In 1900 the French authorities purchased the Leper Settlement, and have since carried on and developed the work there to an amazing extent. There are now 1,500 lepers in residence. The Settlement is a large village, consisting for the most part of rows of detached huts in which the lepers live, and is a model of cleanliness and order. I visited the Institution and was greatly impressed with what I saw. Nearly all the inmates bear the awful marks of leprosy upon them. Many have bandages round their feet, legs and arms. Many have lost feet and hands and are horribly mutilated or deformed. Many have terribly distorted faces. Some hid themselves away as they saw visitors approaching. Others lay in the sunshine huddled up in dark blankets. Many, however, were able to work, and were engaged in building new huts or in agricultural pursuits. There were men and women, boys and girls, a most pathetic multitude. Yet smiling faces were quite common as the lepers saluted us as we passed along between the rows of cottages. It was Saturday, the weekly cleaning day, and all the meagre furniture, pots and pans, were turned out of doors. The staple article of food is rice, of which over five tons a week are consumed. Twice a week meat is supplied, and the Government also provide soap, candles and salt. The whole Institution is a wonderful example of method and organization. But the most remarkable fact in connection with the work is that it is entirely directed by a woman of sixty-five years of age, Mlle. Sapino. This lady came to Madagascar some eighteen years ago as a missionary of the Paris Missionary Society. On severing her connection with that Society she took up this work amongst the lepers. She controls the whole of the Institution down to the minutest details. She superintends the buildings. She buys all the stores, and I saw her weighing out the rice for distribution to the Lepers. She examines every case as it comes in, and puts all the particulars down on a chart. She personally dresses the wounds in the worst cases, and was engaged in doing this Christ-like work when we arrived. For all her services she receives the munificent stipend of £80 per annum and a house. Out of this at the present time she is keeping some forty untainted children of lepers born in the Institution. The Government will not make her any grant because these children are not lepers. Some months ago she sold her drawing-room furniture to get money to keep the children. She is a remarkable-looking woman--tall, with prominent features and iron grey hair. She reminded me more than any other woman I ever saw of the pictures of George Eliot. She told me that the Government respected her, but did not love her. They know she is indispensable. A week or two previous to my visit they sent her an unsatisfactory Frenchman to be an assistant. She objected and resigned. In a few hours a high official’s wife came out to tell her that the Government would do