The work of the Sisters continued to spread through the continent of Africa, expanding to West Africa, and then to both North America and to South America as well as to Asia.
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Given her known piety and devotion to the Blessed Sacrament and her caring personality, she was quickly accepted and given the name Sister Mary Catherine of St. Rose of Viterbo.
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The work of the congregation developed under Mother Catherine's leadership for nearly two decades, until she fell ill while in Cairo during Eastertide 1887.
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