Town of Winthrop : Record of Deaths 1913-1915, Part 104

Author: Winthrop (Mass.)
Publication date: 1913
Publisher:
Number of Pages: 1094


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1913-1915 > Part 104


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(Signed)


M.D.


99 (Address)


MEDICAL EXAMINER


* State the DISEASE CAUSING DEATHI, or, in deaths from VIOLENT CAUSES, state (1) MEANS of INJURY; and (2) whether ACCIDENTAL, SUICIDAL 01' HOMICIDAL.


18 LENGTH OF RESIDENCE (FOR HOSPITALS, INSTITUTIONS, TRANSIENTS, OR 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 Springboro Pa.


DATE OF BURIAL


ay 3


,


1915


MO UNDERTAKER le R Benniño


ADDRESS Winthey


7 AGE


If LESS than | day, ........ hrs.


or ......


min. ?


B OCCUPATION


(a) Trade, profession, or


particular kind of work


(b) General nature of industry,


business, or establishment in


which employed (or employer).


Selfie


9 BIRTHPLACE


(State or country)


Phila- Perma.


10 NAME OF


FATHER


James B.


11 BIRTHPLACE OF FATHER (State or country)


Penn


The Commonwealth of Massachusetts STANDARD CERTIFICATE OF DEATH


1 PLACE OF DEATH


(No ... Palmyra


7076 Wruchufo (City or towu.] [If death occurred in a hospital or institution, give its NAME instead of street and number.]


. St. : Ward)


2 FULL NAME.


Lemand ( frases


[If married or divorced woman or widow


give maiden name, also name of husband.].


@RESIDENCE


Springboro, Pa-


Registered No.


PERSONAL AND STATISTICAL PARTICULARS


6 DATE OF BIRTH


muy


(Month) (Day)


!


.,


(Year)


67 yrs.


mos.


ds.


WRITE PLAINLY, WITH UNFADING INK -THIS IS A PERMANENT RECORD.


STANDARD CERTIFICATE OF DEATH.


Statement of occupation. - Precise statement of occu- pation is very important, so that the relative healthfulness of various pursuits ean be known. The question applies to each and every person, irrespective of age. For many oceupations a single word or term on the first line will be sufficient, e. g., Farmer or Planter, Physician, Compositor, Architect, Loco- motive engincer, Civil engineer, Stationary fireman, ete. 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) Forcman, (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, ete. Women at home, who are engaged in the dutics 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 domestie service for wages, as Servant, Cook, Housemaid, etc. If the oceupation 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 occu- pation whatever, write Nonc.


Statement of cause of death. - Name, first, the DIS- EASE CAUSING DEATH (the primary affection with respect to time and eausation), 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, peritonacum, ete., Carcinoma, Sar- coma, etc., of. .. (name origin: "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms); Mcasles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, ete. 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," "Shoek," "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 eause for which surgical operation was undertaken. For VIOLENT DEATHS state MEANS OF INJURY and qualify as ACCI- DENTAL, 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 - probably 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 provi- sions of chapter 24 of the Revised Laws deaths under the fol- lowing conditions must be referred to the Medical Examiners:


1. Deaths following injury or violence, as Burns, Falls, Drowning, Gas poisoning, Suicide, Homicide, ete.


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


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


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


COMMONWEALTH OF MASSACHUSETTS


RETURN OF A DEATH-1915.


CITY OF BOSTON.


FULL NAME


MYRA LIMPUS


Place of Death )


Boston


and Residence S


Date of Death


AUG. I


1915.


Age 35


years


months


3


days.


STATISTICAL DETAILS.


SEX.


COLOR.


SINGLE, MARRIED, WID., DIV.


F


W


MAR.


Maiden Name ROWLES


GIS


T PATRINI


Primary: ( Duration L)


PULM. TUBERCULOSIS - 4 MOS.


CTYYTA


BCCIDNIA


CON DITA AL ISREOTMINE DONATA D BOSTO


IN. MASS


-


Maiden Name of Mother


EMMA DANIELS


Birthplace of Mother ENGLAND


(Signed)


F.T. LORD M.D.


1915


SPECIAL INFORMATION from Hospitals, Institutions, Transients, or Recent Residents.


Place of Burial


or removal


WINTHROP ( WINTHROP CEM ) Usual Residence WINTHROP ( 20 WAVE WAY)


C. R. BENNISON


AUG.6 1915


Undertaker


Filed


A true copy. Attest : Emblemen


Registrar.


C


PHYSICIAN'S CERTIFICATE.


I HEREBY CERTIFY that I attended deceased during last illness,


1915,


from 1915, to that to the best of my knowledge and belief death occurred, on the date stated above, and that the CAUSE OF DEATH was as follows : R AR'S


S. SIT DE


Husband's Name


LAWRENCE LIMPUS


CITY R


FFICE


Birthplace


ENGLAND


Name of Father WILLIAM ROWLES


Birthplace of Father ENGLAND


Contributory : (Duration)


Occupation


HOUSEWIFE


Informant


Registered No.


7208


CHANNING HOME


ang. - 175


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


1ª BIRTHPLACE


OF MOTHER


(State or country)


" THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


(Informant)


01.2/20


(Address)


REGISTRAR


16 DATE OF DEATH


august


3


1915


(Year)


(Month)


(Day)


17


I HEREBY CERTIFY that I attended deceased from


31


1915, to Cung ..


3


1915


that I last saw h.k.


alive on


august 3


1915.


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


I. T.


m.


The CAUSE OF DEATH* was as follows :


Clivenie valandas


heart disease


Chronic interstitial meplantes


(Duration)


1


.. yrs ..


6


mos.


ds.


Contributory (SECONDARY)


.(Duration)


..... yrs.


mos. ds.


(Signed)


Raymond


4


1915. (Address)


U inclinato hears.


* 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


1ª PLACE OF BURIAL OR REMOVAL


DATE OF BURIAL


Clucas 6. 1915


· UNDERTAKER


ADDRESS


Filed 191


MEDICAL CERTIFICATE OF DEATH


3 SEX


That


4 COLOR OR RACE


White


5 SINGLE,


MARRIED,


WIDOWED,


OR DIVORCED


(Write the word)


5 DATE OF BIRTH


Fico


(Month)


10


1


(Day)


(Year)


7 AGE


4)


yrs.


mos.


ds.


If LESS than


1 day, ........ hrs.


or .... ... min. ?


& OCCUPATION


(a) Trade, profession, or


particular kind of work


(b) General nature of industry,


business, or establishment


in


which employed (or employer)


· BIRTHPLACE


(State or country)


Bolorcom.


(City or town.)


1 PLACE OF DEATH


James


Film. Dellagara


2 FULL NAME


[If married or divorced woman or widow


give maiden name, also name of husband.]


@RESIDENCE


50 Mar 82


St. ;...... . .


.Ward)


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


Registered No.


PERSONAL AND STATISTICAL PARTICULARS


The Commonwealth of Massachusetts STANDARD CERTIFICATE OF DEATH


(No 50 Mcon IL


10 NAME OF


FATHER


James


11 BIRTHPLACE


OF FATHER


(State or country)


M.D.


0


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 Hlouse- 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.


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


ROSTON .......


1 PLACE OF DEATH Minttuch


(No. 30


Ward)


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


Catherine I Dunn Love CM


2 FULL NAME [If married or divorced woman or widow give maiden name, also name of husband.] @RESIDENCE 18 / LeQuant Park Road


Registered No.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


1 SEX


' COLOR OR RAĆE


Minute


5 SINGLE,


MARRIED,


WIDOWED,


OR DIVORCED


(Write the word)


Married


* DATE OF BIRTH


(Month)


(Day)


1


(Year)


7 AGE


52


-


yrs.


.......


mos. - ds.


or ...


... min. ?


* OCCUPATION


(a) Trade, profession, or


particular kind of work


Cet Homme


(b) General nature of industry,


business, or establishment f


which employed (or employer).


Did a surgical operation precede death to


Date


(Duration)


......


... yrs.


4


.mos.


ds.


Contributory.


(SECONDARY)


(Duration)


yrs.


mos.


ds.


(Signed)


Raymond B Packa


M.D


5- 61915 (Address).


* If death followed injury or violence the certificate of death must be made qut 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.


DATE OF BURIAL


19 PLACE OF BURIAL OR REMOVAL Holywood


20 UNDERTAKER 1. 6. juli


ADDRESS


191


REGISTRAR


17


I HEREBY CERTIFY that I attended deceased from


20


1915


to


August 4, 1915


that I last saw her


alive on


augbent 4, 1995


and that death occurred, on the date stated above, at 8. 40A.m.


The CAUSE OF DEATH* was as follows :


Carcurana dl notrationis


9 BIRTHPLACE


(State or country)


VarTire


10 NAME OF


FATHER


PARENTS


11 BIRTHPLACE


OF FATHER


(State or country)


uland


12 MAIDEN NAME


OF MOTHER


11 BIRTHPLACE


OF MOTHER


(State or country)


14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


(Informant)


Juneband


(Address)


38 Pleasethe Road


Filed


16 DATE OF DEATH


august


4


1915


(Year)


(Month)


(Day)


1912


If LESS than


1 day ......... hrs/


STANDARD CERTIFICATE OF DEATH.


Statement of occupation. - Precise statement of occu- pation is very important, so that the relative healthfulness of various pursuits can be known. The question applies to eacli 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 linc 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 occu- pation whatever, write None.


Statement of cause of death. - Name, first, the DIS- EASE 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, peritonacum, etc., Carcinoma, Sar- coma, etc., of ... .. (name origin: "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms); Measles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, ctc. The contributory (second- ary or intercurrent) affection need not be stated unless im- portant. Example: Measles (disease causing death), 29 ds .; Broneho-pneumonia (secondary), 10 ds. Never report more 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 septieaemia," "PUERPERAL peritonitis," etc. State cause for which surgical operation was undertaken.


Cases for the Medical Examiners. - Under the provi- sions of chapter 24 of the Revised Laws deaths under the fol- lowing conditions must be referred to the Medical Examiners:


1. Deaths following injury or violence, as Burns, Falls, Drowning, Gas poisoning, Suicidc, Homicide, etc.


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


3. Sudden deaths of persons not disabled by recognized disease, as A death upon the street, or onc supposed to be duc 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 Mintlich, ( No. 55 Marc St C'Donnell


St. ;... Ward)


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


Registered No.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


3 SEX


4 COLOR OR RACE


male White


5 SINGLE,


MARRIED,


WIDOWED,


OR DIVORCED


(Write the word)


Widecod


6 DATE OF BIRTH


(Month)


(Day)


If LESS than


1 day ......... hrs.


72.


yrs.


mos.


.ds.


or


min. ?


8 OCCUPATION


(a) Trade, profession, or


particular kind of work


Retired


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


' BIRTHPLACE


(State or country)


Ireland


10 NAME OF


FATHER


Untenou


PARENTS


11 BIRTHPLACE OF FATHER (State or country) tieland


12 MAIDEN NAME OF MOTHER Undenory


13 BIRTHPLACE OF MOTHER (State or country)


2. claro


"THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


(Informant)


Pucharl &'Donnell


(Address)


55 Mrasist


REGISTRAR


16 DATE OF DEATH


august


5, 95


(Year)


17


I HEREBY CERTIFY that I attended deceased from


1


(Year)


aug. 3


1915, to


aug 5


191


that I last saw him alive on


and.


4


1915


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


4Am.


The CAUSE OF DEATH* was as follows :


Carchal Hemorrhage


(Duration)


. .. yrs.


mos.


3


.. ds.


arteriosclerosis


Contributory


(SECONDARY)


(Duration)


... yrs.


mos.


US.


(Signed)


Charles 7. mahoues M.D.


Ting 5, 1915 (Address) 355 cmchupSt


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


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


At place


of death.


yrs.


.. mos.


ds.


State


In the


yrs.


mos.


ds.


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


Former or usual residence


" PLACE OF BURIAL OR REMOVALMaz STRATIL


DATE OF BURIAL


Aug/ 1915


20 UNDERTAKER


film. f. Chaly


ADDRESS


Thettich


Filed 191.


....


(City or town.)


2 FULL NAME [If married or divorced woman or widow give maiden name, also name of husband ] @RESIDENCE 55 11.000€ 1.2 St


(Month)


(Day)


7 AGE


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), nsing 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 ro- 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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