Northern Plains Indian winter counts (chronologies) provide a record o
f epidemic disease in the area from 1682 to 1920. These indicate that
epidemics occurred on average every 5.7 years for the area and every 9
.7-15.8 years for individual groups. Disease outbreaks tended to follo
w episodes of famine or disease and tended to be followed by episodes
of abundance of game when human mortality had been high. Epidemics pre
ceded sustained contact with non-natives. The groups keeping winter co
unts recognized that epidemic diseases were spread through intergroup
contact. Recorded reactions to epidemics include population dispersal,
attempts to identify effective medicines, avoidance of outsiders, and
changes in religious practices. The winter count data confirm models
of disease etiology and provide a Native American perspective on the f
requency and severity of epidemics during the contact era.