The dance was the first opportunity for the younger members of the ship’s hotel staff to cut loose a little since the Golden Dawn had left the Philippines two weeks earlier. It was to be the highlight of the cruise for the waiters, waitresses, maids, and off-duty crew, which happened to be comprised of some devilishly handsome Norwegians. Janni knew some of the younger passengers were going to attend as well. It was all anyone had been talking about for a week.

“No, it doesn’t,” the doctor said.

The door to the small hospital ward opened, and, a moment later, Elsa and Karin, Janni’s best friends on the Golden Dawn, swept into the room amid a cloud of perfume. They were from Munich, a couple of years older than Janni, and had spent the past three years working for the cruise line. Elsa was a pastry chef, and Karin worked the same dining-room shift as Jannike. They were dressed to kill. Karin wore a black dress with spaghetti straps that accented her ample chest, while Elsa wore a tank dress and, from the lack of lines under the clinging fabric, nothing else. Both were heavily made up and giggly.

“How are you feeling?” Elsa asked and sat on the edge of Janni’s bed, ignoring Passman.

“Jealous.”

“You aren’t well enough to come to the party?” Karin scowled at the doctor as if it was his fault Jannike’s asthma wasn’t in check.

Janni pushed her damp hair off her forehead. “Even if I was, I wouldn’t stand a chance the way you two are dressed.”

“Do you think Michael will like it?” Karin pirouetted.

“He’ll die for it,” Elsa told her friend.

“Are you sure he’s coming?” Janni asked, caught up in gossip despite the pain constricting her chest.

Michael was one of the passengers who sat at the table they served, a Californian with blond hair, blue eyes, and a body honed from a lifetime of exercise. It was generally agreed by the female staff that he was the best- looking guy on the boat. She also knew that Karin and Michael had made out on more than one occasion.

Karin smoothed her dress. “He made sure to tell me himself.” Passman cut into their conversation, “It doesn’t bother you he’s a Responsivist?” She shot the doctor a look. “I grew up with four brothers and three sisters. I don’t think not having children is such a bad idea.”

“Responsivism is more than not having children,” he pointed out.

Karin took it as an insult that she didn’t know what the group who had chartered the ship believed in.

“Yes, it is also about helping humanity by making family planning an option for millions of third world women and reducing the burden our population places on the earth. When Dr. Lydell Cooper founded the movement in the nineteen seventies, there were three billion people in the world. Today, there are twice that many—six billion— and the rates aren’t slowing. Ten percent of all humans who have ever lived, going back a hundred thousand years, are alive right now.”

“I saw the same informational placards they have placed around the ship,” Passman said archly. “But don’t you think Responsivism goes beyond social consciousness? For a woman to join, she has to agree to have her fallopian tubes tied. It sounds to me more like, well, a cult.”

“That’s what Michael said people tell him all the time.” With the stubbornness of youth, Karin felt she had to defend her crush’s convictions. “Just because you don’t know all the facts doesn’t mean you can dismiss what he believes.”

“Yes, but surely you see . . .” Passman let his voice trail off, knowing that whatever argument was put forth would stand little chance against a twenty-something girl with raging hormones. “Actually, you probably wouldn’t. I think you two should let Jannike rest. You can tell her all about the party later.” He left Janni’s bedside.

“Are you going to be okay, Schnuckiputzi?” Elsa asked, touching Janni’s thin shoulder.

“I’ll be fine. You two have fun and I want lurid details tomorrow.”

“Good girls don’t kiss and tell,” Karin said, and grinned.

“In that case, I don’t expect either of you to be good girls.” The two Germans left together, but Karin returned a second later. She eased up to the head of the bed.

“I want you to know that I think I’m going to do it.” Janni knew what she meant. She knew that Michael was more than a passing crush for her friend, and that apart from kissing a few times he had spent hours talking to her about his beliefs.

“Karin, that is way too big of a step. You don’t know him that well.”

“I’ve never really wanted kids anyway, so what’s the big deal if I have my tubes tied now or in a few years.”

“Don’t let him talk you into it,” Janni said as forcefully as her weakened body would let her. Karin was nice, but not the strongest person Jannike had ever met.

“He didn’t talk me into it,” she dismissed too quickly. “It’s something I’ve thought about for a long time. I don’t want to be worn out at thirty like my mother was. She’s forty-five now and looks seventy. No thanks. Besides,” she said with a bright smile, “nothing will happen until we dock in Greece anyway.” Janni took Karin’s hand to emphasize her point. “This is a decision that will affect the rest of your life.

Give it some more thought, okay?”

“Okay,” Karin said, as if to a parent.

Janni gave her a quick hug. “Good. Now, go have some fun for me.”

“Count on it.”

Their perfumes lingered long after the girls were gone.

Janni’s face was scrunched in concentration. The ship wasn’t due to dock in Piraeus for another week, giving her hope that she and Elsa could talk Karin out of her decision. One of the prerequisites for becoming a Responsivist is being sterilized. A vasectomy for men and a tubal ligation for women. It was part of their code to agree to not add more children to an already-overpopulated planet, a dramatic first step that was difficult, expensive, and, in later years, impossible to reverse. Karin was too young for that just so she could bed a good-looking guy.

She drifted off to sleep, and when she awoke a few hours had passed. She could hear the muffled rumble of the ship’s engines but could hardly feel the calm rocking of the Indian Ocean swells. She wondered how Elsa and Karin were enjoying the party . . .

Jannike woke again an hour later. She hated being in the hospital. She was lonely and bored, and, for a moment, considered grabbing her old clothes from under the bed and sneaking up to the ballroom for a peek. But her body just wasn’t up to it and again she closed her eyes.

She heard a crash the instant before the mugger wrapped his hand around her throat again and started to squeeze.

Jannike flashed awake, reaching for her inhaler just as the door to her room opened in a blaze of light from the office beyond. Stricken by the asthma attack, she wasn’t sure what she was seeing. Dr.

Passman staggered into the room. He wore a bathrobe and his feet were bare. It looked like the front of the robe and his face was covered in blood. Jannike sucked greedily on the inhaler, blinking to clear her eyes of sleep.

Passman made an obscene cawing sound, and more blood dribbled from his mouth. Janni gasped. He took two more faltering steps, and it seemed the bones of his knees dissolved. He fell back, and his body hit the linoleum floor with a wet smack. Janni saw that wavelike ripples traveled the length of his body, as though his insides had been liquefied, and in seconds he was surrounded by a viscous moat of his own blood.

She clutched her sheets tighter, drawing on the inhaler as she began to hyperventilate. Then another figure came into her room. It was Karin in her little black dress. She was coughing violently, wet, racking convulsions that spewed blood in a bright spray. Janni screamed through her own coughing fit, terrified at what she was seeing.

Karin tried to speak, but all that came out was a watery gargle. She stretched out with her arms in a supplicating gesture, her pale fingers reaching for Jannike. Janni hated herself for recoiling back to the far side of her bed, but she could not will herself forward. A crimson tear escaped the corner of Karin’s eye and left a thick red streak down to her jaw where it dripped, blooming like a rose when it pattered against her chest.

Like Passman seconds earlier, Karin could no longer support herself. She tipped backward, making no move to break her fall. When she hit the floor, it was as though her skin didn’t exist. Blood exploded everywhere as Karin’s body came apart, and in the instant before Jannike Dahl went into catatonic shock she was certain she was going

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