Town of Winthrop : Record of Deaths 1910-1912, Part 16

Author: Winthrop (Mass.)
Publication date: 1910
Publisher:
Number of Pages: 956


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1910-1912 > Part 16


Note: The text from this book was generated using artificial intelligence so there may be some errors. The full pages can be found on Archive.org (link on the Part 1 page).


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The Commonwealth of Massachusetts


STANDARD CERTIFICATE OF DEATH


1 PLACE OF DEATH Wencheof Him (No. 16 Nevada St


St. ;.


Ward)


[If death occurred in a hospital or institution, give its NAME instead of street and number.]


Samuel Burnett Bassett


[If married or divorced woman or widow


give maiden name, also name of husband.]


@RESIDENCE


# 16 nevada


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


191.0. ...


(Month)


(Dáy)


(Year)


17 I HEREBY CERTIFY that I attended deceased from


1910, to Oct. 19, 1910, that I last saw have alive on 17th Cafe 1910. and that death occurred, on the date stated above, at 0 m. The CAUSE OF DEATH* was as follows :


arteriosclerosis


Листвами


.(Duration)


.yrs. ....


mos. ds.


Contributory


Cardiac Dropcy


(SECONDARY)


(Duration)


yrs


mos. . ds


(Signed)


Qaf, 20


. 1910


(Address)


Minetrop.


* 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 of usual residence.


19 PLACE OF BURIAL OR REMOVAL Manden Cemelig Chelsea


DATE OF BURIAL


(Ccr 21


,


1910


20 UNDERTAKER


ADDRESS


16 Filed .. 191.


REGISTRAR


widoweraf


nov


2


(Month)


(Day)


1843


(Year)


If LESS than,


I day,


hrs.


.yrs. 11 mos. 14 ds.


or ...... min. ?


22000


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


9 BIRTHPLACE


(State or country)


Chelsea 1Hlas,


Samuel Bassett


11 BIRTHPLACE OF FATHER (State or country) Boston- Mass


12 MAIDEN NAME OF MOTHER Julia Même Burnham


1ª BIRTHPLACE OF MOTHER (State or country) Chelsea Man


14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


(Informant)


Elmer H. Bassett


(Address)


16 nevada Sr


Whichof (City or town.)


Registered No.


4 COLOR OR RACE


White


5 SINGLE,


MARRIED,


WIDOWED,


OR DIVORCED


(Write the word)


16 DATE OF DEATH


Oct.


M.D.


Det. 19,1910.


STANDARD CERTIFICATE OF DEATH.


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, 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) Foreman, (b) Automobile factory. The material worked on may form part of the second statement. Never return "Laborer," "Foreman," " Manager,""Dealer," etc., without more precise specification, as Day laborer, Farm laborer, Laborer- Coal mine, etc. Women at home, who are engaged in the duties of the household only (not paid House- keepers who receive a definite salary), may be entered as Hlousewife, 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 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: Cerebro-spinal fever (the only definite synonym is "Epidemic cerebro-spinal meningitis") ; Diphtheria (avoid use of "Croup ") ; Typhoid fever (never re- port " Typhoid pneumonia ") ; Lobar pneumonia; Broncho- pneumonia ("Pneumonia," unqualified, is indefinite) ; Tuber-


culosis of lungs, meninges, peritonaeum, etc., Carcinoma, Sar- coma, etc., of .. (name origin : "Cancer" is less definite ; avoid use of "Tumor " for malignant neoplasms) ; Measles ; Whooping cough ; Chronic valvular heart disease; Chronic interstitial nephritis, etc. The contributory (second- ary or intercurrent) affection need not be stated unless im- portant. Example: Measles (disease causing dcath), 29 ds .; Broncho-pneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as " Asthenia," " An- aemia " (merely symptomatic), "Atrophy," " Collapse," " Coma," "Convulsions," "Debility " ("Congenital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Haemorrhage," " Inanition," "Marasmus," "Old age," "Shock," "Uraemia," "Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as " PUER- PERAL septicaemia," " PUERPERAL peritonitis," etc. State cause for which surgical operation was undertaken.


Cases for the Medical Examiners. - Under the provisions 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, Gus 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.


COMMONWEALTH OF MASSACHUSETTS.


RETURN OF A DEATH-1910.


CITY OF BOSTON.


FULL NAME


John McNiven


Registered No 9405


Place of Death ¿


Boston


Mass.Gen , Hospt.


and Residence S


Date of Death


Oct. 22


1910.


Åge


69


. years .


months


16


days.


STATISTICAL DETAILS.


SEX


COLOR


SINGLE, MARRIED, WID., DIV.


M


W


M


Maiden Name


GIST


RAR'S


PATRIBU


SIT DE


Cancer of rectum Chr.Intestinal -


Husband's Name


Sidney C.B


Birthplace


Name of


Father Malcolm McNiven B ISREGIMEN


183D.


DONATA A


MASS.


Birthplace


of Father


Scotland


Contributory : (Duration)


Maiden Name


Effie McLean


of Mother


Birthplace


of Mother


Scotland


Occupation Sta .Engineer


Informant


Place of Burial


or removal.


Winthrop


Undertaker E B Douglass


Chelsea


(Signed)


C R Metcalf


M.D.


Oct.23


1910


SPECIAL INFORMATION from Hospitals, Institutions, Transier.ts, or Recent Residents.


In hospital 5 days


Usual Residence


Winthrop(24 River Road)


Filed.


Oct. 25


1910.


A true copy.


Attest :


ErMSlenen


Registrar.


CITY


'Primacy: ( Duration) FFICE:


obstruction - 1 yr


TVITATI


BOSTONTA" CONDITAA A.1823


PHYSICIAN'S CERTIFICATE.


I HEREBY CERTIFY that I attended deceased during last illness,


from 1910, to 1910, that to the best of my knowledge and belief death occurred on the date stated above, and that the CAUSE OF DEATH was as follows:


5


ПО ИПЕТАК


C


3 SEX female 6 DATE OF BIRTH 7 AGE 8 OCCUPATION (a) Trade, profession, or particular kind of work 9 BIRTHPLACE (State or country) 10 NAME OF FATHER 11 BIRTHPLACE OF FATHER (State or country) PARENTS 18 BIRTHPLACE OF MOTHER (State or country ) 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 Y


The Commonwealth of Massachusetts


1 PLACE OF DEATH


STANDARD CERTIFICATE OF DEATH Nunchuck Man (No. 20 Bowcom St


St. ;.... Ward)


(City or town.) [If death occurred in a hospital or institution, give its NAME instead of street and number.]


Baby Smith


2 FULL NAME [If married or divorced woman or widow give maiden name, also name of husband.] @RESIDENCE


20 Barcom the Wh ancheof theass


Registered No.


PERSONAL AND STATISTICAL PARTICULARS


4 COLOR OR RACE


5 SINGLE,


MARRIED,


WIDOWED,


OR DIVORCED


(Write the word)


Single


Ceux (Month)


2/


(Day)


1910


,


(Year)


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


yrs.


mos.


3


ds.


or ....... min. ?


1


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


Bergman ... S mit


Wantunt- Muss


12 MAIDEN NAME OF MOTHER Suma. HMc Donald


Luba me


14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE x


(Informant).


Benjamin


PSmith


(Address)


×


20 Boudon- St Withro


Filed 191


REGISTRAR


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH


Detalii


(Month)


(Day)


.. 19!0


(Year)


17 I HEREBY CERTIFY that I attended deceased from Oct 21 1910 ., to 24, 1910, that I last saw halive on Oct 23 .1910, and that death occurred, on the date stated above, at 6 am. The CAUSE OF DEATH* was as follows :


marasmus)


(Duration)


yrs.


mos.


3


ds.


Contributory. (SECONDARY)


Duration)


yrs.


mos. ds.


(Signed)


Nat 24, 90


Huntrop muss


* If death followed injury or violence the certificate of death must be made out by the Medical Examiner.


18 LENGTH OF RESIDENCE (FOR HOSPITALS, INSTITUTIONS, TRANSIENTS, OR RECENT RESIDENTS).


At place


of death.


yrs.


mos.


ds.


State


In the


yrs.


mos.


ds.


Where was disease contracted, If not at place of death ?


Former or usuai residence ..


19 PLACE OF BURIAL OR REMOVAL Wenchet- Camely


DATE OF BURIAL


Chat: 26, 191


20 UNDERTAKER


ADDRESS


M.D.


(Address)


24


STANDARD CERTIFICATE OF DEATH.


Statement of occupation. - Precise statement of occupa- tion is very important, so that the relative healthfulness of varions 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, Loeo- 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 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 occupation whatever, write Nonc.


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: 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 ; Broneho- pneumonia (" Pneumonia," unqualified, is indefinite) ; Tuber-


culosis of lungs, meninges, peritonaeum, etc., Carcinoma, Sar- coma, etc., of. .. (name origin : "Cancer" is less definite ; avoid use of "Tumor" for malignant neoplasms) ; Measles ; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, etc. The contributory (second- ary or intercurrent) affection need not be state? unless im- portant. Example: Measles (disease causing death), 29 ds .; Broneho-pneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as " Asthenia," " An- aemia " (merely symptomatic), " Atrophy,'' "Collapse," "Coma," "Convulsions," "Debility " ("Congenital," "Senile," etc.), " Dropsy," "Exhaustion," " Heart failure," " Haemorrhage," " Inanition," " Marasmu.," "Old age," "Shock," " Uraemia," "Weakness," etc. when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as "PUER- PERAL septicaemia," " PUERPERAL peritonitis," etc. State cause for which surgical operation was undertaken.


Cases for the Medical Examiners. - Under the provisions 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, 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.


The Commonwealth of Massachusetts


STANDARD CERTIFICATE OF DEATH


(No. 15 Wane Way St. ;


Paula Goldsmith


[If married or divorced woman or widow


give maiden name, also name of husband.]


@RESIDENCE


15 wave Way Wechop


Registered No.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH


Och.


(Month)


2 4, 1910.


(Day)


(Year)


17 I HEREBY CERTIFY that I attended deceased from Qc1.20 ... 1910, to Oak. 24, 1910. that I last saw have alive on Det. 24 , 1919, and that death occurred, on the date stated above, at .. 10Pm . m. The CAUSE OF DEATH* was as follows :


Macontrition & Landevelopment


(Duration)


yrs.


mos.


`ds.


Contributory (SECONDARY)


(Duration)


.yrs. . .


mos. . .


ds


(Signed)


Oct. 25, 190


Manetrato


* 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


Holy Con Cenly


malden


DATE OF BURIAL


Oct 25 90


20 UNDERTAKER


C.R. Bemnon


ADDRESS


wanting


0


1 PLACE OF DEATH


$FULL NAME


3 SEX


Male


6 DATE OF BIRTH


7 AGE


8 OCCUPATION


X


(a)' Trade, profession, or


particular kind of work


which employed (or employer).


PARENTS


13 BIRTHPLACE


OF MOTHER


(State or country)


(Informant)


important. See instructions on back of certificate.


(Address)


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


(b) General nature of industry,


business, or establishment


in


4 COLOR OR RACE


white


6 SINGLE,


MARRIED,


WIDOWED,


OR DIVORCED


(Write the word)


Luge


20


1910


(Month)


(Day)


(Year)


If LESS than I day ......... hrs.


mos.


4


ds.


Or ....... min. ?


N


9 BIRTHPLACE


(State or country)


3) 15 Ware Way Uninitial


10 NAME OF


FATHER


Louis, Golosment


11 BIRTHPLACE


OF FATHER


(State or country)


new York City


12 MAIDEN NAME


OF MOTHER


Mary, aguess fully


new York City


14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


16 Filed. 191


....


REGISTRAR


(City or town.)


[If death occurred in a hospital or institution, give its NAME instead of street and number.]


Ward)


M.D.


Oct. 24, 1910.


STANDARD CERTIFICATE OF DEATH.


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, Compositor, Architect, Loco- motive engineer, Civil engineer, Stationary fireman, etc. Bnt 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) Sales- man, (b) Grocery ; (a) Foreman, (b) Automobile factory. The material worked on may form part of the second statement. Never return " Laborer," " Foreman," " Manager,""Dealer," etc., without more precise specification, as Day laborer, Farm laborer, Laborer- Coal mine, etc. Women at home, who are ? engaged in the duties of the household only (not paid House- keepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gain- fully employed, as At school or At home. Care should be taken to report specifically the occupations of persons engaged in domestic service for wages, as 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 the same accepted term for the same disease. Examples: Cerebro-spinal fever (the only definite synonym is "Epidemic cerebro-spinal meningitis") ; Diphtheria (avoid use of " Croup ") ; Typhoid fever (never re- port " Typhoid pneumonia ") ; Lobar pneumonia ; Broncho- pneumonia ("Pneumonia," unqualified, is indefinite) ; Tuber-


culosis of lungs, meninges, peritonaeum, etc., Carcinoma, Sar- coma, etc., of ... .. (name origin: "Cancer" is less definite ; avoid use of "Tumor" for malignant neoplasms) ; Measles ; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, etc. The contributory (second- ary or intercurrent) affection need not be stated unless im- portant. Example: Measles (disease causing death), 29 ds .; Broncho-pneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as " Asthenia," " All- aemia " (merely symptomatic), " Atrophy," "Collapse," "Coma," "Convulsions," "Debility " ("Congenital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Haemorrhage," " Inanition," " Marasmus," "Old age," "Shock," "Uraemia," " Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as " PUER- PERAL septicaemia," "PUERPERAL peritonitis," etc. State canse for which surgical operation was undertaken.


Cases for the Medical Examiners. - Under the provisions 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, 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.


·


The Commonwealth of Massachusetts


STANDARD CERTIFICATE OF DEATH


(No. 105 Ocean Juni Street St. ;


2FULL NAME.


Javala.


thick,


[If married or divorced woman or widow


give maiden name, also name of husband.]


@RESIDENCE


105 0ccm view Steel. Wischenfusion


Registered No.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH Oct. 25


(Month)


(Day)


191.


(Year)


19/10 17 I HEREBY CERTIFY that I attended deceased from Oct . 20 191.0, to Oct. 25, 1910, that I last saw him alive on Oct. 24, 1910. and that death occurred, on the date stated above, at /.30 Am. The CAUSE OF DEATH* was as follows : Broncho-pneus nonis


(Duration)


.yrs.


mos.


2


ds.


Contributory (SECONDARY)


(Duration)


yrs. .


mos. . .ds.


(Signed)


Oct. 26


Edmund F. mora


M.D.


191 D. ... (Address)


Bennington St., E.B.


* If death followed injury or violence the certificate of death must be made out by the Medical Examiner.


18 LENGTH OF RESIDENCE (FOR HOSPITALS, INSTITUTIONS, TRANSIENTS, OR RECENT RESIDENTS).


At place


of death.


yrs.


mos.


In the


ds.


State


yrs.


mos. ..


ds.


...


Where was disease contracted, if not at place of death ?.


Former or usual residence.


19 PLACE OF BURIAL OR REMOVAL


DATE OF BURIAL


Oct 2.6.


191


........


ADDRESS


16 Filed .. ... 191. ....


REGISTRAR


20 UNDERTAKER


GR Permisos


Ward)


wenchang (City or town.) [if death occurred in a hospital or institution, give its NAME instead of street and number.]


1 PLACE OF DEATH


3 SEX


Male


4 COLOR OR RACE


white


5 SINGLE,


MARRIED,


WIDOWED,


OR DIVORCED


(Write the word)


6 DATE OF BIRTH


(Month)


(Day)


7 AGE


8 OCCUPATION


(a)' Trade, profession, or


2


particular kind of work


(b) General nature of industry,


business, or establishment in


which employed ( or employer)


10 NAME OF


FATHER


11 BIRTHPLACE


OF FATHER


(State or country)


England


PARENTS


18 BIRTHPLACE


OF MOTHER


(State or country)


England


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


X


yrs.


X


mos.


5


.. ds.


20


(Year)


If LESS than ! day, .... hrs.


Or ....... min. ?


9 BIRTHPLACE


(State or country)


granchiot mais


12 MAIDEN NAME


OF MOTHER


Mary Elizabeth when


14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


(Informant) ...


Syune Sunt


(Address)


1050 ceau vuw fleur


Oct. 20, 1910.


STANDARD CERTIFICATE OF DEATH.


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, 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) Foreman, (b) Automobile factory. The material worked on may form part of the second statement. Never return "Laborer," " Foreman," " Manager,""Dealer," etc., without more precise specification, as Day laborer, Farm laborer, Laborer- Coal mine, etc. Women at home, who are engaged in the duties of the household only (not paid Ilouse- 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 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: Cerebro-spinal fever (the only definite synonym is "Epidemic cerebro-spinal meningitis") ; Diphtheria (avoid use of "Croup") ; Typhoid fever (never re- port " Typhoid pneumonia ") ; Lobar pneumonia ; Broncho- pneumonia ("Pneumonia," unqualified, is indefinite) ; Tuber-


culosis of lungs, meninges, peritonaeum, etc., Carcinoma, Sar- coma, etc., of .. .. (name origin: "Cancer" is less definite ; avoid use of "Tumor" for malignant neoplasmns) ; Measles; Whooping cough ; Chronic valvular heart disease; Chronic interstitial nephritis, etc. The contributory (second- ary or intercurrent) affection need not be stated unless im- portant. Example: Measles (disease causing death), 29 ds .; Broncho-pneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as " Asthenia," " An- aemia " (merely symptomatic), " Atrophy," "Collapse," "Coma," "Convulsions," "Debility " ("Congenital," "Senile," etc.), "Dropsy," " Exhaustion," "Heart failure," "Haemorrhage," " Inanition," "Marasmus," "Old age," "Shock," "Uraemia," "Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as " PUER- PERAL septicaemia," " PUERPERAL peritonitis," etc. State cause for which surgical operation was undertaken.


Cases for the Medical Examiners. - Under the provisions of chapter 24 of the Revised Laws deaths under the following conditions must be referred to the Medical Examiners :




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