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The weather has improved these last days, and we have been making better speed. I lingered on deck for a while after the burials, and I heard someone shout ‘Land!’ With others, I ran to the rail on the port side and strained to see beyond the swell of the sea. And there in the distance I saw a small group of islands breaking the horizon. A crewman at my shoulder said, ‘Thank God for that. We’ll arrive tomorrow or the day after.’

I felt such a sense of relief I wanted to shout out loud and punch the air. I wanted to be there now. I just wanted all this to end. It is strange how it is possible to hold yourself together when you know there is still a distance to go. But as soon as the end is in sight, somehow all your resolve vanishes and you can barely stagger to the finish.

However, my happiness was short-lived. The crewman said, ‘Don’t get yourself all worked up, son. They’ll not let us through to Quebec City just yet. We’ll be stopped at Grosse Île first. And if you thought this was bad …’ His voice tailed away.

‘What do you mean?’ I asked. ‘What’s Grosse Île?’

‘It’s hell on earth, son. An island in the St Lawrence river, just a few miles downstream from the city. We’ll be held in quarantine there. The sick will be treated, and probably die. And the rest of us will be held until they’re sure we’re not sick. Only then will they let us go on.’

I could have wept.

* * *

It seemed extraordinary to see land on both horizons when we sailed into the mouth of the St Lawrence earlier today. But the opposing banks of it are so distant that they barely blur the line between water and sky. I had no idea a river could be this big.

Everyone who could, crowded on deck to watch our progress upriver, banks drawing in on either side. This was the great continent of North America.

But of the 269 passengers who left Glasgow in steerage, twenty-nine are dead and only 240 of us remain.

It was almost dusk when we sailed past a string of dark islands that loomed out of the stream of the river, to drop anchor finally at Grosse Île. There were eight or ten other tall ships anchored there in the bay, all flying the yellow jack of quarantine. It seems that we have brought all our diseases with us to this new world.

Onshore I could see a collection of long sheds, and woods rising up on the hill behind them. From the wooden pier a long boat set out towards us, water from its oars catching the dying light as it dropped, like liquid silver, back into the stream of the river.

A man came aboard in coat tails and boots and heavy trousers. He wore a hat above a gaunt face with sunken cheeks. One of the crew said to me, ‘That’s the doctor.’

‘Anyone speak English?’ the doctor said.

After a moment I raised my hand. ‘I do, sir.’

‘What language do these people speak?’

‘Gaelic.’

‘Damn,’ he said. ‘Our Gaelic translator died two days ago. You’ll have to do it.’ He took several strides towards me and gave me a good looking at. Then opened my shirt and examined my chest. ‘You look healthy enough for the moment.’ He spoke a strange, nasal drawling sort of English. ‘I’m going to have to examine these folk to see who’s sick and needs treatment. The rest of you will be kept in the Lazarettos at the top end of the island.’

‘Lazarettos?’

‘Just huts, son.’ He looked around. ‘I guess the sick are still below deck.’

* * *

They finally got us all ashore. Ferried on longboats and gathered together on the pier in the dark, lanterns held above us on poles. A collection of miserable souls, dressed in rags, filthy hair long and unkempt, beards tangling on cadaverous faces. Not a single person wore shoes. One man was dressed in a woman’s petticoat, given him by the captain’s wife to hide his modesty. His humiliation was acute.

Thirty-nine sick people, most of whom could not walk, were taken directly to the hospital sheds. The remainder of us had whatever goods we had brought with us removed by men wearing masks and gloves who moved among us like servants of death. Fortunately, the captain’s wife had possession of my diaries, so they were kept safe.

Catrìona Macdonald was taken with the rest of the sick to the hospital, and I was left in charge of her children, holding the baby in my arms. We were herded on to carts then, to make the short journey to the north-east end of the island.

The doctor sat up on the cart beside me and the children. I could almost feel his fatigue. ‘I’ve seen things,’ he said, ‘that no man should see. I’ve seen suffering that no human being should have to endure.’ He turned to look at me with empty eyes. ‘I used to be a religious man, son. But if there’s a God, then he abandoned us a long time ago.’

Our sorry convoy moved off through the night, a lantern on each cart. The track cut inland, the sea somewhere away to our right. On our left lay what the doctor described as a mosquito-infested lagoon. Cholera Bay, he called it. Where the Eliza had anchored, he said, was known as Hospital Bay.

Nearly a hundred thousand people had come through Grosse Île this year alone, he told me. Most of them off boats from Ireland. He said that people were dying there in their tens of thousands from the potato famine. And I knew just how that must be.

‘Five thousand poor souls have died from typhoid on Grosse Île in the last seven months,’ he said. ‘It’s what most of the sick on the Eliza have, too.’

‘Will they die?’ I asked.

‘Some of them. The strongest will survive. All things considered, we do not do that bad a job. But our ambulance doubles as a hearse. And it’s at work twenty-four hours a day, seven days a week.’ He shook his head. ‘We’ve lost two drivers to typhoid already this year, and half of our translators.’

I had no idea what to say to him. Five thousand dead? It was unimaginable. We passed through the only village on the island. Houses and a church set back along either side of the road. I said, ‘Who lives here?’

‘The quarantine workers and their families,’ he told me. ‘Doctors, nurses, translators, administrators, drivers. And the men of God, of course. Come to see first hand what hell Heaven has wrought on earth.’ His disillusion and lack of faith was almost painful, and I found it hard to meet his eye. And I wondered, too, what kind of people would come and work in a place like this, and bring their families to live here with them.

Beyond the village, the land levelled off, and we were closer again to the sea. Finally we saw the Lazarettos, long shadows in the dark, set in rows overlooking a rocky shore.

When we dismounted, the doctor told me they were sure to call on my services again, and he thanked me for my patience before heading off back to the village. But he is wrong, for I have no patience. I have no desire to be in this place, and will leave it just as soon as I can.

A quarantine worker led us to the last of the huts. It seemed endlessly long, partitioned along its length, open doorways leading from one section to the next. Walls and roof and beams were crudely whitewashed. Oil lamps hung from the ceilings, and shadows lurked and moved like ghosts among the hundreds of people lying side by side on long trestles set against either wall. A double-tier trestle runs down the centre of the hut, groaning with bodies, a single sheet covering eight or ten souls at a time.

This is to be our home for the next days or weeks, until we either come down with the typhoid and die, or survive and move on to the next phase of this hellish journey.

The children clung to my legs as we shuffled in to claim our space on wooden shelves scarred by the graffiti of all those desperate people who have gone before us, and stained by God knows what excretions.

The nursing woman took Catrìona Macdonald’s baby to feed her. We would eat shortly, they said. And for that I was grateful. But all I wanted was to be gone.