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How disease disrupted Hong Kong’s uncertain start as a British colony – author on new book

  • Hongkong Fever, barrack fever, marsh miasma – malaria earned a few names as it blighted initial steps to construct colonial Hong Kong

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Detail from a lithograph published in 1848 showing what became known as Flagstaff House (right) in Admiralty and Murray House (lower left). Photo: CUHK Press

Christopher Cowell, who describes himself as “an architect and accidental academic”, is a fan of alliteration. He has now written his first book, which is called Form Follows Fever.

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The title is a winking reference to American architect Louis Sullivan, who famously declared, in an 1896 essay, that “form follows function”.

In this case, the prime mover is health. Cowell’s subtitle is Malaria and the Construction of Hong Kong, 1841-1849; and although he states in his introduction that it is not his intention “to pin an entire city creation story and its urban morphology upon the presence of malaria”, it is clearly a useful peg on which to hang a new version of an old tale.

The malaria of the title is probably not malaria as we understand it today. In fact, apart from a few official medical references, people at the time rarely used that word.

Christopher Cowell, author of Form Follows Fever, describes himself as “an architect and accidental academic”. Photo: Yik Yeung-man
Christopher Cowell, author of Form Follows Fever, describes himself as “an architect and accidental academic”. Photo: Yik Yeung-man

In 1843, when the city – really more of a ramshackle town – was blighted by illness, it became known by the catch-all “Hongkong Fever”; in 1848, it was called “barrack fever”.

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“‘Marsh miasma’ was another term,” agrees Cowell, cheerfully. “It was ‘bad air’, which is what mala aria means.

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