USA > Massachusetts > Middlesex County > Chelmsford > Deaths 1917-1918 > Part 3
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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.
:
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 Lots Chelenford (No. 165 Night war
Where G, Ready
whereest
2 FULL NAME
[If married or divorced woman or widow
give maiden name, also name of husband]
@RESIDENCE
165 rightway Of forth Cheles ford
Registered No.
9
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH
(Month)
28
(Day)
191.
(Year)
17
I HEREBY CERTIFY that I attended deceased from
Dea 2, 1917, to
Jan
191
~ 7
that I last saw h ....
alive on
Janet, 1917,
and that death occurred, on the date stated above, at ....
€ 8:30 9m.
04
The CAUSE OF DEATH* was as follows :
Cente Pulmonary 7. 13,
.(Duration)
general Ability
.mos.
ds.
Contributory
(SECONDARY)
(Duration).
yrs. .........
.. mos. ds.
(Signed)
James Petali
M.D.
1917
(Address).
No 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.
In the
ds.
State ..
.......... yrs.
............ mos.
......
Where was disease contracted, If not at place of death ?.
Former or usual residence.
19 PLACE OF BURIAL OR REMOVAL Dating Quetury
DATE OF BURIAL
191.
20 UNDERTAKER James
ADDRESS 32 4 mayget UP
.........
PERSONAL AND STATISTICAL PARTICULARS
3 SEXI
4 COLOR OR RACE
1 5 SINGLE
MARRIED.
Vingts
WIDOWED
OR DIVORCED
(Write the word)
Martial Arts
* DATE OF BIRTH
1890
(Month)
(Day)
(Year)
7 AGE
77
.mos.
ds.
Or ......... min. ?
8 OCCUPATION
(a) Trade, profession, or
particular kind of work
Borg- Tarbes
(b) General nature of Industry,
business, or establishment in
Mill officer
which employed (or employer).
9 BIRTHPLACE
(State or country)
Mind Maxx
10 NAME OF
FATHER
Tatuer &. Ready
11 BIRTHPLACE
OF FATHER
(State or country)
Guland
12 MAIDEN NAME
OF MOTHER
PARENTS
pary
Yaver
13 BIRTHPLACE
OF MOTHER
(State or country)
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
Fatura & Ready Mother
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.
(Address)
16. 5 Rfensterian St
N. B. - Every item of information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state
....
15
Filed __
Jan. 30, 1917 Edurand. Porfim
REGISTRAR
231
Cheles fon
(City or town.)
St. Ward)
Alf death occurred in' a hospital or institution, give its NAME ·nstead of street and number.]
7.
.... .
If LESS than
! 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, 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 cxamples: (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 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- DASE 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- roma, 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 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- 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.
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.
R. 15-8-'15. 100,000.
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.
The Commonwealth of Massachusetts STANDARD CERTIFICATE OF DEATH
1 PLACE OF DEATH E. Chelmsford (No Center
St. ;..................
Ward)
? FULL NAME
Still-born Grantz
[If married or divorced woman or widow
give maiden name, also name of husband.]
@RESIDENCE
Center St. E. Chelmsford
Registered No.
10
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE
Male white
$ DATE OF BIRTH
1
(Month)
(Day)
(Year)
7 AGE
If LESS than ! day ........ ..... hrs.
mos. ds.
Or ......... min. ?
OCCUPATION (a) Trade, profession, or particular kind of work
(b) General nature of industry, business, or establishment in which employed (or employer) ... 7 ........
9 BIRTHPLACE
(State or country)
E. Chelmsford
.............. (Duration)" ...
.mos. ................ da.
Contributory ...
(SECONDARY)
... (Duration). ............ yrs. - ............ mos. ds.
M.D.
(Signed)
MAN. 197
(Address) 16/4/2021.
* 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
DATE OF BURIAL St. Patrick's (Lowell ) Feb. 1, 191 7
20 UNDERTAKER
ADDRESS
O'Connell & Mack.
658 Gorham St.
>
191.
........................
(Month)
(Day)
/
............ (Year)
17
1; HEREBY CERTIFY that I attended deceased from
.....
1917. to.
191/
that I last saw hai bikeod
alive on
. 1917.
and that death occurred, on the date stated above, at ihm.
The CAUSE OF DEATH* was as follows :
.
Viemative bret.
10 NAME OF FATHER Herman Grantz
PARENTS
11 BIRTHPLACE OF FATHER (State or country) Still Water, Minnesota
12 MAIDEN NAME
OF MOTHER
Margaret Lavell
1ª BIRTHPLACE
OF MOTHER
(State or country)
Lowell, Mass.
" THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant).
Herman Grantz
(Address)
Center St. E. Chelmsford
16 tel. / 197 Edward, Rafting Filed
REGISTRAR
232
E. 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.
MEDICAL CERTIFICATE OF DEATH
5 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCEBingle
(Write the word)
16 DATE OF, DEATH
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 enginecr, 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 i 3 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- kcepers 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," "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 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.
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
1 PLACE OF DEATH Ja Chelon . ford (No ....... ........ Middlesex
St. ;................... Ward)
No. Chelmsford {Cityer won'n.) [If death occurred in a hospital or institution, give its NAME instead of street and number.j
? FULL NAME
[If married or divorced woman or widow give maiden name, also name of husband.j aRESIDENCE No. Chelmsford!
Sibbulk Hutchins. Nathan B, Edwards.
Registered No.
PERSONAL AND STATISTICAL PARTICULARS
& SEX
Female.
4 COLOR OR RACE
white.
5 SINGLE MARRIED, Widowed. WIDOWED, OR DIVORCED (Write the word)
4. 18-21 (Year)
$7
I HEREBY CERTIFY that I attended deceased trom
Sellember 1916, to
Jaky 4
191.
7.
that I last saw h alive on
Faby 3
1917.
and that death occurred, on the date stated above, at3, 40 Am
The CAUSE OF DEATH* was as follows :
Senility
(b) General nature of industry.
business, or establishment in
which employed (or employer) ..
At Home.
9 BIRTHPLACE
(State or country)
Westford, Mare.
PARENTS
L BIRTHPLACE
OF FATHER
(State or country)
Mars.
12 MAIDEN NAME
OF MOTHER
Robbins.
1ª BIRTHPLACE
OF MOTHER
(State or country)
Massa
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
Frederick Edwards
(Address)
16 Filed_ Fref. 5 19 76 durand Robbins ..............
REGISTRAR
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH
Feb
4.
(Day)
1912
(Year.
· DATE OF BIRTH
Aug.
(Month)
(Day)
7 AGE
If LESS than
[ day ......... hrs.
95 . 6
..... yrs ....
mos.
ds.
or ......... min. ?
8 OCCUPATION
(a) Trade, profession, or
particular kind of work.
At Home.
(Duration)
... yrs.
.mos.
ds.
Contributory ...
(SECONDARY)
.(Duration)
.. yrs.
mos.
de.
(Signed)
fund & larney
M.D.
Jaby 4
. 1917 (Address)
north Chalanford
* 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 Riverside Cemetery No. 6 helmafor
DATE OF BURIAL
Feb, 7, 1917.
20 UNDERTAKER
GromHealey.
ADDRESS
19 Branch St.
233
Sibbul R. Edwards.
(Month)
MARGIN RESERVED FOR BINDING
10 NAME OF
FATHER
Eliakim Hutchins.
....
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 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 Housc- 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 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 Nonc.
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 tungs, meninges, peritonacum, etc., Carcinoma, Sar- coma, etc., of. . .. (name origin: "Cancer" is less definite; avoid usc 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.
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
Lowell
-
(City or town.)
Tlf 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
male /White
-
5 SINGLE
MARRIED,
WIDOWED,
OR DIVORCEDY
-
(Write the word) Marina
16 DATE OF DEATH
February 9
191. ....
(Month)
(Dày)
(Year)
· DATE OF BIRTH
1861
17
(Month)
(Day)
(Year)
7 AGE
If LESS than
[ day ........ hrs.
5.6
-
mos.
ds.
or ......... min. ?
& OCCUPATION
(a) Trade, profession, or
particular kind of work
milk dealer
(b) General nature of industry, business, or establishment in which employed (or employer) ..
9 BIRTHPLACE
(State or country)
Chelmsford mass
PARENTS
11 BIRTHPLACE
OF FATHER
(State or country)
Ireland
12 MAIDEN NAME
OF MOTHER
Johanna-
1ª BIRTHPLACE
OF MOTHER
(State or country)
freland
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant).
Wil
(Address)
Chelmsford mais
Filed .. Feb 19, 10 Vethin flere
REGISTRAR
...
I HEREBY CERTIFY that J attended deceased from
to February 9, 1917
that I last saw h IM alive on.
19. 1917
and that death occurred, on the date stated above, at.
.... m.
The CAUSE OF DEATH* was las follows :
Epidemia Influenza
Adute Lobar Pneumonia
(Duration)
yrs.
mos.
ds.
Contributory ...
(SLCONDARY)
(Duration) A
Ks.
.... mos.
ds.
....
(Signed)
arthur G. Looboria
.
M.D.
Jeb 11 1917 (Address) 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.
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 St. Patrick Cemeterintel 12, 191
30 UNDERTAKER
.F.O. Donnellysons
ADDRESS lowell
MARGIN RESERVED FOR BINDING
WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD.
important. See instructions on back of certificate.
PLACE OF DEATH howell mass
St. John's Hospital
St. : Ward)
Thomas di Sheehan Sheehan
2 FULL NAME
[If married or divorced woman or widow
give maiden name, also name of husband.]
@RESIDENCE
Chelmsford mass
Registered No.
259
MEDICAL CERTIFICATE OF DEATH
......
.
10 NAME OF
FATHER
Thomas Sheehan
.........
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 engincer, Civil engincer, Stationary fircman, etc. But in many cases, especially in industrial employments, it is necessary to know (a) the kind of work and also (b) the nature of the business or industry, and therefore an additional linc is provided for the latter statement; it should be used only when necded. As cxamples: (a) Spinner, (b) Cotton mill; (a) Salcs- man, (b) Grocery; (a) Foreman, (b) Automobile factory. The materiał worked on may form part of the second statement. Never return "Laborer," "Foreman," "Manager," "Dealer," ctc., without more precise specification, as Day laborer, Farm laborcr, 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 Houscwife, Housework, or At home, and children, not gaill- fully employed, as At school or At home. Care should be taken to report specifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, Houscmaid, etc. If the occupation has been changed or given up on account of the DISEASE CAUSING DEATH, state occupation at beginning of ilhiess. If retired from business, that fact may be indicated thus: Farmer (rctired, 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 terin 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 precumonia; 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) ; Mcaslcs; Whooping cough; Chronie valvular heart disease; Chronie interstitial nephritis, etc. The contributory (second- ary or intercurrent) 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- acmia" (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 . discases resulting from childbirth or miscarriage, as "PUER- PERAL scpticaemia," "PUERPERAL peritonitis," etc. ' State cause for which surgical operation was undertaken.
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