conversation went on between the boy and the priest, she palpated his abdomen and lymph nodes.
He was undernourished but very strong, as tough as a bundle of twisted wire. Through the priest Anna confirmed what she could see for herself: Santino had not been vaccinated, but somehow he had evaded the smallpox that robbed him of his parents and sisters. While the priest continued his conversation with the boy, Anna walked across the room to a surprised Sister Ignatia.
Anna said, “That child hasn’t had his smallpox vaccination.”
Sister Ignatia frowned. “And this is important just at this point in time?”
“Is it important?” Anna took a moment to summon a reasonable tone. “If his parents had been vaccinated, they would be alive and he wouldn’t be here frightened half out of his mind.”
Impatient, Sister Ignatia shrugged. “We cannot change the past, Dr. Savard.”
“But we can do something about his future. If you had just told me this morning, I could—” Anna stopped herself. “Never mind,” she said, and before Sister Ignatia could speak: “Tomorrow I will be at your door as soon as I have finished with my own patients, and I will vaccinate that boy and every child—every one—who requires it. Should it take all day and all night.”
• • •
S ANTINO B ACIGALUP WAS still in deep conversation with the priest when Anna returned.
Except the man who straightened to address her wasn’t a priest. Instead of a Roman collar he wore the clothes of a man used to heavy labor. A tall, well-built man with a heavy beard shadow and unruly dark hair that fell over his brow.
He said, “This boy wants to work. He’ll work to earn his passage home to Italy.” His expression was neutral, or, she corrected herself, simply unreadable.
“You are—” Anna began.
“Giancarlo Mezzanotte,” he said, inclining his shoulders and head very briefly, as if her insistence on his name was untoward. But then he made a visible effort to soften his expression. “Please call me Jack. Most people do. Father Moreno was called away to give last rites, and he asked me to help here with the orphans.”
His English was fluent and without any Italian inflection that Anna could hear. More than that, there was something about the way he expressed himself that belied the clothes he wore and his callused hands.
Anna touched the boy’s head, and he looked up at her.
“Is there no possibility of finding work for him here in New Jersey?”
Mr. Mezzanotte leaned down to speak to the boy again. When he rose he said to her, “There may be something. I will talk to Father Moreno.”
There were bellyaches and sore ears, rashes and ringworm, head lice and broken teeth. A girl of eight had the vaguest of rales in one lung while her older brother had a shallow puncture wound on his calf that was infected. While Anna cleaned and bandaged it, the boy told the story of how he had fallen down a long flight of stairs, consulting with Mr. Mezzanotte to get just the right phrases. His expression was so studied and sincere and his manner so studiously dramatic that Anna might have laughed out loud. When she did not, he shrugged. A philosophical actor with an audience that would not be won over.
Few of the children were so eager to talk. These quiet ones she treated with as much gentle efficiency and respect as she could muster, answering questions with the thoroughness she herself had appreciated as a child. She looked up to catch Sister Ignatia watching her with an expression that was, for once, devoid of impatience. What she saw there was curiosity and surprise and a particular kind of empathy that made Anna vaguely uneasy for no good reason at all.
• • •
T HE LAST CHILDREN came in a group of four. The oldest was a nine-year-old girl carrying an infant against her shoulder while she nudged two more forward. Rosa, Tonino, Lia, and Vittorio Russo all had masses of curly, dark brown hair and fair eyes that