The faces of death: regional differentiation in cause-specific mortality in the past

In mortality research, much attention has been paid to the strong geographical differentials in mortality levels and in modern mortality decline, as the analysis of this geographical differentiation might hold the key to explaining the determinants of mortality change. The use of historical cause-specific mortality data has proved a challenging, although very insightful, means to this end. The four contributions to this special issue focus on cause-specific mortality in the past, both to reassess older data using new insights and to challenge existing insights by using new data and methods. These papers, of which earlier versions were presented during the thirty-eighth Social Science History Association (SSHA) Meeting in Chicago, 21–24 November 2013, explore mortality at different stages of the life course, ranging from early infancy to old age. Moreover, each paper revolves around a different group of causes of death. Although the papers are in many ways rather different, together they demonstrate how different data, theoretical frameworks and methodologies can push the boundaries of research into the trends and determinants of historical mortality patterns.     

Highlights from a low-level area: infant mortality and social structure in eight East Frisian parishes, 1740–1839

Considerable variations in infant mortality rates have occurred within the low-lying region of northern Germany's East Frisia. Individual parishes can be assigned to three specific groups by registered mortality levels for the period 1740–1839. Differences also existed between parishes containing Geest (heathland), bogs, and marshland reflecting specific geographical and environment factors, as well as the structure of the local economy. In both Geest and bog parishes, the level of infant mortality and its trend over time were not homogeneous. In the two marshy river parishes, only environmental factors were significant; both registered the lowest rates of infant mortality. They had fertile soil, extensive grazing land, an exceptionally high number of large agricultural holdings, and households that were above average in size. By contrast, the highest rates of infant mortality were found in one bog and two Geest parishes, but these communities remained heterogeneous in terms of geographical size and population growth and density.     

The role of the wedding place. Community context and marital timing in nineteenth and early twentieth century Netherlands

This study investigates how community characteristics influenced the timing of marriage of men and women in nineteenth and early twentieth century Netherlands on the basis of a large scale database consisting of marriage certificates covering five provinces of the Netherlands between 1840 and 1922. The results show the significance of religious context for understanding marriage timing in the nineteenth century. Living in a predominantly Catholic community resulted in a later marriage for both men and women, while living in a community that was dominated by Orthodox Protestants resulted in an earlier marriage, particularly for men. In addition, residence in a municipality with a high mobility, a large population size and a high birth rate speeded up marriage timing among both men and women. The results indicate that religious restraint and the urbanization and openness of places are, next to parental social class, of vast importance for understanding marriage timing. As our study only addressed those who married, future research will have to show whether the same mechanisms were at work for those that experienced permanent celibacy.     

Infant mortality in town and countryside: northern Germany, ca. 1750–1850

The discussion still continues among researchers about the causes for the decline in infant mortality in widespread parts of Europe at the turn of the 19th century. This article is based on sources such as unpublished statistical material from Prussia, parish registers, and lineage and village genealogies. As these sources are broken down by town and countryside and into various phases of infant mortality, they provide evidence for further reflection that may be fruitful. Thus, several causes for the decrease in infant mortality and ways of diffusion can be excluded and the impact of others delimited. The present study concludes that research should pay more attention to changes in infant care than it usually does.     

Rethinking the medical causes of infant death in early modern Europe: a closer look at church registers and medical terminology

The historical roots of the prevailing hypothesis about the main causes of high infant mortality in Europe in the last four centuries are presented in detail focusing on German sources and publications. Assumptions about infections being the main cause of deaths during infancy clearly need to be reevaluated. The terminology of early sources has passed many steps of translation and interpretation. In the old church registers, wording in the local vernacular merely described the most visible symptoms before the final stages of diseases. Scientific medicine and its terminology repeatedly went astray before real pediatric competence was acquired in the nutritional physiology of infants. The combination of different kinds of evidence points to serious flaws in the prevailing hypothesis, while source data and publications confirm a different conclusion: inadequate nutrition due to early weaning and unsuitable substitute food caused the specific set of symptoms described in the historical sources. Medical evidence about infant malnutrition in developing countries supports this new interpretation.     

Building a nation: religion and values in the public schools of the USA,Australia, and South Africa

Although the systems of public schools differ among Australia, South Africa and the USA, all three countries recognize that religion plays a significant role in determining values. All three countries have written constitutions but only South Africa and the USA have a Bill of Rights that protects persons’ exercise of religious beliefs. In Australia, the place of religion in education has largely been shaped by state legislatures, administrative regulations and interpretations of the national constitution. In the USA, the long tradition of religious values being represented in public education has been severely restricted over the past 60 years, resulting in artificial judicial lines being drawn between private religious expression and government expression. However, even private expression can be prohibited if it interferes with the educational mission of a school. South Africa had a long tradition of Christian religious practices in government schools under apartheid. However, the post-apartheid 1996 Constitution and 1996 South African Schools Act still give these schools considerable latitude in investing religious values into the educational process. In Australia, values, religion and education have always been a preoccupation of those providing education, although the blurring of public and private education in Australia has resulted in a different direction for the role of religion than in the USA.     

The impact of education on the demographic life course: The family reproduction process of literates and illiterates in the Netherlands at the end of the nineteenth century

A widely held assumption is that the decline of illiteracy had a notable impact on the demographic transition in western Europe in the nineteenth century. Literates, it is said, were more open to innovation and were better equipped to control their environment and their destiny. The article examines this hypothesis by looking into the family reproduction process of literates and illiterates who lived in the town of Eindhoven between 1850 and 1900. Using the concept of the life course, the article looks at differences in age at marriage, fertility, and infant and child mortality, and finds that in each category of literacy a certain form of demographic behavior prevailed.     

The unexpected effect of social status on reproduction: a case study in Joseon Korea from the nineteenth to the twentieth centuries

We examine how parents have made decisions about the number of children they have, given their social status in accordance with residential location (either urban or rural areas) and time (either the pre-modern or modern periods). We use two sets of microdata – Jokbo and Jejeokbu – spanning the early nineteenth to mid-twentieth centuries in Korea. Combining the two data-sets, we use multiple imputation to fill the missing entries of some observations and apply a Poisson regression model on the augmented data. Our empirical results reveal statistically significant evidence that higher socioeconomic status is related to having more children. Additionally, our findings indicate that: (1) all else being constant, among high-status people, rural residents had more children than urban families; (2) for people born between 1800 and 1945, those born closer to the 1940s tended to have fewer children; and (3) during modernization, there was still a significant trend for high-status families to have more children.     

Juridifications and religion in early modern Europe: The challenge of a contextual history of law

To end Europe's great cycle of religious wars, some early modern states imposed a secular ‘rule of law’ in spheres of life previously governed by religion. The following essay compares two instances of this basic fact of seventeenth-century European political history, one German and the other English. In these different religious and political settings, different juridifications were undertaken that do not reduce to manifestations of a single underlying process of social change. Considered in a legal-historical light, early modern juridifications therefore invite a clear disciplinary alternative to the socio-theoretical and socio-critical perspective on juridification associated with Jürgen Habermas. The larger challenge on behalf of legal history is to end the subordination of historical method to critical social theory. This revised version was published online in November 2006 with corrections to the Cover Date.     

Migration and the household: Urban living arrangements in late 19th- to early 20th-century Russia

Examining population census data for the late 19th and early 20th century, this article examines the impact of rural–urban migration during the first wave of Russia's industrialization on urban living arrangements. The author finds effects that echo the experience of other industrializing nations, notably the proliferation of board and lodging arrangements, and phenomena that are more peculiar to the Russian situation. Notably, the system of landholding and associated legal and fiscal constraints complicated migrants' separation from the village and put a premium on cyclical and return migration rather than outright urbanization. These conditions were conducive to the formation of collective non-family households of labour migrants, artely, which were an important mechanism for cutting living expenses and increasing the share of earnings remitted to the village and the family household back home.     

Maternal mortality in Slovenia: Case report and the method of identifying pregnancy-associated deaths

We report on the case of fatal intracerebral haemorrhage that followed the development of severe preeclampsia/eclampsia with haemolysis, elevated liver enzymes, and low platelets (HELLP) syndrome in a 22-year-old primipara. Peculiarities of the reported case are abrupt onset of preeclampsia/eclampsia during the delivery, fulminant course of the disease, minimal changes in kidneys and signs of pre-existing accelerated arteriosclerosis. Since very few forensic pathologists have sufficient experience with such cases and the differential diagnosis may be difficult, we consider it necessary that in all maternal deaths the post-mortem examination is performed by a team of two forensic pathologists and the case further analysed in collaboration with expert obstetrician.Maternal deaths are rare in developed countries but extremely important, because they represent the “tip of the iceberg” of severe maternal and neonatal morbidity and because they reflect accessibility and quality of prenatal and obstetric care as well as the health status of reproductive-aged women. Unfortunately, they are often misclassified in death certificates which may lead to insufficient engagement in solving underlying problems. In Slovenia, the method of active search for pregnancy-associated deaths is used in order to enable accurate monitoring of maternal mortality and minimise underreporting. The method is based on the manual revision of death certificates and the computer-based linkage of Mortality Database with birth register and foetal deaths register and has proved to be highly efficient.     

The urban household in Russia and the Soviet Union, 1900–2000: Patterns of family formation in a turbulent century

Starting from census data on co-residence and household composition, the authors analyse principles of family organisation and family formation in twentieth-century urban Russia and the Soviet Union. The article uses an adapted version of the classification of households developed by Peter Laslett and Eugene Hammel to study variation in household structure for successive population censuses. Changes in this variation between cross-sections are explained with the help of additional quantitative and qualitative data and are linked to the fundamental demographic, social and economic shifts which took place in Russian society in the course of the twentieth century. The article finds a family system characterised by a tendency towards nuclear family formation, but incorporating a fairly stable element of household extension. Co-residence of three generations was both an answer to a perennial housing problem and offered important advantages in the sphere of childcare and care for the elderly. Variation and fluctuation in household structure are found to be most pronounced during the turbulent first half of the century. After a period of stability during the post-war decades of Soviet rule, post-Soviet transformations provoke new changes.     

Beta-endorphin in the brainstem, pituitary, and spinal fluid of infants at autopsy: relation to sudden infant death syndrome

Immunohistochemical localization of beta-endorphin was studied in the pituitaries and medullas of forty human infants at autopsy. beta-Endorphin immunoreactivity was found in anterior pituitary cells in all cases. In the medulla, beta-endorphin immunoreactivity was found in the neurons of the medial and lateral cuneate nuclei in ten out of the forty cases. In eight of these ten cases, the infants died of causes other than sudden infant death syndrome (SIDS). Only two of 25 SIDS cases had demonstrable beta-endorphin in the brainstem nuclei. Beta-endorphin levels in the spinal fluids of all the cases showed no correlation to cause of death, age or gender.     

Adult brothers and juvenile uncles: Generations and age differences in families at the end of the Middle Ages

In medieval families, dependent relationships did not fall exclusively within the context of parental ties. For various reasons, children sometimes grew up with a much older brother or sister or with uncles or aunts younger than themselves. The article examines these relationships in the household at the end of Middle Ages using fiscal documents and accounts of miracles. The questions are what sort of relationships existed when age and generation did not coincide, how authority was exercised, how dependent relationships should be analyzed, and how autonomy was acquired. These questions can place avuncular and fraternal relationships in a new and different light.     

The determinants of health policy, a case study: regulating safety and health at the workplace in Sweden

This article analyzes and criticizes the " technocratic " view of occupational health and safety policies, which sees the values of the personnel in "post-industrial" regulatory agencies as the most important determinant of those policies. It takes an alternate position, which explains occupational health and safety policies as primarily resulting from the different degrees of political power of the two major classes (capital and labor), and from the set of influences exerted on the regulatory agencies by the instruments (e.g., parties, unions, trade organizations) of those classes. It shows how an analysis of the historical evolution of those classes in Sweden and their conflict in both civil and political societies explains Swedish occupational health and safety policies better than a mere analysis of the regulators' views. And it concludes that the occupational health and safety policies in Sweden are not identical to those in the U.S.--as the " technocratic " theorists assume--but rather offer more protection to the workers than U.S. policies do. This situation is a result of labor having more power in Sweden than it has in the U.S. The different class formations and class behavior in the two societies are compared, and the implications of this comparison for occupational health and safety policies are discussed.     

The Jews of early modern Marburg, 1640s—1800: A case study in family and household organization

This article examines Jewish household and family organization in a middle-sized German city, the Upper Hessian regional center of Marburg, the population of which ranged from 2500 to 6000 from the Thirty Years War to the end of the 18th century. Some general hypotheses about population development, household structure, and family life conveniently summarized by Toch [Toch, M. (1995). Aspects of stratification in early modern German Jewry: Population history and village Jews. In R. P. Hsia & H. Lehmann (Eds.). In and out of the ghetto: Jewish-Gentile relations in late medieval and early modern Germany (pp. 77-89). Cambridge: Cambridge University Press] serve as an organizational frame for the case study. In Toch's view, Jews' comparative wealth, as well as governmental restrictions on their settlement and marriage in central Europe, led to their having larger and more complex households than those of the Christian majority. While household enumerations over time confirm several of Toch's observations, especially the larger size of Jewish families, neither Hessian settlement policy nor local Marburg opposition prevented the Jewish minority of about 1% from keeping pace with general population growth. Moreover, Jews did not respond to their regulated living conditions and status as cultural outsiders with a family organization exhibiting remarkably more internal complexity than did Christian households.     

Interrupting the Myth of the <Emphasis Type="Italic">Partage</Emphasis>: Reflections on Sovereignty and Sacrifice in the work of Nancy,Agamben and Derrida

Agamben traces the bio-political essence of modern politics to the non-sacrificial killing of Homo Sacer in Roman law. Nancy, on the other hand, links the history of Western politics to the fundamental logic of sacrifice in Western metaphysics. He nevertheless contemplates the possibility that Western societies may finally have arrived at the threshold of a non-sacrificial existence. Derrida seeks to resist the sacrificial logic of Western metaphysics and politics, but nevertheless appears to accept it as an irreducible fact of human co-existence. Unlike Nancy, he envisages no actual or actualised beyond beyond the realm of sacrificial metaphysics and politics. He thus can be said to interrupt Nancy’s ‘myth’ of a non-sacrificial partage. This article compares these three philosophical stances in the hope of throwing more light on the role of sacrifice in the law and politics of our time. Professor of Law, Rand Afrikaans University. Conversations with Ann van Sevenant, Carol Clarkson, Louise du Toit, Peter Fitzpatrick, Costas Douzinas and Adam Thurschwell gave impetus to many of the themes developed in this article. Concomitant shortcomings and inaccuracies, as always, are mine.