Town of Winthrop : Record of Deaths 1910-1912, Part 81

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 81


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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 Winthrop (No.11


Elizabeth


Tevere ? Jackson


St. :...


Ward)


Registered No.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


"fi


4 COLOR OR RACE


5 SINGLE,


MARRIED,


WIDOWED,


OR DIVORCED


(Write the word)


Widow


6 DATE OF BIRTH


april


(Month)


(Day)


1844


(Year)


7 AGE


If LESS than 1 day. ... ... hrs.


15


mos.


3


ds.


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).


at home


9 BIRTHPLACE


(State or country)


) Boston Mass.


10 NAME OF


FATHER


Augustus Lang


PARENTS


12 MAIDEN NAME


OF MOTHER


Mary A. Dacy


13 BIRTHPLACE


OF MOTHER


(State or country)


Boston Mass.


" THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


(Informant)


Mary A. Jackson


(Address)


11. Revere ti


REGISTRAR


10 DATE OF DEATH Sixt 10'


Month)


(Day)


1912


( Year)


17


I HEREBY CERTIFY that I attended deceased from


Filmany


1912, to


Syst 10


1


192


that I last saw hebalive on


Supt 10


1912


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


9 a.m.


The CAUSE OF DEATH* was as follows : 0


Tuberculosis of the Lungs


·


.(Duration)


...


1


yrs.


..


mos.


.ds.


Contributory .. (SECONDARY)


....


mos.


.. ds.


(Signed)


SAT 10, 192


A


(Address)


Winthrop


M.D.


* 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


12 PLACE OF BURIAL OR REMOVAL Holy Cross


PATÉ OF BURIAL Defit 13 1912


NO UNDERTAKER


Thos I Lane


ADDRESS


120 House St.


Filed 191


Winthrop BOSTON


(City or town.)


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


2 FULL NAME ... [If married or divorced woman or widow give maiden name, also name of hisband.] @RESIDENCE 11 Revere St. Winthrop


Widow of George P. nee Lang


MEDICAL CERTIFICATE OF DEATH


7


68


yrs.


none


11 BIRTHPLACE


OF FATHER


Prussia


(State or country)


.(Duration) 31 mil call.


In the


Sept. 10, 1912 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 cach and every person, irrespective of age. For many occupations a singlo word or term on the first lino 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 tho business or industry, and thereforo an additional line is provided for the latter statement; it should be used only when needed. As cxamples: (a) Spinner, (b) Cotton mill; (a) Sales- man, (b) Grocery ; (a) Foreman, (b) Automobile factory. The material worked on may form part of tho 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 houschold 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 ef persons engaged in demestic service fer wages, as Servant, Cook, Housemaid, etc. If tho occupation has been changed or given up on account of tho 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. - Namc, first, the DISEASE CAUSING DEATH (the primary affectien with respect to time and causation), using always the same accepted term for the samo 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- como, 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," "Collapsc," "Come," "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 tho provisions of chapter 24 of the Revised Laws deaths under the following conditions must be referred to tho 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.


i


The Commonwealth of Massachusetts STANDARD CERTIFICATE OF DEATH


1 PLACE OF DEATH


(No .. 26 Jim 5


2 FULL NAME


Charlotte W. Bowman


.


charles"


[If married or divorced woman or widow


give maiden name, also name of husband.]


@RESIDENCE


26 7 mest- St


Charlotte Williams


2M


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


female


4 COLOR OR RACE


voluto


5 SINGLE,


MARRIED,


WIDOWED,


OR DIVORCED


(Write the word)


manuel


6 DATE OF BIRTH


23


(Month)


(Day)


1959


(Year)


7 AGE


Súlyos.


mos.


ds.


or ........ min. ?


$ OCCUPATION


(a) Trade, profession, or


particular kind of work.


Homemade


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


(Christian our bemintent)


.. mos. ds.


Contributory ..... (SECONDARY)


(Duration) yrs.


mos. ds.


- {Signed)


Georg Buzun Magrettony


M.D.


191


(Address).


MEDICAL EXAMINER


* State the DISEASE CAUSING DEATII, or, in deaths from VIOLENT CAUSES, state (1) MEANS of INJURY; and (2) whether ACCIDENTAL, SUICIDAL or HOMICIDAL.


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


In the


At plece


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 Essex Juniin 14


DATE OF BURIAL


2.71/3


1912


"O UNDERTAKER,


ADDRESS


Winefest


., 191 ..


REGISTRAR


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH


Syst.


(Month)


(Day)


/0, 1912


(Year)


I HEREBY CERTIFY that I have investigated the death of the deceased.


If LESS than


I day, ..


.hrs.


The CAUSE OF DEATH* was as follows :


natural Causes:


Carcinoma ythe Breast


9 BIRTHPLACE


(State or country)


Royalción V+


10 NAME OF


FATHER


Salas. Williams.


PARENTS


11 BIRTHPLACE OF FATHER (State or country) Regulación UX


12 MAIDEN NAME OF MOTHER


Julia . Smith


13 BIRTHPLACE OF MOTHER (State or country)


Roy alelano vix


14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


(Informant)


(Address)


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.


4443


Ward)


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


Registered No.


Filed


17


Sept. 10,1912 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.


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. 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.


3 SEX 4 COLOR OR RACE W ·6 DATE OF BIRTH (Month) 7 AGE 8 OCCUPATION (a) Trade, profession, or none particular kind of work 9 BIRTHPLACE (State or country) Winthrop 10 NAME OF FATHER Hangwieker 11 BIRTHPLACE OF FATHER 12 MAIDEN NAME OF MOTHER PARENTS 13 BIRTHPLACE OF MOTHER (State or country) 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 esteblishment in which employed (or employer). important. See instructions on back of certificate. N. B. - Every item of information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state (State or country) E Boston.


The Commonwealth of Massachusetts


STANDARD CERTIFICATE OF DEATH


1 PLACE OF DEATH Winthrop .(No. 110


Willis Russel Wilkes


2 FULL NAME


[If married or divorced woman or widow


give maiden name, also name of husband.]


@RESIDENCE


110 Herman St


.St. Ward)


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


Registered No.


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH


sept.


(Month)


12, 19/2


(Day)


(Year)


I HEREBY CERTIFY that I have investigated the death of the deceased.


The CAUSE OF DEATH* was as follows :


millitale hermo caused bythe accidental ignition Clothing (mitimes) (Duration)


... yrs. .. ... mos. . .ds.


Contributory


(SECONDARY)


(Duration) yrs. .mos. . ds.


(Signed)


Line Burgas magath


1


M.D.


Sept 12, 1912 (Address).


6pm


MEDICAL EXAMINER


* State the DISEASE CAUSING DEATH, or, In deaths from VIOLENT CAUSES, state (1) MEANS of INJURY; and (2) whether ACCIDENTAL, SUICIDAL or HOMICIDAL.


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


At plece


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


Winthrop Cem


:0 UNDERTAKER W.C. Skadar


DATE OF BURIAL


9-14


, 1912


ADDRESS


Filed ., 191


REGISTRAR


17


(Day)


1968


(Year)


If LESS than


I day ......... hrs.


4 yrs. mos. đs.


or ... ... min. ?


Phillyen


Nicethiop


14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


(Informant)


Harry Phillips,


(Address)


110 Humor St.


4446


..


PERSONAL AND STATISTICAL PARTICULARS


1


5 SINGLE,


MARRIED,


WIDOWED,


OR DIVORCED


(Write the wordy


Sept. 12, 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 engincer, 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. 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.


1


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.


53-


Atlantic


St. :


...... Ward)


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


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


3 SEX


Female


4 COLOR OR RACE


White


5 SINGLE,


MARRIED,


WIDOWED,


OR DIVORCED


(Write the word)


15-


1833


(Day)


(Year)


7 AGE


If LESS than


[ day ......... hrs.


77 .. yrs. 2 mos. -


. ......


ds.


or ....... min. ?


8 OCCUPATION


(a) Trade, profession, or


particular kind of work,


at home.


(b) General nature of industry,


business, or establishment


which employed (or employer).


9 BIRTHPLACE


(State or country)


Scituate Mass.


PARENTS


11 BIRTHPLACE


OF FATHER


(State or country)


Scituate Mas,


12 MAIDEN NAME


OF MOTHER


Clarissa Litchfield


18 BIRTHPLACE


OF MOTHER


(State or country)


Scituate Mass


14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


(Informan


1) Priscilla Station


(Address) 55 atlantic St


16


Filed. .: 191


REGISTRAR


16 DATE OF DEATH


(Month)


14


(Day)


1912


(Year)


17


I HEREBY CERTIFY that I attended deceased from


Seft- 13


191.2 ... , to


Sept 14


1912


that I last saw h alive on


Self 13


1912


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


12ºam.


The CAUSE OF DEATH* was as follows :


Cerebral Harmonbage


15 hours (Duration)


X yrs.


X mos.


X


ds.


Contributory


(SECONDARY)


arterio- saberasia


. yrs. ..


mos


X


ds.


(Signed)


Seft 14


Winetwas mass


191 ... Z. (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.


In the


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 Norwell Mars


DATE OF BURIAL


Sept 16. 1912


20 UNDERTAKER


E.N. Sharrell


ADDRESS


Norwell


Martha Rosel the Torres


2 FULL NAME


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


Merritt- Willard Torrey


55 attentia Sr


Registered No.


M.D.


10 NAME OF


FATHER


Francis Merritt


6 DATE OF BIRTH


July


(Monthy


Sept. 14,1912


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.


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 deatlı), 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 septicacmia," " PUERPERAL peritonitis," etc. State cause for which surgical operation was undertaken.




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