Town of Winthrop : Record of Deaths 1913-1915, Part 45

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 45


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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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.


7 AGE & OCCUPATION (a) Trade, profession, or particular kind of work PARENTS 13 BIRTHPLACE ØF MOTHER /(Stato or country) important. See instructions on back of certificate. 15 Filed 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


' PLACE OF DEATH/ Winthrop (No 33 Dolphin Che Stillborn Call


St. : Ward)


Winthroh (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


Male White


4 COLOR OR RACE


5 SINGLE,


MARRIED,


WIDOWED,-


OR DIVORCED


(Write the word)


Single


6 DATE OF BIRTH


Subway/ 16


(Month)


If LESS than


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


.. yrs. mos. ds.


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


· BIRTHPLACE


(State or country)


* Withuchi Phase


10 NAME OF


FATHER


Albert Call.


11 BIRTHPLACE OF FATHER (State or country) Gast Boston


12 MAIDEN NAME OF MOTHER Julia Sullivan


(Boston Inass)


14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


(Informant)


Albert Call


(Address)


33 Dolllum Ave


REGISTRAR


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH


(Month)


16


19114


(Day)


(Year)


(Day)


.1914


17


I HEREBY CERTIFY that I attended deceased from


(Year)


1914, to


726 162


1915


that I last saw him alive on


191


.....


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


The CAUSE OF DEATH* was as follows :


Primature burtt


macerated foetus (y mos)


(Duration)


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


...............


mos.


ds.


Contributory (SECONDARY)


(Duration) .yrs.


mos.


ds.


(Signed)


M.D.


1914 (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.


" PLACE OF BURIAL OR REMOVAL St Duchache GEM


DATE OF BURIAL


1914


20 UNDERTAKER


ADDRESS


19 Atlantic St


Hijithron


191


Registered No.


2 FULL NAME [If married or divorced woman or widow give maiden name, also name of husband.L @RESIDENCE 33 Dolphin Che


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 sccond 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 engagod in the duties of the household only (not paid Ilousc- 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 (rctired, 6 yrs.). For persons who have no occupation whatever, write Nonc.


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- 1 pneumonia (" Pneumonia," unqualified, is indefinite) ; Tuber-


culosis of lungs, meninges, peritoneum, etc , Carcinoma, Sur- 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. Examplo: Mcasles (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," "Wcakness," etc., when a definite discase 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 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 duc to Alcoholism, etc.


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


The Commonwealth of Massachusetts


STANDARD CERTIFICATE OF DEATH


1 PLACE OF DEATH Winthrop (No 35 Buch Road


William


Byron


manuel


35 Buch Road Winchit


Registered No.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


· DATE OF BIRTH


7 AGE


PARENTS


13 BIRTHPLACE


OF MOTHER


(State or country)


(Informant)


important. See instructions on back of certificate.


(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


68


4 COLOR OR RACE


White


24


(Month)


(Day)


1844


(Year)


If LESS than


I day, ........ hrs.


yrs.


........


11


mos.


20


ds.


or ....... min. ?


8 OCCUPATION


(a) Trade, profession, or


particular kind of work


Lawyer


(b) General nature of industry,


business, or establishment in


which employed (or employer).


º BIRTHPLACE


(State or country)


television Menu+


10 NAME OF


FATHER


Frankleri. W. Orcutt


11 BIRTHPLACE


OF FATHER


(State or country)


ff albani N't


12 MAIDEN NAME


OF MOTHER


Vergial Davis


Georgia


" THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


Filed. 191


REGISTRAR


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH


February


(Month) C


(Day)


15 99


(Year)


17


I HEREBY CERTIFY that I attended deceased from


Fat. 18


191


. 191


.. ,


to


that I last saw h Motalive on


Fab: 18th


1914


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


7 P.m.


The CAUSE OF DEATH* was as follows :


Valvular disease & The heart


Bronchitis-Age


mos.


ds.


(Duration)


yrs.


Contributory


(SECONDARY)


(Duration)


. yrs.


mos. ...


...........


.ds.


(Signed)


Albert /2 Doun an


M.D.


Feb. 29, 1914 (Address)


Winthrop Mark


.....


* 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 7.


Former or usual residence


1º PLACE OF BURIAL OR REMOVAL


DATE OF BURIAL


2 /2 /


1914


20 UNDERTAKER


ADDRESS


(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.] @RESIDENCE


5 SINGLE,


MARRIED,


WIDOWED,


OR DIVORCED


(Write the word)


St. ;....... Ward)


4


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 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 hy 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


1 PLACE OF DEATH Julhoto


(No .. 34 Thouston A2/ 1St .;


Ward)


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


Rachel Larken 'FULL NAME


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


Registered No.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


3 SEX


4 COLOR OR RACE


W


5 SINGLE,


MARRIED,


WIDOWED,


OR DIVORCED


(Write the word)


Widowed


' DATE OF BIRTH


2


(Month)


9


(Day)


1824


(Year)


TAGE


If LESS than


I day, ........ hrs.


74 yrs. ........ ......... mos. 14 de.


CY ......... min. ?


8 OCCUPATION


(a) Trade, profession, or


particular kind of work


ethome


(b) General nature of Industry,


business, or establishment in


which employed (or employer).


9 BIRTHPLACE


(State or country)


Boston-


(Duration)


X


....... yrs.


X


.... mos.


5 da


Contributory.


Cheramia Brights Disease


(SECONDARY)


... yrs.


clever auktion


X


mos.


X


ds.


(Signed)


M.D.


Fly 25, 1914 (Address) Winetiek Mass


* If death followed injury or violence the certificate of death must be made ont by the Medical Examiner.


18 LENGTH OF RESIDENCE (FOR HOSPITALS, INSTITUTIONS, TRANSIENTS, OR


RECENT RESIDENTS).


At place


of death ........... yrs.


mos. ........


ds.


State


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


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


In the


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


Former or usual residence.


1 PLACE OF BURIAL OR REMOVAL


DATE OF BURIAL


2-26- 1914


(Informant)


(Address) 34 thouators Rauf.


14


Filed


191


REGISTRAR


1ª DATE OF DEATH


(Month)


2


(Day)


13


19121


(Year)


I HEREBY CERTIFY that I attended deceased from Jely 22 1917 to


Filey 23 1914 that I last saw her .... alive on Fully 25 1914 and that death occurred, on the date stated above, at3 Pm. The CAUSE OF DEATH* was as follows :


10 NAME OF


FATHER


William Warnock


PARENTS


11 BIRTHPLACE OF FATHER (State or country) Scotland


12 MAIDEN NAME


OF MOTHER


Margaret Lamoneti


18 BIRTHPLACE


OF MOTHER


(State or country)


scollaus


" THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


· UNDERTAKER INC. Shagy2


ADDRESS


STANDARD CERTIFICATE OF DEATH.


Statement of occupation. - Precise statement of oeeu- pation is very important, so that the relative healthfulness of various pursuits ean be known. The question applies to caclı 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, 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 when needed. As examples: (a) Spinner, (b) Cotton mill; (a) Sales- man, (b) Groecry; (a) Forcman, (b) Automobile factory. The material worked on may form part of the second statement. Never return "Laborer," "Foreman," "Manager," "Dealer," cte., 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 serviec 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 oceu- 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; Broneho- pneumonia ("Pneumonia," unqualified, is indefinite) ; Tuber-


culosis of tungs, meninges, perdonacaffe, GUC., Convintonagy Nu eoma, ete., of .... (name origin: "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms) ; Measles; Whooping cough; Chronie valvular heart discase; Chronie interstitial nephritis, cte. The contributory (second- ary or intercurrent) affection necd not be stated unless im- portant. Example: Measles (discase 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," "Haemorrhage," "Inanition," "Marasmus," "Old age," "Shock," "Uraemia," "Weakness," etc., when a definite disease ean be aseertained as the cause. Always qualify all discases resulting from childbirth or miscarriage, as "PUER- PERAL septicacmia," "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 discase, 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.


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 PARENTS


The Commonwealth of Massachusetts


STANDARD CERTIFICATE OF DEATH


1 PLACE OF DEATH


Hinterof mass


(No 6


Bartlett Park Wayst.


Ward)


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


2 FULL NAME Catherine Chicken [If married or divorced woman or widow give maiden name, also name of husband. Gathering Turner Niels Pnielsen @RESIDENCE 6 Bartlett Park Way Winthrop mass


Registered No.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


3 SEX


Female White


+ COLOR OR RACE


5 SINGLE,


MARRIED,


WIDOWED,


OR DIVORCED


(Write the word)


married


6 DATE OF BIRTH


Cet


8


(Month)


(Day)


184 $/17


(Year) /


7 AGE


64


.. yrs.


4


mos.


17 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)


" Boston (Mass


10 NAME OF


FATHER


James Turner


11 BIRTHPLACE


OF FATHER


(State or country)


England


12 MAIDEN NAME


OF MOTHER


marquet-


13 BIRTHPLACE


OF MOTHER


(State or country)


Ireland


14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


(Informant)


nick P. Melsen


(Address) 6 Burttell Park Way Winthrop


Filed


191


REGISTRAR


16 DATE OF DEATH


(Month)


25, 1914


I HEREBY CERTIFY that I attended deceased from


to


Jan


1919


Feb 20


4


1


191


that I last saw h.


07


alive on


2625


.. .


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


90


m.


The GAUSE OF DEATH* was as follows :


Perinitions analisia


(Duration)


1


... yrs.


mos.


.ds.


Contributory.


(SECONDARY)


(Duration)


... yrs.


mos.


ds.


(Signed)


71620


191


4 (Address)


Watchof


* 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.


In the


mos.


ds.


State


.yrs.


.mos.


ds.


....


Where was disease contracted,


If not at place of death ?.


Former or usual residence ..


1ª PLACE OF BURIAL OR REMOVAL Woodlawn Em


DATE OF BURIAL


Ach 28


191 ......


20 UNDERTAKER


JA. Sprague


ADDRESS


E. Boston


(Day)


(Year)


If LESS than


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


191.90


M.D.


20


-


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 engincer, 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 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), " 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.




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