When Damien de Veuster arrived in Hawaii in 1864, he found an island-community beset by infections. Over the years, travelers and seamen had introduced diseases like influenza and syphilis. Yet none were as bad as Hansen’s Disease, more commonly known as leprosy. First reported in Hawaii in 1840, leprosy devastated people in many ways. First, because the disease was highly contagious and untreatable until the 1930s, people contracting it had no hope of recovery. This often led to deep depression among its sufferers. Second, leprosy caused a progressive degeneration of their skin, eyes, and limbs. It thus disfigured people and eventually immobilized them. Finally, few diseases isolated people from their communities as much as leprosy. Sufferers were seen as outcasts and cautioned to stay away from everyone else.

In 1866, to curb the spread of the disease, Hawaiian authorities decided to consign lepers to an isolated community on the island of Molokai. On three sides, the colony, called Kalaupapa, bordered the Pacific Ocean, and the fourth side featured massive, 1,600-foot cliffs. Once the lepers were out of sight and no longer a threat to the general population, the government turned a blind eye to their basic needs. Shipments of food and supplies slowed down, and the government removed most of its personnel. The result was a highly dysfunctional community marked by poverty, alcoholism, violence, and promiscuity.

Puritan missionaries became convinced that leprosy stemmed from the people’s licentiousness. But Damien knew that wasn’t true. He believed the people on Molokai were basically good, not corrupt, and that sin did not cause the spread of the disease.

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