This disease is spread through contact with goblin-infested waste. It causes blurriness of vision and a slight palsy. Any creature making contact with infected material must succeed on a DC 14 Constitution saving throw or become infected. One hour later, the disease sets in, and the creature has a –1 penalty on all to-hit rolls for 24 hours. A creature who rolls a 1 or lower on their saving throw must make an additional saving throw after 24 hours. A creature who fails this second saving throw permanently loses 1 point of strength. The strength can be regained only with a greater restoration or a wish spell.