USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1910-1912 > Part 75
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St. ;..
Ward)
[If death occurred in a hospital or institution, give its NAME instead of street and number.]
Registered No.
PERSONAL AND STATISTICAL PARTICULARS
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
1902
17
) BIRTHPLACE
(State or country)
10 NAME OF
FATHER.
Frank. W. May
11 BIRTHPLACE OF FATHER (State or country) Gambuday
Baby July
27,1912
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 kuown. The question applies to each and every person, irrespective of age. For many occupations a single word or term ou 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 kiud 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 mil !; (a) Sales- mun, (b) Grocery ; (a) Foreman, (b) Automobile factory. The material worked on may form part of the second statemeut. Never return "Laborer," "Foreman," " Manager," "Dealer," etc., without more precise specification, as Day laborer, Farm laborer, Laborer - Coal minc, 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 eutered 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 synonymn 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, peritonacum, etc., Carcinoma, Sur- coma, etc., of .. .. (name origiu: "Cancer" is less definite ; avoid use of " Tumor " for malignant neoplasms) ; Meusles ; 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 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. Suddeu deaths of persons not disabled by recognized disease, as A deuth upon the street, or one supposed to be due to Alcoholism, etc.
4. Deaths under circumstances unknown, as A person found dead, etc.
VERBATI
COMMONWEALTH OF MASSACHUSETTS
derfy REVERE.
RETURN OF A DEATH
(CITY OR TOWN.)
FULL NAME
defecto William Indqueste
Place of ) Death * Revere, Revere Beach Parkway
Residence
Winthrop, 235 Mai SZ.
Age
5
.. years.
months
LZ
.days
STATISTICAL DETAILS
SEX
Meale
COLOR
White
SINGLE, MARMED,
WIDOWED, OR
DIVORCED
Single
MAIDEN NAME +
HUSBAND'S NAME t
BIRTHPLACE#
East Boston, Means.
NAME OF
FATHER
Gustaf Findquesto
BIRTHPLACE
OF FATHER+
Sweden
MAIDEN NAME
OF MOTHER
Selma Mussell
BIRTHPLACE
OF MOTHER +
Sweden
OCCUPATION
INFORMANT § Gustaf Lindquest
PLACE OF BURIAL OR REMOVAL I
Writtenof Cemetery
Means.
DATE OF BURIAL
July 30, 1962
UNDERTAKER
John Sprague
ADDRESS East Proton Neau
PHYSICIAN'S CERTIFICATE
I HEREBY CERTIFY that I attended deceased during last
illness, from.
....
190
.. to
.190 ...... ,
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 :
Fracture of Skullx
Primary :
Harmonhage nun over by
Automobile-
. (DURATION).
DAY8
Contributory :
(DURATION) DAY8
(Signed) ..
H. De. Wattena
July 28,
.190 2 (Address)
Medical Examiner
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
Aug. 5, 1962
Ofbert D. Brown
Noun 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 detalls. Il Name of cemetery.
=
2
Death
July 28 th, 19$
8
Registered No. .
150
Date of
wheeler W aundquest July 28, 1912
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 Winthrop .(No. 38 Crystal love st.
(City or town.)
[If death occurred in a hospital or institution, give its NAME instead of street and number. ]
Registered No.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX fermace
4 COLOR OR RACE
5 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
widow
6 DATE OF BIRTH
1861
(Month)
(Day)
7 AGE
If LESS than
I day,
hrs.
57
8 OCCUPATION
(a) Trede, profession, or
particular kind of work
(b) General nature of industry,
business, or establishment in
which employed (or employer).
teacher Hand
9 BIRTHPLACE
(State or country)
I knowhe gan line
10 NAME OF
FATHER
Joseph Thomas
PARENTS
12 MAIDEN NAME OF MOTHER Jeruska . Por
13 BIRTHPLACE OF MOTHER (State or country
morgan VA
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
Edict, Gray Por
(Address)
28 Crystal con carne
IS
Filed. 191
REGISTRAR
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH
July
(Month)
29
(Dáy)
.,
19/12
(Year)
17
I HEREBY CERTIFY that I attended deceased from
1
(Year)
Dec 1 ch
, 191.2 , to
July 2.g., 1912.
that I last saw her alive on
Jefte 28, 191, 2,
and that death occurred, on the date stated above, at ..
m.
The CAUSE OF DEATH* was as follows :
Carcinoma of Uterus
Indefinito
(Duretion) .
-
yrs.
mos. .
ds.
Contributory.
Exhauster
(SECONDARY)
(Duration)
yrs.
mos. .
ds.
(Signed)
July 2 9, 2012 (Address)
Trancheop.
* 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
yrs.
mos.
ds ....
Where was disease contracted, If not at place of death ?.
Former or usual residence
19 PLACE OF BURIAL OR REMOVAL wirchent maso
DATE OF BURIAL
7 31
191.2
ADDRESS
20 UNDERTAKER
CRB cuma
Ward)
2 FULL NAME
Sola.
Por
"Thomas" Wide of aidin. & Poor
[If married or divorced woman or widow
give maiden name, also name of husband.] .s
@RESIDENCE
78 Cmplat and are
yrs. .
6
mos.
29
ds.
or.
min. ?
11 BIRTHPLACE
OF FATHER
(State or country)
Sheffield Ut
M.D.
.
In the
0
July 29,1912
1 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 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, Ilousemaid, 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, peritonacum, 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, Fulls, Drowning, Gas Poisoning, Suicide, Homicide, etc.
2. Deatlıs 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 Winthrop
(No. 149
Revere St
St. : Ward)
(City or town.) [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
3 SEX
4 COLOR OR RACE
w
5 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
Single
6 DATE OF BIRTH 8 (Month)
(Day)
3 . 9/2 (Year)
7 AGE
If LESS than
{ day ......... hrs.
rs. mos. de. 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)
Withop mart
Contributory.
(SECONDARY)
(Duration)
............ yrs.
mos.
...........
ds.
(Signed)
CON Curler
M.D.
8.4
1912 (Address)
Chelsea
* 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).
In the
At place
of death
......... yrs.
mos.
ds.
State ............ yrs.
mos.
ds .............
Where was disease contracted,
If not at place of death ?...
Former or usual residence.
DATE OF BURIAL
(Informant).
(Address)
Filed 191
REGISTRAR
1ª DATE OF DEATH
any
3
2
(Month)
(Day)
(Year)
17
I HEREBY CERTIFY that I attended deceased from
am 3
191 .... Z, to
191
that I last saw hi alive on
auf 3
191.
2 and that death occurred, on the dato stated above, at 31 m. The CAUSE OF DEATH* was as follows :
Still For infant
(Duration)
............ yrs.
.........
mos.
1/2º
10 NAME OF
FATHER
low. EsHenderson
PARENTS
11 BIRTHPLACE
OF FATHER
(State or country)
Maine
12 MAIDEN NAME
OF MOTHER
Ruth Raymond
13 BIRTHPLACE
OF MOTHER
(State or country)
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
1 PLACE OF BURIAL OR REMOVAL Winthrop Com 8-6- 1912
D UNDERTAKER
W.C. Skaggs
ADDRESS
-
...
[If married or divorced woman of widow give maiden name, also name of busband.] @RESIDENCE
Baby Henderson
2FULL NAME
aug. 3, 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 agc. 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.
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- 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.
COMMONWEALTH OF MASSACHUSETTS
RETURN OF A DEATH-1912.
CITY OF BOSTON. 7099
FULL NAME
JAMES SKILLEN
Registered No ..
Place of Death ¿
and Residence 3
Boston
AUG.5
72
2
23
Date of Death
1912.
Age
years
months
days.
STATISTICAL DETAILS.
SEX
COLOR
SINGLE, MARRIED, WID., DIV.
M
W
M.A.R.
Maiden Name
GIST
RAR'S
Husband's Name
IRELAND
Birthplace
Name of
JOHN SKILLEN
Father ..
IRELAND
Birthplace
of Father
ELIZABETH BROWN
Maiden Name of Mother ..
IRELAND
Birthplace of Mother ..
RETIRED
Occupation
Informant
Contributory : ( (Duration)
(Signed)
B. HOLLINGS
M.D.
AUG.5 1912
SPECIAL INFORMATION from Hospitals, Institutions, Transients, of Recent Residents.
Place of Burial
or removal.
FOREST HILLS
F. L. BRIGGS
Usual Residence
.WINTHROP (190 SHORE DRIVE)
AUG 9
1912
Undertaker
PHYSICIAN'S CERTIFICATE.
I HEREBY CERTIFY that I attended deceased during last illness,
from
. 1912, to.
1912, 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 :
T PATRIBU
SIT DE Primary (Duration)
CARCINOMA COLON - 5 MOS
CITY. R
SINFICE
CIVITAT
BOSTONIA CONDITA. D.
I+D 182
ISREGIMENVE DAN ATA DD BQST
IN
MASS
Filed
A true copy Attest :
Registrar.
MASS.GEN.HOSPT.
aug. 5, 1912
88
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
13 BIRTHPLACE OF MOTHER (State or country)
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informent)
(Address)
REGISTRAR
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH July Aug 5
(Month)
(Day)
, 1912 (Year)
17
I HEREBY CERTIFY that I attended deceased from
July.
... . .
1912, to.
Oug 5
. 1912.
If LESS than
1 day,.
hrs.
that I last saw her alive on
, 1912.
and that death occurred, on the date stated above, at.
m.
The CAUSE OF DEATH* was as follows :
Hypo static geste of lungo 1)
(Duretion)
yrs. . 1 mos.
10
ds.
Contributory
artéria- ¿ leroses
(SECONDARY)
?
yrs.
(Duration) .
.
mos. .
ds.
(Signed)
Edward . Frauigen
, M.D.
1912 (Address)
Winthrop
* 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 Old La
DATE OF BURIAL
Auf 2. 191
20 UNDERTAKER
ADDRESS
Filed. .. 191
Hinttuch (City or town.)
Ward)
[If death occurred in a hospital or institution, give its NAME instead of street and number.]
Registered No.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX 2
COLOR OR RACE
5 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
A
6 DATE OF BIRTH
(Month)
(Day)
(Year)
7 AGE
8 OCCUPATION (a) Trade, profession, or particular kind of work
yrs. 40
mos.
ds.
or ... min. ?
(b) General nature of industry, business, or establishment in which employed (or employer)
9 BIRTHPLACE
(State or country)
10 NAME OF FATHER
11 BIRTHPLACE OF FATHER (State or country)
1
WHITE PLAINLY, WITH ONFADING INK - THIS IS A PERMANENT NEVonD.
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
1 PLACE OF DEATH Monthich (No. 110. Locust
St. :..
2 FULL NAME [If married or divorced woman or widow give maiden name, also name of husband.] @RESIDENCE 100 dorant
1
Ging . 5,192
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, Ilousemaid, 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, Broneho- pneumonia (" Pneumonia," unqualified, is indefinite) ; Tuber-
culosis of lungs, meninges, peritoneum, etc., C'arcinoma, Sur- coma, etc., of. ... (name origin: "Cancer" is less definite ; avoid use of " Tumor" for malignant neoplasms) ; Measles ; Whooping cough; Chronic valvular heart disease ; Chronie 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 septicemia," " PUERPERAL peritonitis," etc. State Cause for which surgical operation was undertaken.
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