Medical Jurisprudence, Volume 1 (of 3)Paris, John Ayrton
Science
Medical Jurisprudence, Volume 1 (of 3)
Paris, John Ayrton
Medical laws and legislation -- Great Britain
Bills of Mortality were instituted in the city of London in the year
1592, in order to collect and exhibit the number of deaths, and to
record the progress, diffusion, and decline of the epidemic malady, with
which the city was at that time infested; but upon the cessation of the
plague, the bills were discontinued. It appears, however, in consequence
of the recurrence of the sickness, that they were reestablished by
public order in 1603, and on the 29th of October in the same year, being
the first of the reign of King James, the establishment of a regular
series of weekly bills of death commenced. In 1606 the number of
christenings, as well as that of burials, appeared in the returns, and
although diseases and casualties were recorded as early as 1604, no
public notice was made of either before the year 1629, when another
important improvement took place—that of distinguishing between the
sexes. In 1728 the ages[220] of all who died from under two years of age
and upwards were regularly specified, and this may be considered as the
last[221] improvement which the bills of mortality have received; for
notwithstanding the rapid march of those arts and sciences with which
every branch of statistics is so intimately connected, the contents,
arrangement, and language of these bills have remained unchanged. The
collating, printing, and publishing these documents, as far as they
relate to the metropolis, are placed under the superintendance and
jurisdiction of the ancient corporation of parish clerks:[222] a power
which it is hardly necessary to observe is wholly inadequate to the
accomplishment of the medical, political, and moral objects which these
bills are calculated to promote. As to the nature of the diseases of
which persons die, much error must necessarily arise from the absurd
manner in which the investigation is conducted, as the following
statement will clearly demonstrate.—The churchwardens of each parish
within the bills of mortality, appoint two old women to the office of
_Searchers_, who, on hearing the knell for the dead, repair to the
sexton of the parish, to learn the name and residence of the deceased.
They demand admittance into the house to examine the body, in order that
they may see that there is nothing suspicious about it, and _judge_ of
what disease the person died, which they report to the parish clerk. The
regular charge for the performance of this office is _fourpence_ to each
_searcher_; but if an extra gratuity be tendered, they seldom trouble
the domestics with any examination. We entirely agree with Dr.
_Burrows_[223] in thinking that the office, as at present filled, should
be entirely suppressed; and the attestation of a properly qualified
medical practitioner, upon actual knowledge of the disease of which the
person died, or upon inquiry and examination of the body, should be
substituted. Were competent persons only appointed to report, the
nomenclature[224] and classification of diseases, in which there has
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