Deaths 1919, Part 29

Author: Chelmsford (Mass.)
Publication date: 1919
Publisher:
Number of Pages: 188


USA > Massachusetts > Middlesex County > Chelmsford > Deaths 1919 > Part 29


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State cause for which surgical operation was undertaken.


(Recommendations on statement of cause of death approved by Com- mittee on Nomenclature of the American Medical Association.)


Bronchopneumonia: If primary cause, write the word "pri- mary" ; if secondary, give primary cause.


Certificates will be returned for additional information which give any of the following diseases, without explanation, as the sole cause of death: Abortion, cellulitis, childbirth, convulsions, hemorrhage, gangrene, gastritis, erysipelas, meningitis, miscar- riage, necrosis, peritonitis, phlebitis, pyemia, septicemia, tetanus.


Dr. Philliffe


EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH


A physician shall forthwith, after the death of a person whom he has attended during his last illness, at tho request of an undertaker or otlier authorized person or of any member of the family of the deceased, furnish for registration a standard certificate of death, stating to the best of his knowledge and belief the name of the deceased, his supposed agc, the disease of which he died [defined so that it can be classified under the international classification of causes of death], where contracted, the duration of his last illness, when last seen alive by the physician, and the date of his death. . . . - Revised Laws, Chap. 29, Sccs. 10 and 1. as amended by Acts of 1910, Chap. 322.


No undertaker or other person shall bury a human body . . . until he has received a permit from the board of health or its agent, . . . or . . . from the clerk of the city or town in which the person died; . . . no such permit shall be issued until there shall have been delivered to such board, agent or clerk, . . . a satisfactory written statement con- taining the facts required by law to be returned and recorded, which ... shall be accompanied by a satisfactory certificate of the at- tending physician, if any, as required by law, or in lieu thereof a certifi- cate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is insufficient, the chairman of the board of health, if a physician, or any physician employed by said board or by the selectmen for the purpose, shall upon application make such certificate as is required of the attending physician. If death is caused by violence, the medical examiner only shall make such certificate. . . . The person to whom tho per- mit is so given and the physician who certifies to the causo of death shall thereafter furnish for registration any other necessary information which can be obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require. - Revised Laws, Chap. 78, Sec. 38.


Medical examiners shall, in all cases, certify to the city or town clerk or to the city registrar in the place where the deceased died, his name and residence, if known, otherwise a description of such person as full as may be, with the cause and manner of his death, and shall make examination upon the view of the dead bodies of only such persons as are supposed to have come to their death by violence. - Revised Laws, Chap. 24, Scc. 8.


RULES OF PRACTICE


The fulfilment of the purpose of these laws calls for the observance of the following rules of practice:


(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.


(2) Board of Health Physicians will certify to such deaths only as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificato of death is nceded.


(3) Medical examiners will investigate and certify to all deaths sup- posably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and thoso of persons found dead.


carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms, 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 statoment of OCCUPATION is very important. See instructions ou back


of certificate.


15 Filed Och. 30, 1911 Stephen Flik Registrar of city of town where death occorred File Oct 25 99 Edward .....


Registrar of city or towo where deceased resided


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH (month, day, and year) 006. 20, 19


17 I HEREBY CERTIFY, That I attended deceased from Oct 20. 1919, to Get, 20 19 1


that I last saw het Malive on ...


20 1919


and that death occurred, on the date stated above, at ..... m. The CAUSE OF DEATH* was as follows:


* 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. (See reverse side for additional space.)


Niveaspol Prostate


Gland.


miocarditis hiddenHeart


Fallers


„(duration) ...


............. yrs ................. mos .................


... ds.


CONTRIBUTORY


(SECONDARY)


.(duration).


.yrs.


mos ..


ds.


18 Where was disease contracted


if not at place of death ?


Did an operation precede death? yes)


Date of Get, 201919.


Was there an autopsy ?.


no.


What test confirmed diagnosis ?. arthur Loroboria, M.D.


(Sigoed)


10-221917 (Address)


Chelmsford may


19 PLACE (OF BURIAL, CREMATION, OR REMOVAL Chel me 8. mars


Tiveres


e


DATE OF BURIAL Det. 23 2019.


20 UNDERTAKER Walter Terham


ADDRESS Chelmsford


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


4 COLOR OR RACE


male White married


5 SINGLE, MARRIED, WIDOWED, OR


DIVORCED (write the word)


5. If married, widowed, or divorced


HUSBAND of


(or) WIFE of


6 DATE OF BIRTH (month, day, and year)en 2 1839


7 AGE


ro


Ycars


Months


Days


29


If LESS than


I day, ........ brs.


or ....... mio.


8 OCCUPATION OF DECEASED


(a) Trade, professioo, or


particular kind of work ..


Farmer


(b) General nature of industry, business, or establishment in which employed (or employer ) ...


.(c) Name of employer


9 BIRTHPLACE (city or town tafford (State or country)


10 NAME OF FATHER


PARENTS


11 BIRTHPLACE OF FATHER (city of town)


(State or country)


haron


12 MAIDEN NAME OF MOTHERHenrietta dade


Sharon


13 BIRTHPLACE OF MOTHER (city of town) ) (State or country) V.A.


14 wil


Informant


( Address)


Chelmakes


0 24.7 Lowell (City or town)


CERTIFICATE OF DEATH OF NON-RESIDENT


1 PLACE OF DEATH


County


middlesex


State.


mais


Registered No. 83


City or Town.


Lowell


howell Convittoen St,


(Place of residence)


............... Ward


(If death occurred in a hospital or institution, give its NAME instead of street and number)


2 FULL NAME ..


Francie


(If in the Army for Navy of the United States, give rank, organization, etc.)


St.


(Usual place of abode)


Length of residence in city or town where death occorred


30


years


mooths


days


How long in U. S., H of foreign birth?


years


mooths days


9


If STILLBORN, eoter that fact bere


MARGIN RESERVED FOR BINDING


The Commonwealth of Massachusetts


Registered No ..


(Place of death)


(a) Residence. State


mais City or Town.


Chelmexa No


8


.....


ny


REVNE ; 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, 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," 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 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 .- Name, first, the DISEASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted term for the same disease. Examples: Cerebrospinal fever (the only definite synonym is "Epidemie cerebrospinal menin- gitis"); Diphtheria (avoid usc of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneumonia; Bronchopneumonia ("Pneumonia," unquali- fied, is indefinite); Tuberculosis of lungs, meninges, peri- toneum, etc., Carcinoma, Sarcoma, 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 (secondary or inter- current) affection need not be stated unless important. Example: Measles (disease causing death), 29 ds .; Broncho- pneumonia (secondary), 10 ds. Never report mere symp- toms or terininal conditions, such as "Asthenia," "Anemia" (merely 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 disease can be ascertained as the causc. Always qualify all diseases resulting from child- birth or miscarriage, as "PUERPERAL septicemia," "PUER- PERAL peritonitis," etc. 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 de- termine definitely. Examples: Accidental drowning; Struck by railway train - accident; Revolver wound of head - homicide; Poisoned by carbolic acid - probably suicide. The nature of the injury, as fracture of skull, and consequences (e. g., sepsis, tetanus) may be stated


Her the head of "Contributory." . (Recommendations nf cause of death approved by Committee 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, etc.


2. Deaths supposedly caused by violence, as Criminal abortion, Poisoning, Starvation, Suffocation, Exposure, 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.


ADDITIONAL SPACE


FOR FURTHER STATEMENTS BY


PHYSICIAN.


.


R 303. 6-'18. 50,000.


Form R-302


The Commonwealth of Massachusetts


24.8


CERTIFICATE OF DEATH OF NON-RESIDENT


Tewksbury


(City or town)


Registered No ...


405


County


Middlesex


State


Massachusetts.


Registered No ...


82


(Place of residence)


St.,


Ward


(If death occurred in a hospital or institution, give its NAME instead of street and number)


2 FULL NAME


Annin Hanley


....


(If in the Army or Navy of the United States, give rank, organization, etc.)


(a) Residence. State ...


(Usual place of abode)


City or Town.


Length of residence in city or town where death occurred


1


years


months


17


days


How long in U. S., if of foreign birth?


years


months


days


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH (month, day, and year) Oct. 18. 199


17


I HEREBY CERTIFY, That I attended deceased from


Aug. 1


19.


, 19


. Oct. 18


19 19


......


that I last saw h ...


er


alive on


19


and that death occurred, on the date stated above, at 5:55P m. The CAUSE OF DEATH* was as follows :


. 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. (See reverse side for additional spacc.)


Chronic Endocarditis


unknown


(duration)


yrs ..


.mos. ................ ds.


CONTRIBUTORY (SECONDARY)


.(duration). yrs.


mos.


ds.


18 Where was disease contracted


if not at place of death ?


Did an operation precede death? HLO Date of ..


Was there an autopsy? No


What test confirmed diagnosis? Clinical Findings,


(Signed) ...


Edna N. Sypher-Kane


... , M.D.


/18, 191 9(Address) State Infirmary, Tewksbury


19 PLACE OF BURIAL, CREMATION, OR REMOVAL


DATE OF BURIAL


St. Patrick's Cem. Lowell 10 23 10


15 Filed 10/18/ 19 ...


Registrar of city or town where death occurred Filed 2200. 10. 1917 Goboard S. Bobbing


Registrar of city or town where deceased resided


8


-


e


ns


3 SEX Female 7 AGE particular kiod of work. (c) Name of employer PARENTS Informant . .... (Address) of certificate. 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 (State or country)


MARGIN RESERVED FOR BINDING


Years 43 (h) Geoeral nature of industry, business, or establishment in which employed (or employer). carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms, If STILLBORN, enter that fact here


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


Not learned


6 DATE OF BIRTH (month, day, and year) L'eb. 23, 1876


Months


7


Days


25


If LESS than I day, ........ hrs. or ........ min.


8 OCCUPATION OF DECEASED


(a) Trade, profession, or Housework


9 BIRTHPLACE (city or town) ...


Washington.


D. C.


10 NAME OF FATHER Peter


11 BIRTHPLACE OF FATHER (city or town) ... (State or country) Treland


12 MAIDEN NAME OF MOTHER Bridget Scanlon


13 BIRTHPLACE OF MOTHER (city or town) .. (State or country)


Ireland 10


14 Hospital Records.


20 UNDERTAKER Farmor & Son


ADDRESS Tewksbury


1 PLACE OF DEATH


(Place of death)


City or Town ........


Tewksbury.


No.


State Infirmary


No ...


Chelmsford


St.


Oct. 18.


19


..........


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 cach 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, Compos- itor, Architcet, 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," 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 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- catcd thus: Farmer (retired, 6 yrs.). For persons who have no occupation whatever, write None.


Statement of cause of death .- Name, first, the DISEASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted term for the same disease. Examples: Cerebrospinal fever (tlie only definite synonym is "Epidemic cercbrospinal 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, peri- toneum, ctc., Carcinoma, Sarcoma, etc., of_


(name origin; "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms); Measles; Whooping cough; Chronie valvular heart disease; Chronie interstitial nephritis, etc. The contributory (secondary or inter- current) affection need not be stated unless important. Example: Measles (disease causing death), 29 ds .; Broncho- pneumonia (secondary), 10 ds. Never report mere syinp- tomns or terminal conditions, such as "Asthenia," "Anemia" (merely symptomnatic), "Atrophy," "Col- lapse," "Comna," "Convulsions,"" "Dcbility" ("Con- genital," "Scnilc," etc.), "Dropsy," "Exhaustion," "Heart failure," "Hemorrhage," "Inanition," "Maras- inus," "Old age," "Shock," "Uremnia," "Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from 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 de- termine definitely. Examples: Accidental drowning; Struck by railway train - accident; Revolver wound of head -homicide; Poisoned by carbolic acid - probably suicide. The nature of the injury, as fracture of skull, and consequences (e. g., sepsis, tetanus) may be stated


under the head of "Contributory." (Recommendations . on statement, of cause of death approved by Committec on Nomenclature of the American Medical Association.)


Casas 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, etc.


2. Deaths supposedly caused by violence, as Criminal abortion, Poisoning, Starvation, Suffocation, Exposure, 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.


ADDITIONAL SPACE


FOR FURTHER STATEMENTS BY


PIIYSICIAN.


R 303. 6-18. 50,000.


FORM R-301


1919 1847 72


N. B .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of information instructions and extracts from the laws on back of certificate. in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH


1-6-'19. 150,000.


The Commmuralth of Massachusetts


STANDARD CERTIFICATE OF DEATH


2409 OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS


1 PLACE OF DEATH Middleage County ...


State


Mass


Registered No.


84


City on Town Gart Chelmsford No Manning Place


St.,.


Ward


(If death occurred in a hospital og institution, give its NAME instead of street and number)


Charlotte f. Bartlett.


2 FULL NAME


(a) Residence. No.


Manning Place


St.,.


. Ward.


( Usual place of abode)


Length of residence in city or town where death occurred


72 years


8


months


5


"days.


How long in U. S., if of foreign hirth ?


years


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


Female. White.


5 SINGLE, MARRIED, WIDOWED, OR


DIVORCED (write the word)


Married.


5a If married, widowed, or divorced


HUSBAND of


(or)


Grastua A. Partel.


6 DATE OF BIRTH


Feb.


(Monthi)


19. 1847


(Day)


(Year)


7 AGE 72 Years


Months 5 Days


If STILLBORN, enter that fact here If STILLBORN, state period of uterogestation mns.


If LESS than


1 day, ........ hrs.


or ........ min.


8 OCCUPATION OF DECEASED (a) Trade, profession, or particular kind of work. At Home.


(b) Generai nature of industry,


business, er establishment in


which employed ( or employer) ..


At Home.


(c) Name of employer


9 BIRTHPLACE (City)


East Chelmsford


( State or country) Kara.


10 NAME OF


FATHER


William Manning.


11 BIRTHPLACE OF


FATHER (City)


Billerica,


(State or country)


12 MAIDEN NAME


OF MOTHER


Mary A. Baldwin.


13 BIRTHPLACE OF


MOTHER (City)


(State or country)


Marc


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH.


(Monthy


24


1919


(Day)


(Year)


17


I HEREBY CERTIFY, That I attended deceased from


19.


14-


... , to


Oct. 24


1919


that I last saw h & alive on


Cect. 23, 1919.


and that death occurred, on the date stated above, at 2.15Am


The CAUSE OF DEATH was as follows :


Bronchiectores


-


(duration) 10


.yrs ...


mos ... ds.


CONTRIBUTORY (SECONDARY)


(duration)


.. yrs ............


mos ......


ds.


18 Where was disease contracted


if not at place of death ?


Did an operation precede death? 20. Date of.


Was there an autopsy ?


no.


What test confirmed diagnosis ?.


(Signed)


Aucun 1, Scolonia


.. . ..... , M.D.


( Address ).


Chelmsford miss


Date ..


Oct.


24


1919.


14 Informant Grastue A Bartlett (Address) East Chelmsford, Maren


15


Oct. 25, 19/1 6 dward , Robbins


(Month) (Day) (Year)


REGISTRAR


19 PLACE OF BURIAL, CREMATION, OR REMOVAL


DATE OF BURIAL


Joy Hill, Billerica, Mars, Oct, 26 1919,


(Cemetery)


(City or town)


20 UNDERTAKER


großHealey.


ADDRESS


Sowell, Mase.


21 I HEREBY CERTIFY that a satisfactory stan- dard certificate of death was filed with me BEFORE the hurial or transit permit was issued Edward & Robban


Offic


position.


Com Click


Date of issne of permit. Oct. 25, 1914 No.


Permit


(Month)


(Day)


(Year)


.....


PARENTS


Billerica


(If in the Army or Navy of the United States, give rank, organization, etc.)


(If non-resident give city or town and State)


months


days


4 COLOR OR RACE


MARGIN RESERVED FOR BINDING


A


00151


REVISED UNITED STATES STANDARD CERTIFICATE OF DEATH


[Approved by U. S. Census and American Public Health Association]


Statement of occupation. - Precise statement of occupation 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 werd or term on the first line will be sufficient, e. g., Farmer or Planter, Physician, Compositor, Architect, Locomotive engineer, Civilengineer, 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 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 house- hold 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. If the occupation has been changed or given up on account of the DISEASE CAUSING DEATH, state occupation at beginning of illness. If retired from business, that fact may be indicated thus: Farmer (retired, 6 yrs.). For persons who have no occupation whatever, write None.


Statement of cause of death. - Name, first, the DISEASE CAUSING DEATII (the primary affection with respect to time and causation), using always the same accepted term for the same disease. Examples: Cere- brospinal fever (the only definite synonym is "Epidemic cerebrospinal meningitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneumonia; Bronchopneumonia ("Pneumonia," unqualified, is indefinitc); Tuberculosis of lungs, men- inges, peritoneum, etc., Carcinoma, Sarcoma, 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 (secondary or inter- current) affection need not be stated unless important. Example: Measles (disease causing death), 29 ds .; Bronchopneumonia (secondary), » 10 ds. Never report mere symptoms or terminal conditions, such as "Asthenia," "Anemia" (merely symptomatic), "Atrophy," "Col- lapse, " "Coma,""Convulsions," "Debility" ("Congenital," "Senile,"" etc.), "Dropsy,""Exhaustion,""Heart failure,""Hemorrhage,""Ina- nition," "Marasmus," "Old age," "Shock," "Uremia,""Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as "PUER- PERAL septicemia," "PUERPERAL peritonitis," etc.




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