1889–90
PANDEMIC X. Started at Bukhara, in Russian Turkestan, large province situated to the east of the Caspian sea; March, 1889. Very vicious in its morbidity and spread, acted as never before; ran over the whole globe in a few months.
CONTAGIOUS: which hitherto in doubt, was clearly demonstrated by this Epidemic, which spread from Asia to Russia.
America was infected from both Siberia and Europe. Tropical and temperate countries, mountain and plain, were all swept over alike.