George Naea

[2] His mother Kukaeleiki was the daughter of Kalauawa, a Kauaʻi high chief, and she was also a cousin of Queen Keōpūolani, the most sacred wife of Kamehameha I.

Emma was given at birth to be raised by Fanny's younger sister Grace Kamaʻikuʻi and her husband Dr. Thomas Charles Byde Rooke under the Hawaiian tradition of hānai (informal adoption).

[5][8][10] Writing in 1864, Reverend Dwight Baldwin alleged that Naʻea had contracted the illness from a low-level royal who had returned from China with the leprosy infection.

[11] In his unpublished memoirs written before his death in 1932, Ambrose K. Hutchison, a resident superintendent of the leper settlement of Kalaupapa, recounted oral traditions on the origin of leprosy in Hawaii.

[5][8][10] More than a decade after Naʻea's death, the Hawaiian government under Kamehameha V adopted a systematic policy of segregation for the afflicted and established a leper settlement at Kalaupapa on the island of Molokaʻi, to which Peter Kaʻeo, a nephew of Fanny's and a cousin of Emma's, would be exiled in 1873.