"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.