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After outlining registration and certification procedures I look at the practical implementation of cause of death registration at the local level drawing partly on an analysis of the civil death registers for the large industrial town of Sheffield [England] in the mid-nineteenth century. These registers allow us to explore how causes of death were described by medical practitioners and to assess the extent to which the official recommended nomenclature prepared by William Farr...was being adopted at the time by medical men. The individual-level cause of death data provided in the Sheffield registers are then grouped to attempt a comparison with the published classifications and to illuminate how problematic or ambiguous causes of death were assigned to the formal categories of the nosology. (EXCERPT)
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