Penury and poverty are wedded everywhere to dirt and disease, and Jewtown is no exception. It could not well be otherwise in such crowds, considering especially their low intellectual status. The managers of the Eastern Dispensary, which is in the very heart of their district, told the whole story when they said: "The diseases these people suffer from are not due to intemperance or immorality, but to ignorance, want of suitable food, and the foul air in which they live and work."[12] The homes of the Hebrew quarter are its workshops also. Reference will be made to the economic conditions under which they work in a succeeding chapter. Here we are concerned simply with the fact. You are made fully aware of it before you have travelled the length of a single block in any of these East Side streets, by the whir of a thousand sewing-machines, worked at high pressure from earliest dawn till mind and muscle give out together. Every member of the family, from the youngest to the oldest, bears a hand, shut in the qualmy rooms, where meals are cooked and clothing washed and dried besides, the live-long day. It is not unusual to find a dozen persons--men, women, and children--at work in a single small room. The fact accounts for the contrast that strikes with wonder the observer who comes across from the Bend. Over there the entire population seems possessed of an uncontrollable impulse to get out into the street; here all its energies appear to be bent upon keeping in and away from it. Not that the streets are deserted. The overflow from these tenements is enough to make a crowd anywhere. The children alone would do it. Not old enough to work and no room for play, that is their story. In the home the child's place is usurped by the lodger, who performs the service of the Irishman's pig--pays the rent. In the street the army of hucksters crowd him out. Typhus fever and small-pox are bred here, and help solve the question what to do with him. Filth diseases both, they sprout naturally among the hordes that bring the germs with them from across the sea, and whose first instinct is to hide their sick lest the authorities carry them off to the hospital to be slaughtered, as they firmly believe. The health officers are on constant and sharp lookout for hidden fever-nests. Considering that half of the ready-made clothes that are sold in the big stores, if not a good deal more than half, are made in these tenement rooms, this is not excessive caution. It has happened more than once that a child recovering from small-pox, and in the most contagious stage of the disease, has been found crawling among heaps of half-finished clothing that the next day would be offered for sale on the counter of a Broadway store; or that a typhus fever patient has been discovered in a room whence perhaps a hundred coats had been sent home that week, each one with the wearer's death-warrant, unseen and unsuspected, basted in the lining.