Constant and increasing attention is being paid in these days to the proper feeding of children, to the study of dietetics, to the preparation of suitable food for infants, and to the proper intervals for administering the food. Any mother of average intelligence in our land may secure one of the carefully prepared books such as Dr. Holt’s on “The Care and Feeding of Children,” or the smaller leaflets such as “What Children Should Eat,” and by making a study of them and of her child may hope to see that it is well and properly nourished. But what chance is there for the mother in Asia or Africa who, even if she cares to learn, has no means of knowing how to feed her child properly?

I was making a call of condolence on a neighbor in Persia who had just buried a dearly loved baby, the fourth or fifth she had lost. With such a pathetic look she said, “It seems as if we did not know how to care for our babies. You missionaries take such beautiful care of yours.” A wonderful opening, by the way, for starting a mothers’ meeting at which we used to discuss the care and training of our little ones. A mother arrived early one meeting day to tell me, “I tried on my children what you suggested last week, and it worked.”

Quite different was this set of mothers who had long been in contact with the missionaries, from the mother in a Persian village who begged a missionary to put a cent on her baby’s head and write a prayer that it might not die as six others had done in that family. The missionary replied with some severity that it was much more to the purpose to have the mother learn to take proper care of it, for the baby was not yet a year old and she was feeding it with meat and fruit.

In most if not all of the non-Christian lands whose child life we are studying there seems to be the tendency to two extremes. The children are often nursed by the mother for two, three, five, or even more years, and at the same time they are allowed to eat anything that their fancy dictates or that they can get hold of. Mrs. Noyes of China says that if the mother has no milk she cannot afford to buy canned milk, and of course fresh milk is entirely out of her reach. So she chews rice most carefully until it is soft and mushy, then takes it from her own mouth and puts it, germs and all, into the baby’s mouth. This diet is supplemented with rich cakes and the inevitable tea. Another missionary tells us that, if a child in China is ill, his appetite is tempted by rich, heavy food or fruit, and adds, “the mortality of children is frightful.”

Mrs. Underwood, an experienced mother and physician who has lived and worked many years in Korea, says:

Every imaginable practice which comes under the definition of unhygienic or unsanitary is common. Even young children in arms eat raw and green cucumbers, unpeeled, acrid berries, and heavy, soggy bread. They bolt quantities of hot or cold rice, with a tough, indigestible cabbage, washed in ditch water, prepared with turnips, and flavored with salt and red pepper. Green fruit of every kind is eaten with perfect recklessness of all the laws of nature, and with impunity....

But even these, so to speak, galvanized-iron interiors are not always proof. It takes time, but every five or six years, by great care and industry, a bacillus develops itself ... and then there is an epidemic of cholera.[9]

It is one of the most difficult lessons to impress on those who have become Christians that true Christianity, lived out to its logical conclusion, includes all that proper physical care of the child which, with the right mental and spiritual training, shall prepare it to take its place in the world.

Dr. Exner, recently in physical educational work in the Y. M. C. A. at Shanghai, says:—

“The need of the knowledge of hygiene has a very definite bearing on the child problem. Thousands upon thousands of children are killed simply for the lack of knowledge of the simplest elements of feeding and care. To illustrate: A well educated Chinese teacher, graduate of a mission school, fed his five months’ old daughter a piece of rich cake. It developed intestinal trouble from which it died in spite of expert medical care. When I expressed my sympathy, he said, ‘Well, it is the Lord’s will.’ I added to myself, ‘You should know better!’”

How much easier it is to say piously, “It is the Lord’s will,” than to take trouble and bear expense and lay aside age-long custom and prejudice in order that little ones may live! But we must not judge too harshly when we remember how long it has taken more enlightened lands to learn the great value of the lives of the children and how to care for these lives. Rather should we be all the more ready to send and carry to them the light and knowledge that have come to us. Then there will be fewer such scenes as one missionary mother witnessed in Syria. It was in a Jewish family where there were four little girls. The baby was a mass of sores from head to foot, and the missionary physician said that they were merely the result of mal-nutrition. But the mother said that her husband was utterly unwilling to buy a little milk each day,—“It is not worth while, for she is only another little girl.”

It is a most legitimate and absolutely essential part of missionary work,—and not one of the easiest tasks, either,—to teach parents that “children intelligently fed during infancy, childhood, and youth may hope for normal health in adult life, with natural physical strength, endurance, buoyancy.” Here is a special field of labor for missionary mothers, who have this advantage over physicians and teachers that they can teach by object lessons which always make a deeper impression than exhortation or verbal instruction. Of course the missionary mother often has the great handicap of an adverse climate in which to bring up her child. But her intelligent application of the principles she should learn in order to fit her for motherhood, and her willingness to teach these principles to the ignorant mothers so interested in all that pertains to the little foreign baby, may be some of the greatest factors in the future welfare, stamina, and development of great nations such as China and India.

Which is more harmful to a child, reckless, indiscriminate over-feeding or under-feeding and starvation diet? In lands swept periodically by famine or flood or devastated by war and massacre, there are thousands of little children who literally starve to death while other thousands continue to exist,—but what an existence it is! How can it but have its evil effect on the mind and morals of a child as well as on its physical well-being to be deprived of proper or sufficient nourishment during the years of growth and development? If child welfare is the legitimate, rightful responsibility of every Christian woman, then it behooves us to see that such scenes as the following cease to be possible anywhere in the world.

One mother, a widow with four children dependent on her, told me, with tears streaming down her face, how she had tried to throw away the skeleton-like little baby she carried in her arms, but she said the child always found its way back to her, and she added, “It is not easy to give one’s own child away.” She said she felt sometimes she would just have to drink poison, and put an end to her miserable existence, and one of the others asked her what would become of her children if she did that, and she said, with despair in every feature, “Don’t ask me.”[10]

In a later chapter we shall learn of what is being done through Christian orphanages for many little famine waifs and the orphans of those killed in battle and massacre, but, when we consider the untold harm to body and mind that has befallen these children before help reaches them, we realize that we must hereafter work with heart and soul at the task of prevention of these great evils if we believe in the welfare of the human race.

“Health,” we are told by Dr. E. T. Devine, “is influenced by the occupations and habits of growing children; by their play and their attendance at school; by the attention given to their eyesight, hearing, breathing, and digestion, to their spines, and to the arches of their feet, to their position at the desk, and to the type from which their text books are printed; by the readiness with which they make friends and so enter into the natural sports and exercises of childhood; by the development of their self-control, and their more or less unconscious acceptance of standards of conduct and principles of action which will be their ultimate safeguard against those diseases and weaknesses which come from indulgence of wrong appetites and desires.”

Judged by these standards, what chances have the children of Asia and Africa and the Pacific Islands for being safeguarded against disease and weakness and death? Consider the one matter of “attention to the arches of their feet” and compare such a standard of health with the age-long custom of foot-binding in China, and what hope is there for perfect, blooming health among the women of China or their children? A full description of the horrible custom of foot-binding may be found in Dr. James S. Dennis’s “Christian Missions and Social Progress” (vol. 1, p. 212). The effects of it upon the little girl victims are thus described by one who has every right to speak on the subject.

Mrs. Archibald Little, whose position as president of the Natural-feet Society has given her special reason for investigating, says in her book, “Intimate China”: “During the first three years (of foot-binding) the girlhood of China presents a most melancholy spectacle. Instead of a hop, skip, and a jump, with rosy cheeks like the little girls of England, the poor little things are leaning heavily on a stick somewhat taller than themselves, or carried on a man’s back, or sitting sadly crying. They have great black lines under their eyes, and a special curious paleness that I have never seen except in connection with foot-binding. Their mothers sleep with a big stick by the bedside, with which to get up and beat the little girl should she disturb the household by her wails; but not uncommonly she is put to sleep in an outhouse. The only relief she gets is either from opium, or from hanging her feet over the edge of her wooden bedstead, so as to stop the circulation. The Chinese saying is, “For each pair of bound feet there has been a whole kang, or big bath, full of tears.” And they say that one girl out of ten dies of foot-binding or its after-effects.”[11]

Among the changes that are sweeping over China, the Anti-foot-binding Movement ranks high in importance. It is receiving daily impetus by reason of all the new things Chinese women and girls want to do, which are impossible to accomplish unless they can walk instead of hobble. When this movement has really conquered the custom and “fashion” of centuries, there will be a better health report from the girls of China.

Utter carelessness or ignorance of the first principles of cleanliness is responsible for much ill-health and death. A “swat-the-fly campaign” would save thousands of unprotected baby faces from being covered with loathsome disease or disfigured with dangerous eye trouble, but it would encounter not only hopeless inertia,—it would arouse serious religious opposition. In some countries the “sacredness of life” means,—Protect the fly, no matter what happens to the baby.

One subject, upon which Dr. Devine has not touched in his list given above, is the necessity for the protection of well children from contagious diseases, and of skilful, tender care of the sick. We might easily fill a chapter with the study of so-called “medical practice” as conducted in non-Christian lands,—a practice composed largely of mingled superstition, ignorance, cruelty, and avarice—but a few pages on the subject in addition to our earlier study of what takes place at the time of childbirth will suffice, we trust, to make earnest Christian women desire to study it further. It is easy to shrink from contemplating the sufferings of innocent children, and many a woman is tempted to say, “I am too sensitive, I cannot hear about such things.” But are we more sensitive than the little, shrinking, pitiful children to whom these things happen daily? Therefore, not to encourage morbid curiosity, but in order that as Christian mothers and sisters we may lift the burden from little shoulders unable to bear it, let us fearlessly face the facts as they are.

The frightful ravages made by smallpox, diphtheria, scarlet fever, and even the milder “children’s diseases,” such as measles and whooping-cough, often devastate whole towns and carry away the larger part of the children in a community. Smallpox, for instance, is so common in Korea that it is not considered worth while to try to escape it. It is caused by the visit of a very great and honored spirit, and while he remains the children are addressed in high sounding terms in honor of their great guest. When he is about ready to return to the south land, i.e., when the child has nearly recovered, a feast is made in honor of the visitor and he is provided with a wooden horse for his journey.

On an itinerating journey in Korea Dr. and Mrs. Underwood with their little boy stopped at a village called Pak Chun and had a rather disturbing experience.

Just before leaving, I saw a child quite naked, covered with smallpox pustules in full bloom, standing near our door. I asked one of the natives if there was much of that disease in the village at present. “In every house,” was the concise reply. “Why, there is none in the house we are in,” said I with confidence. “Oh, no, they took the child out the day you came in order to give you the room,” was the reassuring answer. We had eaten and slept in that infected little room, our blankets all spread out there, our trunks opened, everything we had exposed. We had even used their cooking utensils and spoons and bowls before our own packs had arrived. For ourselves we had been often exposed, and believed ourselves immune. Mr. Underwood had nursed a case of the most malignant type, and I had been in contact with it among my patients,—but our child! So we sent a swift messenger with a despatch to the nearest telegraph station, twenty-four hours away, to Dr. Wells, in Pyeng Yang. He at once put a tube of virus into the hands of a speedy runner, who arrived with it a week later.

We found the country full of smallpox, measles, and whooping-cough, and added to our smallpox experience an exactly similar one with measles.[12]

The loud death wail goes up from a village home in Persia where a little life has been snatched away by diphtheria. Instantly every mother in the village seizes her baby and the next-to-the-youngest toddles after, and all gather in the family room of the little mud home, where the body lies, and show their sympathy by adding their voices to the general din. Fortunately custom decrees that burial take place as speedily as possible, but the mischief has already been done, and echoes of the death wail are heard from far and near.

Call over the roll of physicians of your own Board. A wonderful report it would be if each could respond and give the number of epidemics through which he or she has worked unflinchingly, bringing hope and comfort and life to hundreds and thousands stricken down not only by the diseases already mentioned but by typhus, cholera, and plague. Call the roll of the countries where no law demands isolation or precautions of any kind, and one after another would respond, if it could, in terms of loving gratitude to missionaries who have introduced or freely used vaccine, anti-toxin, cholera serum, and other products of medical science. Many lands are now awaking to the possibility and desirability of using preventive measures, and vaccination, for instance, is very prevalent in China. It is good to hear Dr. Estella Perkins of China say, after an epidemic of scarlet fever, “I must say, however, that these young mothers have been very obedient to orders. I know by the number of dispensary cases of sequelae in patients I did not treat, that the careful following of directions by the mothers of my children must have saved half of them from bad results of the disease. It is a comfort to be able to do something more than prescribe a little medicine.”

We spoke above of the ignorance, cruelty, superstition, and avarice that compose so largely the medical practice of the Orient. Disease is very frequently considered the work of an evil spirit which must either be appeased by offerings or driven out by harsh and cruel treatment. And so the tender little bodies are branded with hot irons, pierced by needles, or burned with rags dipped in oil and set on fire. While the little one suffers, a witch doctor may be called in to use his incantations, or the mother may take a little rag from some article of the child’s clothing and tie it to a sacred tree already covered with hundreds of these rags, or the string of beads or the entrails of a beast are consulted to see if the omen is favorable for administering medicine. Let me give just one case from Central Africa which can be duplicated many times over from the records of other lands.

As an example let me give the case of a lad who was suffering from tuberculosis. He had consulted the witch doctor, and after having paid his fee was told that he had been poisoned. Whereupon the “surgeon” drew his knife out from his belt and made a number of small incisions. He then declared he could see the poison inside the youth, and took it away. But the lad was not cured, and so came down to give the European’s wisdom a trial.[13]

Thank God, there is a brighter side to the story. In the name of the little Child of Bethlehem the little children of sorrow and darkness and suffering are being reached and helped and cured and loved. In many a mission hospital and many a humble home the blind are receiving sight, the crooked limbs are being straightened, the burning fever is checked, the hollow cheeks are growing round and rosy. The last word picture of this chapter shall be from the pen of Mrs. Gerald F. Dale, the mother-saint who presides over the women’s and children’s hospitals in Beirut, Syria.

The Children’s Pavilion is the arena which calls into play the whole gamut of one’s emotions. Such poor, wasted faces; such robust, jolly faces; so much pain; so much fun; twisted limbs before operation, straight ones after; noses and mouths cobbled and mended, a stitch here, a fold there, and what a change! It requires the standpoint of the East to unravel the full meaning of little Hindiyeh’s exclamation, who, gazing in admiration at her straightened legs, looked up with a merry laugh and said: “Curse the religion of the father of my legs as they used to be!” A baby-boy was to have no say in the matter of his poor crumpled-up little club-feet, for the mother begged that only one might be straightened, in order to save him from military service in the future.... The children’s favorite game is “operations,” the patient being in turn a real child or a doll. Everything is reproduced to the life. A pin stuck into the doll’s mouth is a thermometer; sawdust stuffing makes a most realistic draining wound; bits of wire and gauze are twisted into a mask, and chloroform is poured from an empty spool. The scientific bandaging of head, legs, and arms shows how intently the little brains have observed. They are busy with other things too; hymn after hymn is learned, the commandments, verses, psalms.

Everything that is dropped into these receptive minds stays, and once there will be shared, who can tell by how many? It is the little child who shall lead, and it is the handful of corn whose fruit shall shake like Lebanon.[14]

“The place where the young Child lay” was the place where the brooding mother love shining from the tender mother eyes hovered over the little One to guard and protect and care for Him in His appealing helplessness. And from those lips, once cooing in sweet babyhood, come down to us the words,—“Inasmuch as ye did it unto one of the least of these little ones, ye did it unto Me.”