allowed to land, but were sent back in the ship which brought them out.

The Hawaiian leprosy, on the other hand, has been known here for a quarter
of a century, and men died of it before the first Chinese were brought
hither. The name Mai-Pakeh was given it by an accident, a foreigner saying
to a native that he had a disease such as they had in China. There are but
six Chinese in the Molokai leper settlement, and there are three white men
there.

The leprosy of the Islands is a disease of the blood, and not a skin
disease. It can be caught only, I am told, by contact of an abraded
surface with the matter of the leprous sore; and doubtless the familiar
habit of the people, of many smoking the same pipe, has done much to
disseminate it.

Its first noticeable signs are a slight puffiness under the eyes, and a
swelling of the lobes of the ears. To the practiced eyes of Dr. Trousseau
these signs were apparent where I could not perceive them until he laid
his finger on them. Next follow symptoms which vary greatly in different
individuals; but a marked sign is the retraction of the fingers, so that
the hand comes to resemble a bird's claw. In some cases the face swells
in ridges, leaving deep furrows between; and these ridges are shiny and
without feeling, so that a pin may be stuck into one without giving pain
to the person. The features are thus horribly deformed in many instances;
I saw two or three young boys of twelve who looked like old men of sixty.
In some older men and women, the face was at first sight revolting and
baboon-like; I say at first sight, for on a second look the mild sad eye
redeemed the distorted features; it was as though the man were looking out
of a horrible mask.