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THREE:The kindred science of medicine was also in marked advance. Dr. Thomas Sydenham, who died in 1689, at the very commencement of this period, had prepared the way for a more profound knowledge of the science by his careful and persevering observation of facts and symptoms; and the improvements he introduced guided medical men in the treatment of disease till the end of this period. Anatomical science was greatly advanced at this era by Malpighi, Steno, Ruysch, Duverney, Morgagni, Albinus, Haller, and other Continental physicians. In England Humphrey Ridley published a work on the brain in 1695, and William Cowper, in 1698, his anatomical tables, said to be borrowed from the Dutch anatomist, Bidloo. In 1726 Alexander Munro published his "Osteology;" he was also founder of the Medical School of Edinburgh. In 1733 William Cheselden, the most expert operator of his day, published his "Osteography." In 1727 Stephen Hales published his "Vegetable Statics," and in 1733 his "H?mastatics," which carried both vegetable and animal physiology beyond all preceding knowledge either here or abroad. Zoology and comparative anatomy also received some progress from the labours of Nehemiah Grew, Tyson, Collins, and other members of the Royal Society.In connection with this reform an Act was passed which supplied a great want��namely, the uniform registration of marriages, births, and deaths. The state of the law on these matters had been very unsatisfactory, notwithstanding a long series of enactments upon the subject. Although the law required the registration of births and deaths, it made no provision for recording the date at which either occurred, and so it was essentially defective. It only provided records of the performance of the religious ceremonies of baptism, marriage, and burial, according to the rites of the Established Church, affording, therefore, an insufficient register even for the members of that Church; while for those who dissented from it, and consequently did not avail themselves of its services for baptism and burial, it afforded no register at all. Even this inadequate system was not fully and regularly carried out, and the loud and long-continued complaints on the subject led to an inquiry by a select Committee of the House of Commons in 1833. In order, therefore, to secure a complete and trustworthy record of vital statistics, the committee recommended "a national civil registration of births, marriages, and deaths, including all ranks of society, and religionists of every class." In pursuance of these recommendations, a General Registration Bill was brought into Parliament; and in August, 1836, the Act for registering marriages, births, and deaths in England became law, as a companion to the Marriage Act, which passed at the same time. Their operation, however, was suspended for a limited time by the Act of 7 William IV., c. 1, and they were amended by the Act of 1 Victoria, c. 22, and came into operation on the 1st of July, 1837. One of the most important and useful provisions of this measure was that which required the cause of death to be recorded, with the time, locality, sex, age, and occupation, thus affording data of the highest importance to medical science, and to all who were charged with the preservation of the public health. In order that fatal diseases might be recorded in a uniform manner, the Registrar-General furnished qualified medical practitioners with books of printed forms��"certificates of cause of death"��to be filled up and given to registrars of births and deaths; and he caused to be circulated a nosological table of diseases, for the purpose of securing, as far as possible, uniformity of nomenclature in the medical certificates. In order to carry out this measure, a central office was established at Somerset House, London, presided over by an officer named the Registrar-General, appointed under the Great Seal, under whom was a chief clerk, who acted as his secretary and assistant registrar-general, six superintendents, and a staff of clerks, who were appointed by the Lords of the Treasury. From this office emanated instructions to all the local officers charged with the duties of registration under the Act��superintendent registrars, registrars of births and deaths, and registrars of marriages, any of whom might be dismissed by the Registrar-General, on whom devolved the entire control and responsibility of the operations.

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