USA > Massachusetts > Middlesex County > Chelmsford > Deaths 1914-1916 > Part 11
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Cases for the Medical Examiners. - Under the provi- sions of chapter 24 of the Revised Laws deaths under the fol- lowing conditions must be referred to the Medical Examiners: ,
1. Deaths following injury or violence, as Burns, Falls, Drowning, Gas poisoning, Suicide, Homicide, etc.
2. Deaths supposedly caused by violence, as Criminal abortion, Poisoning, Starvation, Suffocation, Ex- posure, etc.
3. Sudden deaths of persons not disabled by recognized discasc, as A death upon the strect, or one supposed to be due to Alcoholism, ctc
4. Deaths under circumstances unknown, as A person found' dead, ctc.
--
MARGIN RESERVED FOR BINDING
WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD.
CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very 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
1 PLACE OF DEATH
Chelmsford
(No.
Juniper 5%.
St.
Ward)
fif death occurred in a hospital or institution, give its NAME instead of street and number.]
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
Hernale
4 COLOR OR RACE
white
5 SINGLE,
MARRIED.
WIDOWED,
OR DIVORCED
(Write the word)
6 DATE OF BIRTH
July
17
1914
(Month)
(Day)
(Year)
7 AGE
If LESS than
1 day, ........ hrs.
. mos. 0 ds.
or ........ min. ?
8 OCCUPATION
(a)' Trade, profession, or
particular kind of work
2 -
(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) Corinthe Me.
12 MAIDEN NAME
OF MOTHER
Vivian Ritchie
13 BIRTHPLACE
OF MOTHER
(State or country) Birmingham ala
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
las. Ogilvie
(Address) Chelmsford mark
July 18, 1916 Edward Porto
REGISTRAR
16 DATE OF DEATH
July
(Month)
(Day)
1914
(Year)
17
1
HEREBY CERTIFY that Iattended deceased from
Jul 17, 1914, to
Jul 17, 1914
that
Vlast saw h
alive on.
191
.... .
and that death occurred, on the date stated above, at.
.m.
The CAUSE OF DEATH* was as follows :
(Duration)
......
... yrs.
.mos.
ds.
Contributory
(SECONDARY)
.(Duration)
yrs.
mos.
ds.
Autres A Cobora
M.D.
(Signed)
July 17. 1914 (Address)
Charlie ford , mars
-
* 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
19 PLACE OF BURIAL OR REMOVAL
Pine Ridge Com .
DATE OF BURIAL
July 18, 1914
15 Filed ... 0 0
20 UNDERTAKER
WPerhar
ADDRESS
Chehusford
2FULL NAME
Stillborn)
[If married or divorced woman or widow give maiden name, also name of husband.17 @RESIDENCE Chiliford
40 chelmsford
(City or town.)
Registered No.
170
17
10 NAME OF
FATHER
Joseph Boxs
yrs. 0
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 neoded. 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, peritonacum, etc., Carcinoma, Sar- coma, etc., of. (name origin: "Cancer" is less definite ; avoid use of "Tumor" for malignant neoplasms) ; Measles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, etc. The contributory (second- ary or intercurrent) affection need not be stated unless im- portant. Examplo: Mcasles (disease causing deatlı), 29 ds .; Broncho-pneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as " Asthenia," " An- aemia " (merely symptomatic), " Atrophy," "Collapse," " Coma," " Convulsions," "Debility " ("Congenital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Haemorrhage," " Inanition," "Marasmus," "Old age," "Shock," "Uraemia," "Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as "PUER- PERAL septicacmia," " PUERPERAL peritonitis," etc. State cause for which surgical operation was undertaken.
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
1 PLACE OF DEATH
Lowell, Mass. (No. Lowell General Hospitalst .: Ward)
41
Lowell .......
(City or town.) fif death occurred in a hospital or institution, give its NAME Instead of street and number.]
2 FULL NAME
John C. Anderson
[If married or divorced woman or widow give maiden name, also name of husband.] @RESIDENCE Morth Chelmsford, Mass.
Registered No.
4
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
4 COLOR OR RACE
White
5 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
Married
$ DATE OF BIRTH
April 26
18 69 17
(Month)
(Day)
(Year)
7 AGE
If LESS than
I day, ........ hrs.
45
yrs.
2
mos.
22
ds.
or ......... min. ?
8 OCCUPATION
(a) Trade, profession, or
particular kind of work
Manufacturer
(b) General nature of industry,
business, or establishment In
which employed (or employer).
Twines
9 BIRTHPLACE
(State or country)
England
10 NAME OF
FATHER
John c. Anderson
PARENTS
11 BIRTHPLACE
OF FATHER
(State or country)
England
12 MAIDEN NAME
OF MOTHER
Unknown
18 BIRTHPLACE
OF MOTHER
(State or country)
Scotland
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
Mrs. Mary E. Anderson
(Address) #. Chelmsford, Mass.
16
Filed .. July 21,4 Shephe
REGISTRAR
I HEREBY CERTIFY that I attended deceased from
June 24
4
July 18,
4
191
....... ,
to
191
that I last saw hl.m ..... alive on .....
July 18.
19| 4
............ , p and that death occurred, on the date stated above, at 9. 305.
The CAUSE OF DEATH* was as follows :
Carcinoma of Caecum
(Duration)
.yrs.
ds.
mos.
Contributory ...
(SECONDARY)
.(Duration)
yrs.
.mos.
.. ds.
(Signed)
M. A. Tighe
M.D.
July 201914 (Address) 9 Central St.
....
* 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
Riverside Cem.
Chelmsford
Mass.
DATE OF BURIAL
JJuly .... 2.1 .191 .... 4
20 UNDERTAKER
Geo. W. Healey
ADDRESS
Lowell
MARGIN RESERVED FOR BINDING
WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD.
Important. See instructions on back of certificate.
976
16 DATE OF DEATH
July 18
(Month)
(Day)
(Year)
....
Male
191 4
...
STANDARD CERTIFICATE OF DEATH,
Statement of occupation. - Precise statement. of occu- pation is very important, so that the relative healthfulness of various pursuits can be known. The question applies to cach and every person, irrespective of agc. For many occupations a single word or term on the first linc will be sufficient, c. g., Farmer or Planter, Physician, Compositor, Architect, Loco- motive engineer, Civil engineer, Stationary fireman, etc. But in many cases, especially in industrial employments, it is necessary to know (a) the kind of work and also (b) the nature of the business or industry, and therefore an additional line is provided for the latter statement; it should be used only when needed. As examples: (a) Spinner, (b) Cotton mill; (a) Sales- man, (b) Grocery; (a) Foreman, (b) Automobile factory. The material worked on may form part of the second statement. Never return "Laborer," "Foreman," "Manager," "Dealer," ctc., without more precise specification, as Day laborer, Farm laborer, Laborer - Coal mine, ctc. 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 serviee for wages, as Servant, Cook, Housemaid, etc. If the occupation has been changed or given up on account of the DISEASE CAUSING DEATH, state occupation at beginning of illness. If retired from business, that fact may be indicated thus: Farmer (retired, 6 yrs.). For persons who have no occu- pation whatever, write None.
Statement of cause of death. - Name, first, the DIS- EASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted term for the same disease. Examples: Cerebro-spinal fever (the only definite synonym is "Epidemic cerebro-spinal meningitis") ; Diphtheria (avoid use of "Croup"); Typhoid fever (never rc- port "Typhoid pneumonia"); Lobar pneumonia; Broncho- pneumonia ("Pneumonia," unqualified, is indefinite) ; Tuber-
culosis of lungs, meninges, peritonaeum, etc., Carcinoma, Sar- coma, ctc., of. .(name origin: "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms) ; Measles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, etc. The contributory (second- ary or intercurrent) affection necd not be stated unless im- portant. Example: Measles (disease causing death), 29 ds .; Broncho-pneumonia (secondary), 10 ds. Never report mere * symptoms or terminal conditions, such as "Asthenia,". "An- . acmia" (merely symptomatic), "Atrophy," "Collapse," "Coma," "Convulsions," "Debility" ("Congenital," "Senile," 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 provi- sions of chapter 24 of the Revised Laws deaths under the fol- lowing conditions must be referred to the Medical Examiners:
1. Deaths following injury or violence, as Burns, Falls, Drowning, Gas poisoning, Suicide, Homicide, etc.
2. Deaths supposedly caused by violence, as Criminal abortion, Poisoning, Starvation, Suffocation, Ex- posure, etc.
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.
CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very 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
PLACE OF DEATH
Lowell Mass. .(No. Lowell General Hospitas .. .Ward)
42 Lowell
...
(City or town.)
[If death occurred in a hospital or institution, give its NAME Instead of street and number.]
2 FULL NAME John samuel Liddy [If married or divorced woman or widow give maiden name, also name of husband.] @RESIDENCE Chelmsford, Mass.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE
5 SINGLE
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
Married
6 DATE OF BIRTH
--
-
1.8.6/07
(Month)
(Day)
(Year)
7 AGE
If LESS than
1 day ......... hrs.
54
... yrs. --
mos.
ds.
or ........ min. ?
B OCCUPATION
(a) Trade, profession, or
particular kind of work ...
Carpenter
(b) General nature of industry,
business, or establishment in
which employed (or employer).
Day Work
9 BIRTHPLACE (State or country)
Ireland
10 NAME OF
FATHER
John Liddy
(Signed)
James Y. Rodger
M.D.
AUS. 6 . 19$ (Address).
Lowell Gen. Hosp.
* 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 ..
19 PLACE OF BURIAL OR REMOVAL Testlawn Cem., Loweflug. 7
DATE OF BURIAL
19/4
.....
16
Aug. 7, 4
Filed 191. 20
........ REGISTRAR
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH
August
5
191.
.........
(Month)
(Day)
4
(Year)
I HEREBY CERTIFY that I attended deceased from
July
1
1914, to Aug.
5
1914
that I last saw himalive on Aug. 5
1914
and that death occurred, on the date stated above, at 2.35mp
The CAUSE OF DEATH* was as follows :
Prostatic Carcinoma
.(Duration)
yrs.
2
mos.
.ds.
Contributory ..
(SECONDARY)
.. (Duration)
... yrs. ...
.mos.
.........
ds.
PARENTS
11 BIRTHPLACE OF FATHER (State or conntry) Ireland
12 MAIDEN NAME OF MOTHER Anna Banford
13 BIRTHPLACE
OF MOTHER
(State or country)
Ireland
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
Mrs.
Liddy
(Address)
Chelmsford, Mass.
20 UNDERTAKE
Walter Perhamd
ACHEimsford, Mass.
MARGIN RESERVED FOR BINDING
Male
White
........
--
......
.......
42
Registered No. 1055
STANDARD CERTIFICATE OF DEATH.
Statement of occupation. - Precise statement of occu- pation is very important, so that the relative healthfulness of various pursuits can be known. The question applies to cach 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 fircman, etc. But in inany 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 necded. 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 laborcr, Laborer - Coal minc, etc. Women at home, who are engaged in the duties of the household only (not paid House- keepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gain- fully employed, as At school or At home. Care should be taken to report specifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, Housemaid, etc. If the occupation has been changed or given up on account of the DISEASE CAUSING DEATH, state occupation at beginning of illness. If retired from business, that fact may be indicated thus: Farmer (retired, 6 yrs.). For persons who have no occu- pation whatever, write None.
Statement of cause of death. - Name, first, the DIS- DASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted term for the same disease. Examples: Cercbro-spinal fever (the only definite synonym is "Epidemic cercbro-spinal meningitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never re- port "Typhoid pneumonia"); Lobar pneumonia; Broncho- pneumonia ("Pneumonia," unqualified, is indefinite) ; Tuber-
1
culosis of lungs, meninges, peritonacum, etc., Carcinoma, Sar- coma, etc., of. ....... „(name origin: "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms) ; Measles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, etc. The contributory (second- ary or intercurrent) affection need not be stated unless im- portant. Example: Measles (disease causing death), 29 ds .; Broncho-pneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as "Asthenia," "An- aemia" (mcrely symptomatic), "Atrophy," "Collapse,". "Coma," "Convulsions," "Dcbility" ("Congenital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Haemorrhage," "Inanition," "Marasmus,", "Old agc," "Shock," "Uraemia," "Weakness," etc., when a definite disease can be ascertaincd as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as "PUER- PERAL septicaemia," "PUERPERAL peritonitis,", etc. " State cause for which surgical operation was undertaken.
Cases for the Medical Examiners. - Under the provi- sions of chapter 24 of the Revised Laws deaths under the fol- lowing conditions must be referred to the Medical Examiners:
1. Deaths following injury or violence, as Burns, Falls, Drowning, Gas poisoning, Suicide, Homicide, etc.
2. Deaths supposedly caused by violence, as Criminal abortion, Poisoning, Starvation, Suffocation, Ex- posure, 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 important. See instructions on back of certificate.
8 SEX
Mala.
TAGE
8 OCCUPATION
PARENTS
CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very
...
4 COLOR OR RACE
Sthita
5 SINGLE,
MARRIED, Married.
WIDOWED!
OR DIVORCED
(Write the word)
6 DATE OF BIRTH
(Month)
(Day)
1
(Year)
$3
yrs. 2
mos.
...... .. ds.
or ........ min. ?
-
16 DATE OF DEATH
(Month)
(Day)
1915
(Year)
17 I HEREBY CERTIFY that I attended deceased from Luquet 3 001 1914, to Quequer 1294 that I last saw heis alive on. august 2. 194, and that death occurred, on the date stated above, at 10Pm. The CAUSE OF DEATH* was as follows :
Carcinoma of stomach Oliver
C
.(Duration)
yrs.
mos.
ds.
Contributory ..
(SECONDARY)
...
.(Duration)
.yrs.
mos.
ds.
(Signed)
(Archibald BSGardner, M.D.
2. 1914
(Address) 64 Central At Land 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.
mos.
.. ds.
State.
...... yrs.
.mos.
ds.
in the
Where was disease contracted, If not at place of death ?.
Former or
usual residence ..
19 PLACE OF BURIAL OR -REMOVAL Hast Chefmagad. Currently,
DATE OF BURIAL
awo /5'
.,
1914
....
(Address) West Chefmat Mars
16 Filed aug 12 1914 Edward &. Doffin
REGISTRAR 0 1265-1472
43 Chefmifar More (City of town.) [if death occurred in a hospital or institution, give its NAME instead of street and number.]
1 PLACE OF DEATH
Hart Chefmifact. Man( No
St. :
Ward)
(490099- Frankfin Snow.
2 FULL NAME
[If married or divorced woman or widow
give maiden name, also name of husband.1
@RESIDENCE
Hast Chelmlad. Mars.
Registered No.
4.3
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
12%
If LESS than
1 day ......... hrs.
(a) Trade, profession, or
particular kind of work
Farinez.
(b) General nature of industry,
business, or establishment in
which employed (or employer).
9 BIRTHPLACE
(State or country)
Frantard. Mars
10 NAME OF
FATHER
Lavi Smov
11 BIRTHPLACE
OF FATHER
(State or country)
Hartford Tace
-
12 MAIDEN NAME
OF MOTHER
Louisa-Reed.
13 BIRTHPLACE
OF MOTHER
(State or country)
Stoddard 71. 2.6.
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
Mrs Offic Snow
20 UNDERTAKER~
David & Eric Son.
ADDRESS
garland Mann
MARGIN RESERVED FOR BINDING
WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD.
The Commonwealth of Massachusetts STANDARD CERTIFICATE OF DEATH
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.
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