USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1913-1915 > Part 59
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Registered No.
I HEREBY CERTIFY that I attended deceased from
Dec
1913
to
If LESS than
! day ......... hrs.
fre 12
191.50
that ! last saw him
alive on
12
1912
and that death occurred, on the date stated above, at
2pm
The CAUSE OF DEATH* was as follows :
acute
Osteo myelitis
STANDARD GERTIFICATE 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 fircman, etc. But in many cases, especially in industrial employments, it is necessary to know (a) thic 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) Groccry; (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 laborcr, Laborer - Coal minc, 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 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 Scrvant, 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 (retircd, 6 yrs.). For persons who have no occu- pation whatever, write None.
Statement of cause of death. - Name, first, the DIS- BASE 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-
coma, etc., of. „(name origin: "Cancer" is less definite; avoid use of "Tumor" for malignant ncoplasms) ; Mcaslcs; Whooping cough; Chronic valvular hcart discase; Chronic interstitial nephritis, etc. The contributory (second- ary or intercurrent) affection need not be stated unless im- portant. Example: Measles (discase causing death), 29 ds .; Broncho-pneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as "Asthenia," "An- aemia" (mcrely symptomatic), "Atrophy," "Collapse," "Coma," "Convulsions," "Debility" ("Congenital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Hacmorrhage," "Inanition," "Marasmus," "Old age," "Shock," "Uracmia," "Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as "PUER- PERAL 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.
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 strect, 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 Winthrop
(No. 70 Underhill Street St .: ......... .Ward)
'FULL NAME
Helen J. G.Nichols.
[If married or divorced woman or widow Helen J.G.Pingree widow of Edwin T. give maiden name, also name of husband.]
@RESIDENCE
30 Underhill St Winthrop.
Registered No.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
8 SEX
female
4 COLOR OR RACE
white
5 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
widowed
1
(Mouth)
(Day)
(Year)
TAGE
If LESS than
[ day ......... hrs.
70 yrs.
1
.mos.
27
de.
of ........ min. ?
$ OCCUPATION
(a) Trade, profession, or
particular kind of work
(b) General nature of Industry.
business, or establishment in
which employed (or employer).
The CAUSE OF DEATH* was as follows :
Myo carditis. Chronic Gastritis
Chronic Interstitial Mephritis
Did a surgical operation precede death ?
Date
-
.
Contributory
(SECONDARY)
{Duration)
Os.
da.
(Signed)
M.D.
June 16, 1914
(Address)
2 Motland art. Boston
.........
* If death followed injury or violence the certificate of death must be made out by the Medical Examiner.
1ª LENGTH OF RESIDENCE (FOR HOSPITALS, INSTITUTIONS, TRANSIENTS, OR RECENT RESIDENTS).
In the
At place
of death .......... yrs.
... mos. .....
da.
State ........... yra.
.mos.
da .....
........
Where was disease contracted, If not at place of death ?...
Former or usual residence
" PLACE CF BURIAL OR REMOVAL
Portland Me.
DATE OF BURIAL
Alen& 17, 1914
DUNDERTAKER
ADDRESS
Flied
191.
REGISTRAR
M DATE OF DEATH
June 15 1914.
(Month)
(Day)
, 191
(Year)
I HEREBY CERTIFY that I attended deceased from
June 1, 1914, to
June 15,
1914
that I last saw her alive on
June 14
1914
and that death occurred, on the date stated above, a
3.450m.
9 BIRTHPLACE
(State or country)
Norway Me.
10 NAME OF
FATHER
Luther F.Pingree.
PARENTS
11 BIRTHPLACE
OF FATHER
(Sta
country)
12 MAIDEN NAME
OF MOTHER
Elizabeth M. Dexter
1ª BIRTHPLACE
OF MOTHER
(State or country)
Bath Me.
1ª THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
U.N. P. Michals
(Address)
30 Under
andsons
BOSTON
(City or town.) [If death occurred la a hospital or institution, give its NAME instead of street and number.]
" DATE OF BIRTH
April 18 1844.
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 cinployments, it is necessary to know (a) the kind of work and also (b) the nature of the business or industry, and therefore an additional line is provided for the latter statement; it should be used only when needed. As examples: (a) Spinner, (b) Cotton mill; (a) Salcs- man, (b) Grocery; (a) Forcman, (b) Automobile factory. The material worked on may form part of the second statement. Never return "Laborer," "Foreman," "Manager," "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 Housc- keepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gain- fully employed, as At school or At home. Care should be taken to report specifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, Housemaid, etc. If the occupation has been changed or given up on account of the DISEASE CAUSING DEATH, state occupation at beginning of illness. If retired from business, that fact may be indicated thus: Farmer (retired, 6 yrs.). For persons who have no occu- pation whatever, write None.
Statement of cause of death. - Name, first, the DIS- CASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted term for the same disease. Examples: Cerebro-spinal fever (the only definite synonym is "Epidemic cerebro-spinal meningitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never re- port "Typhoid pneumonia"); Lobar pneumonia; Broncho- pneumonia ("Pneumonia," unqualified, is indefinite) ; Tuber-
coma, etc., of ... ... (name origin: "Cancer" is less definite; avoid use of "Tumor" for malignant ncoplasms) ; Measles; Whooping cough; Chronic valvular hcart discase; Chronic interstitial nephritis, etc. The contributory (second- ary or intercurrent) affection need not be stated unless im- portant. Example: Measles (discase causing death), 29 ds .; Broncho-pncumonia (secondary), 10 ds. Never report merc symptoms or terminal conditions, such as "Asthenia," "An- acmia" (merely symptomatic), "Atrophy," "Collapsc," "Comna," "Convulsions," "Debility" ("Congenital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Hacmorrhage," "Inanition," "Marasmus," "Old age," "Shock," "Uracmia," "Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all discases resulting from childbirth or miscarriage, as "PUER- PERAL scpticaemia," "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 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
1 PLACE OF DEATH
200
(No. Shirley
St. : Ward)
(City or town.) [If death occurred in a hospital or institution, give its NAME Instead of street and number.]
2FULL NAME
Norman Leonard Kumin
[If married or divorced woman or widow give maiden name, also name of husband.] ...... 200 Shirley St. Winthrop @RESIDENCE
Registered No.
....
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
8 SEX
Male
4 COLOR OR RACE
White
5 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
Single
6 DATE OF BIRTH
Dec, 15
-
(Month)
(Day)
(Year)
' AGE
1
............ yrs.
6
mos.
2 %.
or ......... min. ?
B 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)
Worcester Mass
10 NAME OF
FATHER
Samuel Kumin
11 BIRTHPLACE
OF FATHER
(State or country)
Russia
12 MAIDEN NAME
OF MOTHER
Clara Montevid.
13 BIRTHPLACE
OF MOTHER
(State or country)
Russia
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
Father,
(Address)
200 Shirley, St.
16 Filed ., 191
REGISTRAR
16 DATE OF DEATH
17
I HEREBY CERTIFY that I attended deceased from
191
-
., to.
191 ..........
that I last saw h-
alive on
191
and that death occurred, on the date stated above, at.
8.9. m.
The CAUSE OF DEATH* was as follows :
Valaula Iteanh Duceaw
Did a surgical operation precede weath ?
(Duration)
.. yrs. ................ mos.
ds.
Contributory.
Measles
..... (SECONDARY)
.. (Duration)
.... yrs.
...........
.mos.
3
ds.
(Signed)
Al. Parter
M.D.
fever 2009/1994 (Addre
* 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. ...
ds.
.........
Where was disease contracted,
If not at place of death ?.
Former or
usual residonce.
st.
19 PLACE OF BURIAL OR REMOVAL
Worcester
Jewish bem.
DATE OF BURIAL
June 23, 1914
20 UNDERTAKER
Jacob Standsky
ADDRESS
.......
Winthrop BOSTON
PARENTS
If LESS than
I day ......... hrs.
19.19
(Month)
(Day)
1915.
(Year)
STANDARD CERTIFICATE OF DEATH.
Statement of occupation. - Precise statement of occu- pation is very important, so that the relative healthfulness of various pursuits can be known. The question applies to each and every person, irrespective of age. For many occupations a single word or term on the first line will be sufficient, e. g., Farmer or Planter, Physician, Compositor, Architect, Loco- motive engineer, Civil engineer, Stationary fireman, etc. But in many cases, especially in industrial employments, it is necessary to know (a) the kind of work and also (b) the nature of the business or industry, and therefore an additional line is provided for the latter statement; it should be used only when needed. "As examples: (a) Spinner, (b) Cotton mill; (a) Sales- man, (b) Grocery; (a) Foreman, (b) Automobile factory. The material worked on may form part of the second statement. Never return "Laborer," "Foreman," "Manager," "Dealer," etc., without more precise specification, as Day laborer, Farm laborer, Laborer - Coal mine, etc. Women at home, who are engaged in the duties of the household only (not paid House- keepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gain- fully employed, as At school or At home. Care should be taken to report specifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, Housemaid, etc. If the occupation has been changed or given up on account of the DISEASE CAUSING DEATH, state occupation at beginning of illness. If retired from business, that fact may be indicated thus: Farmer (retired, 6 yrs.). For persons who have no occu- pation whatever, write None.
Statement of cause of death. - Name, first, the DIS- EASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted terin for the same discasc. 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-
coma, ctc., 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 (discase causing death), 29 ds .; Broncho-pneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as "Asthenia," "An- aemia" (mcrely symptomatic), "Atrophy," "Collapse," "Coma," "Convulsions," "Debility" ("Congenital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Hacmorrhage," "Inanition," "Marasmus," "Old age," "Shock," "Uraemia," "Weakness,", etc., when a definite disease can be ascertained as the causc. Always qualify all diseases resulting from childbirth or miscarriage, as "PUER- PERAL septicacmia," "PUERPERAL peritonitis," etc. State cause for which surgical operation was undertaken.
Cases for the Medical Examiners. - Under the provi- sions of chapter 24 of the Revised Laws deaths under the fol- lowing conditions must be referred to the Medical Examiners:
1. Deaths following injury or violence, as Burns, Falls, Drowning, Gas poisoning, Suicide, Homicide, etc.
2. Deaths supposedly caused by violence, as Criminal abortion, Poisoning, Starvation, Suffocation, Ex- posure, etc.
3. Sudden deaths of persons not disabled by recognized discasc, 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-1914.
CITY OF BOSTON.
FULL NAME
SALVATORE MANCUSO
Registered No. 6117
POLICE AMBULANCE
Place of Death } and Residence S
Boston
JUNE 24
67
1914.
Age
years months days.
STATISTICAL DETAILS.
SEX.
COLOR.
SINGLE, MARRIED, WID., DIV.
M
W
MAR.
Maiden Name
Husband's Name
ITALY
Birthplace
Name of Father
GAETANO MANCUSO
OTO
MASS.
CYCLE
Birthplace of Father ITALY
Maiden Name of Mother
-
-
Birthplace of Mother
ITALY
(Signed)
M. D.
JUNE 2414 SPECIAL INFORMATION from Hospitals, Institutions, Transients, or Recen! Residents.
Place of Burial or removal
MALDEN(HOLY CROSS)
C. R. BENNISON
Filed
JUNE 29 1914
A true copy. Attest : Eumylenen
Registrar.
O
WINTHROP
PHYSICIAN'S CERTIFICATE.
I HEREBY CERTIFY that I attended deceased during last illness,
from 1914, to
1914, 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 : HASTD ISA .5 0 Primary: (Duration ) -S
CITY REG
IC 'TP
FRAC. SKULL -CONTUSIONS OF
E
11
BRAIN - STRUCK BY MOTOR
Contributory : (Duration)
1
T. LEARY MED.EX.
Occupation
LABORER
Informant
Usual Residence WINTHROP (95 REVERE ST)
Undertaker
Date of Death
7
COMMONWEALTH OF MASSACHUSETTS
RETURN OF A DEATH-1914.
CITY OF BOSTON. 6434
FULL NAME
WILLIAM E. BRINNICK
Registered No.
Place of Death ) and Residence
Boston JULY 5
Date of Death
1914.
Age
years
months days.
STATISTICAL DETAILS.
SEX.
COLOR.
SINGLE, MARRIED, WID., DIV.
M
W
MAR.
Maiden Name
E.GIS
3.STDEUS
Husband's Name
Birthplace
NEWTON
Name of Father
EDWARD BRINNICK
Birthplace of Father -N. S.
Contributory : ( HYPERTROPHY & DILA. INFARCTS OF (Duration)
LUNGS & KIDNEYS
(Signed)
H. W. HERSEY M.D.
JULY 5 1914
SPECIAL INFORMATION from Hospitals, Institutions, Transients, or Recent Residents.
Place of Burial or removal
CALVARY (NEW)
Usual Residence WINTHROP (461 SHIRLEY ST)
Filed
JULY 9 1914.
Undertaker
W. J. CASSIDY
PHYSICIAN'S CERTIFICATE.
I HEREBY CERTIFY that I attended deceased during last illness,
from
1914, to
1914, 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 : AR'S
CITY RE
$ Primary; ( Duration}-) CE
LUETIC AORTITIS -THROMBI LEFT
VENTRICLE & RT. APPENDIX OF
HEART - YRS (AUTOPSY)
Maiden Name of Mother
Birthplace of Mother
Occupation
LABORER
Informant
MASS. GEN. HOSPT.
38
T PATRI
CTVTTATI CO. || TA AL BOSTON. MASS. GIMAST STA 0.1
A true copy. Attest : ErMSlenen
Registrar.
,1914
-
1
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
Chelsea ...... Mas.s ..
..........
......
(No ....... FrostHospital
St. ;
.......
............. Ward)
CHELSEA (City or town.)
[If deeth occurred in a hospital or institution, give its NAME instead of street and number.]
'FULL NAME
Sarah ..... Ma ...... Eachern
[If married or divorced woman or widow
give maiden name, aleo name of husband.]
@RESIDENCE
78
Highland Ave., Winthrop, Mass.
Registered No. 458
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
+ COLOR OR RACE
5 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
Single
16 DATE OF DEATH
July
(Month)
(Day) 8. ., 194.
(Year)
" DATE OF BIRTH
(Month)
(Day)
(Year)
" AGE
If LESS then
! day ......... hrs.
or ........ min. ?
& OCCUPATION
(a) Trade, profession, or
particular kind of work.
Proprietress Hotel
(b) General nature of industry, business, or establishment in which employed (or employer).
9 BIRTHPLACE
(State or country)
Prince E. Island
10 NAME OF
FATHER
Donald Mac Eachern
PARENTS
11 BIRTHPLACE OF FATHER (State or country)
Prince E. Island
12 MAIDEN NAME
OF MOTHER
13 BIRTHPLACE OF MOTHER (State or country)
" THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
Emanuel Mac Eachern
(Addrass)
385 Broadway, Everett
REGISTRAR
(Duration) Se.V .. yrs. ........ mos. - ds.
Contributory
--
(SECONDARY)
(Duration) ............... yrs. ............ .. mos. .. ds.
(Signed)
Owille E. Johnson
M.D.
.............
6
1914
(Address).
Winthrop, Mass.
* If death followed injury or violence the certificate of death muet 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
..... mos. .... ds.
Where was disease contracted, If not at place of death ?...
Former or usual residence.
19 PLACE OF BURIAL OR REMOVAL Holy Cross Cem. Malden
DATE OF BURIAL
July 101914
20 UNDERTAKER
J. J. Curnane
ADDRESS
446B' way Ever
ett
Fited July 10 191
-
Female
White
47 ... yrs.
- .mos. -
ds.
17 I HEREBY CERTIFY that I attended deceased from July , 191.4 ... , to July 8 1914. that I last saw h ... i.m. alive on July 8 1914. and that death occurred, on the date stated above, at& ...... 1.5m.P The CAUSE OF DEATH* was as follows : Sarcoma of Thymus Gland
....
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 linc 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 cxamples: (a) Spinner, (b) Cotton mill; (a) Salcs- man, (b) Grocery; (a) Foreman, (b) Automobilc factory. The material worked on inay 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 hoine, 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, 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. - 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., Careinoma, Sar- coma, etc., of. „(naine origin: "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms); Measles; Whooping cough; Chronic valvular heart disease; Chronie interstitial nephritis, etc. The contributory (second- ary or intercurrent) affection need not be stated unless im- portant. Example: Measles (disease causing death), 29 ds .; 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," "Senilc," etc.), "Dropsy," "Exhaustion," "Heart failure," "Haemorrhagc," "Inanition," "Marasmus," "Old age," "Shock," "Uraemia," "Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all discases 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.
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