Anatomy of a St. Paul Death Register

The old mortuary registers have a surprising amount of information in them. Even 150 years ago, data helped health officials know when to sound the alarm about outbreaks of illnesses. This was especially important because of how lethal or permanently harmful these illnesses could be.
Mortuary registers for St. Paul listed the name of the commissioner of health at the top of each page. In 1881, the commissioner of health was Dr. Charles Augustus Wheaton, Jr..
The work Dr. Wheaton (who died in 1916) oversaw as health commissioner occurred decades before the vaccines people argue most about now even existed; and before government programs like WIC or SNAP supported families struggling to afford food. If you were sick or starving, luck had a lot to do with whether you died, survived, or survived with long-term health challenges.
These old mortuary registers consolidated the information about deaths in a town/city/county. St. Paul's mortuary register collected:
- Name
- Sex
- Age (in days, months, years)
- State or county of birth (this is very loosely interpreted, and often just says "U.S." or their country of birth if not in the U.S.)
- Color
- Date (of death)
- Cause of death
- Place of death
- Occupation
- Nationality of parents
- Social relation (married/single/widowed)
- By whom certified (name of doctor, midwife, etc.)
Example Deaths

The image above contains four rows of deaths from the summer of 1881[1]. They are transcribed below, along with potential questions that could be answered with other records.
Mary was a 28 year old white woman who died on June 30, 1881, of peritonitis[2] on E. 7th St. She was born in the United States to German parents and is married. Her death was certified by William Richeson. The age and manner in which Mary died is one I would look into further if I wanted to understand why she had peritonitis.[3]
Walter was a 10 month old white boy who died on June 17, 1881, of acute meningitis[4] on Lafayette. He was born in the United States. His death was certified by C.E. Smith.
Selma was a 4 year, 10 month year old white girl who died of tubercular meningitis[5] on June 19, 1881, on 3rd and Arcade. She was born in Norway to Norwegian parents. Her death was certified by C.E. Smith.
Anna was a 17 year old white girl who died of pulmonary tuberculosis on June 30, 1881, on Marshall Ave. She was born in the United States to German parents and was single. Her death was certified by J. Davenport.
The youth of these four individuals is not abnormal; on the death register page we're referring to, of the 42 individuals listed, only six are over 40 years old.
This record is available as part of "Death Records, 1866-1916; indexes, 1866-1930", specifically the Register of deaths, v. C 1878-1884, DGS Number 4011196. It can be viewed at a FamilySearch affiliate library like the Minnesota Historical Society and some county library systems. ↩︎
Peritonitis is inflammation in a layer of tissue in the abdomen usually caused by infection and can lead to sepsis (a dangerous infection spread throughout the body) if untreated. ↩︎
*Peritonitis at the age of 28 makes me suspect a childbirth-related death. A quick look at old records shows Mary living with her husband C.B. in the 1880 U.S. census, and an abstract of the Minnesota birth records shows a child born on June 25, 1881 with the last name Hess and C.B. listed as the father. If I was to write about them, I would go to MNHS and view the original record to be sure, but this serves the purpose of showing how the detailed information of the death record helps you ask and answer questions using other records. ↩︎
Acute meningitis is inflammation of the fluid and membranes that are around the brain and spinal cord. In a variety of conditions in the old death registers, we don't necessarily know what the direct cause was of a condition. Measles can cause meningitis, so can mumps. The number of infectious diseases people were exposed to can can muddy the waters with some causes of death. ↩︎
Specifying tubercular meningitis would mean that the child had a known tuberculosis infection, so we can be more confident that the meningitis had a clear cause. Tuberculosis can affect many different parts of the body, though we are most exposed to images in movies of someone coughing up bright red blood into a hankerchief as a sign that they have gotten "consumption" (aka tuberculosis). ↩︎