USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1910-1912 > Part 86
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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.
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
Point Shirley. (No ... Undinc ..... Avenue, ... St. ;.. Ward)
Winthrop. (City or town.) [If death occurred in a hospital or institution, give its NAME instead of street and number.]
2 FULL NAME
Eugene Denton Brooks.
[If married or divorced woman or widow give maiden name, also name of husband.] @RESIDENCE Undine Ave .. Point Shirley, Winthrop. Mass.
Registered No.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
Male
' COLOR OR RACE
white
5 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
widowed
8 DATE OF BIRTH
Feb. 22. 1835.
(Month)
(Day)
(Year)
7 AGE
If LESS than
I day ......
.. hrs.
77
.. yrs. 8 mos. O ds. or ......... min. ?
& OCCUPATION
(a) Trade, profession, or
particular kind of work
Real ..... state.
(b) General nature of industry, business, or establishment in which employed (or employer).
Pincho Gentlemia
(Duration)
yrs.
mos.
ds.
mycoulitis
Contributory
(SECONDARY)
(Signed)
Get 23, 1912 (Addres)
M.D.
Arlington
* 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 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
Mt. Auburn Cemetery.
DATE OF BURIAL
Q.c.t. ....... 25., 191.2.
Filed
191
REGISTRAR
17
I HEREBY CERTIFY that I attended deceased from Aug 25, 1912, to 191 2 that I last saw unalive on 191 and that death occurred, on the date stated above, at HP m. The CAUSE OF DEATH* was as follows : 1
Hodgkinin diceare
9 BIRTHPLACE
(State or country)
Boston, Mass.
PARENTS
11 BIRTHPLACE
OF FATHER
(State or country) Templeton. Mass.
12 MAIDEN NAME
OF MOTHER
Miriam Foster.
13 BIRTHPLACE
OF MOTHER
(State or country)
Billerica. Mass.
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
Lyman W. Brooks,
(Address) 97 Langdon Ave. . Watertown.
16
16 DATE OF DEATH
(Month)
227, 19/2
(Day)
(Year)
* UNDERTAKER
auceLitchfield
Small. are,
401
Cantudal
..... mos.
ds.
10 NAME OF
FATHER
Luke Brooks.
N B. - Every item of information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state
.
Oct. 22, 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 (6) 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 taborer, 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-
U
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.
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
PLACE OF DEATH,
Velington
(No
Oakmont, Merriam st
Jekington (City for town.) Ward) [if death occurred in a hospital or institution, give its NAME instead of street and number.]
Eleanor Mary Wright
2 FULL NAME
[If married or divorced woman or widow give maiden name, also nayje of husband.] @RESIDENCE 41 Cutler St Winthrop Mais.
Omery-archibald D. Wright
Registered No.
64
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH
October
(Month)
(Day)
2292
(Year)
17
I HEREBY CERTIFY that I attended deceased from
Sept 25.
1912 to
Oct 23
1912
If LESS than
I day,
hrs.
that I last saw her alive on
or ..
min. ?
Oct 22, 192
and that death occurred, on the date stated above, at . p. m.
The CAUSE OF DEATH* was as follows:
Chimie Nephritis
about
.(Duration) ..
/
yrs.
.mos.
ds.
Contributory
anaemia
(SECONDARY)
Fred A. Pijuer
. yrs.
( Ducation)
6
mos.
.. . ds.
(Signed)
1912 (Address)
Delington
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
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
Mrs. Hallie C. Blake
( Add
(1) Dalmak, Merriam Ir
is Filed Vet 23 1912 Charles W. O wan
REGISTRAR
5 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
Widow
6 DATE OF BIRTH
apr. 3. 1849
(Month)
(Day)/
1
(Year)
7 AGE
63
yrs.
6
mos.
19
ds.
(a) Trade, profession, or
particular kind of work
at home
(b) General nature of industry, business, or establishment in which employed (or employer).
9 BIRTHPLACE
(State or country)
Cambridge n. M.
PARENTS
12 MAIDEN NAME
OF MOTHER
Matilda Russell
18 BIRTHPLACE
OF MOTHER
(State or country)
Scotland
19 PLACE OF BURIAL OR REMOVAL Clinton, Mass
DATE OF BURIAL
Der 25
1912
D UNDERTAKER
Anhn Bryant' Sous
ADDRESS
15 dustru St
Charleston Man.
3 SEX
Female
4 COLOR OR RACE
White
6 OCCUPATION
10 NAME OF
FATHER
David Emery
11 BIRTHPLACE
OF FATHER
(State or country)
Scotland
In the
Oct. 22. 1913.
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- mun, (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 tho 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, peritoneum, etc., Carcinoma, Sur- 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
...
(No.
St. :
.......
Ward)
William Walker Case
'FULL NAME
[If married or divorced woman or widow
give maiden name, also name of husband.]
@RESIDENCE
74 allantes 5% Wanthet
Registered No.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
1 SEX
mall
4 COLOR OR RACE
5 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
7
,1914
(Year)
7 AGE
X
yrs.
mos.
17
ds.
or .....
„min. ?
& 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)
(Duration) ..
... mos.
........... yrs.
.........
18
ds .
Contributory
(SECONDARY)
(Duration) .
......... yrs.
mos.
.........
ds.
(Signed)
(21) mul cay)
M.D.
vitz 4, 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
of death ........
.... yrs.
mos.
18 ds.
In the
State ........... yrs.
mos.
ds.
18
Where was disease contracted, desease If not at place of death ?.
Former or
usual residence
19 PLACE OF BURIAL OR REMOVAL
D UNDERTAKER
C.P. Ver.
ADDRESS
IS Filed .. 191
REGISTRAR
1ª DATE OF DEATH
23
, 1912.
(Month)
(Day)
(Year)
6 DATE OF BIRTH
Cech
(Month)
(Day)
17 I HEREBY CERTIFY that I attended deceased from Barth
191.2. to
04 23.
......
191 2
that I last saw him alive on ..
12+ 2 30
1912
and that death occurred, on the dato stated above, at 1/6m.
The CAUSE OF, DEATH* was as follows :
Premating Bank of moss
back of Ullit,
10 NAME OF
FATHER
Walter W. Case
11 BIRTHPLACE
OF FATHER
(State or country)
PARENTS
12 MAIDEN NAME
OF MOTHER
Bealien Durant
13 BIRTHPLACE
OF MOTHER
(State or country)
marquetovice
n.S.
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
(Address)
Warentest mais
DATE OF BURIAL
CCcf 25
191.
2
...
(City or town.)
[If death occurred in a hospital or institution, give its NAME instead of street and number.]
....
If LESS than
[ day ......... hrs.
Oct. 23, 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, Sur- 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
1PLACE OF DEATH
(No.
85
......... Ward)
(City or town.) [If death occurred in a hospital or institution, give its NAME Instead of street and number.]
FULL NAME 10) 122120 [If married or divorced woman or widow give maiden name, also name of husband.] @RESIDENCE 85 Bartlett Road
Vignale-Frederick It Walsh.
Registered No.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
COLOR OR RACE
5 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
Indound
6 DATE OF BIRTH
6
(Month)
(Day)
1831
(Year)
7 AGE
If LESS than
day,
... hrs.
(a) Trade, profession, or
particular kind of work
athinne-
(b) General nature of industry,
business, or establishment in
which employed (or employer).
9 BIRTHPLACE
(State or country)
Englands.
10 NAME OF
John Hiquale
PARENTS
/11 BIRTHPLACE
OF FATHER
(State or country)
10
england
12 MAIDEN NAME
OF MOTHER
Jane Walsh
18 BIRTHPLACE
OF MOTHER
(State or conntry)
Europlang.
" THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant) /1220
Halsh.
(Address)
85 Bartlett Road
18
Filed
191
REGISTRAR
MEDICAL CERTIFICATE OF DEATH
18 DATE OF DEATH
Oct.
(Month)
26h-
(Day)
1912
(Year)
17
1 HEREBY CERTIFY that I attended deceased from
Qet 1er
1912 to
Oct 26h
1912
that I last saw her alive on
Oct 26h
1912
and that death occurred, on the dato stated above, at
4
m.
The CAUSE OF DEATH* was as follows : artem Sclerosis
mitral Stenosis
Cerebral Hemorrhage
5
(Duration)
5
Contributory.
(SECONDARY)
(Duration)
2
mos.
.........
ds.
yrs ..
(Signed)
Oct 27, 1912 (Address)
Winthrop, Mas
* If death followed Injury or violence the certifleate of death must be made ont by the Medical Examiner.
1$ LENGTH OF RESIDENCE (FOR HOSPITALS, INSTITUTIONS, TRANSIENTS, OR RECENT RESIDENTS).
At place
In the
of death.
.yrs.
mos. .........
ds.
Stato .......... yrs.
mos. ............
Where was disease contracted, If not at place of death ?.
Former or usual residence.
1º PLACE OF BURIAL OR REMOVAL .
DATE OF BURIAL
10-25
191 1
" UNDERTAKER
If.C. Skagen
ADDRESS
...
8 OCCUPATION
81
yrs.
6
mos.
21)
ds.
.. min. ?
... yrs.
............ mos. ..
ds.
Rheumatism
M.D.
Oct. 26, 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, Homicide, etc.
2. Deaths supposedly caused by violence, as Criminal Abortion, Poisoning, Starvation, Suffocation, Ex- posure, etc.
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