USA > Massachusetts > Middlesex County > Chelmsford > Deaths 1917-1918 > Part 10
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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.
1
R. 15-8-'15. 100,000.
1916- 1849-
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
.(No .....
Littleton Road
.&t. ;.. Ward)
Chelmsford. (10١٢٥٠ سموزمع [If 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
Male.
4 COLOR OR RACE
White
5 SINGLE
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
Barned.
...
16 DATE OF DEATH
June 8
1917.
....
(Month)
(Day)
(Year.
* DATE OF BIRTH
/Month)
(Day)
14
1849.
(Year)
7 AGE 67
..... rs.
.. mos.
ds.
or ......... min. ?
$ OCCUPATION
(a) Trade, profession, or
particular kind of work
Contractors
(b) General nature of industry,
business, or establishment in
which employed (or employer) ...
Contractors
9 BIRTHPLACE
(State or country)
Pelham, N. H.
(Duration)
.yrs.
mos.
ds.
Contributory ..
Fracture right hip - about 10 meter
(SECONDARY) Right hemiplegia about?
... (Duration}.
....... yrs. ....
... mos.
ds.
(Signed)
...
Arthur Y, SIcorona,
M.D.
June 8, 1917
(Address)
Chelmsford, maso.
* 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 ............ yra.
....
. ....
In the
... mos.
....... ds ..
Where was disease contracted, If not at place of death ? ....... Former or usual residence ....................................
19 PLACE OF BURIAL OR REMOVAL_
great Paris habemeters.
Haverhill Macon
DATE OF BURIAL
June 10. 1917,
(Address) Chelmsford, Mara,
16 Filed time 9, 1917 Edward WRotting
REGISTRAR
17 I HEREBY CERTIFY that I attended deceased trom
1917, to Jene 7
.,
1917
1
1-
.. .
that I last saw ham alive on
1917
......
L .....
and that death occurred, on the date stated above, at ..
3P
m
......
The CAUSE OF DEATH* was as follows :
arteriosclerosis
..........
10 NAME OF
FATHER
Joshua Richardson.
PARENTS
11 BIRTHPLACE
OF FATHER
(State or country)
Hacer
12 MAIDEN NAME
OF MOTHER
Healthy An black.
13 BIRTHPLACE
OF MOTHER
(State or country)
Macer
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant).
Early R Richardson,
Lyman J. Richardson
67-
2 FULL NAME
[If married or divorced woman or widow
give maiden name, also name of husband.I
@RESIDENCE
Chelmsford.
Registered No.
36
...............
....
20 UNDERTAKER
GroomHealey.
ADDRESS
19 Branch
MARGIN RESERVED FOR BINDING
...
If LESS than
{ day .......... hrs.
. - inoma, Sar-
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 eaclı 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 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," "Forcman," "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- kccpers who receive a definite salary), may be entered as Housewife, Houscwork, 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 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 fevcr (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
will, co., v ................ (name origin: 'Cancer" is less definite; avoid usc of "Tumor" for malignant neoplasms) ; Measles; Whooping cough; Chronic valvular heart discasc; 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," "Senilc," etc.), "Dropsy," "Exhaustion," "Heart failure," "Haemorrhage," "Inanition," "Marasmus," "Old age," "Shock," "Uraemia," "Weakness," etc., when a definite discase can be ascertained as the cause. Always qualify all diseascs resulting from childbirth or miscarriage, as "PUER- PERAL scpticaemia," "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- posurc, etc.
3. Sudden deaths of persons not disabled by recognized disease, as A death upon the street, or one supposcd 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
1 PLACE OF DEATH West Chelonsford (N West Chelmsford
St. :
Ward)
{If death occurred In a hospital or institution, give its NAME Instead of street and number.]
2 FULL NAME
Thomas Plunkett
[If married or divorced woman or widow give maiden name, also name of husband.] @RESIDENCE West Chelmsford
Registered No.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
male
4 COLOR OR RACE
white
5 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCHUL dowed
(Write the word)
· DATE OF BIRTH
1842
(Month)
(Day)
(Year)
7 AGE
75
...... yrs .. mos. ds.
of ......... min. ?
8 OCCUPATION (a) Trade, profession, or particular kind of work ...... Farmer ..
(b) General nature of industry, business, or establishment In which employed (or employer) ...
9 BIRTHPLACE (State or country)
Ireland
10 NAME OF FATHER Dont Know
PARENTS
11 BIRTHPLACE OF FATHER (State or country) Ireland
12 MAIDEN NAME
OF MOTHER
Don't Know
13 BIRTHPLACE OF MOTHER (State or country)
Ireland
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant) Mrs John Talty, daughter (Address) West Chelmsford
IS Jeme 10, 1917 Gerard Yol For Filed.
REGISTRAR
(
Celebral Aemanare
.... (Duration). ........... yrs. ................ mos. ds.
Contributory
asterio Saleiva
.
(SECONDARY)
(Duration) ...
..... yrs.
.mos. ds.
(Signed)
M.D.
lunes. 19) (Address).
Ky. Chelmsford
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.
Where was disease contracted, If not at place of death ?.
Former or usual residence
12 PLACE OF BURIAL OR REMOVAL St. Patrick'sCemetery Convill Mars
DATE OF BURIAL
JuneI2 .1917
.......
20 UNDERTAKER J.F. O'Donnell & Sons
ADDRESS
Lowell Mass
7
(Month)
(Day)
191 (Year)
...
17 I HEREBY CERTIFY that I attended deceased from May 1, 1917, to June1, 19/7. ............. that I last saw ham alive on ........ June1, 1917 and that death occurred, on the date stated above, at (1) .m. The CAUSE OF DEATH* was as follows :
MARGIN RESERVED FOR BINDING
Shelves ford Man
(City or town.)
37
16 DATE OF DEATH
June
9
If LESS than
I day ......... hrs.
innes, peritoneum, etc., ca ca, Bar-
......... .. (name origin: "Cancer" is less
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 eases, 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- CASE 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 "Epidemie eerebro-spinal meningitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never re- port "Typhoid pneumonia"); Lobar pneumonia; Broncho- pneumonia ("Pneumonia," unqualified, is indefinite); Tuber-
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 bo 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 ean be ascertained as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as "PUER- PERAL septicaemia,". "PUERPERAL peritonitis," etc. State eause 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 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, etc.
4. Deaths under circumstances unknown, as A person found dead, etc.
R. 15-8-'15. 100,000.
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
( No.
Treatford Rd
St. ;............. Ward)
Estelle Sophia Perham
2 FULL NAME
[If married or divorced woman or widow
give maiden name, also name of husband.]
@RESIDENCE
Chelmsford
Estelle S. Kittredge, HeuryS, Perham
Registered No.
38
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Female
4 COLOR OR RACE
White
5 SINGLE
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
Widow
· DATE OF BIRTH
October
(Month)
(Day)
(Year)
' AGE
If LESS than
I day,
....... hrs.
73
..... yrs.
7
_mos.
30
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) ...
9 BIRTHPLACE
(State or country)
Chelmsford Mare
PARENTS
11 BIRTHPLACE
OF FATHER
(State or country)
Littleton Marc.
12 MAIDEN NAME
OF MOTHER
any Hull
13 BIRTHPLACE
OF MOTHER
(State or country)
Weeton VA.
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
Walter Perham
(Address) Chelmsford
Filed. time 22 , 191) Edward . Bathing
REGISTRAR
MEDICAL CERTIFICATE OF DEATH
17
I HEREBY CERTIFY that I attended deceased from
June 154, 1917, to June 200
191.7 ....
that I last saw her alive on.
1917
.
...
and that death occurred, on the date stated above, at / P. m.
The CAUSE OF DEATH* was as follows :
Paralysis
one hour.
.. (Duration)
.............. yrs. ......
.mos.
ds.
Contributory
Bronchitis
- asthma
(SECONDARY)
.. (Duration) .
..... yrs.
mos.
ds.
(Signed)
Chiara Itoward.
M.D.
Jena 22, 1917 (Address) Nimbustad Mor
(* 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
DATE OF BURIAL
Forefathers Cena, Chelmsford June 23
1917
20 UNDERTAKER
Walter Perham
ADDRESS
Chelmsford
13 Chelmsford (City or town.) [If death occurred in a hospital or institution, give its NAME instead of street and number.]
MARGIN RESERVED FOR BINDING
WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD.
16 DATE OF DEATH
20%
1917
(Month)
(Day)
(Year)
21 18431
..........
1
10 NAME OF
FATHER
Cullen It Kittredge
4
ANDARU och .... ..._ ur UtAin.
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, 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" (merely symptomatic), "Atrophy," "Collapse," "Coma," "Convulsions," "Debility" ("Congenital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Haemorrhagc," "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 dcath upon the street, or one supposed to be due to Alcoholism, etc.
4. Deaths under circumstances unknown, as A person found dead, etc.
2
5
MARGIN RESERVED FOR BINDING
WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD.
¿ SEX Female 7 AGE & OCCUPATION 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 particular kind of work
The Commonwealth of Massachusetts STANDARD CERTIFICATE OF DEATH
14
1 PLACE OF DEATH
Chelmsford
(No
St. ;..
...... ... Ward)
(City or town.) [If death occurred in a hospital or institution, give its NAME Instead of street and number.]
PERSONAL AND STATISTICAL PARTICULARS
5 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
Married
' DATE OF BIRTH
NOT 12
(Month)
1860.
(Day)
(Year)
If LESS than
I day ........ hrs.
56
... yrs. mos. ds.
or ... min. ?
(a) Trade, profession, or
At Home
(b) General nature of industry, business, or establishment in which employed (or employer) ...
9 BIRTHPLACE
(State or country)
Cambridge Vt
10 NAME OF FATHER Jonathan Lamplough
11 BIRTHPLACE OF FATHER (State or country)
Enplan
12 MAIDEN NAME OF MOTHER Anna Holdes
13 BIRTHPLACE
OF MOTHER
(State or country)
Countrjire Tt
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant) .......
1721 - Dont on
(Address)
Chelmsford Dass
18 Filed June 27, 197Ederal 1 , Rolfring
REGISTRAR
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH
Torna UG 7577
191
(Day)
17
I HEREBY CERTIFY that I attended deceased from
June 26
1917, to
Jam 26
1917.
that I last saw her alive on
Carne 26
1917
and that death occurred, on the date stated above, at / a.m.
The CAUSE OF DEATH* was as follows :
Cerebral Choplexy
·
(Duration)
2 hours
.....
Contributory ...
(SECONDARY)
.. (Duration)
yrs.
.mos.
ds.
(Signed)
Umasa Stoward
M.D.
Ama 2% 1917 (Address) Chelmsford, Mass.
* 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.
19 PLACE OF BURIAL OR REMOVAL West Hardfork Vt
DATE OF BURIAL
un 28. 191
7
.....
20 UNDERTAKER Young Player
4
ADDRESS
33 ausauto
2 FULL NAME T. Arnatta Printiap [If married or divorced woman or widow give maiden name, also name of husband .! @RESIDENCE Chelmsford Ma33
T. Arnatta Taurion
Registered No.
39
..........
(Month)
(Year)
4 COLOR OR RACE
White
1
.yrs. mos. ds.
.......... ......... ..........
neum, ete., Carcinoma, Sar-
.(name origin: "Cancer" is less
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, 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," .
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- BASE 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-
·viu, etc., u ................... ....... definite; avoid use of "Tumor" for malignant neoplasms); Measles; Whooping cough; Chronic valvular hcart discase; Chronic interstitial nephritis, etc. The contributory (second- ary or intercurrent) affection need not be stated unless im- portant. Example: Measles (disease causing death), 29 ds .; Broncho-pneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as "Asthenia," "An- aemia" (merely symptomatic), "Atrophy," "Collapse," "Coma," "Convulsions," "Debility" ("Congenital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Haemorrhage,", "Inanition," "Marasmus," "Old age," "Shock," "Uraemia," "Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all Aiseases resulting from childbirth or miscarriage, as "PUER- PERAL septicaemia,". "PUERPERAL peritonitis," etc. State cause for which surgical operation was undertaken.
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