But it should be mentioned in this connection that in Philadelphia there are two Homes for the Training of Nurses, physicians having long since discovered that their skill and industry is frequently thwarted by the ignorance and incompetence of ordinary nurses. The women who are admitted as pupils to these homes must pledge themselves to the work for which they are prepared. They are taught by lectures, and by actual work in the sick room, how to handle and care for the sick; and when their education is completed their names are placed upon a register, so that those desiring trained nurses may secure them by application to the matrons of these establishments. A more important charity hardly exists within the state. This article may be fitly closed by reference to those institutions which are founded for the care of children afflicted with that which is worse than disease—with a tendency to crime. Of these there are two now in operation—the House of Refuge in the city of Philadelphia, and the Reform School at Morganza, Washington county, Pa. The House of Refuge expends annually about $130,000, and the Reform School about $190,000. The total number of inmates in the House of Refuge is 671, and of the Morganza School 339, making an aggregate of 1,010. Perhaps there is no sadder chapter in the report of the Board of Public Charities than that relating to these schools. The statistics deserve careful study, and show how unwarranted are many of the assertions constantly made about the criminal classes. For instance, nearly one-half of these children are of American parentage, and of the 490 children committed, only 24 could read and write well; whereas only 125 were absolutely illiterate. Two hundred and eighty-five were committed for that which is set down in the statistics as “incorrigibility.” It would be curious to know just what this means, and whether, after all, the real fault was not chargeable to the parents rather than to the child. I can conceive of nothing more terrible than that which I fear lurks underneath this item. There is now being erected at Huntingdon an INDUSTRIAL REFORMATORY