USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1910-1912 > Part 1
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அதற்க்கா
ஆர்பிரித்
٢٧
பாட வி ழ்த்விழி - மதுரை
ـيب
J. L. FAIRBANKS & CO. Stationers
COMMONWEALTH OF M
RETURN OF A
FULL NAME
Place of
Death *
14 Coral ana
Residence
manchot
STATISTICAL DETAILS
SEX
Male
COLOR
2hete
SINGLE, MARRIED, WIDOWED, OR DIVORCED
MAIDEN NAME +
HUSBAND'S NAME t
BIRTHPLACE # Parklar.5 Una
NAME OF FATHER
Robert Sece
BIRTHPLACE OF FATHER $
MAIDEN NAME OF MOTHER Elizabet Hyma
BIRTHPLACE OF MOTHER $
OCCUPATION
INFORMANT § wife
PLACE OF BURIAL OR REMOVAL II
DATE OF BURIAL
1980
UNDERTAKER ara Berenan-
ADDRESS Na
1910-11-12 id ....
ays
=
.190. I HEREBY CERTIFY that I attended deceased during last illness, from .............. 190. ..... to .... that to the best of my knowledge and belief death occurred on the date stated above, and that the CAUSE OF DEATH was as follows : Primary : Carthereis of Liver
Sincertain . (DURATION). .... DAYS
Contributory :
Quito nephritis
(DURATION) . ... .. DAYS
(Signed) Ahl Porter M.D.
190.Q .. (Address) ..
Mainetrop
SPECIAL INFORMATION only for Hospitals, Institutions, Transients, or Recent Residents.
How long at Place of Death ? years.
months. ..................... days
Where was disease contracted, If not at place of death ?
Filed
190
Clerk
* City or town, street and number, If any. If death occurs away from USUAL RESI- DENCE, give facts called for under "Special Information." If in a Hospital or Institution, give Its NAME Instead of street and number.
t In case of married or divorced woman, or widow. # State or country; also clty, town or county, If known.
§ Name and address of person giving statistical details. Il Name of cemetery.
FILL OUT WITH INK. - THIS IS A PERMANENT RECORD ALL NAMES TO BE IN FULL
....
1 Peter Bill Jan1- 1910.
COMMONWEALTH OF MASSACHUSETTS
RETURN OF A DEATH
FULL NAME
2 12202
Registered No. 100
Place of Death *
163 Blequant It Hicimos
Date of Death
Jan 9- 1910
Age
87 years.
10
.months 20 days
STATISTICAL DETAILS
SEX
COLOR
Female WE
SINGLE, MARRIED, WIDOWED, OR DIVORCED
MAIDEN NAME t Lydia i. Balduin.
HUSBAND'S NAME t Harvie toumminge
BIRTHPLACE #
Sent RY.
NAME OF FATHER James Baldwin
BIRTHPLACE
OF FATHER#
MAIDEN NAME
OF MOTHER
BIRTHPLACE OF MOTHER # Sent. n.Y.
OCCUPATION
INFORMANT §
PHYSICIAN'S CERTIFICATE
I HEREBY CERTIFY that I attended deceased during last illness, from Jan 1960 ... to .... 190 ...... , that to the best of my knowledge and belief death occurred on the date stated above, and that the CAUSE OF DEATH was as follows :
Primary :
Bronchitis
Chronie
(DURATION)
DAY8
Contributory :
Age - Heach
(DURATION).
. DAYS
(Signed)
M. D.
Jan. 10, 1980 (Address).
WurThof Man
SPECIAL INFORMATION only for Hospitals, Institutions, Transients, or Recent Residents.
Former or Usual Residence
How long at
Place of Death ?
Days
Where was disease contracted, If not at place of death ?
Filed
190 .....
Clerk
* City or town, street and number, If any. If death occurs away from USUAL RESI- DENCE, give facts called for under "Special information." If in a Hospital or Institution, give Its NAME Instead of street and number. t In case of married or divorced woman, or widow. # State or country ; also city, town or county, if known.
§ Name and address of person giving statistical detalls. Il Name of cemetery.
FILL OUT WITH INK. - THIS IS A PERMANENT RECORD ALL NAMES TO BE IN FULL
PŁACE OF BURIAL OR REMOVAL !!
DATE OF BURIAL
1- 2
....... 190.0
UNDERTAKER H. B. S.249 14
ADDRESS
LHtem nosti
2 Lydia 4- b umamigo Jan 9 - 1910
COMMONWEALTH OF MASSACHUSETTS
RETURN OF A DEATH Lavinia am Bernstein
Wimhof
(CITY OR TOWN.)
FULL NAME
Place of l
Death * S
17 cliff ave
Residence
Age
550
. years.
4
.. months.
22
.days
STATISTICAL DETAILS
SEX
Ferner
COLOR
white
SINGLE, MARRIED, WIDOWED, OR DIVORCED
manuel
MAIDEN NAME t
Hawes
HUSBAND'S NAME +
Geo. S. Bernstein
BIRTHPLACE #
NAME OF
FATHER
Soloman Hames
BIRTHPLACE
OF FATHER$
new york Cay
MAIDEN NAME
OF MOTHER
Elizabete Pariser
BIRTHPLACE
OF MOTHER #
new Yorkaya
OCCUPATION
INFORMANT § Sw. S. Bernstein
PHYSICIAN'S CERTIFICATE
I HEREBY CERTIFY that I attended deceased during last illness, from Due,28 1909 to Many 14.1960 that to the best of my knowledge and belief death occurred on the date stated above, and that the CAUSE OF DEATH was as follows : Primary : Berchal Hemorrhage
Contributory :
General tratty Dequeation
(Signed)
Thousandthegott
(DURATION) DAYS
M.D.
Lang, 151980 (Address)
.........
witteof has,
SPECIAL INFORMATION only for Hospitals, Institutions, Transients, or Recent Residents. How long at Place of Death ? . years.
months.
.. days
Where was disease contracted, If not at place of death ?
Filed
190
Clerk
PLACE OF BURIAL OR REMOVAL II
DATE OF BURIAL
1/16
196.0
UNDERTAKER
ADDRESS
* City or town, street and number, If any. If death occurs away from USUAL RESI- DENCE, give facts called for under "Special Information." If In a Hospital or Institution, give Its NAME Instead of street and number.
t In case of married or divorced woman, or widow. # State or country ) also city, town or county, If known.
§ Name and address of person giving statistical details. If Name of cemetery.
ALL NAMES TO BE IN FULL
Registered No.
Date of l
Death 1
196 0
...... (DURATION). .... .DAYS
3
Lamina Que Becustein Jan. 14 - 1910
ALL NAMES TO BE IN FULL
COMMONWEALTH OF MASSACHUSETTS
RETURN OF A DEATH
(CITY OR TOWN.)
Marita. E. Roach Rochel
FULL NAME
Death * S
Residence
Age
76
.years
.months.
2. 2
.days
STATISTICAL DETAILS
SEX
COLOR
SINGLE, MARRIED, WIDOWED, OR DIVORCED
MAIDEN NAME + anderson
HUSBAND'S NAME
John andrew Jackson Rouch
BIRTHPLACE#
NAME OF FATHER
BIRTHPLACE
OF FATHER#
Denmark
MAIDEN NAME
OF MOTHER
abagiel. Pinkham
BIRTHPLACE
OF MOTHER#
OCCUPATION
INFORMANT §
Cha.S. Roach
PHYSICIAN'S CERTIFICATE
I HEREBY CERTIFY that I attended deceased during last illness, from tony 11 1960 to Jony 14 1960, that to the best of my knowledge and belief death occurred on the date stated above, and that the CAUSE OF DEATH was as follows : Primary : addisona Disease
7
GERATIONS.
DAYS
Contributory :
. (DURATION) -DAYO
(Signed).
M.D.
Jany 15 1960
.. (Address).
Muchos more
SPECIAL INFORMATION only for Hospitals, Institutions, Transients, or Recent Residents. How long at .months. ..................... .days Place of Death ? years. ....... .......
Where was disease contracted,
If not at place of death ?.
.....
Filed
.190
Clerk
PLACE OF BURIAL OR REMOVAL II
DATE OF BURIAL
1/16
1960
UNDERTAKER
ADDRESS
* City or town, street and number, If any. If death occurs away from USUAL RESI- DENCE, give facts called for under " Special Information." If In a Hospital or Institution, give its NAME Instead of street and number.
t In case of married or divorced woman, or widow. # Stato or country] also city, town or county, If known.
§ Name and address of person giving statistical detalls. Il Name of cemetery.
Registered No .. arad,
Place of 1
30 Fiam New Street
Date of ¿
Death
Tau
1490
1900
6
Charles a. Rideaux Jan 18, 1910
COMMONWEALTH OF MASSACHUSETTS
RETURN OF A DEATH
Winthro Mass (CITY OR TOWN.)
FULL NAME
Wilfred
Partite Pestell
:. Registered No.
Place of
. Death *
$72 Crystal Cove are Writtena day Death'S
Date of : Jan 18
1900
Residence
72 Crystal Cove Ive Winthrop Mas Age
63
.. years.
10
.months. - .days
STATISTICAL DETAILS
SEX
COLOR
an
SINGLE, MARRIED, WIDOWED, OR DIVORCED
Marrue
MAIDEN NAME Ť
HUSBAND'S NAME +
BIRTHPLACE#
England
NAME OF
FATHER
Destill
BIRTHPLACE
OF FATHER#
England
MAIDEN NAME
OF MOTHER
-
Scolner ac. 18 1900 (Address) Minetrafo
BIRTHPLACE
OF MOTHER#
OCCUPATION England
none
INFORMANT §
H a. Pertill Somerville Mass
PLACE OF BURIAL OR REMOVAL II
7 Woodlawn
futuro Mass
DATE OF BURIAL
Jau' 21
1990
UNDERTAKER Francism Wilson
ADDRESS Somerville Mass
H
PHYSICIAN'S CERTIFICATE
' I HEREBY CERTIFY that I attended deceased during last illness, from Jaw. 15 1900 to Pau 18 1980; that to the best of my knowledge and belief death occurred on the date stated above, and that the CAUSE OF DEATH was as follows : Primary : Barebone Hemorrhage Kage.
(DURATION).
DAY8
Contributor:Metroe Regurg
(DURATION) DAY8
(Signed)
Brf Porte
M.D.
SPECIAL INFORMATION only for Hospitals, Institutions, Transients,
or Recent Residents.
How long at
Place of Death ?
months.
days
years
Where was disease contracted,
If not at place of death ?
Filed
190 .....
Clerk
* City or town, street and number, If any. If death occurs away from USUAL RESI- DENCE, give facts called for under "Speclal Information." If In a Hospital or Institution, give Its NAME Instead of street and number.
t In case of married or divorced woman, or widow.
* State or country; also city, town or county, If known.
§ Name and address of person giving statistical details. Il Name of cemetery.
ALL NAMES TO BE IN FULL
6 alfred Pertell Jan 1 8, 1910.
T
COMMONWEALTH OF MASSACHUSETTS
RETURN OF A DEATH
FULL NAME
Registered No.
Place of Death *
Cor. atlantic av and finition St
Date of Death
Jan. 27. 1910
Age
86
.. years
.. months
.days
STATISTICAL DETAILS
SEX
COLOR
SINGLE, MARRIED, WIDOWED, OR DIVORCED
MAIDEN NAME Ť
HUSBAND'S NAME +
BIRTHPLACE #
Winthrop Mass.
NAME OF FATHER Washington Tewksbury
BIRTHPLACE
OF FATHER #
Funchal maso
MAIDEN NAME
OF MOTHER
faunak Floyd.
BIRTHPLACE OF MOTHER # Winthrop Maso.
OCCUPATION Retired
INFORMANT §
PLACE OF BURIAL OR REMOVAL II
DATE/ÓF BURIAL
ADDRESS
UNDERTAKER H.C. Skaggs
2 Human Sf
PHYSICIAN'S CERTIFICATE
I HEREBY CERTIFY that I attended deceased during last illness, from Sipt
1902 ... to pam 27 that to the best of my knowledge and beMef death occurred on the date stated above, and that the CAUSE OF DEATH was as follows : Primary : Cancer 1 Imach
1
(DURATION)
1 years
Contributory :
(DURATION) ... DAYS
(Signed)
M.D.
Am 25 196 (Address).
SPECIAL INFORMATION only for Hospitals, Institutions, Transients, or Recent Residents.
Former or Usual Residence
How long at Place of Death ? Days
Where was disease contracted, if not at place of death ?
Filed
190
Clerk
* City or town, street and number, if any. If death occurs away from USUAL RESI- DENCE, give facts called for under "Special Information." If in a Hospital or Institution, give Its NAME Instead of street and number.
t In case of married or divorced woman, or widow.
# State or country ; also city, town or county, If known.
§ Name and address of person giving statistical details. il Name of cemetery.
ALL NAMES TO BE IN FULL
7 Lorenzo 6 . Tewksbury Jan. 27, 1910
COMMONWEALTH OF MASSACHUSETTS.
RETURN OF A DEATH-1910.
CITY OF BOSTON.
FULL NAME
Louisa M P Gay
Registered No.
974
Place of Death }
Boston
Now Eng. Baptist Hospt.
and Residence S
Date of Death
Jan. 29
1910.
Age
69
. years
.......
.. months.
2
days.
STATISTICAL DETAILS.
SEX
COLOR
F
SINGLE, MARRIED, WID., DIV. W
Maiden Name
Parker
George F Gay
R
-....
: Primary (Duration)
OFICE
BOSTONIA CONDITA AD.
Name of
Nathaniel Parkers
1830.
Father ..
Birthplace
Groton Mass,
of Father
Maiden Name
of Mother
Mary B Parker
Birthplace
Hollis, Mass.
of Mother
Occupation
NTone
Informant
Place of Burial
Cambridge "Mt Auburnit
or removal.
Undertaker A L Eastman Co.
PHYSICIAN'S CERTIFICATE.
I HEREBY CERTIFY that I attended deceased during last illness,
.1910,
from 1910, to that to the best of my knowledge and belief death occurred on the date stated above, and that the CAUSE OF DEATH was as follows:
ST
RAR'S
PATRIBUS SITO
Angina Pectoris - 10 min
Husband's Name
CITY:
Birthplace
Boston
STVTTATISR
ISREGIMEIN
ON
MA S.S.
Contributory : 2
Sclerosis of coronary artery
(Duration)
2 yrs
(Signed)
J H Pratt
M.D.
Jan.31
1910.
SPECIAL INFORMATION from Hospitals, Institutions, Transier.ts, or Recent Residents.
Usual Residence
Winthrop
Filed
....
Feb. 2
1910.
A true copy.
Attest :
Ermelene
Registrar.
TH
NATA A.1822
COMMONWEALTH OF MASSACHUSETTS
RETURN OF A DEATH
(CITY OR TOWNY
FULL NAME
Balu Stravan
Place of l
melial Hospital
Death *
S
Residence 425- Strithrop St.
Age
.years.
Z .... months.
days
STATISTICAL DETAILS
SE male
COLOR white
SINGLE, MARRIED, WIDOWED, OR DIVORCED
MAIDEN NAME +
HUSBAND'S NAME +
BIRTHPLACE #
NAME OF FATHER Herbert Moltion Shorey
BIRTHPLACE OF FATHER$ allstore Mass.
MAIDEN NAME OF MOTHER
marion alice Bom
BIRTHPLACE OF MOTHER $ Somerville. Mass.
OCCUPATION
INFORMANT §
Herbert hollow Shorey
PLACE OF BURIAL OR REMOVAL II Winthrop Cemetery.
DATE OFNURIAL teb 3 198Cl.
UNDERTAKER
ADDRESS
PHYSICIAN'S CERTIFICATE
I HEREBY CERTIFY that I attendedh deceased during last illness, from .. tpm 31 196 ...... to .. pm 31 196 that to the best of my knowledge and belief death occurred on the date stated above, and that the CAUSE OF DEATH was as follows : Induced labor
Primary : Sull hom
DAYS
Contributory :
(DURATION) ... DAY8
(Signed)
M.D.
feb-2- 190.
.. 190 ..
.(Address)
Lush mars
SPECIAL INFORMATION only for Hospitals, Institutions, Translents, or Recent Residents.
How long at Place of Death ? .. years. ..........
. months. .. day
Where was disease contracted, if not at place of death ?.
Filed
.190
Clerk
* City or town, street and number, If any. If death occurs away from USUAL RESI- DENCE, give facts called for under "Special Information." If in a Hospital or institution, give its NAME instead of street and number.
t In case of married or divorced woman, or widow. # State or country; also city, town or county, If known.
§ Name and address of person giving statistical details. Il Name of cemetery.
ALL NAMES TO BE IN FULL
Registered No.
Date of law 31
1995
Death
Premative
8 Baby Sharey Jan 21 - 19/10 1
COMMONWEALTH OF MASSACHUSETTS
RETURN OF A DEATH
(CITY OR TOWN.)
FULL NAME
Mary Elizabeth Bucket
Registered No ..
Date of l
Death S
1990
Death * S
Residence
Age
41
......
.. years.
X
.. months. ١٠ .days
STATISTICAL DETAILS
SEX
COLOR
SINGLE, MARRIED, WIDOWED, OR DIVORCED
-
MAIDEN NAME + Guddes
HUSBAND'S NAME +
John. Buchet
BIRTHPLACE Melanie
NAME OF
FATHER
BIRTHPLACE
OF FATHER+
MAIDEN NAME
OF MOTHER
Marcha. MIC Combs
BIRTHPLACE
OF MOTHER ៛
theland
OCCUPATION
1.
INFORMANT § John. Bethel
PHYSICIAN'S CERTIFICATE
I HEREBY CERTIFY that I attended deceased during last illness, from m 29 196 ...... to 76-24 190 that to the best of my knowledge and belief death occurred on the date stated above, and that the CAUSE OF DEATH was as follows : Primary : Pneuming.
. (DURATION)
5
DAY3
Contributory :
(DURATION). -DAY8
(Signed)
M.D.
2.130
.190 ..
.. (Address)
SPECIAL INFORMATION only for Hospitals, Institutions, Transients, or Recent Residents.
How long at
Place of Death ?
years
months ........................ days
Where was disease contracted, If not at place of death ?
Filed
.190
Clerk
PLACE OF BURIAL OR REMOVAL II
DATE OF BURIAL
tub 6
19d.J.
UNDERTAKER CR Jumuson
ADDRESS
* City or town, street and number, If any. If death occurs away from USUAL RESI- DENCE, give facts called for under "Special Information." If In a Hospital or Institution, give its NAME Instead of street and number.
t In case of married or divorced woman, or widow. # State or country; also city, town or county, if known.
§ Name and address of person giving statistical detalls. II Name of cemetery.
ALL NAMES TO BE IN FULL
Place of l
101 Valmont LL
....
9 mary Elizabeth Bechal.
て
COMMONWEALTH OF MASSACHUSETTS
RETURN OF A DEATH
(CITY OR TOWN.)
FULL NAME
Baby"
Freeman
Registered No.
Date of ¿
Death 1
1960
Death *
Residence
Age
.days
STATISTICAL DETAILS
SEX
COLOR
10
SINGLE, MARRIED, WIDOWED, OR DIVORCED
MAIDEN NAME +
HUSBAND'S NAME t
BIRTHPLACE #
NAME OF FATHER frederick. ... freeman
BIRTHPLACE
OF FATHER$
Sherlow ?? Y.
MAIDEN NAME
OF MOTHER
Clara. Snikerder
BIRTHPLACE
OF MOTHER $
Holoyoke Mars
OCCUPATION
INFORMANT § Frederick. H. Fellman
PHYSICIAN'S CERTIFICATE
[ HEREBY CERTIFY that I attended deceased during last illness, from. 190
.... to. 1900 that to the best of my knowledge and belief death occurred on the date stated above, and that the CAUSE OF DEATH was as follows :
Primary : Still borg Infant
(DURATION) .. DAYS
Contributory :
(DURATION). DAYS
(Signed)
M.D.
This .
5 1900 (Address)
petrol, mans.
SPECIAL INFORMATION only for Hospitals, Institutions, Translents, or Recent Residents.
How long at Place of Death ? . years.
.. months. days
Where was disease contracted, If not at place of death ?
Filed
190
Clerk
PLACE OF BURIAL OR REMOVAL II
DATE OF BURIAL
2/4
1900
UNDERTAKER
ADDRESS
* City or town, street and number, if any. If death occurs away from USUAL RESI- DENCE, give facts called for under "Special Information." If In a Hospital or Institution, give Its NAME Instead of street and number.
t In case of married or divorced woman, or widow.
# State or country; also city, town or county, If known.
§ Name and address of person giving statistical detalls.
|[ Name of cemetery.
ALL NAMES TO BE IN FULL
Place of l
36 nevada IL
10 Baby Freeman Fab- 3-1910
COMMONWEALTH OF MASSACHUSETTS
RETURN OF A DEATH
FULL NAME
David a. floyd.
Registered No.
Place of Death *
230 Lincoln St. Haithink Tank.
Date of Death
Ful. 5-1910.
Age.
71 years
7 months.
20 days
STATISTICAL DETAILS
SEX
COLOR
10
SINGLE, MARRIED,
WIDOWED, OR
DIVORCED
MAIDEN NAME Ť
HUSBAND'S NAME +
BIRTHPLACE# Winthrop.
NAME OF
FATHER
David Floyd.
BIRTHPLACE
OF FATHER
MAIDEN NAME
OF MOTHER
BIRTHPLACE
OF MOTHER #
Winthrop
OCCUPATION Retired
INFORMANT § I Aloud.
PLACE OF BURIAL OR REMOVAL !!
DATE OF BURIAL Freb. 8 19/0.
UNDERTAKER HC. skaggs.
ADDRESS It umcon sit
PHYSICIAN'S CERTIFICATE
I HEREBY CERTIFY that I attended deceased during last illness, from Jan 190 G.to Feb 5 1900 that to the best of my knowledge and belief death occurred on the date stated above, and that the CAUSE OF DEATH was as follows : Primary : Brights disease
(DURATION).
.....
. DAY8
Contributory :
Complication of disease
(enlarged prostate etc)
0
(DURATION).
........... DAYS
(Signed)
Horace
Soule
.M.D.
Fuel 5
19Q.Q. (Address)
Winthrop Mass
SPECIAL INFORMATION only for Hospitals, Institutions, Transients, or Recent Residents.
Former or Usual Residence
How long at
Place of Death ?
Days
Where was disease contracted, If not at place of death ?
Filed
190
Clerk
* City or town, street and number, If any. If death occurs away from USUAL RESI- DENCE, give facts called for under "Special Information." If In a Hospital or Institution, glvo Its NAME Instead of street and number.
t In caso of married or divorced woman, or widow. # State or country ; also city, town or county, If known.
§ Name and address of person giving statistical detalis. 1/ Name of cemetery.
ALL NAMES TO BE IN FULL
11 Here's a Floyd. feb-5-1910
[1.'09-37-XXXM.]
Permit No. .......
RETURN OF DEATH. BOSTON, MASS.
Date of Death, Elle 8th
19/0.
Name in full, ..
William J. Lunch
(If married or divorced woman give maiden name, also name of husband.)
Sex,
male
Color
White
Condition,
Married
(White, Black, Mixed, Chinese,
Indian, etc.)
Retired
(Single, Married, Widowed or Divorced.)
Age,
5) Years, -
Years, - Months, Days. Occupation,
Residence,* 54 Lingoln
Ward,
Place of Death, 54 Lincoln
Place of Birth,
New york NY. Date of Birth,
(State year, month and day -
Name and Birthplace )
John Lynch-
Ireland
of Father, Maiden Name and Birthplace of Mother, Mary Taggart- Ireland
Place of Interment,
Holy Broad Walden
* If an institution, state how long an inmate and previous residence.
M. J. Kelly
Undertaker.
PHYSICIAN'S CERTIFICATE OF THE CAUSE OF DEATH.
Boston,
Fab. 9
19.10.
Name and Age !
Age, 57 years.
I hereby certify that I attended deceased from.
19v4,to
19\\, that I last saw
alive on the.
that died on the
day of
19 10 , about.
11
o'clock
A.M., or P.M., and that, to the best of my knowledge and belief, the cause of
death
was as follows:
Exhaustion
Disease S chief cause,
Contributing cause,
Chief Cause,. مسا سينا
Duration
Contributing cause,. 1
M. D.
DET PHYSICIANS BEFORE STATING CAUSE OF DEATH ARE REQUESTED TO SEE THE OTHER SIDE OF THIS BLANK.
.01
of Deceased,
IVille
Ju day of. 19 40,
s
LIST OF INDEFINITE TERMS WHICH SHOULD BE AVOIDED IN GIVING CAUSES OF DEATH.
Acute gastritis. State cause. Was it due to some irritant poison ?
Ascites. Name disease causing ascites. See "Dropsy."
Asphyxia.
How? Was it accidental? If so, state fully the nature of the accident. If by gases or poisonous vapors, give particulars. Was it a case of "overlying" (child) ? What disease caused this condition ?
Asthenia. A practically worthless statement. See "Debility." What was the cause?
Atrophy. What caused the atrophy? Was it tuberculous wasting (phthisis) ? Was it syphilis? What organ or part atrophied ?
Blood poisoning.
Do you mean septicemia, syphilis, or any other definite disease? If septicemia, what was the cause? Was it puerperal?
Chronic
pneumonia.
Con
.. on of
Convulsions.
Was this not pulmonary tuberculosis?
Was it acute bronchitis, broncho-pneumonia, or lobar- pneumonia? If so, state definitely. Was it passive or hypostatic congestion ? If so, name disease causing the condition.
Debility.
What caused the debility? Name the acute or chronic disease. Debility might follow typhoid fever, diph- theria, tuberculosis, Bright's disease, and a host of other causes. The return is worthless and should never be made.
-1
Pyemia. What caused the pyemia? Was it puerperal or trau-, matic? If traumatic, state nature of accident causing injury.
Senile asthenia. See "Old age" and "Asthenia." death.
Give disease causing
Senile atrophy. See "Old age" and "Atrophy." death.
State disease causing
Senile decay. See "Old age." State disease causing death.
Senile decline. See "Old age." Name the disease, if any, that caused the decline.
Senile marasmus. See "Old age" and "Marasmus." Name disease causing death.
Shock. What caused the shock? If from injury, state nature of accident. If from surgical operation, state disease or injury requiring the operation.
Surgical operation. Surgical shock.
Always state the disease or injury requiring operasiun. Unless the operation was improper or unskilfully per- formed, it should not be given as the primary cause o death.
Tcething. Name the disease affecting the teething child. See "Den tition."
Toxemia.
Was this acute or chronic poisoning due to some externa agent? Was it auto-intoxication, due to poisons gen erated in the body by disease? If so, state the nam of the disease.
Tuberculosis. State organ affected. Do not fail to state as pulmonar tuberculosis if lungs were affected.
'Tumor. Was it a cancer? Whether a cancer or tumor, do not fa to specify organ or part of body affected.
Typhoid condition. Avoid this term as it is likely to be mistaken for typho fever.
Typhoid pneumonia.
Was the primary disease typhoid fever or pneumonia ?
Inanition.
This is a particularly pernicious term and is responsible for a multitude of worthless certificates. It sounds as if it meant something definite, but, in the majority of cases, it does not. What disease caused the inanition ? Was it syphilis, tuberculosis, cholera infantum? If inability to take food, state cause.
Infantile asthenia. See "Asthenia." The term "infantile" adds no precision to an indefinite statement.
Infantile atrophy. See "Atrophy."
Malassimilation. What disease caused the malassimilation ?
Malnutrition. What disease caused the malnutrition ?
Marasmus. What disease caused the "marasmus" ? Was it due to tuberculosis, syphilis, or cholera infantum? State fully, as this return in itself is practically worthless for compilation.
Meningitis. Was it'epidemic cerebro-spinal meningitis? If so, write exactly in this form Did it follow scarlet fever, pneu- monia, or some acute infection? If so, name the pri- mary disease. Was it traumatic? If so, state the nature of the violence which caused the meningitis. Was it tuberculous meningitis?
Nephritis. Was it acute or chronic? · If acute, occurring in the course of some disease, name the disease causing death.
Old age. This is not a satisfactory return. The influence of age is shown by the statement of age in years, months, and days. To this the statement of "old age" as a cause of death adds nothing of value. Name the disease to which the old person succumbed.
Peritonitis. What was the cause of the peritonitis? "Idiopathic peri- tonitis" should be rarely returned. Was it puerperal or traumatic? In the latter case, state mode of injury.
Pernicious anemia. If any definite cause can be assigned for the anemia, it should be reported. Anemia due to tuberculosis, syph- ilis, etc., should be returned under the primary disease.
Dentition.
What was the disease causing death of the teething child? "Dentition" is not a proper cause of death, and, like "infantile" and "old age," does little except to mark the approximate age of decedents.
Dropsy.
Name the disease in which the "dropsy" occurred.
Dyspepsia.
Was there organic disease of the stomach or other organs ? If so, name the disease causing death.
Eclampsia.
Give cause of convulsions. Were they puerperal?
Edema of lungs.
Give cause. See "Congestion of lungs."
Gastric fever.
A worthless return. Was it acute gastritis (q. v.) or some definite form of fever, as typhoid, malarial, etc. ?
General paralysis.
If extended paralysis resulted from cerebral hemorrhage, the cause should be given and the expression "general paralysis" should be avoided. "General paralysis" should be written only for "general paralysis of the insane," or paretic dementia, and the statement of the fact of insanity should always be included.
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