USA > Massachusetts > Middlesex County > Chelmsford > Deaths 1914-1916 > Part 36
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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 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.
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
Chelmsford
.(No
Brick Keln Road.
Ward)
140 Chelmsford
(City or town.) [If death occurred in a hospital or institution, give its NAME instead of street and number.]
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE
5 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
marked
& DATE OF BIRTH
(Month)
(Day)
-
(Year)
7 AGE
If LESS than 1 day .......... hrs.
54
.yrs.
mos. ds. Or ......... min. ?
8 OCCUPATION
(a) Trade, profession, or
particular kind of work
at Home
(b) General nature of industry,
business, or establishment in
which employed (or employer).
House Wife
9 BIRTHPLACE
(State or country)
Ireland
10 NAME OF FATHER John Flanigan
PARENTS
11 BIRTHPLACE/ OF FATHER (State or country) Ireland
12 MAIDEN NAME
OF MOTHER
Marqueet Mahon
13 BIRTHPLACE
OF MOTHER
(State or country)
Ireland
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant) Patrick Bourke Husband PLACE OF BURIAL OR REMOVAL
(Address)
Filed. Oct. 2, 1915 Edward Soothing
REGISTRAR
17
I HEREBY CERTIFY that I have investigated the
death of the deceased.
The CAUSE OF DEATH* was as follows :
Myocarditis
.. (Duration)
........... yrs. ds. mcs.
Contributory (SECONDARY)
(Duration)
yrs.
mos. ds.
(Signed)
M.D.
(Address) La Pennack R
191 ........
...
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).
At place
of death ..
... yrs.
mos.
In the
State.
yrs.
mos.
ds ..
Where was disease contracted, If not at place of death ?.
Former or usual residence ..
DATE OF BURIAL
Hatricks June Oct. 3.
191/
Joymolloy derece
Registered No. 67
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH
Gel.
(Month)
1,
191.5
(Day)
(Year)
4
2 FULL NAME
mary Burke
Patrick Burke
[If married or divorced woman or widow give maiden name, also name of husband.] @RESIDENCE Brick Kiln Road chelmsford
mary Flannas
MARGIN RESERVED FOR BINDING
WRITE PLAINLY, WITH UNFADING INK- THIS IS A PERMANENT RECORD.
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 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- kecpers 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 homc. Care should be taken to report specifically the occupations of persons engaged in domestic service for wages, as Scrvant, Cook, Housemaid, etc. If the occupation has been changed or given up on account of the DISEASE CAUSING DEATH, state 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 re- port "Typhoid pneumonia"); Lobar pneumonia; Broncho- pneumonia ("Pneumonia," unqualified, is indefinite) ; Tuber-
culosis of lungs, meninges, peritonacum, etc., Careinoma, Sar- eoma, 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 intereurrent) 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 agc," "Shock," "Uraemia," "Weakness," ete., 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. 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; Poisoncd by carbolic acid - probably suicide. The nature of the injury, as fracture of skull, and consequences (e. g., scpsis 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 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, etc.
No record for 141 or 142
MARGIN RESERVED FOR BINDING
WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD.
8 SEX Male PAGE 10 NAME OF FATHER 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
1 PLACE OF DEATH Kott hele (No. Am (No. Middle ... ,
...
(City or town.) [If death occurred in a hospital or institution, give its NAME instead of street and number.]
Michael I feel
2FULL NAME [If married or divorced woman or widow give maiden name, also name of husband ] @RESIDENCE
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH
(Month)
4ª
(Day)
.,
(Year)
' DATE OF BIRTH
-
(Month)
(Day)
187.5
(Year)
40
..... yrs.
.mos.
ds.
or ........ min. ?
8 OCCUPATION
:
(a) Trade, profession, or
particular kind of work
Carpent
(b) General nature of industry, business, or establishment in which employed (or employer) ..
1
9 BIRTHPLACE
(State or country)
Punce dens bland
June duard
11 BIRTHPLACE OF FATHER (State or country) Treny Edward /and Tand
12 MAIDEN NAME OF MOTHER Elight there
13 BIRTHPLACE OF MOTHER (State or country)
Tun duand Sand
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
(Address) Say Ut. Forth Cheles And
15 Oct. 5, 105 Edward Y, Rolflow
REGISTRAR
17
I HEREBY CERTIFY that I attended deceased from
Sf1-6
1915, to
......
Del- 4ª
Del. 4-
1915
that I last saw halive on.
... 195
and that death occurred, on the date stated above, at 93f
..... m.
The CAUSE OF DEATH* was as follows :
organic desen Nevel
.(Duration)
.. yrs.
mos.
... ds.
Contributory.
(SECONDARY)
1
.(Duration)
.... yrs.
mos.
ds.
......
JE Varney
M.D.
(Signed)
Del.4
A. Chhuntert.
.,
1918 (Address).
......
* 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 REMOVALY 2024
DATE OF BURIAL Oct 1 195
....... .....
20 UNDERTAKER
ADDRESS "Maxet Of.
$4 COLOR OR, RACE
that,
5 SINGLE, MARRIED, WIDOWED, OR DIVORCED (Write the word)
Married
Pheles
1412 ford lass
St. ;................. Ward)
........
Registered No.
68
1915
If LESS than
1 day ......... hrs.
...
....
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 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 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 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 (sccond- 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 septieaemia," "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- 1 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.
MARGIN RESERVED FOR BINDING
WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD.
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
PLACE OF DEATH Nebehelmand it Whitmans. (No. ....
-
(City or town.)
[If death occurred in a hospital or institution, give its NAME Instead of street and number.]
Erling
andrey
2FULL NAME If married or divorced woman or widow DElima Lanciano give maiden name, also name of, husband.] @RESIDENCE/ Whitman At, no Chelmsfordregistered No.
69 8
PERSONAL AND STATISTICAL PARTICULARS
" SEX
nç
4 COLOR OR RACE
15 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
videnrd
DATE OF BIRTH
-..
(Month)
(Day)
(Year)
PAGE
7
yrs.
.mos.
.ds.
If LESS than
1 day .......... hrs.
or
.min. ?
8 OCCUPATION athome
(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)
nord Canada
PARENTS
11 BIRTHPLACE OF FATHER
(Stat Canada
12 MAIDEN NAME Courts Morrison
13 BIRTHPLACE OF MOTHER (State or country)
Connada
"THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
(Address) 145 Mbmau It
15 Filed Oct. 10 , 1915 Edward S. Rolfing
....
REGISTRAR
...
(Month)
(Day)
(Year)
17
I HEREBY CERTIFY that I attended deceased from
aug 1 , 195,
........ ,
1997
....
that I last saw h 4 alive on Get-7
1915
and that death occurred, on the date stated above, at 0 a.m.
The CAUSE OF DEATH* was as follows .:
chronic neplati.
(Duration)
....... yrs ..
.mos.
ds.
Contributory
mitral Day of Heat
.........
(SECONDARY)
(Duration) )
.......
....... yrs. ...........
mos.
ds.
(Signed)
Got.9, 1915
* 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
DATE OF BURIAL It Tatucks Set. 10.
1915
......
ADDRESS
20 UNDERTAKER ORmolloy doncel
nothel 14K
Ward)
MEDICAL CERTIFICATE OF DEATH.
16 DATE OF DEATH
let
8
191.5- ....
10 NAME OF
Samuel Lancio
M.D.
In the
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 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 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 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 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.
-
العربية
MARGIN RESERVED FOR BINDING
WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD.
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
IPLACE OF DEATH Lowell mais (No. Lowell Hospital
St .;....
Ward)
James B. Carkin
2FULL NAME
[If married or divorced woman or widow
give maiden name, also name of husband.]
@RESIDENCE
north Chelmsford Mass
Registered No.
1993
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE
male /White
1 5 SINGLE,
MARRIED.
WIDOWED.
OR DIVORCED h
(Write the word) Married
· DATE OF BIRTH
(Month)
(Day)
......
(Year)
TAGE
47
......... rs.
10
..... mos.
14
.da.
or ......... min. ?
& OCCUPATION
(a)' Trade, profession, or
particular kind of work ...
tonecutter
(b) General nature of Industry. business, or establishment in which employed (or employer).
9 BIRTHPLACE
(State or country)
n. Chelmsford Mas
10 NAME OF
FATHER
Charles Parking
arkin
PARENTS
11 BIRTHPLACE
OF FATHER
(State or country)
Trenesboro Mass
12 MAIDEN NAME
OF MOTHER
Julia Hunter
18 BIRTHPLACE OF MOTHER (State or country) dynasboro mass
" THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant) ..
Lesley a. Carkin
(Address) d'unesbro mass
16 Filed Del 1015/
REGISTRAR
......
.......
(Month)
(Day)
(Year)
HEREBY CERTIFY that I attended deceased from
September 29, 1915, to October 8
1915
7
that I last saw him alive on
11
1915
L ......
and that death occurred, on the date stated above,
2.15 a.
a.m.
The CAUSE OF DEATH# was as follows :
Endocarditis
....
(Duration).
........... yrs.
.. ds.
Contributory
(SECONDARY)
... (Duration).
+yrs.
... mos. ...............
ds.
(Signed)
ES. Clark
M.D.
Och 8, 1915
(Address) Lowell & tropical
* 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.
.. da.
........
State ............ yrs.
Where was disease contracted, if not at place of death ?....... Former or usual residence.
19 PLACE OF BURIAL OR REMOVAL n. Chelmsford Mais
DATE OF BURIAL
Och. 10
1913
20 UNDERTAKER
young + Blake
ADDRESS
Lowell Mas.
143
Lowell
........... (City or town.) fif death occurred im a hospital or institution, give its NAME instead of street and number.]
...
MEDICAL CERTIFICATE OF DEATH
18 DATE OF DEATH
October
191 5
-
If LESS than
1 day .......... hrs.
....
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 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 engincer, 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 nccded. 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," "Dealcr," 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 occu- pation whatever, write None.
Statement of cause of death. - Name, first, the DIS- EASE CAUSING DEATH (the primary affection with respect to timc 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 indefinitc); 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 discase; Chronic interstitial nephritis, etc. The contributory (sccond- 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," "Haemorrhagc," "Inanition," "Marasmus," "Old age," "Shock," "Uraemia," "Wcakness," ctc., when a definite discase 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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