This chapter examines how plague affected the three major cities, each with a different culture and background, as well as the intervening hinterlands. At the beginning of the epidemic, the Russian presence in Manchouli consisted of nine physicians, twenty-six assistants, seventy-six nurses, and other health workers. As early as September 1910, there were rumors of a blood-spitting disease among the marmot hunters in the area around Manchouli, and on Tuesday, 25 October, 1910 Russian doctors in Manchouli examined two Chinese with inflammation of the lungs; during that night, one patient died. The chapter reveals that as the epidemic spread along the new railroads of Manchuria, it encountered first the Russian city of Harbin, next the Chinese city of Mukden, and finally, the Japanese city of Dairen.
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