There is, however, another side to this optimistic picture, and this is presented by some of the doctors interviewed and by Girls' Club secretaries and Care Committee workers. One woman doctor stated that there is much increased sickness--anaemia, gastric disturbances, etc., among girls working long hours. Another doctor declared that the fatigue resulting from long hours of labour frequently leads to acute anaemia and then to irregular menstruation, and he said that the greater part of the work was not too heavy and not entirely unsuitable for girls, but that the hours were so long as not to allow time to recover from fatigue. The secretaries of Clubs and Care Committees were unanimous in their condemnation of the present system of long hours. They say the girls they come across are thoroughly worn out, "languid and lacking in vitality," "pale and nervous," and "incapable of taking an interest in anything." The fatigue seemed to affect them mentally more than physically; thus the worker at one Club said that the girls working long hours, _i.e._ about 60 per week, were quite incapable of brainwork, so all classes, even needlework, had to be stopped, but they could stand the most strenuous drill and gymnastic work for two evenings a week and did not want to stop when the Club closed: the constrained nature of their work, generally tending automatic machines, seemed to increase their restlessness, and they are glad to work it off in any occupation involving movement. In case this point, which others corroborated, seems to contradict the view that the long hours made the girls lethargic and apathetic, it must be mentioned that this same witness said that when any girls were working 1-1/2 hours over their 10 hours, they were fagged physically as well as mentally and would not have the energy to drill, etc., but would just sit and watch the others. As a general rule the girls do not complain of the long hours, and very few cases of complete breakdown are recorded. This is attributed to the higher standard of living made possible by the increased wages and to the fact that many girls have been lost sight of since the pressure of work has become so great.