USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1916-1918 > Part 1
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J. L. FAIRBANKS & CO. Stationers 43 FRANKLIN STREET -BOSTON-
The Commonupa
STANDARD CERT
1 PLACE OF DEATH
(No.
47,
.........
augustus
2 FULL NAME
[If married or divorced woman or widow give maiden name, also name of nasband.] «RESIDENCE
47 Pusti
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE
White
· SINGLE, MARRIED. WIDOWED, OR DIVORCE Achomy
(Write the word)
· DATE OF BIRTH Lancia - 1843 ... (Month) (Day)
7 AGE
If LESS than 1 day ......... hrs.
72
... yrs.
1
mos.
ds.
or ........ min. ?
8 OCCUPATION
(a) Trade, profession, or
part cular kind of work
Recent
(b) General nature of industry, business, or establishment Ín which employed (or employer) .......
9 BIRTHPLACE
(State or country)
lambudge
PARENTS
13 BIRTHPLACE OF MOTHER (State or country)
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
Imma,
@ Bryden
(Address)
47 Juchel are Words ung
16
Filed
191
REGISTRAR
..........
(City or town.)
[If death occurred in a hospital or institution, give its NAME instead of street and number.]
.........
gistered No.
OF DEATH
1916 ....
(Monthy
(Year)
17
I HEREBY CERTIFY that I attended deceased from
(Year)
Dec
26
1915
to.
Januari
1916
.....
that I last saw h.h. alive on
..........
......
1, 1916.
and that death occurred, on the date stated above, at 2.30 Am.
The CAUSE OF DEATH* was as follows :
acuta huys carditis
(Duration)
yrs.
mos.
10 ds.
Contributory.
Clusiz Ingocondition, Outro
(SECONDARY)
(Duration)
2
yrs.
ds,
(Signed)
2, 1915 (Adres).
* 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).
In the
At place
of death.
yTs. ....
.. mos. ..........
.... ds.
State ............ yrs ..
.. mos. ..
Where was disease contracted, If not at place of death ?.
Former or usual residence ..
19 PLACE OF BURIAL OR REMOVAL
DATE OF BURIAL 2.3, 1916
20 UNDERTAKER
ADDRESS
3
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
WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD.
important. See instructions on back of certificate.
10 NAME OF
FATHER
11 BIRTHPLACE
OF FATHER
(State or country)
12 MAIDEN NAME
OF MOTHER
1916-17- /ard)
tanken
/
(Day)
M.D.
......
ds ......
C
STANDARD CERTIFICATE OF DEATH.
Statement of occupation. - Precise statement of oecu- 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, cte. 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 needcd. 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," "Dealcr," 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 a.s 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 faet may be indicated thus: Farmer (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 disease. Examples: Cerebro-spinal fever (the only definite synonyın 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 (sceond- ary or intereurrent) affection need not be stated unless im- portant. Example: Measles (discase causing death), 29 ds .; Broncho-pneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as "Asthenia," "An- acmia" (merely symptomatic), "Atrophy," "Collapse," "Coma," "Convulsions," "Debility" ("Congenital," "Senile," ete.), "Dropsy," "Exhaustion," "Heart failure," "Haemorrhage," "Inanition," "Marasmus," "Old age," "Shock," "Uraemia," "Weakness," etc., when a definite disease can be ascertaincd as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as "PUER- PERAL septicacmia," "PUERPERAL peritonitis," ete. 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, ete.
3. Sudden deaths of persons not disabled by recognized disease, as A death upon the street, or one supposed to be due to Alcoholism, etc.
4. Deaths under circumstances unknown, as A person found dead, etc.
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.
PARENTS
12 MAIDEN NAME
OF MOTHER
1$ BIRTHPLACE
OF MOTHER
(State or country)
Factory
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant).
(Address)
Xe, Kvarde vitis
Filed
191
REGISTRAR
MEDICAL CERTIFICATE OF DEATH
1 SEX
4 COLOR OR RACE
5 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
16 DATE OF DEATH
Alam
(Month)
(Day)
191 (Year)
$ DATE OF BIRTH
24
(Month)
(Day)
19/1
(Year)
7 AGE
If LESS than
I day ......... hrs.
or .. .. min. ?
$ OCCUPATION
(a) Trade, profession, or
particular kind of work
(b) General nature of industry.
business, or establishment In
which employed (or employer).
17
I HEREBY CERTIFY that I attended deceased from
the 31
1915 to
6
.......
191
that ! last saw he alive o
fam 2"
.191
6 and that death occurred, on the date stated above, at 5 Am. The CAUSE OF DEATH* was as follows : measles
(Duration)
...........
yrs. ............
mos.
4
ds.
Contributory (SECONDARY)
(Duration)
........ yrs.
.. mos.
.............
ds.
(Signed)
M.D.
1916
(Address)
* 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).
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 Canary Com
DATE OF BURIAL
av4
191
20 UNDERTAKER
............... Ward)
vaca Havde
2 FULL NAME
[If married or divorced woman or widow
give maiden name, also name of busband.]
@RESIDENCE
Registered No.
PERSONAL AND STATISTICAL PARTICULARS
The Commomuralth of Massachusetts STANDARD CERTIFICATE OF DEATH
1 PLACE OF DEATH
(No.
St. :
(City or town.)
[If death occurred in a hospital or institution, give its NAME Instead of street and number.]
30
....
9 BIRTHPLACE
(State or country)
Norton
10 NAME OF
FATHER
11 BIRTHPLACE
OF FATHER
(State or country)
1
yrs.
4
mos.
10
ds.
ADDRESS
1
STANDAND UENTIFICAIC Ur DEAIM. - 5
Statement of occupation. - Precise statement of occu- pation is very important, so that the relative healthfulness of various pursuits ean 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 i ; 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 necdcd. As examples: (a) Spinner, (b) Cotton mill; (a) Sales- man, (b) Grocery; (a) Foreman, (b) Automobile factory. The material worked on may forni 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- CASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted term for the same discase. 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- 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 more symptoms or terminal conditions, such as "Asthenia," "An- acmia" (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 discase can be ascertained as the eause. Always qualify all diseases resulting from childbirth or miscarriage, as "PUER- PERAL septicacmia," "PUERPERAL peritonitis," etc. State eause 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 one supposed to be due to Alcoholism, etc.
4. Deaths under circumstances unknown, as A person found dead, etc.
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.
PARENTS
11 BIRTHPLACE OF FATHER (State or country) Sunbury Pu
12 MAIDEN NAME
OF MOTHER
Mary Tabin
1ª BIRTHPLACE OF MOTHER (State or country)
" THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
(Address)
wirelles nun
16
Filed 191
REGISTRAR
2
2
(Duration) .yrs. mos.
.ds.
Contributory Chassic arteriosclerosis
(SECONDARY)
pratenstitial replication
... (Duration).
yrs.
ds.
(Signed)
of. Deurina
M.D.
191.
(Address) 25 Huntington 2
{/* 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.
19 PLACE OF BURIAL OR REMOVAL St Johns
DATE OF BURIAL
qui 8, 1916
20 UNDERTAKER
C. R. Banco
ADDRESS
......
...
/1916
(Month)
(Day)
(Year)
" DATE OF BIRTH
afnic
(Month)
TAGE
5%%. 10
mos.
& OCCUPATION
(a) Trade, profession, or particular kind of work .....
(b) General nature of industry, business, or establishment In which employed (or employer).
White Quick Mutua
9 BIRTHPLACE (State or country) Spencer Olio
MEDICAL CERTIFICATE OF DEATH
3 SEX
Male
{ COLOR OR RACE
6 SINGLE,
MARRIED.
WIDOWED,
OR DIVORCED
(Write the word)
Single
Watching
STANDARD CERTIFICATE OF DEATH
1 PLACE OF DEATH 2 metros
(No. William Ger. Cook ? FULL NAME [If married or divorced woman or widow give maiden name, also name of husband.] ......
Ward)
(City or town.) {If death occurred in a hospital or institution, give its NAME instead of street and number.]
@RESIDENCE
40 Washing 100 an Ummakegistered No. 26 un
PERSONAL AND STATISTICAL PARTICULARS
16 DATE OF DEATH
Jan
3
I HEREBY CERTIFY that I attended deceased from
151865 17 (Day) (Year) Jan 2 1916, to ...... Jan 3 1916. that ! last saw hun alive on 1916 Jan 18 ds. .... If LESS than 1 day ........ hrs. 2 ........ . or ........ min. ? and that death occurred, on the date stated above, ats.2 ..... m. The CAUSE OF DEATH* was as follows : Bronchitis - chronic in - terstitial myocarditis
10 NAME OF
FATHER
George
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH.
Statement of occupation. - Precise statement of oecu- 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 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 cases, especially in industrial employments, it i3 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," cte., 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 oceupations of persons engaged in domestie service for wages, as Servant, Cook, Housemaid, etc. If the occupation has been changed or given up on aeeount of the DISEASE CAUSING DEATH, state oeeupation at beginning of illness. If retired from business, that fact may be indicated thus: Farmer (retired, 6 yrs.). For persons who have no oecu- 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 aceepted term for the same disease. Examples: Cerebro-spinal fever (the only definite synonym is "Epidemie eerebro-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, 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, ete. 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 more symptoms or terminal conditions, such as "Asthenia," "An- acmia" (merely symptomatic), "Atrophy," "Collapse," "Coma," "Convulsions," "Debility" ("Congenital," "Senile," ete.), "Dropsy," "Exhaustion," "Heart failure," "Hacmorrhage," "Inanition," "Marasmus," "Old age," "Shock," "Uraemia," "Weakness," etc., when a definite discase ean be aseertained as the eause. Always qualify all discases resulting from childbirth or misearriage, as "PUER- PERAL septicaemia," "PUERPERAL peritonitis," ete. State eause for which surgieal 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 eaused by violence, as Criminal abortion, Poisoning, Starvation, Suffocation, Ex- posure, cte.
3. Sudden deaths of persons not disabled by recognized disease, as A death upon the street, or one supposed to be due to Alcoholism, cte.
4. Deaths under eircumstances unknown, as A person found dead, cte.
COMMONWEALTH OF MASSACHUSETTS
RETURN OF A DEATH-1916.
CITY OF BOSTON.
FULL NAME
ALEXANDER M- GREEN
Registered No.
132
Place of Death and Residence 3
Boston
Date of Death
JAN . 4
1916. Age 58
years
months days.
STATISTICAL DETAILS.
SEX.
COLOR.
SINGLE, MARRIED, WID., DIV.
M
W
MAR.
1916, I HEREBY CERTIFY that I attended deceased during last illness, from 1916, 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 :
Maiden Name
S
RAR'S
Husband's Name
Birthplace
BOSTON (EAST )
Name of Father
WILLIAM GREEN
ST
Contributory · 2 ( Duration)
ARTERIO-SCLEROSIS
Maiden Name of Mother
JOHANNAH LARKIN
Birthplace of Mother IRELAND
(Signed)
S.FRASER M. D.
Occupation TRAFFIC MGR. ( CUNARD LINE) JAN . 5 1916 SPECIAL INFORMATION from Hospitals, Institutions, Transients, or Recent Residents,
Informant
IN HOSPT. 2 HOURS
Place of Burial or removal MALDEN ( HOLY CROSS)
Undertaker
R. C. KIRBY
JAN. 10 1916.
A true copy
Attest :
Ermslenen
Registrar.
R
CERE . HEMORRHAGE - 2 1-2 HRS
( Daratın
CITY
R
OFFICE
BOSTONIA
CONDITAA.
SREOIMINE DONATA A. N. MASS. 1430.
Birthplace of Father SCOTLAND
PHYSICIAN'S CERTIFICATE.
Usual Residence WINTHROP ( 117 HIGHLAND AVE )
Filed
B.C.H. RELIEF HOSPT.
Jan. 4, 1916
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
,
1 PLACE OF DEATH Vinitivos
(No 1º XM LE
St. : Ward)
(City or town.) [If death occurred in a hospital or institution, give its NAME instoad of street and number.]
......
Registered No.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
' COLOR OR RACE
5 SINGLE,
/MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
א
· DATE OF BIRTH
(Month) (Day)
(Year)
7 AGE
If LESS than 1 day ......... hrs.
.............. yrs .... mos. 14 ds.
. mos
or ........ min. ?
$ OCCUPATION
(a) Trade, profession, or
particular kind of work
(b) General nature of industry,
business, or establishment
5
which employed (or employer).
9 BIRTHPLACE
(State or country)
10 NAME OF
FATHER
PARENTS
11 BIRTHPLACE
OF FATHER
(State or country)
12 MAIDEN NAME
OF MOTHER
18 BIRTHPLACE
OF MOTHER
(State or country) nova
1
"THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant).\
(Address)
17
16
Filed
191
REGISTRAR
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH
1916
....
(Month) (Day)
(Year)
17
I HEREBY CERTIFY that I attended deceased from
the 31
... 195, to
Jan
1916
that I last saw h m alive on
5
191.6
and that death occurred, on the date stated above,
a : 15 pm.
The CAUSE OF DEATH* was as follows :
Labas Pneumonia
,
Did a surgical operation precede death ?
Date
(Duration) . ............. yrs. .............. ...... ds. mos. 6 --
Contributory (SECONDARY)
(Duration) .. yrs. ............... mos. .ds.
(Signed)
1916 (Address)
* 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).
In the
At place
of death ..
... yrs. ............ mos.
ds.
State ............ yrs.
......
Where was disease contracted, If not at place of death ?.
Former or usual residence.
19 PLACE OF BURIAL OR REMOVAL
DATE OF BURIAL
191
20 UNDERTAKER om v. Orater
ADDRESS
WRITE PLAINLY, WITH UNFADING INK -THIS IS A PERMANENT RECORD.
important. See instructions on back of certificate.
The Commonwealth of Massachusetts · STANDARD CERTIFICATE OF DEATH
BOSTON ...
2 FULL NAME [If married or divorced woman or widow give maiden name, also name of husband.] @RESIDENCE
14,
M.D.
.. mos. .... ds .............
STANDARD CERTIFICATE OF DEATH.
Statement of occupation. - Precise statement of occu- pation is very important, so that the relative healthfulness of various pursuits ean 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," ctc., 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 oecu- pation whatever, write None.
Statement of cause of death. - Name, first, the DIS- DASE 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, ctc., Carcinoma, Sar- coma, ete., 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 necd not be stated unless im- portant. Example: Measles (discase 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 septicacmia,". "PUERPERAL peritonitis," etc. State cause for which surgical operation was undertaken.
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