Town of Winthrop : Record of Deaths 1913-1915, Part 108

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 108


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Joseph Se. Frampton-


Registered No.


PERSONAL AND STATISTICAL PARTICULARS


$ SEX


' COLOR OR RACE


10


& SINGLE,


MARRIED.


WIDOWED,


OR DIVORCED


(Write the word)


Undours


$ DATE OF BIRTH


3


9


(Month)


(Day)


.... 1/2 (Year)


7 AGE


If LESS than


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


73 yrs. 7 mos. 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)


new bedford, Mars.


PARENTS


11 BIRTHPLACE


OF FATHER


(State or country)


New bedford.


12 MAIDEN NAME


OF MOTHER


Riche Dreier


1ª BIRTHPLACE


OF MOTHER


(State or country)


14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


(Informant)


(Address)


18


Filed 191


REGISTRAR


17


I HEREBY CERTIFY that I attended deceased from


1914, to


Salt -2200


1915


that I last saw hl7


alive on


segt 22~


1915


and that death occurred, on the date stated above, at / 040 Am.


The CAUSE OF DEATH* was as follows :


Chronic Interstitial nephritis


(Duration)


2 yrs.


......


.mos.


ds.


Contributory


mitral Regurgitation


(SECONDARY)


(Duration). 2 yrs.


mos.


ds.


3 10metcalf


M.D.


(Signed)


Sf123


191.6 .... (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


........... y ... ..........


In the


.mos.


.d .............


Where was disease contracted, If not at place of death 7.


Former or usual residence


19 PLACE OF BURIAL OR REMOVAL wood brook care Hoferce Wers


DATE OF BURIAL


9 24


1915


" UNDERTAKER


W.C. SEx470


ADDRESS


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH


Soft


22


1912


(Month)


(Day)


(Year)


10 NAME OF


FATHER


STANDARD CERTIFICATE OF DEATH.


Statement of occupation. - Precise statement of oceu- pation 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 eases, 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 thé 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, ete., 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 intereurrent) 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," ete.), "Dropsy," "Exhaustion," "Heart failure," "Haemorrhage," "Inanition," "Marasmus," "Old age," "Shock," "Uraemia," "Weakness," etc., when a definite disease ean be ascertained as the eause. Always qualify all diseases resulting from ehildbirth or miscarriage, as "PUER- PERAL septicaemia," "PUERPERAL peritonitis," etc. State eause 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 Medieal Examiners:


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


2. Deaths supposedly eaused 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 eircumstances 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


I PLACE OF DEATH


Chelsea .... Mass. (No Frost Hospt ............


St. ;..................... .Ward)


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


'FULL NAME


Catherine Jennison


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


Catherine Douglas


Vm. S. Jennison


@RESIDENCE


Winthrop, Mass.


Registered No.


516


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


1 SEX


' COLOR OR RACE


& SINGLE,


MARRIED,


WIDOWED,


OR DIVORCED


(Write the word)


Marr.


16 DATE OF DEATH


Sent. 24,


191.


5


(Month)


(Day)


(Year)


$ DATE OF BIRTH


9


9


187@17


(Month)


(Day)


(Year)


7 AGE


If LESS than ! day ......... hrs.


15 yra. = mos. 15 ds.


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)


Mt. Vernon N.H.


Contributory ..


(SECONDARY)


.(Duration)


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


......


-mos.


ds.


-


(Signed)


F. S. Garrett


M.D.


Sont. 24 1915(Address).


Chelsea, Mass.


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


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


At płace


of death,


......... yrs.


....... mos.


ds.


In the


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


mos.


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


Former or usual residence.


18 PLACE OF BURIAL OR REMOVAL


Winthrop Cem.


DATE OF BURIAL


Sept. 27. 1915


(Informant)


Ju. S. jennings


(Address)


397 Pleasant St.


16 Sept. 24 h15 Seo. H. Drul Filed


REGISTRAR


I HEREBY CERTIFY that I attended deceased from


to


Sept. 14,


5


Sept. 24,


191.


5


191


that ! last saw le ........


alive on


24


191.5.


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


6 Am.


The CAUSE OF DEATH* was as follows :


Operation following removal of


a cystic tumor


(Duration)


yrs. .


.mos.


10 ds.


10 NAME OF


FATHER


James M. Douglas


PARENTS


11 BIRTHPLACE


OF FATHER


(State or country)


I. H.


12 MAIDEN NAME


OF MOTHER


Esther Smith


18 BIRTHPLACE


OF MOTHER


(State or country)


N THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


20 UNDERTAKER


W. C.


Skaggs


ADDRESS


V


inthrop


Female


White


cht. 24 1915


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 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 fircman, 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 dutics of the household only (not paid House- kccpers 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 Nonc.


Statement of cause of death. - Namne, 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: Cercbro-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," unqualificd, 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); Mcasles; 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: Mcasles (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 discase 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 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, 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 strect, or one supposed to be due to Alcoholism, etc.


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


Som


2 FULL NAME [If married or divorced woman or widow give maiden name, also name of husband.] @RESIDENCE 69Almont St


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


male


4 COLOR OR RACE


5 SINGLE,


MARRIED,


WIDOWED,


OR DIVORCED


(Write the word)


married


$ DATE OF BIRTH


aud


(Monthy


30


(Day)


(Year)


7 AGE


66


yts.


mos.


25 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).


' BIRTHPLACE


(State or country)


tiEland


PARENTS


12 MAIDEN NAME


OF MOTHER


1ª BIRTHPLACE OF MOTHER (State or country)


1


14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


(Informar .: )


( Address)


16


Filed 191.


REGISTRAR


15 DATE OF DEATH


Salt


(Month)


(Day)


1915


(Year)


1849 17 I HEREBY CERTIFY that I attended deceased from


1914, to


1915


191


that I last saw him alive on


Sft 2x


5


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


5m.


The CAUSE OF DEATH* was as follows :


General artuno seleross


(Duration).


1


.yrs.


mos.


ds.


Contributory


(SECONDARY)


(Duration)


yrs.


mos.


ds.


(Signed)


M.D.


W. 1 25, 1915 (Address)


1


* 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 Calvary Centre Kos


DATE OF BURIAL


Seltzy


191.5


30 UNDERTAKER


ADDRESS


(City or town.)


69Almont


1


10 NAME OF


FATHER


Robert to Quim


11 BIRTHPLACE OF FATHER (State or country)



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


Den. F


. .. . . . . .. .. ... -


.


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 ali 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.


COMMONWEALTH OF MASSACHUSETTS


RETURN OF A DEATH-1915.


CITY OF BOSTON. 8829


FULL NAME


PATRICK B. HENNESSEY


Registered No.


Place of Death ¿ and Residence S


Boston


SUFFOLK COUNTY JAIL


Date of Death


SEPT.25


1915.


Age


72


years


months days.


STATISTICAL DETAILS.


SEX.


COLOR.


SINGLE, MARRIED, WID., DIV.


M


W


MAR.


Maiden Name


Husband's Name


Birthplace


IRELAND


Name of Father


TOBIAS HENNESSEY


Birthplace of Father IRELAND


Maiden Name of Mother


BRIDGET BURKE


Birthplace of Mother IRELAND


Occupation


OFFICER SUF.CO.JAIL


Informant


PHYSICIAN'S CERTIFICATE.


I HEREBY CERTIFY that I attended deceased during last illness,


from


1915, to


1915, 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 :


EGISTRAR'S LT PATRITHIS, SIT DE Primary:/ (Duration)))


CTYYT


BO3'DNIA


ATIS REGIMINE. DONATA A. BOSTON


MASS


Contributory : 3 (Duration)


SUDDEN DEATH


(Signed)


G. B. MAGRATH MED.EX.


M.D.


SEPT.251915


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


Place of Burial or removal


MT. BENEDICT


WINTHROP ( 35 SUMMIT AV)


Usual Residence


SEPT.29


Undertaker


J. P. CLEARY & SON


Filed


A true copy.


Attest :


EumSeinen


1915.


Registrar.


CITY REG


NATURAL CAUSES. HEART DIS.


PROB.CORONARY SCLEROSIS


Jeff. 25, 1915


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


107 Pulmino (No.


Rasmus Oliven


2 FULL NAME


[If married or divorced woman or widow


give maiden name, also name of husband.]


@RESIDENCE


Daniel


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


3 SEX


Male


4 COLOR OR RACE


white


5 SINGLE,


MARRIED,


WIDOWED,


OR DIVORCED


(Write the word)


famil


6 DATE OF BIRTH


Dec 31


(Month)


1872


(Day)


(Year)


7 AGE


42


yrs.


9


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).


Suv. U.S. Boat


· BIRTHPLACE


(State or country)


. C


10 NAME OF


FATHER


Rasmus. Oliven


PARENTS


11 BIRTHPLACE OF FATHER (State or country) Bergen, norway


12 MAIDEN NAME


OF MOTHER


13 BIRTHPLACE


OF MOTHER


(State or country)


14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


(Informant)


(Address)


16


Filed. 191


REGISTRAR


17


I HEREBY CERTIFY that I attended deceased from


Sept 20


, 1915, to


Sgt 26


1915


that I last saw him


alive on


Refs 26ª


1915


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


4 H m.


The CAUSE OF DEATH* was as follows : Lobar Pneumonia


(Duration)


.. yrs.


......


mos.


7 ds.


Contributory (SECONDARY)


(Duration)


yrs.


.....


mos.


ds.


(Signed)


31mitcule


M.D.


Cety 28, 1915 (Address)


without


* 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


DATE OF BURIAL


C/2S. 1915


20 UNDERTAKER


ADDRESS


Ward)


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


1.


16 DATE OF DEATH


Suff


(Month)


26


(Day)


1919


(Year)


-


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 Ilouse- keepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gain- fully employed, as At school or At home. Care should be taken to report specifically the occupations 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 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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