" ...death certificates were filled out with no effort at determining cause. Among the entries were 'could be suicide or murder,' and 'either assault of diabetes.' In one instance, a coroner had attributed a death to 'diabetes, tuberculosis, or nervous indigestion.' A few death certificates simply read 'act of God. "

― Deborah Blum , The Poisoner's Handbook: Murder and the Birth of Forensic Medicine in Jazz Age New York