USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1913-1915 > Part 114
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The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
.
(N American Hotel 211 norths.
.
Ward)
(City/or town.) [If death occurred in a hospital or institution, give ita NAME instead of streat and numbar.]
William f. Frx
'FULL NAME [If married or divorced woman or widow give maiden name, also name of husband.] @RESIDENCE 36 Sagamore St. Winthrop, Ma Registered No. MEDICAL CERTIFICATE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
221
4 COLOR OR RACE
SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
Married
" DATE OF BIRTH
October 18
(Month)
(Day)
18.59
(Year)
PAGE
If LESS than
[ day ......... hrs.
58
yrs. ..
mos.
26 ds.
or ........ min. ?
& OCCUPATION
(a) Trade, profession, or
particular kind of work
Traveling Salesman
(b) General nature of Industry,
business, or establishment in
which employed (or employer)
Contractors Supplic
9 BIRTHPLACE
(State or country)
Massachusetts
PARENTS
12 MAIDEN NAME
OF MOTHER
Elizabeth Willis Long
1$ BIRTHPLACE
OF MOTHER
(State or country)
maine
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
Harrison @ Army
(Address)
Ninatherapy Maso.
Filed Mar.16, 1915 JE NARE W 1: 1X. REGISTRAR
1ª DATE OF DEATH
Nov. 13, 195
(Month)
(Day)
(Year)
17 I HEREBY CERTIFY that I attended deceased from have investigated The death of The
deceased.
191.
-to.
191 ... that I last saw h
and that death occurred, on o date stated
The CAUSE OF DEATH* was as follows :
Probable acute cardiac
dilitation. All but a fur
minutes
.. (Duration)
............. yrs.
..............
mos.
ds.
Probable Dattes degeneration
Contributory.
(SECONDARY)
of heart
(Duration)
yrs.
. mos.
ds.
(Signed)
Henry Colt
M.D.
Mr. 13. 1915 (Address)
Pistefield, Mas.
* 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
In the
RECENT RESIDENTS).
At place
of death ..
.yrs. ........
.... mos. .
ds.
State ............ yrs.
........
Where was disease contracted, If not at place of death ?.
mos ..
ds ....
Former or usual residence.
19 PLACE OF BURIAL OR REMOVAL Hanthrow, Mess.
DATE OF BURIAL
Nov. 16. 1915
.DO UNDERTAKER Wellington + Crosier
ADDRESS
Pittsfield
Pitts field
10 NAME OF
FATHER
Edward S. Thay
11 BIRTHPLACE
OF FATHER
(State or country)
" New Hampshire
1
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, Architcet, 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) Salcs- 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 minc, cte. 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 oceu- pation whatever, write None.
Statement of cause of death. - Name, first, the DIS- EASE CAUSING DEATH (the primary affcetion 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, cte., Carcinoma, Sar- coma, etc., of ... .... (name origin: "Cancer" is less definite; avoid use of "Tumor" for malignant ncoplasms) ; Mcasles; Whooping cough; Chronic valvular heart disease; Chronie 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 mere symptoms or terminal conditions, such as "Asthenia," "An- acmia" (merely symptomatic), "Atrophy," "Collapse," "Coma," "Convulsions," "Debility" ("Congenital," "Senile," ete.), "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 septicaemia," "PUERPERAL peritonitis," ete. 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, 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 discase, as A death upon the street, or one supposed to be due to Alcoholism, ete
4. Deaths under circumstances unknown, as A person found dead, cte.
important. See instructions on back of certificate. CAUSE OF DEATH in plain terins, 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
Mintha/
(No ..
2,55Cleanants .:
Minttrop
BOSTON
(City or town.) [If death occurred in a hospital or institution, give its NAME instead of street and number.]
2 FULL NAME.
Joseph Ralexander
[If married or divorced woman or widow give maiden name, also name of husband.] @RESIDENCE Winthrop Masa
PERSONAL AND STATISTICAL PARTICULARS
1 SEX
make It Trite
5 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
6
183.
(Day)
(Year)
7 AGE
If LESS than
1 day ......... hrs.
2 .... yra.
mos.
9 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).
9 BIRTHPLACE
(State or country)
Topsham be.
10 NAME OF
Stanwood alexand
11 BIRTHPLACE OF FATHER (State or country) "Brunswick Ine
12 MAIDEN NAME OF MOTHER Nancy In Iherriman
13 BIRTHPLACE OF MOTHER/ (State or country) Hardwell
14 THE ABOVE 13 TRUE TO THE BEST OF MY KNOWLEDGE
(Informant) Sehralexander
(press) 25-3-Theavantst
16
Filed ., 191
REGISTRAR
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH
(Month)
nor,
(Day)
14
1915
........
(Year)
I HEREBY CERTIFY that I attended deceased from
at intervale 19 Porto try Mettre
. 191
.. .
that ! last saw h ............. alive on
0
Det. 1.
191 .......
and that death occurred, on the date stated above, at
1 1 .m.
The CAUSE OF DEATH* was as follows :
indiandite, nunca Citic
Did a surgical operation precede death
Date
(Duration)
.yrs.
mos.
ds.
Contributory
atie_
....
(SECONDARY)
(Duration)
.............. yrs.
mos. ....
.........
ds.
(Signed)
M.D.
r -1 4, 19 (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 LLAMA OR REMOVAL Tapshar Ine
DATE OF BURIAL
nov.18
1911
20 UNDERTAKER
ADDRESS
Igueradian
Lotet Spraque ERista
Ward)
Registered No.
1 COLOR OR RACE
Married
-
$ DATE OF BIRTH
6
(Month)
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, Loeo- 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 wlien needed. As examples: (a) Spinner, (b) Cotton mill; (a) Sales- man, (b) Groecry; (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, ete. 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, ete. 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 eausation), 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, peritonaeum, etc., Careinoma, Sar- coma, etc., of. ... (name origin: "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms); Measles; Whooping cough; Chronic valvular heart disease; Chronie interstitial nephritis, etc. 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 mere symptoms or terminal conditions, such as "Asthenia," "An- aemia" (merely symptomatic), "Atrophy," "Collapse," "Coma," "Convulsions," "Debility" ("Congenital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Hacmorrhage,". "Inanition," "Marasmus," "Old age," "Shock," "Uraemia," "Weakness," ete., when a definite disease ean 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.
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 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 circumstances unknown, as A person found dead, etc.
....... I SEX 7 AGE PARENTS important. See Instructions on back of certificate. 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 .....
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
1 PLACE OF DEATH
Winthrop
.(No ...
21
Woodside
(seve
Ward)
2 FULL NAME
Frederick
.
& Kwell In
[If married or divorced woman or widow
give maiden name, also name of husoand.]
@RESIDENCE
21 Woodside ave
Widowed
Registered No.
PERSONAL AND STATISTICAL PARTICULARS
+ COLOR OR : RACE
Muito
6 SINGLE
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
Indouce
· DATE OF BIRTH
Sept 10 1847
(Month)
(Day)
(Year)
If LESS than
! day ......... hrs.
68
yrs. mos.
ds.
or ........ min. ?
· OCCUPATION
(a) Trade, profession, or
particular kind of work
Guildw
(b) Generat nature of industry.
business, or establishment in
which employed (or employer).
9 BIRTHPLACE
(State or country)
Barton Mass
·
10 NAME OF
FATHER
Unknown
11 BIRTHPLACE
OF FATHER
(State or conntry)
England
12 MAIDEN NAME
OF MOTHER
Ellen Convers
13 BIRTHPLACE
OF MOTHER
(State or conntry)
Burlington Anass
" THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
Fredericky Anell
(Address)
21 Novdride que
winthrop may 20 UNDERTAKER
Flted 191
REGISTRAR
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH
1800
(Month)
14
1915
(Year)
(Day)
17
I HEREBY CERTIFY that I attended deceased from
imv 12
1915 to
AV 14
1915
that I last saw h w alive on
1915,
and that death occurred, on the date stated above, at
9 A.m.
The CAUSE OF DEATH* was as follows :
Coronary Delemis
Did a surgical operation precede death ?
Date
(Duration)
Guddy
2
.yrs.
mos.
ds.
Contributory
Dineral artrosebasis
(SECONDARY)
(Duration)
2 yrs
... mos.
ds.
.........
(Signed)
M.D.
MV 14
, 1915 (A
(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 placo
of death.
... yrs. .......
.mos.
In the
ds.
Stato
.......... yra. .........
... mos.
......
ds.
Where was disease contracted, If not at place of death ?.
Former or usual residence.
1 PLACE OF BURIAL OR REMOVAL
DATE OF BURIAL
Nov 17, 1915
ADDRESS
Bostero.
Winthrop BOSTON
(City or town.)
[If death occurred in a hospital or institution, give its NAME instead of street and number.]
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, 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 needcd. 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 Housc- kccpcrs 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 homc. 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- EASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted term for the same disease. Examples: Ccrebro-spinal fever (the only definite synonym is "Epidemic cerebro-spinal meningitis") ; Diphtheria (avoid use of "Croup"); Typhoid fever (never rc- 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 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 dcath upon the street, 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
' PLACE OF DEATH
Winthrop
(No. 48, Dieshine
St. Ward)
WintheOD ........... (City or town.) [If death occurred in a hospital or institution, give its NAME instead of street and number.]
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
& SEX
Fr
{ COLOR OR RACE
W
6 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
Widowed
10 DATE OF DEATH
november 14
1915
....
(Month)
(Day)
(Year)
$ DATE OF BIRTH
2
(Month)
(Day)
(Year)
7 AGE
....
If LESS than
1 day ......... hrs.
· OCCUPATION
(a) Trade, profession, or
particular kind of work
(b) General nature of industry,
business, or establishment
which employed (or employer).
9 BIRTHPLACE
(State or country)
10 NAME OF
FATHER
1
PARENTS
11 BIRTHPLACE
OF FATHER
(State or country)
-
12 MAIDEN NAME
OF MOTHER
1$ BIRTHPLACE
OF MOTHER
(State or country)
721 9
" THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
H. L. Lowle
(Address)
4.8 Milebure Sl
Filed DEC. 4, 1915 PRESTEN B. Churchill
I.a.) REGISTRAR
I HEREBY CERTIFY that I attended deceased from
Sett 16
1915 to
nov 14
1915
that I last saw h ........... alive on
19150
and that death occurred, on the date stated above, at.
100 am.
The CAUSE OF DEATH* was as follows :
Carchal Salvario
Contributory
arteriosclerosis
...
(SECONDARY)
Ялла (видео) ..
.. yrs.
X
.mos.
X
ds.
(Signed)
Quiere 8, Solo M.D.
Nov 14. 1915 (Address)
Il meeting mars
* If death followed injury or violence the certificate of death must be made out by the Medical Examiner.
1ª LENGTH OF RESIDENCE (FOR HOSPITALS, INSTITUTIONS, TRANSIENTS, OR RECENT RESIDENTS).
At place
In the
of death
. yrs. ....
.... mos. ...
ds.
Stato ............ yra.
.......... mos.
.......................
Where was disease contracted,
If not at place of death ?.
Former or usual residence
D PLACE OF BURIAL OR REMOVAL
DATE OF BURIAL
11-16
1915
20 UNDERTAKER
1
W.C. H/ 1 932
ADDRESS
2 FULL NAME
Elizabeth. Curtis
[If married or divorced woman or widow give maiden name, also name of husband.] @RESIDENCE 48 WilshireSt, Winthert.
Lasker Por Renson Gusti2
.... Registered No.
5
1836
17
79 yrs. ........ 9 mos 9 ds.
or ........ min. ?
.. (Duration)
........ yrs. ............. mos.
X
.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 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 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- aemia" (merely symptomatic), "Atrophy," "Collapse," "Coma," "Convulsions," "Debility" ("Congenital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Hacmorrhage," "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:
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.
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.
N. B. - Every Item of Information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state
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