Town of Winthrop : Record of Deaths 1913-1915, Part 59

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 59


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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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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