University of North Carolina at Asheville
D. H. Ramsey Library
Special Collections/University Archives

Periodical register for:
World Outlook

 

Cover page from World Outlook, November 1919, illustration by Remingrton Schuyler, 
D. H. Ramsey Library, Special Collections, UNC Asheville
Title World Outlook
Alt. Title  
Identifier  
Creator Methodist Episcopal Church, South.; Board of Missions.; Dept. of Education and Promotion. ; Methodist Church (U.S.).; Division of Education and Cultivation. ; Methodist Church (U.S.).; Board of Missions. ; Methodist Church (U.S.).; Joint Section of Education and Cultivation. ; Methodist Church (U.S.).; Joint Commission on Education and Cultivation. ; United Methodist Church (U.S.).; Joint Commission on Education and Cultivation. 
Alt Creator Methodist Episcopal Church
Subject Keyword Methodist Episcopal Church ; Southern Highlanders ; southern Appalachian mountains ; health care ; religion ; social work ; Hindman Settlement School ; Brevard Institute ; Asheville Farm School ; Berea College ; moonshining ; liquor ; missionary ; mission work ;
Subject LCSH Methodist Church -- Missions -- Periodicals. 
Date Date of item: 1919 ; Date of digital resource: 2007-10-10
Publisher Department of Education and Promotion, Board of Missions of the Methodist Episcopal Church, South, Nashville, Tennessee.
Contributor

 

Type text ; illustrations ; image
Format Periodical ; November 1919, of 39 v.; ill. ;; 30 cm.
Source Periodical shelves
Language English
Relation  
Coverage 1919 ; Southern Appalachian region
Rights Any display, publication or public use must credit D. H. Ramsey Library, Special Collections, University of North Carolina at Asheville.
Copyright retained by the authors of certain items in the collection, or their descendants, as stipulated by United States copyright law.
Donor Donor number  [Bird]
Description One partial issue of the monthly World Outlook the periodic publication of the Board of Mission of the Methodist Episcopal Church for November 1919. This issue features a special subject section "Our Southern Highlanders," in an article titled, "A Race of Rip Van Winkles is Waking Up," by Ralph Felton. The article explores the Scots-Irish heritage of the Southern Highlander, the poverty, farming practice, 'moonshining' economics, health care, and mission work as it applies to all these social issues. Berea College, Brevard Institute, Asheville Farm School, and mission schools generally are discussed. In addition is an article by Helen Rue Gould, "Where Whole Villages Go Blind," that discusses the epidemic incidence of trachoma in the region and the work of Dr. Stuckey in the rural communities of Southeast Kentucky. 

Cover illustration is by Remington Schuyler, known as an illustrator of so-called "pulp" magazines. His most well-known illustrations are found in Boy's Life for the National Boy Scouts of America. He also served as an editor of the well-known Architectural Record. In addition to his illustration, he was skilled as a muralist and he created several mid-western murals on heroic themes. He served as associate-professor of art at Missouri Valley College for six years following an appointment as "Artist in Residence." The sources of influence on the work of Schuyler can be found in the work of Howard Pyle, who was his mentor, and the influences of the Art Students League in New York associates. He also studied abroad in Paris and in Rome for a brief period. 

Acquisition unknown
Citation  World Outlook, D. H. Ramsey Library, Special Collections, University of North Carolina at Asheville 28804
Processed by Special Collections staff 2007
Last update 2007-10-19
Year Mo/Yr Page Descripton Thumbnail
Virtual 1919 cover Cover: World Outlook, November 1919

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    inside
cover
Inside Cover  
    1-18 Missing pages 1-18  
    19 Fragment of previous article.  
    20 [Illustration facing beginning page.]
Gran'pa Appalachia

THE old man of the mountains who looked down with the same sniffing ennui upon Redcoats chasing Continentals, Union raiders chasing Rebs, Revenue Officers chasing moonshine, and the river chasing itself. Progress and industry are creeping into the mountains. The eagle-eyed marksmen are squinting over school books. Railroads are screaming up the valleys. Miners are honeycombing the vitals of the mountains. Mills spring up on the creeks.  His isolation invaded, his domain desecrated by outsiders, the old stone man would disintegrate in tears, or roll down and drown himself, if this were fiction.

But in real life he'll probably go on sniffing at the factory smoke that some day will greet his nostrils.

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    21 A Race of Rip Van Winkles is Waking Up
by Ralph A. Felton

AUNT Polly came up, puffing away at an old long-stemmed pipe, and accosted the group of strangers. "Who are you? And where air you going?" "Don't care if you are preachers," she went on, filling her pipe again and scratching a match on her shoe sole. "When I want to smoke, I smoke; when I want to chaw, I chaw; when I want to dip, I dip."

"The whiskey we make ourselves is mighty good," she explained later. "It's much better than this store kind. We call this imported stuff 'bust head whisky.' "

"Church? Yes, I 'low I'll jine church when I get a little bit better fixed. And when I do I'm going to live right."

Aunt Polly was seventy-eight years old and full of yarns about feuds, big revival meetings and adventuresome revenue officers. Wouldn't story writers take delight in her? As a matter of fact, it is from just such exceptional characters, "old timers" like Aunt Polly, that our stories about the "poor whites" are gleaned. Stories that are often true, but always exceptional.

Travel now through the Appalachians and you won't find many Aunt Pollys. You won't see any feuds except perhaps a movie feud "made in California." There isn't as much disorder in a whole year in the Southern Mountains as there was in Boston in one night. If you are looking for wild "life," you'd better go back to New York or Frisco.

But if you are looking for the most interesting, most hospitable, and in some instances, the most needy folk, "allow me to introduce" the mountaineers of the south.

Where shall we find them? In the Southern Appalachians, scattered over 20 counties of southeastern Kentucky, several counties of Virginia and West Virginia, 24 counties in western North Carolina, a dozen counties in eastern Tennessee, and a few counties in northern Georgia and Alabama.

Incidentally you can find mountaineers also in New York, Boston, Chicago, Oklahoma, and Flanders Fields.

During the last ten years so many mountaineers have gone out of the mountains, and so many railroads have gone into the mountains, changing the mountaineers — that a census is difficult. The number of southern highlanders today is given variously, from two to five millions.

Simon-Pure Americans

IT is the grossest insult to call these people the "mountain whites." Of course they are white. Some mountain people have never seen a negro. The mountaineers have a better claim to the title of "real Americans" than anybody except the American Indians. The slur that goes with the name "mountain whites" is pardonable only because it is a sign of the ignorance of the speaker.

The mountaineers are Americans of the kind that left the Old World and braved the unknown dangers of the New for religious

and political convictions. They are of the same stock as the Pilgrim Fathers and the First Families of Virginia.

Numbered among the early mountaineers are Daniel Boone, Davie Crockett, George Rogers Clarke, George Sevier. These men were not "degenerates" certainly. They were as fine ancestors as anyone could hope to claim. But their descendants got "side-tracked" ©if the road of progress.

From the coasts of the Carolinas and the historic valleys of Virginia they climbed up into the mountains to get cheaper land and larger farms. The plantation, system of farming along the coast, with large holdings and cheap "indentured" — and later cheap negro — labor, crowded them out and up.

As the tide of population flowed westward, these people stopped "where the axle-tree of the wagon broke down," to quote John Fox, Jr. Their descendants became as isolated up there in the Appalachians, as though they were surrounded by a Chinese wall.

Jonathan Day Says

"EAST of them along the coast, manufacturing sprang up. . South of them, the cotton industry developed. West of them in the Mississippi Basin, the wheat lands were cultivated, and the prairie dwellers rode forward on a wave of prosperity and progress."

"But in the "mountains nothing changed. The people found themselves beyond the reach of mails, schools, churches. They were stranded above the tides. Every great movement that swept over the country swept around the mountains. The educational wave, which gained impetus from the work of Horace Mann, accomplished great advances in the matter of public education — everywhere but in the mountains. The religious revivals of 1811 left the mountains unchanged. For generations, the mountaineers experienced, not evolution but involution."

The greatest handicap of the mountaineers has been their isolation. The railway systems follow the long valleys and creek beds, leaving many counties "off the railroad." Low taxes — and taxes must needs be low where poverty is so grinding — low taxes won't pay for expensive road building up peaks and down dales. Poor transportation means home-made products, houses, clothes, tools, machinery, religion, whiskey. One boy excused their "possum stills" by saying:

"We can't haul our corn out over the mountains, so we make it into whisky and fight it out."

Living at a Standstill

FOR generations the mountaineers lived in the most primitive fashion. They were the Rob Roys of the American highlands. They enjoyed the most perfect freedom, lived and died untrammeled by civilization. There was game a-plenty, venison, wild turkey and squirrel. The creeks teemed with fish.

 

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    22 A lonesome house on a lonesome mountain. All of which is typical of the far-in and way-up mountain counties. There are homes like this 50 miles off the railroad, miles that go up and down, across fords and in rocky creek beds. Such a farm is an independent economic unit. Everybody works the farm but the latest baby. Sheep, hogs and father's rifle provide the meat. "Sugar trees" and sorghum provide "sweetnin."  Nowadays the mail-order catalogues provide clothing. And the "revenooers" provide excitement. world_outlook_22_mod.jpg (426914 bytes)
    23 Sheep and hogs waxed fat on the acorns and wild nuts. The women sheared the wool and spun and wove the rough "linsey" of which all the clothing was made. They cured hides and made crude shoes. They even made their own lye by leaching water through wood ashes. And then made soap with this lye and "home-grown" grease. There was practically no contact with the outside world, no progress.

The old religion of the mountains did not inspire progress either. Now there are Presbyterian and Methodist and Episcopal and other mission churches. But for years the old mountaineers belief in Predestination made them as fatalistic as Mohammedans. Their attitude toward destiny was much like that described in the verse,

"You can or you can't You will or you won't You'll be damned if you do You'll be damned if you don't."

Such a cramped outlook was responsible, probably, for the reckless disregard for law which prevailed in the mountains. If a man was "predestined" to kill his neighbor, he would murder him. If one was "predestined" to have a still, he would have a still, revenue officers to the contrary notwithstanding.

This moonshining habit is not excusable, perhaps, but we can understand it more sympathetically when we realize that in the narrow lives of the mountaineers, there was no news, no travel, no visitors, from outside, no recreation, no vent for any upreaching thought or emotion — except moonshine whiskey and fights.

Prohibition in the Moonshine Country

THE new nation-wide prohibition won't affect the mountain stills. They have always been against the law. What's one more law? In some districts of the mountains, notably near the big schools, the moonshine practice is becoming less common. Which proves that to rout out the stills, we need, not prohibition but education.

How do the mountaineers get a living? In many instances "get a living" is correct. For some of them do not earn money even today.

They plant corn and potatoes. Year after year till the soil is exhausted. Their sheep graze on fields tipped almost vertical. They raise some razor-backed hogs, and cure their own pork over hickory logs in a smoke house. There are some mountain farmers using the same sort of wooden plow the first pioneers did. There are families still who grind their own corn meal, and saw their own logs.

On the other hand, there are water mills springing up everywhere. The railroads bring work. Work in the lumber camps, in the coal mines and coke ovens, and on the railways themselves. The railroads bring a market for timber, railroad ties, dressed lumber, axe-handles, wooden furniture. Farmers are building silos and breeding better cattle.

In the old days the economic status of the mountaineer was tragic. The outlook improves in direct proportion to the number and scope of the schools.

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Photo by W. Barnhill

    24 A Mother of Mountaineers

THERE are two kinds of mountaineers. In the broad valleys, on rich farms or in the thrifty cities, are a class of people as prosperous, intelligent and progressive as any similar group the country over. But the other half, way up in the mountains, far from centers of wealth and culture, live the simplest of lives full of hardships and privations. Isolation has made the mountaineers individualists, reticent, careless of appearances, but with a keen sense of the great realities.

 

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    25 SO little immigration has invaded the Appalachians that many families show signs of the purest English blood. Other coves shelter descendants of Scotch-Irish settlers, while names like Napier serve as reminders of the early French Huguenot colonies.

BUT the mountaineers are American. In nine counties in Tennessee, on the edge of the Great Smokies, there are only 211 foreigners out of a population of 168,649. Of the 22,296 people in Sevier County, only seven are foreign-born.

In these same nine counties, not one person in ten is colored.

MOUNTAIN children are the finest raw material in the country. But in one mountain county there are 7988 children of school age, of whom 3272 have never attended school. That is not typical of all mountain counties, but neither is it an exceptional case.

IGNORANCE of hygiene is another handicap mountain young-sters have to fight. Kiddies the world over have to grow up through measles and mumps and things, but among the mountaineers on some creeks, 80% have trachoma and 75 to 80% have hookworm.

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    26 [Continued on page 23]

The county is the unity of government. The county with the least amount of taxable property has the least taxes. Hence, the poorest-paid teachers, the shortest terms, the most illiterate ministers and the greatest variety of freak religions.

I wonder what would have been the educational result if the people of a county in Indiana or Massachusetts had had only a four-months school term for the past fifty years. The small amount of taxable property in many southern mountain counties allow for only such a school. A short term generally means the use of a teacher living in the community, a product of that same local school.

One such teacher was asked if it is necessary to know long division to teach school. 
"I know short division," she said, " and I'm getting along all right."

Another such teacher located New York City "on the mouth of the Amazon River."

Still another teacher, on an examination paper, wrote, "The Strait of Gibralter is an insurance company." Which answer would no doubt have been approved by an English diplomat.

In answer to the question "How and where is the food digested?" a candidate wrote, "The food is digested in the stomach by the gymnastic juice."

In one county there was a man who taught school, farmed, managed a crossroads store and "preached around" on Sundays. Another preacher teacher asked if the English people speak the same language that we use. Such a question is proof of their isolation rather than of their ignorance.

Nothing is Typical

Lest you get a wrong impression, it is only fair to say that these are not the average but the exceptional teachers, and in the more isolated mountain counties. The higher up you go into the mountains, the lower down are the school standards. Sixty per cent of the schools in one section are taught by people without a teacher's certificate. The county superintendent issues a "Permit" rather than leave the schools without any teacher.

Valley counties in the Appalachians are rapidly improving their schools: Some have reached a splendid degree of excellence. Probably the best rural high school in the United States is in that part of the country. Nevertheless any money spent by our churches on missionary schools in the mountains is well spent. "Help them to help themselves," is a safe missionary policy. That is what the church-schools in the mountains are doing. They are training teachers for the public schools. One mission school alone has trained for the mountain people, 550 public school teachers.

They are skeptics always who question the right of educating a group of young people up above the level of their environment. "It only makes them discontented with their lot. Creates in them a desire to live better than their surroundings."

Yes, but the mission schools in the mountains go further than that and teach young people how to fulfill that desire.

The mission schools are of all kings.  Little one-room cove schools, and academies, agricultural and manual training schools, domestic science and normal schools.  And they are of all denominations.  There are at least a dozen mission boards supporting work in the Appalachians, and those schools represent the most worth-while work that has ever been undertaken by church missions.  Because they teach the young how to live in the mountains.  How to raise the level of their environment.  How to better their surroundings.

One of our church workers said, "The call of the southern mountains to me is something I can't get away from.  I see the picture everywhere, - a mother standing in the door of her little two roomed cabin, holding her baby under her arm wither her other children pulling at her skirts.  I feel she needs me." 

A preacher tells the story of stopping at a mountain house for the night.  He asked the mother how many children she had.

"Five girls and eight boys."

"Nice large family," the preacher commented.

"We had good luck with our girls," the mother answered.  "Raised all of them.  But we have only raised one of our boys."

At this point the father took the stranger's bag into the "Spare room."

"I hope you won't catch cold tonight," the host said apologetically.  "There's a pane gone our of the window."  I wonder what he thought in the morning when he saw the windows all open!

Raising Babies By Luck

At the table, the mother fed her thirteen months old baby, green corn, ham, greasy gravy, turnip greens and hot biscuits.  (They had had bad luck with their boys.)

Of course it must be remembered that many of these mothers have not had a chance to learn the simplest hygiene.  Doctors live far away, and trained nurses are nowhere to be found.  A woman worker of one of our mission boards estimated that tow out of three of the women in her county did not have medical attention at the time of childbirth.

"What are you doing for Annie?" a preacher asked in a home where the daughter was sick.

"I can't find a bit of medicine in the house of any kind," the mother said, "but I'll look again."

Finally, on a shelf near the fireplace, in a brightly colored cup, she found some medicine. she didn't know what it was for but as it was the only medicine in the house, it was given to Annie, for what ailed her.

On the walls of most of these humble homes among the post cards, old calendars and chromos, is the brightly adorned motto:  God Bless Our Home.  How does God do it?  All kinds of ways.

[Continued on page 32]

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    27 School Mates

"Pigs is pigs" wherever they are, but a mountaineer boy begins to be a different person when he goes to a mission school. Many boys suffer from hookworm when they first come. The treatment for that, and the change of diet from the monotonous fare of many mountain homes, sometimes transform a child's appearance so his parents hardly know him when he goes home for Christmas holidays.

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    28 "Applied Design"

WHEN they've finished the chicken-house, they'll probably begin carpentering a dormitory. Mission schools are always overflowing. There're more pupils than there are mattresses to put on the floor.

A package of publicity matter to be used in recruiting students was sent to one of our mission schools for Southern Highlanders. The president re-turned the circulars saying that he spent about a fourth of his time informing parents that no more students could be accommodated. He didn't dare advertise.

Judging Stock

"THE gentle cow" entirely surrounded by mission school students learning to judge her points. Both cow and boys are of the new order reigning in the highlands. Young men of this type become the prosperous farmers and the leaders of their districts. And cows of this type soon make their dairy record known county over.

The farmer who tickled the hillside with a wooden plow, and the lean and hungry cow who did not pay for her keep, are fading into the same past that swallowed the old feudists.

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    29 New Plows for Old

THIS should be called ' Then and Now." But the then and now" are simultaneous, at the Asheville Farm School. The old wooden plow and the gasoline tractor, working side by side, provide graphic proof of the value of modern methods in agriculture.

Students come to the schools from miles around, in wagons, ramshackle buggies, on horse-back, or a-foot. They pay their tuition not only in money but in sorghum, turnips, sweet potatoes or by labor in the school.

Answering Questions

THE missionary-farmer-teacher giving a "close-up" lesson.

Our schools teach not only boys and girls, but coves and counties. Whole towns spruce up and build better houses after the pattern of the mission buildings. Whole districts wake up and use better seed and breed better cattle. And under the guidance of the domestic science and hygiene work, a whole generation of better babies will rise to thank the mission schools for their being.

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    30 Cutting Deadwood

PRACTICAL work in pruning trees at Brevard Institute, North Carolina. This school has 200 pupils, most of them from the mountains, some from the cotton villages of the" level country."

Students in the graduating class are about 20 years old, whereas they are generally 16 in the corresponding class in northern high schools. The reason lies in the inadequate public schools in the mountains. They are few and far between, built of logs, poorly heated, and have rough boards for desks. In some schools the dear old Webster Blue-back speller is still doing service. In many districts the public school term is only four months long,—starting in August, closing for "fodder pulling" in October, and closing again in January on account of the roads.

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    31 Building for the Future

THE educational mission work for girls is just as real and vital as that for boys. It will lift the standard of mountain homes of the next generation. The primitive living conditions of many mountain districts cause the spread of such diseases as malaria, hook worm and tuberculosis. Mission school girls are trained in hygiene, nursing, dietetics, cooking and all the branches of domestic science. "Home making" means to them literally making home furnishings. A book case is generally the first object to be made, for an empty book case in the home is an incentive to gather books. Mountain youngsters save up for months and present themselves at the mission schools with resources that would be comic if they were not tragic. One boy, when refused admission for lack of room, said, "I didn't come down here to board. I came to get an education. I'll sleep on the floor."

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    32 [Continued from page 26]

Through the most varied and ingenious missionary work to be found the world over. I'll cite some instances.

A visiting nurse sent by a mission board has organized a "Health Campaign" for a whole county/ She is giving "Health Talks," conducting a "Better Babies Campaign," promoting "Baby Shows" at community fairs, and planning the hot lunch at rural schools for undernourished children.

A young Ohio school teacher was sent to the Cumberland Mountains, to a small community seven miles from a railroad, seven miles from a grocery store, from a doctor, a post office, from everything but loneliness and need, in the homes of that "settlement" now you will see canned vegetables and fruit that she has taught them how to save, to vary the winter diet.

A rural route, which she secured, brings the daily mail. A good road runs through the community. She is also responsible for a weekly religious service and a six months school. There is no way of knowing how much an educated and consecrated young woman can accomplish in one of these communities.

The Literal Leaven of Missions

THE primary interests of the "Community Workers" sent  there by our churches is to give the people a chance to help themselves. One missionary imported some pure seed corn for the farmers. Another made the neighborhood yeast to induce the people to use "light bread." One missionary walked over eleven mountain counties carrying a stereopticon lantern giving illustrated lectures on the harmful effects of the house fly and persuading the people to screen their homes. A minister in Kentucky helped his community to pave the roads to pave the roads to his church. A pike road to church is an invitation that anyone can understand.

One missionary in response to the requests of the voters, is the auditor of the public money of this county. He has installed a new financial system and during the past two years has saved his county seven thousand dollars in maintenance expenses. He has signed checks for the spending of one hundred and fifty thousand dollars of county money for road improvement. He also has a chance to improve the schools and secure well-prepared teachers. It was a missionary of the church who raised the salary for the first County Agricultural Agent in the mountains of Tennessee. Now the thirteen adjoining counties have County Agents paid out of state funds. It was another missionary who started the Canning Clubs in the mountains of North Carolina and promoted them for four years until the state took over the projects. It was under the auspices of the church six years ago that Community Fairs, now quite popular, were started.

What about the additions to the church? Mission Boards are trying to help each community to secure a well-equipped resident pastor. When this has been done people unite with the church. In one section of the mountains where the churches have recently been well equipped by the Presbyterian Board of Home Missions, one of the foremost agencies in this field, the membership is increasing ten per cent a year.

"Are the people capable of development: How do they show up?" someone always asks. Meaning, of course, "we're from Missouri."

What the War Did in the Mountains

WELL, look at Sergeant Yorke. No article about mountaineers is complete without him. And Sergeant Yorke is not exceptional, but is typical of the character and strength the mountains produce. The war merely stimulated the outburst of genius and ability which brought him and many others into the limelight.

This generation will witness great changes in the Appalachians. The men of soldier-age were snatched out of the narrow environment of their homes, and thrown in contact with men from every where. The physical training and medical attention cured many of them of hook worm, a scourge of the South. Some men got their first schooling in cantonments. They saw the wonders that motors and tractors and road-building machines can accomplish.

"I hope I get discharged before the first of November," an overseas veteran complained, "Cause, if I don't, I can't get home till next spring. I'll have to walk fifty miles from the railroad, and you can't get over the roads in the winter."

How long will he live in the mountains before urging good roads? And schools? And all the other institutions of civilization and democracy he saw "out in the world."

The mountain people only need a chance. When given it, they succeed. One day a preacher proposed to a houseful of young people that if any of them would save money enough for their railroad fare to get them to college and provide for their clothes for the year, he would get the money for their tuition. A bright young woman soon accepted the offer. She began making her clothes and getting ready to enter Berea Academy ten months hence. Her enthusiasm became contagious. At the end of those ten months of preparation seven young people from that one community entered Berea, five went to a college in Tennessee and one to a normal school in North Carolina. Thirteen young people, from one community in one year "working their way through college" shows that these people appreciate a chance to improve. The big work of the church in the mountains is to give the young people a chance.


Where Whole Villages Go Blind

By Helen Rue Gould

OUTSIDE a mountain cabin a mother sat under a shade tree, weeping, and her tears fell on the face of her baby boy. She did not know that those tears were carrying to her child the same affliction she was now enduring — trachoma.

Whole communities in the Kentucky Mountains have trachoma, that most painful and dangerous disease of the eyes. The victims sit all day in the dark windowless cabins, most of them without occupation or diversion. At twilight they come out and stumble up and down the rough hillsides, visiting with their neighbors, gossiping, talking politics. Then home again to a sleepless night.

Dr. Stucky, of Lexington, when he made a tour of investigation, at the instigation of a mission school teacher, found many localities where from 60 to 80 percent of the people were infected with trachoma.

With several other volunteer doctors and nurses, Dr. Stucky set up a clinic at the Hindman Settlement. They had a three-roomed "log hospital" and a little colony of tent work-rooms. When it was "norated around" that the "eye doctors" were there, patients came by the hundreds. Men, women and children poured into Hindman, riding mules, riding nags, bumping along in "jolt wagons," or walking. Nearly all of them wore black bandages, or bonnets and hats pulled low over their sensitive, suffering eyes.

One old man said he had never been without acute pain for twenty years. The trachoma-roughened lids had scraped over his eye balls till the sight was hopelessly gone. Many children could not remember whether they had ever been able to see distinctly.

For three years the volunteer doctors and nurses came back twice a year to continue the treatment and make the cures permanent. A new hospital, with twenty-two beds was built, so that the Settlement nurse could keep patients under continual treatment.

Finally the work grew too big for the twice-a-year clinic and the United States Public Health Service established permanent free clinics in three mountain counties. Trachoma is being slowly wiped out. As a whole community or county is healed, the hospital moves on to another district.

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