Distinctly Montana Magazine

2026 // Winter

Distinctly Montana Magazine

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72 D I S T I N C T LY M O N TA N A M A G A Z I N E • W I N T E R 2 0 2 5 - 2 0 2 6 cantly on both an intra- and intertribal basis. T. Hartley Crawford, who succeeded William Clark as Commis- sioner of Indian Affairs, advanced one of the most plausible estimates. Craw- ford reported that approxi- mately 17,200 Assiniboines, Blackfeet, Mandans, Hidat- sas, and Arikaras had "sunk under the smallpox." Pilcher offers a less precise but more visceral perspective, stating that the pox transformed the Upper Missouri into "one great grave yard." Why was this epidemic so deadly? For tribes like the Mandan, who had not been exposed to smallpox since 1781, only the el- derly retained immunity. Interpreted through the lens of sub- sequent medical research, Denig's account of the Assiniboine outbreak resurrects a highly suspicious culprit. Accord- ing to this eyewitness, "two- thirds or more [of Assini- boine fatalities occurred] before any eruption [of pus- tules] appeared. This event was always accompanied by hemorrhages from the mouth and ears." Those characteristics were hallmarks of hemorrhagic smallpox, the rarest and most lethal manifestation of vario- la. If Denig had also refer- enced massive subcutaneous bleeding, which caused skin to assume a charred or blackened appearance, evidence for a diagnosis of hemorrhagic smallpox would be even stronger. In any event, let us pray that Montana is never targeted again by a pathogen as deadly as variola. TRIBES INDIGENOUS TO MONTANA AND THE NORTHERN PLAINS WERE AFFLICTED BY TWO VIRGIN-SOIL EPIDEMICS THAT RESULTED IN MORTALITY RATES EQUAL TO, IF NOT GREATER THAN, THOSE CAUSED BY THE BLACK DEATH.

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