While most victims were from the producer populace of western and central Japan, by 737, the epidemic reached the capital at Heijō-kyō (Nara) causing death and terror among the aristocracy.
Sementara sebagian besar korban berasal dari populasi produsen Jepang barat dan tengah, pada tahun 737, epidemi mencapai ibukota di Heijō-kyō (Nara) menyebabkan kematian dan teror di kalangan aristokrasi.