In 1884 Elpatyevsky was arrested for distributing illegal literature, and sentenced to exile in Eastern Siberia. He arrived in
Krasnoyarsk on October 24, 1884, where he met with the writer
Vladimir Korolenko. Elpatyevsky settled in the village of Verhnepashennom, in the
Yeniseysky District of Yenisei province. His wife Lyudmila and their two children went with him voluntarily. His wife and children settled in the city of
Yeniseysk. In 1885 Elpatyevsky was allowed to resettle in Yeniseysk with his family. He repeatedly appealed to the governor of the Yenisei province to allow him to practice medicine, but was refused. He then began to practice medicine free of charge. Later he was granted the right to move freely throughout the countryside to fight the epidemics of
diphtheria and
scarlet fever in
Angara and measles in
Turukhansk. He received the thanks of Governor I. K. Pedashenko for helping to fight these epidemics. In April, 1886 a
Chelyabinsk merchant named Balakshin asked Governor Pedashenko if Elpatyevsky could be allowed to accompany him to
Lake Shira. The governor allowed Elpatyevsky to visit the
Minusinsky District for scientific purposes. Their scientific observations about the healing properties of the water of Lake Shira were outlined in Elpatyevsky's report at a meeting of the Yenisei Province Society of Physicians. ==Later life==