The paper provides the materials of studies of the health status, living conditions, and environment of small peoples of the North. The conditions of the North are shown to have a negative impact on the health status of the population. There is a high incidence of tuberculosis among the peoples. The health care system in the North should be organized in terms of a comprehensive assessment of the health status of various populations of small peoples, the prevalence and clinical features of pathological processes and ecological and economical factors.