the Snark sailed along the windward coast of Molokai, on her way to
Honolulu, I looked at the chart, then pointed to a low-lying peninsula backed
by a tremendous cliff varying from two to four thousand feet in height, and
said, "The pit of hell, the most cursed place on earth." I should
have been shocked, if at that moment I could have caught a vision of myself a
month later, ashore in the most cursed place on earth, and having a
disgracefully good time along with eight hundred of the lepers who were
likewise having a good time. Their good time was not disgraceful; but mine was,
for in the midst of so much misery it was not meet for me to have a good time.
That is they way I felt about it, and my only excuse is that I couldn't help
having a good time.
For instance, in the afternoon of the Fourth of
July all the lepers gathered at the race track for the sport. I had wandered
away from the Superintendent and the physicians in order to get a snapshot of
the finish of one of the races. It was an interesting race, and partizanship
ran high. Three horses were entered—one ridden by a Chinese, one by an
Hawaiian, and one by a Portuguese boy. All three riders were lepers; so were
the judges and the crowd. The race was twice around the track. The Chinese and
the Hawaiian got away together and rode neck and neck, the Portuguese boy
toiling along two hundred feet behind. Around they went in the same positions.
Half way around on the second and final lap the Chinese pulled away and got one
length ahead of the Hawaiian. At the same time the Portuguese boy was beginning
to crawl up. But it looked hopeless. The crowd went wild, too. They were on the
home stretch. The Portuguese boy passed the Hawaiian. There was a thunder of
hoofs, a rush of the three horses bunched together, the jockeys playing their
whips, and every last onlooker bursting his throat, or hers, with shouts and
yells. Nearer, nearer, inch by inch, the Portuguese boy crept up, and passed,
yes, passed, winning by a head from the Chinese. I came to myself in a group of
lepers. They were yelling, tossing their hats, and dancing around like fiends.
So was I. When I came to I was waving my hat and murmuring ecstatically,
"By golly, the boy wins! The boy wins!"
I tried to check myself. I assured myself that I was witnessing one of the horrors of Molokai, and that it was shameful for me, under such circumstances, to be so light hearted and light headed. But it was no use. The next event was a donkey race, and it was just starting; so was the fun. The last donkey in was to win the race, and what complicated the affair was the no rider rode his own donkey. They read one another's donkeys, the result of which was that each man strove to make the donkey he rode beat his own donkey ridden by some one else. Naturally, only men possessing very slow or extremely obstreperous donkeys had entered them for the race. One donkey had been trained to tuck in its legs and lie down whenever its rider touched its sides with his heels. Some donkeys strove to turn around and come back; others developed a penchant for the side of the track, where they stuck their heads over the railing and stopped, while all of them dawdled. Half way around the track one donkey got into an argument with its rider. When all the rest of the donkeys had crossed the wire, that particular donkey was still arguing. He won the race, though his rider lost it and came in on foot. And all the while nearly a thousand lepers were laughing uproariously at the fun. Anybody in my place would have joined with them in having a good time.
All the foregoing is by way of preamble to the
statement that the horrors of Molokai, as they have been painted in the past,
do not exist. The Settlement has been written up repeatedly by sensationalists,
and usually by sensationalists who have never laid eyes on it. Of course,
leprosy is leprosy, and it is a terrible thing; but so much that is sensational
has been written about Molokai, that neither the lepers nor those who devote
their lives to them have received a fair deal. Here is a case in point: A
newspaper writer, who, of course, had never been near the Settlement, vividly
described Superintendent McVeigh crouching in a grass hut and being besieged
nightly by starving lepers on their knees, wailing for food. This hair-raising
account was copied by the press all over the United States, and was the cause
of many indignant and protesting editorials. Well, I lived and slept for five
days in Mr. McVeigh's grass hut (which was a comfortable wooden cottage, by the
way; and there isn't a grass house in the whole Settlement), and I heard the
lepers wailing for food—only the wailing was peculiarly harmonious and
rhythmic, and it was accompanied by the music of stringed instruments, violins,
guitars, ukuleles and banjos. Also, the wailing was of various sorts.
The leper brass band wailed, and two singing societies wailed, and lastly a
quintet of excellent voices wailed. So much for a lie that should never have
been printed. The wailing was the serenade which the glee clubs always give Mr.
McVeigh whenever he returns from a trip to Honolulu.
Leprosy is not so contagious as is imagined. I
went for a week's visit to the Settlement, and I took my wife along—all of
which would have not happened had we had any apprehension of contracting the
disease. Nor did we wear long, gauntleted gloves and keep apart from the
lepers. On the contrary, we mingled freely with them, and before we left knew
scores of them by sight and name. The precautions of simple cleanliness seem to
be all that is necessary. On returning to their own houses, after having been
among and handling the lepers, the non-lepers, such as the physicians and the
superintendent, merely wash their faces and hands with mildly antiseptic soap
and change their coats.
That a leper is unclean, however, should be
insisted upon; and the segregation of lepers, from what little is known of the
disease, should be rigidly maintained. On the other hand, the awful horror with
which the leper has been regarded in the past, and the frightful treatment he
has received, have been unnecessary and cruel. In order to dispel some of the
popular misapprehensions of leprosy, I want to tell something of the relations
between the lepers and non-lepers as I observed them at Molokai. On the morning
after our arrival, Mrs. London and I attended a shoot at the Kalaupapa Rifle
Club, and caught our first glimpse of the democracy of affliction and
alleviation that obtains. The Club was just beginning a prize shoot for a cup
put up by Mr. McVeigh, who is also a member of the club, as also are Doctor
Goodhue and Doctor Hollman, the resident physicians (who, by the way, live in
the Settlement with their wives). All about us, in the shooting booth, were the
lepers. Lepers and non-lepers were using the same guns, and all were rubbing
shoulders in the confined space. The majority of the lepers were Hawaiians.
Sitting beside me on a bench was a Norwegian. Directly in front of me, in the
stand, was an American, a veteran of the Civil War, who had fought on the
Confederate side. He was sixty-five years of age, but that did not prevent him
from running up a good score. Strapping Hawaiian policemen, lepers, khaki clad,
were also shooting, as were Portuguese, Chinese, and kokuas. The latter
are native helpers in the Settlement, who are non-lepers. And on the afternoon
that Mrs. London and I climbed the two-thousand foot pali and looked our
last upon the Settlement, the Superintendent, the doctors, and the mixture of
nationalities and of diseased and non-diseased were all engaged in an exciting
baseball game.
Not so was the leper and his greatly
misunderstood and feared disease treated during the Middle Ages in Europe. At
that time the leper was considered legally and politically dead. He was placed
in a funeral procession, and led to the church, where the burial service was
read over him by the officiating clergyman. Then a spadeful of earth was
dropped upon his chest and he was dead—living dead. While the rigorous
treatment was largely unnecessary, nevertheless one thing was learned by it.
Leprosy was unknown in Europe until it was introduced by the returning
Crusaders, whereupon it spread slowly, until it had seized upon large numbers
of people. Obviously, it was a disease that could be contracted by contact. It
was a contagion, and it was equally obvious that it could be eradicated by
segregation. Terrible and monstrous as was the treatment of the leper in those
days, the great lesson of segregation was learned. By its means leprosy was
stamped out.
And by the same means leprosy is even now
decreasing in the Hawaiian Islands. But the segregation of the lepers on
Molokai is not the horrible nightmare that has been so often exploited by
yellow writers. In the first place, the leper is not torn ruthlessly
from his family. When a suspect is discovered, he is invited by the Board of
Health to come to the Kalihi Receiving Station at Honolulu. His fare and all
expenses are paid for him. He is first passed upon, by microscopical
examination, by the Bacteriologist of the Board of Health. If the bacilli
lepræ are found, the patient is examined by the Board of Examining
Physicians, five in number. If found by them to be a leper, he is so declared,
which finding is later officially confirmed by the Board of Health, and the
leper is ordered sent to Molokai. Furthermore, during the thorough trial that
is given his case, the patient has the right to be represented by a physician,
whom he can select and employ for himself. Nor, after having been declared a
leper, is the patient immediately rushed off to Molokai. He is given ample time—weeks,
and even months, sometimes—during which he stays at Kalihi and
winds up or arranges all his business affairs. At Molokai, in turn, he may be
visited by his relatives, business agent, etc., though they are not permitted
to eat and sleep in his house. Visitors' houses, kept "clean," are
maintained for this purpose.
I saw an illustration of the thorough trial given
the suspect, when I visited Kalihi with Mr. Pinkham, President of the Board of
Health. The suspect was an Hawaiian, seventy years of age, who for thirty-four
years had worked in Honolulu as a pressman in a printing office. The
Bacteriologist had decided that he was a leper, the Examining Board had been
unable to make up its mind and that day all had come out for another
examination.
When at Molokai, the declared leper has the
privilege of re-examination, and patients are continually coming back to
Honolulu for that purpose. The steamer that took me to Molokai had on board two
returning lepers, both young women, one of whom had come to Honolulu to settle
up some property she owned, and the other had come to Honolulu to see her sick
mother. Both had been at Kalihi for a month.
The Settlement of Molokai enjoys a far more
delightful climate than even Honolulu, being situated on the windward side of
the island, in the path of the fresh northeast trades. The scenery is
magnificent; on one side is the blue sea, on the other the wonderful wall of
the pali, receding here and there into beautiful mountain valleys.
Everywhere are grassy pastures, over which roam the hundreds of horses which
are owned by the lepers. Some of them have their own carts, rigs and traps. In
the little harbor of Kalaupapa lie fishing boats and a steam launch, all of
which are privately owned and operated by lepers. Their bounds upon the sea are
of course determined, otherwise no restriction is put upon their seafaring.
Their fish they sell to the Board of Health, and the money they receive is
their own. While I was there, one night's catch was four thousand pounds.
And as these men fish, others farm. All trades
are followed. One leper, a pure Hawaiian, is the boss painter. He employs eight
men, and takes contracts for painting buildings from the Board of Health. He is
a member of the Kalaupapa Rifle Club, where I met him, and I must confess that
he was far better dressed than I. Another man, similarly situated, is the boss
carpenter. Then, in addition to the Board of Health store, there are little
privately owned stores, where those with shopkeeper's souls may exercise their
peculiar instincts. The Assistant Superintendent, Mr. Waiamau, a finely
educated and able man, is a pure Hawaiian and a leper. Mr. Bartlett, who is the
present storekeeper, is an American who was in business in Honolulu before he
was struck down by the disease. All that these men earn is that much in their
own pockets. If they do not work they are taken care of anyway by the
territory, given food, shelter, clothes and medical attendance. The Board of
Health carries on agriculture, stock raising and dairying for local use, and
employment at fair wages is furnished to all who wish to work. They are not
compelled to work, however, for they are the wards of the territory. For the
young, and the very old, and the helpless, there are homes and hospitals.
Major Lee, an American and long a marine engineer
for the Inter-Island Steamship Company, I met actively at work in the new
stream laundry, where he was busy installing the machinery. I met him often
afterward, and one day he said to me:
"Give us a good breeze about how we live
here. For heaven's sake write us up straight. Put your foot down on this
chamber-of-horrors rot and all the rest of it. We don't like being
misrepresented. We've got some feelings. Just tell the world how we really are
in here."
Man after man that I met in the Settlement, and
woman after woman, in one way or another expressed the same sentiment. It was
patent that they resented bitterly the sensational and untruthful way in which
they have been exploited in the past.
In spite of the fact that they are afflicted by
disease, the lepers form a happy colony, divided into two villages and numerous
country and seaside homes, of nearly a thousand souls. They have six churches,
a Young Men's Christian Association building, several assembly halls, a band
stand, a race track, baseball grounds and shooting ranges, an athletic club,
numerous glee clubs, and two brass bands.
"They are so contented down there," Mr.
Pinkham told me, "that you can't drive them away with a shotgun."
This I later verified for myself. In January of
this year eleven of the lepers, on whom the disease, after having committed
certain ravages, showed no further signs of activity, were brought back to
Honolulu for re-examination. They were loath to come, and on being asked
whether or not they wanted to go free if found clean of leprosy, one and all
answered, "Back to Molokai."
In the old days, before the discovery of the
leprosy bacillus, a small number of men and women, suffering from various and
totally different diseases, were adjudged lepers and sent to Molokai. Years
afterward they suffered great consternation when the bacteriologists declared
that they were not afflicted with leprosy, and never had been. They fought
against being sent away from Molokai, and in one way or another, as helpers and
nurses, they got jobs from the Board of Health and remained. The present jailer
is one of these men. Declared to be a non-leper, he accepted on salary, the
charge of the jail, in order to escape being sent away.
At the present moment, in Honolulu, is a
bootblack. He is an American negro. Mr. McVeigh told me about him long ago,
before the bacteriological tests, he was sent to Molokai as a leper. As a ward
of the state he developed a superlative degree of independence and fomented
much petty mischief. And then one day, after having been for years a perennial
source of minor annoyances, the bacteriological test was applied and he was
declared a non-leper.
"Ah, ha!" chortled Mr. McVeigh.
"Now I've got you. Out you go on the next steamer and good
riddance!"
But the negro didn't want to go. Immediately he
married an old woman in the last stages of leprosy, and began petitioning the
Board of Health for permission to remain and nurse his sick wife. There was no
one, he said pathetically, who could take care of his poor wife as well as he
could. But they saw through his game, and he was deported on the steamer and
given the freedom of the world. But he preferred Molokai. Landing on the
leeward side of Molokai, he sneaked down the pali one night and took up
his abode in the Settlement. He was apprehended, tried, and convicted of
trespass, sentenced to pay a small fine, and again deported on the steamer,
with the warning that if he trespassed again he would be fined one hundred
dollars and be sent to prison in Honolulu. And now, when Mr. McVeigh comes up
to Honolulu, the bootblack shines his shoes for him, and says:
"Say, boss, I lost a good home down there.
Yes, sir, I lost a good home." Then his voice sinks to a confidential
whisper as he says, "Say, boss, can't I go back? Can't you fix it for me
so as I can go back?"
As regards the fear of leprosy itself nowhere in
the Settlement among lepers or non-lepers did I see any sign of it. The chief
horror of leprosy obtains in the minds of those who have never seen a leper and
who do not know anything about the disease. At the hotel at Waikiki a lady expressed shuddering amazement at my having the hardihood to pay a visit to the Settlement. On talking with her I learned that she had been born in Honolulu, had lived there all her life, and had never laid eyes on a leper.
Leprosy is terrible, there is no getting away
from that; but from what little I know of the disease and its degree of
contagiousness, I would by far prefer to spend the rest of my days in Molokai
than in any tuberculosis sanatorium. In every city and county hospital for poor
people in the United States, or in similar institutions in other countries,
sights as terrible as those in Molokai can be witnessed, and the sum total of
these sights is vastly more terrible. For that matter, if it were given to me
to choose between being compelled to live in Molokai for the rest of my life,
or in the East End of London, the East Side of New York, or the Stock Yards of
Chicago, I would select Molokai without debate.
In Molokai the people are happy. I shall never
forget the celebration of the Fourth of July I witnessed there. At six o'clock
in the morning the "horribles" were out, dressed fantastically,
astride horses, mules and donkeys (their own property), and cutting capers all
over the Settlement. Two brass bands were out as well. Then there were the
pa-u riders, thirty or forty of them, Hawaiian women all, superb
horsewomen, dressed gorgeously in the old, native riding costume, and dashing
about in twos and threes and groups. In the afternoon Mrs. London and I stood
in the judges' stand and awarded the prizes for horsemanship and costume to the
pa-u riders. All about were the hundreds of lepers, with wreaths of
flowers on heads and necks and shoulders, looking on and making merry. And
always, over the brows of hills and across the grassy level stretches,
appearing and disappearing, were the groups of men and women, gaily dressed, on
galloping horses, horses and riders flower bedecked and flower garlanded,
singing and laughing and riding like the wind. And as I stood in the judges'
stand and looked at all this, there came to my recollection the lazar house of
Havana, where I had once beheld some two hundred lepers, prisoners inside four
restricted walls until they died. No, there are a few thousand places I wot of
in this world over which I would select Molokai as a place of permanent
residence. In the evening we went to one of the leper assembly halls, where,
before a crowded audience, the singing societies contested for prizes, and
where the night wound up with a dance.
One thing is certain. the leper in the Settlement
is far better off than the leper who lies in hiding outside. Such a leper is a
lonely outcast, living in constant fear of discovery and slowly and surely
rotting away. The action of leprosy is not steady. It lays hold of its victim,
commits a ravage, and then lies dormant for an indeterminate period. It may not
commit another ravage for five years, or ten years, or forty years, and the
patient may enjoy uninterrupted good health. rarely, however, do these first
ravages cease of themselves. The skilled surgeon is required, and the skilled
surgeon cannot be called in for the leper who is in hiding. For instance, the
first ravage may take the form of a perforating ulcer in the sole of the foot.
When the bone is reached, necrosis sets in. If the leper is in hiding, he
cannot be operated upon, the necrosis will continue to eat its way up the bone
of the leg, and in a brief and horrible time the leper will die of gangrene or
some other terrible complication. On the other hand, if that same leper is in
Molokai, the surgeon will operate upon the foot, remove the ulcer, cleanse the
bone, and put a complete stop to that particular ravage of the disease. A month
after the operation the leper will be out riding horseback, running foot races,
swimming in the breakers, or climbing the giddy sides of the valleys.
The old horrors of leprosy go back to the
conditions that obtained before the days of antiseptic surgery, and before the
time when physicians like Doctor Goodhue and Doctor Hollmann went to live at
the Settlement. Doctor Goodhue is the pioneer surgeon there, and too much
praise cannot be given him for the noble work he has done. I spent one morning
in the operating room with him, and of the three operations he performed, two
were on men, new-comers, who had arrived on the same steamer with me. In each
case the disease had attacked in one spot only. One man had a perforating ulcer
in the ankle, well advanced, and the other man was suffering from a similar
affliction, well advanced, under his arm. Both cases were well advanced because
the men had been on the outside and had not been treated. In each case Doctor
Goodhue put an immediate and complete stop to the ravage, and in four weeks
those two men will be as well and able bodied as they ever were in their lives,
the only difference between them and you or me being that the disease is lying
dormant in their bodies and may at any future time commit another ravage.
Leprosy is as old as history. References to it
are found in the earliest written records. And yet to-day practically nothing
more is known about it than was know then. This much was known then—namely,
that it was contagious and that those afflicted by it should be segregated. The
difference between then and now is that to-day the leper is more rigidly
segregated and more humanely treated. But leprosy itself still remains the same
awful and profound mystery. A reading of the reports of the physicians and
specialists of all countries reveals the baffling nature of the disease. These
leprosy specialists are unanimous on no one phase of the disease. They do not
know.
They are baffled in the discovery of a serum
wherewith to fight the disease. And in all their work, as yet, they have found
no cure, no cure. Sometimes there have been blazes of hope, theories of
causations and much-heralded cures, but every time the darkness of failure
quenched the flame. A doctor insists that the cause of leprosy is a
long-continued fish diet, and he proves his theory
voluminously till a physician from the highlands of India demands why the
natives of that district should therefore be afflicted by leprosy when they
have never eaten fish, nor all the generations of their fathers before them. A
man treats a leper with a certain kind of oil or drug, announces a cure, and
five, ten or forty years afterward the disease breaks out again. It is this
trick of leprosy lying dormant in the body for indeterminate periods that is
responsible for many alleged cures. But this much is certain: as yet there
has been no authentic case of a cure.
Leprosy is feebly contagious, but how is
it contagious? An Austrian physician has inoculated himself and his assistants
with leprosy and failed to catch it. But this is not conclusive, for there is
the famous case of the Hawaiian murderer, who had his sentence of death
commuted to life imprisonment on his agreeing to be inoculated with the
bacillus leprae. Some time after inoculation, leprosy made its
appearance, and the man died a leper on Molokai. Nor was this conclusive, for
it was discovered that at the time he was inoculated several members of his
family were already suffering from the disease on Molokai. He may have
contracted the disease from them, and it may have been well along in its
mysterious period of incubation at the time he was officially inoculated. Then
there is the case of that hero of the church, Father Damien, who went to
Molokai a clean man, and died a leper. There have been many theories as to how
he contracted leprosy, but nobody knows. He never knew himself. But every
chance that he ran has certainly been run by a woman at present living in the
Settlement; who has lived there many years; who has had five leper husbands,
and had children by them; and who is to-day , as she always has been, free of
the disease.
As yet no light has been shed upon the mystery of
leprosy. When more is learned about the disease, a cure for it may be expected.
Once an efficacious serum is discovered, leprosy, because it is so feebly
contagious, will pass away swiftly from the earth. The battle waged with it
will be short and sharp. In the meantime, how to discover that serum or some
other un-guessed-of weapon? In the present it is a serious matter. It is
estimated that there are half a million lepers, not segregated, in India alone.
Carnegie libraries, Rockefeller universities and many similar benefactions are
all very well; but one cannot help thinking how far a few thousands of dollars
would go, say in the leper Settlement of Molokai. The residents there are
accidents of fate, scapegoats to some mysterious natural law of which man knows
nothing, isolated for the welfare of their fellows, who else might catch the
dread disease, even as they have caught it, nobody knows how. Not for their
sake merely, but for the sake of future generations, a few thousands of dollars
would go far in a legitimate and scientific search after a cure for leprosy,
for a serum, or for some undreamed discovery that will enable the medical world
to exterminate the bacillus leprae. There's the place for your money,
you philanthropists.
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