ALASKA INDUSTRIES. 437 



Exhibit J. 



St. Paul Island, Alaska, June 1, 1S93. 



Dear Sir: In compliance with your request, I respectfully submit the followiug 

 medical report for the Island of St. Paul for the year beginning June 1, 1892, and 

 ending May 31, 1893. 



The total number of cases treated amounts to 202, of which 95 were simple acute 

 bronchitis, being 47 per cent of the sum total for the year. 



Aside from the hereditary predisposition of the natives to pulmonary affections, 

 the large percentage of bronchitis, while uuavoidalile in some cases, is Irequently 

 due to carelessness or indifference in others, such as dcliciency in dress, lounging on 

 the ground during the Avarmer months, walking out in open air immediately follow- 

 ing a steam bath, etc. 



Persuasion and even sickness itself appears to have no effect upon this peculiar 

 characteristic indifference. At times treatment is followed faithfully, and again it 

 will be neglected until tlie patient fears a fatal termination, when overauxiety and 

 overdosing are the result. 



No epidemic has visited the island during the year, and contagious diseases have 

 been comparatively rare. There has been one case of erysipelas, two of ringworm, 

 two of chicken pox, and two of scabies. Tlie former cases were spontaneous in their 

 origin, but the scabies (itch) was directly traceable to importation from Unalaska 

 by visitors from said place. 



The remains of scrofulous ulcers are prominent iu the parents of nearly every 

 native family, yet the manifestations in the children have been rather scarce and 

 have always yielded well to treatment. 



A chemical test of the drinking water proves it to be of excellent quality. 



Last fall an additional number of water-closets were erected, sufficient to meet the 

 comforts of every native family, thus improving the sanitary condition of the vil- 

 lage, which is in very good order at present and has been for the past year. 



The record of births and deaths for the year is, respectively, as follows: 



Births. — Anna Stepetin, a daughter, .lune 12, 1892; Akolina Fratis, a daughter, June 

 13, 1892; Alexandra Volkof, a son, August 2.5, 1892; Olga Serebrenikof, a daughter, 

 October 12, 1892; Lukeria Kushin, a son, November 7, 1892; Evdotia Stepetin, a son, 

 February 8, 1893; Anastasia Kozerof, a daughter, February 19, 1893; Fevronia 

 Kotchnten, a son, March 24, 1893; Agrafina Nederozof, a son, April 4, 1893. Total, 

 9; males, 5; females, 4. 



Deaths. — Marina Kotchnten, 2 years, June 3, 1892, scrofula; Mauvra Mandrigen, 

 26 years, June 6, 1892, phthisis; Peter Kotchnten, 13 years, June 25, 1892, scrofula 

 phthisis; Rose Keonia Glebof, 52 years, July 9, 1892, epilepsy; Akolma Nederazof, 

 45 years, July 16, 1892, chronic Bright's disease; Droseda Krukof, 2i^ years, July 24, 

 1892, diarrhfea; Anna Bogodanof, 23 years, December 3, 1892, pneumonia; Natalia 

 Rezanzof, 59 years, December 9, 1892, cancer; Vladimir Prokopief, 22 years, Februarj^ 

 26, 1893, phthisis; Susanna Fratis, 17 years, February 24, 1893, phthisis. Total, 10; 

 males, 2; females, 8. 



I remain, yours, faithfully. Otto Voss, M. D. 



The North American Commercial Company, 



George B. Tinf/le, General Manager. 



St. Georor Island, May 2, 1893. 

 Sir; In compliance with your request, I respectfully submit the following report 

 of the health of the natives, inhabitants of this island, for the past year : 



There have been no deaths since your arrival in June last until March of this year, 

 since which time two deaths have occurred. March 25, Joseph Philimauoff, from 

 dysentery, and April 6 Evdokia Tickoloff, consumption. We have had two or three 

 light epidemics of influenza during the winter, but nothing of a serious character. 



The health of this community has been good (unusually so) for the past two years, 

 having been but three deaths during that time — all children. The sick list is small 

 at present. 



Respectfully, Dr. L. A. Noyes, 



North American Commercial Company Physician, 

 Capt. A. W. Lavender, 



United States Treasury Agent. 



