"In the early morning we started off to visit the hospital in the village of Tooriévo. After all that has been said of the condition of Russian hospitals at this moment I was agreeably surprised, both at the cleanliness and the absence of patients whose {129} illnesses might be directly attributed to the famine. I, however, found there the first case of hunger typhus that I have seen, and learned from the surgeon, Dr. Malof, that in one village close at hand there were no fewer than 150 similar cases. "This is one of the strongest proofs of the hardships through which the people are now passing. It is the disease that always follows in the wake of war and famine, and although the mortality amongst those seized is relatively small, the fact that numerous cases are occurring is significant. They arise from stomach disorders, brought on by insufficient and bad food, and the disease then takes the course of ordinary typhus. "Tooriévo is a long straggling village, and contains about 1000 huts. The harvest in the neighbourhood was fairly good, and the population will probably weather the storm. Another large village in the district, Céslavino, with its 7000 inhabitants, is suffering intensely, the majority of the inhabitants being in receipt of relief. I found a particularly bad state of things in the village of Spasskoe. Amongst the 1500 inhabitants there were but three huts in which there was sufficient corn to keep the occupants till the next harvest. Most of the families are already receiving help from the Government, and the private committee presided over by M. Novikoff. "I will mention but few cases in this village where the monotony of misery is so apparent in the deserted street and the dilapidated huts. This is the only village I have visited in this neighbourhood where the uniformity of distress compares {130} with the village in the south of Tambov that I described last week. "Paul Axenoff is the head of a family of nine, comprised of two old people, Axenoff and his wife, and five children. They were receiving aid from both the authorities and the committee, but they had run through everything except three pounds of bread that was to last them for some weeks to come. The same thing happened to them last month, and in spite of all their efforts to secure food they ate nothing for three days prior to the last delivery of the month's flour. "The horse and cow have both been sold, and the outhouses pulled down and used for fuel. Straw is usually employed in Russia for heating, but this year there is none, so the peasants are glad to find anything to burn. There is very little wood in this part of the country, and what there is is young, and has evidently been planted by the landowners. With the exception of a sheepskin cloak worn by one of the boys who came in from school while I was in the hut, the members of Axenoff's family had nothing to wear but the rags in which they stood.