Town of Winthrop : Record of Deaths 1913-1915, Part 117

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 117


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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, Homieidc, 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


.


Hintham


1


(City or town.)


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


2 FULL NAME


[If married or divorced woman or widow give maiden name, also name of husband.] a RESIDENCE 22 Harvardist


Registered No.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX make


4 COLOR OR RACE


White


5 SINGLE,


MARRIED,


WIDOWED,


OR DIVORCED


(Write the word)


: married


· DATE OF BIRTH


Aug


(Month)


25 . 1 877 17 (Day) (Year)


7 AGE


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


38


.yrs.


3


mos.


7


ds.


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


· OCCUPATION


(a) Trade, profession, or


particular kind of work


Carpenter


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


9 BIRTHPLACE


(State or country)


Middleboro Massi


10 NAME OF


David Hinter


PARENTS


11 BIRTHPLACE OF FATHER (State or country) England


12 MAIDEN NAME


OF MOTHER


Unknown


1ª BIRTHPLACE OF MOTHER (State or country)


Unknown


14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE (Informant) Mani Hinter


(Address)


22 Harvard It


16


Filed


191.


REGISTRAR


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH


LOW.


2. 19KJ


(Month)


(Day)


(Year)


I HEREBY CERTIFY that I attended deceased from March, 1913, to.


1915.


that I last saw him alive on


and that death occurred, on the date stated above, at 11 P.m. The CAUSE OF DEATH* was as follows :


Pulmonary Tuberculosis


.(Duration)


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


ds.


Contributory. (SECONDARY)


(Duration)


... yrs.


mos. ds.


(Signed)


Charles Mahoney


Lan 2


358 timeless Lt


1917 (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.


mos.


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


Former or usual residence


1º PLACE OF BURIAL OR REMOVAL


21


20 UNDERTAKER


maley


ADDRESS


Winthrop


important. See Instructions on back of certificate.


The Commonwealth of Massachusetts


STANDARD CERTIFICATE OF DEATH


1 PLACE OF DEATH


sientivou


(No 221An a d' Nt st


Arthur Carnet Hinter


Ward)


DATE OF BURIAL


Dec.4. 1915


In the


M.D.


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 engincer, 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," "Dcaler," etc., without more precise specification, as Day laborer, Farm laborer, Laborcr - 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 (retircd, 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," unqualificd, 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," ctc., 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 death upon the street, or one 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


' PLACE OF DEATH


Winthrop


(No.


36 Elmwood avr. St.


.Ward)


(City or town.) ...


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


William E. Kelley


'FULL NAME


[If married or divorced woman or widow


give maiden name, also name of husband.]


@RESIDENCE


Quicchiop. 36 Elmenrood anos


Registered No.


PERSONAL AND STATISTICAL PARTICULARS


¿ SEX


4 COLOR OR RACE


5 SINGLE,


MARRIED,


WIDOWED,


OR DIVORCED


(Write the word)


Main


e


$ DATE OF BIRTH


12


27


(Month)


(Day)


(Year)


7 AGE


If LESS than


[ day ........ hrs.


62 yra. 11 mos


mos.


2cl


.ds.


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


¿ OCCUPATION


(a) Trade, profession, or


particular kind of work ...


Stained Glass Infar


(b) General nature of industry,


business, or establishment in


which employed (or employer) ..


9 BIRTHPLACE


(State or country)


England


10 NAME OF


FATHER


Henry tilley


11 BIRTHPLACE


OF FATHER


(State or country)


England


12 MAIDEN NAME


OF MOTHER


18 BIRTHPLACE


OF MOTHER


(State or country)


14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


(informant)


(Address)


36 claves vide e 3


REGISTRAR


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH


12


(Month)


(Day)


3


.. 191.5-


(Year)


1832


17


I HEREBY CERTIFY that I attended deceased from


July 9


191


5. to Du 3, 1915 that I last saw h was alive on 1915 and that death occurred, on the date stated above, at/ -Pm. The CAUSE OF DEATH* was as follows :


gastei Carcinoma


about


(Duration) ...


1


.yrs.


6 mos ..


Ads.


Contributory.


(SECONDARY)


yrs. ....


mos. ...


.......


ds.


(Signed)


Owiele & Johnson M.D.


Du 4, 1995 (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).


In the


At place


of death.


. yrs.


mos ..


ds.


State ........... yrs. ........... mos ..


.........


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


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


Former or usual residence


19 PLACE OF BURIAL OR REMOVAL


DATE OF BURIAL


12-5


.,


1917


" UNDERTAKER


ADDRESS


Albert


Filed 191


...


PARENTS


...


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, ete. But in many cases, especially in industrial employments, it i; 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 necded. 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 "Laborcr," "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 oecu- 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 "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); 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 death upon the street, or onc supposed to be due to Alcoholism, etc.


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


3 SEX Male $ DATE OF BIRTH 7 AGE 52 t. 1ª BIRTHPLACE OF MOTHER (State or country) (Informant) CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very PARENTS important. See Instructions on back of certificate. (Address) Filed 191 N. B. - Every item of information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state which employed (or employer).


The Commonwealth of Massachusetts


STANDARD CERTIFICATE OF DEATH


1 PLACE OF DEATH


Winthroh


Alexander


Mellan ...


? FULL NAME


[If married or divorced woman or widow


give maiden name, also name of husband.]


@RESIDENCE


Washington & Trambers


Wirethral / Registered No.


PERSONAL AND STATISTICAL PARTICULARS


4 COLOR OR RACE


White


b SINGLE,


MARRIED,


WIDOWED,


OR DIVORCED


(Write the word)


Maned


(Month)


(Day)


1863


(Year)


If LESS than


[ day ........ hrs.


Or ........ min. ?


& OCCUPATION


(a) Trade, profession, or


particular kind of work.


Salesman


(b) General nature of industry,


business, or establishment In


Candy Business


9 BIRTHPLACE


(State or country)


Montreal Canada


10 NAME OF


FATHER


Quaid Millan


11 BIRTHPLACE


OF FATHER


(State or country)


Pentland


12 MAIDEN NAME


OF MOTHER


Mary Freitas


Fralland


" THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


REGISTRAR


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH


(Month)


4


1915


(Day)


(Year)


17 I HEREBY CERTIFY that I attended deceased from


1915 to


De 4℃


1915


that I last saw h wi alive on


the15


1915


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


11 Hm.


The CAUSE OF DEATH* was as follows :


Coronary scleros (angma)


.(Duration)


5 de.


mos ..


Contributory.


General arlono selounto


(SECONDARY)


(Duration)


2


yrs.


.mos.


ds.


(Signed)


the 6, 1915 (Address)


Winthrop


* 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 death


. yrs.


.. mos. .............


ds.


Stste ............ yrs.


............ mos. .


.........


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


Former or usual residence


19 PLACE OF BURIAL OR REMOVAL Woodlawn Pour


DATE OF BURIAL


Current


1915


D UNDERTAKER


.......


ADDRESS


Vale J. Write


(City or town.)


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


.. (No .................


Washington Chambers St. :


...... ... Ward)


... yrs.


M.D.


yrs. .... 6 mos. . 11 . ds.


23


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 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, 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) 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, 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 faet may be indicated thius: Farmer (rctired, 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: Cercbro-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; Broneho- pneumonia ("Pneumonia," unqualified, is indefinite) ; Tuber-


culosis of lungs, meninges, peritonaeum, etc., Carcinoma, Sar- coma, ete., of .... ... (name origin: "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms); Measles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, ete. The contributory (second- ary or intereurrent) 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 symptomatie), "Atrophy," "Collapse," "Coma," "Convulsions," "Debility" ("Congenital," "Senile," ete.), "Dropsy," "Exhaustion," "Heart failure," "Haemorrhage," "Inanition," "Marasmus," "Old age," "Shock," "Uraemia," "Weakness," etc., when a definite discase 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, ete.


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, ete.


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


Winthrop


(No.


285 Shirley


St. :


...... Ward)


Patrick & Argan


Edan


2 FULL NAME [If married or divorced woman on widow give maiden name, also name of hasband.] a RESIDENCE 285 hurley Sti


PERSONAL AND STATISTICAL PARTICULARS


3 SEX male


4 COLOR OR RACE


White


5 SINGLE,


MARRIED,


WIDOWED,


OR DIVORCED


(Write the word)


Manuel


$ DATE OF BIRTH march 17


(Month)


(Day)


(Year)


7 AGE


If LESS than [ day ........ hrs ..


29


.yrs.


8


mos.


20 de.


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


8 OCCUPATION


(a) Trade, profession, or


particular kind of work


Watchman


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


9 BIRTHPLACE


(State or country)


* Ireland


PARENTS


12 MAIDEN NAME


OF MOTHER


Undartemis Donough


1ª BIRTHPLACE OF MOTHER (State or country)


ZEland


14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


(Informant)


(Address)


280 ShirtEN


Flied


191


1


REGISTRAR


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH


Lec


(Month)


(Day)


7


1918


(Year)


1886


17


I HEREBY CERTIFY that I attended deceased from


410021


1915


.. .


to ..


Lecy


1915


that I last saw h ( ww alive on


Wee y'


....


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


..... m.


The CAUSE OF DEATH* was as follows :


Typhoid fever


(Duration)


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


................ mos.


16


ds.


Contributory (SECONDARY)


(Duration)


.... yrs.


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


(Signed)


William


Vt. Drauge.


M.D.


(Addrass).


* 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.


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 St marys Dov


DATE OF BURIAL


191/


* UNDERTAKER


ADDRESS


Winthrop


10 NAME OF


FATHER


Unknown


11 BIRTHPLACE OF FATHER (State or country) ZEland


(City or town.)


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


Registered No.


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 enginecr, 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) Salcs- 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- keepers who receive a definite salary), may be entered as Houscwifc, 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 doniestie service for wages, as Servant, Cook, Houscmaid, 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. - Nanie, 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 fcver (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) ; T'uber-


culosis of lungs, meninges, peritonaeum, 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-pncumonia (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 scpticacmia," "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.




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