Note 4 — Chapter XLVII · NIKOLAEFSK.

It was fitted for 100 male and five female patients, with superior rooms for officers, and a separate apartment for syphilitic diseases, in which last was a mad Russian soldier, who in early life had been a travelling acrobat, and who inveighed to me in French against the doctor, who, he said, kept him there in confinement. Hereditary syphilis was reported to the Emperor to be the most dangerous disease in the province, for an inquiry into which a commission of four persons, with the whole medical staff, had been appointed. In a hospital in Ekaterineburg I found half the patients, at Vladivostock one-third, and in Krasnoiarsk one-fifth, suffering from syphilis, and in Kamchatka they have a barrack for the treatment of this disease only.