This article is primarily intended to summarize, from the point of vie
w of medical historians, the multiple problems surrounding interpretat
ions of historical demographic and epidemiological data and to point o
ut the contextual nature of such information. Given the interest in th
e charting of long-term trends in causes of death taken from historica
l frameworks of disease interpretation and causality, there is an urge
nt need to contextualize carefully the available records and place the
m within religious, cultural, political, economic, and medical schemes
. Stripped of such contexts, the understanding of causes of death beco
mes almost meaningless, and statistical analyses distorted. This artic
le therefore identifies issues which historical demographers need to c
onsider when studying causes of death.