USA > Massachusetts > Middlesex County > Chelmsford > Deaths 1917-1918 > Part 1
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Part 1 | Part 2 | Part 3 | Part 4 | Part 5 | Part 6 | Part 7 | Part 8 | Part 9 | Part 10 | Part 11 | Part 12 | Part 13 | Part 14 | Part 15 | Part 16 | Part 17 | Part 18 | Part 19 | Part 20 | Part 21 | Part 22 | Part 23 | Part 24 | Part 25 | Part 26 | Part 27 | Part 28 | Part 29 | Part 30 | Part 31 | Part 32 | Part 33 | Part 34 | Part 35 | Part 36 | Part 37 | Part 38 | Part 39 | Part 40 | Part 41 | Part 42 | Part 43 | Part 44 | Part 45 | Part 46 | Part 47 | Part 48 | Part 49 | Part 50 | Part 51
N. B. - Every item of information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
1 PLACE OF DEATH
(No. non Calmo ford.
St. : Ward)
2
2 FULL NAME
[If married or divorced woman or widow give maiden name, also name of husband.] @RESIDENCE
.....
Auth Chelmsford
Registered No. . 1
PERSONAL AND STATISTICAL PARTICULARS
8 SEX
{ COLOR OR RACE
5 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
Married
· DATE OF BIRTH
(Month)
(Day)
1
(Year)
7 AGE
If LESS than
[ day .......... hrs.
........... yrs ....
or ......... min. ?
8 OCCUPATION
(a) Trade, profession, or
particular kind of work
as hroma.
(b) General nature of industry, business, or establishment in which employed (or employer) .....
9 BIRTHPLACE
(State or country)
Sidney Marina.
PARENTS
12 MAIDEN NAME
OF MOTHER
Minibuch Bailey
18 BIRTHPLACE
OF MOTHER
(State or country)
Oakland Wann
" THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
Elhredan Varmes.
(Address)
18 Filed (
1917 Edward 9. Rod Brin
REGISTRAR
17
I HEREBY CERTIFY that I attended deceased from
Dee.23
1916.
to. Van. 2 1917 ............ that I last saw her alive on Jama 199 and that death occurred, on the date stated above, at 5 A.m. The CAUSE OF DEATH* was as follows :
Quando Fremmona
(Duration) ..
.......
.... yrs.
................ mos.
ds.
Contributory
(SECONDARY)
mos.
(Duration) ............ y16)
.. ds.
(Signed)
H. Love Dage
M.D.
Jun. 3, 1917 (Adress Lowell, Mass.
* If death followed injury or violence the certificate of death must be made out by the Medical Examiner.
18 LENGTH OF RESIDENCE (FOR HOSPITALS, INSTITUTIONS, TRANSIENTS, OR RECENT RESIDENTS).
At place
of death
.. yrs.
............ mos. ...........
ds.
State,
... yrs.
In the
.mos.
ds ..
Where was disease contracted, If not at place of death ?...
Former or usual residence. ...... ......
DATE OF BURIAL
19142
:0 UNDERTAKER
ADDRESS 96Promet ..
MARGIN RESERVED FOR BINDING
WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD.
important. See instructions on back of certificate.
10 NAME OF
FATHER
Burnfiona Thomas.
11 BIRTHPLACE
OF FATHER
(State or country)
Thomas.
223
(City or town.) -
fIf death occurred in a hospital or institution, give its NAME instead of street and number.]
Garitta Thomas Elbridge Varney.
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH
(Month)
forma
2
(Day)
1917
(Year)
-
........
19 PLACE OF BURIAL OR REMOVAL
....
83 9 .. mos. 5 0 ds.
STANDARD CERTIFICATE OF DEATH.
Statement of occupation. - Precise statement of occu- pation is very important, so that the relative healthfulness of various pursuits can be known. The question applies to each and every person, irrespective of age. For many occupations a single word or term on the first line will be sufficient, c. g., Farmer or Planter, Physician, Compositor, Architect, Loco- motive enginccr, Civil engincer, Stationary fireman, etc. But in many cases, especially in industrial employments, it is necessary to know (a) the kind of work and also (b) the nature of the business or industry, and therefore an additional line is provided for the latter statement; it should be used only when needed. As examples: (a) Spinner, (b) Cotton mill; (a) Sales- man, (b) Grocery; (a) Foreman, (b) Automobile factory. The material worked on may form part of the second statement. Never return "Laborer," "Foreman," "Manager," "Dealer," etc., without more precise specification, as Day laborer, Farm laborer, Laborer - Coal mine, etc. Women at home, who are engaged in the duties of the household only (not paid House- keepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gain- fully employed, as At school or At home. Care should be taken to report specifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, Housemaid, etc. If the occupation has been changed or given up on account of the DISEASE CAUSING DEATH, state occupation at beginning of illness. If retired from business, that fact may be indicated thus: Farmer (retired, 6 yrs.). For persons who have no occu- pation whatever, write None.
Statement of cause of death. - Name, first, the DIS- EASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted term for the same disease. Examples: Cerebro-spinal fever (the only definite synonym is "Epidemic cerebro-spinal meningitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never re- port "Typhoid pneumonia"); Lobar pneumonia; Broncho- pneumonia ("Pneumonia," unqualified, is indefinite); Tuber-
culosis of lungs, meninges, peritonaeum, etc., Carcinoma, Sar- coma, etc., of ............... .(name origin: "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms) ; Measles; Whooping cough; Chronic valvular heart discase; Chronic interstitial nephritis, etc. The contributory (second- ary or intercurrent) affection need not be stated unless im- portant. Example: Measles (disease causing death), 29 ds .; Broncho-pneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as "Asthenia," "An- aemia" (mere)y symptomatic), "Atrophy," "Collapse," "Coma," "Convulsions," "Debility" ("Congenital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Haemorrhage,", "Inanition," "Marasmus," "Old age," "Shock," "Uraemia," "Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all Aiscases resulting from childbirth or miscarriage, as "PUER- PERAL septicaemia,", "PUERPERAL peritonitis," etc. State cause for which surgical operation was undertaken.
Cases for the Medical Examiners. - Under the provi- sions of chapter 24 of the Revised Laws deaths under the fol- lowing conditions must be referred to the Medical Examiners:
1. Deaths following injury or violence, as Burns, Falls, Drowning, Gas poisoning, Suicide, Homicide, etc.
2. Deaths supposedly caused by violence, as Criminal abortion, Poisoning, Starvation, Suffocation, Ex- posure, etc.
3. Sudden deaths of persons not disabled by recognized disease, as A death upon the street, or onc supposed to be due to Alcoholism, etc.
4. Deaths under circumstances unknown, as A person found dead, etc.
R. 15-8-'15. 100,000.
WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD.
The Commonwealth of Massachusetts STANDARD CERTIFICATE OF DEATH
Wulmstorf Centra (No
..........
St. ;
Ward)
2 FULL NAME
Mary " S marner
[If married or divorced woman or widow
give maiden name, also name of husband.]
@RESIDENCE
Chelmsford Mass
Registered No.
2
PERSONAL AND STATISTICAL PARTICULARS
5 SINGLE,
MARRIED,
WIDOWED,
Single
OR DIVORCED
(Write the word)
$ DATE OF BIRTH
Aux 15 1846
(Day)
1
(Year)
Or ......... min. ?
9 BIRTHPLACE
(State or country)
Chelmsford Mass
10 NAME OF
FATHER
John Turner
11 BIRTHPLACE
OF FATHER
(State or country)
Chelmsford Mads
12 MAIDEN NAME
OF MOTHER
Julia Snow
Billerica
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Lowell Mass
16 Filed. Jan. 6 , 1917 Geleverd Fr Salling
REGISTRAR
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH
Jan 5 1917
17
I HEREBY CERTIFY that I attended deceased from
Die. 16
191
to.
191
7:
that I last saw h &M alive on
Dec 16.
1917
and that death occurred, on the date stated above, at /0G. m.
The CAUSE OF DEATH*,was as follows :
Myocardial Degeneration.
I have not even the patient since
ds.
Dre. 16.1916. The had Christian
................ yrs.
.. mos.
Contributory
Science " Treatment
(SECONDARY)
(Duration)
........ yrs.
.mos.
...................
(Signed)
Jan. 6, 1917 (Adres).
Chulunsford, maks.
* If death followed injury or violence the certificate of death must be made out by the Medical Examiner.
18 LENGTH OF RESIDENCE (FOR HOSPITALS, INSTITUTIONS, TRANSIENTS, OR RECENT RESIDENTS).
At place
of death
yrs.
.mos.
....
In the
ds.
State ...
... yrs.
.mos.
ds ............
Where was disease contracted, If not at place of death ?.
Former or
usual residence
19 PLACE OF BURIAL OR REMOVAL
Fox Hill Cemetry
Billerica
DATE OF BURIAL
Jan 9, 1917
20 UNDERTAKER
Youngwy Blake
ADDRESS
33 Prescott
MARGIN RESERVED FOR BINDING
1 PLACE OF DEATH
3 SEX
Female
4 COLOR OR RACE
White
(Month)
7 AGE
8 OCCUPATION
At Home
(a) Trade, profession, or
particular kind of work
(b) General nature of industry,
business, or establishment In
which employed (or employer) ..
PARENTS
13 BIRTHPLACE
OF MOTHER
(State or country)
(Informant) BOSCO Mupr ..
important. See instructions on back of certificate.
(Address)
N. B. - Every item of information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state
CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very
10
...... yrs ...
................. mos.
If LESS than
1 day ......... hrs.
ds.
22 21
Chelmsford (City or town.) [If death occurred in a hospital or institution, give its NAME instead . of street and number.]
(Month)
(Day)
191
(Year)
...
M.D.
STANDARD CERTIFICATE OF DEATH.
Statement of occupation. - Precise statement of occu- pation is very important, so that the relative healthfulness of various pursuits can be known. The question applies to each and every person, irrespective of age. For many occupations a single word or term on the first line will be sufficient, e. g., Farmer or Planter, Physician, Compositor, Architect, Loco- motive engineer, Civil engineer, Stationary fireman, etc. But in many cases, especially in industrial employments, it is necessary to know (a) the kind of work and also (b) the nature of the business or industry, and therefore an additional line is provided for the latter statement; it should be used only when needed. As examples: (a) Spinner, (b) Cotton mill; (a) Sales- man, (b) Grocery; (a) Foreman, (b) Automobile factory. The material worked on may form part of the second statement. Never return "Laborer," "Foreman," "Manager," "Dealer," etc., without more precise specification, as Day laborer, Farm laborer, Laborer - Coal mine, etc. Women at home, who are engaged in the duties of the household only (not paid House- keepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gain- fully employed, as At school or At home. Care should be taken to report specifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, Housemaid, etc. If the occupation has been changed or given up on account of the DISEASE CAUSING DEATH, state occupation at beginning of illness. If retired from business, that fact may be indicated thus: Farmer (retired, 6 yrs.). For persons who have no occu- pation whatever, write None.
Statement of cause of death. - Name, first, the DIS- EASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted term for the same disease. Examples: Cerebro-spinal fever (the only definite synonym is "Epidemic cerebro-spinal meningitis") ; Diphtheria (avoid use of "Croup"); Typhoid fever (never re- port "Typhoid pneumonia"); Lobar pneumonia; Broncho- pneumonia ("Pneumonia," unqualified, is indefinite) ; Tuber-
culosis of lungs, meninges, peritonacum, etc., Carcinoma, Sar- roma, etc., of ..... .................... (name origin: "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms); Measles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, etc. The contributory (second- ary or intercurrent) affection need not be stated unless im- portant. Example: Measles (disease causing death), 29 ds .; Broncho-pneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as "Asthenia," "An- aemia" (merely symptomatic), "Atrophy," "Collapse," "Coma," "Convulsions," "Debility" ("Congenital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Haemorrhage,", "Inanition,". "Marasmus," "Old age," "Shock," "Uraemia," "Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as "PUER- PERAL septicaemia,", "PUERPERAL peritonitis," etc. State cause for which surgical operation was undertaken.
Cases for the Medical Examiners. - Under the provi- sions of chapter 24 of the Revised Laws deaths under the fol- lowing conditions must be referred to the Medical Examiners:
1. Deaths following injury or violence, as Burns, Falls, Drowning, Gas poisoning, Suicide, Homicide, etc.
2. Deaths supposedly caused by violence, as Criminal abortion, Poisoning, Starvation, Suffocation, Ex- posure, etc.
3. Sudden deaths of persons not disabled by recognized disease, as A death upon the street, or onc supposed to be due to Alcoholism, etc.
4. Deaths under circumstances unknown, as A person found dead, etc.
R. 15-8-'15. 100,000.
N. B. - Every item of information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very
important. See Instructions on back of certificate.
The Commmuralth of Massachusetts
STANDARD CERTIFICATE OF DEATH
I PLACE OF DEATH
Chelmsford.
....
(No.
First
St. :
Ward)
(City or town.) {If death occurred in a hospital or institution, give its NAME Instead of street and number.]
Registered No.
3
PERSONAL AND STATISTICAL PARTICULARS
8 SEX m
· COLOR OR RACE
JINGLE,
MARRIED
WIDOWED
· DATE OF BIRTH June
22 1849
(Month)
(Day)
(Year)
7 AGE 67
yrs.
6 . 15
ds.
Or ......... min. ?
$ OCCUPATION
(a) Trade, profession. or
particular kind of work
Machinist
(b) General nature of Industry, business, or establishment In which employed (or employer) ...
9 BIRTHPLACE
(State or country)
" Kent les. England.
PARENTS
12 MAIDEN NAME
OF MOTHER
Mary Kemp
13 BIRTHPLACE
OF MOTHER
(State or country)
England
"THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant).
Mus lem. Hele (wife)
(Address)
16
Filed Jan. 2, 1917 Edward J. Bobbing ................... REGISTRAR
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH
January
6 th
1917
...
(Month)
(Day)
.
(Year)
17
I HEREBY CERTIFY that I attended deceased from
Jan. 2nd, 1917, to
Jan leth
1917
.......
that I last saw h.k.x21 alive on
(Jan, 6th, 1917.
and that death occurred, on the date stated above, at /P.m.
The CAUSE OF DEATH* was as follows :
Broncho - Pneumonia
.... (Duration) .
............. yrs.
.. mos. ....
7 de.
.....
Contributory.
(SECONDARY)
(Duration)
.........
yrs.
„mos.
de.
(Signed)
CImara toward
M.D.
Jan. 8, 1917 (Adres).
Chelmsford.
0 * If death followed injury or violence the certificate of death must be made out by the Medical Examiner.
18 LENGTH OF RESIDENCE (FOR HOSPITALS, INSTITUTIONS, TRANSIENTS, OR RECENT RESIDENTS).
At place
of death.
.. yrs.
.mos.
In the
ds.
State ...
mos.
......
Where was disease contracted, If not at place of death ?.
Former or usual residence. ................................... ................
....
19 PLACE OF BURIAL OR REMOVAL
fattur cy- mass.
ATE OF BURIAL
Jan. 9
191
ADDRESS
20 UNDERTAKER
Wallen Perham
MARGIN RESERVED FOR BINDING
WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD.
.
Charles Morris Hills
? FULL NAME {If married or divorced woman or widow give maiden name, also name of husband.] @RESIDENCE
225
10 NAME OF~
FATHER
James Hello
11 BIRTHPLACE
OF FATHER
(State or country)
England.
if LESS than
1 day ........ hrs.
STANDARD CERTIFICATE OF DEATH.
Statement of occupation. - Precise statement of occu- pation is very important, so that the relative healthfulness of various pursuits can be known. The question applies to each and every person, irrespective of age. For many occupations a single word or term on the first line will be sufficient, e. g., Farmer or Planter, Physician, Compositor, Architect, Loco- motive engineer, Civil engineer, Stationary fireman, etc. But in many cases, especially in industrial employments, it is necessary to know (a) the kind of work and also (b) the nature of the business or industry, and therefore an additional line is provided for the latter statement; it should be used only when needed. As examples: (a) Spinner, (b) Cotton mill; (a) Sales- man, (b) Grocery; (a) Forcman, (b) Automobile factory. The material worked on may form part of the second statement. Never return "Laborcr," "Foreman," "Manager," "Dealer," etc., without more precise specification, as Day laborer, Farm laborer, Laborcr - Coal mine, etc. Women at home, who are engaged in the dutics of the household only (not paid House- kecpers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gain- fully employed, as At school or At home. Care should be taken to report specifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, Housemaid, etc. If the occupation has been changed or given up on account of the DISEASE CAUSING DEATH, state occupation at beginning of illness. If retired from business, that fact may be indicated thus: Farmcr (retired, 6 yrs.). For persons who have no occu- pation whatever, write Nonc.
Statement of cause of death. - Name, first, the DIS- EASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted term for the same diseasc. Examples: Cerebro-spinal fevcr (the only definite synonym is "Epidemic cerebro-spinal meningitis"); Diphtheria (avoid usc of "Croup"); Typhoid fever (never re- port "Typhoid pneumonia"); Lobar pneumonia; Broncho- pneumonia ("Pneumonia," unqualified, is indefinite); Tuber-
culosis of lungs, meninges, peritonacum, etc., Carcinoma, Sar- coma, etc., of. ...... .(name origin: "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms); Measles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, etc. The contributory (second- ary or intercurrent) affection need not be stated unless im- portant. Example: Measles (disease causing death), 29 ds .; Broncho-pneumonia (secondary), 10 ds. Never report mcre symptoms or terminal conditions, such as "Asthenia," "An- aemia" (mercly symptomatic), "Atrophy," "Collapse," "Coma," "Convulsions," "Debility" ("Congenital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure,". "Haemorrhage," "Inanition," "Marasmus," "Old age," "Shock," "Uraemia," "Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as "PUER- PERAL septicaemia," "PUERPERAL peritonitis," etc. State cause for which surgical opcration was undertaken.
Cases for the Medical Examiners. - Under the provi- sions of chapter 24 of the Revised Laws deaths under the fol- lowing conditions must be referred to the Medical Examiners:
1. Deaths following injury or violence, as Burns, Falls, Drowning, Gas poisoning, Suicide, Homicide, etc.
2. Deaths supposedly caused by violence, as Criminal abortion, Poisoning, Starvation, Suffocation, Ex- posure, etc.
3. Sudden deaths of persons not disabled by recognized disease, as A death upon the street, or onc supposed to be due to Alcoholism, etc.
4. Deaths under circumstances unknown, as A person found dcad, ctc.
N. B. - Every item of information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very
¿ The Commonwealth of Massachusetts
STANDARD' CERTIFICATE OF DEATH
( PLACE OF DEATH Nowel mass (No St. John's Hospital
-226
Lowell ......
(City or town.) [If death occurred in a hospital or institution, give its NAME instead of street and number.]
2 FULL NAME
Eleanor Derney - Edward
no. Chelmsford mass
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
4 COLOR OR RACE
termale White
& DATE OF BIRTH
(Month)
(Day)
(Year)
AGE
20
... yrs.
mos.
.ds.
or ........ min. ?
· OCCUPATION
(a) Trade, profession, or
particuler kind of work ...
at Home
(b) General nature of Industry, business, or establishment in which employed (or employer).
9 BIRTHPLACE
(State or country)
Lowell mass
PARENTS
11 BIRTHPLACE
OF FATHER
(State or country)
Ireland
12 MAIDEN NAME
OF MOTHER
margaret Bowen
18 BIRTHPLACE
OF MOTHER
(State or country)
frel and
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
William Horney
(Address)
16 Filed art. 1 -1 191.
Gerne REGISTRAIL
16 DATE OF DEATH
January
3
(Month)
(Day)
191 (Year)
17 I HEREBY CERTIFY that I attended deceased from November 23 1916, to January 1 1917 that I last saw hocalive on ... 11 1917 and that death occurred, on the date stated above, at 110 e.m.
The CAUSE OF DEATH* was as follows :
Tuberculosis of Caecum
(Ditation) \
..... yrs. .....
....... mos. ...
ds.
Contributor Surgical Operation
....
(SLCONDARY) U
(Puration ) .
............. yrs.
mos. ds.
M.D.
Jan.11
197 (address St. John's Hospital
{ If death followed injury or violence the certificate of death must bo made gut by the Medical Examiner.
18 LENGTH OF RESIDENCE (FOR HOSPITALS, INSTITUTIONS, TRANSIENTS, OR RECENT RESIDENTS).
In the
At place
of death
yrs.
mos.
ds.
State ............ yrs.
............ mos.
......... ds ............. Where was disease contracted, If not at place of death ?.
Former or usual residence
19 PLACE OF BURIAL OR REMOVAL
DATE OF BURIAL
7 191.
Riverside st Lowell St. PatrickOmeter Jan. 10.
20 UNDERTAKER J. a. molloy kg.
Lowell
MARGIN RESERVED FOR BINDING
WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD.
important. See instructions on back of certificate.
Eleanor mardin ....... [If married or divorced woman or widow give maiden name, also name of husband.] @RESIDENCE
Stop Ward)
Registered No.
534
1 5 SINGLE,
MARRIED
WIDOWED,
OR DIVORCED
(Write the word Married
1
If LESS than
! day ......... hrs.
10 NAME OF
FATHER
William herr
John G.
STANDARD CERTIFICATE OF DEATH.
Statement of occupation. - Precise statement of oeeu- pation is very important, so that the relative healthfulness of various pursuits ean be known. The question applies to caelı and every person, irrespective of age. For many oceupations a single word or term on the first line will be sufficient, e. g., Farmer or Planter, Physician, Compositor, Architect, Loco- motive engineer, Civil engineer, Stationary fireman, ete. But in many eases, especially in industrial employments, it is necessary to know (a) the kind of work and also (b) the nature of the business or industry, and therefore an additional line is provided for the latter statement; it should be used only when needed. As examples: (a) Spinner, (b) Cotton mill; (a) Sales- man, (b) Grocery; (a) Foreman, (b) Automobile factory. The material worked on may form part of the second statemeut. Never return "Laborer," "Foreman," "Manager," "Dealer," ete., without more precise speeifieation, as Day laborer, Farm laborer, Laborer - Coal mine, ete. Women at home, who are engaged in the duties of the household only (not paid House- keepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gain- fully employed, as At school or At home. Care should be taken to report specifically the oeeupations of persons engaged in domestie service for wages, as Servant, Cook, Housemaid, etc. If the oceupation has been changed or given up on account of the DISEASE CAUSING DEATH, state oeeupation at beginning of illuess. If retired from business, that faet may be indicated thus: Farmer (retired, 6 yrs.). For persons who have no oeeu- pation whatever, write None.
Statement of cause of death. - Name, first, the DIS- EASE CAUSING DEATH (the primary affection with respect to time and eausation), using always the same accepted term for the same disease. Examples: Cerebro-spinal fever (the ouly definite synonym is "Epidemie cerebro-spinal meningitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never re- port "Typhoid pneumonia"); Lobar pneumonia; Broncho- pneumonia ("Pneumonia," unqualified, is indefinite) ; Tuber-
culosis of lungs, meninges, peritonaeum, ete., Carcinoma, Sar- coma, ete., of. .(name origin: "Caneer" is less definite; avoid use of "Tumor" for malignant neoplasms); Measles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, ete. The contributory (seeond- ary or intereurrent) affection need not be stated unless iin- portant. Example: Measles (disease eausing death), 29 ds .; Broncho-pneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as "Asthenia," "An- aemia" (merely symptomatie), "Atrophy," "Collapse," "Coma," "Convulsions," "Debility" ("Congenital," "Senile," ete.), "Dropsy," "Exhaustion," "Heart failure," "Haemorrhage," "Inanition," "Marasmus," "Old age,". "Shoek," "Uraemia," "Weakness," ete., when a definite disease ean be aseertained as the eause. Always qualify all diseases resulting from childbirth or misearriage, as "PUER- PERAL septicaemia," "PUERPERAL peritonitis," ete. State eause for which surgical operation was undertaken.
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