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Despite his travels and widespread work, Washington remained as principal of Tuskegee. Washington's health was deteriorating rapidly; he collapsed in New York City and was brought home to Tuskegee, where he died on November 14, 1915 at the age of 59. The cause of death was unclear, probably from nervous exhaustion and arteriosclerosis.[32] He was buried on the campus of Tuskegee University near the University Chapel.

His death was thought at the time to have been a result of congestive heart failure, aggravated by overwork. In March 2006, with the permission of his descendants, examination of medical records indicated that he died of hypertension, with a blood pressure more than twice normal, confirming what had long been suspected.

At his death Tuskegee's endowment exceeded US$1.5 million. His greatest life's work, the work of education of blacks in the South, was well underway and expanding.

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