USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1913-1915 > Part 61
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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 violenec, as Criminal abortion, Poisoning, Starvation, Suffocation, Ex- posure, ete.
3. Sudden deaths of persons not disabled by recognized disease, as A death upon the street, or one supposed to be due to Alcoholism, ete.
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.
PARENTS
11 BIRTHPLACE
OF FATHER
(State or country)
Ireland
12 MAIDEN NAME
OF MOTHER
Gathering
13 BIRTHPLACE
OF MOTHER
(State or country)
Ireland
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
Mother
(Address)
15 Filed .. 191
REGISTRAR
MEDICAL CERTIFICATE OF DEATH
3 SEX
Female White
5 SINGLE,
MARRIED,
Single
·
WIDOWED.
OR DIVORCED
( Write the word)
16 DATE OF DEATH
July
(Month)
19
1914
(Day)
(Year)
$ DATE OF BIRTH
(2)
(Month)
(Day) (Year)
" AGE
If LESS than
1 day ......... hrs.
8 OCCUPATION
(a) Trade, profession, or
particular kind of work
(b) General nature of industry,
business, or establishment in
which employed (or employer).
Edema of Brain-
Contributory
(SECONDARY)
(Duration)
.............. yrs.
............... mos. ..........
ds.
(Signed)
Edward J. Frauigen
M.D.
July 20, 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
In the
of death .......
.yrs. ...
......
.mos.
ds.
State ............ yrs.
.........
mos. ds .............
Where was disease contracted, If not at place of death ?... Former or usual residence.
12 PLACE OF BURJAL OR REMOVAL
DATE OF BURIAL
Holy Cross Maldon July 21
1914
20 UNDERTAKER
Richard de Kirby
ADDRESE
BOSTON
(City or town.)
[If death occurred in a hospital or institution, give its NAME instead of street and number.]
[If married or divorced woman or widow give maiden name, also name of husband.] @RESIDENCE
Registered No.
PERSONAL AND STATISTICAL PARTICULARS
The Commonwealth of Massachusetts
1 PLACE OF DEATH.
STANDARD CERTIFICATE OF DEATH
(No.
16 Enfrilas Nost
1. Sarah Lordwii
2 FULL NAME
Ward)
4 COLOR OR RACE
40 yrs.
.yrs.
mos
.ds.
.. min. ?
1872
17
I HEREBY CERTIFY that I attended deceased from
July)
we 291914, to
July 18, 1914,
that I last saw her
alive on
July 18, 1914,
and that death occurred, on the date stated above, at
-m.
The CAUSE OF DEATH* was as follows :
(Duration)
............ yrs. ................ mos.
20
ds.
9 BIRTHPLACE
(State or country)
creland
10 NAME OF
FATHER
Bernard
....
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, c. 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) Forcman, (b) Automobile factory. The material worked on may form part of the second statement. Never return "Laborer," "Foreman," "Manager," "Dealer," etc., without more precise specification, as Day laborer, Farm 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 thius: 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 tinie and causation), using always the same accepted term for the same discase. Examples: Cerebro-spinal fever (the only definite synonym is "Epidemic cercbro-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 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" (merely symptomatic), "Atrophy," "Collapse," "Coma," "Convulsions," "Debility" ("Congenital,". "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Haemorrhage," "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 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 dcad, 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
Willing
Ellen
og Daly
2 FULL NAME.
[If married or divorced woman or widow
give maiden name, also name of husband.]
@RESIDENCE
242 Lincoln St
6208 Winthrop (City or town.) [If death occurred in a hospital or institution, give its NAME instead of street and number.]
Registered No.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE
w
5 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
widow
6 DATE OF BIRTH
?
(Month)
(Day)
1861
(Year)
or
... min. ?
8 OCCUPATION
(a) Trade, profession, or
particular kind of work
none
(b) General nature of industry,
business, or establishment in
which employed (or employer).
none.
9 BIRTHPLACE
(State or country)
St. John M. B.
PARENTS
12 MAIDEN NAME OF MOTHER
mary martin
1ª BIRTHPLACE OF MOTHER (State or country)
Ireland.
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant).
Mary Collins
(Address)
24h LincolnSt. Com
Filed 191.
REGISTRAR
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH
(Month)
(Day)
19
. 1914
( Year)
17 I HEREBY CERTIFY that I have investigated the death of the deceased.
If LESS than
I day, ..
„ .. hrs.
The CAUSE OF DEATH* was as follows :
Natural Causes: Hent astase. (aneurisma?) (Duration) .. yrs. ... .. .
.. mos.
ds.
Contributory.
(SECONDARY)
tory Sudden death
.(Duration) yrs.
mos.
.ds.
(Signed)
(9, 1914. (Address)
MEDICAL EXAMINER
* State the DISEASE CAUSING DEATH, or, in deaths from VIOLENT CAUSES, state (1) MEANS of INJURY; and (2) whether ACCIDENTAL, SUICIDAL or HOMICIDAL.
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 ..
19 PLACE OF BURIAL OR REMOVAL Holy Cross Cem .
DATE OF BURIAL
July 22, 1914
20 UNDERTAKER
ADDRESS
Thos. I. Lane 120 Have It. E.B.
10 NAME OF
FATHER
11 BIRTHPLACE OF FATHER (State or country)
John Collins
Ireland
,
M.D.
7 AGE
.yrs.
?
mos ..
?
ds.
(No. 242 Lincoln St. ... Ward)
July 19,1914
STANDARD CERTIFICATE OF DEATH.
Statement of occupation. -- Precise statement of oecu- 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) Groecry: (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 domestie 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 iudieatcd 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 discase. Examples: Cerebro-spinal fever (the ouly definite syuonym is "Epidemic cerebro-spinal meningitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never re- port "Typhoid pneumonia"); Lobar pneumonia; Broncho- pneumonia ("Pueumonia," unqualified, is indefinite) ; Tuber-
culosis of lungs, meninges, peritonacum, ete., Careinoma, Sar- coma, ete., of .... (name origin: "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms) ; Measles; Whooping cough; Chronie valvular heart disease; Chronic interstitial nephritis, ete. The contributory (second- ary or intereurrent) affection need not be stated unless ini- 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," ete.), "Dropsy," "Exhaustion," "Heart failure," "Haemorrhage," "Inanitiou," "Marasmus," "Old age," "Shock," "Uraemia," "Weakness," etc., when a definite disease cau be aseertaiued 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. For VIOLENT DEATHS state MEANS OF INJURY and qualify as ACCI- DENTAL, SUICIDAL, Or HOMICIDAL, or as probably such, if impossible to determine definitely. Examples: Accidental drowning; Struck by railway train - accident; Revolver wound of head - homicide; Poisoned by carbolic acid -- probably suicide. The nature of the injury, as fracture of skull, and consequences (e. g., scpsis tetanus) may be stated under the head of "Contributory."
Cases for the Medical Examiners. - Under the provi- sions of chapter 24 of the Revised Laws deaths under the fol- lowing conditions must be referred to the Medical Examiners:
1. Deaths following injury or violence, as Burns, Falls, Drowning, Gas poisoning, Suicide, Homicide, etc.
2. Deaths supposedly caused by violeuce, as Criminal abortion, Poisoning, Starvation, Suffocation, Ex- posurc, 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 eireumstanees 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 lustructions on back of certificate.
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
' PLACE OF DEATH
(No.
88. Worden
Dear 8. Werner.
St. ;............ Ward)
(City or town.) fif death occurred In a hospital or institution, give its NAME Instead of strest and number.]
2FULL 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
8 SEX
4 COLOR OR RACE
Ahito
5 SINOLE.
MARRICO.
WIDOWED,
OR DIVORCED
(Write the word)
Vielen
LO DATE OF DEATH
July
191.45
(Month)
(Day)
(Year)
· DATE OF BIRTH
(Month)
(Day)
1832
(Year)
if LESS than
! day ......... hrs.
... yrs.
mos.
20 de.
or ......... min. ?
8 OCCUPATION
(a) Trade, profession, or
particular kind of work
Farinha
(b) General nature of industry, business, or establishment in which employed (or employer).
17
I HEREBY CERTIFY that I attended deceased from
In 28
1914, to
191
that I last saw his alive on ( m 28
...
1917.
and that death occurred, on the date stated above, at.
1.15AM
The CAUSE OF DEATH* was as follows : Ouxima di Luna, 2- proken
Cardiac Comp
pensation.
......
......
BIRTHPLACE
(State or country)
Haldolor ME
(Duration)
yrs.
mos.
1
ds.
Contributory.
Chirie Endo ditis
(SECONDARY)
(Duration)
........... yrs.
.mos.
ds
(Signed)
Richard Mistral
M.D.
July 29, 1914 (Address).
17471minop58'=
* 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).
Åt place
of death ............ yrs. ....
.„mos. ..........
de.
State
........... y.
In the
mos. ......... ds ............. Where was disease contracted,
If not at place of death ?
Former or usual residence
1 PLACE OF BURIAL OR REMOVAL
DATE OF BURIAL
191
Waldolore
me
D UNDERTAKER
CR Bennisin
ADDRESS
Winthe
191
Flied
Haldobro her
1ª THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
Chas Belcher
(Address)
REGISTRAR
PARENTS
11 BIRTHPLACE
OF FATHER
(State or country)
Maldobro QUE
12 MAIDEN NAME
OF MOTHER
Jane
?
18 BIRTHPLACE
OF MOTHER
(State or country)
10 NAME OF
FATHER
" AGE 82
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) Groecry; (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- 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-
culosis of lungs, meninges, peritonacum, 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," "Hacmorrhage," "Inanition," "Marasmus," "Old age," "Shock," "Uraemia," "Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as "PUER- PERAL scpticaemia," "PUERPERAL peritonitis," 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 one supposed to be due to Alcoholism, etc.
4. Deaths under circumstances unknown, as A person found dcad, etc.
3 SEX 7 AGE & OCCUPATION 9 BIRTHPLACE (State or country) CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very PARENTS important. See instructions on back of certificate. (Address) Filed Cuy 3 N. B. - Every Item of Information should be carefully supplied. AGE should be stated EAAVILT. PHYSICIANS should state particular kind of work
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
1 PLACEXOF DEATH
Duchery
(No
alden
St. :
Ward)
(City or town.) [If death occurred in a hospital or institution, give its NAME instead of street and number.]
Fred Weston
2FULL NAME [If married or divorced woman or widow give maiden name, also name of husband.] @RESIDENCE
Registered No.
16
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
4 COLOR OR RACE
5 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
named
6 DATE OF BIRTH
July 20. 1869
(Month)
(Day)
1 (Year)
If LESS than
[ day .......... hrs.
or ... min . ?
(a) Trade, profession, or
Conductor
(b) General nature of industry,
business, or establishment in
which employed (or employer)
Partial
Several months
(Duration)
.............. yrs. ................ mos. ............... ds.
Contributory
(SECONDARY)
.. (Duration)
yes
.mos.
.ds.
n. K. hoyen
M.D.
(Signed)
Chry 3.
1914
( Address).
* If death followed injury or violence the certificate of death must bo made out by the Medical Examiner.
" LENGTH OF RESIDENCE (FOR HOSPITALS, INSTITUTIONS, TRANSIENTS, OR RECENT RESIDENTS).
At place
of death
.yrs.
......
mos.
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 Mayflower Canh Duxbury
DATE OF BURIAL
Argent 1. 19/11
UNDERTAKER
Celinha Peterson
ADDRESS
Duxbury.
.....
, 1914 1912
....
(Month)
(Day)
( Year)
17 I HEREBY CERTIFY that I attended deceased from July 182 1914, to. July 29 1914 ...... that I last saw hrn alive on July 2q., 1914, and that death occurred, on the date stated above, at. 2 p.m.
The CAUSE OF DEATH* was as follows :
Cancer of Intestine,
-
10 NAME OF
FATHER
Laber P. Weston
11 BIRTHPLACE
OF FATHER
(State or country)
rg) Duxbury Mas.
12 MAIDEN NAME
OF MOTHER
Lucia S. Cleden
13 BIRTHPLACE
OF MOTHER
(State or country)
14 THE ABOVE US TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
Lucia . Tresin
1914 Verras Athan
REGISTRAR
....
....
In the
1ª DATE OF DEATH
July 29
47 yrs.
.mos.
9
ds.
a
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 laborcr, 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.
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