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STATE BOARD OF HEALTH.

RETURN OF A STILL-BIRTH TO COUNTY CLERK.

The death of an infant that has breathed must not be returned as a still-birth; such deaths should be certified in the usual manner, after returning the birth record.

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PHYSICIAN'S CERTIFICATE OF DEATH.

The physician who attended any person in a last illnes should immediately return this certificate, accurately filled out, to the county clerk. Penalty $10.00, if not returned within 30 days.

STATE BOARD OF HEALTH.

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Residence

5. How long resident in this state.

6.

Place of deatht.

7.

Cause of death.

8. Duration of disease.

9.

Place and date of burial.

10.

Name and place of undertaker.

Dated at.

18

.18

Residence.

M. D.

*Erase such of these as are not required.

Complications ..

Duration of complication.

.M. D.

+City--No., street and ward; same in towns that have them; township or precinct.

#State primary and immediate cause of death, and examine the list of diseases printed on cover of this book, and law pertaining to coroner's inquests.

(Printed on back of book containing marriage blanks.)

LAWS IN RELATION TO MARRIAGES,

IN FORCE JULY 1st, 1877.

SECTION 1. That marriages between parents and children, including grandparents and grandchildren of every degree, between brothers and sisters of the half as well as of the whole blood, and between uncles and nieces, aunts and nephews, are declared to be incestuous and void. This section shall extend to illegitimate as well as legitimate children and relations.

SEC. 2. No insane person or idiot shall be capable of contracting marriage. SEC. 3. Male persons over the age of seventeen years, and females over the age of fourteen years, may contract and be joined in marriage.

SEC. 4. Marriages may be celebrated either by a minister of the gospel in regular standing in the church or society to which he belongs, by a judge of any court of record, or a justice of the peace.

SEC. 5. All persons belonging to any religious society, church or denomination, may celebrate their marriage according to the rules and principles of such religious society, church or denomination

SEC. 6. Persons intending to be joined in marriage shall, before their marriage, obtain a license from the county clerk of the county where such marriage is to take place, anything in any general or special law of this state to the contrary notwithstanding.

SEC. 9. The minister, judge or justice of the peace, or if the marriage is celebrated according to the rules and principles of a religious society, church or denomination, and there be no minister, then the clerk or secretary of such society, church or denomination, shall, within thirty days after such marriage is solemnized, make a certificate thereof, and return the same, together with the license.

SEC. 15. If any minister, judge or justice of the peace, or any other officer or person or persons shall celebrate a marriage without a license having first been obtained therefor as provided by law, he or they shall for every such offense forfeit and pay $100, to be recovered in the name of the People of the state, in an action of debt, in any court of competent jurisdiction.

SEC. 16. If any minister, judge or justice of the peace having celebrated a marriage, or any clerk or secretary of any society, church or denomination among whom a marriage is celebrated, and whose duty it shall be to make and return a certificate of such marriage, shall fail to make and return to the county clerk such certificate in the time and manner provided by law, he shall forfeit and pay $100, to be recovered in the name of the People of the state of Illinois, in an action of debt, in any court of competent jurisdiction.

SEC. 17. It shall be the duty of the State's Attorney of the proper county to prosecute all offenses under the preceding sections.

STATE BOARD OF HEALTH ACT.-In force July 1st, 1877.

COUNTY CLERK TO KEEP REGISTER OF PHYSICIANS AND ACCOUCHEURS, AND of BIRTHS, MARRIAGES AND DEATHS.-SEC. 8. The county clerks of the several counties in the state shall be required to keep separate books for the registration of the names and post office address of physicians and accoucheurs, for births, for marriages, and for deaths; said books shall always be open for inspection without fee; and said county clerks shall be required to render a full and complete report of all births, marriages and deaths to the secretary of the Board of Health, annually, and at such other times as the board may direct.

FORMS. SEC. 9 It shall be the duty of the Board of Health to prepare such forms for the record of births, marriages and deaths, as they may deem proper; the said forms to be furnished by the secretary of said board to the county clerks of the several counties, whose duty it shall be to furnish them to such persons as are herein required to make reports.

It is the duty of any one solemnizing a marriage to make return of the license to the county clerk within thirty days, under a penalty of $100, and to fill out the "return of a marriage' on the form herein, and return to the county clerk within thirty days, under penalty of $10, and to keep a copy of the same for information on the stub herein.

(Printed with Book of Returns of Births.

LAWS RELATING TO RETURNS OF BIRTHS, ACT 1876-7.

SEC. 3. [CHARGE OF REGISTRATION OF BIRTHS AND DEATHS] The Board of Health shall have supervision of the state system of registration of births and deaths as hereinafter provided; they shall make up such forms and recommend such legislation as shall be deemed necessary for the thorough registration of vital and mortuary statistics throughout the state. The secretary of the Board shall be the superintendent of such registration.

SEC. 4. [DUTY OF PHYSICIANS-PENALTY.] It shall be the duty of all physicians and accoucheurs in this state to register their names and post office address with the county clerk of the county where they reside; and said physicians and accoucheurs shall be required, under penalty of ten dollars, to be recovered in any court of competent jurisdiction in the state, at suit of the county clerk, to report to the county clerk, within thirty days from date of their occurrence, all births and deaths which may come under their supervision, with a certificate of the cause of death, and such correlative facts as the Board may require, in the blank forms furnished as hereinafter provided.

SEC. 5. [REPORT OF BIRTHS AND DEATHS.] Where any birth or death shall take place no physician or accoucheur being in attendance, the same shall be reported to the county clerk, within thirty days of date of their occurrence, with the supposed cause of death, by the parent, or, if none, by the nearest of kin not a minor, or if none. by the resident householder where the death shall occur, under penalty as provided in the preceding section of this act.

In the back part of this book you will find blanks on blue paper on which to make returns of still births.

(Printed with book of Returns of Deaths.)

The attention of physicians is earnestly invited to the following list of diseases, in reference to which the particulars specified are essential to the proper classification of the causes of death, and consequently to the accuracy and usefulness of our statistics of mortality. It is respectfully suggested that a negative statement is often as important as a positive one-for instance: "ABORTION-At two monthsMETRITIS-No cause discoverable.' CANCER OF STOMACH-Not hereditary, as far as known. "ERYSIPELAS OF HEAD-Not of traumatic origin.” GANGRENE OF LEGNo definite cause METRITIS-Not puerperal.' "SMALL Pox-Patient never vaccina"OVARIAN TUMOR-No operation," etc.

ted.'

ABSCESS-Location and cause, if any.

"

+ANEURISM-Vessel involved, and mode of death. Whether operation.

*ABORTION AND MISCARRIAGE-Cause, mode of death, and period of gestation. CEREBRO-SPINAL MENINGITIS-Variety, whether probably żymotic (cerebro-spinal fever), or a simple inflammation. CHILDBIRTH-Circumstances producing death.

CANCER-Variety and seat; whether hereditary or not.

+CALCULUS-Mode of death; whether after operation, and if so, what one.

CARBUNCLE-Location.

CONGESTIVE FEVER Variety.

CONTINUED FEVER-Whether simple continued fever or other variety.

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*FRACTURES--Cause and mode of death. (State nature of accident, etc., clearly.) *GANGRENE-Seat and cause.

GASTRIC FEVER-Whether remittent. typhoid, etc., or simple gastritis.
GASTRITIS-Whether simple, or from a definite cause.

HERNIA-Variety and mode of death.

INSANITY-Variety and mode of death.

Whether any operation.

INTERMITTENT FEVER-Variety, as quotidian, tertian, etc.

JAUNDICE-Cause.

MALARIAL FEVER-Variety.

MALIGNANT PUSTULE-Location and cause. Whether probably dependent on contagion or not.

MALFORMATION (congenital) - Variety.

METRITIS-Variety and cause (whether puerperal or not.)

NECROSIS AND CARIES-Seat, original cause, and mode of death.

*OVARIAN TUMOR-Mode of death.

PARALYSIS-Variety and cause.

Whether operation.

*PERITONITIS-Variety-whether simple, puerperal, traumatic, etc.; and if the last,

how produced.

PHLEBITIS Cause, seat and variety.

*PYÆMIA-Cause, nature of antecedent injury, if any, and how produced.

*PREMATURE BIRTH-Probable cause.

Foetal age.

PRETERNATURAL OR ABNORMAL BIRTH-Manner of.

SMALL POX-How often, and when patient vaccinated, or if never.

SYPHILIS-Variety, chief location, and mode of death.

*TETANUS--Whether idiopathic or traumatic. Nature of antecedent injury, if any and how produced.

TUMOR-Location, variety and mode of death. Whether operation.

ULCERS-Nature, chief location, and mode of death.

URÆMIA-Cause or associate affection. Whether puerperal.

*WOUNDS-Cause, variety, seat, and mode of death.

* Particularize any accident or other violent cause leading to death, and character of injury.

Specify every Surgical Operation with fatal results, and state the disease which necessitated it.

Mention INTEMPERANCE whenever recognized as having produced or complicated the direct cause of death. Give as many particulars as possible in instances of rare diseases, such as hydrophobia, glanders, etc.

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