USA > Massachusetts > Middlesex County > Chelmsford > Deaths 1917-1918 > Part 31
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19 PLACE OF BURIAL, CREMATION, OR REMOVAL A Jatucho Cemetry boucle lan
DATE OF BURIAL Clant 27 19/8
20 UNDERTAKER
0
ADDRESS
MARGIN RESERVED FOR BINDING
N. B. - WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD. Every item of information should be so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions on back carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms,
of certificate.
State.
Registered No. 35
.or
.. Ward.
(If non-resident give city or town and State)
-
MEDICAL CERTIFICATE OF DEATH
REVISED UNITED STATES STANDARD CERTIFICATE OF DEATH [Approved by U. S. Census and American Public Health Association]
Statement of occupation. - Precise statement of oceupa- tion 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 oceupations a single word or term on the first line will be sufficient, e. g., Farmer or Planter, Physician, Compos- itor, Architect, Locomotive 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) Salesman, (b) Grocery; (a) Foreman, (b) Automobile factory. The ma- terial worked on may form part of the second statement. Never return "Laborer," "Foreman," "Manager," "Dealer," ete., without inore 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 Housekeepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gainfully employed, as At school or At home. Care should be taken to report spe- cifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, Housemaid, ete. It 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 indi- cated 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 diseasc. Examples: Cerebrospinal fever (the only definite synonym is "Epidemie cerebrospinal menin- gitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneumonia; Bronehopneumonia ("Pneumonia," unquali- fied, is indefinite); Tuberculosis of lungs, meninges, peri- toneum, etc., Carcinoma, Sarcoma, ete., of _.
(name origin; "Caneer" is less definite; avoid use of "Tumor" for malignant neoplasms); Measles; Whooping cough; Chronie valvular heart disease; Chronic interstitial nephritis, ete. The contributory (secondary or inter- current) affection need not be stated unless important. Example: Measles (disease causing death), 29 &s .; Broneho- pneumonia (secondary), 10 ds. Never report mere symp- toms or terminal conditions, such as " Asthenia," "Anemia" (merely symptomatie), "Atrophy," "Col- lapse," "Coma," ""Convulsions," "Debility" ("Con-
genital," "Senile," etc.), "Dropsy,' "Exhaustion," "Heart failure," "Hemorrhage," "Inanition," "Maras- mus," "Old age," "Shoek," "Uremia," "Weakness," ete., when a definite disease ean be aseertained as the eause. Always qualify all diseases resulting from child- birth or miscarriage, as "PUERPERAL septicemia," "PUER- PERAL peritonitis," ete. State eause for which surgical operation was undertaken. For VIOLENT DEATHS STATE MEANS OF INJURY and qualify as ACCIDENTAL, SUICIDAL, or HOMICIDAL, or as probably such, if impossible to de- termine definitely. Examples: Accidental drowning; Strvek by railway train - accident; Revolver wound of head - nomicide; Poisoned by earbolie 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." (Recommendations on statement of cause of death approved by Committee on Nomenelature of the American Medical Association.)
Cases for the Medical Examiners. - Under the provi- sions 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, ete.
2. Deaths supposedly eaused by violenee, as Criminal abortion, Poisoning, Starvation, Suffocation, Exposure, ete.
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 eireumstances unknown, as A person found dead, ete.
ADDITIONAL SPACE
FOR FURTHER STATEMENTS BY
PHYSICIAN.
R 15. 1-'18. 100,000.
MARGIN RESERVED FOR BINDING
WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD.
TAGE 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
(No. North Encimaand)
St. ;.... ................ Ward)
........ ....... ....
Registered No.
36
3 SEX
Female
14 COLOR OR RACE
ghita
& SINGLE
MARRIED
WIDOWED
OR DIVORCED
(Write the word)
Single
1
0
(Month)
(Day)
(Year)
If LESS than 1 day ......... hrs.
.yrs.
3
.mos ..
7
...... ds.
....... min. ?
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)
North Chelmsford.
10 NAME OF
FATHER
Milliim Burchell.
11 BIRTHPLACE
OF FATHER
(State or country)
England.
12 MAIDEN NAME
OF MOTHER
Ethel Brugs
18 BIRTHPLACE
OF MOTHER
(State or conntry)
England
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
1
(informant)
Vars. John. Parking
(Address)
0 Thertyad Mann
15 Jahr. 26, 1918 Edwards, Rolling
REGISTRAR
MEDICAL CERTIFICATE OF DEATH
18 DATE OF DEATH
17 I HEREBY CERTIFY that I attended deceased from about 25, 1918 to.
198
that I last saw h~ alive on.
Value 26
1918
.... ,
and that death occurred, on the date stated above, at 11 am
The CAUSE OF DEATH* was as follows :
(Duration)
15 hours.
yrs.
mos.
ds.
Contributory.
(SECONDARY)
............
......
.(Duration)
... yrs.
mos.
d
(Signed)
-Fed Warey
M.D
.......
191
.....
(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.
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'
Westford !
DATE OF BURIAL
10 UNDERTAKER
David L Greig + son
ADDRESS
ghertheir Man
94
(City or town.)
[If death occurred in a hospital or institution, give its NAME instead of street and number.]
Chirmiens 19. Burchell.
"FULL NAME ... [If married or divorced woman or widow give maiden name, also name of husband.1 @RESIDENCE north Chelmsford.
PERSONAL AND STATISTICAL PARTICULARS
' DATE OF BIRTH
Jan. 19- 1918
(Month)
(Day)
191.
(Year)
....
..........................................
....
File ~ 1472
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 occupation3 a single word or term on the first line will be sufficient, e. g., Farmer or Planter, Physician, Compositor, Architcet, 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 materiał 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 DEATII, 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 fcocr (the only definite synonym is "Epidemic cerebro-spinal meningitis"); Diphtheria (avoid use of "Croup"); Typhoid fcocr (never rc- 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 (discase 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," ete., when a definite disease can be asecrtained as the cause. Always qualify all diseases 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- 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
N. B .- WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD. Every item of information should be so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions on back carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms,
of certificate.
14
Informank .....
(Address) Motin- Fies Rd.
15
File May 6, 1918 Edward . Robbins
REGISTRAR
MEDICAL CERTIFICATE OF DEATH
3SEX
Male
4 COLOR OR RACE
White
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
Married
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
Millie
Fctrau
6 DATE OF BIRTH (month, day, and year)
WEG, 2.5" 1845
7 AGE
Years
72
Months
5
Days
8
If LESS than 1 day, ........ hrs. or ........ min.
8 OCCUPATION OF DECEASED at Your
(a) Trade, profession, or particular kiod of work.
(b) General oalure of industry, business, or establishment in which employed (or employer). (c) Name of employer
9 BIRTHPLACE (city or town) ..
(State or country)
Canada
10 NAME OF FATHER Flavien Freteau
PARENTS
11 BIRTHPLACE OF FATHER (city or town). (State or country)
Canada
12 MAIDEN NAME OF MOTHER
Maria.
13 BIRTHPLACE OF MOTHER (city or town). (State or country) Canada
16 DATE OF DEATH (month, day, and year) May 3, 1918
17 I HEREBY CERTIFY, That I attended deceased from apr- 27 , 1918 , to may V 1918
that I last saw him
1
alive on
May 2
,1918.
and that death occurred, on the date stated above, at ....... The CAUSE OF DEATH* was as follows : Myocarditis
Witterio peloroses-
(duration)
yrs ..
.mos ..
ds.
CONTRIBUTORY
(SECONDARY)
.. (duration)
yrs ...
18 Where was disease contracted
if not at place of death ?
Did an operation precede death?
Date of ..
»Was there an autopsy ?.
What test confirmed diagnosis ?. >
(Sigoed)
Anthus , colonia
... , MI.D.
5 - 3- 19 18 ( Address) Cluben strid, mary.
* State the DISEASE CAUSING DEATH, or in deaths from VIOLENT CAUSES, state (1) MEANS AND NATURE OF INJURY, and (2) whether ACCIDENTAL, SUICIDAL, or HOMICIDAL. (Sce reverse side for additional spacc.)
19 PLACE OF BURIAL, CREMATION, OR REMOVAL
DATE OF BURIAL Vier Sidad Thehuton Mayle - 19 Chelsurfes
20 UNDERTAKER a. Archambault.
ADDRESS
howell
1 PLACE OF DEATH lack County.
State.
Mass.
Registered No. 37
Township
City
No ...
or Village , Notin Hill Road.
St., .......
.....
Ward
If death occurred in a hospitalfor institution, give its NAME instead of street and number)
2 FULL NAME
alexis NA
Eclau
(a) Residence.
No.
Robin Jill toads)
Ward.
(If non-resident give city or town and State)
(Usual place of abodc)
Length of resideoce in city or town where death occurred
years
months
days.
How loog in U. S., if of foreigo birth ?
years
mooths
days
PERSONAL AND STATISTICAL PARTICULARS
The Commomuralth of Massachusetts STANDARD CERTIFICATE OF DEATH
95 Chefunsford (City or town)
... or
Freteau
mos ..
ds.
REVISED UNITED STATES STANDARD CERTIFICATE OF DEATH [Approved by U. S. Census and American Public Health Association]
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, Compos- itor, Architeet, Locomotive 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 linc is provided for the latter statement; it should be used only when needed. As examples: (a) Spinner, (b) Cotton mill; (a) Salesman, (b) Grocery; (a) Foreman, (b) Automobile factory. The ma- terial worked on may form part of the second statement. Never return "Laborer," "Forcman," "Manager," "Dealer," ctc., without more precise specification, as Day laborer, Farm laborer, Laborer - Coal mine, etc. Women at home, who are engaged in the dutics of the household only (not paid Housekeepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gainfully employed, as At school or At home. Care should be taken to report spe- cifically 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 indi- cated thus: Farmer (retired, 6 yrs.). For persons who have no occupation whatever, write None.
Statement of cause of death .- Namc, first, the DISEASE CAUSING DEATH (the primary affection with respect to time and causation), using always the samc accepted term for the same disease. Examples: Cerebrospinal fever (the only definite synonym is "Epidemic cerebrospinal menin- gitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneumonia; Bronchopneumonia ("Pneumonia," unquali- fied, is indefinite); Tuberculosis of lungs, meninges, pcri- toneum, etc., Carcinoma, Sarcoma, etc., of.
(name origin; "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms); Mcasles; Whooping cough; Chronie valvular heart disease; Chronic interstitial nephritis, ctc. The contributory (secondary or inter- current) affection nced not be stated unless important. Example: Measles (discase causing death), 29 Gs .; Broneho- pneumonia (secondary), 10 ds. Never report mere symp- toms or terminal conditions, such as "Asthenia," "Anemia" (mcrely symptomatic), "Atrophy," "Col-
lapse," "Coma," "Convulsions,"" "Debility" (“Con-
genital," "Senile," etc.),
"Dropsy," "Exhaustion,"
"Heart failure," "Hemorrhage," " Inanition," "Maras- mus," "Old age," "Shock," "Uremia," "Weakness." etc., when a definite discase can be ascertained as the causc. Always qualify all diseases resulting fromn child- birth or miscarriage, as "PUERPERAL septicemia," "PUER- PERAL peritonitis," ctc. State cause for which surgical operation was undertaken. For VIOLENT DEATHS STATE MEANS OF INJURY and qualify as ACCIDENTAL, SUICIDAL, or HOMICIDAL, or as probably such, if impossible to dc- terminc definitely. Examples: Accidental drowning; Struck by railway train - accident; Revolver wound of head - homicide; Poisoned by carbolie acid - probably suicide. The nature of the injury, as fracture of skull, and consequences (e. g., sepsis, tetanus) may be stated
under the her " of "Contribut ."
on statement . cause of death a on Nomen L' " icall
Cases 1:
sions of cl.
following Convivio mv No ctu w the tical 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, Exposure, etc.
3. Sudden deaths of persons not disabled by recognized discase, 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.
ADDITIONAL SPACE FOR FURTHER STATEMENTS BY PHYSICIAN.
R 15. 1-'18. 100,000.
...
MARGIN RESERVED FOR BINDING
WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD.
8 SEX Female ' AGE PARENTS important. See instructions on back of certificate. 16 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. Chelmsford ......... (No. newfield ....... .........
Baby Holdsword.
2 FULL NAME
[If married or divorced woman or widow
give maiden name, also name of husband.]
@RESIDENCE
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
1ª DATE OF DEATH
May
4
(Month)
(Day)
1918 (Year)
$ DATE OF BIRTH
May
3
1918
.........
(Month)
(Day)
(Year)
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)
mars.
10 NAME OF
FATHER
Frank Holdsworth
11 BIRTHPLACE
OF FATHER
(State or country)
mass.
12 MAIDEN NAME
OF MOTHER
Bessie Estella Scribner
13 BIRTHPLACE
OF MOTHER
(State or country)
Mars.
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
Frank Holdsworth.
(Address) To Chelmsford
File May 4, 1918 6 award). Bothins
:
REGISTRAR
17
I HEREBY CERTIFY that I attended deceased from
May 3, 1918 to
May 4
198
..... .
that I last saw her alive on May 3
1918
.......
... ,
and that death occurred, on the date stated above, at 29
.... m
The CAUSE OF DEATH* was as follows :
Lecturas
......
.(Duration)
............ yrs.
mos.
1
ds.
Contributory.
(SECONDARY>
.. (Duration)
.............. yrs.
.......
.... mos.
(Signed)
Fred Vaney
M.D
...
May 4, 1918 (Address) N. Childrenfred
* 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 Numercide bien
DATE OF BURIAL
Chag 4. 1912
20 UNDERTAKER
Ket Members
ADDRESS
Level
...........
......
St. ..... ................. Ward)
(City or town.) [If death occurred in a hospital or institution, give its NAME instead of street and number.]
Registered No. 38
4 COLOR OR RACE
White
5 SINGLE,
MARRIED,
WIDOWED.
OR DIVORCED
(Write the word)
Single
......
If LESS than
I day ......... hrs.
mos.
ds.
or ......... min. ?
96
...... ............
STANDARD CERTIFICATC O.
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, 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) Forcman, (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 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
ary or intercurrent) affection need not bo stated unless im- Chronic interstitial nephritis, etc. The contributory (second- Measles; Whooping cough; Chronic valvular heart disease; .nt neoplasms) ;
portant. Example: Measles (disease causing death), 29 ds .; acmia" (merely symptomatic), "Atrophy," "Collapse," symptoms or terminal conditions, such as "Asthenia," "An- Broncho-pneumonia (secondary), 10 ds. Never report mere
"Coma," "Convulsions," "Debility" ("Congenital,"
"Senile," etc.), "Dropsy," "Exhaustion," "Heart failure,".
discases resulting from childbirth or miscarriage, as "PUER- discase can be ascertained as the cause. Always qualify all "Shock," "Uraemia," "Weakness," etc., when a definite "Haemorrhage," "Inanition," "Marasmus," "Old age,"
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.
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