But the healing of the sore is but temporary, for the disease presently breaks out again.
Emaciation does not seem to follow.

I saw very few wasted forms, and those only in the hospitals and among the worst cases.

There appears to be an astonishing tenacity of life, and I was told they mostly choke to death, or fall into a fever caused by swallowing the poison of their sores when these attack the nose and throat.
Those diseased give out soon a very sickening odor, and I was much obliged to a thoughtful man in the settlement, who commanded the lepers who had gathered together to hear an address from the doctor to form to leeward of us.

I expected to be sickened by the hospitals; but these are so well kept, and are so easily ventilated by the help of the constantly blowing trade-wind, that the odor was scarcely perceptible in them.
You will, perhaps, ask how the disease is contracted.

I doubt if any one knows definitely.