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The spread of leprosy in the Hawaiian Islands is attributed to some extent to the mosquito by the local health authorities. There are cases that occur that are otherwise unaccountable, a fact that will hardly increase the mental quietude of those who are mosquito bitten in a country where leprosy exists. Of course, this mode of infection must be extremely rare, for mosquito bites are common, and these unaccountable cases are few in number. It seems probable that the indictment against the mosquito will be, as time elapses, a much heavier one than has been as yet conceived; it is the most efficient little inoculating machine that was ever contrived, and it seems to have a constitution suited to take up and carry about a number of uncomfortable things for the human species. It is said that it did not exist in some at least of the Pacific Islands originally,
LEPROSY AND THE MOSQUITO. JAMA. 1901;XXXVII(17):1120–1121. doi:10.1001/jama.1901.02470430044008
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