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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