Despite their primitive technological level, their forensic methods were apparently rather impressive, T'Pol and Phlox both expressing admiration for the work of an apothecary owner. Another race, known as the Malurians, were exploiting their planet without their knowledge. The use of tetracyanate 622 caused many of the Akaali to suffer from a serious disease, causing lesions on their faces, before the Malurians were driven off the planet by Enterprise.
The script of "Civilization" describes the Akaali as "humanoids with small ridges on their faces, and minor skin colorations." Also, another scene description in that script refers to the Akaali as the first civilization encountered by Enterprise. In a scene that was scripted for the end of ENT: "Home" (and included in the ENT Season 4 Blu-ray) but never filmed, the Akaali are similarly said to have been the first pre-warp civilization discovered by Enterprise. They were intended to be referred to as such by Captain Archer.
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