FOUCAULT WAS PROBABLY RIGHT WHEN he argued in the first chapter of Madness and Civilization that the asylum replaced the lazar house at the end of the Middle Ages, but he exaggerated in claiming that leprosy had disappeared from the western world. The decline of leprosy in early modern Europe did not mean that fear of it vanished or that Europe lost all contact with the disease. From the sixteenth century it became involved in the debate about the origin of syphilis, which at first was widely believed to be a new form of leprosy. A later, converse theory claimed that leprosy was a common terminal stage of syphilis, particularly in hot climates (Leprosy in India 353). This was given circulation and respectability at the turn of the nineteenth century by William Jones when he wrote that “The Persian, or venereal, fire generally ends in this malady” (qtd. in Crook and Guiton 91). The Collected Works of this distinguished Orientalist were published in 1799 and widely discussed. Britain’s steady colonial expansion in the late eighteenth century had brought renewed contact with leprosy and the consequent fear of its reintroduction into Europe. Although the disease had remained available to writers as a figure for horror throughout the early modern period, it was to take on renewed force in the century or so following the publication of Lyrical Ballads (1798).