Not only can it be seen here and there over the whole Cape Colony, at Fort Beaufort, Malmesbury, Saldahna Bay, Caledon, Fraserburg, Calvenia, Clanwilliam, Hopetown, in Fingoland and Namaqualand, but even at Weeren and Alexandra County, especially in the Amapapeta location. In Natal its ravages are attracting attention among the members of my profession and philanthropists generally. In the latter colony a commission was appointed on January 27th, 1885, by Sir Henry Bulwer to inquire into the extent of leprosy then existing. The report of that commission was published in the Natal Government _Gazette_ of September 23d, 1886, and conclusively demonstrated that leprosy was widely spread and was slowly increasing among the native population, and recommended as a means of checking the disease the enforcement of strict segregation. Surely some method for its arrest or eradication might be taken from the lessons taught by other countries and from experience of the past! After the crusades in the fifteenth century leprosy played sad havoc in Europe, but taking alarm in time the lepers were sought out and separated from their fellows, Norway being the only country in Europe where this system was not adopted, and while the disease has disappeared in other lands, in the last named, after the lapse of more than three hundred years, it still lives.[75] This disease is also found in Greenland, Iceland, where it is termed “likthra,” in Lapland and the Faroes, but in these more northern regions, as leprosy is not considered to be contagious, its victims are objects more of pity than disgust. I believe that many local, lay and professional men think it a far-off disease, entombed in biblical lore; if so let them at once disabuse their minds of this idea and learn that this awful malady is a rapidly increasing scourge of to-day, extending from the North Pole to the South, from Iceland to Australia, India and America; Africa and Arabia supplying their quota of victims. “It distorts and scars and hacks and maims and destroys its victims inch by inch, feature by feature, member by member, joint by joint, sense by sense, leaving him to cumber the earth and tell the horrid tale of a living death, till there is nothing human left of him. Eyes, voice, nose, toes, fingers, feet, hands, one after the other, are slowly deformed and rot away, until at the end of ten, fifteen or twenty years it may be, the wretched leper, afflicted,, in every sense, himself, and hateful to the sight, smell, hearing and touch of others, dies despised and the most abject of men.”