Deaths 1910-1911, Part 20

Author: Chelmsford (Mass.)
Publication date: 1910-1911
Publisher:
Number of Pages: 380

USA > Massachusetts > Middlesex County > Chelmsford > Deaths 1910-1911 > Part 20

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Cases for the Medical Examiners. - Under the provisions of chapter 24 of the Revised Laws deaths under the following 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

The Commonwealth of Massachusetts

STANDARD CERTIFICATE OF DEATH

PALACE OF DEATH Thelaw ford .(No Tremetas

alsh

North Cheles ford

Registered No. 18

PERSONAL AND STATISTICAL PARTICULARS

MEDICAL CERTIFICATE OF DEATH

3 SEX

Male slut

4 COLOR OF RACE

5 SINGLE

MARRIED,

WIDOWED,

OR DIVORCED

(Write the word)

16 DATE OF DEATH

Mich

(Day)

191.

(Year)

I HEREBY CERTIFY that I attended deceased from

Mch 28

191% to.

nech 29

that I last saw h + alive on.

nech 28 19/1.

and that death occurred, on the dato stated above, at .. about. 6 a.m.

The CAUSE OF DEATH* was as follows:

Prematur birch

about, 12 hours

(Duration) ...

.............. yrs.

......... ... mos. ... ds.

Contributory (SECONDARY)

(Duration). ........ yrs.

mos. ds.

(Signed)

JE Vany

M.D.

Mich 29 1911 (Address)

H. Cheliuntil

* 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

In the

of deeth .yrs.

mos.

.ds.

State ....

...... yrs.

............ mos.

d8.

Where was disease contracted, If not at place of death ?.

Former or usual residence.

19 PLACE OF BURIAL OR REMOVAL YOU I. Patur Cemetery

20 UNDERTAKER

ADDRESS

Ha, Sar-

is less Zasms);

disease ;

econd-

s im-

ds .;

mere

" An- apse,"

tal,"

ure,"

ge," înite gall

State

ions ring

alis,

inal

Er-

ized

d to

hund

DATE OF BURIAL

Ma 30

1911

(Address)

18 Filed Mars 30, 1911 Edward & Robbins

.....

REGISTRAR

....

If LESS than 1 day 5 hrs.

yrs. .. mos. .ds.

or ......... min. ?

8 OCCUPATION (e) Trede, profession, or particuler kind of work.

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

9 BIRTHPLACE

(State or country)

Chelivsford Mars

10 NAME OF

FATHER

Ralph Courses

PARENTS

12 MAIDEN NAME

OF MOTHER

Margaret Currar

13 BIRTHPLACE OF MOTHER (State or country)

Geland

14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE

(Informant).

rather Kalkh Unver

18 Theles ford

St. :

Ward)

(City or towy.) [If deeth occurred in a hospitel or institution, give its NAME insteed of street and number.]

2FULL NAME [If married or divorced woman or widow give maiden name, also name of husband.] @RESIDENCE Princeton Ut

6 DATE OF BIRTH March (Month)

(Day)

Sf 1911

(Year)

7 AGE

MARGIN RESERVED FOR BINDING

WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD.

important. See instructions on back of certificate.

11 BIRTHPLACE OF FATHER (State or country)

(Month)

STANDARD CERTIFICATE OF DEATH.

Statement of occupation. - Precise statement of occupa- tion 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, Architeet, 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- mun, (b) Groecry ; (a) Foreman, (b) Automobile factory. The material worked on may form part of the second statement. Never return "Laborer," "Foreman," " Manager,""Dealer," etc., without more precise specification, as Day laborer, Farm laborer, Laborcr- 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 Hlouscwife, Houscwork, 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 occupation whatever, write Nonc.

Statement of cause of death. - Name, first, the DISEASE ('AUSING 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, peritoneum, 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; Chronie interstitial nephritis, etc. The contributory (second- ary or intercurrent) affection necd not be stated unless im- portant. Example: Measles (disease causing death), 29 ds .; Broncho-pneumonia (secondary), 10 ds. Never report inero 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 definito disease can be ascertained as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as "PUER- PERAL septieaemia," " PUERPERAL peritonitis," ctc. State cause for which surgical operation was undertaken.

Cases for the Medical Examiners. - Under the provisions of chapter 24 of the Revised Laws deaths under the following conditions must be referred to the Medical Examiners:

1. Deaths following injury or violenco, 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 strect, or one supposed to be due to Alcoholism, etc.

4. Deaths under circumstances unknown, as A person found dead, etc.

important. See instructions on back of certificate. N. B .- Every item of information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state .

CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very

The Commonwealth of Massachusetts

/STANDARD CERTIFICATE OF DEATH

1 PLACE OF DEATH Whileus/jord

(No. Cremeto

St. :

Ward)

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

2FULL NAME

[If married or divorced woman or widow give maiden name, also name of husband.] @RESIDENCE

Trenton St . forth Cheledna

Registered No.

PERSONAL AND STATISTICAL PARTICULARS

MEDICAL CERTIFICATE OF DEATH

16 DATE OF DEATH

March 29

(Month)

(Day)

191 /

(Year)

6 DATE OF BIRTH

(Month)

7 AGE

If LESS than

1 day, /2 hrs.

yrs. mos. ds.

or ......... min. ?

8 OCCUPATION

(a) Trade, profassion, or particular kind of work.

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

about- 12 hours

.(Duration)

................. yrs ..

................ mos.

ds.

Contributory .. (SECONDARY)

(Duration)

yrs.

mos.

.ds.

(Signed)

JE Vany

M.D.

Much 29, 1911 (Addres)

(s) H. Chehurfund

.....

* 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

In the

of death

.yrs.

mos.

ds.

State.

............. yrs.

......

mos.

ds.

Where was disease contracted, If not at place of death ? ....

Former or usual residence ................................

19 PLACE OF BURIAL OR REMOVAL

DATE OF BURIAL

(Informant)

Nather Ralph Onver

(Address) Princeton Ut

16 Filed. mar. 30 100/ Edward & Robbing

....... REGISTRAR

Sar

less

4 COLOR OR/RACE

5 SINGLE,

MARRIED

WIDOWED,

OR DIVORCED

(Write the word)

911

I HEREBY CERTIFY that I attended deceased from

(Day)

(Year)

Mich 28, 1911, to.

1911

that I last saw hw

alive on.

Mich 28

, 1911,

and that death occurred, on the date stated above, at 6 am.

The CAUSE OF DEATH* was as follows :

Premioino barda

................

........... ........

10 NAME OF FATHER Ralph Couser

PARENTS

11 BIRTHPLACE OF FATHER (State or country) inuy

12 MAIDEN NAME OF MOTHER Margaret Curran

18 BIRTHPLACE OF MOTHER (State or country)

14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE

20 UNDERTAKER

ADDRESS

WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD.

Cheluxoford 19 1

............ (City or town.)

falleau Xeruser

3 SEX

Mal Mit

MARGIN RESERVED FOR BINDING

9 BIRTHPLACE

(State or country)

Chelmsford Man

STANDARD CERTIFICATE OF DEATH.

Statement of occupation. - Precise statement of occupa- tion 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, Architeet, 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," ote., without more precise specification, as Day laborer, Farm laborer, Laborer - Coal mine, ete. Women at home, who are engaged in the duties of the household only (not paid House- keepers who receive a definite salary), may be ontered 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, otc. 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 indicatod 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 samo disease. Examples: Cerebro-spinal fever (the only definite synonym is "Epidemie cerebro-spinal meningitis") ; Diphtheria (avoid use of "Croup") ; Typhoid fever (never re- port " Typhoid pneumonia ") ; Lobar pneumonia; Broncho- pneumonia (" Pneumonia," unqualified, is indefinite) ; Tuber-

culosis of lungs, meninges, peritoneum, etc., Carcinoma, Sar- coma, etc., of (name origin: "Cancer" is less definite ; avoid use of " Tumor" for malignant neoplasms) ; Measles; Whooping cough; Chronie valvular heart disease; Chronie interstitial nephritis, etc. The contributory (seeond- ary or intercurrent) affection need not be stated unless im- portant. Example : Measles (disease causing death), 29 ds .; Broncho-pneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as " Asthenia," " An- aemia " (merely symptomatic), "Atrophy," "Collapse," "Coma," "Convulsions," "Debility " ("Congenital," "Senile," ete.), "Dropsy," "Exhaustion," "Heart failure," "Haemorrhago," " Inanition," "Marasmus," " Old age," "Shoek," " 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 septieaemia," " PUERPERAL peritonitis," etc. State cause for which surgical operation was undertaken.

Cases for the Medical Examiners. - Under the provisions of chapter 24 of the Revised Laws deaths under the following 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.

WRITE PLAINLY, WITH UNFADING INK -THIS IS A PERMANENT RECORD.

The Commonwealth of Massachusetts

STANDARD CERTIFICATE OF DEATH

1 PLACE OF DEATH Chelmsford

(No

St. ;

Ward)

(City or tewn.) [If death occurred in a hospital or institution, give its NAME instead of street and number.]

PERSONAL AND STATISTICAL PARTICULARS

3 SEX

temale

4 COLOR OR RACE

White

| 5 SINGLE

MARRIED

WIDOWED,

OR DIVORCED

(Write the word)

widow

6 DATE OF BIRTH

(Month)

(Day)

1849

(Year)

7 AGE

If LESS than

I day, ........ hrs.

81 yrs. 8

mos.

.ds.

or ........ min. ?

& OCCUPATION

(a) Trade, profession, or

particular kind of work

at home

(b) General nature of industry,

business, or establishment in

which employed (or employer).

9 BIRTHPLACE

(State or country)

Chelmsford

PARENTS

11 BIRTHPLACE

OF FATHER

(State or country)

n.H.

12 MAIDEN NAME

OF MOTHER

Polly Fi Prescott

13 BIRTHPLACE

OF MOTHER

(State or country)

Westford

14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE

(Informant)

HI FI letter

(Address)

Filed

afr. 4, 1911 Edward & Robbing

/ REGISTRAR

.(Duration)

.yrs.

mos.

ds.

nephritis

Contributory

(SECONDARY)

( land- decknees 526 uns

.(Duration) .

. yrs.

mos.

....

ds.

JE Jamey

M.D.

(Signed)

april 2 911 (Address).

2. Chilunarel

* 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 dlsease contracted,

If not at place of death ?.

Former or usual residence.

19 PLACE OF BURIAL OR REMOVAL

Hart Pond Cours

DATE OF BURIAL

abril 4.

191 1.

20 UNDERTAKER

Halter Plan

ADDRESS

Chelmsford

(Month)

(Day)

194/ (Year)

MEDICAL CERTIFICATE OF DEATH

16 DATE OF DEATH

I HEREBY CERTIFY that I attended deceased from

, 191/ , to

Mich 2.

abril 1

. 1911.

that I last saw be alive on

March 31, 191.

and that death occurred, on the date stated above, at 70 m.

The CAUSE OF DEATH* was as follows :

Senilità

10 NAME OF

FATHER

Benjamin Spaulding

important. See instructions on back of certificate.

Maroka Jane Atetcher

2 FULL NAME

[If married or divorced woman or widow/ Spaulding,

give maiden name, also name of husband.]

@RESIDENCE

Chelmsford

Robert Filetehen

Registered No.

MARGIN RESERVED FOR BINDING

STANDARD CERTIFICATE OF DEATH.

Statement of occupation. - Precise statement of occupa- tion is very important, so that the relative healthfulness of various pursuits can be known. The question applies to each and every person, irrespective of age. For many occupations a single word or term on the first line will be sufficient, e. g., Farmer or Planter, Physician, Compositor, Architect, Loco- motive engineer, Civil engineer, Stationary fireman, etc. But in many cases, especially in industrial employments, it is necessary to know (a) the kind of work and also (b) the nature of the business or industry, and therefore an additional line is provided for the latter statement ; it should be used only when needed. As examples: (a) Spinner, (b) Cotton mill; (a) Sales- man, (b) Grocery ; (a) Foreman, (b) Automobile factory. The material worked on may form part of the second statement. Never return " Laborer," "Foreman," "Manager,""Dealer," etc., without more precise specification, as Day laborer, Farm laborer, Laborer - Coal mine, etc. Women at home, who are engaged in the duties of the household only (not paid House- keepers who receive a definite salary), may be ontered 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 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. Examples: Cerebro-spinal fever (the only definite synonym is "Epidemic cerebro-spinal meningitis ") ; Diphtheria (avoid use of "Croup ") ; Typhoid fever (never re- port " Typhoid pneumonia ") ; Lobar pneumonia, Broncho- pneumonia (" Pneumonia," unqualified, is indefinite) ; Tuber-

culosis of lungs, meninges, peritonaeum, etc., Carcinoma, Sar- coma, etc., of (name origin: "Cancer" is less definite ; avoid use of "Tumor" for malignant neoplasms) ; Measles ; Whooping cough; Chronic valvular heart disease ; Chronic interstitial nephritis, etc. The contributory (second- ary or intercurrent) affection need not be stated unless im- portant. Example : Measles (disease causing death), 29 ds .; Broncho-pneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as " Asthenia," " An- aemia " (merely symptomatic), "Atrophy," "Collapse," "Coma," "Convulsions," "Debility " ("Congenital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Haemorrhage," " Inanition," "Marasmus," " Old age," "Shock," "Uraemia," "Weakness," etc., when a defmite 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.

Cases for the Medical Examiners. - Under the provisions of chapter 24 of the Revised Laws deaths under the following 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.

The Commonwealth of Massachusetts

STANDARD CERTIFICATE OF DEATH

1 PLACE OF DEATH North blum fund Mase

St. : Ward)

2 FULL NAME Frances A Kenniston

[If married or divoreed woman or widow give maiden name, also name of husband. [ na Handy (Solute, Kenniston)

@RESIDENCE

PERSONAL AND STATISTICAL PARTICULARS

MEDICAL CERTIFICATE OF DEATH

3 SEX

4 COLOR OR RACE

Vemale VIvhite

6 DATE OF BIRTH

5 SINGLE,

MARRIED,

WIDOWED

OR DIVORCED

(Write the word

16 DATE OF DEATH

april

(Month)

(Day)

1911 (Year)

17 I HEREBY CERTIFY that I attended deceased from april 15,191%, to april 17, 1911.

If LESS than

1 day,

.......

hrs.

that I last saw h~ alive on

afred 17, 191

and that death occurred, on the date stated above, at 6 30Pm.

The CAUSE OF DEATH* was as follows :

(Duration)

yrs.

mos.

Contributory (SECONDARY)

(Duration)

.yrs.

mos.

ds.

(Signed)

y Ellunes

M.D.

april 18, 1911 (Address)

n. Chelunsford

* 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

DATE OF BURIAL

(Informant)

(Address)

Filed ... Gyan. 201011 Canard & Robbins

REGISTRAR

MARGIN RESERVED FOR BINDING

WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD.

important. See instructions on back of certificate.

10 NAME OF FATHER?

Connery Hardly,

11 BIRTHPLACE OF FATHER (State or country)

PARENTS

12 MAIDEN NAME OF MOTHER

13 BIRTHPLACE OF MOTHER (State or country}

14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE

20 UNDERTAKER

ADDRESS

7 AGE

76 Vr. 3

yrs.

mos.

ds.

or ........ min. ?

8 OCCUPATION

(a) Trade, profession, or particular kind of work

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

9 BIRTHPLACE

State of

try) duward house

(Month)

(Day) 1835 (Year)

(City or town.)

Elf death occurred in a hospital or institution, give its NAME instead of street and number.]

Registered No.

.....

STANDARD CERTIFICATE OF DEATH.

Statement of occupation. - Precise statement of occupa- tion 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 enginecr, Civil engineer, Stationary fireman, etc. But in many cases, especially in industrial employments, it is necessary to know (a) the kind of work and also (b) the nature of the business or industry, and therefore an additional line is provided for the latter statement ; it should be used only when needed. As examples: (a) Spinner, (b) Cotton mill; (a) Sales- man, (b) Grocery ; (a) Forcman, (b) Automobile factory. The material worked on may form part of the second statement. Never return "Laborer," "Foreman," "Manager,""Dealer," etc., without more precise specification, as Day laborer, Farm luborer, Laborer - Coal mine, etc. Women at home, who are engaged in the duties of the household only (not paid House- kcepers who receive a definite salary), may be entered as Hlouscwife, 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 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. 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, peritoneum, etc., Carcinoma, Sar- coma, etc., of (name origin: "Cancer" is less definite ; avoid use of "Tumor" for malignant neoplasms) ; Measles ; Whooping cough ; Chronic valvular heart discase ; Chronic interstitial nephritis, etc. The contributory (second- ary or intercurrent) affection need not be stated unless im- portant. Example: Measles (disease causing death), 29 ds .; Broncho-pneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as " Asthenia," " An- aemia " (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 septicemia," " PUERPERAL peritonitis," etc. State cause for which surgical operation was undertaken.

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Deaths 1910-1911, Part 20

Author: Chelmsford (Mass.) Publication date: 1910-1911 Publisher: Number of Pages: 380

Author: Chelmsford (Mass.)
Publication date: 1910-1911
Publisher:
Number of Pages: 380