Siti Hasmah Mohamad Ali, a physician and long-serving public health advocate who was married to former Malaysian Prime Minister Mahathir Mohamad for 70 years, died on Monday at Kuala Lumpur's National Heart Institute at the age of 100. Malaysian Prime Minister Anwar Ibrahim announced she will receive a state funeral, describing her as "a gentle speaker, yet steadfast and strong in spirit," while Mahathir, 101, shared a prayer for her on social media that drew hundreds of thousands of responses within hours. Beyond her role as first lady during Mahathir's two stints as prime minister (1981–2003 and 2018–2020), Hasmah was a trailblazing figure in her own right — she was the first woman appointed as a government medical officer in the northern state of Kedah — and used her public platform to champion maternal health, literacy, and drug abuse prevention.