USA > Massachusetts > Middlesex County > Chelmsford > Deaths 1919 > Part 5
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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, ast 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.
The Commomuralth of Massachusetts
STANDARD CERTIFICATE OF DEATH
Ho Chelmsford. (City or town)
1 PLACE OF DEATH
County ..........
Township
Chelmsford
or Village ..... Dunstable Frad
or No ..
St.
Ward
(If death occurred in a hospital or institution, give its NAME instead of strect and number)
augusta
91
(If in the Army or Navy of the United States, give rank, organization, etc.)
St.,
.Ward.
(If non-resident give eity or town and State)
months
days
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Female Aprite
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
Married-
5a If married, widowed, or divorced HUSBAND of (or) WIFE of
6 DATE OF BIRTH (month, day, and year) May 14,1856
7 AGE
Years
62
Months
11
Days
4
If LESS than
1 day ......... hrs.
or ........ min.
8 OCCUPATION OF DECEASED
(a) Trade, profession, or
particular kind of work ...
(b) General nature of industry, business, or establishment in which employed (or employer) ... (c) Name of employer
9 BIRTHPLACE (city or town). (State or country) Credin
10 NAME OF FATHER Olof lindern
PARENTS
11 BIRTHPLACE OF FATHER (city or town) ........ (State or country)
12 MAIDEN NAME OF MOTHER Many Johan 18-1919 (Address) -
13 BIRTHPLACE OF MOTHER (city or towny (State or country)
Miden -
14 Não Ellen Hanno
Informant
(Address)
15
File Feb. 21, 1919 Edward & Robbins
REGISTRAR
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH (month, day, and year) Feb.18 19 /2
17
I HEREBY CERTIFY, That I attended deceased from
Fit. 7,
19 .......... , to ....
Feb. 18
1919.
that I last saw han alive on
Feb. 18
...... , 19 .. 1.2
and that death occurred, on the date stated above, at 1.00 P
...... m. The CAUSE OF DEATH" was as follows :
nethaiti.
(duration)
.... yrs ....
mos.
ds.
CONTRIBUTORY.
Influenz
(SECONDARY)
.(duration)
........... yrs ............
.mos.
ds.
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? Chi
Bucal
(Signed)
MI.D.
* 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.)
19 PLACE OF BURIAL, CREMATION, OR REMOVAL ¥
4
DATE OF BURIAL Feb. 2/2019
20 UNDERTAKER ADDRESS Villans H. Jaun des. Love! Man.
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. Massachusetts
Registered No ...
16
City
2 FULL NAME
(a) Residence. No ..
(Usual place of abode)
Length of residence in city or town where death occurred
years
months
days.
How long in U. S., if of foreign hirth ?
years
4 COLOR OR RACE
REVISED INTE :
Licndations Jy Committee .cal Association.) - Under the provi- Laws deaths under the
Statement of occupation. - Precise statement of
tion is very important, so that the relative healthfuln.
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, Compos- itor, Architect, Locomotive engineer, Civil engineer, Stationary fireman, ete. 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," "Dcaler," 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 ars 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 respcet to timc and causation), using always the same 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- ficd, 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 (sccondary 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 terminal conditions, such as "Asthenia," "Ancmia" (merely symptomatic), "Atrophy," "Col- lapse," "Coma," "Convulsions," "Debility" ("Con- genital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Hemorrhage," "Inanition," "Maras- inus," "Old age," "Shock," "Uremia," "Weakness," ete., when a definite discasc can be ascertained as the cause. Always qualify all discases 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
following conditions must be referred to the Medical Examiners:
1. Deaths following injury or violenec, as Burns, Falls, Drowning, Gas poisoning, Suicide, Homicide, cte.
2. Deaths supposedly caused by violenee, as Criminal abortion, Poisoning, Starvation, Suffocation, Exposure, ete.
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.
FORM R-301
should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH 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
The Commomuralth of Massachusetts
STANDARD CERTIFICATE OF DEATH
OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS
1 PLACE OF DEATH
County ..
midrie202.
State.
J'enzachenette Registered No.
17
City or Town ..
Chefiafact.
No.
St
Ward
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
La quiet
(If in the Army or Navy of the United States, give rank, organization, etc.)
(a) Residence. No ..
(Usual place of abode)
Length of residence in city or town where death occurred
35
years
months
St.,
Ward.
(If non-resident give eity or town and State)
days.
How long in U. S., if of foreign birth ?
42 years
6
months 23
days
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE
Hita
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
Married
semnale
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
andrea. Queist
6 DATE OF BIRTH. aug 26
x (Month)
(Year)
7 AGE
7
Years
Months 23 Days
If STILLBORN, enter that fact bere
If STILLBORN, state period of uterogestation.
mos.
If LESS than
1 day, ........ hrs.
or ........ min.
OCCUPATION OF DECEASED It NoriLE
(a) Trade, profession, or particular kind of work .. (b) General nature of industry, business, or establishment in wbich employed ( or employer ) ..
(c) Name of employer
CONTRIBUTORY
( SECONDARY)
(duration)
... yrs.
mos ..
ds.
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 ?
(Signed)
herman. M.D.
tto Chelucxford
( Address).
Lef
18 1914 Ware
Date.
(Month)?
(Day)
(Yeaf)
Informant ..
(Address )
14 Mr. Chidres. Dust
19 PLACE OF BURIAL, CREMATION, OR REMOVAL
W- Chelamfad, Mar2
4
DATE OF BURIAL Felt 2/19/9
15 Feb 201919 Edward Robbing
(Month) (Day) (Year)
/ REGISTRAR
21 I HEREBY CERTIFY that a satisfactory stan- dard certificate of death was filed with me BEFORE the burial or transit permit was issued. Odwand S. Robin.
Official Tonn Clerk
22 Date of issue of burial or transit permit
Frel. 201917 1265-1442
MARGIN RESERVED FOR BINDING
PARENTS
11 BIRTHPLACE OF
FATHER (City).
(State or country)
SuEdar2.
12 MAIDEN NAME
OF MOTHER
13 BIRTHPLACE OF
MOTHER (City).
(State or country)
Suadann.
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH
(Month)
tek.
18 1919
(Day)
(Year)
17 I HEREBY CERTIFY, That attended deceased from 5. 2, 19:19 to Fet18, 1919 :
that I last saw holalive on
Tet.18
... , 19 ....
and that death occurred, on the date stated above, at.,
A.m. The CAUSE OF DEATH was as follows : Chronic mercadito
( duration)
1
yrs
mos ...
ds.
(Cemetery)
(City or town)
20 UNDERTAKER David L'Ereig + son.
ADDRESS
10-'18. 100,000.
9 BIRTHPLACE (City)
(State or country)
SuEden.
10 NAME OF
John- Patterson
FATHER
1841
(Day)
182
REVISED UNITED STATES STANDARD
[Approved by U. S. Census and American P ...
:
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 word or term on the first line will be sufficient, e. g., Farmer or Planter, Physician, Compositor, Architect, Locomotive engineer, Civil engineer, Stationary fireman, etc. But in many cases, especially in industmal 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 Houscwife, 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 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 DEATH (the primary affection with respect to time and causation), using always tho same accepted term for tho samc disease. Examples: Cere- brospinal fcver (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 indefinite); 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- lapsc,""Coma,""Convulsions," "Debility" ("Congenital,""Senile," etc.), "Dropsy,""Exhaustion,""Heart failure,""IIcmorrhage,""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.
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.
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACH- 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 the request of an undertaker or other 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 age, the disease of which he died [defined so that it can be classified under the international classification of causes of death], where contracted, tho duration of his last illness, when last seen alive by the physician, and the date of his death. . . . - Revised Laws, Chap. 29, Secs. 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 bo accompanied by a satisfactory certificato 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 certificato 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 the per- mit is so given and the physician who certifies to the cause 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, Sec. 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 certificate of death is needed.
(3) Medical examiners will investigate and certify to all deaths sup- posably due to injury. Theso 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 death's of persons not disabled by recognized disease, and those of persons found dead.
A
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 Informant ... (Address)
15 File mar. S. 19 19 Edward . Robbing
REGISTRAR
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH (month, day, and year) When And 1919
17
HEREBY CERTIFY, That I attended deceased from
Jeky 22, 1919, to ..
Mck 3
, 1919
that I last saw h - alive on
mch 3
1919
and that death occurred, on the date stated above, at ....
10 .
.m.
The CAUSE OF DEATH* was as follows :
Centro, colitis
(duration)
yrs ..
mos.
12 ds.
CONTRIBUTORY
(SECONDARY)
.(duration)
yrs ..
mos.
ds.
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 ?. Jak Warey
(Sigoed)
M.D.
north Chiliafford Mas
* 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.)
19 PLACE OF BURIAL, CREMATION, OR REMOVAL
DATE OF BURIAL Mart 19
ADDRESS
20 UNDERTAKER
Xiforam
- CoDoma 14%.
183
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
(City or town)
1 PLACE OF DEATH
County.
Township
.or Village. Ho Sholmsford. >
.... or
St. Ward
(If death occurred in a hospital or institution, give its NAME instead of street and number)
Sillan Botton.
2 FULL NAME
(a) Residence. No.
(Usual place of abode)
Length of resideoce in city or town wbere death occurred
years
moalbs
days.
How long in U. S., if of foreign birth ?
years
mooths
days
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Vêmali
4 COLOR OR RACE
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
Married.
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
anis
Si Drottons
allons
6 DATE OF BIRTH (month, day, and year)
7 AGE
Years
61
Months
Days
If LESS thao
1 day, ........ hrs.
or ........ min.
8 OCCUPATION OF DECEASED
(a) Trade, profession, or
particular kiod of work.
(b) General oature of industry, business, or establishment io wbich employed (or employer) (c) Name of employer
9 BIRTHPLACE (city or town)
(State or country)
10 NAME OF FATHER
PARENTS
11 BIRTHPLACE OF FATHER (city or town) Soncontrat (State or country}
12 MAIDEN NAME OF MOTHER Marcha Black 4.1 4.99 (Address)
13 BIRTHPLACE OF MOTHER (city or town) enchambre (State or country)
State
Mendes
Registered No. 18
City
No.
St.,
.Ward.
(If non-resident give eity or town and State)
how.
hood 's
REVISE ATION
Statement of occupation.
tion is very important, so that i various pursuits can be known. The question applies to each and every person, irrespective of agc. 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, 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 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- eifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, Housemaid, etc. It the oceupation 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- eated 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 "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, peri- toneum, etc., Carcinoma, Sarcoma, etc., of.
(namne origin; "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms); Measles; Whooping cough; Chronic valvular heart disease; Chronie interstitial nephritis, etc. The contributory (secondary or inter- current) affection need not be stated unless important. Example: Measles (discase causing death), 29 &s .; Broneho- pneumonia (secondary), 10 ds. Never report incre symp- toms or terminal conditions, such as "Asthenia," " Anemia" (merely symptomatic), "Atrophy," "Col- lapse," "Comna," "Convulsions," "Debility" (“Con- ete.), genital," "Senile," "Dropsy," "Exhaustion," " Heart failure," "Hemorrhage," "Inanition," "Maras- mus," "Old age," "Shock," "Uremia," "Weakness," ctc., when a definite disease can be ascertaincd as the cause. Always qualify all diseases resulting from child- birth or misearriage, 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- terinine 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 (c. g., sepsis, tetanus) may be stated
1
following conditions must be referred to the Medical Examiners:
1. Deaths following injury or violence, as Burns, Falls, Drowning, Gas poisoning, Suicide, Homicide, cte.
2. Deaths supposedly caused by violence, as Criminal abortion, Poisoning, Starvation, Suffocation, Exposure, ctc.
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.
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