Due to the verbal shift from the second person (207/208) to the first person (209–10), we may additionally speculate that the closing curse was uttered as the incantation specialist pounded the peg into the earth. Such an act as this would constitute the formal transferral of the disease demon into the ground but not necessarily its departure from the created world. The malediction “May you leave!” still depends on the cooperation of the “great gods” to coerce the diʾiu disease to depart. The reference to KI as the underworld would make an infinite amount of sense because disease demons cannot die. Even so, they can be expelled to the Netherworld, which is of course equivalent to “death” for these supernatural beings. It still remains that, in order for these hostile forces to get there, they must be disengaged from the victim, attached to a vector, and finally dispatched to a place where they will be restricted so that they can no longer do harm. Separation is consequently a necessary intermediate state that must be fully achieved before the harmful powers can even be sent to the underworld.— Cursed Are You!, pages 216-17
Wow. Talk about complicated. No wonder Jesus said that the truth would set you free! He takes care of all that because he is Lord of all (to borrow from the other book I'm excerpting from, World Upside Down).