Town of Winthrop : Record of Deaths 1910-1912, Part 89

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 89


Note: The text from this book was generated using artificial intelligence so there may be some errors. The full pages can be found on Archive.org (link on the Part 1 page).


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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


(Baby)


Per Penso


2 FULL NAME


[If married or divorced woman or widow


give maiden name, also name of husband.]


@RESIDENCE


Z


Park. ave Winstrol Highlands Registered No. Man


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


female


4 COLOR OR RACE


(Month)


(Day)


19/2


(Year)


If LESS than


I dey ......... hrs.


.. yrs.


mos.


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)


2


9 BIRTHPLACE


(State or country)


10 NAME OF


FATHER


George. H. Perkins


11 BIRTHPLACE


OF FATHER


(State or country)


Ulica 22. 9,


12 MAIDEN NAME


OF MOTHER


Inany Cattin


13 BIRTHPLACE


OF MOTHER


(State or country)


14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


(Informant)


(Address)


1 6 Filed


...... 191


REGISTRAR


16 DATE OF DEATH


(Month)


10


. 1912


(Year)


(Day)


17°


I HEREBY CERTIFY that I attended deceased from


100 10


1912, to


200 10


1912


that t tast saw h .... alive on Still Born. ++9+ ...... and that death occurred, on the date stated above, at X m. The CAUSE OF DEATH* was as follows : Still born


(Duretion)


.yrs.


ds.


mos.


Contributory.


Deficient development


(SECONDARY),


of Canal Printed


.yrs.


mos. ds


(Signed)


Ejohnson


M.D.


AW /2, 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.


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 Winslet 100G


DATE OF BURIAL


hor 12th


1912


20 UNDERTAKER


ADDRESS


Wieder Ly


Wrathof


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


MEDICAL CERTIFICATE OF DEATH


6 DATE OF BIRTH


2200


7 AGE Suite 13 am


5 SINGLE,


MARRIED,


WIDOWED,


OR DIVORCED


(Write the word)


(No.


Park car


St. : ..... .Ward)


PARENTS


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.


PARENTS


11 BIRTHPLACE


OF FATHER


(State or country)


unknow


12 MAIDEN NAME


OF MOTHER


Carrie


18 BIRTHPLACE


OF MOTHER


(State or country)


Lockport N.Y.


14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


(Informant)


(Address)


REGISTRAR


MEDICAL CERTIFICATE OF DEATH


3 SEX


male


4 COLOR OR RACE


mite


5 SINGLE,


married ..


WIDOWED,


OR DIVORCED


(Write the word)


16 DATE OF DEATH


Nov.11 1912


(Month)


(Day)


191


(Year)


17


I HEREBY CERTIFY that I attended deceased from


Jeft- 42


1912, to


date deating


...


that I last saw h


alive on


nov - 10 Th


191.2,


and that death occurred, on the date stated above, at 5, 40 am.


The CAUSE OF DEATH* was as follows :


Cancer of Sign viel flexure


(Operaticlo)


?


(Duration)


3


mos.


yrs.


ds.


Contributory ...


Exhaustion -Unable to


(SECONDARY)


Take sensiblement (Duration) yTS.


mos.


14


„ds.


(Signed)


Oliver . Jillian


M.D.


nav-12-


191.2 ..... (Address) ..


527 Beacou St


.........


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


16 LENGTH OF RESIDENCE (FOR HOSPITALS, INSTITUTIONS, TRANSIENTS, CR RECENT RESIDENTS).


At place


In the


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 Mass. Crematory


DATE OF BURIAL


120213


191.02


Filed 191


The Commonwealth of Massachusetts STANDARD CERTIFICATE OF DEATH


1 PLACE OF DEATH


.... Winthrop


(No.


203 Shore Drive.


.St.


Ward)


BOSTON


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


Albert H.Oborn


2 FULL NAME


[If married or divorced woman or widow


give maiden name, also name of husband.]


@RESIDENCE


Los Angeles Cal.


Registered No.


PERSONAL AND STATISTICAL PARTICULARS


6 DATE OF BIRTH


July 4 1869


(Month)


(Day)


(Year)


7 AGE


If LESS than


i day, ....... hrs.


43


4


yrs.


mos.


7


ds.


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


& OCCUPATION


(a) Trade, profession, or


particular kind of work


Salesman


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


9 BIRTHPLACE


(State or country)


De Pere Wise.


10 NAME OF


FATHER


John


20 UNDERTAKER


I Watermantous


ADDRESS


No lo


-


200. 11, 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 dėfinite synonym is "Epidemic cerebro-spinal meningitis") ; Diphtheria (avoid use of " Croup ") ; Typhoid fever (never re- port " Typhoid pneumonia ") ; Lobar pneumonia; Broncho- pneumonia (" Pneumonia," unqualified, is indefinite) ; Tuber-


culosis of lungs, meninges, peritonaeum, etc., Carcinoma, Sar- coma, etc., of ...... ..... (name origin: "Cancer" is less definite ; avoid use of "Tumor" for malignant neoplasms) ; Measles ; Whooping cough ; Chronic valvular heart disease; Chronic interstitial nephritis, etc. The contributory (second- ary or intercurrent) affection need not be stated unless im- portant. Example: Measles (disease causing death), 29 ds .; Broncho-pneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as " Asthenia," " An- aemia " (merely symptomatic), " Atrophy," "Collapse," " Coma," "Convulsions," "Debility " ("Congenital," "Senile," etc.), "Dropsy,"" Exhaustion," " Heart failure," " Haemorrhage," " Inanition," "Marasmus," " Old age," "Shock," "Uraemia," " Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as "PUER- PERAL septicaemia," " PUERPERAL peritonitis," etc. State cause for which surgical operation was undertaken.


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


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


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


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


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


important. See instructions on back of certificate. 18 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 PARENTS


.


The Commonwealth of Massachusetts


STANDARD CERTIFICATE OF DEATH


1 PLACE OF DEATH


(No.


458 Thekey


-


St. : Ward)


0


I feelen. died Nov 13h


12


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


250 Theria 2h. Hinthiob.


Registered No.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


3 SEX


4 COLOR OR RACE


Handle White


5 SINGLE,


MARRIED,


Single


-WIDOWED,


OR DIVORCED


(Write the word)


185.4


(Day)


(Year)


7 AGE


If LESS than


( day .......... hrs.


58 yrs


mos.


.........


.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)


9 BIRTHPLACE


(State or country)


Besten


10 NAME OF


FATHER (


11 BIRTHPLACE


. OF FATHER


(State or country)


A claud


12 MAIDEN NAME OF MOTHER


13 BIRTHPLACE OF MOTHER (State or country) (1 )retard.


14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Winthrop


(Informant)


(Address)


459 0 Terrier ist


Filed


191


REGISTRAR


17 I HEREBY CERTIFY that I attended deceased from


....


1912, to


nov 13


191


2


.... that I last saw h En alive on 200 13 191.2 and that death occurred, on the dato stated above, at // 2m. The CAUSE OF DEATH* was as follows :


(Duration)


... yrs.


... mos.


11


ds.


Contributory


arelais sclerosis


(SECONDARY)


(Signed)


( tearles st. )tuin


.(Duration)


.... yrs.


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


M.D.


000 14, 1912 (Address).


1474 Hoamonth Berlin


* 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.


In the


.ds .............


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


Former or usual residence.


19 PLACE OF BURIAL OR REMOVAL Old Dorchester


DATE OF BURIAL,


6/02/6, 1912


20 UNDERTAKER


ADDRESS


Vin a. Janelle 1336 Virement et


Winthrop.


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


18 DATE OF DEATH


nov


(Month)


(Day)


13


, 1912


(Year)


6 DATE OF BIRTH


Lundicours


(Month)


150 . 13,1714


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.


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


· important. See instructions on back of certificate.


PARENTS


12 MAIDEN NAME


OF MOTHER


Frances Townsend


13 BIRTHPLACE


OF MOTHER


(State or country)


Sigolene W. B.


"THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


(Informant)


normal of Darling


0


(Address)


45 Circus Rd.


18


Filed ., 191


REGISTRAR


MEDICAL CERTIFICATE OF DEATH


3 SEX


n.


4 COLOR OR RACE


w.


5 SINGLE,


MARRIED,


WIDOWED,


OR DIVORCED


(Write the word)


Wider


18 DATE OF DEATH


nov.


(Month)


19,


., 1919


........


(Day)


( Year)


6 DATE OF BIRTH


areas.


(Month)


12


(Day)


1849


(Year)


7 AGE


If LESS than


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


63 yrs. 8 mos. 7 ds. ...... min. ?


8 OCCUPATION


(a) Trade, profession, or


particular kind of work


Carpenter


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


17 I HEREBY CERTIFY that I attended deceased from Get 1 1912 Nor 19 1912 to that I last saw h alive on Nov. 19 1912 and that death occurred, on the date stated above, at .. 6 Pm m. The CAUSE OF DEATH* was as follows :


Chicama Interstitial Nephritis


(Duration) .


............... yrs. ................ mos. .............


.ds.


Contributory.


(SECONDARY)


(Duration)


.yrs.


.mos.


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


„ds.


(Signed)


Itaway allelle


M.D.


Ner.14


1912 .... (Address) ..


325 Wohnthir St


* 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.


In the


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


Former or usual residence.


19 PLACE OF BURIAL OR REMOVAL Forest Hills Boston


DATE OF BURIAL


Nr.14


191.3~


30 UNDERTAKER


Judge Som


ADDRESS


Combutage


...


Benjamin P. Darling


'FULL NAME


[If married or divorced woman or widow


give maiden name, also name of husband.]


@RESIDENCE


45


Circuit Rd. Winthrop


Registered No.


PERSONAL AND STATISTICAL PARTICULARS


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


The Commonwealth of Massachusetts


STANDARD CERTIFICATE OF DEATH


1 PLACE OF DEATH


Winthrop


(No. 45 Cranio Rd. St. ; Ward)


7


9 BIRTHPLACE


(State or country)


Sijohn A. B.


10 NAME OF


FATHER


Beny Darling


11 BIRTHPLACE


OF FATHER


(State or country)


Sigolene W.B.


Uru. 19, 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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