Town of Winthrop : Record of Deaths 1928-1930, Part 1

Author: Winthrop (Mass.)
Publication date: 1928
Publisher:
Number of Pages: 1296


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1928-1930 > Part 1


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J. L. FAIRBANKS & CO. Stationers 43 FRANKLIN STREET -BOSTON-


1 PLACE OF DEATH


DEPARTMENT OF COMMERCE BUREAU OF THE CENSUS


County


Suffolk


STANDARD CERTIFICATE OF DEATH


State of


MASSACHUSETTS


Registered No. 1


Village


City


(No.


Station Hospital, Ft.Banks, Masse .;


Ward)


[ff death occurred in a hospital or institution, give its NAME Instead of street and number.]


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH January 5. 19 28


(Month)


(Day) (Year),


17 I HEREBY CERTIFY, That I attended deceased from December 21, ,19127, to January 5, , 1928, that I last saw him_ alive on January ____ 5, 19128 and that death occurred, on the date stated above, at 12:30


The CAUSE OF DEATH * was as follows: Thrombrosis, of right spermatic yein-post operative 8 mos. . ds. Inguinal hernia curti side (Duration) yrs.


9 BIRTHPLACE


(State or country)


City, Unknown .


Massachusetts


10 NAME OF


FATHER


Unknown


11 BIRTHPLACE


OF FATHER


(State or country)


Unknown


12 MAIDEN NAME OF MOTHER Unknown


13 BIRTHPLACE OF MOTHER (State or country)


Unknown


18 LENGTH OF RESIDENCE (FOR HOSPITALS, INSTITUTIONS, TRANSIENTS, OR RECENT RESIDENTS)


At place


of death


- yrs.


mos.


27


ds.


State


Unknown mos.


ds.


Where was disease contracted,


if not at place of death ? Ft.Banks, Mass.


Former or


usual residence.


Ft.Rodman. Mess/


19 PLACE OF BURIAL OR REMOVAL


DATE OF BURIAL


1912


20 UNDERTAKER


ADDRESS


11-3184


Www. D. Childress Health officer 1/6/251348


important. See instructions on back of certificate.


PARENTS


14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


(Informant)


Off. Records U. S. Army


(Address)


15 Filed Lan 18


REGISTRAR


Single


6 DATE OF BIRTH


Unknown


(Month)


(Day)


1


(Year)


7 AGE


If LESS than


1 day, ---- hrs.


21


yrs. --


mos. ds.


or ...


.min. ?


8 OCCUPATION


(a) Trade, profession, or


particular kind of work


Soldier, U.S. Army.


(b) General nature of industry, business, or establishment in which employed (or employer)


Contributory Embolism pulmonary right inferior (SECONDARY) pulmonary artery. (Duration) Oneyhalf hours


(Signed)


W.K.Turner, Capt.M.C.U. S.Army.


M. D.


January 62, 19128- (Address) Fort Banks, Mass.


* State the DISEASE CAUSING DEATH, or, in deaths from VIOLENT CAUSES, state (1) MEANS OF INJURY ; and (2) whether ACCIDENTAL, SUICIDAL, or HOMICIDAL.


N. B .- Every item of information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should stato CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very


Township


Winthrop.


1928


2 FULL NAME


Francis Dureault


3 SEX


Male


4 COLOR OR RACE


White


5 SINGLE,


MARRIED,


WIDOWED,


OR DIVORCED


( Write the word)


in the


REVISED UNITED STATES STANDARD CERTIFICATE OF DEATH 10


[Approved by U. S. Census and American Public Health Association]


Statement of occupation,-Precise statement of occupation 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, Compos- itor, Architect, Locomotive 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) Salesman, (b) Grocery; (a) Foreman, (b) Automobile factory. The ma- terial 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 Housekeepers who receive a; definite salary ), may be entered as Housewife, Housework, or At home, and children, not gainfully employed, as At school or At home. Care should be taken to report spe- cifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, IIcusemaid, 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 indi- cated thus: Farmer (retired, 6 yrs.). For persons who have no occupation whatever, write None.


Statement ef cause of death .- Name, first, the DISEASE CAUS- ING DEATH (the primary affection with respect to time and causation), using always the same accepted term for the same disease. Examples: Cerebrospinal fever (the only definite synonym is "Epidemic cerebrospinal menin- gitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneumonia; Bronchopneumonia ("Pneumonia," unqualified, is indefi- nite); Tuberculosis of lungs, meninges, peritoneum, etc., Car- cinoma, Sarcoma, etc., of - (name origin; “Can- cer" is less definite; avoid use of " Tumor" for malignant neoplasms); Measles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, etc. The con- tributory (secondary or intercurrent) affection need not be stated unless important. Example : Measles (disease causing death), 29 ds .; Bronchopneumonia (secondary), 10 ds. Never report mere symptoms or terminal eondi- tions, such as '(Asthenia," "Anaemia" (merely symptom-


atic), "Atrophy," "Collapse," "Coma," "Convulsions," "Debility" ("Congenital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure,""Haemorrhage," "Inani- tion," "Marasmus," "Old age," "Shock," "Uraemia," "Weakness," etc., when a definite disease can be ascer- tained as the cause. Always qualify all diseases result- ing from childbirth or miscarriage, as "PUERPERAL septi- chaemia," "PUERPERAL peritonitis," etc. State cause for which surgical operation was undertaken. For VIOLENT DEATHS state MEANS OF INJURY and qualify as ACCIDENTAL, SUICIDAL, Or HOMICIDAL, or as probably such, if impossible to determine definitely. Examples: Accidental drowning; Struck by railway train-accident; Revolver wound of head- homicide ; Poisoned by carbolic acid-probably suicide. The nature of the injury, as fracture of skull, and consequences (e. g., sepsis, tetanus) may be stated under the head of "Contributory." (Recommendations on statement of cause of death approved by Committee on Nomenclature of the American Medical Association. )


NOTE .- Individual offices may add to above list of undesirable terms and refuse to accept certificates containing them. Thus the form in use in New York City states: "Certificates will be returned for additional information which give any of the following diseases, without explanation, as the sole cause of death: Abortion, cellulitis, childbirth, convulsions, haemorrhage, gangrene, gastritis, erysipelas, meningitis, miscarriage, necrosis, peritonitis, phlebitis, pyaemia, septichaemia, tetanus." But general adoption of the minimum list suggested will work vast improvement, and its scope can be extended at a later date.


11-3184


e


C


M R-301 OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS


The Commonwealth of Massachusetts STANDARD CERTIFICATE OF DEATH


Winthroto


(City or town)


Registered No.


2


City or Town


Boston


No. 169, Frovers Que


St., Ward


(If death 'occurred in a hospital or institution, give its NAME instead of street and number)


2 FULL NAME


John F. Lapham


(If in the Army or Navy of the United States, give rank, organization, etc.)


(a) Residence. No.


(Usual place of abode)


Length of residence in city or town where death occurred years months


days. How long in U. S., if of foreign birth? years


months days


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


Male


4 COLOR OR RACE


White


5 SINGLE, MARRIED, WIDOWED, OR DIVORCED (write the word) married


5a If married, widowed or divorced


HUSBAND of


(or) WIFE of


annie m. Sherman


6 AGE


Years 64


Months 11


Days


3


If LESS than 1 day, ___ hrs. or ___ min.


If STILLBORN, enter that fact here


7 OCCUPATION OF DECEASED


(a) Trade, profession, or


particular kind of work


Train Broker


(b) Name of employer


(duration) 3 yrs. mos. ds.


arteriosclerosis a cuptitis


CONTRIBUTORY.


(SECONDARY)


Undetermined


(duration)


_yrs.


_mos .. ds


17 Where was disease contracted


if not at place of death?


FOR WHATT


Did an operation precede death?


Date of


Was there an autopsy?


What test confirmed diagnosis ?.


(Signed)


TP W. Taylor M. D. :


Data Jan


(Month)


(Day)


(Year)


13 Turs Quina M- Forfram


Informant


(Address)


69 Travers ave Winters Hlas


14 Jan 18/28 (Month) (Day) (Year)


REGISTRAR


20 | HEREBY CERTIFY that a satisfactory stan- dard certificate of death was filed with me BEFORE the burial or transit permit was issued Um. S. Childrens


2.95


MEDICAL CERTIFICATE OF DEATH


15 DATE OF DEATH


Jan.


(Month)


5


1928 (Year)


16


I HEREBY CERTIFY, That I attended deceased from


5


1923, to


Jan 5


1928


that I last saw h_


_alive on


tal 5


1928


and that death occurred, on the date stated above, at


7.30 P.m.


The CAUSE OF DEATH was as follows:


Chronic interstitial megchutes


South Dartmouth


& BIRTHPLACE (City)


(State or country)


mass


9 NAME OF


FATHER


John allen Lapham


10 BIRTHPLACE OF


FATHER (City)


SauttoDartmouth


(State or country)


PARENTS


11 MAIDEN NAME OF MOTHER


Sylvia H. Sherman


12 BIRTHPLACE OF


MOTHER (City)


South Dartmouth


(State or country)


mass


18 PLACE OF BURIAL, CREMATION OR REMOVAL


Southe Dartmouth Was


DATE OF BURIAL


(Cemetery)


(City or town)


Jau. 7. 1928


ADDRESS


19 UNDERTAKER I.S. Waterman+ Sousthe Boston


Official position Health office of permit


Date of issue 1/6/28


Permit NO. 1347


00,000


" N. B .- WRITE PLAINLY, WITH UNFADING BLACK INA-THIS IS A PERMANENT RECORD. Every Hem of information instructions and extracts from the laws on back of certificate. in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH


I PLACE OF DEATH


County


Suffolk State Massachusetts


169 Growers Que at.


Ward.


(If non-resident give city or town and state)


(Day)


(Address) Winthrop/ mars. 6 1928


REVISED UNITED STATES STANDARD CERTIFICATE OF DEATH


(Approved by U. S. Census and American Public Health Association)


Statement of occupation .- Precise statement of occupation is very important, so that the relative healthfulness of various pursuits can be known. The question applies to each and every person, irre- spective of age. For many occupations a single word or term on the first line will be sufficient, e. g., Farmer or Planter, Physician, Com- positor, Architect, Locomotive engineer, Civil engineer, Stationary fire- man, 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) Salesman, (b) Grocery; (a) Foreman, (b) Automobile factory. The material worked on may form part of the second statement. Never return "Laborer," "Fore- man," "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 Housekeepers who receive a definite salary), may be entered as House- wife, Housework, or At home, and children, not gainfully 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 occupa- tion at beginning of illness. If retired from business, that fact may be indicated thus: Farmer (retired, 6 yrs.). For persons who have no occupation whatever, write None.


Statement of cause of death .- Name, first, the DISEASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted term for the same disease. Exam- ples: Cerebrospinal fever (the only definite synonym is "Epidemic cerebrospinal meningitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneu- monia; Bronchopneumonia ("Pneumonia," unqualified, is indefinite); Tuberculosis of lungs, meninges, peritoneum, etc., Carcinoma, Sarcoma, 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 (secondary or intercurrent) affection need not be stated unless important. Example: Measles (disease causing death), 29 ds .; Bronchopneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as "Asthenia," "Anemia" (merely symptomatic), "Atrophy," "Collapse," "Coma," "Convul- sions," "Debility" ("Congenital," "Senile," etc.), "Dropsy," "Ex- haustion," "Heart failure," "Hemorrhage," "Inanition," "Maras- mus," "Old age," "Shock," "Uremia,". "Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as "PUERPERAL septicemia," "PUERPERAL peritonitis," eto.


State cause for which surgical operation was undertaken.


(Recommendations on statement of cause of death approved by Com- mittee on Nomenclature of the American Medical Association.)


Bronchopneumonia: If primary cause, write the word "primary"; if secondary, give primary cause.


Certificates will be returned for additional information which give any of the following diseases, without explanation, as the sole cause of death: Abortion, cellulitis, childbirth, convulsions, hemorrhage, gangrene, gastritis, erysipelas, meningitis, miscarriage, necrosis, peritonitis, phlebitis, pyemia, septicemia, tetanus.


EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH


A physician or registered hospital medical officer shall forth- with, after the death of a person whom he has attended during his last illness, at the request of an undertaker or other authorized person or of any member of the family of the deceased, furnish for registra- tion a standard certificate of death, stating to the best of his knowl- edge and belief the name of the deceased, his supposed age, the disease of which he died, defined as required by section one, where same was contracted, the duration of his last illness, when last seen alive by the physician or officer and the date of his death ....- Gen. Laws, Chap. 46, Sec. 9.


No undertaker or other person shall bury a human body. .. until he has received a permit from the board of health or its agent. .. or. from the clerk of the town where the person died ;. . . No such permit shall be issued until there shall have been delivered to such board, agent or clerk. . . a satisfactory written statement con- taining the facts required by law to be returned and recorded, which shall be accompanied, in case of an original interment, by a satisfactory certificate of the attending physician, if any, as required by law, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the pur- pose, or is insufficient, a physician who is a member of the board of health, or employed by it or by the selectmen for the purpose, shall upon application make the certificate required of the attending physician. If death is caused by violence, the medical examiner shall make such certificate. . . The person to whom the permit is so given and the physician certifying the cause of death shall thereafter furnish for registration any other necessary information which can be obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may re- quire .- Gen. Laws, Chap. 114, Sec. 45.


Medical examiners shall make examination upon the view of the dead bodies of only such persons as are supposed to have died by violence .- Gen. Laws, Chap. 38, Sec. 6.


. . . He shall in all cases certify to the town clerk or registrar in the place where the deceased died his name and residence, if known; otherwise a description as full as may be, with the cause and manner of death .- Gen. Laws, Chap. 38, Sec. 7.


RULES OF PRACTICE


The fulfilment of the purpose of these laws calls for the observance of the following rules of practice:


(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.


(2) Board of Health Physicians will certify to such deaths only as those of persons who, though disabled by recognized disease unre- lated to any form of injury, have died without recent medical at- tendance or whose physician is absent from home when the certificate of death is needed.


(3) Medical examiners will investigate and certify to all deaths supposably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.


02


The Commonwealth of Massachusetts STANDARD CERTIFICATE OF DEATH


Unfall


(City of town) 1


1 PLACE OF DEATH


Registered No. L


(Place of death) 3.


Registered No.


(Place of residence'


St.,


Ward


(If le th occurred in a hospital or institution, give its NAME instead of street and number)


2 FULL NAME


(If in the Army or,Navy of the United States, give rank, organ zatiet, etc.)


City or Town Nantheron No. 30 m arehall


(Usual place of abode)


Length of residence in city or town where death occurred


years


months 2


days.


How long in U. S., if of foreign birth?


years


months


days


PERSONAL AND STATISTICAL PARTICULARS


3 SEX male


4 COLOR OR RACE mite


5 SINGLE, MARRIED, WIDOWED, OR


DIVORCED (write the word)


marvel


5a If married, widowed, or divorced


Name of


S HUSBAND ? (or) WIFE


6 AGE 76


Years


Months


Days


If LESS than 1 day, . . . . hrs. or .... min. -


If STILLBORN. enter that fact here


7 OCCUPATION OF DECE KED (a) Trade, profession, or Statimany Engmen particular kind of work. (b) Name of employer until 2 years ago


8 BIRTHPLACE (city or town)


(State or country)


new york


9 NAME OF


FATHER


Cannot be learned


PARENTS


11 MAIDEN NAME


OF MOTHER


Cannot be learned


12 BIRTHPLACE OF MOTHER (city or town) (State or country)


Cannot beleamed


13 Informant Hospital Records


(Address)


14 Filed Jan. 2 , 125 Gange F. Campbell


Filed


. 19


Registrar of city or town where deceased resided


MEDICAL CERTIFICATE OF DEATH


15 DATE OF DEATH Jan 6 (Month)


1928


(Day)


(Year)


16 I HEREBY CERTIFY,


That I attended deceased from


Jan . 4.


1928


Van. 6


Jan. 6


19


10.45a,


and that death occurred, on the date stated above, as The CAUSE OF DEATH was as follows: (State fully)


Cancer of Prvetrate


(duration)


2


yrs ..


.mos.


da.


CONTRIBUTORY


(SECONDARY)


(duration)


yrs ..


mos. de.


17 Where was disease contracted


if not at place of death


Did an operation precede death


For what


Date of operation


no


What test confirmed diagnosis.


(Signed) Lyman ara Ames Luft


(Address)


Amarille Hospital Wrentham


Date


Jan. 7, 1925


0.8. mase


18 PLACE OF BURIAL, CREMATION, QR REMOVAL Evergreen Aughton


DATE OF BURIAL Jan.9. 1028


(Cemeter) City or town)


19 UNDERTAKER C. a. Pollino


ADDRESS E. Boston


No. 4312


fully 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.


County


Nafalk


State


Enfach


No .-


Mandrille Hospital


City or town


Charles Priscill


(a) Residence.


State-


marcel


Mary alice munplay


that A last saw halive on


, 1928 28


Registrar of city or town where death occurred


10 BIRTHPLACE OF FATHER (city or town) (State or country) Cannot be learned as there an autopsy


Jan. 6.1928


R-301


The Commonwealth of Massachusetts


STANDARD CERTIFICATE OF DEATH


Winthrop


(City or town)


1)/2.


City or Town


No.


Community Hospital


St.


Ward


(If death occurred in a hospital qminstitution, give its NAME instead of street and number)


2FULL NAME


John W. Cooley


Community Hospital


St.


Ward


(If non-resident give city or town and state)


Length of residence in city or town where death occurred


yearş


months


days.


How long in U. S., if of foreign birth?


years


months


days.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


Male


4 COLOR OR RACE


Mute


5 SINGLE, MARRIED, WIDOWED, OR


DIVORCED (write the word)


Widower


5a If married, widowed or divorced


HUSBAND of


(or) WIFE of


6 AGE


Years


70


Months


I


Days


27


IF LESS than


1 day ......... hrs.


or. . ... min.


IF STILLBORN, enter that fact here


7 OCCUPATION OF DECEASED


(a) Trade, profession, or


particular kind of work


(b) Name of employer Community Hospital


8 BIRTHPLACE (City)


(State or country)


Concord N.H.


9 NAME OF


FATHER


Sherman D. Really


PARENT'S


10 BIRTHPLACE OF


FATHER (City)


Concord NA


(State or country)


1 1 MAIDEN NAME OF MOTHER


ME Martha Crowell


12 BIRTHPLACE OF


MOTHER (City)


(State or country)


Concord NA


13


Community Hospital


Informant


(Address)


Winthrop St.


14


Filed Jan 18/28


(Month) (Day) (Year)


REGISTRAR


MEDICAL CERTIFICATE OF DEATH


15 DATE OF DEATH January


(Month)


6


1928


(Year)


16


I HEREBY CERTIFY, That I attended deceased from


Dem 14, 1928 to


Sony 6


1928


that I last saw h zanalive on


6


192.8


and that death occurred, on the date stated above, at 2- The CAUSE OF DEATH was as follows: (State fully)


0 m.


(duration).


yrs _mos.


7


ds.


CONTRIBUTORY


Chemin Val.1 dearte suace


(Secondary)


(durationpress del mos: 4,10 de.


17


Where was disease contracted


if not at place of death


Did an operation precede death


200


For what


Date of operation


Was there an autopsy


200


What test confirmed diagnosis


Clinical


(Signed)


Cuvette E que fuese


M. D.


(Address).


123 chewillich Et


Date


18 PLACE OF BURIAL, CREMATION, OR REMOVAL


River fill Concord N.H.


(Cemetery)


( City or town)


DATE OF BURIAL


Jan 7- 28.


ADDRESS


19 UNDERTAKER


Frank E. Brown Nunctrop


20 1 HEREBY CERTIFY that a satisfactory stan- dard certificate of death was filed with me BEFORE the burial or transit permit was issued


Nu. D. Childress Official position


Health Officer!


Date of issue 1/7/25


Permit R.o.


1349


1


200.000. 9-26. NO. 6373


Exact statement of OCCUPATION is very important. See instructions and extracts from the laws on back of certificate. plied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms, so that it may be properly classified. ... ..


OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS 1 PLACE OF DEATH 1 County Suffolk


State Mass


Registered No ...


(If U. S. War Veteran, specify WAR)


(a) Residence No.


(Usual place of abode)


Esta 3


1


leare taken


(Day)


REVISED UNITED STATESSTANDARD CERTIFICATE OF DEATH


(Approved by U. S. Census and American Public Health Association)


Statement of occupation .- Precise statement of occupation is very important, so that the relative healthfulness of various pursuits can be known. The question applies to each and every person, irre- spective of age. For many occupations a single word or term on the first line will be sufficient, e. g., Farmer or Planter, Physician, Com- positor, Architect, Locomotive engineer, Civil engineer, Stationary fire- man, 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) Salesman, (b) Grocery; (c) Foreman, (b) Automobile factory. The material worked on may form part of the second statement. Never return "Laborer," "Fore- man," "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 Housekeepers who receive a definite salary), may be entered as House- wife, Housework, or At home, and children, not gainfully 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 Scrvant, Cook, Housemaid, etc. If the occupation has been changed or given up on account of the DISEASE CAUSING DEATH, state occupa- tion at beginning of illness. If retired from business, that fact may be indicated thus: Farmer (retired, 6 yrs.). For persons who have no occupation whatever, write None.


Statement of cause of death .- Name, first, the Disease Causing Death (the primary affection with respect to time and causation), using always the same accepted term for the same disease. Exam- ples: Cerebrospinal fever (the only definite synonym is "Epidemic cerebrospinal meningitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneu- monia; Bronchopneumonia ("Pneumonia," unqualified, is indefinite); Tuberculosis of lungs, meninges, peritoneum, etc., Carcinoma, Sarcoma, 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 (secondary or intercurrent) affection need not be stated unless important. Example: Measles (disease causing death), 29 ds .; Bronchopneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as "Asthenia," "Anemia" (merely symp- tomatic), "Atrophy," "Collapse," "Coma," "Convulsions," "Debility" ("Congenital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Hemorrhage," "Inanition," "Marasmus," "Old age," "Shock," "Uremia," "Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as "PUERPERAL septicemia," "PUERPERAL peritonitis," etc.




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