Town of Winthrop : Record of Deaths 1910-1912, Part 85

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 85


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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


83 from Bucure


(No.


St. ;. Ward)


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


'FULL NAME


f1 houras


Lances


Henry Ilable to


[If married or divorced woman or widow


give maiden name, also name of husband.]


@RESIDENCE


83 Face Bien av Venchiato


Registered No.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


3 SEX


Male


4 COLOR OR RACE


Mute


5 SINGLE,


MARRIED,


WIDOWED,


OR DIVORCED


(Write the word)


Single


6 DATE OF BIRTH


man


26


(Month)


(Day)


1909


(Year)


7 AGE


2


.. yrs.


1


mos.


20


ds.


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


8 OCCUPATION


(a) Trade, profession, or


particular kind of work


11


(b) General nature of industry,


business, or establishment in


which employed (or employer)


9 BIRTHPLACE


(State or country)


13) Formación Plani Boston


PARENTS


11 BIRTHPLACE


OF FATHER


(State or country)


" Lecce Island me


12 MAIDEN NAME


OF MOTHER


Surah. E. Clifford


1ª BIRTHPLACE


OF MOTHER


(State or country)


14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


(Informant)


This. I. State


(Address)


16


Filed 191


REGISTRAR


1ª DATE OF DEATH


vit


(Month)


17'


.,


(Year)


1912


17


I HEREBY CERTIFY that I attended deceased from


~


1912 to


out 17"


1912


that I last saw h M alive on


oct 17"


191.


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


10cm.


The CAUSE OF DEATH* was as follows :


(Duration)


........... yrs.


...........


.mos.


10 ds.


Contributory


(SECONDARY)


(Duration)


.yrs.


mos.


ds.


(Signed)


31 Mutaall


M.D.


191


(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).


In the


At place


of death.


... yrs.


mos. ..........


da.


State ........... yrs.


.... mos. ......... d ....


..........


Where was disease contracted, If not at place of death ?.


Former or usual residence


" PLACE OF BURIAL OR REMOVAL


DATE OF BURIAL


Dets 1


191


D UNDERTAKER


ADDRESS


(City or town.)


(Day)


If LESS than


{ day ......... hrs.


10 NAME OF


FATHER


Thomas. Hory States


DOct. 17, 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 Ilousewife, Housework, or At home, and children, not gain- fully employed, as At school or At home. Care should be taken to report specifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, Housemaid, etc. If the occupation 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 Examinors:


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


STANDARD CERTIFICATE OF DEATH


Withroly Maco,


(No. 37


Shirley


St. :


........ .Ward)


BOSTON


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


2 FULL NAME


mrs Bridget Gertrude Fitch


[If married or divorced woman or widow


give maiden name, also name of husband.]


widow of Thomas noe 1 Rully


@RESIDENCE


37 Shirley St


Registered No.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH


October


(Month)


20


(Day)


1912


(Year)


17


I HEREBY CERTIFY that I attended deceased from


1904 to Oct 20 me


1912


that I last saw


er


alive on


Cel- 20


194


and that death occurred, on the date stated above, at.Z.25.7.m.


The CAUSE OF DEATH* was as follows :


Senile Degeneration general


yrs. (Duration) Absces in Menteal region


Contributory.


1


mos.


about Sy weeks


(Duration) .... ...... yrs.


ds.


(Signed)


M.D.


00/21, 1912 (Addres


* If death followed Injury or violence the certificate of death must be made out by the Medical Examiner.


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


At place


of deeth


. 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


DATE OF BURIAL


123, 1912


......


D UNDERTAKER


ADDRESS


120 Iban, St.


1 PLACE OF DEATH


3 SEX


48


4 COLOR OR RACE


w.


6 DATE OF BIRTH


7 AGE


8 OCCUPATION


(a) Trade, profession, or


particular kind of work


home


(b) General nature of industry,


business, or establishment in


which employed (or employer).


12 MAIDEN NAME


OF MOTHER


Unk


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


important. See instructions on back of certificate.


Filed


191


N. B .- Every item of information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state


8.5


........... yrs.


2


mos.


5- SINGLE,


.MARRIED,


WIDOWED,


OR DIVORCED


(Write the word)


15


1827


(Month)


(Day)


(Year)


If LESS than I day, ........ hrs.


5-


ds.


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


9 BIRTHPLACE


(State or country)


Brooklyn 2. 4.


10 NAME OF


FATHER


Terence


11 BIRTHPLACE


OF FATHER


(State or country)


Ireland


14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


(Informant)


augusta Fetch


(Address)


39 Shirley It


REGISTRAR


.......


Oct . 2 0 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 septicemia," " PUERPERAL peritonitis," etc. State cause for which surgical operation was undertaken.


Cases for the Medical Examiners. - Under the provisions of chapter 24 of the Revised Laws deaths under the following conditions must be referred to the Medical Examiners:


1. Deaths following injury or violence, as Burns, Falls, Drowning, Gas Poisoning, Suicide, Homicide, etc.


2. Deaths supposedly caused by violence, as Criminal Abortion, Poisoning, Starvation, Suffocation, Ex- posure, etc.


3. Sudden deaths of persons not disabled by recognized disease, as A death upon the street, or one supposed to be due to Alcoholism, etc.


4. Deaths under circumstances unknown, as A person found dead, etc.


N. B. - Every Item of information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions on back of certificate.


The Commonwealth of Massachusetts


STANDARD CERTIFICATE OF DEATH


1 PLACE OF DEATH


35 Moore St


(No.


Nurold Hatfield Halsey


FULL NAME


[If married or divorced woman or widow


give maiden name, also name of hnsband.]


@RESIDENCE


3 5


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


3 SEX


m.


4 COLOR OR RACE


n.


5 SINGLE,


MARRIED,


WIDOWED,


OR-DIVORCED


(Write the word)


Sugle


16 DATE OF DEATH


Och.


(Month)


ZO., 191.


(Day)


(Year)


6 DATE OF BIRTH


March


31, 1800


(Month)


(Day)


(Year)


7 AGE


24


.yrs.


>


„mos.


ds.


Or ........ min. ?


8 OCCUPATION


(a) Trade, profession, or


particular kind of work


2


(b) General nature of industry,


business, or establishment in


which employed (or employer)


2


9 BIRTHPLACE


(State or country)


10 NAME OF


FATHER


Wochen. C. Itwilly


PARENTS


1) BIRTHPLACE


OF FATHER


(State or country)


Brandon VA


12 MAIDEN NAME


OF MOTHER


vivir Collins


13 BIRTHPLACE


OF MOTHER


(State or country)


" THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


(Informant)


O. R.B summer


(Address)


= Filed ., 191


REGISTRAR


I HEREBY CERTIFY that I attended deceased from


Och. 20


1912 to


Och, So.


1912


that I last saw Ales


alive on


Oct . 20


191.2.


and that death occurred, on the dato stated above, at /0-1m.


The CAUSE OF DEATH* was as follows :


......


Pulmonary Tuberculde


(Duration)


3 yrs.


.mos. ............. ds.


Contributory.


Pulmonary Cederna


...


(SECONDARY)


.. (Duration)


..... yrs.


mos.


ds.


(Signed)


M.D.


Det. 2. 1912 (Address)


Manchmal


* 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 dlsease contracted, If not at place of death ?.


Former or usual residence.


1º PLACE OF BURIAL OR REMOVAL


DATE OF BURIAL


Q12392


" UNDERTAKER


ADDRESS


(City or town.)


St. : Ward)


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


Registered No.


If LESS than


day ..


Oct. 20, 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.


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, Ilomicide, 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


STANDARD CERTIFICATE OF DEATH


1 PLACE OF DEATH


Winthrop


(No


59


Great ave


-


St.


4 Ward)


FULL NAME


Hismon I Maynard.


[If married or divorced woman or widow give maiden name, also name of husband.] @RESIDENCE Hilhopp (59 Cest ios)


Registered No.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


* SEX


C


4 COLOR OR RACE


6 SINGLE,


MARRIED,


WIDOWED,


OR DIVORCED


(Write the word)


30


18 DATE OF DEATH


ort


(Month)


20


(Day)


(Year)


6 DATE OF BIRTH


10 (Month)


1


1859 17


(Day)


(Year)


7 AGE


58


... yrs.


..............


.. mos. 10 ds.


or ...


.... min. ?


8 OCCUPATION


(a) Trade, profession, or


particular kind of work


Contractor


The CAUSE OF DEATH* was as follows ; General arterio selousio, Surgrene 1 nicht fort Som presse ? lins (night)


(Duration)


........... mos. da.


Contributory


(SECONDARY)


(Duration)


................ yrs.


mos.


.ds.


Biomedical


M.D.


(Signed)


but 212


1912 (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


In the


of death ....


. yrs. ....


mos. .........


ds.


State ........... yra.


.......... mos.


.da.


........


Where was disease contracted, If not at place of death ?.


Former or usual residence


19 PLACE OF BURIAL OR REMOVAL


DATE OF BURIAL


10- 22 1912


59 Great canthus hed Wiethe Blue


· UNDERTAKER


I.e. Spra 990


ADDRESS


Filed. 191


REGISTRAR


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


10 NAME OF


FATHER


liguster maynard.


11 BIRTHPLACE


OF FATHER


(State or country)


Germany-


12 MAIDEN NAME


OF MOTHER


Theresa stickle


H BIRTHPLACE


OF MOTHER


(State or country)


Germany.


14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


(Informan


Kurs, HAT, Maynard


(Address)


(City or town.)


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


-


1912


I HEREBY CERTIFY that I attended deceased from


out, it


1912 to


02/ 20"


1912


If LESS than


1 day.


... hrs.


that I last saw h


alive on


oct 19"


1912


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


1225


g.m.


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


9 BIRTHPLACE


1


(State or country)


УНеплану.


.........


Oct. 20,1912


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 Ilousewife, Housework, or At home, and children, not gain- fully employed, as At school or At home. Care should be taken to report specifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, Housemaid, etc. If the occupation 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 nced 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.




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