Town of Winthrop : Record of Deaths 1913-1915, Part 22

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 22


Note: The text from this book was generated using artificial intelligence so there may be some errors. The full pages can be found on Archive.org (link on the Part 1 page).


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particular kind of work


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


$ BIRTHPLACE


(State or country)


mondon orer


PARENTS


11 BIRTHPLACE


OF FATHER


(State or country)


scotland


12 MAIDEN NAME


OF MOTHER


Finet mationald


13 BIRTHPLACE


OF MOTHER


(State or country)


collana


" THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


(Informant)


(Address)


Filed 191


REGISTRAR


(Duration) ................ yrs. .....


3


... mos.


ds.


Contributory


Neuradhería


(SECONDARY)


(Duration)


3


mos.


ds.


yrs.


(Signed)


orge woode


- M.D .-


July 5, 1913 (Address)


68) Boulion & Barn


Mf 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. 1 ... .... ds.


State 32 yrs.


„mos.


In the 2


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


Where was disease contracted,


If not at place of death ?..


hij Kive, V Costan


usual residence.


Former or


Vaterner. Bacon


19 PLACE OF BURIAL OR REMOVAL DATE OF BURIAL trest Hver ten truy 8, 193


* UNDERTAKER tele and to L'


ADDRESS


2326


Winthrop BOSTON


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


I HEREBY CERTIFY that I attended deceased from


June 2 1, 1913, to


L


191


that I last saw h ........ alive on


191


5


and that death occurred, on the date stated above, at 3Am.


The CAUSE OF DEATH* was as follows :


Hypertrophy of home


10 NAME OF


FATHER


fame metomusic


5- 1. yrs.


mos. ds.


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, 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 line is provided for the latter statement; it should be used only when needed. As examplos: (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., witbout more procise 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 Ilousewife, 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), " Atropby," "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 causo. Always qualify all diseases resulting from childbirth or miscarriage, as "PUER- PERAL septicaemia," " PUERPERAL peritonitis," ctc. 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.


8. 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


Brookline (City or town.)


1 PLACE OF DEATH Brookline .


(No.


McDonald Hospital


St. ;.


.... Ward)


[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.] @RESIDENCE


Winthrop


Registered No.193


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)


Single


6 DATE OF BIRTH


1853


(Month)


(Day)


7 AGE


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


60 yrs. mos. .ds.


or ....... min. ?


3 OCCUPATION


(a) Trade, profession, or Particular kind of work


Silver Plater


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


· BIRTHPLACE


(State or country)


Boston Mass


10 NAME OF


FATHER


Francis Raby


PARENTS


11 BIRTHPLACE OF FATHER (State or country)


Gremany


12 MAIDEN NAME


OF MOTHER


Unknown


18 BIRTHPLACE OF MOTHER (State or country)


Germany


" THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


(Informant)


J C Nelson


(Address)


Winthrop Mass


Filed. July 9 . 121.3


Forwardw. Daher


REGISTRAR


16 DATE OF DEATH


July 8


1913


(Month)


(Day)


(Year)


July 8


193


that I last saw him


alive on


July 8


1913


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


6A


m.


The CAUSE OF DEATH* was as follows : Cancer of Rectum


(Duration)


yrs.


mos. ds.


Anaemia


Contributory


(SECONDARY)


(Duration)


yrs.


mos. ds.


(Signed) .


Augustus Riley


M.D.


Jul.y ..... 8, 191 .... 3 (Address).


Boston Mass


* If deatlı 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


1ª PLACE OF BURIAL OR REMOVAL Cambridge Cem


DATE OF BURIAL


July 11


30 UNDERTAKER


/ C Skaggs


ADDRESS


Winthrop


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.


Charles Raby


Į


(Year)


Jan


4


I HEREBY CERTIFY that I attended deceased from


191 3


to


July 5- 1913.


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 all diseases resulting from childbirth or miscarriage, as "PUER- PERAL septicemia," " 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.


The Commonwealth of Massachusetts STANDARD CERTIFICATE OF DEATH


1 PLACE OF DEATH


(No. 166 BowdoinJ


St. ;...


Ward)


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


-


Ph WithRegistered No.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


4 COLOR OR RACE


Female


6 DATE OF BIRTH


(Month) (Day)


,


(Year)


7 AGE 68


yrs. mos.


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)


9 BIRTHPLACE


(State or country)


Londen Eng


PARENTS


11 BIRTHPLACE OF FATHER


12 MAIDEN NAME


OF MOTHER


Mary Mortlock


13 BIRTHPLACE OF MOTHER (State or country)


England


14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


(Informant)


(Address)


Filed 191.


REGISTRAR RAR


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH


July


11-


(Month)


(Day)


3


, 191


(Year)


17


I HEREBY CERTIFY that I attended deceased from


19/2, 1912, to


., 1913.


that I last saw h M alive on


191,3 ,


and that death occurred, on the date stated above, at. 0 9.m.


The CAUSE OF DEATH* was as follows :


Gangrene left leg (complete)


(Duration) .


.yrs.


mos.


/ O ds.


Contributory


Several arborio seborimo


(SECONDARY)


(Duration)


(Signed)


, M.D.


1913


(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 .


In the


.yrs.


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


20 UNDERTAKER


ADDRESS


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.


mary


Ho Wielis mary


'FULL NAME [If married or divorced woman or widow give maiden name, also name of husband. @RESIDENCE 166 Bowdoin


5 SINGLE,


MARRIED,


WIDOWED,


OR DIVORCED


(Write the word)


If LESS than


I day, .... . . hrs.


10 NAME OF


FATHER


James Hardeny


1


yrs. mos. ds.


July 11-1913.


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 receivo 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, peritoneum, etc., Carcinoma, Sar- coma, etc., of .... .... (name origin : "Cancer" is less definite ; avoid use of " Tumor" for malignant neoplasms) ; Measles; Whooping cough ; Chronic valvular heart disease; Chronic interstitial nephritis, etc. The contributory (second- ary or intercurrent) affection need not be stated unless im- portant. Example: Measles (disease causing death), 29 ds .; Broncho-pneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as " Asthenia," " An- aemia " (merely symptomatic), " Atrophy," "Collapse," " Coma," "Convulsions," "Debility " ("Congenital," "Senile," etc.), "Dropsy," " Exhaustion," "Heart failure," " Haemorrhage," " Inanition," " Marasmus," " Old age," "Shock," " Uraemia," " Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as " PUER- PERAL septicaemia," "PUERPERAL peritonitis," etc. State cause for which surgical operation was undertaken.


Cases for the Medical Examiners. - Under the provisions of chapter 24 of the Revised Laws deaths under the following conditions must be referred to the Medical Examiners :


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


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


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


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


COMMONWEALTH OF MASSACHUSETTS


RETURN OF A DEATH-1913.


CITY OF BOSTON. 6714


FULL NAME


-LYTSAS


Registered No.


BOSTON LYING-IN HOSPT.


Place of Death l Boston and Residence S


Date of Death


JULY 13


.1913.


Age


years


months 24


days.


STATISTICAL DETAILS.


SEX


COLOR


SINGLE, MARRIED, WID., DIV.


FEMALE


WHITE


SINGLE


Maiden Name


Husband's Name


Birthplace


BOSTON


Name of


Father.


ANGEL LYTSAS


Birthplace of Father


GREECE


Maiden Name


AMELIA TREADELOU


of Mother


Birthplace of Mother ..


GREECE


Occupation


Informant


Place of Burial


or removal


MT.HOPE


Undertaker


F. L. BRIGGS


PHYSICIAN'S CERTIFICATE.


I HEREBY CERTIFY that I attended deceased during last illness,


from. .1913, to. .1913, 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 :


ST


REG


T PATRIEUS SIT Primary (Duration)


IC


FFICE:


ISRELIHE'DONA VIT BOSTONIA TONTOTAL. CA DD 1822 1830. BOSTON. MAIS.


Contributory · ? PREMATURITY


(Duration)


(Signed)


C. D. MC CANN


M. D.


JULY 13 1913


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


WINTHROP


Usual Residence


Filed ...


JULY 22


1913.


A true copy.


Attest:


Registrar.


IRAR'S


ERYSIPELAS - 4 DYS


. CITY


PO July 13-1913


MOTEOH


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 Basiltreutchin Embalin


The Commonwealth of Massachusetts


I PLACE OF DEATH


STANDARD CERTIFICATE OF DEATH Point Shirley


Anthrop Mas ard)


Harry Anderson 2 FULL NAME


[If married or divorced woman or widow give maiden name, also name of husband.1. @RESIDENCE


29 Greenwich At Posten


Registered No


26421


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


4 COLOR OR RACE


MALE COLORED


6 DATE OF BIRTH


(Month) (Day)


,


(Year)


7 AGE


4.1


yrs. mos. ds.


or ..... min . ?


& OCCUPATION (a) Trade, profession, or particular kind of work WAITER


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


? BIRTHPLACE (State or country)


CHARLOTTESVILLE, VA.


10 NAME OF FATHER


ANDREW ANDERSON


11 BIRTHPLACE OF FATHER (State or country)


CHARLOTTESVILLE, VA.


12 MAIDEN NAME OF MOTHER


RACHEAL (UNKNOWN )


13 BIRTHPLACE OF MOTHER (state or country)


CHARLOTTESVILLE,VA.


14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


(Informant) MRS. ANDERSON


(Address)


29 GREENWICH STREET


Filed


121


REGISTRAR


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH


July- 16, 1913


(Mouth)


(Day)


(Year)


17


I HEREBY CERTIFY that I have investigated the death of the deceased.


The CAUSE OF DEATH* was as follows : He was in surmming hear Point Shirley Club Float and Suddenly Sank-Attempts at Resuscitationby Physicians failed Arterio Aclerotication Occlusione and. Coronary arteries 1


Contributory


(SECON Arteriosclerosis. Vesselog Hi


(Signed) Jelyth, 1913.


(Address)


Cocciante MEDICAL EXAMINER


Country Suf


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


.8 LENGTH OF RESIDENCE (FOR HOSPITALS, INSTITUTIONS, TRANSIENTS, 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


MT.HOPE CEMETERY


UNDERTAKER


fautelines


DATE OF BURIAL JULY 20, 191


ADDRESS


BostoN


CAMBRIDGE


(City or town.)


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


6 SINGLE,


MARRIED,


WIDOWED,


OR DIVORCED


(Write the word)


MARRIED


1


If LESS than


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


PARENTS


N


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 i 3 provided for the latter statement; it should be used only when needed. As examples: (a) Spinner, (b) Cotton mill; (a) Sales- man, (b) Grocery; (a) Forcman, (b) Automobile factory. The material worked on may form part of the second statement. Never return "Laborer," "Foreman," "Manager," "Dealer," etc., without more precise specification, as Day laborer, Farm laborcr, 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 (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 fevcr (the only definite synonym is "Epidemic cerebro-spinal meningitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never re- port "Typhoid pneumonia"); Lobar pneumonia; Broncho- pneumonia ("Pneumonia," unqualified, is indefinite) ; Tuber-


culosis of lungs, meninges, peritonaeum, etc., Carcinoma, Sar- coma, etc., of. ... (name origin: "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms); Measles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, etc. The contributory (second- ary or intercurrent) affection need not be stated unless im- portant. Example: Measles (disease causing death), 29 ds .; Broncho-pneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as "Asthenia," "An- aemia" (merely symptomatic), "Atrophy," "Collapse," "Coma," "Convulsions," "Debility" ("Congenital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Haemorrhage," "Inanition," "Marasmus," "Old age," "Shock," "Uraemia," "Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as "PUER- PERAL scpticaemia," "PUERPERAL peritonitis," ctc. State cause for which surgical operation was undertaken. For VIOLENT DEATHS state MEANS OF INJURY and qualify as ACCI- DENTAL, SUICIDAL, Or HOMICIDAL, or as probably such, if impossible to determine definitely. Examples: Accidental drowning; Struck by railway train - accident; Revolver wound of head - homicide; Poisoncd by carbolic acid - probably suicide. The nature of the injury, as fracture of skull, and consequences (e. g., sepsis tetanus) may be stated under the head of "Contributory."


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




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