USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1913-1915 > Part 112
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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 : RAR'S .SITO
Primary: ( Duration)
OFFICE
DROWNING -CAUSED BY A STEAM R.R. ACCIDENT( B R.B.& L) ( TRESPASSER )
Contributory : ! (Duration)
G. B. MAGRATH MED.EX.
(Signed) M. D.
ост . 28 1915 SPECIAL INFORMATION from Hospitals, Institutions, Transients, or Recen! Residents.
Place of Burial or removal SUNFIELD. AICH
Undertaker
C. R. BENNISON
WINTHROP
Usual Residence
( FORT BANKS) WINTHROP
Filed
OCT. 30
1915.
A true copy. Attest : Eumylenen
Registrar.
CITY RI
SICUT P
CIVTTAT
BOSTONIA
TONTITAA 1.31. THE DONATA A
N. MASS
To
-
-
1
CAUSE OF DEATH In plain terms, so that it may be properly olassifted. 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
mulisch Mass
(No.
919 Pintura
St. :
.....
Ward)
Still Born Hart
2 FULL NAME
{If married or divorced woman or widow
give maiden name, also name of husband.]
@RESIDENCE
319 Wantarok 1th Wantingle W Registered No.
MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
$ SEX
4 COLOR OR RACE
5 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
16 DATE OF DEATH)
25
(Month)
(Day)
191
(Year)
' DATE OF BIRTH
19 17
(Month)
(Day)
(Year)
1 AGE
If LESS than
{ day ........ hrs.
.yrs.
mos.
-
ds.
„min. ?
* OCCUPATION
(a) Trade, profession, or
particular kind of work
-
(b) General nature of industry,
business, or establishment In
which employed (or employer)
Did a surgical operation precede death ?
Date
........
(Duration) ........... yrs. .............. mos.
.............
.ds.
Contributory
(SECONDARY)
(Duration)
............. yrs.
.......... mos.
ds.
(Signed)
Harvey atella
M.D.
0226, 1918 (Address).
200 Pleasant&
* 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 pisco
of death .........
.yrs.
mos.
ds.
Stat ............. yrs. ............ mos.
ds .............
In the
Where was disease contracted,
If not at place of death 7 .......
Former or
usual residence
" PLACE OF BURIAL OR REMOVAL It Micheal emeur
DATE OF BURIAL
12et 20
1915
D UNDERTAKER
ADDRESS
Filed 19!
REGISTRAR
I HEREBY CERTIFY that I attended deceased from
191 __ , to
191
that I last saw h _..........
alive on
191
........
and that death occurred, on the date stated above, at
.m.
The CAUSE OF DEATH* was as follows :
Stilltory
· BIRTHPLACE
(State or country)
Vintage Hvaso
PARENTS
12 MAIDEN NAME
OF MOTHER
Katherine Herbert
1ª BIRTHPLACE
OF MOTHER
(State or country)
Levñon Mass
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(informant)
in The
(Address)
Wintherde Wars
-
A
BOSTON
(City or town.) [If death occurred in a hospital or institution, give its NAME instead of street and number.]
N. B .- Every item of information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state
10 NAME OF
FATHER
virgen de Halt
11 BIRTHPLACE
OF FATHER
(State or country)
STANDARD CERTIFICATE OF DEATH.
Statement of occupation. - Preeise statement of oecu- pation is very important, so that the relative healthfulness of various pursuits ean be known. The question applies to eachı 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 houschold only (not paid Housc- 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 oceupations of persons engaged in domestie service for wages, as Servant, Cook, Housemaid, ete. If the oceupation has been changed or given' up on account of the DISEASE CAUSING DEATH, state oceupation at beginning of illness. If retired from business, that fact may be indicated thus: Farmer (rctircd, 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 affeetion 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 "Epidemie 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); Mcaslcs; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, ete. The contributory (seeond- ary or intereurrent) affection need not be stated unless im- portant. Example: Measles (disease eausing 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," ete., when a definite disease ean be ascertained as the eause. Always qualify all diseases resulting from childbirth 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 Medical Examiners:
1. Deaths following injury or violence, as Burns, Falls, Drowning, Gas poisoning, Suicide, Homicide, ete.
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 onc supposcd 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
Winchot
(No.
Varnum. Fletcher Robbins
2 FULL NAME
[If married or divorced woman or widow
give maiden name, also name of husband.]
@RESIDENCE
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH
25, 1915
(Month)
(Day)
(Year)
$ DATE OF BIRTH
28 1840
(Month)
(Day)
(Year)
1912
191
...
to
7 AGE
If LESS than 1 day ......... hrs.
75
.yrs.
or ....
min. ?
8 OCCUPATION
(a) Trade, profession, or
particular kind of work
Retur
(b) General nature of industry,
business, or establishment In
which employed (or employer)
Enganam
9 BIRTHPLACE
(State or country)
to action Man
PARENTS
12 MAIDEN NAME
OF MOTHER
Johann Wodyer
1ª BIRTHPLACE
OF MOTHER
(State or country)
"THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
(Address)
Filed 191
........
REGISTRAR
.. (Duration)
yrs. Suddenly
I.ds.
Contributory
myo carditis, General artino seborio
(SECONDARY)
3
yrs
.(Duration)
mos.
ds.
(Signed)
u$ 26
1910 (Address)
Wanthopp
* 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.
In the
Where was disease contracted,
......... .... If not at place of death ?.
Former or usual residence
19 PLACE OF BURIAL OR REMOVAL Schon- Man
DATE OF BURIAL
Oct 27
ـى اوا
ADDRESS
2 UNDERTAKER
CR. Barnum
(City or town.)
St. ;......
.. Ward)
[If death occurred in a hospital or institution, give its NAME instead of street and number.]
....
3 SEX
Make
COLOR OR RACE
5 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
17 I HEREBY CERTIFY that I attended deceased from
oct 25 1915
that I last saw him alive on
oct23'
1915
and that death occurred, on the date stated above, at
49m.
The CAUSE OF DEATH# was as follows :
Coronary schrosio
10 NAME OF
FATHER
Tilly Robbins
M.D.
11 BIRTHPLACE
OF FATHER
(State or country)
1
mos.
ds.
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 applics 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 ncedcd. 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," "Dcaler," etc., without more precise specification, as Day laborer, Farm laborcr, 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, peritonaeum, etc., Carcinoma, Sar- coma, etc., of .. .... (name origin: "Cancer" is less definite; avoid use of "Tumor" for malignant ncoplasms); 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 (discase causing death), 29 ds .; Broncho-pneumonia (secondary), 10 ds. Never report mcre 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 ascertaincd as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as "PUER- PERAL septicacmia," "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 street, or one supposed to be due to Alcoholism, etc.
4. Deaths under circumstances unknown, as A person found dead, ctc.
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. 96
Belleview av3
St.
.Ward)
...
Etta M. Eaton
2 FULL NAME
[If married or divorced woman or widow
give maiden name, also name of busband.]
@RESIDENCE
Washington D.C. & Hello, DUE.
Registered No.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
' COLOR OR RACE
W
5 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
Single
16 DATE OF DEATH
Oct- 27- 191
(Month)
(Day)
(Year)
$ DATE OF BIRTH
2 (Month)
8 , 1869 (Year)
7 AGE
If LESS than [ day ......... hrs.
46 yrs. 8 mos. 18 de.
.... min. ?
8 OCCUPATION
(a) Trade, profassion, or
particular kind of work
Compositor
(b) General natura of industry.
business, or establishmant f
which employed (or amployer).
9 BIRTHPLACE
(State or country)
Vineland M.J.
10 NAME OF
FATHER
Joseph A Eaton
PARENTS
12 MAIDEN NAME
OF MOTHER
Lama Lillefield
18 BIRTHPLACE
OF MOTHER
(State or country)
" THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
V. Eaton-
(Address)
96 Delle ve,, 112.
16
Filed ., 191
REGISTRAR
17 I HEREBY CERTIFY that I attended deceased from
det 28.
5
to
191
191
5 .........
Get 26
that I last saw h
alive on
191
10/20.
J-
and that death occurred, on the date stated above, at
The CAUSE OF DEATH* was as follows :
Diabetes
.......... de.
Contributory (SECONDARY) ?
.(Duration)
7.5. morris.
yr
mos. „ds.
M.D.
e .........
* If death followed injury or violence the certificate of death must be made out by the Medical Examiner.
18 LENGTH OF RESIDENCE (FOR HOSPITALS, INSTITUTIONS, TRANSIENTS, OR RECENT RESIDENTS).
In the
At place
of daath.
.. 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 Quello. M.E.
DATE OF BURIAL
Oct 2.9. 1916
10 UNDERTAKER W.C. Ska 770
ADDRESS
.... (City or town.) [If death occurred in a hospital or institution, give its NAME Instead of street and number.]
....
11 BIRTHPLACE
OF FATHER
(State or country)
(Signed)
Cet (2), 195
(Address)
....
(Day)
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 cach 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, Architeet, 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 domestie 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- CASE 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, 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- acmia" (merely symptomatic), "Atrophy," "Collapse," "Coma," "Convulsions," "Debility" ("Congenital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Haemorrhage," "Inanition," "Marasmus," "Old age," "Shock," "Uracmia," "Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as "PUER- PERAL scpticaemia," "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 street, or one supposed to be due to Alcoholism, etc.
4. Deaths under circumstances unknown, as A person found dead, etc.
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
' PLACE OF DEATH
Metcalf Hospital No. 174, Winthrop St
Winthrop
St. Ward)
(City or town.) [If death occurred in a hospital or institution, give its NAME instead of street and number.]
2 FULL NAME
Frederick M. Willis
[If married or divorced woman or widow
give maiden name, also name of husband.]
aRESIDENCE /66 Borodov- St. Wiechole
....
Registered No.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH
oct
(Month).
31
(Day)
1915
....
(Year)
17
I HEREBY CERTIFY that I attended deceased from
1
vit
10
1915 __ , to
001 31
1915
uzt 31
that I last saw him
alive on
1915
and that death occurred, on the date stated above, at,
220 Am.
The CAUSE OF DEATH* was as follows :
acute Indicareits, acute
Contributory
Phátin aute contentos
(SECONDARY)
(Signed)
(3) Dulcel
....
M.D.
.(Duration)
yrs.
mos.
2 /ds.
NW 14
191 .... (Address).
* If death followed injury or violence the certificate of death must be made out by the Medical Examiner.
18 LENGTH OF RESIDENCE (FOR HOSPITALS, INSTITUTIONS, TRANSIENTS, OR RECENT RESIDENTS).
At plsce
of death
........ yrs.
.. mos.
3
ds.
In the
State
.. yrs. ............ mos.
Where was disease contracted,
If not at place of death ?.
166 Burden H
Former or
usual residence
1.
19 PLACE OF BURIAL OR REMOVAL
Winthrop Cent.
DATE OF BURIAL
11-2
........
191.5-
" UNDERTAKER WC Skaggs
ADDRESS
10 millich
3 SEX
4 COLOR OR RACE
§ SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
21
· DATE OF BIRTH
9
(Month)
(Day)
1 AGE
39
........ yrs.
1
.. mos.
ds.
· OCCUPATION
(a) Trade, profession, or Leaneste.
particular kind of work __ (
(b) General nature of industry,
business, or establishment In
which employed (or employer).
9 BIRTHPLACE
(State or country)
Winthrope.
10 NAME OF
FATHER
12 MAIDEN NAME
OF MOTHER
PARENTS
Many Harding
1ª BIRTHPLACE
OF MOTHER
(State or country)
London Ena
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very
important. See Instructions on back of certificate.
Filed
N. B. - Every item of Information should be carefully supplied. AGE should be stated EXACTLT. PHYSICIANS should state
11 BIRTHPLACE
OF FATHER
(State or country)
Nashura, n.H.
1876
.,
(Year)
If LESS than
I day ......... hrs.
or ........ min. ?
(Informsnt)
Olive Willis
(Address) 166 London at With
191
REGISTRAR
.(Duration)
.. yrs.
mos.
3
ds.
Single
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 fireman, cte. 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 occu- pation whatever, write Nonc.
Statement of cause of death. - Name, first, the DIS- CASE 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 "Epidemie 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 .... .... (namo origin: "Cancer" is less definite; avoid use of "Tumor" for malignant ncoplasms); 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- acmia" (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 septicacmia," "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:
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