USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1913-1915 > Part 39
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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 :
GISTA
RAR'S
CITY
. SICUT ( Duration" OFFICE
CTVITAT BOSTONIA ΣΦΚΟΙΤΑ ..
TA A.1822.
NATURAL CAUSES -HEM . SPONTANEOUS OF BRAIN (PRESUMABLE) CARDIO-RENAL DIS.
. MASS Contributory . (Duration)
SUDDEN DEATH
(Signed)
G. B.MAGRATH. MED. EX .
M.D.
DEC.24 1913
SPECIAL INFORMATION from Hospitals, Institutions, Transients, or Recent Residents.
Place of Burial or removal
Undertaker
E. G. BROWN & SON.
WINTHROP (285 PLEASANT ST)
Usual Residence
Filed
DEC.29 1913.
A true copy. Attest. ENMSlenen
Registrar.
Place of Death ) and Residence S
Boston DEC.24
Date of Death
JAMES G. WALKER
FULL NAME
CAMBRIDGE ( CAMB . CEM )
ATIS RE IS REGIMISE DONATA A BOSTO
Dec. 241 ,1913
important. See instructions on back of certificate. 16 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 PARENTS
The Commonwealth of Massachusetts STANDARD CERTIFICATE OF DEATH
1 PLACE OF DEATH
(No.
mulcall Hospital
St. :
.......... Ward)
[if death occurred in a hospital or institution, give its NAME instead of street and number.]
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
4 COLOR OR RACE
W
MARRIED M4122H
WIDOWED,
OR DIVORCED
(Write the word)
$ DATE OF BIRTH
14
(Month)
(Day)
(Year)
7 AGE
28 yrs. 8
.. yrs ...
mos.
18
ds.
Or ......... min. ?
& OCCUPATION
(a) Trade, profession, or
particular kind of work
athome
(b) General nature of industry.
business, or establishment
which employed (or employer).
9 BIRTHPLACE
(State or country)
3) Salem- Mars
10 NAME OF
FATHER
Frank Lauralee
11 BIRTHPLACE
OF FATHER
(State or country)
Salen
12 MAIDEN NAME
OF MOTHER
Atalay
18 BIRTHPLACE
OF MOTHER
(State or country)
belaster
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
(Address)
18 Vinter.
Filed 191
REGISTRAR
16 DATE OF DEATH
12
(Month)
(Day)
25.
. 198
(Year)
17 I HEREBY CERTIFY that I attended deceased from Dec 24 1913
to.
De 251
1913
that I last saw her
alive on
1913
and that death occurred, on the date stated above, at.
2.30pm.
The CAUSE OF DEATH* was as follows :
Puerperal Eclampsia
.(Duration)
.. yrs.
mos.
1
ds.
Contributory.
vicardutal to birth
(SECONDARY)
(Signed)
BiMalcol
M.D.
Ilux 27, 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.
2 ds.
State 28 yrs.
„mos ..
ds.
In the
Where was disease contracted,
If not at place of death ?.
18 Une une
wrathof,
Former or
usual residence.
18 Ume any
19 PLACE OF BURIAL OR REMOVAL
Lieve Favore Cous-
Salque Mieux
DATE OF BURIAL
12-28-1913
....
20 UNDERTAKER
W.C. Skaggs
ADDRESS
-
(City or town.)
Lillian In. Carter,
Lavable- Harald & Carrier
2 FULL NAME
[If married or divorced woman or widow
give maiden name, also name of husband.] ..
@RESIDENCE
18 Vine Pour Wine Chuck
Registered No.
5 SINGLE,
1885
If LESS than
[ day ......... hrs.
(Duration)
................ yrs.
mos.
ds.
STANDARD CERTIFICATE OF DEATH.
Statement of occupation. - Precise statement of occu- pation is very important, so that the relativo 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, etc. But in many cases, especially in industrial employments, it is necessary to know (a) the kind of work and also (b) the naturo 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) Forcman, (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, 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, peritonacum, 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 discase; Chronic interstitial nephritis, etc. Tho contributory (second- ary or intercurrent) affection need not bo 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," "Collapsc," "Coma," "Convulsions," "Debility" ("Congenital," "Senile," etc.), "Dropsy," "Exhaustion," "Ileart failure," "Haemorrhage," "Inanition," "Marasmus," "Old age," "Shock," "Uraemia," "Weakness," etc., wlien a definite disease can be ascertained as the cause. Always qualify all diseases resulting fromn childbirth or miscarriage, as "PUER- PERAL septicacmia," "PUERPERAL peritonitis," ctc. 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, 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 DEATH7 Winthro maso 33 Chester Che Ward) Catherine Mcmahon
BOSTON
(City or town.) {If death occurred in a hospital or institution, give its NAME instead of street and number.]
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE
§ SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
Windows
6 DATE OF BIRTH
(Month) (Day)
1
(Year)
7 AGE
2 8 yrs. -
mos.
ds.
If LESS than
| day, ........ hrs.
or
min. ?
& OCCUPATION
ext Home
(b) General nature of industry, business, or establishment in which employed (or employer).
9 BIRTHPLACE
(State or country)
Halifax HD
PARENTS
11 BIRTHPLACE
OF FATHER
(State or country)
Halifax ns
12 MAIDEN NAME
OF MOTHER
Catherine B. Co
1ª BIRTHPLACE
OF MOTHER
(State or country)
Cheland
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
Daughter
(Address)
REGISTRAR ....
MEDICAL CERTIFICATE OF DEATH
3
(Day)
. 191
(Year)
17
I HEREBY CERTIFY that I attended deceased from
Dec1.
1913
to
Dec 25
1913
that I last saw her alive on
Dec 22
1913
and that death occurred, on the date stated above, at.
6 0% m.
The CAUSE OF DEATH* was as follows : Cerebral Hemorrhage Oedema of Semas
(Duration)
yrs.
.mos.
14
ds.
Contributory
(SECONDARY)
SECONDARY Lenulity
..... (Duration)
yrs.
mos. ds.
Signed
Na Waller
M.D.
ac 27, 1913 (Address
472 Broadua
* If death followed injury or violence the certificate of death must be made out by the Medical Examiner.
8 LENGTH OF RESIDENCE (FOR HOSPITALS, INSTITUTIONS, TRANSIENTS, OR RECENT RESIDENTS).
death
yrs
mos.
ds.
State
yrs.
mos.
ds .............
Where was dlsease contracted, If not at place of death ?.
Former or usual residence
19 PLACE OF BURIAL OR REMOVAL
DATE OF BURIAL
It Paul Carlinglex 29/19/3
asil Com
30 UNDERTAKER
Rekinem
ADDRESS
6. 1 aster
...
2 FULL NAME
[If married or divorced woman or widow
give maiden name, also name of husband.]
@RESIDENCE
33
Chester ave
Registered No.
16 DATE OF DEATH
lic
(Month)
25
Filed. 191
10 NAME OF
FATHER
William Unkna
(a) Trade, profession, or
particular kind of work
ainterio-sclerosi
?
In the
1
2
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. Tho 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 lino is provided for the latter statement ; it should bo 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. Nover return "Laborer," "Foreman," " Manager,""Dealer," etc., without more precise specification, as Day loborer, Farm laborer, Laborer - Coal mine, etc. Women at home, who aro 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 affoction 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- ncumonia (" Pneumonia," unqualified, is indefinite) ; Tuber-
culosis of lungs, meninges, peritonacum, etof Carcinoma, Sar- coma, etc., of .. .. (name origin: " 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 strcet, or one supposed to be due to Alcoholism, etc.
4. Deaths under circumstances unknown, as A person found dead, etc.
2 FULL NAME 8 SEX Jemmali 6 DATE OF BIRTH 7 AGE & OCCUPATION (a) Trade, profession, or particular kind of work · BIRTHPLACE (State or country) 10 NAME OF FATHER 11 BIRTHPLACE OF FATHER (State or country) 12 MAIDEN NAME OF MOTHER PARENTS 12 BIRTHPLACE OF MOTHER (State or country) (Informant) 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 CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very (b) General nature of industry, business, or establishment in which employed (or employer).
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
1 PLACE OF DEATH
grantuz
(No.
18 Tentesby
St. ;......
. Ward)
(City or town.) [If death occurred in a hospital or institution, give its NAME instead of street and number.]
Josephmia delive
Benson
[If married or divorced woman or widow give maiden name, also name of husband.] @RESIDENCE
Widow
John.
F: 13 anton
18 Tewhokan that Muchun Registered No.
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE
5 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
(Month)
If LESS than day ......... hrs.
yrs. 8
mos.
2.20 ds.
Or ....... min. ?
Die 29
1913,
that i last saw
en
alive on
Dec 29
191.3 ..
and that death occurred, on the date stated above, at
m.
The CAUSE OF DEATH* was as follows :
arterio schussis
(Duration)
.. yrs.
mos.
ds.
Contributory
Cerebral Remontage
(SECONDARY)
(Duration) yrs.
mos. 7 ds.
(Signed) 1. Da faith Taylor. M.D.
Dee 3D 193
(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.
In the
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
DATE OF BURIAL
12/35
191
3
· UNDERTAKER
ADDRESS
......
.....
REGISTRAR
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH
alec
2 g
(Month)
(Day)
3
191
....
2
18:31
11
I HEREBY CERTIFY that I attended deceased from
(Day)
(Year)
Du 29
1913
, to
(Year)
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
1Dec. 2 9,
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 preciso 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: C'erebro-spinal fever (the only definite synonym is "Epidemic cerebro-spinal meningitis") ; Diphtheria (avoid use of "Croup") ; Typhoid fever (never ro- port " Typhoid pneumonia ") ; Lobar pneumonia ; Broncho- pneumonia (" Pneumonia," unqualified, is indefinite) ; Tuber-
culosis of lungs, meninges, peritonaeum, ete., Carcinoma, Sar- coma, etc., of ... (name origin: "Cancer" is less definite ; avoid use of " Tumor" for malignant neoplasms) ; Measles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, etc. The contributory (second- ary or 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," "Hemorrhage," "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, Ilomicide, 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 Important. See Instructions on back of certificate.
The Commonwealth of Massachusetts STANDARD CERTIFICATE OF DEATH
I PLACE OF DEATH
7
(No.
Sea Same crue
.St .; Ward)
BOSTON ...
(City or town.) [If death occurred in a hospital or institution, give ita NAME instead of street and number.]
2FULL NAME
Babes
Brittan
[If married or divorced woman or widow
give maiden name, also name of basband.]
@RESIDENCE
2
Sea tome fans
PERSONAL AND STATISTICAL PARTICULARS
ª SEX
4 COLOR OR RACE
Lomale White
5 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
X
6 DATE OF BIRTH
(Month) (Day)
12/4
(Year)
TAGE
If LESS than
1 day. Chris
Of ........ min. ?
8 OCCUPATION
(a) Trade, profession, or
particular kind of work
1
(b) General nature of Industry, business, or establishment in which emplayed (or employer).
9 BIRTHPLACE
(State or country)
10 NAME OF
FATHER
Salomon Brittan
PARENTS
12 MAIDEN NAME
OF MOTHER
Rena Sanfata
18 BIRTHPLACE
OF MOTHER
(State or country)
" THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant) Mencan
Sanfaty
(Address)
7 Sea Danke
REGISTRAR
I HEREBY CERTIFY that I attended deceased from
191.
4 to
face, 10%
..
191
that I last saw her
alive on ..
Rzu 12h
1914
and that death occurred, on the date stated above, at
.m.
The CAUSE OF DEATH* was as follows :
Premature birth,
16M/v.)
(Duration)
............. yrs.
............... mos. ...............
ds.
Contributory.
(SECONDARY)
.....
(Duration)
............ yrs. ................ mos.
...........
da
(Signed)
Partir
M.D.
Pam. 3 . 1/4
(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.
State ............ yr's. .......... mos.
......
ds .............
Where was disease contracted, If not at place of death ?...
Former or usual residence.
" PLACE OF BURIAL OR REMOVAL Rother Mortal Saca
DATE OF BURIAL
mont vale llantas 4, 1914
" UNDERTAKER
IMlayen Solomon
ADDRESS
4.9 barstan St
Rot
Filed 191
MEDICAL CERTIFICATE OF DEATH
10h
4
(Month)
(Day)
191
(Year)
1ª DATE OF DEATH
ham.
Registered No.
....... ... ............... amos. .............. ds.
11 BIRTHPLACE OF FATHER (State or country) England
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 (uot 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, Arst, 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) affectiou 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.
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