Since the city was occupied as a mission station in 1840, many distracting events have occurred, such as the war of 1877–78, when it was taken by the Russians and, following the siege, was sorely afflicted by the plague. One of the American missionaries, Rev. Royal M. Cole, D.D., then in Erzroom, went to the front with the army to care for the wounded and the suffering, and gave himself wholly to this work so long as the war lasted, devoting himself to the sick after the Russian troops had withdrawn. Two of his own children died from the plague at that time. Again in 1895 Erzroom came within the massacre belt and suffered greatly from the attacks upon the Christians by the Turks and Kurds.

Beside the evangelistic activity, two lines of work have been developed at Erzroom that have had great influence and won the approbation of Turkish officials: namely, education and medical relief for both men and women. An American nurse, left in charge of the missionary hospital in the absence of the missionary physician who went home on furlough, was invited by the military authorities to take charge of the military hospital, which she did, and was there brought into direct contact with Turkish soldiers. This is the first time, to my knowledge, that a Christian missionary nurse, at the invitation of army officials, was ever identified with the staff of a Mohammedan hospital or given unhampered freedom in contact with Mohammedans. Her ministrations were most gratefully received and by her example she removed from the minds of many Moslems deep-seated prejudices against Christianity.

Mrs. Dr. Stapleton, a trained lady physician of unusual skill and tact, has had access during many years to the homes of the high Turkish officials, where she meets with a cordial welcome. She has no hospital, but does her medical work almost wholly by visitation in the homes, and largely the homes of the officials. It takes time to break down the prejudices of honest Mohammedan believers, many of whom have a conviction that Christianity is an inferior religion and that those who profess it lack the moral virtues. These opinions cannot be changed by argument or by preaching, and only by that close personal contact that a physician may have with his patients in their homes during periods of protracted illness. This, of all the methods of missionary work, is most effective. It does not show results that can be tabulated; but nevertheless is far-reaching in its influence and power, and ultimately will accomplish much by changing the attitude of those who have believed that there is nothing good in Christianity.

The school work in Erzroom does not differ from that at Sivas and Trebizond. There are boarding-schools for both young men and young women, always separate, as they must be in the Turkish Empire. The importance of the boarding-school as a missionary force can hardly be over-estimated. Into these schools young men and young women are brought, often from rude homes and not infrequently from homes that exert a demoralizing and harmful influence upon the children. The boarding-school is so arranged that it becomes a new home to the pupils. They are surrounded by wholesome influences. Their minds are constantly stimulated to activity and they are led unconsciously to adopt American methods and helpful ideas. Children coming from a distance often remain the entire year under these influences before returning to their homes. Sometimes employment is given them during the vacation months so that they stay longer. One can readily imagine the change that takes place in a young man or young woman who has never before been out of one of the rude villages after a year or two of this refining experience and inspiring instruction.

When these young people return to their homes the change that has taken place in them makes a profound impression upon the entire village. The value of education is promptly recognized, and often one pupil from a district in the interior of the country will be the means of bringing dozens of others to the school, sent by parents who, ambitious for their children, wish for them the same kind of education and to see in them the same advance that has appeared in the child of a neighbour. One does not need to use his imagination to see how the entire villages and communities are elevated through a single pupil who has spent, it may be, no more than a couple of years in an American mission boarding-school in some remote city and who, upon his return, not only exercises a silent influence for education and morals, but may at once open a school for the children of his own village.

This represents, in a simple way, something of the influence and power of the missionary boarding-school upon the region in which it is located. While time is required for the full exercise of this influence, and while the lines can only in the remotest degree ever be traced, it is found that they are far-reaching and fundamental. These schools also prepare students for college. The graduates of the two high schools at Erzroom have gone chiefly to the colleges at Harpoot, Marsovan, and Constantinople.

The city of Sivas, in Asia Minor, was occupied by the Americans as a mission station in 1851. It is located on the old caravan road extending from Samsoun, through Tokat and Amasia, an eight days’ journey by camel, but now covered easily in six days by the Turkish Arabs. It is on the route of the proposed American railroad now under discussion, which is expected to extend eastward into Mamurettaul-Aziz, in the vilayet of Harpoot, and so on southward.

Sivas is noted among archæologists for its ruins of the Seljuko, an ancient Persian dynasty, some of which reveal in their fragments the splendour of the structure of which they formed a part. The city is in the midst of a large and fertile plain, and is the central market for a wide area. It was selected as a location for missionary work because of its strategic position on the caravan road, and its large and thrifty population, which is composed of Turks, Kurds, Greeks, and Armenians.

One of the first missionaries sent into that country was a physician, Doctor West, who, by his successful practice, and, to them, astounding surgical operations, won a reputation which stands to-day unsurpassed even so far as the remote villages of the mountains of that district. The natives still tell of the miracles which Doctor West performed with his surgical instruments, and one can rest assured that these stories have lost nothing as they have passed on into the second generation and are still doing service in support of scientific medicine. They made it difficult for a modern physician to live up to the reputation of the first missionary doctor seen in that region. As might be expected, this work, at once recognized as of such importance, has been maintained and an American physician is now located at Sivas with a hospital and dispensary.

At the time of Doctor West there were no missionary hospitals, and the dispensary usually consisted of a cupboard in a corner of the doctor’s office, or more frequently of saddle bags from which he drew according to his needs on his journeys up and down the country. The first missionary physicians were itinerants with no office hours, but ready whenever and wherever called to render relief to the sick and suffering to the limit of their power. Under the changes that have taken place since those days, the physician naturally and rightfully demands a place in which he can care for patients who are seriously ill or after surgical operations, until danger is passed.