
key informants
4.2 Plants used for the treatment of 71
malaria and malaria associated symptoms
xii
in Kg. Peta, Endau-Rompin, Johor
4.3 Number of plant used that has malaria 84
symptoms mentioned by
key informants
4.4 Yield percentage and appearance of 89
the crude extract after extraction with
aqueous solvent
4.5 Yield percentage and appearance of 90
the crude extract after extraction with
methanol solvent
4.6 Phytochemical screening of seven 93
medicinal plants for major classes of
antiplasmodial in the aqueous
and methanolic extract
4.7 Representative of in vitro 94
antiplasmodial activities of standard
drugs against P. falciparum
K1 strain
4.8 The antiplasmodial activities of 95
aqueous and methanol extracts of
seven medicinal plants
xiii
LIST OF FIGURES
2.1 Three main ethnics and 18 tribes of 16
Orang Asli in Peninsular Malaysia
2.2 Distribution of Orang Asli by tribe 17
groups in Peninsular Malaysia
2.3 Number and incidence of malaria 24
(per 1,000 populations) in
Malaysia, 2000-2012
(MOH, 2014)
2.4 Malaria deaths and case fatality 25
rate in Malaysia, 2000-2012
(MOH, 2014)
2.5 Life cycle of the malaria parasite 27
(MOH, 2014)
3.1 The flow chart of research 42
methodology
3.2 The location of Kg. Peta in Johor 44
National Park Endau-Rompin
(TNJER)
3.3 The flow chart of selection of 45
key informants
3.4 The herbarium specimens 49
3.5 The flow chart of collection and 52
preparation of plant samples
3.6 The flow chart of preparation of 53
aqueous extracts
3.7 The flow chart of preparation of 55
methanol extracts
xiv
3.8 The flow chart of phytochemical 58
screening of crude plant extracts
using thin-layer
chromatography (TLC)
3.9 The flow chart of cultivation 60
of parasite
3.10 Trophozoite form 61
3.11 Schizont form 62
3.12 The layout of the test plate 63
3.13 The flow chart of in vitro 65
P. falciparum HRP2 drug
sensitivity assay
4.1 Photographs of nineteen plants species 82
used by Jakun people to treat malaria
and malaria associated symptoms
4.2 Different habits of medicinal plants 83
used for antimalarial remedy by
Jakun people in Kg. Peta,
Endau-Rompin, Johor
4.3 Plant parts used for antimalarial 85
remedy by Jakun people in Kg. Peta,
Endau-Rompin, Johor
4.4 Mode of preparation of the 86
herbal remedies
4.5 Mode of administration of the 86
herbal remedies
4.6 Presence of major antiplasmodial 92
phytochemical spots on the plate after
stained by reagent and its Rf value
5.1 The roots of Eurycoma longifolia 108
and Rennelia elliptica after being
used by decoction
xv
LIST OF SYMBOLS AND ABBREVIATIONS
~ - Similarity
> - Greater than
< - Less than
± - Uncertainty
% - Percentage
°C - Degree Celsius
µg/mL - Microgram per milliliter
µL - Microliter
µL/well - Microliter per well
µM - Micromolar
cm - Centimeter
g - Gram
g/mL - Gram per milliliter
gsm - Grams per square meter
ha - Hectare
in - Inch
kg - Kilogram
km - Kilometer
km2 - Square kilometer
m - Meter
mg - Milligram
mg/kg - Milligram per kilogram
mg/mL - Milligram per milliliter
mM - Millimolar
mm - Millimeter
mL - Milliliter
ng/mL - Nanogram per milliliter
xvi
nM - Nanomolar
nm - Nanometer
rpm - Revolutions per minute
w/w - Weight per weight
wt/vol - Weight per volume
ABS - Access and Benefit Sharing
ACT - Artemisinin based Combination Therapy
ANOVA - Analysis of Variance
Art - Artemisinin
ASMQ - Artesunate-mefloquine
B.C. - Before Christ
BSA - Bovine serum albumin
BSCII - Biosafety Cabinet Class II
C6H14 - Hexane
C4H8O2 - Ethyl acetate
C4H10O - Butanol
CBD - Convention on Biological Diversity
CCM - Complete Culture Medium
CH3COOH - Acetic acid
CO2 - Carbon dioxide
CQ - Chloroquine
DBP - Dewan Bahasa dan Pustaka
DCM - Dichloromethane
DMSO - Dimethyl suplhoxide
E - East
ELISA - Enzyme-linked Immunosorbent Assay
EtOAc - Ethyl acetate
FAO - Food and Agriculture Organization
FRIM - Forest Research Institute Malaysia
GMT - Greenwich Mean Time
GPS - Global Positioning System
H2O - Water
H2SO4 - Sulfuric acid
HEPES - 4-(2-hydroxyethyl)-1-piperazineethanesulfonic acid
xvii
HRP2 - Histidine-rich Protein II
IC50 - 50% Inhibitory Concentration
IC90 - 90% Inhibitory Concentration
IgG - Immunoglobulin G
IgM - Immunoglobulin M
ILO - International Labour Organization
IMR - Institute for Medical Research
JAKOA - Department of Orang Asli Development
JNPC - Johor National Parks Corporation
Kg. - Kampung
M - Molar
Mef - Mefloquine
MeOH - Methanol
MOH - Ministry of Health Malaysia
N - North
NaCl - Sodium chloride
NaHCO3 - Sodium bicarbonate
NATO - North Atlantic Treaty Organization
OD - Optical Density
PBS - Phosphate buffer solution
PBST - PBS-Tween
pH - Power of Hydrogen
PIC - Prior Inform Consent
pLDH - Plasmodium Lactate Dehydrogenase
Q - Quinine
R&D - Research and Development
RAMSAR - The Convention on Wetlands of International
Importance
RBC - Red blood cell
Rf - Relative Front
RPMI - Roswell Park Memorial Institute Medium
SDX/PYR - Sulfadoxine/pyrimethamine
SPR - Slide Positivity Rate
THM - Traditional Herbal Medicine
xviii
TK - Traditional Knowledge
TLC - Thin-layer Chromatography
TM - Traditional Medicine
TMB - 3,3', 5,5;-tetramethylbenzidine
TNJER - Johor National Park Endau-Rompin
UNCCD - United Nations Convention to Combat Desertification
UNCED - United Nations Conference on the Environment and
Development
UNEP - United Nations Environment Programme
UNESCO - United Nations Educational Scientific and Cultural
Organization
USA - United States of America
UTHM - Universiti Tun Hussein Onn Malaysia
UV - Ultraviolet
WHO - World Health Organization
WIPO - World Intellectual Property Organization
xix
LIST OF APPENDICES
APPENDIX TITLE PAGE
A Seven Medicinal Plants Species Used 144
B Approval Letter from Department of 152
Orang Asli Development (JAKOA)
C Approval Letter from Johor National 155
Parks Corporation (JNPC)
D Semi-structured Questionnaire 158
E Prior Inform Consent (PIC) and 163
Access and Benefit Sharing (ABS)
F Plants Collection Permit 168
G Acknowledgments in Consolation Money 171
H Label of Voucher Specimen 174
I List of Plant Species Reported 176
J Preparation of Staining Reagents 180
K Raw Data of In vitro Antiplasmodial 183
Activities of the Aqueous and Methanol
Crude Extracts
L One-way ANOVA Tables 189
xx
LIST OF PUBLICATIONS
Journals:
(i) Ismail, I., Linatoc, A. C., Mohamed, M., & Tokiman, L. (2015).
Documentation of medicinal plants traditionally used by the Jakun people
of Endau-Rompin (Peta) for treatments of malaria-like symptoms. Jurnal
Teknologi, 77(31), 63-69.
(ii) Ismail, I., Linatoc, A. C., & Mohamed, M. (2016). Antiplasmodial
potential of selected medicinal plants used traditionally in Johor National
Park Endau-Rompin. International Journal of Pharmacy and
Pharmaceutical Sciences.
[Accepted with minor correction]
xxi
Proceeding/ Conference/ Seminar:
(i) Ismail, I., Linatoc, A. C., Mohamed, M., & Tokiman, L. (2014).
Documentation of medicinal plans traditionally used in treatments of
malaria. In Bio Johor 2014, Persada Johor Convention Centre, Johor Bahru,
25-27 August 2014.
(ii) Ismail, I., Linatoc, A. C., Mohamed, M., & Tokiman, L. (2015).
Traditional knowledge on medicinal plants among the Jakun people for the
treatment of malaria-like symptoms in Kampung Peta, Endau-Rompin
Johor, Malaysia. In International Conference on Biodiversity (ICB) 2015,
Universiti Tun Hussein Onn Malaysia, Johor, 16-17 November 2015.
(iii) Ismail, I., Linatoc, A. C., Mohamed, M., & Tokiman, L. (2016). Herbal
medicine traditionally used by indigenous people in Endau-Rompin, Johor,
Malaysia. In Joint Seminar on Biodiversity & Conservation UTHM-UGM.
Universitas Gadjah Mada, Yogyakarta, 13 April 2016.
CHAPTER 1
INTRODUCTION
1.1 Introduction
Ethnobotanical research involves the relationship between human and plants in many
aspects of life such as food resources, portion in cosmetics, base in textiles and
elements in farming. Ethnopharmacology on the other hand, emphasizes on the
pharmacological treatment in general (Ríos, 2011). Such study is itemized on the
bio-evaluation of the effectiveness of traditional medicines. Ethnomedicine also has
close relation with ethnobotany and ethnopharmacology as it is based on written
sources and verbal information such as knowledge and practices which are passed
from generations to generations for centuries (Ríos, 2011).
In the modern era, some people are still practicing traditional treatment and
medication in their lives. Most of the under-developed countries practically uses the
plants and herbs for health and treatment which are the repetition of their ancestors’
practices for generations. In Malaysia, majority of natives from different ethnics
exercise different traditions in using herbs and plants as medicinal sources. They
have a close relationship with the forest since forest products have traditionally
formed as the basis of their livelihood (Lin, 2005).
Medicinal plants are used by Orang Asli Jakun in Kg. Peta, Endau-Rompin to
treat and cure people who were infected by certain illnesses or diseases. The location
where they stay in the Johor National Park Endau-Rompin (TNJER) make it possible
for them to access suitable plants and herbs in the treatment of various illnesses or
used as sources of food. Most of the older generation (above 40 years old) who
believed in the traditional medication based on plants. Therefore, they are
2
knowledgeable in many aspects of traditional medication and practices. This
traditional knowledge (TK) and practices are inherited and passed on continuously to
the younger generation. This traditional knowledge is essential to be preserved but
the young generations now lack the urge to learn the traditional practices as they
prefer the convenience provided by the use of modern medication. The consequence
of the new generation being indulged in modernizations results in the erosion of
traditional knowledge (Ismail et al., 2014). Hence, the ways in which the Orang Asli
Jakun in Kg. Peta treats illnesses like malaria and malaria-associated symptoms
should be documented promptly so that the TK on the use of medicinal plants may be
preserved before they are eroded and totally forgotten.
Like any other communities, the Orang Asli of TNJER also suffer from
malaria. Malaria is a very old disease and a major public health concern in many
tropical and subtropical countries (Jonville et al., 2008; Adebayo & Krettli, 2011;
Basir et al., 2012) including Malaysia even though malaria control and prevention
activities over the last few decades have greatly reduced the incidence of malaria
(Sanders et al., 2014).
Malaria is an infectious disease transmitted from one person to another via
the bite of female Anopheles mosquito. There are four species of plasmodia causing
malaria in humans, namely: Plasmodium falciparum, P. vivax, P. malariae and P.
ovale (Adebayo & Krettli, 2011; WHO, 2014). Additionally, P. knowlesi, a simian
malaria parasite is now recognized as the fifth plasmodium species that can cause
malaria to humans (Singh & Daneshvar, 2010; Azidah et al., 2014).
The onsets of malaria symptoms are nonspecific. This is due to presence of
one or more vague features of general body weakness. The incubation period is about
10 to 15 days after the first bite by the infected mosquito. The symptoms appear are
fever, chills, shivering, headache, loss of appetite, vomiting, dizziness, muscle and
joint aches, fatigue and nausea. If severe cases of malaria are not addressed properly,
this can lead to complications and eventually death (WHO, 2014).
3
1.2 Problem statements
1.2.1 The erosion of traditional knowledge (TK)
All community of indigenous people worldwide possess their own unique traditional
knowledge. Traditional knowledge is very diverse. It covers literary, artistic or
scientific works, song, dance, medical treatments and practices as well as agricultural
technologies and techniques. The precious medicinal values that hold by folk
medicines usually belong to indigenous people as they have been using medicinal
plants since myriad of time (Lim et al., 2010).
Medicinal plants have been demonstrated to be potential source in the
medical field while the indigenous people keep and transfer the knowledge and
practices usually through an informal system and adapting it as their way of life. This
knowledge is often transmitted from one generation to another as such the traditional
uses of many plants have not been documented. The lack of survey and
documentation of medicinal plants that are used by indigenous people leads to
knowledge erosion and lost with succeeding generations.
This phenomenon occurs in Malaysia due to less consciousness among the
community of the indigenous ethnics about traditional knowledge (Kulip, 2003; Lin,
2005; Samuel et al., 2010). The documentation of traditional usage of medicinal
plants to treat certain diseases is still less favorable. In contrast with others ethnics in
the world such as the Chinese, the Indians, the Bhutanese and etc., keep upgrading
the data into pharmacopoeia. In addition, nowadays the young generations just take a
shortcut by receiving modern treatment in hospital. They are use conventional
approach because of the belief to modern medicine is strongly convincing. Exposure
to modern culture also a key reasons that contribute to degradation of traditional
knowledge.
Hence, by conducting a proper survey and documentation be able to avoid
danger of losing this precious knowledge before degradation of natural habitats and
ecosystems leading to loss of plants and cultural diversity. Therefore, there is a need
to document traditional knowledge especially about medicinal plant diversity and
how the native communities are using them.
4
1.2.2 The development of resistance of Plasmodium sp. to popularly known
medication
Nowadays, the burden of this infectious disease is getting worse. All of the
Plasmodium species such as P. falciparum, P. vivax, P. malariae, P. ovale and P.
knowlesi have been identified to be responsible for human malaria infection. Among
these species, P. falciparum is the most common cause of fatality due to malaria
worldwide (WHO, 2014). The disease has become more severe as P. falciparum has
developed resistance against conventional medicines and therefore cause decline in
reducing the incidence of malaria (Noor Rain et al., 2007; Muganga et al., 2010;
Stangeland et al., 2011).
According to Noor Rain et al. (2007), P. falciparum also plays a role in the
incidence of malaria cases in Malaysia. Therefore, the disease is endemic to this
country even though various control activities was carried out over the last few
decades. Current available drugs have become ineffective towards these parasites.
Since 1963, this species were reported to be resistant particularly to chloroquine
subsequently to combination of chloroquine and pyrimethamine and also to
sulfadoxine/pyrimethamine (SDX/PYR) in endemic areas of Peninsular Malaysia
(Noor Rain et al., 2007).
Being one of the potential parasitic in Malaysia and developing of the
resistance, it is time to explore and discover medicinal plants that can be basis
platform of finding new antiplasmodial properties via effectiveness of bioassay
activity. In addition, the results can be groundwork for pharmacologist to develop
new novel of antimalarial drugs for treatment, prevention and management of the
disease.
1.3 Aim and objectives
This research aims to perform an ethnobotanical and ethnopharmacological study of
medicinal plants used by the Jakun people to treat malaria and malaria associated
symptoms in Kg. Peta, Endau-Rompin, Mersing, Johor. The study has collected and
documented herbal remedies traditionally used for the treatment, screening the
5
antiplasmodial phytochemical classes and also evaluate for antiplasmodial activity of
the plants selected.
The specific objectives are:
(i) To document medicinal plants used by the Jakun people in Endau-Rompin,
Johor for the treatment of malaria and malaria associated symptoms.
(ii) To screen crude extracts of selected medicinal plants in the treatment of
malaria and malaria associated symptoms in Endau-Rompin, Johor for the
presence and absence of antiplasmodial phytochemicals property.
(iii) To investigate crude extracts in an in vitro antiplasmodial activity in order to
verify and evaluate the potential selected medicinal plants in the treatment of
malaria and malaria associated symptoms as claimed by the Jakun people in
Endau-Rompin, Johor.
1.4 Significance of the study
Endau-Rompin Johor rainforest is the oldest tropical rainforest in the world. It has its
own attraction from its tranquillity and uniqueness. Its ecological system encircled
the rich of flora and fauna in the rainforest. The plant species has its own
distinctiveness (Wong, Saw & Kochummen, 1987). It relates to the use of it as an
antidote and medicinal cure to specific illness. Commonly, modern pharmaceutical
depends on plants as a resource in modern medical practices. It is due to the
numerous active phytochemicals needed in remedial of human disease. Furthermore,
it is estimated nearly one-fourth of prescription drugs made of extracts or active
phytochemicals which derived from plant essence (Brahmachari, 2009). Thus,
documentation of medicinal plants used by Orang Asli Jakun in Kg. Peta, Endau-
Rompin for the treatment of malaria disease is vital in order to avoid erosion of
traditional knowledge (TK). The tribe rich in knowledge of traditional treatment then
feared of losing this precious knowledge if the young generation who do not
responsible to take the task for preserving them. At the same time, the research
function as preliminary tasks in the scientific approach on selected plants to treat
malaria diseases as claimed by key informants in Kg. Peta. This research also
functions as a medium to identify the presence and absence of major antiplasmodial
phytochemical in the selected plants. The antiplasmodial phytochemical classes
6
which had been identified from the traditional plants can be the basis platform in the
pharmacological on the deviations and modification of new antiplasmodial
medication. Next, effectiveness of bioassay activity in the selected plants used in the
research, the possibilities to act as the medication and resources in finding and
discovering the antimalarial treatment is able to contribute in the pharmacology field.
Besides that, the information about the traditional plants, usefulness, extracts
preparation, dose and formula and mode of administration from traditional
practitioners and users may help in the preliminary for pharmacologist. This research
may contribute to Ministry of Health Malaysia (MOH) in finding the cure of malaria
diseases specifically to the residence which had the obstacle to gain the modern
allopathic. Other than that, this research is enabling to stand as the fundamentals in
the development of the herbal and complementary medication exploration. Finally,
the research may be realistic, resulting on the success of selecting the appropriate
plants species. Then, it may be commercialized and contribute to the society about
the healing agent and medicinal conception.
1.5 Scope and limitation of the study
The main purpose of this study is to evaluate selected ethnomedicinal plants for
treating malaria and malaria associated symptoms based on the traditional practices
of the Orang Asli in Johor National Park Endau-Rompin (TNJER). Based on the
requirements of the objectives, the scope and limitations of this research were
identified: the location of the study, ethnicity, type of traditional knowledge domain,
selection of medicinal plants, screening of phytochemical classes and bioassay
activity of antiplasmodial.
The location of this study area at the south state of Peninsular Malaysia with
selected indigenous community namely as Jakun (or Orang Hulu) who settled down
in a small village called Kg. Peta, Endau-Rompin, Mersing, Johor was chosen as key
informants to provide knowledge of medicinal plants. The location of the study area
is within TNJER which is an area south of the state of Pahang and northern-east part
of Johor. Though they lived far inland but they are surrounded by tropical rainforest
which are oldest in the world who still practice traditional medical treatments into
their lives. Thus, it was limited to key informants who are knowledgeable about
7
medicinal plants also expert in medical practices. In traditional settings, preparation
of plant extracts that involves performance of rituals such as shamanism and
divination and also combination of other plant species may disregards. This study
was limited on the therapeutic activity of a single plant species in the treatment of
malaria and malaria associated symptoms due to the efficacy of the plant that do not
related to the whole traditional healing process.
Moreover, crude extract comprises a mixture of phytochemical classes but its
limited to screen four major secondary metabolites of antiplasmodial which are
alkaloids, flavonoids, terpenoids and anthraquinones. Detection of major classes
present in these plant extracts using thin-layer chromatography (TLC) may be
difficult because of the overlapping spots making it difficult to detect the colour
changes after staining by reagent.
Besides that, P. falciparum K1 strain was used in histidine-rich protein II
(HRP2) to evaluate the in vitro antiplasmodial activity of the selected plants. This
bioassay activity was focuses on at crude extracts level in order to verify their
ethomedicinal plant property that claimed by the Jakun peoples.
CHAPTER 2
LITERATURE REVIEW
2.1 Introduction
This chapter reviews four keywords of this study. Section 2.2 elaborates on role and
value of traditional knowledge (TK), importance of documentation of TK and the
role and status of TK on documentation of medicinal plants in healthcare and
medicine in Malaysia. Section 2.3, explains definition, origin and background of
Orang Asli in Malaysia then zoom in to Jakun people in Kg. Peta, Endau-Rompin
and their interactions with medicinal plants. Section 2.4 comprises of epidemiology
of malaria worldwide and in Malaysia, the life cycle of Plasmodium sp., symptoms
of malaria and the malaria treatments in terms of practicing traditionally and using
modern medication. Lastly, in Section 2.5, reviews the major antiplasmodial
phytochemical classes such as alkaloids, flavonoids, terpenoids and quinones.
2.2 Traditional knowledge (TK)
Traditional knowledge (TK) denotes and distinguishes a community’s way of life or
culture and the conceptualise of the indigenous and how people contextual principle
applied in daily lives which depends on the traditional knowledge and the forming of
a cultural and spiritual identity which being moulded and passed on verbally from
generation to generation and transmitted through many form of art and
communication. Other forms of traditional knowledge are expressed through
different means (Lim et al., 2010).
9
2.2.1 Its role and value of traditional knowledge (TK)
Traditional knowledge (TK) gains its recognition to the facts that it contributes to
sustainable development. Thousands years of traditional practices had proven to
enhance and promote biodiversity at the local level and aid in maintaining a healthy
ecosystem. The benefits of TK valued, referred to its function and tasks in the
society. TK contributes in industrial growth and industries such as plant-based
medicine, health products and cosmetics as well as handicraft (Lim et al., 2010).
Traditional knowledge usage and benefits in daily lives had been recognized.
Many international bodies such as International Labour Organization (ILO), Food
and Agriculture Organization (FAO), United Nations Educational Scientific and
Cultural Organization (UNESCO), United Nations Environment Programme
(UNEP), North Atlantic Treaty Organization (NATO), the World Bank, United
Nations Convention to Combat Desertification (UNCCD), the United Nations
Conference on the Environment and Development (UNCED) and The Convention on
Wetlands of International Importance (RAMSAR), had accepted TK in
pharmaceutics’ ground (CBD, 2015). TK had international respect.
International Property Laws had been formed to preserve, protect and
promote traditional knowledge. In 1992, the Convention on Biological Diversity
(CBD) recognized the value of TK in protecting species, ecosystems and landscapes
and incorporated language regulating access to it and its use. Three broad approaches
to protect traditional knowledge have been developed. The first emphasizes on
protecting of traditional knowledge as a form of cultural heritage. The second point
at protection of traditional knowledge as a collective human right. The third, taken by
the World Intellectual Property Organization (WIPO) to investigate the interpretation
use of existing genus or species to protect the traditional knowledge (UNCCD,
2014).
The contribution of the indigenous and local communities to the conservation
and sustainable use of biological diversity had gone far beyond their role as natural
resource managers. Their skills and contribution techniques provide valuable
information to the global community and a useful model for biodiversity policies
until it is recognized internationally. Furthermore, as on-site communities with
10
extensive knowledge of local environments, they are most directly involved with
conservation and sustainable use (Lim et al., 2010).
2.2.2 The importance of documentation of traditional knowledge (TK)
The importance of traditional knowledge (TK) is known worldwide. In 1998,
Malaysia had established the National Policy on Biological Diversity. Malaysia is
coined to utilise its ground biological diversity and to preserve the natural sources to
reach the objectives of 1992 United Nations Convention on Biological Diversity
(CBD). The government share benefits of the natural sources globally. Article 15 of
CBD emphasized on the implementation of access and sharing the natural sources
(Lim et al., 2010).
Malaysia targets to develop and commercialise the use of natural resources in
living organisms derived from plants and herbs internationally. Products such as the
Tongkat ali (Eurycoma longifolia), Kacip fatimah (Labisia pumila), Mas cotek
(Ficus deltoidea), Pegaga (Centella asiatica), Misai kucing (Orthosiphon staminues)
and etc. are some of the name in the pharmaceuticals and medicinal supplement
which had been documented and shared by universally (Zainon, 2004).
The heredity of plants in the tropical rainforests transects the human needs
and it is public’s responsibility to conserve the 30% of our green. South America,
Central Africa and Southeast Asia are the tropical rainforest found in the world.
Malaysia rainforest is believed to be the oldest tropical rainforest and covers 59% of
the total land area. Currently, search and exploration on the genetic resources in
living plant in tropical rainforest leads to the founding of its scientific and traditional
pharmaceutical values. It is upsetting when deforestation threats the environment,
leaving the researchers with worries of its extinctions. About 4.9 million hectares of
forests in Malaysia shown reduction within 1983-2003 (WWF, 2015). In between
2000 and 2012 Malaysia recorded the world’s highest rate of forests lost, covering
47,278 km2 area of land forest (Butler, 2013). Rapid degradation of natural habitats
distracts the ecosystem and brings destruction to the rainforest. Meanwhile in
Africa’s inhabitants are reported to practise the utilising of its living organism in the
community. The indigenous in Ogbomoso, Nigeria use plants to treat the malaria
disease. The society clicks to medicinal plants treatment in curing any ailments
11
(Olorunnisola et al., 2013). This conduct had not been documented since, and
demands to such conducts were important to treasure. Lack of pertinent
documentation will cause the knowledge to disappear.
Malaria treatment is still in search. The aboriginal ways of handling the issue
of malaria amongst them is seen as the phases in conserving traditional knowledge of
medicinal plants. Malaysia’s young generation view the preserving of traditional
issue lightly. Modernization cause these younger generations to migrate to urban area
and forget the existence of traditional medicine (Ong, Faezah & Milow, 2012).
Approaches should be taken to overcome such circumstances. Ninth Malaysia Plan
(2006-2010) by Forest Research Institute Malaysia (FRIM) discussed the application
of TK in modern era and establish the traditional medicinal in the society of the rural
and urban area locally and internationally also globally (Lim et al., 2010).
Malaysia bioproducts growth had been proven to be potential due to the
ample and rich sources of traditional plants to utilise in the industry of traditional
pharmaceutical. Act and steps needed to ensure the traditional medicinal preserved
used in future generation. Thus, government must set up a programme whereby the
community in modern times valued the TK and view the issue of processing and
gathering the information of TK seriously by collecting the database at the
preliminary stages, screen the plants for traditional medicinal means then stress at its
potential in industrial world. Malaysia authority must cooperate with the local and
involvement from the private sectors is vital. All steps taken by the government is an
assurance to result in the success of conserving the traditional medicinal in Malaysia
and to the world to utilise it in modern pharmaceutical. The Research and
Development (R&D) programme is essential to the success of authority’s programme
and taken step a reality. Laws and order should be implementing in assurance to
preserve the heritage and treasure of the TK.
2.2.3 The role and status of traditional knowledge (TK) on documentation of
medicinal plants in healthcare and medicine in Malaysia
In life circle, it is transparent that the existence of human was not complete without
ties to plants and the growing nature. Human needs plants in every aspects of life.
History shown that not only humans use and utilise plants as food but in many terms
12
of daily use such as in construction, clothes preparation and design, and importantly
in medicine and healthcare (Brahmachari, 2009). Traditional herbal medicine (THM)
is the knowledge in implementing plants as main sources of important material in
health care product. Its pharmaceutical value, proven and clearly be seen in the lives
of the indigenous. WHO (2013) state that the use of traditional and herbal medicine
influenced the society in diverse community.
WHO (2013) regards the traditional medicine (TM) as important to the
society especially in the developing countries, where it may reduce the dominant
facts of allopathic medicine being utilize in clinical subject. It is being urged for the
developing countries to use the herbal and natural medicine in treatment of patient
and consumers in the community. About 80% of the world population use TM to
cure various ailments (Brahmachari, 2009; Wangchuk et al., 2011).
Malaysia shown the spiritual influence in medicinal matter, where in Malay
society they is “bomoh”, in Chinese custom there is ‘sin seh’ and in Indian society
there is ‘ayurvedi’. All the terms are referred to the herbalists and traditional
medicine (Kui, 2007).
The history of mankind is as old as the history of traditional medicine. 5,000
years ago, the Indian society practice Ayurveda in maintaining and curing life
ailments. This is the oldest form of medication practiced to mankind. Ayurveda is
Sanskrit words mean ‘the science’ of life. Its healing therapy passed on generations
verbally and had written record in Sanskrit (Gokani, 2014). Chinese therapy had
recorded the use of herbs and plants in its traditional treatment and had more than
2,500 years of history in traditional medication which includes the practise of
acupuncture, massage and mind/body and dietary therapy. Chinese medicinal
procedure materia medica includes plants, minerals and animals parts. (Lao, Xu &
Xu, 2012). Islamic and Christianity civilisation be seen used medicinal agents in
treating various diseases and infection in lots of ailments as mentioned in Quran and
Bible. Globally, there’s 35,000 green species identified as related to medical
resolutions (Ibrahim, 2005). Burkill (1966) in his compilation of the Malay Peninsula
economic merchandises reported 1,300 of plants in the region of traditional medicine
used in the society.
Documented of the traditional medicine and heritage are treasured for
generations and passed to next generation in many transportation: songs, folk stories,
medica pharmacopeia and to other parts of the world in terms of publications and
13
journal. Two books: ‘A Dictionary of Malayan Medicine’ (Gimlette & Thomson,
1939) and ‘A Dictionary of Economic Product of the Malay Peninsula’ (Burkill,
1966) is a documentation of Malays traditional herbs and plants in pharmaceuticals
and also in economic structure. A survey conducted by Salleh and Latiff (2002),
stated that approximately 48% of the whole publications of documented pieces in the
form of theses, 22% are of journals meanwhile 15% and 7% of the publications are
proceeding and technical reports respectively. Monograph and books fill in 8% of the
survey result in published documented. There are no accesses to public references in
the TK subject whereas the documented document only available in the institutions
where the report submitted. Table 2.1 shows documentation of medicinal plants used
by other tribes in Malaysia.
Table 2.1: Documentation of medicinal plants used by other tribes in Malaysia
Tribes Location Reported no. of
medicinal plants uses
References
Iban and Kelabit Sarawak 1,144 Christensen, 2002
Murut Sabah 68
1,300
Kulip, 2003
Kulip, 2009
Kadazandusun Croker Range, Sabah 50 Ahmad & Ismail, 2003
Dusun Tobilung Kampung Toburan,
Kudat, Sabah
49 Yusoff, Ahmad &
Pasok, 2003
All tribes Peninsular Malaysia 19 Al-Adhroey et al.,
2010
Temuan Kampung Jeram
Kedah, Negeri
Sembilan
56 Ong, Chua & Milow,
2011
Temiar Kampung Bawong,
Perak
62 Samuel et al., 2010
Jah Hut Kampung Pos
Penderas, Jerantut,
Pahang
53 Ong, Faezah & Milow,
2012
Kensiu Kampung Lubuk Ulu
Legong, Kedah
39 Mohammad, Milow &
Ong, 2012
Jakun/ Orang Hulu Kampung Peta, Johor 52
10
23
Taylor & Wong, 1987
Ismail et al., 2015
Sabran, Mohamed &
Abu Bakar, 2015
Jakun/ Orang Hulu Endau-Rompin 50
80
Omar et al., 2007
Omar et al., 2008
In Malaysia, traditional knowledge (TK) is the key player in forest
management and biodiversity conservation (Lim et al., 2010). As a matter of fact, the
medicinal values of folk medicines are famous to indigenous people as they have
been using medicinal plants since ancient time and are still practicing it until
14
previous time. However, there are decreasing data in treating disease with medicinal
plants. It leads to the facts that the indigenous knowledge of traditional usage of
many species of plants remains unknown since the knowledge is transferred orally
from generation to generation. Lacking of documented manuscript lost the valued
treasure of info in traditional medication. The way information transformed support
the facts because verbal communication may leads in the way, thus researchers must
take fast actions in documented the sources. Next, through ethnobotanical
information collection efforts, studies of herbal plants can potentially contribute to
and enhance development in the field of nutraceuticals and pharmaceuticals. Herbs
or medicinal plants or other natural products are now becoming one of the world’s
most important commodities. They are defined as drugs that may cure ailments. The
use of these drugs, moreover, is used to diagnose, treat, prevent or cure diseases.
2.3 The Orang Asli
2.3.1 Definition, origin and background of Orang Asli
Dewan Bahasa Dictionary defined “peribumi” as the ‘aborigine’ and ‘aboriginal’
Malaysian (DBP, 2014). Associates to the description of “peribumi” in Malaysia,
which stated as the roots of early group in the society. Whereas, the “peribumi” is
classify into “penduduk asal” that is the ancestors of the Malay Peninsular group in
the society and the native Malaysian ethnic that is the “Orang Asli” (Kamarudin &
Ngah, 2007).
Nor (1998) implied the issue precisely in the influence of law and order that
allotted the aborigine of Malaysia to the categorization of the “bumiputera” and
“Orang Asli”. Following the proclamation, he classified the “bumiputera” in
Malaysia referred to the Malays in Peninsular of Malaysia, the Malays in Sarawak,
Iban, Bidayuh, Kayan, Kenyah, Kelabit, Melanau, Murut including other natives in
Sarawak; the Malays in Sabah, Kadazan, Dusun, Bajau and the other natives in
Sabah. The “Orang Asli” classified into 3 main ethnics identified as Negrito, Senoi
and Proto-Malay.
In accordance to the constitutional law under the Akta Orang Asli 1954, the
definition of the word “Orang Asli” and “bumiputera” generally span to all
15
Malaysia’s residents, whilst under the Akta 134 in particular to the Orang Asli act in
the Peninsular of Malaysia, distinct the “Orang Asli” as compliance to the
circumstances of (Kamarudin & Ngah, 2007):
a) Anyone whose father’s and ancestors were from the Orang Asli root, speak
the Orang Asli language, custom the way of life of the tribe in credence and
tradition. This includes the Orang Asli heritance and anyone from other social
stratification/tribe/aborigines adopted by the Orang Asli; defined as one of
the Orang Asli.
b) Children of an association/part of the Orang Asli society/member of the tribe;
requisite the male from other tribe but spoke in the Orang Asli language and
practice the Orang Asli way of life is defined as the member of the Orang
Asli.
c) Any Orang Asli neglected the way of life of the Orang Asli in associates of
émigré to another religion remains the tribe as he/she still belief in the
religion.
d) Any how to define an individual as the definite Orang Asli must be the choice
of judgements from the Minister.
Orang Asli meaning the 'original people' or 'aboriginal people' or 'first people'
is a Malaysian term used officially for the indigenous people in Peninsular Malaysia.
The terminology introduced by the anthropologists for 18 tribes to 3 main ethnics:
Negrito, Senoi and Proto-Malay. Each main ethnic divided into several small tribes
which adapt the social and culture of the aboriginal and speak the language of the
Orang Asli (Figure 2.1) (JAKOA, 2013).
The categorization of the 18 tribes group allied to the texture of the skin of
the face, culture of the people, the language use in communication and geographical
aspects of the populaces. Majority of the inhabitants live in the wilderness which
influenced by nature and belief in the ancestral trust and clench to primitive way of
life. Wholly, atheist and don’t practice law and order in the society and neglected
modernism (Masron, Masami & Ismail, 2013).
16
Figure 2.1: Three main ethnics and 18 tribes of Orang Asli in Peninsular Malaysia
The Orang Asli was the early settler in the Peninsular since 5,000 years ago.
It was believed that the origin of these people were from China and Tibet that exile
to new land across Southeast Asia before they sojourn in the Malay Peninsula and
Indonesian archipelagos (Abdul Latiff, 2010).
The Negrito is assumed as the early settlers, resides in Peninsular Malaysia
approximately 25,000 years ago. Famed as ‘little Negroes’, is physically short (1.5 m
or less), dark skin, curly hair, wide nose, round eyes and low cheek. Majority of the
ethnic lives in north of the Peninsular especially in Perak and Kelantan and small
amount in Kedah and Pahang (Figure 2.2) (Kamarudin & Ngah, 2007; Masron et al.,
2013).
The Senoi is believed to be the traits of the Monggol from north, migrate to
the Peninsular in 2,000 B.C. They were physically different from the Negrito, taller
with fairer skin, billowy hair and not curly. Most of the Senoi resides in the north and
middle of Malaysia Peninsular especially in Perak, Pahang and Kelantan while some
of them were found in Selangor and Terengganu (Kamarudin & Ngah, 2007; Masron
et al., 2013).
The Proto-Malay had fairer skin with straight hair. Most of these people
reside in the south and middle of the Peninsular. No genuine historical resources on
the facts of the Proto-Malay migrate to the south of the Peninsular as Johor and
Negeri Sembilan but it was believed that they were the origin of the Orang Kuala
Orang Asli
• Kensiu
• Kintak
• Jahai
• Lanoh
• Mendriq
• Bateq
Negrito Senoi
• Semai
• Temiar
• Jah Hut
• Che Wong
• Semoq Beri
• Mah Beri
Proto Malay
• Jakun
• Semelai
• Temuan
• Orang Kanaq
• Orang Seletar
• Orang Kuala
17
which immigrate from Sumatera 500 years ago (Kamarudin & Ngah, 2007; Masron
et al., 2013).
Figure 2.2: Distribution of Orang Asli by tribe groups in Peninsular Malaysia
Orang Asli are the indigenous communities in Peninsular Malaysia. They
were the minority to the inhabitants in Peninsular (Lee, Chang & Noraswati, 2009)
make up 0.5% of 150,000 native Malaysia’s populations in 2011 (Masron et al.,
2013) but practice different culture and tradition similarly to different language. The
society’s identity was defined by the course of nature.
2.3.2 The Jakun community in Kg. Peta, Endau-Rompin, Mersing, Johor
Omar (1983) believed that the Jakun tribe originally came from Yunnan which is the
south of China, whereas Abd Rahman (2012) proclaimed that migration started 2,500
B.C. Other than that, some assumed that the Jakun tribe had blood relationship with
the Mongol and Indonesian (Asmah, 1983). The Jakun was also known as the Orang
Hulu (People of the Upriver) (Taylor & Wong, 1987; Abd Rahman, 2012).
18
Survey made by Department of Orang Asli Development (JAKOA) in 2013,
stated there’s 34,722 (46.10%) of the Jakun from 75,332 total Proto-Malay ethnic.
The Jakun people highly dominant tribe in the Proto-Malay ethnic compared to
Temuan, Semelai, Orang Kanaq, Orang Kuala/ Orang Laut and Orang Seletar (Table
2.2). In addition, JAKOA had recorded that the Jakun tribe shown second in amount
of the Orang Asli population after the Semai tribe which exist from the Senoi ethnic,
populated of 51,437 people (JAKOA, 2014).
Table 2.2: Proto-Malay ethnic group, location and estimates population in 2013
(JAKOA, 2014)
Proto-Malay ethnic Location Population Percentage (%)
Temuan Selangor & Negeri Sembilan 27,590 36.62
Semelai Middle Pahang & East Negeri
Sembilan 7,727 10.26
Jakun South Pahang & North Johor 34,722 46.10
Orang Kanaq East Johor 148 0.19
Orang Kuala West & South Johor shoreline 3,525 4.68
Orang Seletar West & South Johor shoreline 1,620 2.15
Total 75,332 100
Johor is one of the state in Malaysia. Johor situated exactly at the south of
Peninsular Malaysia. The majority of the Jakun stay in Johor and the remaining was
occupant in Pahang. The Jakun residential area in Johor is known as Kg. Peta,
Endau-Rompin, Mersing which is situated at the south of Pahang and northern-east
of Johor also located in the eco-tourism of Johor National Park Endau-Rompin
(TNJER).
Kg. Peta had its name following the incident of the Orang Asli and the
British, who went to explore the Endau-Rompin rainforest, which is known as Johor
National Park Endau-Rompin (TNJER) during the 2nd World War. They found a
map of hidden treasure during the Japanese Colonization, thus the incidents the
village is named as Kampung Peta (Kg. Peta) as in Malay language “peta” means
map (Seow et al., 2013).
The Jakun people had Malay features with olive brown skin. They speak in
Austronesia which has similarity with Malay Language. The language use had
decreased when assimilation with the Malay Language occurred. In majority, the
19
Jakun people belief in supernatural power. Their religion was animism and it was the
ancestors’ belief. However, exposure to education and development programme,
some of them had converted to Islam (Abd Rahman, 2012).
In 1950s and 1970s, the people trade the sources from the rainforest as a life
income. During that period they do not fully depend on agricultural activities because
the rainforest was rich with agricultural resources for living. Nature is the sources in
one’s native life. Nowadays, the communities leads a more proactive lives, where
some of the people indulge in small business and being the dealer of craft and art
project parallel to the other tribal indigenous activities from other ethnic in Malaysia
(Sam, Seow & Mohamed, 2013).
Nowadays, most of new generations migrate to city looking for a stable job in
industrial and plantation sector. The livelihoods of the Jakun people in Kg. Peta are
the combination of agriculture, fishing, tapping rubber trees and hunting. The rest of
the population are JNPC staff and work as a tourist guide. The community in Kg.
Peta adhered modernism and advancement in the aspects of economic, education,
and social growth following to the governments strategies and plan. The
implementation and enforcement of all the plans and programme were through the
state and federal level to assure that each and every member of the community in the
country gain the benefits of such line-up (Seow et al., 2013).
Majority of the Jakun people embraces their ancestors’ belief (Jamiran, Seow
& Mohamed, 2013). This ancestral knowledge especially in the element of traditional
medicinal substance from plants in the rainforest is a valuable paragon for new
generation. The plants and herbs in Malaysia’s rainforest contain lots of use in the
world of science and medicine. Modern generation should inherit the knowledge
from the natives, as the rich sources of the medicinal essential are from flora and
fauna in our rainforest. The modernism in pharmaceutical education should equal the
traditional curative in modern realm. The heritable knowledge from the indigenous
tribal should be conserved and nurtured by the young generation for future
orientation in traditional medicinal domain. The influence of modern science should
not sink the traditional methods in healing and curing illness in a develop country
which endow the community with modern approach of medicinal cure.
20
2.3.3 The Jakun people and medicinal plants
The Endau-Rompin rainforest situated border to the northern-east of Johor Darul
Takzim and south to Rompin, Pahang Darul Makmur. The rainforest covers 48,905
hectare of Johor National Park Endau-Rompin (TNJER) ecotourism area. It is a
nature preserve extent in Malaysia. In addition, it is renowned as world’s oldest
tropical rainforest, in the region of 248 million years by the founding and observing
of the rock formation which mantle the rainforest range. The name ‘Endau-Rompin’
is given after the rivers that flow through the Endau and Rompin River (Wong et al.,
1987).
The rainforest are packed and rich with lots of plants species. The natives had
used and consumed plants as food, traditional medicine, construction tools, clothes,
hunting and fishing gadgets also as life equipment for many centuries. World Health
Organization (WHO) researched, recorded 80% of the human population depend on
traditional medication to cure illness (Samuel et al., 2010). Biological diversity of the
rainforest benefited the society and aids them with 1000 ways of practice in life.
In addition, the Jakun tribe inhabited area is situated in Kg. Peta, TNJER
which is in the ecotourism area. They depend on nature and spiritual riches such as
the mountains, hills, rivers, rocks and caves. The Kg. Peta society held in ancestor’s
belief and practice animism, where nature influenced their being in this world. Plants
and it substance produces daily vitamins and make the package all in one where the
Jakun believed that the environment gives life to the whole society (Jamiran et al.
2013).
Generally, the native attitudes towards the use of nature are based on three
main concepts: (communal concept) a tribe owns a certain area and each individual
in the tribe had their own ground but shared sources. Secondly, the people believed
they were responsible of god’s asset and finally is they have to carry the
responsibility to take care of the nature and environment for the necessities of their
future generation. Lastly, the people pick up and pull together all the resources from
the tropical rainforest manually in order to preserve the environment (Sam et al.,
2013).
An interview with the Tok Batin son, Radu Bin Sangka who is one of Johor
National Parks Corporation (JNPC) workers, stated that the Jakun practice traditional
21
ways in using the plants and herbs medication to cure illness influenced by three
factors which strongly relates to the believed of ancestors acceptance to spiritual and
natural environment’s power or strength that cure sickness is first by having faith to
clinical or hospital scientific medication. Secondly based on the tribal descendants to
previous generation and finally the use of the herbs and plants in medication through
the indication and dream experienced (Sam et al., 2013).
Older generation believed that plants and all parts of it as the roots and herbs
from the tropical forests may cure any sickness and diseases such as high blood
pressure, fever, injured, diarrhoea, stomach ache and many other sicknesses. They
intensely hold the principal of the ability of the plants and herbs in curing diseases. It
is previously, that many of the younger generation believed in scientific means in
curing illness. These young generation seek the aids of hospitals and local clinics to
fight illness as they now assume that the equipment used in the clinics and hospitals
are more hygienic, safe to use and are modernized to apt to the modern medicinal
methods (Sam et al., 2013).
Refer to a true happening, Sam et al. (2013) which happened to a teenager
who was diagnosed having bone cancer, his biological brother dreamt of their late
great grandfathers informing him to take the stem barks of a plant known as Keruing
air then boil the roots and finally perform a ritual bath under that particular tree with
the water. Six months after the bath, the teenager condition getting better and finally
cured and healthy as before. This occurrence decisively had shown the contact and
influenced of nature and its cause to people in the native’s society, where their prime
conceptual belief is that spiritual power may give life and strength to their people.
It is undeniable to the conceptual and functions of the medicinal plants in
curing illness in the native’s society and human nature. The practice of utilizing the
plants and herbs as medicinal cure had been practiced for many generations. They
have built up a large ‘drugstore’ of plants which have healing values. While others
consuming aids from available commercial pharmaceutical products, the relatively
isolated communities still rely on plant remedies for certain ailments.
22
2.4 Malaria
Malaria disease - malaria (or ague, as it was called earlier) has been known from
antiquity. The sign is when one’s getting intermittent fevers with chills and shivering
are believed to have been malaria according to the religious and medical texts of
ancient Indian, Chinese and Assyrian civilizations. Charaka and Susrata have
described the disease and noted it in association with mosquitoes’ bites. In the 5th
century BC in Greece, Hippocrates was the first describing in details the prevalence
of the disease in certain places and seasons. The relation between the disease and
places; stagnant waters, swamps and marshy lands was recognized and measures.
Next, steps to control the disease applied by effective drainage system as practiced in
Rome and Greece by the 6th century AD. The name malaria (mal-bad, aria-air) was
given in the 18th century in Italy as it was believed to be caused by foul emanations
from marshy soil. Paludism, another name for malaria (from French) means ‘marsh’.
This infectious disease was present from thousands of years ago according to the
demonstration of a specific parasitic antigen in Egyptian mummies. In 1880,
Alphonse Laveran is a French army surgeon in Algeria was discovered the specific
causative agent of malaria in the red blood cells of a patient. Then, the mode of
transmission of the disease was established in 1897 when Ronald Ross in
Secunderabad, India identified the developing stages of malaria parasites in
mosquitoes (Paniker, 2007).
2.4.1 Epidemiology of malaria worldwide
Tropical and subtropical regions around the world face serious malaise and fatality
due to the infectious disease called malaria (Jonville et al., 2008; Fotie, 2009;
Adebayo & Krettli, 2011). The area most likely to be affected is usually the whole
spread of the sub-Saharan Africa Region and other mildly affected areas such as
Asia, Middle East and Latin America (WHO, 2016).
The World Health Organization (WHO) through its World Malaria Report
2015 had predicted that on a global scale in 2015 there were approximately 214
million cases of malaria (with a minimum cutoff rate of 149 million and a maximum
of 303 million) and an estimated 438,000 deaths (with a minimum cutoff rate of
23
236,000 and a maximum of 635,000). About 90% these deaths represent in the
African Region and 7% in the Southeast Asia Region followed by 2% in the Eastern
Mediterranean Region. However, the global death rate due to malaria has declined by
60% since 2000 and by 66% in the African Region (WHO, 2015a).
The tropical and sub-tropical belt consisting of more than 95 countries and
territories is naturally prone to malaria, thus affecting approximately 3.2 billion
people, which means that almost half of the world’s population faces the risk of
becoming victims of malaria (WHO, 2016). This disease mostly infects the sub-
Saharan African population and the majority of the deaths in the African continent
plague children under the age of 5 years with one dying every minute due this
disease and also pregnant women (Tabuti, 2008; Fotie, 2009; Muganga et al., 2010;
Musila et al., 2013).
The WHO has adopted various approaches to control malaria including
prompt and effective treatment such as by sleeping under insecticide-treated bed nets
by people at risk, applying indoor residual spraying with insecticide and wearing
long sleeved clothing, confirmation of malaria diagnosis for every suspected case,
timely treatment with appropriate antimalarial medicines to prevent the vector
mosquitoes. Furthermore, stagnant water near and around homes should be drained
as this serves as a breeding ground for mosquitoes (WHO, 2006).
2.4.2 Epidemiology of malaria in Malaysia
In Malaysia, malaria is under endemic disease of public health problem. Being one of
the vector-borne infection diseases in Malaysia, it affects indigenous people,
traditional villagers found in hilly jungles, land scheme settlers, jungle workers,
loggers as well as immigrants from endemic malaria countries (Rohani et al., 2014).
Increasing figure due to rapid influx of legal and illegal workers and large number of
tourist into this country becoming a new source of infection resulting increasing
detection of malaria cases. Immigrants that contribute to malaria cases in Malaysia
are 49.6% from Indonesians, 17.1% from Myanmarese, 11.2% Bangladeshis and
8.1% Thais and the 14% remaining reported among immigrants from Pakistan,
Nepal, India, Vietnam and Kampuchea (Alias et al., 2014).
24
The total number of malaria cases in Malaysia is trending downward from
12,705 cases in 2000 to 4,725 cases in 2012. The incidence rate declined from 0.55
per 1,000 populations in 2000 to 0.16 per 1,000 populations in 2012 (Figure 2.3).
Since then (2000-2012), a total of malaria cases are reduced from 3,918 to 1,097
cases in Peninsular Malaysia, 3,011 to 1,571 cases and 5,776 to 2,052 cases in
Sarawak and Sabah respectively (MOH, 2014). While, in Johor reported depreciation
total of cases based on declining of fatality rate (FR) is < 5% population within 10
years period (2000-2009) and annual parasitic index (API) values of > 0.1/1000
population to < 0.1/1000 population after the first four years (Alias et al., 2014).
Figure 2.3: Number and incidence of malaria (per 1,000 populations) in Malaysia,
2000-2012
(MOH, 2014)
The highest number of malaria deaths in Malaysia was reported to be 46 in
2001 and has been reduced to 16 deaths in 2012. The case fatality rate of malaria
been around 0.3 to 0.5 per 100,000 populations since 2006 (Figure 2.4) (MOH,
2014).
There are five species of plasmodia known to infect humans namely: P.
falciparum, P. vivax, P. malariae and P. ovale. P. knowlesi is a simian malaria
parasite and now is known as the fifth plasmodium species can cause malaria to
human (Singh & Daneshvar, 2010; Azidah et al., 2014). P. knowlesi had reported an
increasing order with 41 cases in 2008 to 55 cases in 2009 (Alias et al., 2014).
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