As I have said, leprosy is very feebly contagious. But throughout the world, there is widespread fear of it. Considering the horribleness of the disease—for horrible it is, beyond the power of the most unprincipled inkster to exaggerate—and its absolutely incurable character, one cannot wonder much at the sentiment existing among all peoples in countries where p129 any of its forms are known. To be pronounced a leper seems, to the average person, virtually to be pronounced dead. But not decently dead! Were it so, the added horrors would not be there. No, the leper's death seems many times more dreadful than mere ordinary dissolution, because of its slowness and the awful form it assumes. The average person shrinks from death, but absolutely recoils from the same dark thing when it dons the robe of this, of all diseases the most foul. Furthermore, some deaths are swift—mercifully swift, and not unlovely. Leprosy is usually slow, vile, hideous. One dies by inches. Terrible in contemplation, what must it be when fastened insidiously upon one's flesh!
But no more of this, lest I, too, be adjudged one of the purveyors of things needlessly dreadful. But remember this: when Jack London, or I, or any other man, says that the horrors of the Molokai leper life have been exaggerated, it is not meant that the disease itself has been exaggerated. No one denies that leprosy is an awful thing. But anyone who has ever seen the leper colony of Molokai, or knows anything about it, will most strenuously deny that the conditions under which these people live are bad. Jack said, on his return to the Snark, that, given his choice between living out his days in any one of those "cesspools of human misery and degradation," the East End of London, the East Side of New York, or p130 the Stockyards of Chicago, or going to stay in Molokai, he would, without hesitation, with gratitude even, choose Molokai.
For he knows that the people of Molokai are happy. They live at ease, while they live. But not so the people of the other places. Theirs is one long, mad struggle for mere existence; life is a turmoil, a riot, a nightmare. On Molokai, food is plenty. No fight is there. The days are peaceful and the nights are happy. All is music and beautiful scenes; fresh breezes are always blowing from over the sea. The men and women of Molokai do not freeze through a bitter-cold winter, nor do they swelter in a raging summer's heat. While they live, they live in Paradise. No wonder Jack London knew, without debate, which place he would choose.
The lepers themselves are satisfied—and what better testimony could be asked? Since the bacteriological test was put into effect, a number of persons once declared lepers and sent to Molokai have been found to be wholly clean of the disease, and been returned to their homes. They have never ceased bewailing their expulsion from Molokai. "Back to Molokai," is the lament of all who have once tasted of the island's delights and then been shut out from them.
One of the most unfortunate things about leprosy in the Territory of Hawaii is the fact that the friends and relatives of lepers so often hide them away when p131 the disease first appears, and keep them hidden until they are in a terrible condition. One day, when I was walking along a little-frequented part of the beach, not far from Pearl City, on the island of Oahu, I saw a small child playing near the water. As I drew near, its mother came rushing toward it, gathered it up in her arms, and ran to her hut, about fifty yards away. At the time I was puzzled, but I was afterward told, in confidence, that the child was a leper, and that the mother was determined to keep it from the attention of the Board of Health.
It is best for the lepers themselves that they be taken to the Settlement, where they can receive proper medical treatment. Outside, they can do nothing but lie and await inevitable death. But in the Settlement, the surgeons can make occasional operations, and hold off the ravages indefinitely. Some lepers, stricken in their youth, have lived happy lives, and died of old age, when thus protected. Leprosy is very intermittent in its action; after once appearing and being treated, it may not show itself again for years. But if not treated, it gallops.
I well remember the case of a leper in the United States a few years ago. The newspapers exploited the case sensationally, but I think there was nevertheless an element of truth in what they printed. The leper was a tramp. How he had contracted the disease, no one knew. But it is said that he lived altogether in a box-car. This car he was never allowed p132 to leave. The railway company was desperate. Time and again they tried to force him out at different stations, but each time the men of the town cried a veto to the scheme. Thousands of miles that leper tramp travelled. In the whole country, there was no spot of earth big enough for him to set his foot on. In the box-car he was, and in the box-car he must remain. Not that he starved. People flung food to him as they fling food to dogs; also, there were occasional donations of clothing, reached out to him on long poles At last the railway company, grown doubly desperate, hit upon an expedient. They unhooked the car one night, and left it standing on a siding, about a mile from a little mining village. But the trick failed. The next freight that pulled up that way was met by several hundred black-looking men, armed with rifles; and when that train pulled out, it carried with it the leper's box-car and the leper. I never heard what became of the car, nor of its occupant. But the story was a gruesome thing, and well illustrates the difference between a leper's fare outside the Settlement, and inside the Settlement.