USA > Massachusetts > Middlesex County > Chelmsford > Deaths 1914-1916 > Part 12
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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
important. See instructions on back of certificate.
PARENTS
11 BIRTHPLACE
OF FATHER
(State or country)
Italy
12 MAIDEN NAME
OF MOTHER
Chila buchenana
13 BIRTHPLACE
OF MOTHER
(State or country)
Itily
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
Delcoraz Damiano
(Address)
1 year 198 Charles
Filed.
aug 16. 1914 Edward &. Rolling
REGISTRAR
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH
aug. 13
(Month)
(Day)
1914
(Year)
I HEREBY CERTIFY that I have investigated the death of the deceased.
The CAUSE OF DEATH* was as follows :
accidental Browning
(Crystal Lake)
1
(Duration) ..
yrs.
mos.
ds.
Contributory ..
(SECONDARY)
(Duration)
„yrs.
.mos.
ds.
I.V. Theigo
M.D.
(Signed)
aug 14, 1914 (Address) 160 HermackY
MEDICAL EXAMINER
* State the DISEASE CAUSING DEATH, or, in deaths from VIOLENT CAUSES, state (1) MEANS of INJURY; and (2) whether ACCIDENTAL, SUICIDAL or HOMICIDAL.
18 LENGTH OF RESIDENCE (FOR HOSPITALS, INSTITUTIONS, TRANSIENTS, OR RECENT RESIDENTS).
In the
At place
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 St Patricks Cent- Cuz 16, 191
20 UNDERTAKER
2 a wunbeck
ADDRESS
16 market ch
3 SEX
male
4 COLOR OR RACE
White
5 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
6 DATE OF BIRTH
(Month)
(Day)
1897 (Year)
7 AGE
If LESS than
! day, ........ hrs.
19
.......... yrs.
mos.
ds.
or ........ min. ?
8 OCCUPATION Thill-operative
(a) Trade, profession, or
particular kind of work
(b) General nature of industry, business, or establishment in which employed (or employer).
º BIRTHPLACE
(State or country)
WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD.
The Commonwealth of Massachusetts STANDARD CERTIFICATE OF DEATH
1 PLACE OF DEATH Chelmsford (No Crystal Lake
St. :
Ward)
44 Chelmsford (City or town.) [If death occurred in a hospital or institution, give its NAME instead of street and number.]
2 FULL NAME
Sonardo Campo
. ..
[If married or divoreed woman or widow give maiden name, also name of husband.] @RESIDENCE 43 nath A. Lecce
Registered No.
44
.
PERSONAL AND STATISTICAL PARTICULARS
MARGIN RESERVED FOR BINDING
10 NAME OF
FATHER
Laseth Campo
-
--
STANDARD CERTIFICATE OF DEATH.
-
Statement of occupation. - Precise statement of oeeu- pation 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, ete. 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," ete., without more precise specifieation, 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 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 domestie service for wages, as Servant, Cook, Housemaid, ete. If the oeeupation has been changed or given up on account of the DISEASE CAUSING DEATH, state occupation at beginning of illness. If retired from business, that faet may be indicated thus: Farmer (retircd, 6 yrs.). For persons who have no oeeu- pation whatever, write None.
Statement of cause of death. - Name, first, the DIS- EASE CAUSING DEATH (the primary affection with respect to time and eausation), using always the same accepted term for the same disease. Examples: Cerebro-spinal fever (the only definite synonym is "Epidemie eerebro-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, cte., Carcinoma, Sar- coma, ete., of (name origin: "Caneer" is less definite; avoid use of "Tumor" for malignant neoplasms); Mcasles; Whooping cough; Chronic valvular heart discasc; Chronic interstitial nephritis, ete. The contributory (second- ary or intereurrent) affection need not be stated unless im- portant. Example: Mcasles (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," ete.), "Dropsy," "Exhaustion," "Heart failure," "Haemorrhage," "Inanition," "Marasmus," "Old age," "Shoek," "Uraemia," "Weakness," ete., when a definite disease ean be aseertained as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as "PUER- PERAL septicaemia," "PUERPERAL peritonitis," ete. State eause for which surgical operation was undertaken. For VIOLENT DEATHS state MEANS OF INJURY and qualify as ACCI- DENTAL, 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."
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 Medieal Examiners:
1. Deaths following injury or violence, as Burns, Falls, Drowning, Gas poisoning, Suicide, Homicide, ete.
2. Deaths supposedly caused by violenee, as Criminal abortion, Poisoning, Starvation, Suffocation, Ex- posure, ete.
3. Sudden deaths of persons not disabled by recognized disease, as A death upon the street, or onc supposed to be duc to Alcoholism, ete.
4. Deaths under eireumstanees unknown, as A person found dead, 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 March Thehutand Nudderes
St. :
....... Ward)
Mary Jeannette Fingere
[If married or divorced woman or widow give maiden name, also name of husband.] @RESIDENCE Muddlerel
PERSONAL AND STATISTICAL PARTICULARS
2 FULL NAME
3 SEX
14 COLOR OR RACE
Female
6 DATE OF BIRTH
Fany
(Month) /
1
(Day)
TAGE
....
& OCCUPATION
(a) Trade, profession, or
particular kind of work
(b) General nature of industry,
business, or establishment in
which employed (or employer) ....
PARENTS
1ª BIRTHPLACE
OF MOTHER
(State or country)
(Informant)
Tallur
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
.......
................... yrs. ........
6 mos. 10 ds.
5 SINGLE
MARRIED,
Singh
WIDOWED>
OR, DIVORCED
(Write the word)
-
(Year)
If LESS than
[ day .......
... hrs.
or ......... min. ?
9 BIRTHPLACE
(State or country)
North Cluburfuck
10 NAME OF
FATHER
Joseph Sugere
11 BIRTHPLACE
OF FATHER
(State or country)
Canada
12 MAIDEN NAME
OF MOTHER
Dahinà Marcus
Canada
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
North Thefurfur 1
(Address)
16
Filed an 9.14, 1914
Edward . Rolfin
fins
REGISTRAR
16 DATE OF DEATH
17
I HEREBY CERTIFY that I attended deceased from
Cung 11, 19), to
aug 13
.. ,
1914. that I last saw her alive on aug 131 1914. and that death occurred, on the date stated above, at 90. The CAUSE OF DEATH* was as follows :
Cente Gastro Enteritis
....
.(Duration).
.. yrs.
.. mos ..
15 da.
Contributory ............!!!
(SECONDARY)
.(Duration)
.yrs.
mos. ds.
L (Signed)
....
James & Haben
M.D.
1914 (Address)
2) no chelmsford
....
* If death followed injury or violence the certificate of death must be made ont by the Medical Examiner.
18 LENGTH OF RESIDENCE (FOR HOSPITALS, INSTITUTIONS, TRANSIENTS, OR RECENT RESIDENTS).
In the
At place
of death.
...... yrs. ............ mos.
... ds.
............
State
yrs.
.......
mos.
ds.
Former or Where was disease contracted, If not at place of death ?.. ... usual residence. ....
DATE OF BURIAL
19 PLACE OF BURIAL OR REMOVAL fr Joseph
20 UNDERTAKER
.
ADDRESS
3
0
45
(City or town.) ...
[if death occurred in a hospital or institution, give its NAME instead of street and number.]
115
Registered No.
MEDICAL CERTIFICATE OF DEATH
Qua
13
1914 (Year)
(Month)
(Day)
....
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 fireman, ctc. 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 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 employcd, 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 oceupation 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. - Naine, first, the DIS- EASE CAUSING DEATH (the primary affection with respect to time and causation), using always the samc 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) ; Mcasles; 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 eausing 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," "Haemorrhage," "Inanition," "Marasmus,", "Old agc," "Shock," "Uraemia," "Weakness,", etc., when a definite diseasc ean be ascertained as the eause. Always qualify all discases 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 Burn's, 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 eircumstances unknown, as A person found dead, ete.
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. Littletrust.
St. :
Chelmsford 46 Ward) (City or town.) [If death occurred in a hospital or institution, give its NAME instead of street and number.]
Thema Robinson
2FULL N
[If married or divorced woman or widow
give maiden name, also name of husband.]
@RESIDENCE
Chelmsford
Registered No.
46
3 SEX
Hemale
4 COLOR OR RACE
white
6 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
6 DATE OF BIRTH
aug 12 19:14
(Month)
(Day)
(Year)
7 AGE
If LESS than
I day ......... hrs.
0
mos.
ds.
or
... min. ?
8 OCCUPATION
(a)' Trade, profession, or
particular kind of work
-
C
4
(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)
St. John N.B.
12 MAIDEN NAME
OF MOTHER
Idella Mouse
13 BIRTHPLACE
OF MOTHER
(State or country)
Thomaston Me,
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
Q & Robinson
(Address)
Chelmsford
16
Filed Ciny
1 14, 1914 Edward Te Robbins
REGISTRAR
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH
ang
14
1914
(Month)
(Day)
(Year)
I HEREBY CERTIFY that I attended deceased from
ang. 12
1914, to am 14
... 1914
that Plast saw had alive on
, 191X.
and that death occurred, on the date stated above, at /2 30Am.
The CAUSE OF DEATH* was as follows :
Intra cranial
Hemorrhage
.(Duration)
... yrs.
mos.
ds.
Contributory (SECONDARY)
.(Duration)
.yrs.
mos.
ds.
M.D.
(Signed)
1/17, 1914 (Address) DigtLand Ylas
* 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 Pine Ridge Com.
DATE OF BURIAL
aug 14 1914
20 UNDERTAKER
W. Perham
ADDRESS
Chelmsford
2
10 NAME OF
FATHER
O.G. Robinson
.yrs.
2
MARGIN RESERVED FOR BINDING
PERSONAL AND STATISTICAL PARTICULARS
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., Furmer 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," etc., without more precise specification, as Day laborcr, 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-
eulosis 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; 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.
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.
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 Chilin YNo. mars.
St. :
Ward)
adelaide Givencher.
2 FULL NAME
[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
Female White
6 DATE OF BIRTH
april
(Month)
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)
Lawell.
11 BIRTHPLACE
OF FATHER
(State or country)
n. N
PARENTS
13 BIRTHPLACE
OF MOTHER
(State or country)
(Informant)
important. See instructions on back of certificate.
15
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
yrs.
4
.mos.
5
ds.
5 SINGLE,
MARRIED.
WIDOWED,
OR DIVORCED
(Write the word)
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH
august
(Month)
(Day)
(Year)
15
19/4
17
I HEREBY CERTIFY that I attended deceased from
(Day)
(Year)
aug. 19
.. 1914, to
aug. 19, 1914
If LESS than
I day, ..
hrs.
that I last saw her alive on.
aug. 19
.. 1914/
and that death occurred, on the date stated above, at 6.30 Am.
The CAUSE OF DEATH* was as follows :
Convulsions
(Duration)
.. yrs.
.mos.
ds.
Contributory
(SECONDARY)
(Signed)
amara Stoward
.....
(Duration) .............. yrs.
.mos.
ds.
M.D.
ang.20, 1914 (Address) Chulmatora, 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.
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 St Joseph's
DATE OF BURIAL
aug 21, 1914
(Address)
chelmsford
File Mug 21, 1911 Edvard In Robbin.
REGISTRAR
20 UNDERTAKER
A. albert
ADDRESS
Lawell
171 arken
47 Chelifry (City or town) [If death occurred in a hospital or institution, give its NAME instead of street and number.]
-
47
664
Registered No.
1914
Or ......... min. ?
10 NAME OF
FATHER
alfeed Provencher
12 MAIDEN NAME
OF MOTHER
ascelia Carneau
maine
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
In the
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 Ilouse- 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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