“The Bostonian Robert Kemp, on the brig Otter just north of the Queen Charlotte Islands in December 1810, reported that "the Natives are all infected with the Land Scurvy which Renders them Completely Incapable of Hunting[.] this Coast is as Silent and Solitary as the House of death and I wish that I was Clear from it." 
Throughout the Americas, Indigenous contact with Europeans was soon followed with drastic declines in Indigenous populations. With no natural immunity to diseases introduced by the Europeans, Indigenous Peoples were decimated by waves of epidemics of smallpox, tuberculosis, scarlet fever, influenza and measles.  The smallpox virus, which came not so much as waves but as tsunamis, decimated the coastal First Nation population not once, but at least twice. Smallpox devastated Indigenous populations in other regions of the country as well but here we focus on the impact of smallpox on First Nations on the West coast.