USA > Massachusetts > Middlesex County > Chelmsford > Deaths 1920-1921 > Part 3
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Part 1 | Part 2 | Part 3 | Part 4 | Part 5 | Part 6 | Part 7 | Part 8 | Part 9 | Part 10 | Part 11 | Part 12 | Part 13 | Part 14 | Part 15 | Part 16 | Part 17 | Part 18 | Part 19 | Part 20 | Part 21 | Part 22 | Part 23 | Part 24 | Part 25 | Part 26 | Part 27 | Part 28 | Part 29 | Part 30 | Part 31 | Part 32 | Part 33 | Part 34 | Part 35 | Part 36 | Part 37 | Part 38 | Part 39 | Part 40 | Part 41 | Part 42 | Part 43 | Part 44 | Part 45 | Part 46 | Part 47 | Part 48 | Part 49 | Part 50 | Part 51 | Part 52 | Part 53 | Part 54 | Part 55 | Part 56 | Part 57 | Part 58 | Part 59 | Part 60
1 PLACE OF DEATH
County
Middlesex
State Mass
Registered No.
6
City or Town
East Chelmsford
No.
Marshall Road
St ....
.Ward
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
Agnes Silva
(If in the Army or Navy of the United States, give rank, organization, etc.)
(a) Residence. No.
Marshall koad
(Usual place of abode)
Length of residence in city or town where death occurred
50
years
months
days.
How long in U. S., if of foreign birth ?
50
years
months
days
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH.
February
6
1920
(Month)
(Day)
(Year)
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
Berdebar
6 DATE OF BIRTH
( Month)
(Day)
(Year)
7 AGE
74 Years
Months
Days
If STILLBORN, enter that fact bere
If STILLBORN, state period of uterogestation
.. mos.
If LESS than
I day, ........ hrs.
or ........ min.
8 OCCUPATION OF DECEASED
(a) Trade, profession, or
particular kind of work
(b) General nature ofindustry,
business, or establishment in
which employed ( or employer)
A
TTOme
(c) Name of employer
9 BIRTHPLACE (City)
Maaeria
(State or country)
10 NAME OF
FATHER
Ernest De S. Josa.
11 BIRTHPLACE OF
FATHER (City ).
Azores
(State or country)
MAIDEN NAMI OF MOTHER Neeessa Unknown
13 BIRTHPLACE OF
MOTHER (City)
(State or country)
Azcres
14 Joseph Silva
Informant
(Address )
Marshall Rd.
15 Fub. 8, 1920 Edward & Robbing (Month) (Day) (Year)
REGISTRAR
19 PLACE OF BURIAL, CREMATION, OR REMOVAL
St. Patrick's
Lowell
DATE OF BURIAL 2/8/20
(Cemetery)
(City or town)
20 UNDERTAKER
J J. Mclonough
ADDRESS
176 Gor Tar
21 I HEREBY CERTIFY that a satisfactory stan- dard certificate of death was filed with me BEFORE the burial or transit permit was issued Edward & Robbins
Off position
Down clock
Date of issoe of permit Feb. 8,1920
Permit
No
20
20
that I last saw hav
alive on
19
and that death occurred, on the date stated above, at
a m.
The CAUSE OF DEATH was. as follows : Leituras
.
8
mos.
.ds.
CONTRIBUTORY.
(SECONDARY)
.(duration)
.yrs.
mos. ds.
18 Where was disease contracted
if not at place of death ?
Did an operation precede death ?.
2Date of.
Was there an autopsy ?
What test confirmed diagnosis ?
(Signed)
(Address).
Date.
7
sionthy
(Day)
PARENTS
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
MARGIN RESERVED FOR BINDING
1-6-'19. 150,000.
3 SEX
female
4 COLOR OR RACE
white
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
widowed
17 I HEREBY CERTIFY, That I attended deceased from
15
1920
to.
120 4
19
18.4.6.
....... (duration)
Entreen
yrs ..
St.,
Ward.
(If non-resident give city or town and State)
REVISED UNITEL TATES STANDARD CERTIFICATE OF DEATH
[Approve1 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 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 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 dutics 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, 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, tho DISEASE CAUSING DEATH (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 cercbrospinal 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- 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 discases resulting from childbirth or miscarriage, as "PUER- PERAL scplicemia," "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
0
FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH
-
A
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 contractcd, the 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 be accompanied by a satisfactory certificate of the at- tending physician, if any, as required by law, or in lieu thercof 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. I. death is caused by violence, the medical examiner only shall make ut ».In certificate. ... The person to whom tho 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, Scc. 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 needcd.
(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 those of persons found dead.
18
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
(City or town)
Township
Chelmsford
or Village
.or
St.,
Ward
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
Henry thancis Super
(If in the Army or Navy of the United States, give rauk, organization, etc.)
(a) Residence.
No.
South Chelmsford
St.,
Ward.
(If non-resident give city or town and Statc)
Length of residence in city or town where death occurred
5 years
months
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)
Feb. 7 th
1920
17
I HEREBY CERTIFY, That I attended deceased from
Sept.
19/9
, to
date
19 .. 2.0,
that I last saw h IAM alive on
Feb. 4th
19 .. 2 .. d.
and that death occurred, on the date stated above, at
11,45$
m.
The CAUSE OF DEATH* was as follows :
If LESS than
1 day, ........ hrs.
or ........ min.
Cerebral embolism
(duration)
6
.mos.
.ds.
CONTRIBUTORY
(SECONDARY)
.. (duration)
............. yrs ................. mos ..
ds.
18 Where was disease contracted
if not at place of death ?
Did an operation precede death?
m
Was there an autopsy ?.
rio.
What test confirmed diagnosis ?
Physical Signo
(Signed)
Cimara Stoward
., M.D.
12 MAIDEN NAME OF MOTHER
Martha Read
, 19
(Address)
Chelmsford, Mais.
13 BIRTHPLACE OF MOTHER (city or town)
(State or country)
Weattend
* State the DISEASE CAUSING DEATH, or in deaths from VIOLENT CAUSES. statc (1) MEANS AND NATURE OF INJURY, and (2) whether ACCIDENTAL, SUICIDAL, or HOMICIDAL. (Sce reverse side for additional space.)
19 PLACE OF BURIAL, CREMATION, OR REMOVAL
Fraisier Cem, Westfal
DATE OF BURIAL
Hab-10
19 20
(Address)
Chelmates nas
15 Del.10, 1920 Edward & Rollon
REGISTRAR
State
Thank
Registered No.
7
City No.
MARGIN RESERVED FOR BINDING
1 PLACE OF DEATH
County.
Midex
(Usual place of abodc)
3 SEX
mala
4 COLOR:OR RACE
white
5a If married, widowed, or divorced
HUSBAND of
(01) WIFE of
6 DATE OF BIRTH (month, elay, and ycar)
7 AGE
Ycars
66
Months
6
8 OCCUPATION OF DECEASED
(a) Trade, profession, or
(b) General nature of industry,
business, or establishment in
Shoes
which employed (or employer)
(c) Name of employer .
9 BIRTHPLACE (city or town)
(State or country)
10 NAME OF FATHER
PARENTS
14
M.Z. Dukan
Informant
carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms,
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
particular kind of work
Salesman
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
Single
July 16 1803
Days
23
yrs .....
Date of
........
11 BIRTHPLACE OF FATHER (city or town)
Meatfal
(State or country) mars
20 UNDERTAKER
Halter Perlan
ADDRESS
Chalnaqual
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 applics 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, 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 statciment; 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 houschold 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 diseasc. 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.
(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 .; Broneho- pneumonia (secondary), 10 ds. Never report mere symp- toms or terminal conditions, such as " Asthenia." "Anemia" (merely symptomatic), "Atrophy," "Coï- 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
under the head of "Contributory." (Recommendations ( statement of cause of death approved by Committee
Nomenclature 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 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. 10-'18. 5,000.
-.
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
(Gity or town)
Registered No
8
Township
Mr. Chelmsford.
or Village
or
St ...
.....
Ward
(If death occurred in a hospital or institution, give its NAME instead of street and number)
(a) Residence.
No.
13) lightman
St., ........
Ward.
(If non-resident give city or town and State)
(Usual place of abode)
Lengt's of residence in city or town where death occurred
years
months
days.
How long in U. S., if of foreign birth? 20
years
months
days
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH (month, day, and year)
1921
17
I HEREBY CERTIFY, That I attended deceased from
Fiber
6
19.2v, to
19 21.
that I last saw hm
alive on
July 7
19
and that death occurred, on the date stated above, at
30 00
m.
The CAUSE OF DEATH* was as follows :
Perbar rumania
( Primary)
(duration)
yrs ....
.mos.
8
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 ?
(Signed)
Fue Elaney
M.D.
my 9, 1920 (Address)
Neret Chelmsford mes
* 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.)
19 PLACE OF BURIAL, CREMATION, OR REMOVAL
DATE OF BURIAL Pur. 10 19 20
(Address) To Chelmsford. Man.
15 Det. 13, 1920 Edward ARathing REGISTRAR
MARGIN RESERVED FOR BINDING
1 PLACE OF DEATH County. fidéliser 2 FULL NAME 3 SEX 4 COLOR OR RACE White Male 7 AGE 4 4 Years 2. Months 8 OCCUPATION OF DECEASED (a) Trade, profession, or particolar kind of work 9 BIRTHPLACE (city or town). (State or country) 11 BIRTHPLACE OF FATHER (city or town) .... (State or country) PARENTS 13 BIRTHPLACE OF MOTHER (city or town). (State or country) Informant so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions on back of certificate. carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms, Filed. N. B .- WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD. Every item of information should be (b) General nature of industry, business, or establisliment in which employed (or employer) (c) Name of employer appletin Cs.
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
married
5a If married, widowed, or divorced HUSBAND of (01) WIFE Of Mathilda
6 DATE OF BIRTH (month, day, and year) Nr. 18. 1870
Days
If LESS than 1 day, ........ hrs. pr ........ min.
Machinist
10 NAME OF FATHER Gustaf Millander
12 MAIDEN NAME OF MOTHER Hola Westerburg
14 Mathilda Michlandu
State
19 No. Chelmsford
No.
City bustos P. Millander.
(If in the Army or Navy of the United States, give rank, organization, etc.)
20 UNDERTAKER
ADDRESS
Mattiam It aundus Lowell Man.
REVISED UNITED STATES STANDARD CERTIFICATE OF DEATH [Approved by U. S. Census and American Public Health Association]
Statement of occupation. - Precise statement of oc. t- tion is very important, so that the relative healthfulr 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 necded. 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, Laborcr - 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 diseasc. 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_
(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 terminal conditions, such as "Asthenia." "Anemia" (mercly 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 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
under the head of "Contributory." (Recommendations on statement of cause of death approved by Committee on Nomenclature 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, ctc.
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