10. We were confirmed in our opinions by experience, supported by verbal process, that this was the state of the diseased; that the distemper could neither be the pox, nor the effect of an inveterate one: that it had no symptom of that disease; but that it had every character of what the ancients called leprosy, elephantiasis, or such other names, as they were pleased to give it. So that we do not hesitate to pronounce, that those infected with this disease, as we have described it, ought to be treated as leprous persons, and subject to the ordinances, which his majesty was pleased to issue against such persons.
11. Again, we are well assured, from our observations, that the distemper is contagious, and hereditary; and yet the contagion is not so active, nor poisonous, as that of the plague, small-pox, nor even as the ring-worm, itch, scald, and other cutaneous disorders: for, if that were the case, the American colonies would be utterly destroyed; and these persons so infected, mixed as they are in every habitation, would have already infected all the Negroes, whom they come near.
12. We believe, that this contagion does not take place but by long frequenting the company of the infected, or by carnal knowlege. Besides, we have observed, that even such long frequenting, or cohabiting with them, are not always sufficient to communicate the disease; because we have seen women cohabit with their husbands, and husbands with their wives, in the distemper, while one is sound, and the other infected. We see families communicate and live with leprous persons, and yet never be infected; and thus, altho' experience, and the information of the sick, prove the contagion, we are of opinion, that there must be a particular disposition in people to receive the poison of the leprosy.
13. As to what regards the distemper's being hereditary, it is assuredly so. We have seen intire families infected; and almost every child of a leprous father or mother fall insensibly into the leprosy; and yet, in several other families, we have seen some children sound, and others tainted; the father has died of the disease, and the children grew old without any infection: so that, tho' it is certainly hereditary, yet we believe it is of the same nature with those in families troubled with the consumption, gravel, and other hereditary distempers; which are transmitted from father to son, without being so very regular, as to affect every one of the family.
14. We could never find out any certain rule of judging, at what age the disease shews itself first in those, who were begotten by infected parents: but we have, as far as we could, observed, with regard to women or girls, that the symptoms begin with the menses, and continue slightly till they have lain in of one or two children: but that then more visible, and indeed more cruel, symptoms appeared. As to men, or infants, there is no rule to know it in them.
15. For the explanation of the causes, symptoms, and what we think the most likely means of cure, we refer to a particular dissertation. Let it suffice here to observe, that we do not imagine, that the air, water, or manner of living, can produce it; for we have found as many sick in the low marshy places, as in more airy saline places: and if many Negroes were infected in the Grand Terre, where they drink the foul waters of ponds and lakes, we see an equal number ill in places, where they have fresh rivers and running waters; but they may prove proper causes for unlocking, and disposing persons to receive, the disease.
16. We believe, and are persuaded, that the origin of this disease among the Negroes comes from Guinea: for almost all the Negroes from the country told us they came from thence with these reddish spots, the first and certain signs of the distemper begun.
17. As to the infected Whites and Mulattoes of this island, we were informed, that the disease was not known among the Whites till about 25 or 30 years ago; when, out of charity, they received a miserable object from the island of St. Christoper's, whose name was Clement; who, about the year 1694, fled hither. It was the family of the Josselins, called the Chaloupers, that protected him; which family, as also that of the Poulins, we found infected by communication with this sick man, as old Poulin declared to us.
It is thought, that others were infected by communication with the Negro women, especially in the beginning, when the disease is much concealed, at a time when they did not mistrust one another; which is very probable, since we saw many Mulatto children, born of female Negroes, infected and leprous.
18. However this be, this distemper has had its progress; and in this visitation, which we made, we examined 256 suspected persons; that is, 89 Whites, 47 free Mulattoes, and 120 Negroes: among whom we found 22 Whites, 6 Mulattoes, and 97 Negroes, infected with the leprosy, amounting to 125. There were six Whites and five Negroes more, whom we could not visit, for reasons set forth in the verbal process. The remaining persons, which were 131, appeared to us very sound: not that we can answer for the consequences, especially with respect to the children, who are the offspring of leprous persons; whether declared such by us, or dead before the visitation, suspected of infection.