The small pox, whose ravages I have already mentioned, appears not to be natural to the country, nor is it very common. Since the invasion of the Russians, and the frequent emigrations that succeeded it, this epidemical disease has only made its appearance in 1767 and 1768. It was then brought into the country by a Russian vessel bound to the Eastern islands, for the purpose of hunting otters, foxes, and other animals. The person, who had in his blood the fatal germ, was a sailor from Okotsk, where he had taken remedies for the disorder, previous to his departure; but the recent marks of it were visible. Scarcely landed, he communicated this cruel malady to the poor Kamtschadales, which carried off three fourths of them. As it has not appeared since, it is supposed that these people are not subject to it. In the year 1720 it broke out in the northern part of Kamtschatka but it did not spread so far as the peninsula. It began at Anadirskoi; it is not known how it was brought there, though the Russians are also accused in this instance. There is reason to suspect that the Kamtschadales are indebted to them in like manner for their knowledge of the venereal disease, which happily is not common. This pestilence appears to be exotic, and its cure is as difficult as it is rare. They have recourse to various roots and to corrosive sublimate, which is attended in this country with its usual ruinous effects, and the more so, as being indiscreetly administered. The Kamtschadales have no deformed births. Such as are deformed among them, have become so in consequence of a considerable fall, though this is not a very common occurrence, as they are accustomed to fall from their balagans. They are but little subject to the scurvy; their use of wild garlic, and various fruits and berries, is a preservative. The Russians and other settlers are more frequently afflicted with this disease. Consumptions are frequent enough; but boils, tumors, abscesses, and wens, are very common. They have no mode of curing them, but by incision or extirpation; and they use for these operations a knife, or perhaps simply a sharp stone, which supplies the place of a lancet. Such instruments are calculated to impress us with no very high opinion of the skill of the operators; and it is obvious that the art of surgery, brought to such perfection with us, is in a state of the utmost barbarism at Kamtschatka.