To the historical background, medical context, and local setting of the epidemic, Alexander adds an analysis of the weather conditions, changing mortality rate, specific economic and demographics circumsatces, and other factors that affected compares the page of 1770 - 19972 to others in seventeenth and eighteenth centuries. Bubonic Plague in Early Modern Russia makes contributions to many aspects of Russian and European history : social, economic, medical, urban, demographic, and meteorological. It is particularly enlightening in its discussion of eighteenth century Russia's emergent medical profesion and public health institutions and, overall, should interest scholars in its use of abndant new primary source material from Soviet, German, and British Archieves.