The balance of the novel is delivered in poignant fragments that appear as notes to a modern-day anthropological study of the leprosarium. Numbered artifacts such as "An old map of Honshu" and "A blank white urn" spark stories of the patients Miss Fuji has known and cared for, most of whom were much sicker than she: crippled, blinded, deformed, but all the more human for their suffering. The cruelties inflicted on the patients at Nagashima almost rival the cruelties of the disease itself. Talarigo's novel could easily succumb to sentimentality, but he maintains the poise of Miss Fuji: one who watches, who does not forgive, but who will not be lowered by vengeance or despair. --Regina Marler, Amazon.com