The Cruise of the Snark (14 page)

In the old days, before the discovery of the leprosy bacillus, a small number of men and women, suffering from various and wholly 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, there is a boot-black. 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 boot-black 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?”

He had lived nine years on Molokai, and he had had a better time there than he had ever had, before and after, on the outside.

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. That was more than I could say of myself in the United States, where the segregation of lepers is loosely enforced and where I have repeatedly seen lepers on the streets of large cities.

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 sanitarium. 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 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 Stockyards of Chicago, I would select Molokai without debate. I would prefer one year of life in Molokai to five years of life in the above-mentioned cesspools of human degradation and misery.

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 Charmian and I stood in the judge's 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, gayly 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 judge's 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. I have seen the Hawaiians living in the slums of Honolulu, and, having seen them, I can readily understand why the lepers, brought up from the Settlement for reëxamination, shouted one and all, “Back to Molokai!”

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 that 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 for mountain apples. And as has been stated before, the disease, lying dormant, may not again attack him for five, ten, or forty years.

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 Dr. Goodhue and Dr. Hollmann went to live at the Settlement. Dr. 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, newcomers, who had arrived on the same steamer with me. In each case, the disease had attacked in one spot only. One 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 man had been on the outside and had not been treated. In each case, Dr. 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 is 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 known 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. In the past they rashly and dogmatically generalized. They generalize no longer. The one possible generalization that can be drawn from all the investigation that has been made is that leprosy is
feebly contagious
. But in what manner it is feebly contagious is not known. They have isolated the bacillus of leprosy. They can determine by bacteriological examination whether or not a person is a leper; but they are as far away as ever from knowing how that bacillus finds its entrance into the body of a non-leper. They do not know the length of time of incubation. They have tried to inoculate all sorts of animals with leprosy, and have failed.

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 clew, no cure. Sometimes there have been blazes of hope, theories of causation 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 lepr
œ. 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 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, and 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 unguessed 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 sakes 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 lepr
œ. There's the place for your money, you philanthropists.

There are hosts of people who journey like restless spirits round and about this earth in search of seascapes and landscapes and the wonders and beauties of nature. They overrun Europe in armies; they can be met in droves and herds in Florida and the West In-dies, at the pyramids, and on the slopes and summits of the Canadian and American Rockies; but in the House of the Sun they are as rare as live and wriggling dinosaurs. Haleakala is the Hawaiian name for “the house of the sun.” It is a noble dwelling, situated on the island of Maui; but so few tourists have ever peeped into it, much less entered it, that their number may be practically reckoned as zero. Yet I venture to state that for natural beauty and wonder the nature-lover may see dissimilar things as great as Haleakala, but no greater, while he will never see elsewhere anything more beautiful or wonderful. Honolulu is six days' steaming from San Francisco; Maui is a night's run on the steamer from Honolulu; and six hours more if he is in a hurry, can bring the traveller to Kolikoli, which is ten thousand and thirty-two feet above the sea and which stands hard by the entrance portal to the House of the Sun. Yet the tourist comes not, and Haleakala sleeps on in lonely and unseen grandeur.

Not being tourists, we of the
Snark
went to Haleakala. On the slopes of that monster mountain there is a cattle ranch of some fifty thousand acres, where we spent the night at an altitude of two thousand feet. The next morning it was boots and saddles, and with cow-boys and packhorses we climbed to Ukulele, a mountain ranch-house, the altitude of which, fifty-five hundred feet, gives a severely temperate climate, compelling blankets at night and a roaring fireplace in the living-room. Ukulele, by the way, is the Hawaiian for “jumping flea” as it is also the Hawaiian for a certain musical instrument that may be likened to a young guitar. It is my opinion that the mountain ranch-house was named after the young guitar. We were not in a hurry, and we spent the day at Ukulele, learnedly discussing altitudes and barometers and shaking our particular barometer whenever any one's argument stood in need of demonstration. Our barometer was the most graciously acquiescent instrument I have ever seen. Also, we gathered mountain raspberries, large as hen's eggs and larger, gazed up the pasture-covered lava slopes to the summit of Haleakala, forty-five hundred feet above us, and looked down upon a mighty battle of the clouds that was being fought beneath us, ourselves in the bright sunshine.