The island has a lighthouse at its highest point.[4]
In the period prior to World War II, the island was used as a quarantine station for labourers coming from China and the Philippines, and was also home to a leper colony. During the war, civilian internees, including Agnes Newton Keith, her husband Harry Keith and Keith Wookey were held in the quarantine station which served as a makeshift internment camp, before being transferred to Batu Lintang camp in Kuching, Sarawak. After the civilians left, POWs were interned in the camp. A daring escape took place from Berhala Island in June 1943, when several POWs who were due to be transferred to Sandakan POW camp managed to escape to Tawi-Tawi in the Philippines.[5][6]
Plans are currently in development to promote Berhala Island as a tourist attraction.[7]