This was good, I felt like I learned more about the time period and about leprosy. The text was included in Kindle Unlimited, and also available at the library, as was the audio. I went with the audio version ... I didn't love the narrator, but Mirielle wasn't that likeable at the start, so the voice matched somewhat. There was an Author's Note included in the text/Kindle copy that was NOT included in audio, which is a shame. I appreciate author's notes, especially when (as they did here) they clarify what factual things the story is based on, where liberties were taken, etc. I will never understand why the audio version is short-changed by leaving such important information out. Here, the author clarifies that this leprosy (or Hansen's Disease ... I've never heard it termed this, and it wasn't mentioned by this name in the novel) is NOT the same disease referenced in the Bible. That really was my main connection coming in ... that and my father singing "Leprosy, all my skin is falling off of me, I'm not half the man I used to be, oh I believe in Leprosy" (to the tune of  "Yesterday" by the Beatles). It was interesting to learn that it is bacterial, not nearly as contagious as the world was lead to believe, that children are most susceptible (adults generally have enough immune response to fight it off). It was never revealed where Mirielle picked it up. That there now is a cure, but there are new cases currently being diagnosed and treated. 

As mentioned, Mirielle wasn't super likeable (not completely unlikeable either). Rich and spoiled, and changed after a tragedy. It was interesting to watch her growth and development. I never totally got pulled in and connected to the characters to have the things that happened to them impact me emotionally. 

Clean - no language or sex, just some descriptions of the disease/death and harsh conditions. 
Third person (but pretty much all the POV of Mirielle) Past tense.