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In page Mary West Niles:

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Blind and deaf people in China normally were not cared for as a separate class of the destitute.[citation needed] The local governments, generous societies, and charitable individuals did not have any education or remedy programs for people with physical or mental disabilities. Niles identified this miserable situation, and her interest for the blind began in 1889 when a little waif of three years was picked up from an ash heap and brought to the hospital for treatment. The school for the blind began when Niles decided to keep that little girl and four other blind girls.