Many land tenants in Kyushu are either dying or forsaking their crops by 736, leading to poor agricultural yields and ultimately famine.
Also, in 736, a group of Japanese governmental officials passes through northern Kyushu while the epidemic is intensifying.
As members of the party sicken and die, the group gives up on their intended mission to the Korean peninsula.
Returning to the capital with smallpox, the officials supposedly have spread the disease to eastern Japan and Nara.