USA > Maine > Annual report upon the births, marriages, divorces, and deaths in the state of Maine for the year ending Dec. 31, 1892 > Part 11
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88. Endocaridits.
89. Valvular Disease of the Heart.
90. Hypertrophy of Heart.
91. Pericarditis.
92. Disease of Heart, Unspecified.
93. Angina Pectoris.
94. Syncope.
95. Aneurism.
96. Senile Gangrene.
97. Embolism, Thrombosis.
98. Phlebitis.
99. Others, Circulatory System.
222
REGISTRATION REPORT.
Group 4 .- DISEASES OF RESPIRATORY SYSTEM.
100. Laryngitis.
101. Other Diseases of Pharynx and Trachea.
102. Emphysema, Asthma.
103. Bronchitis.
104. Pneumonia.
105. Pleurisy.
106. Other Diseases of Respiratory System.
Group 5 .- DISEASES OF DIGESTIVE SYSTEM.
107. Diseases of the Mouth.
108. Dyspepsia.
109. Gastric Ulcer.
110. Hæmatemesis.
111. Gastritis.
112. Other Diseases of Stomach.
113. Enteritis.
114. Ulceration of Intestines.
115. Stricture and Strangulation of Intestines.
116. Intussusception of Intestines.
117. Hernia.
118. Other Obstructive Diseases of Intestines.
119. Fistula.
120. Peritonitis.
121. Appendicitis.
122. Ascites.
123. Gallstones.
124. Cirrhosis of Liver.
125. Hepatitis.
126. Jaundice.
127. Other Diseases of Liver.
128. Other Diseases of Digestive System.
Group 6 .- DISEASES OF LYMPHATICS AND DUCTLESS GLANDS ..
129. Diseases of Lymphatics.
130. Diseases of the Spleen.
131. Bronchocele.
132. Addison's Disease.
Group 7 .- DISEASES OF URINARY SYSTEM.
133. Nephritis
134. Bright's Diseases, Albuminuria.
223
CLASSIFICATION OF THE CAUSES OF DEATH.
Group 7 .- Concluded.
135. Uraemia.
. 136. Suppression of Urine.
137. Calculus.
138. Stricture.
139. Haematuria
140. Diseases of Bladder and Prostate. 141. Other Diseases of Urinary System.
Group 8 .- DISEASES OF ORGANS OF GENERATION.
142. Ovarian Disease.
143. Diseases of Uterus and Appendages.
144. Paramenia.
145. Pelvic Abscess.
146. Perineal Abscess.
147. Diseases of Male Organs of Generation.
Group 9 .- ACCIDENTS AND DISEASES OF REPRODUCTION.
148. Abortion, Miscarriage.
149. Puerperal Mania.
150. Puerperal Convulsions.
151. Placenta Previa.
152. Puerperal Hemorrage.
153. Phlegmasia Dolens.
154. Other Accidents of Reproduction.
Group 10 .- DISEASES OF OSSEOUS SYSTEM.
155. Diseases of the Joints.
156. Diseases of the Bones.
157. Other Diseases.
Group 11. DISEASES OF THE INTEGUMENT.
158. Carbuncle.
159. Phlegmon, Cellulitis.
160. Ulcer, Bed-Sore. 161. Other Diseases of the Integument.
CLASS VII .- DEATHS FROM VIOLENCE ..
Group 1 -ACCIDENT, NEGLIGENCE, OR DOUBTFUL.
162. Fracture, Contusion. 163. Falling. 164. Gunshot Wounds.
224
REGISTRATION REPORT.
Group 1 .- Concluded.
165. Railway Injuries.
166. Cuts.
167. Burns and Scalds.
168. Poison.
169. Drowning.
170. Suffocation.
171. Various.
172. Lost at Sea.
Group 2 .- HOMICIDE.
173. Murder, Manslaughter.
Group 3 -SUICIDE.
174. Gunshot Wounds.
175. Cut, Stab.
176. Poison.
177. Drowning.
178. Hanging.
179. Otherwise.
CLASS VIII -DEATHS FROM ILL-DEFINED CAUSES.
180. Heart Failure.
181. Dropsy.
182. Debility, Exhaustion.
183. Atrophy and Inanition.
184. Sunstroke.
185. Mortification.
186. Tumor.
187. Abscess.
188. Hemorrhage.
189. Sudden (Cause Unascertained.)
190. Not Specified, or Ill-Defined.
A registrar about to adopt a system of classification of the causes of death for his State must be very uncritical and easily sat- isfied to be pleased with any of the arrangements which he finds in use. In the various states of our Union, the classifications differ among themselves enough so that he who would compare the statis- tical results of one state with those of another must constantly be on the alert that the classes or groups of diseases compared, con-
225
CLASSIFICATION OF THE CAUSES OF DEATH.
tain the same individual causes of death. Recent investigations into the causes of diseases have so changed our conceptions of the nature of many of them that the existing nosologies appear anti- quated. As Mr. Wynter Blyth has said, "the present classification was based upon an old-a dying-pathology."
Nevertheless, the compiler of this report deems it altogether out of place to attempt to satisfy himself with a rearragement. He has, however, ventured a few changes which will, undoubtedly, place a few of the individual causes of death and groups of dis- eases more in line with the places to which they will be assigned in the future.
The most important innovation has been the placing of tubercu- losis in its various forms, and syphilis, in the group of "Specific Neoplastic Diseases," a term which was, I believe, suggested by the Society of Medical Officers of Health of England. Zymotic Diseases has been retained as a convenient designation of the first class of causes of death; but as a name for the first group, or order, under this class, infectious diseases has been substituted for the objectionable term miasmatic diseases.
Minor changes are the removal of croup from the respiratory dis- eases and placing it after diphtheria, a position which it already occupies in the classification in use in some of the states. Tonsil- litis has also been placed near diphtheria as a designation of cer- tain affections, sometimes fatal, and not always differentiated with certainty from diphtheria. Tetanus is included with the infectious diseases and the malarial diseases have also been grouped with the infectious diseases. In some American lists of the causes of death they already occupy that position, but in the table in use by the registrar general of England these diseases form a group by them- selves.
Under the diarrhæal diseases infantile diarrhea is used instead of cholera infantum, and scurvy and rickets are both placed under the dietetic diseases. In the group of diseases of the nervous sys- tem, inflammation of the brain or its membrane, as used in the English tables, is much better than some of the terms under which diseases of this kind are classed in this country.
15
CHAPTER 118-LAWS OF 1891.
AN ACT to provide for the Registration of Vital Statistics.
Be it enacted by the Senate and House of Representatives in Legisla- ture assembled, as follows :
SECTION 1. The secretary of the State Board of Health shall be the registrar of vital statistics for the State, and shall furnish to clergymen, and others authorized to marry, to sextons, to physi- cians, town clerks, clerks of the society of Friends, and to clerks of courts, a copy of this act, and suitable blanks for recording births, marriages, deaths and divorces, so printed, with appropriate head- ings, as readily to show the following facts and such others as may be deemed necessary to secure an accurate registration.
I. The record of a birth shall state its date and place of occur- rence, full Christian and surname, if named, color and sex of child, whether living or still-born, and the full Christian and surnames, color, occupation, residence and birthplace of parents.
II. The record of a marriage shall state its date and place of occurrence, the name, residence, and official character of the per- son by whom solemnized. the full Christian and surnames of the parties, the age, color, occupation, and residence of each, the con- dition, whether single or widowed, whether first, second or other marriage ; and the full Christian and surnames, residence, color, occupation, and birthplace of their parents.
III. The record of a death shall state its date, the full Chris- tian and surname of the deceased, the sex, color, condition, whether single or married, age, occupation, place of birth, place of death, the full Christian and surnames and birthplaces of parents, and the disease or other cause of death, so far as known.
SECTION 2. The attending physician, accoucheur, midwife, or other person in charge, who shall attend at the birth of any child, living or still-born, within the limits of any town or city in this State, shall report to the clerk of such town or city within six days
228
REGISTRATION REPORT.
thereafter, all the facts regarding such birth, as required in section one of this act.
SECTION 3. Every person authorized to unite persons in mar- riage shall make a record of every marriage solemnized before him, in conformity with the requisitions prescribed for blank records of marriages in section one of this act, and shall within six days thereafter, deliver or forward to the clerk of each town in which the marriage intention was recorded, a copy of such record of mar- riage.
SECTION 4. Whenever any person shall die, or any still-born child shall be brought forth in this State, the undertaker, town clerk, or other person superintending the burial of said deceased person, shall obtain from the physician attending at such bringing forth or last sickness, a certificate, duly signed, setting forth as far as may be, the facts required in the record of a death, according to section one of this act; and it shall be the duty of the undertaker, or other person having charge of the burial of said deceased per- son, to add to said certificate the date and place of the proposed burial ; and having duly signed the same, to forward it to the clerk of the town or city and obtain a permit for burial ; and in case of any contagious or infectious disease, said certificate shall be made and forwarded immediately.
SECTION 5. In case of any deceased person not having had the attendance of a physician in his or her last sickness, the town clerk may issue and sign the certificate of death, upon presentation of such facts as may be obtained of relatives, persons in attendance upon said deceased person during said last sickness, or present at the time of death, and the permit for burial shall be issued upon such information. Said certificate and permit shall not be required be- fore burial in cases where it is impracticable to obtain the same within a reasonable time after death, but in all such cases, said certificate shall be obtained as soon as practicable after death.
SECTION 6. Parents shall give notice to the clerk of their city or town of the births or deaths of their children ; every house- holder shall give notice of every birth and death happening in his house ; the eldest person next of kin shall give such notice of the death of his kindred ; the keeper of a workhouse, house of cor- rection, prison, hospital, almshouse, or other institution, and the master or other commanding officer of a ship, shall give like notice
229
REGISTRATION OF VITAL STATISTICS.
of every birth or death happening among the persons under his charge.
SECTION 7. Except as provided in section five, no interment or disinterment of the dead body of any human being, or disposition thereof in any tomb, vault or cemetery, shall be made without a permit as aforesaid, from the clerk of the town or city, nor other- wise than in accordance with such permit. No undertaker or other person shall assist in, assent to, or allow any such interment or disinterment to be made, except as provided in section five, until such permit has been given as aforesaid ; and it shall be the duty of every undertaker or other person having charge of any burial place as aforesaid, who shall receive such permit, to preserve and return the same to the clerk of the town within six days after the day of burial.
SECTION 8. 'The town or city clerk shall appoint two suitable and proper persons, in each town or city, as sub-registrars, who shall be authorized to issue burial permits based upon a death cer- tificate, as hereinbefore provided, in the same manner as is required of the town or city clerk ; and the said record of death upon which the permit is issued shall be forwarded to the town clerk within six days after receiving the same, and all permits by whomsoever issued shall be returned to the town clerk as required by section seven of this act. The appointment of sub-registrars shall be made with reference to locality, so as to best suit the convenience of the inhabitants of the town, and such appointment shall be in writing and recorded in the office of the town or city clerk.
SECTION 9. Town clerks and sub-registrars may issue burial per- mits to persons in contiguous towns, when by so doing it would be more convenient for those seeking a permit, but in all cases the permit shall be made returnable to the town clerk of the town in which the death occurred.
SECTION 10. The assessors shall, when taking the annual in- ventory, collect and return to the town clerk, before the first day of June, the births which have occurred within their respective jurisdictions, during the year ending December thirty-first next preceding, together with the names of such children.
SECTION 11. The clerk of every town shall keep a chronological record of all births, marriages, and deaths reported to him, and shall annually, in the month of June, transmit a copy of the record of all births, marriages, and deaths occurring during the year end-
230
REGISTRATION REPORT.
ing .December thirty-first next preceding such said report, to the State registrar, together with the names, residences, and official stations of all such persons as have neglected to make returns to him in relation to the subject matters of such records, which the law required them to make, all to be made upon blanks to be pre- pared and furnished by the State registrar.
SECTION 12. The clerk of courts for the several counties shall, annually, during the month of February, make returns to the registrar of vital statistics in relating to libels for divorce in their respective counties for the calendar year next preceding. Such returns shall specify the following details ; the number of divorces granted, and the names of the parties including the maiden name, and any other former name of female, if any, when ascer- tainable.
SECTION 13. The State registrar shall cause the returns made to him in pursuance of the preceding sections eleven and twelve to be arranged, alphabetical indexes of all the names contained therein to be made, and the whole bound in convenient volumes and care- fully preserved in his office. He shall annually make and publish a general abstract and report of the returns of the preceding year in such a form as will render them of practical utility, not more than one thousand five hundred copies of which shall be printed and bound in cloth, one copy of which shall be forwarded to every town, one copy to each senator and representative, one copy to each state and territory in the Union, and the remainder to such depart- ments, libraries, and persons as the State registrar shall direct.
SECTION 14. The sum of one thousand dollars per annum, or as much thereof as may be necessary, is hereby appropriated for print- ing and binding the circulars and blanks, for postage, and to defray the expenses of clerical work in carrying out the provisions of this act.
SECTION 15. The town clerk's record of any birth, marriage or death, or a duly certified copy thereof, shall be prima facie evidence of such birth, marriage or death, in any judicial proceeding.
SECTION 16. If any person shall willfully neglect or refuse to perform any duty imposed upon him by the provisions of this act, he shall be fined not more than one hundred dollars for each offense, for the use of the town in which the offense occurred, and it shall be the duty of the State registrar to enforce this section as far as comes within his power, and when the State registrar knows, or
231
REGISTRATION OF VITAL STATISTICS.
has good reason to believe, that any penalty or forfeiture under this act has been incurred, he shall at his discretion, forthwith give notice thereof, in writing, to the county attorney of the county in which said penalty or forfeiture has occurred, which notice shall state as near as may be, the time of such neglect, the name of the person or persons incurring the penalty or forfeiture, and such other facts relating to the default of duty as said State registrar may have been able to learn, and upon receipt of such notice the county attorney shall prosecute the defaulting person or persons.
SECTION 17. The clerk of each city or town shall be paid by such city or town for receiving, recording and returning the facts required to be recorded by this act, the sum of fifteen cents for each birth, marriage and death, and for each birth or death duly reported to the town clerk, physicians shall receive twenty-five cents from the town in which the birth or death has occurred.
SECTION 18. This act shall take effect and be in force on and after the first day of January, eighteen hundred and ninety-two, and all acts and parts of acts inconsistent with this act, are hereby repealed.
[Approved March 30, 1891.]
LIST OF TABLES.
Table No. 1 .- Population of the State by Counties in 1890 and in 1880
6
Table .- Summary of Births, Marriages, and Deaths
S
Table No. 3 .- Births and Deaths in each County
9
Table No. 4 .- Births and Deaths in the Cities
10
Table No. 5 .- The Number of Towns in each County in which the Births exceed the Deaths and vice versa ... . 11 Table No. 6 .- Births, Marriages, and Deaths by Counties and Towns. . 12-69
Table No. 7 .- Births, Marriages, and Deaths by Counties
70-71
Table No. 8 .- Births by Counties, showing the proportion of males to females
72
Table No. 9 .- Births by Sex and Months, by Counties
73
Table No. 10 .- Births in Cities, with the rate per 1,000 popula- tion
74
Table No. 11 .- Percentage of American and Foreign Births by Counties
75
Table No. 12 .- Percentage of American and Foreign Births by Cities.
76
Table No. 13 .- Twin Births by Months and Counties
77
Table No. 14 .- Twin Births by Sex and Parentage, by Counties .
78 79
Table No. 15 .- Stillbirths by Sex and Parentage, by Counties . .. Table No. 16 .- Stillbirths by Seasons
80
Table No. 17 .- Marriages by Counties and Nativity.
85
Table No. 18 .- Marriages by Months and Counties
86
Table No. 19 .- Marriages by Ages and Counties
87
Table No. 20 .- Interesting Facts in Relation to Marriage
88, 89
Table No. 21 .- Divorces decreed by the Supreme Court of Maine in the year 1892 . 92, 93
Table No. 22 .- Divorces by Causes, Sex of Libellants, and the number of years married 94
PAGE ..
.
Table No. 2 .- Population of 1890; Births, Marriages and Deaths with the Rate of Each to 1,000 of population for the year ending December 31, 1892.
7
234
LIST OF TABLES.
Table No. 23 .- The Number of Deaths in the State and in each PAGE.
County, arranged by Classes and Groups 96-103 Table No. 24 .-- Deaths in each Town from Special Causes, mostly Infectious Diseases 104-143
Table No. 25 .- Deaths in each Town from Certain Diseases and Groups of Diseases 144-183
Table No. 26 .- Deaths by Ages, Sex, and Moonths by Counties . 184, 185 Table .- Deaths at Various Age-Groups : Maine and Massachu- setts. 188, 189
Table .- Zymotic Death-Rates in Maine and elsewhere 190
Table .- Seven Zymotic Diseases by Counties 191
Table .- Zymotic Diseases by Cities 192
Table .- Influenza by Counties and Months 195
Table .- Diphtheria by Counties and Months 197
Table .- Croup by Counties and Months 198
Table .- Typhoid Fever by Counties and Months 200
Table .- Consumption by Counties and Months.
202
Table .- Infantile Diarrhea by Counties and Months 204
Table .- Cancer by Counties and Age-Groups 206
Table .- Old Age by Counties 207
Table .- Apoplexy by Months, Quarters, and Age-Periods 208
Table .- Diseases of the Heart by Ages and by Sex 209
Table .- Diseases of the Heart by Counties 209
Table .- Pneumonia by Counties and Months 211
Table .- Bronchitis by Counties and Months 212
Table .- Peritonitis by Months and Age-Periods 214
Table .- Bright's Disease by Counties 215
Table .- Suicides by Ages, Months, and Counties 217
INDEX
PAGE.
Accidents 215
Act to provide for the registration of vital statistics, an 227
Age and mortality
187 Apoplexy
207
Apoplexy, by months and age-periods 208
Appendicitis 214
Birth-rates 81
Births and deaths compared by counties
9
relation of
8
Births and season . 82
by sex and months, by counties
73
by state and counties
7
in cities, with rate per 1,000.
74
marriages and deaths, by counties .
70, 71
by counties and towns 12, 69
notes on
81
parentage of
81
percentage of American and foreign, by cities 76
percentage of American and foreign, by counties
75
proportion of males to femals. 72
Brain or membranes, inflamation of 207
softening of 208
215
Bronchitis
212
by counties and months 212
Cancer
205
by counties and age-groups
206
Causes of death, classification of .
218
the.
189
Cerebral tuberculosis . 201
Cerebro-spinal meningitis 198
Childbirth 215
Cirrhosis of the liver
215
Bright's disease
236
INDEX.
PAGE ..
Cities, births and deaths in 10
Classification of the causes of death 218
Constitutional diseases 205
Consumption . by counties and months
201
Counties, marriages and deaths in
197
Croup by counties and months 198
Death-rates compared 186
Deaths and the causes of death .
186
by ages, sex and months, by counties
184, 185
by State and counties. classification by causes
96-103
in each town from certain diseases and groups of diseases 144-183 in each town from infectious diseases. 104-143 the causes of 189
Diabetes.
206
Diarrheal diseases
203
Dietetic diseases
205
Digestive system, diseases of the
214
Diphtheria .
196
by counties and months
197
Diseases of the heart.
209
Divorces by causes and sex of libellant .
94
decreed in 1892
92, 93
notes on 95
Epilepsy
208
Hemiplegia
208
Homicide
216
Infantile death-rates
189
diarrhea
203
by counties and months .
204
Infectious diseases
193
Influenza
193
by counties and months. 195
Law relating to the registration of vital statistics
227
Malarial diseases.
200
Marriages, ages at
90
by ages and counties.
87
by counties and nativity
SỐ
by months and counties 86
by state and counties 70
201
7
7
deaths from, in each town 104-143
INDEX. 237
Marriages, interesting facts about
88, 89
notes on 90
Married, nativity of persons.
90
Measles .
193
Nephritis
215
Nervous system, diseases of
207
Notes on births
81
deaths and the causes of deaths 186
divorces
95
marriages
90
Old age.
206
by counties
207
Paralysis
208
Peritonitis
214
Pleurisy
213
Pneumonia.
210
by counties and months
211
Population, gain or loss in each county
6
in each county 6
Pulmonary tuberculosis
201
Respiratory diseases, the acute in Maine and elsewhere
213
system, diseases of the
210
Rheumatism
205
Scarlet fever
193
Seasons and mortality 186
Septic diseases
204
Sex and mortality
187
Small-pox
193
Stillbirths
83
by seasons
.80
by sex and parentage
77
216
217
Tetanus
199
Tuberculosis .
201
cerebral
201
pulmonary.
201
mesenteric.
203
other forms 203
Twin births.
82
by months and counties
77
by sex and parentage
78
Typhoid fever
199
by counties and months 200
Suicide by ages, months and counties
PAGE.
238
INDEX.
Urinary system, diseases of the.
PAGE. 215.
Whooping-Cough
195
Zymotic death-rates
7.T .: 190
diseases. 190
by cities 192
seven, by counties
191
8
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