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