Local problems, global solutions? Making it rain in Hong Kong c. 1890-1930.

The late nineteenth to early twentieth century saw a small but dedicated rise in experimental rainmaking. The possibility that humanity might one day be able to control the weather - especially to alleviate drought - was very attractive to governments and private investors. The late nineteenth century was an era of scientific optimism and a number of rainmaking experiments across the world had brought the potential for weather control out of the realms of discourse and literature and further into tangible near-future science. There has been a small but thorough historiographical literature on this subject, focusing largely on American, British, and Australian efforts. This article seeks to build on this by exploring the little-known history of rainmaking in Hong Kong before 1930, centering on a case study of a particular experiment intended to alleviate the disastrous drought of 1928-9. As was the case elsewhere, Hong Kong's rainmaking efforts raised as much skepticism as they did support, with the government, scientists, and the general public in two minds about whether making rain was even possible. As such, this article aims to interrogate the concepts of the sociotechnical imaginary and the history of failure, while also contributing to the wider story of meteorological knowledge-making.

Just doing their job: the hidden meteorologists of colonial Hong Kong c.1883-1914.

This article investigates the contribution made by indigenous employees to the work of the Hong Kong Observatory from its inception and into the early twentieth century. As has so often been the case in Western histories of science, the significance of indigenous workers and of women in the Hong Kong Observatory has been obscured by the stories of the government officials and observatory director(s). Yet without the employees, the service could not have functioned or grown. While the glimpses of their work and lives are fleeting, often only revealed in minor archival references, this article seeks to interrogate these sources to make these workers' lives visible and to offer an examination of everyday working relationships at this place and point in time. It focuses on three areas. First, an exploration of who these workers were, and the role they played at the observatory. Second, an investigation of their contribution to the nascent science of meteorology. Third, an examination of available evidence - levels of high staff turnover, complaints, instances of foot dragging, or working to rule, as well as the tenacity to continue for years under difficult working conditions - to demonstrate the ability of workers to reject or to negotiate with colonial/patriarchal authority. In profiling their stories, this article will add to the literature examining the lives of scientific workers and their contributions to science, the everyday cultural and social contexts of colonial meteorology, and the role of ordinary men and women in producing meteorological knowledge at this time.

Responding to extremes: managing urban water scarcity in the late nineteenth-century Straits Settlements.

In 1877, the major towns of the Straits Settlements-Singapore, George Town, Penang Island and Malacca-suffered a drought of exceptional magnitude. The drought's natural instigator was the El Niño phase of the El Niño Southern Oscillation, a climatic phenomenon then not understood by contemporary observers. The 1877 event has been explored in some depth for countries including India, China and Australia. Its impact on Southeast Asia however is less well-known and the story of how the event unfolded in Singapore and Malaysia has not been told. This paper explores how the contemporary British government responded to the drought, arguing that its impact on hydraulic management was at best minimal yet, it did have impact on other areas, such as forest reservation with the hope of preserving future rainfall. It also highlights how, in contrast to studies on urban water plans in other British Asian colonies, the colonial authorities in the Straits Settlements had a far less coherent and meaningful relationship with water in their town planning schemes. As this paper is part of a special issue, Water History in the time of COVID-19, it has undergone modified peer review.

Advance care planning uptake among patients with severe lung disease: a randomised patient preference trial of a nurse-led, facilitated advance care planning intervention.

OBJECTIVE: Advance care planning (ACP) clarifies goals for future care if a patient becomes unable to communicate their own preferences. However, ACP uptake is low, with discussions often occurring late. This study assessed whether a systematic nurse-led ACP intervention increases ACP in patients with advanced respiratory disease. DESIGN: A multicentre open-label randomised controlled trial with preference arm. SETTING: Metropolitan teaching hospital and a rural healthcare network. PARTICIPANTS: 149 participants with respiratory malignancy, chronic obstructive pulmonary disease or interstitial lung disease. INTERVENTION: Nurse facilitators offered facilitated ACP discussions, prompted further discussions with doctors and loved ones, and assisted participants to appoint a substitute medical decision-maker (SDM) and complete an advance directive (AD). OUTCOME MEASURES: The primary measure was formal (AD or SDM) or informal (discussion with doctor) ACP uptake assessed by self-report (6 months) and medical notes audit. Secondary measures were the factors predicting baseline readiness to undertake ACP, and factors predicting postintervention ACP uptake in the intervention arm. RESULTS: At 6 months, formal ACP uptake was significantly higher (p<0.001) in the intervention arm (54/106, 51%), compared with usual care (6/43, 14%). ACP discussions with doctors were also significantly higher (p<0.005) in the intervention arm (76/106, 72%) compared with usual care (20/43, 47%). Those with a strong preference for the intervention were more likely to complete formal ACP documents than those randomly allocated. Increased symptom burden and preference for the intervention predicted later ACP uptake. Social support was positively associated with ACP discussion with loved ones, but negatively associated with discussion with doctors. CONCLUSIONS: Nurse-led facilitated ACP is acceptable to patients with advanced respiratory disease and effective in increasing ACP discussions and completion of formal documents. Awareness of symptom burden, readiness to engage in ACP and relevant psychosocial factors may facilitate effective tailoring of ACP interventions and achieve greater uptake. TRIAL REGISTRATION NUMBER: ACTRN12614000255684.

Weathering the empire: meteorological research in the early British Straits Settlements.

This article explores meteorological interest and experimentation in the early history of the Straits Settlements. It centres on the establishment of an observatory in 1840s Singapore and examines the channels that linked the observatory to a global community of scientists, colonial officers and a reading public. It will argue that, although the value of overseas meteorological investigation was recognized by the British government, investment was piecemeal and progress in the field often relied on the commitment and enthusiasm of individuals. In the Straits Settlements, as elsewhere, these individuals were drawn from military or medical backgrounds, rather than trained as dedicated scientists. Despite this, meteorology was increasingly recognized as of fundamental importance to imperial interests. Thus this article connects meteorology with the history of science and empire more fully and examines how research undertaken in British dependencies is revealing of the operation of transnational networks in the exchange of scientific knowledge.