USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1910-1912 > Part 8
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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 onc supposed to be due to Alcoholism, etc.
4. Deaths under circumstances unknown, as A person found dead, etc.
THE COMMONWEALTH OF MASSACHUSETTS
RETURN OF A DEATH
(CITY OR TOWN.)
Registered No.
Date of ¿
Death S
Jul 3
19/0
Death *
Residence 11
€ 1
Age 67 years
months .. 2/ .days
STATISTICAL DETAILS
SEX Female
COLOR Perfeita
SINGLE, MARRIED, WIDOWED, OR DIVORCED
MAIDEN NAME t
HUSBAND'S NAME t
BIRTHPLACE # Dorchester illard
NAME OF FATHER
BIRTHPLACE
OF FATHER $
MAIDEN NAME OF MOTHER
BIRTHPLACE OF MOTHER $
OCCUPATION
INFORMANT §
PHYSICIAN'S CERTIFICATE
I HEREBY CERTIFY that I attended deceased during last illness, from 190 Y to.
July 3 .. 19/0 , that to the best of my knowledge and behef death occurred on the date stated above, and that the CAUSE OF DEATH was as follows:
Primary :
several weeks)
(DURATION).
Contributory :
yra
(DURATION) .. ... DAYS
(Signed)
M.D.
July 4.1900 (Address)
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
.... 19
Clerk
PLACE OF BURIAL OR REMOVAL 1
Forest Hills
Concation
DATE OF BURIAL
7-4
19 0
UNDERTAKER
-
4
ADDRESS
Coinentra MI
* 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
FULL NAME
Place of l
59 Sarah Elizabeth Hood July 3, 1910
THE COMMONWEALTH OF MASSACHUSETTS
RETURN OF A DEATH
FULL NAME
Warner. a. march
Registered No.
Date of l
June 10th
19 / 0
Death S
Residence
109 Johnson an
Age.
69
.. years
.. months ..
22 .days
STATISTICAL DETAILS
SEX
mali
COLOR
White
SINGLE, MARRIED, WIDOWED, OR DIVORCED
marked
MAIDEN NAME Ť
HUSBAND'S NAME Ť
BIRTHPLACE $
Gotrain Maso
NAME OF FATHER Philo March
BIRTHPLACE OF FATHER $ Roue Mass
MAIDEN NAME
OF MOTHER
Cumin nelson
BIRTHPLACE
OF MOTHER $
Rowe Mais
OCCUPATION
INFORMANT §
Son &
PHYSICIAN'S CERTIFICATE
I HEREBY CERTIFY that I attended deceased during last illness, from to .. Jen 2 19/ 0 nl 10 .19 /0, 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 suppression of wine
uraemia
(DURATION)
3
DAYS
Contributory :
fracture of hip (accidental)
slipped and fell out tile / floor .
(DURATION).
7
DAY8
(Signed)
M.D.
2 1910 (Address)
worthof mass
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
19
Clerk
PLACE OF BURIAL OR REMOVAL II
DATE OF BURIAL
7/12 1916
11
UNDERTAKER B . R Némuson
ADDRESS 1 Wundert
* Clty 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.
ALL NAMES TO BE IN FULL
Warthnot (
(CITY OR TOWN.)
Place of l
101 Johnson Com
Death *
60 Warner 9. March July 10 , 1910
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
11 BIRTHPLACE
OF FATHER;
(State of country)
Ireland
12 MAIDEN NAME MEJarah Gilman
13 BIRTHPLACE
OF MOTHER
(State or country)
Ireland
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
Margaret, Cochran
(Address) 437 Winttrofe St. 12 intlunch
16
Filed. 191.
REGISTRAR
MEDICAL CERTIFICATE OF DEATH
3 SEX
Female
4 COLOR OR RACE
White
6 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
Widow
6 DATE OF BIRTH
(Month)
(Day)
(Year)
7 AGE
If LESS than
I day ........
hrs.
79 yrs. mos. ds.
or
min. ?
8 OCCUPATION
Home
(a) Trede, profession, or
particular kind of work
(b) General nature of industry,
business, or establishment in
which employed (or employer)
9 BIRTHPLACE
(State or country)
Ireland
(Duretion)
.yrs.
mos.
ds.
Contributory
(SECONDARY)
(Duration) yrs.
mos. ds.
315 miliard
.,
M.D.
(Signed)
July 13, 1910 (Address)
* 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.
1 PLACE OF BURIAL OR REMOVAL St. John N.B.
DATE OF BURIAL
time 14.
1910
20 UNDERTAKER
This. I. Lame
ADDRESS
120 Havre Lt
E. Bustina
1
The Commonwealth of Massachusetts STANDARD CERTIFICATE OF DEATH
I PLACE OF DEATH Winthrop Mass (No 437. Winthrop -
St. ;
Ward)
[If death occurred in a hospital or institution, give its NAME instead of street and number.]
'FULL NAME
Catherine
Minchan
[If married or divorced woman or widow give maiden name, also name of husband.] Widow of michael new Hurley aRESIDENCE 437 Winthrop St. Winthrop Maso.
Registered No.
PERSONAL AND STATISTICAL PARTICULARS
16 DATE OF DEATH
(Month)
(Day)
July
12-
1910
191.
(Year)
17
I HEREBY CERTIFY that I attended deceased from
1908
191
., to
July 12
., 191.0.
that l last saw h
alive on
Que 30
191. 0,
and that death occurred, on the date stated above, at ..
m. The CAUSE OF DEATH* was as follows : oldage General debility
10 NAME OF
FATHER
Randall Hurley
Winthrop BOSTON (City or town.)
July 12, 1910
STANDARD CERTIFICATE OF DEATH.
Statement of occupation. - Precise statement of occupa- tion is very important, so that the relative healthfulness of various pursuits can be known. The question applies to each and evory 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.
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 usc 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, 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
Mathoh BOSTON (City or town.)
1 PLACE OF DEATH. Minthof (No 95 Beach Rd St. :
Jack Joseph Hennessy. 'FULL NAME
[If married or divorced woman of widow give maiden name, also name of husband.] @RESIDENCE
Registered No.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
Inale
4 COLOR OR RACE
5 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
6 DATE OF BIRTH abril 28
(Month)
(Day)
(Year)
7 AGE
If LESS than I day, .... hrs.
yrs. 2 mos. . 16 ds.
or
min. ?
8 OCCUPATION
(a)' Trade, profession, or
particular kind of work
General Contractor
(b) General nature of industry, business, or establishment in which employed (or employer) ..
9 BIRTHPLACE
(State or country)
10 NAME OF
FATHER
William Hennessy
11 BIRTHPLACE OF FATHER (State or country)
New York
12 MAIDEN NAME OF MOTHER Blanche In Green
13 BIRTHPLACE OF MOTHER (State or country)
Boston Mass
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
(Address)
16
Filed .. 191.
REGISTRAR
16 DATE OF DEATH
Jeely
14, 1910
(Month)
(Day)
(Year)"
1910
17
I HEREBY CERTIFY that I attended deceased from
July 14
, 1910, to
Perly 14, 199,
that I last saw he alive on
-
genety 14 , 191,0 and that death occurred, on the date stated above, at - m. The CAUSE OF DEATH* was as follows : Manasmine
.(Duretion) . -
yrs.
1
mos.
ds.
Contributory
(SECONDARY)
(Duration)
. . yrs. .
mos. . .ds.
(Signed) .
July 14, 1910 (Address).
Minitrop Tard,
* 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 deeth
.. 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 Dorchester
DATE OF BURIAL
July 12, 1910
20 UNDERTAKER
John & Omaley
ADDRESS
79 Atlantic St
M.D.
PARENTS
Ward)
[If death occurred in a hospital or institution, give its NAME instead of street and number.]
July 14, 1:10
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 laborcr, Farm laborer, Laborer - Coal mine, etc. Women at home, who are engaged in the duties of the household only (not paid Ilouse- keepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gain- fully employed, as At school or At home. Care should be taken to report specifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, Housemaid, etc. If the occupation has been changed or given up on account of the DISEASE CAUSING DEATH, state occupation at beginning of illness. If retired from business, that fact may be indicated thus: Farmer (retired, 6 yrs.). For persons who have no occupation whatever, write None.
Statement of cause of death. - Name, first, the DISEASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted term for the same disease. Examples: Cerebro-spinal fever (the only definite synonym is "Epidemic cerebro-spinal meningitis") ; Diphtheria (avoid use of "Croup ") ; Typhoid fever (never re- port " Typhoid pneumonia ") ; Lobar pneumonia ; Broncho- pneumonia ("Pneumonia," unqualified, is indefinite) ; Tuber-
culosis of lungs, meninges, peritonaeum, etc., Carcinoma, Sar- coma, etc., of .. .. (name origin: "Cancer" is less definite ; avoid use of "Tumor" for malignant neoplasms) ; Measles ; Whooping cough ; Chronic valvular heart discasc; 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. Deaths supposedly caused by violence, as Criminal Abortion, Poisoning, Starvation, Suffocation, Ex- posure, etc.
3. Sudden deaths of persons not disabled by recognized disease, as A death upon the street, or one supposed to be due to Alcoholism, etc.
4. Deaths under circumstances unknown, as A person found dead, etc.
THE COMMONWEALTH OF MASSACHUSETTS
RETURN OF A DEATH
(CITY OR TOWN.)
FULL NAME
Henry hoal Frotter
Registered No.
Place of
173 Pauline St Hintheo
Date of
Death
July 16 .19/0
Residence
Age
... years ..
F.months.
... days
STATISTICAL DETAILS
SEX
COLOR
SINGLE, MARRIED, WIDOWED, OR - DIVORCED
MAIDEN NAME +
HUSBAND'S NAME t
BIRTHPLACE $
NAME OF FATHER
Atury Trotter
BIRTHPLACE
OF FATHER $
Liverpool Oug.
MAIDEN NAME
OF MOTHER
Ida Ray-
BIRTHPLACE OF MOTHER $ Staffordshire Eng.
OCCUPATION
INFORMANT §
PHYSICIAN'S CERTIFICATE
I HEREBY CERTIFY that I attended deceased during last illness, from. June 22 19/0 to July 16 1910, that to the best of my knowledge and belief death occurred on the date stated above, and that the CAUSE OF DEATH was as follows : Primary : Patent Foramen Quale
(DURATION).
2.5.DAYS
Contributory :
(DURATION) .......... DAY8
(Signed).
DEjahuran
M.D.
July 17 1910
(Address)
SPECIAL INFORMATION only for Hospitais, 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
.19
Clerk
PLACE OF BURIAL OR REMOVAL II
DATE OF BURIAL
Warsthofer. Com
July 17-1910
ADDRESS
UNDERTAKER I. C. Slag.go
Columbia A7
* City or town, street and number, if any. If death occurs away from USUAL RESI- DENCE, give facts called for under "Speclai 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.
ALL NAMES TO BE IN FULL
Death *
S
0
July 16, 1910
The Commonwealth of Massachusetts STANDARD CERTIFICATE OF DEATH
1 PLACE OF DEATH
Dedham
wir Charles River
St. :
Ward)
Dedham
(City or town.)
[If death occurred in a hospital or institution, give its NAME instead of street and number.]
2 FULL NAME
walter Wade Battis Ir
[If married or divorced woman or widow
give maiden name, also name of husband.]
@RESIDENCE
95 Herman St Winthrop mass
Registered No.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
male
4 COLOR OR RACE
White
5 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
Singles
16 DATE OF DEATH
July 1%
(Month)
(Day)
(Year)
6 DATE OF BIRTH
november
18
(Month)
(Day)
(Year)
7 AGE
If LESS than
1 day ......... hrs.
22
yrs.
7.
.mos.
29
or ... ... min. ?
8 OCCUPATION
(a) Trade, profession, or
particular kind of work
million any salesman
(b) General nature of industry, business, or establishment in which employed (or employer) Salesman
(Duration)
.. yrs.
mos.
ds.
Contributory (SECONDARY)
(Duration)
.. yrs.
mos.
ds.
Jolie Pratt
M.D.
examiner
Delleam mass
* State the DISEASE CAUSING DEATH, or, in deaths from VIOLENT CAUSES, state (1) MEANS of INJURY; and (2) whether ACCIDENTAL, SUICIDAL or GHOMICIDAL.
18 LENGTH OF RESIDENCE (FOR HOSPITALS, INSTITUTIONS, TRANSIENTS, OR RECENT RESIDENTS).
At place
of death.
yrs.
.
mos.
ds.
State
.. yrs.
In the
.mos.
.. ds.
Where was disease contracted, If not at place of death ?.
- Former or usual residence.
19 PLACE OF BURIAL OR REMOVAL Winthrop Cemetery Wintherof mass 20 UNDERTAKER Smitte + Haiggnie 89 multon Str. ADDRESS
DATE OF BURIAL Admiral July 17. 1910
Declam man
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
11 BIRTHPLACE OF FATHER (State or country) East Boston mass Suffolk
12 MAIDEN NAME OF MOTHER mary Elizabeth Dunbar
13 BIRTHPLACE OF MOTHER (State or country}
East Bostin mass Suffolk,
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
C. R. Bennison
(Address)
Wiritlerof mars
15
Filed July 27, 1910
REGISTRAR
17 HEREBY CERTIFY that I have investigated the death of the deceased.
The CAUSE OF DEATH* was as follows :
Drowning accident
9 BIRTHPLACE
(State or country)
East Boston maso Suffolk Of
10 NAME OF
FATHER
Walter Wade Battis Si
(Signed)
July19
191.0 ......
(Address)
MEDICAL EXAMINER
191.0
1887
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) Salcs- 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 Housc- 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, meningcs, 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. For VIOLENT DEATHS state MEANS OF INJURY and qualify as ACCIDENTAL, SUICIDAL, Or HOMICIDAL, or as probably such, if impossible to determine definitely. Examples: Accidental drowning; Struck by railway train - accident ; Revolver wound of head-homicide; Poisoned by carbolic acid - prob- ably suicide. The nature of the injury, as fracture of skull, and consequences (e. g., sepsis tetanus) may be stated under the head of "Contributory."
Cases for the Medical Examiners. - Under the provisions of chapter 24 of the Revised Laws deaths under the following conditions must be referred to the Medical Examiners:
1. Deaths following injury or violence, as Burns, Falls, Drowning, Gas Poisoning, Suicide, Homicide, etc.
2. Deaths supposedly caused by violence, as Criminal Abortion, Poisoning, Starvation, Suffocation, Ex- posure, etc.
3. Sudden deaths of persons not disabled by recognized disease, as A death upon the street, or one supposed to be due to Alcoholism, etc.
4. Deaths under circumstances unknown, as A person found dead, etc.
THE COMMONWEALTH OF MASSACHUSETTS
winchat
RETURN OF A DEATH
(CITY OR TOWN.)
FULL NAME
Mollie Schiff
Registered No ..
Place of ¿
makeall Hospital
Death *
5
Residence
Age
33
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