USA > Massachusetts > Middlesex County > Chelmsford > Deaths 1912-1913 > Part 8
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Part 1 | Part 2 | Part 3 | Part 4 | Part 5 | Part 6 | Part 7 | Part 8 | Part 9 | Part 10 | Part 11 | Part 12 | Part 13 | Part 14 | Part 15 | Part 16 | Part 17 | Part 18 | Part 19 | Part 20 | Part 21 | Part 22 | Part 23 | Part 24 | Part 25 | Part 26 | Part 27 | Part 28 | Part 29 | Part 30 | Part 31 | Part 32 | Part 33 | Part 34 | Part 35 | Part 36 | Part 37 | Part 38 | Part 39
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 Marth Chufaich No Middlesex
St. :
Ward)
[If death occurred in a hospital or institution, give its NAME instead of street and number.]
2 FULL NAME [If married or divorced woman or widow give maiden name, also name of husband.] @RESIDENCE
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
4 COLOR OR RACE
6 DATE OF BIRTH
(Monthy
25- (Day)
1 9/2 (Year)
7 AGE
If LESS than I day, ... hrs.
..... y+s.
- ... 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 or country)
(Duration)
yrs.
mos.
ds.
Contributory .. (SECONDARY)
.(Duration) .. yrs.
mos.
ds.
JE Vampy
M.D.
May 28
1912 (Address) 1
M. Chilfaster.
* 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.
In the
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
May 29. 19/2
(Address) March Cheles paul
16 Filed very 29, 1913 Edward Robbing 0
REGISTRAR
16 DATE OF DEATH
May
28
1912
(Month)
.(Day)
(Year)
I HEREBY CERTIFY that I attended deceased from May 2 4 1912, to May 28 1912
that I last saw hw Lalive on ... May 26 191.22, and that death occurred, on the date stated above, at 230pm. The CAUSE OF DEATH* was as follows :
Giancarlo
important. See instructions on back of certificate.
PARENTS
11 BIRTHPLACE OF FATHER (State or country)
Canada
12 MAIDEN NAME OF MOTHER
Elisa Vesina
13 BIRTHPLACE OF MOTHER (State or country)
Cuales
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
Sacher
ADDRESS
738
20 UNDERTAKER Achchambault mensual
MARGIN RESERVED FOR BINDING
WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD.
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
118
(City or town.)
Joseph Roger Ban dette
Registered No.
32
5 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
( Write the word)
-
10 NAME OF
FATHER
alexandre Beaudette
(Signed)
STANDARD CERTIFICATE OF DEATH.
Statement of occupation. - Precise statement of oceupa- tion 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) 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 specifieation, as Day laborer, Farm laborer, Laborer - C'oul mine, etc. Women at home, who aro engaged in the duties of the household only (not paid Ilouse- keepers who receive a definito salary), may be entered as Housewife, Housework, or At home, and children, not gaill- fully employed, as At school or At home. Care should be taken to report specifically the occupations of persons engaged in domestie 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 oceupation 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 ('AUSING DEATH (the primary affection with respect to time and eausation), 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-
eulosis of lungs, meninges, peritoneum, ete , Carcinoma, Sur- coma, etc., of. (name origin: "Caneer" 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 symptomatie), "Atrophy," "Collapse," "Coma," "Convulsions," "Debility " ("Congenital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Hacmorrhage," " Inanition," " Marasmus," "Old age," "Shock," " Uraemia," " Weakness," ctc., when a definite disease ean be aseertaincd as the cause. Always qualify all diseases resulting from childbirth or misearriage, as " PUER- PERAL septicaemia," " PUERPERAL peritonitis," etc. State cause for which surgical operation was undertaken.
Cases for the Medical Examiners. - Under tho 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 eaused 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, ete.
4. Deaths under circumstances unknown, as A person found dead, etc.
MARGIN RESERVED FOR BINDING
WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD.
..... 8 SEX Male 7 AGE PARENTS 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
I PLACE OF DEATH Chelin ford (No. Cheluces ford ....
St. : Ward)
Andrew Whee haw
2 FULL NAME
[If married or divorced woman or widow
give maiden namc, also name of husband.1
@RESIDENCE
Cheles ford Street
Registered No.
33
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
4 COLOR OR RACE
5 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
Kdound
6 DATE OF BIRTH
-
1847
(Month)
(Day)
(Year)
If LESS then
[ day, ........ hrs.
... yrs.
mos.
ds.
or ......... min. ?
S OCCUPATION
(e) Trede, profession, or
particuler kind of work.
Retired
(b) General nature of industry,
business, or establishment in
which employed (or employer).
Petal Cholle Valasman
..........
9 BIRTHPLACE
(State or country)
Wieland
10 NAME OF
FATHER
Thomas Sheehan
11 BIRTHPLACE
OF FATHER
(State or country)
Ireland
12 MAIDEN NAME
OF MOTHER
Ellen - Sat Junen
13 BIRTHPLACE
OF MOTHER
(State or country),
Queland
Broth
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
Whomas C hee haw
(Address)
Chelunsford St. Cheles ford
26 Filed June 6, 1912 Edward J. Robban
REGISTRAR
16 DATE OF DEATH
June
5-
(Month)
(Day)
191 2
(Year)
17
I HEREBY CERTIFY that l)attended deceased from
May 4
.. 1912, to
trung S . 1912
that I last saw h tumalive on.
Anna S 192
and that death occurred, on the date stated above, at 3.3 0pm.
The CAUSE OF DEATH* was as follows :
Otacmenhan-
....
10 or more
.. yrs.
.. mos.
ds.
(Duration)
.........
Contributory ...
(SECONDARY)
...... (Duration)
.... yrs.
.. mos.
ds.
(Signed)
Autre G Icobana,
M.D.
June 6, 1912 (Addres).
Chilistarile mais
* 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.
In the
. ...
... mos. ......
„ds.
State
.. yrs.
.mos.
ds
Where was disease contracted, If not at place of death ?...
Former or usual residence.
DATE OF BURIAL
PLACE OF BURIAL OR REMOVAL ord St. Jaturfa Counter
1912
.................
20 UNDERTAKBR .
ADDRESS
1324 Market
Tlf deeth occurred in a hospital or institution, give its NAME instead of street and number.]
hee haw .
Cheliwolford 19
(City or town.)
....
6,5
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 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 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 definite disease can be ascertained as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as " PUER- PERAL septicaemia," "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 dcad, etc.
MARGIN RESERVED FOR BINDING
WRITE PLAINLY, WITH UNFADING INK- THIS IS A PERMANENT RECORD.
The Commonwealth of Massachusetts STANDARD CERTIFICATE OF DEATH 1 PLACE OF DEATH
St. ;..
Ward)
Registered No.
34
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH
June
13
191.2
(Month)
(Day)
(Year)
I HEREBY CERTIFY that I attended deceased from
June 8
1912 to june 13
1912
that I last saw he alive on
1912)
and that death occurred, on the date stated above, at .:.
80m
The CAUSE OF DEATH* was as follows :
Myo carditis
... (Duration) ....
... yrs.
... mos.
14 ds.
Contributory
Rheumalisto
(SECONDARY)
.. (Duration)
.... . yrs.
mos.
ds.
(Signed)
JE Vaney
M.D.
por 14
1912 (Address)
H. Chekanfeel
* 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.
In the
ds.
State
... yrs.
mos.
ds
Where was disease contracted, If not at place of death ?.
Former or usual residence.
10 PLACE OF BURIAL OR REMOVAL no. Chelmsford DATE OF BURIAL Riverside Cemeterytune 16, 1912
20 UNDERTAKER YADDRESS Chas. m. Young 39 Prescotts
North Chelmsford MasoNo 1 FULL NAME Robert Moore. [If married or divorced woman or widow give maiden name, also name of husband.] @RESIDENCE North Chelmsford Mass PERSONAL AND STATISTICAL PARTICULARS 3 SEX 4 COLOR OR RACE Male White 6 DATE OF BIRTH (Month) (Day) 7 AGE 8 OCCUPATION (a) Trade, profession, or particular kind of work. Wool Sorter (b) General nature of industry, business, or establishment in which employed (or employer). 9 BIRTHPLACE (State or country) Ireland 10 NAME OF FATHER William Moore. 11 BIRTHPLACE OF FATHER (State or country) Treland 12 MAIDEN NAME OF MOTHER PARENTS Jane Allison 13 BIRTHPLACE OF MOTHER (State or country) Ireland 14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE (Informant) Irs. Robert moore important. See instructions on back of certificate. (Address) 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 42 yrs. 2 . mos. .... .25 ds. or ........ min. ?
16 File June 10, 1912 Edward & Robbing
REGISTRAR
12€
(City or town.)
[If death occurred in a hospital or institution, give its NAME instead of street and number.
§ SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word) Married
187017
(Year)
If LESS than
I day, ........ hrs.
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 evory 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 engincer, Stationary fircman, 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 Hlousc- keepers who receive a definite salary), may be entered as Housewife, Hlouscwork, or At home, and children, not gain- fully employed, as At school or At home. Care should be taken to report specifically tho 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 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 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 " (increly symptomatic), " Atrophy," "Collapse," " Coma," " Convulsions," "Debility " ("Congonital," "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 septicaemia," " 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 tho 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 onc supposed to be due to Alcoholism, etc.
4. Deaths under circumstances unknown, as A person found dead, otc.
N. B. - Every item of information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state important. See instructions on back of certificate.
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
(No.
High St.
Virginia Barbour 'FULL NAME [If married or divorced woman or widow give maiden name, also name of husband.] @RESIDENCE Chelmsford
St. :
Ward)
[If death occurred in a hospital or institution, give its NAME instead of street and number.]
Registered No.
35
PERSONAL AND STATISTICAL PARTICULARS
1 PLACE OF DEATH
3 SEX
4 COLOR OR RACE
5 SINGLE,
MARRIED,
Hemale
WIDOWED,
OR DIVORCED
(Write the word)
white
6 DATE OF BIRTH
april
26
(Month)
(Day)
7 AGE
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 or country)
Chelmsford
12 MAIDEN NAME
OF MOTHER
Hettic Chic
PARENTS
(Informant)
RB. Barbour
CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very
2
.yrs.
/
mos.
21
.ds.
If LESS than
i day, ....... hrs.
or ........ min. ?
10 NAME OF
FATHER
Robert B. Barbour
11 BIRTHPLACE
OF FATHER
(State or country)
astabula Cchio
13 BIRTHPLACE
OF MOTHER
(State or country)
Pueblo, Colo.
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Address)
Chilmustard
15 Filed June 18, 1912 Edward J. Robbin
- REGISTRAR
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH
June
16
(Month)
(Day)
(Year)
17
1 HEREBY CERTIFY that I attended deceased from
June 13
1912, to June 16
1913
.. .
that I last saw he alive on.
June 16
1913
and that death occurred, on the dato stated above, at 6. 9.m.
The CAUSE, OF DEATH* was as follows ;
Gastar- Entrelos
(Duration)
... yrs.
mos.
6
ds.
Contributory ..
(SECONDARY)
(Signed)
.. (Duration) .
Rukanker.
mos.
ds.
...... ......... yrs.
; M.D.
mme17,1912 (Adress)
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.
In the
yrs.
mos.
ds ..
Where was disease contracted, If not at place of death ?.
Former or usual residence. ......
19 PLACE OF BURIAL OR REMOVAL Pine Ridge Cer
DATE OF BURIAL
June 18 192
20 UNDERTAKER
Halter Perham
ADDRESS
Chelmsford.
MARGIN RESERVED FOR BINDING
WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD.
/2/ Chelmsford (City ør town.)
1912
1919
(Year)
STANDARD CERTIFICATE OF DEATH.
Statement of occupation. - Precise statement of occupa- tion is very important, so that tho 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 nceded. 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 entered as Ilousewife, Hlousework, 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," "Uracmia," " Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as " PUER- PERAL septicaemia," " PUERPERAL peritonitis," etc. State cause for which surgical operation was undertaken.
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