This paper examines causes of neonatal death in two contrasting Scottish communities in the second half of the nineteenth century. Individual death certificates allow comparison of the causes as recorded by different doctors and by lay informants. The paper finds that doctors almost always offer a medical-sounding cause of death, but that causes offered by individual doctors varied according to the nature of their practice, developments in medical terminology, and individual preference. Lay people were much more likely to offer no cause at all, or to suggest a non-medical term. Large percentages of deaths in the not-known category can therefore indicate poor medical provision, and are more likely to be found in remote rural areas and may be accompanied by an under-registration of very early neonatal infant deaths and their corresponding births, and by 'disguise' of certain causes of death. The paper examines the unusual age pattern of neonatal deaths on Skye and concludes that, although there is no mention of neonatal tetanus in the death registers, there is a substantial probability that the disease was present on the island. Comparisons of cause-of-death statistics between places and over time should therefore be made with extreme caution.
This article examines the problem of care provision for elderly people in Java, a contemporary developing society characterised by lack of formal welfare services, nuclear family organisation and high levels of childlessness. A similar socio-demographic, cultural and economic regime existed in historical Northwest Europe, where it has been seen as having contributed to the early emergence of community based old-age care and low involvement of wider kin networks. Here the role of kin in providing old-age care in a nuclear family system is re-examined by drawing on longitudinal data of elderly people's life histories and support networks in a village in East Java. The central argument is that the identification of elders most vulnerable to a lack of care and support in old age requires understanding the nature and functioning of kin networks over time. The paper discusses three key aspects of networks-network membership, exchanges within networks and network dynamics-and arrives at a characterisation of different kin networks on the basis of size, composition, location and social status. By focusing on the effects of a specific crisis, namely the loss of a wife, on care outcomes in old age, it is possible to determine what kinds of kin networks are best able to adjust to a sudden change in older people's circumstances and protect them from declines in welfare. This reveals the importance, especially for childless elderly people, of extended, heterogeneous and well-connected kin networks.
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