Few places in the world better illustrate the human capacity for endurance or for charity than the remote Kalaupapa Peninsula on the island of Moloka’i. The area achieved notoriety in 1865 when the Kingdom of Hawai`i instituted a century-long policy of forced segregation of persons afflicted with Hansen's disease, also known as leprosy. The Legislative Assembly had passed, and King Kamehameha V approved, "An Act to Prevent the Spread of Leprosy" to set apart land to seclude people believed capable of spreading the disease.
But why was this place chosen to isolate people with a seemingly incurable illness? Foremost, the Kalaupapa Peninsula was isolated and fairly inaccessible. To the south, the peninsula was cut off from the rest of Moloka`i by a sheer pali, or cliff about 2,000 feet high. The ocean surrounded the east, north and west sides. In good weather, landings were only practical at Kalaupapa and Kalawao; both inhabited by Hawaiians.