USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1910-1912 > Part 67
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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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