Swiftly the saddle-bags are unpacked, yielding the "wonderful

salve" (antiphlogistine) and other medicines--a small wash basin,

soap, wash cloth and towel, flannel and a change of clothing for

baby.

Emma is bidden to heat water, which she does by filling an old

black kettle and standing it on the blazing embers of the open

fire.

How the nurse worked, and watched, and prayed as the hours passed,

and no improvement! The day came and went, and another night

brought closer the shadow--the little one seemed hardly to breathe.

Then the mother fled out in the darkness to rock back and forth in

an agony of weeping, which was hushed only when the quiet voice of

the nurse said: "You make it harder. Pray instead."

At last the waiting nurse feels the little body relax under

her touch. Sleep and restoration begin to steal back the ebbing

vitality--the little life is saved.

To-day within reach of this home, and many like it, the Mary

Isabel Alien Memorial Hospital at Gray Hawk, Kentucky, stands with

open doors and inviting beds for all who suffer. [Footnote:

Women's Board of Domestic Missions, Reformed Church in America.]

Whatever equipment and loving service can do to provide healing

may be found here.

* * * * *

"The military occupation of Porto Rico drew the attention of

the Christian churches of the United States to their opportunity

and responsibility for sending the light of the true Gospel to that

island where it had never penetrated. Soon after this the investigations

of a military surgeon demonstrated the important fact that ninety

per cent of the working population of the island were affected with

the hook-worm disease. Apart from other diseases which were present,

here was a great economic and humanitarian problem. The government

had done much, but as elsewhere, other agencies were needed if the

physical ills of the Porto Ricans were to be healed. In response to

this need Dr. Grace Atkins went to Porto Rico in 1900 as the first

medical missionary under the Woman's Board of Home Missions of the

Presbyterian Church. She started a clinic in a room of her rented

house, and treated many sick people in their homes. Being impressed

with how little she could do in this way for many who were seriously

sick, or who needed operations, she urged upon the Board the erection

of a hospital. In response to her call to the church, in February,

1904, the present hospital buildings in San Juan were opened to

receive patients. There were forty-five beds and, at that time,

this was the only hospital on the island in which the sick could

be properly treated.

"That there is need for the work and that the hospital is

meeting that need is shown by the number of those who come

for treatment. This has increased from seven thousand in 1907

to over nineteen thousand in 1914. The majority of these naturally

are treated in the dispensary, where a clinic is held daily, except

Sunday. On Monday all day is required to treat those who come, the

number reaching almost two hundred at times. Many come in from the

surrounding country, often walking from ten to thirty miles. All

classes of diseases are seen. Besides the more common ailments, with

which all are familiar, there are many cases of hook-worm anemia and

a number of other diseases peculiar to the tropics. Then there are

many who need surgical treatment. Blind men come in led by little

boys; some are brought in rocking chairs by their friends; others

are carried in hammocks, while still others arrive in coaches or

automobiles. One woman may have a piece of a needle broken off in

her hand and another a large tumor which needs a major operation

for its removal. Each one must be examined, a diagnosis made and

the proper treatment and instructions given. The most serious cases

are admitted to the hospital when there are beds available. On an

average six to eight cases a week have to be refused admission

because the beds are filled.

"In the private rooms are treated many Porto Ricans and many

Americans. The latter not only receive medical attention needed,

and much appreciated, on a foreign shore, but also an education

in practical Christianity which in many cases proves a great

surprise as well as a benefit to themselves and the hospital.

Practically all the patients in the wards are Porto Ricans. A

few of the more serious medical cases are admitted, but the

majority are those who need operations. Able to pay nothing or

very little, there is no other place where most of them can receive

treatment which will enable them to support themselves and those

dependent upon them. The blind have been made to see and the lame

to walk. So many apply for admission that there is always a waiting

list. Many lives have been saved in the children's ward by taking

in babies who have become sick from improper or insufficient food

due to ignorance or poverty. Tuberculosis of bones fend joints is

common and many little sufferers have been restored to health and

strength.

"That the work done in the hospital is not only helpful to

individuals but that it could be done by no other institution

present or projected is the testimony of the head of the

Department of Health, who is an American and has resided many

years on the island.

"One of the most important departments of the hospital is the

training school for nurses. There were practically no trained

nurses on the island and no provision for their training when

our school was opened. About sixty have graduated and are doing

faithful and efficient work as head nurses in our own and other

hospitals, and in the homes of their own people. There are usually

about fifteen pupil nurses. In addition to the regular hospital

work a department of district, or visiting, nursing has been started

and each one is trained to do actual practical work in the home. Not

only is this valuable for the nurse, but it makes it possible to

follow up many of the cases from the clinic, or hospital, and

supervise their diet and care and so try to keep them well, which

is especially important for the babies. One of the graduates is

doing this in connection with the settlement work of our church in

San Juan. Her work has suggested to the local Board of Health the

desirability of establishing a similar work on a larger scale. This

is an illustration of the indirect benefits of missions throughout

the world.

"But men are souls and merely have bodies, so that, however important

it is to heal the body, our Master came to save the soul and our

duty is to point them to Him. Every day in the wards and in the

clinic the Bible is read and prayer is offered. On Sunday a service

is held in which the Gospel message is explained. They have never

had the Bible and know nothing of the true Gospel. The are either

entirely ignorant of religion or their ideas are erroneous. By the

spoken word in the hospital and by giving them the written Word to

carry to their homes, the way is prepared for the entrance into

their hearts and lives of the divine Healer and Saviour.

"The three years' course affords opportunity for the thorough

religious instruction of the nurses in a weekly Bible class and

in the church services which they attend on Sunday. With very few

exceptions they have become members of evangelical churches before

graduation." [Footnote: Presbyterian Hospital, San Juan, P.I.]

* * * * *

"Of first importance in the physical well-being of the boy or girl

is the knowledge that will lead to a wholesome development of body

and mind.

"One of the most important phases of Home Mission medical work is

instructing the students in Mission Homes and Schools in health and

home sanitation, bringing to them something of the ideal for their

older lives that Dr. David Starr Jordan expresses in "The Call of

the Twentieth Century," where he speaks to the boy of to-day:

"So live that your after self--the man you ought to be--may in

time be possible and actual. Far away in the twenties, the thirties

of this century, he is awaiting his turn. His body, his brain, his

soul are in your boyish hands. He cannot help himself. What will you

leave for him? Will it be a brain unspoiled by lust or dissipation,

a mind trained to think and act, a nervous system true as a dial in

its response to the truth about you?"

The place and need of Home Missions as a present day healing

force can be more fully realized when we consider the conditions

peculiar to our country, which call urgently for greatly increased

facilities for physical regeneration.

Pre-eminent among these are the constant influx of aliens from

southern Europe and others of a dangerously low standard as regards

sanitation and health--and the economic pressure which produces

appalling congestion in living conditions.

"People are already living on certain portions of Manhattan Island

at a density which, if continued throughout the entire city, would

give New York a population of 197,372,635."

There is, on the other hand, the isolation and neglect of large

groups of people who are uninformed of sanitation and have only

precarious access to medical attendance, and whose needs call

insistently for help, as well as constitute a menace to the health

of these communities; such are found among Alaskans, Indians,

Mexicans, and others.

As the enlarging view of spiritual regeneration has come to include

the redemption of the environment so that it shall be an aid to

better living instead of an almost insupportable hindrance, so

also a newer and infinitely greater scope is daily coming to the

realm of healing science--that of prevention of disease and stamping

out of scourges rather than merely the healing of individuals after

disease has claimed them.

This wider vision of physical regeneration, Home Missions is seeking

earnestly to promote, that the better day for which humanity yearns

may be hastened, when His Kingdom will come on earth.

V

AN INTEGRATING FORCE

"Then let us pray that come it may,

As come it will for a' that,

That sense and worth o'er a' the earth

May bear the gree and a' that,

For a' that and a' that,

It's coming yet, for a' that,

_That man to man, the world o'er

Shall brothers be for a' that_."

"Have we not all one father? hath not one God created us?"

"There is neither Greek nor Jew, Barbarian, Scythian, bond nor

free; but Christ is all and in all."

"One Lord, one faith, one baptism, one God and Father of all, who

is over all, and through all, and in all."

* * * * *

A prominent American clergyman lecturer and writer was traveling

through inland China a short time before the outbreak of the Boxer

rebellion, when the feeling toward foreigners was intensely

hostile.

Through a misadventure he became separated from the party with

which he traveled and found himself alone with his Chinese driver

and courier in a village, when a suspicious crowd quickly assembled

which refused to permit him to proceed.

Passports and letters from prominent Chinese officials were of no

avail with this prejudiced crowd which grew constantly more excited

and revengeful.

Suddenly through the threatening mass a man forced his way to the

side of Dr. P.----, exclaiming in English, "You Melican man?" "Yes,"

came the reply. Turning to the crowd he explained the friendliness

of American foreigners, and turning to Dr. P. again said, "Me

Melican man, too, I live San Francisco seven years." Then he said,

"You Jesus man? Me Jesus man, too; Mission, San Francisco, made me

Jesus man."

Turning again to the crowd he succeeded in persuading them, though

protesting and reluctant, to allow Dr. P. to proceed on his way

unharmed.

This incident stands for the myriad influences in the ebb and flow

of immigration that carry the impulses, the ideals, and the new

life of America into the heart of the old world civilizations.

To the great inert masses of people in these lands have thus been

brought the germs of free thought and action and the sustaining,

impelling faith that these might sometime be attained by them and

their children. That to them through unceasing struggle might also

come the better day when government would stand for freedom,

opportunity and progress, rather than the sword, prison,

banishment and oppression.

America has been the great inspirer of the world.

Since the dawn of the twentieth century more than 10,500,000

immigrants have entered the United States. Through the pressure of

economic conditions a large proportion of immigrants and their children

are forced into the centers of poverty, crime and disease, the slum

districts of our great cities, and into huge colonies in industrial

centers where they both receive and contribute to conditions that have

become pathological for the community, real sources of infection, both

mental and physical. It is therefore not surprising to find that the

children of immigrants reared in American cities contribute twice as

many criminals as the sons of native whites of native stock. Our great

industrial centers show an enormous aggregation of foreigners. It is

said that these contain seven millions of the Slavs, the Latins, and

the Asiatics, and those whose racial background makes difficult the

conception of a democracy and their assimilation into it.

We confront a condition of grave peril to industrial interests as well

as to our national well-being when, in addition to the overcoming of

racial background, we must add the retarding effect of the segregation

of large foreign colonies in mining and industrial centers. Great numbers

of these aliens do not expect to become American citizens, but are here

only to accumulate sufficient capital to return. "Of all the immigrants

now comingone-third return to Europe and two-thirds of all those who

return remain there." These constitute largely a mobile migratory and

disturbing, unskilled wage-earning class.

They therefore are unfavorable to assimilative influences and tend

to establish in modified forms the standards and customs of the

communities from which they have come. "The town of Windber, in

Western Pennsylvania, has a population of 8000 persons and is the

center of twelve mining camps. It was founded by the opening of

bituminous coal mines, for which purpose 1600 experienced Englishmen

and 400 native Americans were brought into the locality. At the

present, eighteen races of recent immigration are numbered among its

mine workers. The Southern and Eastern Europeans among them have their

churches, banks, steamship agencies and business establishments in the

town to which they go to transact their affairs and to seek amusement."

"Another illustration is the recently established iron and steel

manufacturing community at Granite City and Madison, Illinois, which

has the distinction of being the largest Bulgarian colony in the United

States. These two cities join each other and for practical purposes are

one. Fifteen years ago its site was an unbroken stretch of corn fields.

The original wage-earners were English, Irish, Germans, Welsh and Poles;

then followed Slovaks, Magyars, a few Croatians. Mixed groups came next,

Roumanians, Greeks and Servians, and later Bulgarians, until that group

alone numbered 8000; later still, the foreigners were augmented by the

arrival of 4000 new immigrants--Armenians, Servians, Lithuanians, Slovaks,

Magyars and Poles. Under normal industrial conditions the population

of the community is estimated at 20,000 Here the various racial groups

live entirely apart from any American influence."

The New York Tribune states: "It is a somewhat startling

announcement that more than one-third of the adult male inhabitants

of New York City are unnaturalized aliens. There are, according to

the census, 1,433,749 males in the city, of twenty-one years or more,

and of these more than 500,000 have not become naturalized. In the

whole state there are 718,940 foreign-born white men of voting age

who have not become citizens. It needs no argument to prove that

this is not a desirable state of affairs, and that if perpetuated

it would be mischievous, if not disastrous."

From the figures collected in an investigation of four months in

New York City Night Court, it appears that 7.7 per cent of the

women arrested and convicted for keeping disorderly houses and

solicitation were foreign-born.

In New York City all the conditions created by immigration are

enormously accentuated, for within itself and its suburbs it has a

foreign population exceeding the whole population of Chicago.

"It is at once the largest Catholic city of history and the

largest Jewish city of history."

Statistics furnished by the industrial department of the Y.M.C.A.,

based upon the census of 1910, give the proportion of two out of every

three of the inhabitants of the following cities as foreign-born or of

foreign-born parentage.

181,511 Columbus 104,402 Spokane

233,650 Indianapolis 213,381 Denver

116,577 Dayton 207,214 Portland

248,381 Kansas City 558,485 Baltimore

319,198 Los Angeles 168,497 Toledo

237,194 Seattle 423,715 Buffalo

100,253 Albany 267,799 Jersey City, N.J.

124,096 Omaha 347,469 Newark, N.J.

137,249 Syracuse 224,326 Providence

687,029 St. Louis 102,054 Bridgeport

1,549,008 Philadelphia 465,766 Detroit

150,174 Oakland 104,839 Cambridge

112,571 Grand Rapids 560,603 Cleveland

218,149 Rochester 670,585 Boston

533,905 Pittsburgh 125,600 Paterson, N.J.

301,408 Minneapolis 373,857 Milwaukee

129,867 Scranton 2,185,283 Chicago

214,744 St. Paul 106,294 Lowell

145,986 Worcester 4,766,883 New York

133,605 New Haven 119,295 Fall River

This tabulation suggests all that these dominant cities represent

of congestion of industrial and social pressure, and their powerful

effects upon new Americans in their most impressionable period.

"The significant feature of the situation of which the foregoing

illustrations are typical," say such authorities as Prof. Jeremiah

W. Jenks and W. Jett Lanck, "is the almost complete ignorance and

indifference of the native American population to the recent immigrant

colonies and their condition. This attitude extends even to the native

churches. Comparatively few agencies have been established for the

Americanization and assimilation of Southern and Eastern European

wage-earners.

"Not only is a great field open for social and religious work, but

vast possibilities are offered for patriotic service in improving

these serious conditions which confront a self-governing republic."

That the crowding, struggling foreigner of many races and tongues

may take his place as a voting American, in whose hands rests a

predominating influence upon the present and future of this nation, it

is essential that he catch the vision of those fundamental, inspiring

ideals which have made America the hope of the hopeless, the very land

of promise, to the oppressed of the world.

He must be touched by an integrating force, a dynamic power, capable

of revealing and developing the inherent best in him and contributing

to him of the essential best in America.

"Religion alone answers this need in fullest measure. It is the great

quickening power which can resolve ancient inheritance of personal

and race antagonisms and hatreds into a struggle for higher individual

and community welfare."

Eternally true are the Master's words, "Man cannot live by bread

alone"; he must have the spiritual communion which can give to him

and to society the uplifting conception of the Fatherhood of God

and the brotherhood of man. This is the great integrating, harmonizing

power that the church of Christ must bring to the solving of America's

insistent immigrant problem.

* * * * *

Before taking up in detail the study of what Home Missions is

actually accomplishing as an integrating force, let us turn briefly

to consider some of the powerful disintegrating factors operative

among immigrants and their children.

Second to the great fact of labor and its demands in our cities is

the need and demand for recreation. The reaction from the monotony of

factory life, with its exacting, fatiguing tension of machine-tending,

and the crowdedness of the tenement home, sends the laboring multitudes

into the streets at night seeking diversion and amusement. This is

pre-eminently true of the young, who find commercialism waiting at

night to "extract from them their petty wages by pandering to their

love of pleasure" after having utilized their undeveloped labor power

in its factories and shops by day.

Jane Addams says, "The whole apparatus for supplying pleasure is

wretchedly inadequate and full of danger to whomsoever may

approach it.

"Who is responsible for its inadequacy and dangers? We certainly

cannot expect the fathers and mothers who have come to the city

from farms or who have immigrated from other lands to appreciate

or rectify these dangers of the city.

"We cannot expect the young people themselves to cling to

conventions which are totally unsuited to modern city conditions,

nor yet to be equal to the task of forming new conventions through

which this more agglomerate social life may express itself.

"The mass of these young people are possessed of good intentions

and would respond to amusements less demoralizing and dangerous,

if such were available at no greater cost than those now offered.

"Our attitude toward music is typical of our carelessness toward

all these things which make for common joy."

The vicious, sensuous music of the dance hall, with accompanying

words, often indecent and full of vulgar, suggestive appeal, are

permitted a vogue throughout the entire country.

No diagnosing of the immigrant city problem or understanding of

the task of securing civic righteousness can be obtained by Home

Mission women without realizing the place and influence of amusements

upon the lives of the young people of our land.

A noted English playwright stated that "the theatre is literally

making the minds of our urban population to-day. It is a huge factory

of sentiment, of character, of points of honor, of conception, of

conduct, of everything that finally determines the destiny of a nation."

Hundreds, yes, thousands of young people attend the five-cent

theatres every night, including Sunday, receiving the constant

effect of vulgar music and a debased and often vulgar and suggestive

dramatic art.

"Many immigrant parents," says Jane Addams, "are absolutely

bewildered by the keen absorption of their children in the cheap

theatres.

"One Sunday evening recently an investigation was made of four

hundred and sixty-six theatres in the city of Chicago, and it was

discovered that in the majority of them the leading theme was

revenge, the lover following his rival, the outraged husband

seeking his wife's paramour, or similar themes. It was estimated

that one-sixth of the entire population of the city had attended

the theatres on that day."

The same would generally be true of other large cities.

Nor is this low and vicious standard of cheap amusements confined

to large cities; it is bound to prevail also where our backward

people come into contact with white villages and communities. The

cock fights and other demoralizing amusements of Spanish-speaking

peoples and the dances of the Indians must be superseded by

entertainment that is wholesome and helpful.

Through its own agencies and as it co-operates with others

for betterment Home Missions must take into account the urgent

demand for wholesome amusement for those who, on account of the

conditions of their environment, are so much in need of the cheer

and joy of attractive and elevating forms of entertainment.

Home Missions responds to the cry of the city's need through the

ministry of the deaconess, who in turn is nurse, or visitor, or

leader of kindergarten, day nursery, rescue home, or orphanage.

* * * * *

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