File:Kalamau. CASE IX. (Photograph 6).jpg

English: CASE IX. (Photograph 6). The original photograph from which this book illustration is derived was taken by Henry L. Chase in 1878 as a part of the "Report of the Special Sanitary Committee on the State of the Leper Settlement at Kalawao". Image was republished in the The New Orleans Medical and Surgical Journal in April 1880 as part of a later medical examination by John Harrison Bemiss in 1879.

CASE IX. (Photograph 5 and 6.) Kalamau, female, 60 years old. Mother died of leprosy-father died of nervous shakes. Kalamau enjoyed good health after marriage. She had two children. She was infected with syphilis in 1845, by her husband. She used native medicine which dried up the sores. In 1852 leprosy broke out in red spots all over her body. In 1856 commenced to lose fingers and toes. Still able to get about. Now both feet half gone, hands have no fingers, almost blind, mouth on one side, eyes always open, flesh wasted away, skin dry. Was vaccinated after contracting leprosy.

The report says:

Kalamau, a woman, 50 years of age, from Honolulu, and at Kalawao five years; a poor, helpless creature, whose palsied and fingerless hands had to be held to enable the photographer to take an impression. No. 5. The feet of this case without toes,—all destroyed by the erosions of leprosy—are illustrated in No. 6.