The falling action events begin when the first frost, or the winter weather kills the mosquitoes that carry the fever. After the fever epidemic passes, people come back to the city of Philadelphia again. Mattie re-opens the coffee house with Eliza's help and business is good once again.
The resolution includes the return of Mattie's mother, who is now in a debilitated condition and not what she once was. Mattie, herself, has grown up into a young woman, no longer a girl. She is now responsible for running the business and taking care of her ailing mother.