Town of Winthrop : Record of Deaths 1910-1912, Part 67

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 67


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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OR DIVORCED


(Write the word)


Buried


16 DATE OF DEATH


May


19


(Day)


191.2


(ionth )


(Year)


6 DATE OF BIRTH


Getoler


(Month)


(Day)


7 AGE


If LESS than ( day ......... hrs.


42


.. yrs.


7


mos.


17


ds.


„min. ?


8 OCCUPATION


(a) Trade, profession, or


particular kind of work


Captain


(b) General nature of industry,


business, or establishment in


which employed (or employer).


Sacht


9 BIRTHPLACE


(State or country)


Argyle Nova Scotia


10 NAME OF


FATHER


Joseph W. Spinney


PARENTS


11 BIRTHPLACE


OF FATHER


(State or country)


Argyle Nava Sentia


12 MAIDEN NAME


OF MOTHER


Hannah Shiny


my


13 BIRTHPLACE


OF MOTHER


(State or conntry)


Argyle Nova Scotia


14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


(Informant)


Kellie B. Spinney


(Address)


332 Pleasant st Winthrop


REGISTRAR


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


At place


In the


of death.


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


. mos.


ds.


State ............ yra.


.. mos.


ds.


...........


Where was disease contracted,


If not at place of death ?..........


Former or


332 Pleasant St. Winthrop


usual residence.


1º PLACE OF BURIAL OR REMOVAL


Provincetown bem . mass .


Provincetown


PATE OF BURIAL


May 23 Rd, 1919


" UNDERTAKER


Brown and Rolling


ADDRESS


East Boston


.. yrs.


...........


mos.


23


Contributory


Influmija


(SECONDARY)


(Duration)


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


.......


.. mos.


5- ds.


ds.


"(Signed)


FrankAf Sillano,


M.D.


May 19


1912 (Address)


15 Prin estan 81-


...


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


Filed 191


2


1870


37


(Year)


HEREBY CERTIFY that I attended deceased from


April 22, 1912, 1


May 19


1912


that I last saw h alive on.


'


than 19 191.2 ... 1 and that death occurred, on the dato stated above, at /12 .A ... m.


The CAUSE OF DEATH* was as follows : Catarrhal Primomonia. preceded by for days of Influenza ,


Pracumania (Duration)


N. B .- Every item of information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state ...


STANDARD CERTIFICATE OF DEATH.


Statement of occupation. - Precise statement of occupa- tion is very important, so that tho 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 Housewife, Housework, or At home, and children, not gain- fully employed, as At school or At home. Care should bo 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," " An- acmia " (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, Gas Poisoning, Suicide, Homicide, etc.


2. Deaths supposedly caused by violenco, as Criminal Abortion, Poisoning, Starvation, Suffocation, Ex- posure, etc.


3. Sudden deaths of persons not disabled by recognized disease, as A death upon the strcet, or one supposed to be due to Alcoholism, etc.


4. Deaths under circumstances unknown, as A person found dead, etc.


COMMONWEALTH OF MASSACHUSETTS


Menthrop


(CITY OR TOWN.)


FULL NAME


Jane a Willia


Place of ¿ O Waldemar ave Hiniturp


Death *


5


Residence


61 Waldemar Que


. Age


.years ..


.months


23


days


STATISTICAL DETAILS


SEX


COLOR


SINGLE, MARRIED, WIDOWED, OR DIVORCED


Maria


-


MAIDEN NAME t HUSBAND'S NAME t


BIRTHPLACE #


NAME OF Levis Benjamin


BIRTHPLACE OF FATHER$ - N. S.


MAIDEN NAME also Mora Johnstone


BIRTHPLACE OF MOTHER # -N.A.


OCCUPATION Druggies


INFORMANT §


Mir Janues Williame


PLACE OF BURIAL OR REMOVAL !! Winthrop Cemetery


DATE OF BURIAL


May 22 19012


ADDRESS


UNDERTAKER


E.G. Brown one 286 musician St


EBata


PHYSICIAN'S CERTIFICATE


I HEREBY CERTIFY that I attended deceased during last illness, from Cebul 13 1961 .. to bray 19 196 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 :


Primary :


acute Julian Lubrication


(OURATION)


24


DAY9


Contributory :


(Signed)


( Jucy ) Tous


M.D.


May 20 1902 (Address). 260EC6 NEB


SPECIAL INFORMATION only for Hospitals, Institutions, Transients, or Recent Residents.


How long at Place of Death ? . years ...


..... ........


.. months. days


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


Filed


190


Clerk


* City or town, street and number, if any. If death occurs away from USUAL RESI- DENCE, give facts called for under "Special Information." If In a Hospital or Institution, give Its NAME Instead of street and number.


t In case of married or divorced woman, or widow.


# State or country ; also city, town or county, If known.


§ Name and address of person giving statistical details. Il Name of cemetery.


ALL NAMES TO BE IN FULL


RETURN OF A DEATH


Registered No.


Date of


may 19'


Death


1922


1877


DURATION ) .......... DAYS


19 1912 may


The Commonwealth of Massachusetts STANDARD CERTIFICATE OF DEATH


1 PLACE OF DEATH


(No .... 67, Thornton


Pack


St. : ...


Ward)


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


Registered No.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH May 21,, 1912


(Month) (Day)


(Year)


I HEREBY CERTIFY that I attended deceased from


They 10th


1915, to


May 21.


... 1912


May 19.


1912


and that death occurred, on the date stated above, at.


m.


The CAUSE OF DEATH* was as follows :


Bronchitis


(Duration) .


.yrs.


. .


mos.


ds.


Contributory


(SECONDARY)


..


(Duration)


yrs.


mos. .


ds.


(Signed)


2rd Partir


M.D.


muy 21/ 192 (Address) Manetrop, Dass


* 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


DuxBury, Masa Way24192.


20 UNDERTAKER


REGISTRAR


ADDRESS


OG Troun & Son. Hattaof.


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 important. See instructions on back of certificate.


PARENTS


12 MAIDEN NAME OF MOTHER Formal Delano


13 BIRTHPLACE


OF MOTHER


(State or country)


Daxbury Mass


14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


frank Lange


(Informant)


Portland the.


( Addres


Filed. 191


5 SINGLE,


MARRIED,


WIDOWED,


OR DIVORCED


(Write the word)


Widow


6 DATE OF BIRTH July 2-2, 820 (Month)


(Day)


(Year)


7 AGE


9/


yrs.


9


mos.


30


or ..


... min. ?


8 OCCUPATION (a)' Trade, profession, or particular kind of work


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


9 BIRTHPLACE (State or country) Duxbury, Klases 10 NAME OF FATHER georges Winsor


11 BIRTHPLACE OF FATHER (State or country)


Duxbury Mass


If LESS than I day, ... hrs. that I last saw be alive on


(City or town.)


Trances 2


FULL NAME {If married or divorced woman or widow give maiden name, also name of busband.] @RESIDENCE 67 y houston Parles.


3 SEX


4 COLOR OR RACE


Female White


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: («) 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 Ilousewife, 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 lias 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, peritoneum, 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," " 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, 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.


-


3 SEX male 7 AGE & OCCUPATION 9 BIRTHPLACE (State or country) 10 NAME OF FATHER PARENTS 13 BIRTHPLACE OF MOTHER (State or country) important. See instructions on back of certificate. Filed 191 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 which employed (or employer)


The Commonwealth of Massachusetts


STANDARD CERTIFICATE OF DEATH


1 PLACE OF DEATH winthrop .. (No .. 93 Court Road St. ;...


lehar Reuben Pike


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


Linge


93 Court Rotal Wucht


Ward)


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


PERSONAL AND STATISTICAL PARTICULARS


4 COLOR OR RACE


white


5 SINGLE,


MARRIED,


WIDOWED,


OR DIVORCED


(Write the word)


Sejle


16 DATE OF BIRTH 200


2g


1857


17


(Month)


(Day)


(Year)


54 yrs. 6 mos. . X ds.


or ....... min. ?


(a) Trade, profession, or


particular kind of work


Steward


11 BIRTHPLACE OF FATHER (State or country) Frust hort one


12 MAIDEN NAME


OF MOTHER


Hempella Braddock


treddenallian- 43.


14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


(Informant)“


S. Eugène.


Reed


(Address)


95 Coral Road


REGISTRAR


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH


may


I HEREBY CERTIFY that I attended deceased from


may 1516


1912, to ..


may 20


, 1912.


If LESS than


1 day, .


hrs.


that I last saw hees alive on


May 2019


,


1912


and that death occurred, on the date stated above, at/ 0A. m.


The CAUSE OF DEATH* was as follows :


(Duration) . f?


yrs.


mos.


ds.


Contributory.


(SECONDARY)


(Duration)


yrs.


mos. .


ds.


(Signed)


David M. Bloque.


May 214, 1912 (Address)


-33 Primentari 13


* 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 usual residence


19 PLACE OF BURIAL OR REMOVAL Winthat May


DATE OF BURIAL


May 25.


1912


20 UNDERTAKER


ADDRESS


120 millent


.,


1912


(Month)


(Day)


(Year)


Carterio d'élé vais


Registered No.


(City or fown.)


may 21, 1912


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 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.


4


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 indefinito) ; 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 in- 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 septicemia," " 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.


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 important. See instructions on back of certificate.


The Commonwealth of Massachusetts STANDARD CERTIFICATE OF DEATH


1 PLACE OF DEATH Winchof- (No .. 63 Wwwchiot St. ;... Salvini Charte Decatur


loshue


2 FULL NAME [If married or divorced woman or widow give maiden name, also name of husband.] @RESIDENCE 63 windhund st Wuchang


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


mall


4 COLOR OR RACE


5 SINGLE,


MARRIED,


WIDOWED,


OR DIVORCED


(Write the word)


Manuel


6 DATE OF BIRTH


(Month) (Day)


(Year)


7 AGE


If LESS than 1 day, .. hrs.


43


yrs. mos.


ds.


or min. ?


8 OCCUPATION


(a) Trade, profession, or


particular kind of work


Provence Merchand


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


9 BIRTHPLACE


(State or country)


Westford Man


PARENTS


11 BIRTHPLACE OF FATHER (State or country) Howel


12 MAIDEN NAME OF MOTHER Emma norton


13 BIRTHPLACE OF MOTHER (State or country)


14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


(Informant).


(Address)


159 Winchal fr.


16


Filed .. 191.


REGISTRAR


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH


may


22


/(Month)


(Day)


, 1912


(Year)


17


I HEREBY CERTIFY that I attended deceased from


March


1911


May 22, 1912,


that I last saw hw alive on


Zuay 22, 191, 2,


and that death occurred, on the date stated above, at 6 Pm.


The CAUSE OF DEATH* was as follows :


arteriosclerosis of


Commany arteries


yrs.


×


mos.


ds.


Contributory.


(SECONDARY)


X


(Duration)


yrs.


mos. .


ds.


(Signed)


Way 24, 1912 (Address)


* If death followed injury or violence the certificate of death noist 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 Wexford Man


DATE OF BURIAL


Lucy 26. 1912


20 UNDERTAKER


ConBennon


ADDRESS


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


Ward)


Registered No.


10 NAME OF


FATHER


Calvin Decating


May


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 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 110 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, peritonacam, 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," " 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.




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