Town of Winthrop : Record of Deaths 1910-1912, Part 75

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 75


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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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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