USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1913-1915 > Part 76
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Important. See Instructions on back of certificate.
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
1 PLACE OF DEATH
(No. Coral arc 735 St. : .Ward)
Vinterof
(City or town.)
[If death occurred in a hospital or institution, give its NAME instead of street and number.]
Hilary. Gertrude Kenney
2FULL NAME
[If married or divorced woman widow give maiden name, also name of husband.] @RESIDENCE 95 00ml
widay of Edwards P Kerney
Registered No.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
4 COLOR OR RACE
White
5 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
18 DATE OF DEATH
Ercember
(Month)
19
1914
(Year)
(Day)
& DATE OF BIRTH
6 1864
(Month)
(Day)
(Year)
7 AGE
If LESS than
1 day ......... hrs.
50
.yrs.
6
mos. ....
13
de.
Dr ......... min. ?
8 OCCUPATION
(a) Trade, profession, or
particular kind of work
, or al form
(b) General nature of industry,
business, or establishment In
which employed (or employer).
Frecuentes right,non late
(Duration)
...... ... yrs. ................ mos .. ds.
Contributory. (SECONDARY)
(Duration).
yrs.
mos. ....... ds
(Signed)
M.D.
Lec
1914 (Address).
148 l wether fst
* 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.
de.
State ..
... ул.
In the
.. mos. ....
d ..............
Where was disease contracted, If not at place of death ?.
Former or usual residence.
" PLACE OF BURIAL OR REMOVAL
DATE OF BURIAL
13/2/
1914
D UNDERTAKER
ADDRESS
Filed _, 191
REGISTRAR
I HEREBY CERTIFY that l attended deceased from
Lec 4
, 1914
to Lee 19
191 ...
that I last saw his.
alive on
1917
and that death occurred, on the date stated above, at
230 A.m.
The CAUSE OF DEATH* was as follows :
9 BIRTHPLACE
(State or country)
D'autant
PARENTS
11 BIRTHPLACE
OF FATHER
(State or country)
Porcíar e man
12 MAIDEN NAME
OF MOTHER
Mary Meaning
1ª BIRTHPLACE
OF MOTHER
(State or country)
Parlant me
" THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
C. R. (BEMANDRA.
(Address)
16
10 NAME OF
FATHER
John Kellers
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 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 matcrial 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 dutics of the household only (not paid House- keepers who reccive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gain- fully employed, as At school or At home. Care should be taken to report specifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, Housemaid, etc. If the occupation has been changed or given up on account of the DISEASE CAUSING DEATH, state occupation at beginning of illness. If retired from business, that fact may be indicated thus: Farmer (retired, 6 yrs.). For persons who have no occu- pation whatever, write None.
Statement of cause of death. - Name, first, the DIS- EASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted term for the same disease. Examples: Cerebro-spinal fever (the only definite synonym is "Epidemic cerebro-spinal meningitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never re- port "Typhoid pneumonia"); Lobar pneumonia; Broncho- pneumonia ("Pneumonia," unqualified, is indefinitc) ; 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: Mcasles (disease causing death), 29 ds .; Broncho-pneumonia (secondary), 10 ds. Never report merc symptoms or terminal conditions, such as "Asthenia," "An- acmia" (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 discase can be ascertaincd 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 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 dead, ctc.
N. B .- Every item of information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very
important. See Instructions on back of certificate.
Cenils atrophy
(Duration) ............ yrs. .... .......
mos. ds.
Contributory
(SECONDARY)
unknown
(Duration)
.. yrs.
mos. ds.
(Signed) Dawin P. Stickney M.D. 1914. (Address) lington * If death followed Injury or violence the certificate of death must be made out by the Medical Examiner.
18 LENGTH OF RESIDENCE (FOR HOSPITALS, INSTITUTIONS, TRANSIENTS, OR RECENT RESIDENTS).
At place
of death
yrs.
......... mos.
In the
de.
State ......
.yrs.
mos.
ds.
Where was disease contracted, If not at place of death ?.
Former or usual residence.
19 PLACE OF BURIAL OR REMOVAL
(Informant)
(Address) .
18 Wachusett
voirlireton
Filed
., 191
REGISTRAR
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH
December G71} 911.
(Day)
191
(Year)
$ DATE OF BIRTH
White
JuneMond, 18(1)
(Year)
7 AGE
If LESS than
I day ......... hrs.
70
yrs. mos.
ds.
min. ?
& OCCUPATION
(a) Trade, profession, or
particular kind of work
Retire Merchant
(b) General nature of industry. business, or establishment in which employed (or employer)
9 BIRTHPLACE (State or country)
10 NAME OFardner, Maine
FATHER
PARENTS
11 BIRTHPLACEDen N. Byram OF FATHER (State or country)
12 MAIDEN NAME
OF MOTHER
Yarmouth, Hatne
1$ BIRTHPLACE OF MOTHER (State or country)
" THE ABOVE IS TRUE TO THEBEST OF MY KNOWLEDGE
Arlington (City or town.)
1 PLACE OF DEATH
Arlington
(No.18 Wachusett Avenue St. : ........ Ward)
[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 Winthrop Mass
Joseph Robinson Byram
Registered No.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE
5 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
1
17 I HEREBY CERTIFY that I attended deceased from
July 18th .194 Dec. 27 1914~191 ....... . that I last saw h ...... alive on Dec . 27 1914-19 and that death occurred, on the date stated above, at. m. The CAUSE OF DEATH* was as follows :
DATE OF BURIAL
12/31, 191
4
20 UNDERTAKER
ADDRESS
The Commonwealth of Massachusetts STANDARD CERTIFICATE OF DEATH
Cetta Dimock
25-
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 eachi 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- mrolive 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 inaterial worked on may form part of the second statement. Never return "Laborer," "Foreman," "Manager," "Dealer," ctc., without more precise specification, as Day laborer, Farm laborer, Laborer - Coal mine, etc. Women at home, who arc engaged in the duties of the household only (not paid House- keepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gain- fully employed, as At school or At home. Care should be taken to report specifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, Housemaid, etc. If the occupation has been changed or given up on account of the DISEASE CAUSING DEATH, state occupation at beginning of illness. If retired from business, that fact may be indicated thus: Farmer (retired, 6 yrs.). For persons who have no occu- pation whatever, write None.
Statement of cause of death. - Name, first, the DIS- EASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted term for the same disease. Examples: Cerebro-spinal fever (the only definite synonym is "Epidemic cerebro-spinal meningitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never re- port "Typhoid pneumonia"); Lobar pneumonia; Broncho- pneumonia ("Pneumonia," unqualified, is indefinite) ; Tuber-
culosis of lungs, meninges, peritonacum, etc., Carcinoma, Sar- coma, etc., of. .. (name origin: "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms); Measles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, etc. The contributory (sccond- ary or intercurrent) affection need not be stated unless im- portant. Example: Measles (disease causing death), 29 ds .; Broncho-pneumonia (sccondary), 10 ds. Never report mere symptoms or teminal conditions, such as "Asthenia," "An- aemia" (merely symptomatic), "Atrophy," "Collapse," "Coma," "Convulsions," "Debility" ("Congenital," "Senilc," etc.), "Dropsy," "Exhaustion," "Heart failure," "Haemorrhage," "Inanition," "Marasmus," "Old age," "Shock," "Uraemia," "Weakness," etc., when a definite disease can be ascertained as the causc. Always qualify all diseases resulting front 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 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.
11
- - ---
COMMONWEALTH OF MASSACHUSETTS
RETURN OF A DEATH-1915.
CITY OF BOSTON.
FULL NAME
ROSE M. HARTIN
Place of Death ¿ and Residence
Boston
JAN.6
26
10
months 5
days.
STATISTICAL DETAILS.
SEX.
COLOR.
SINGLE, MARRIED, WID., DIV.
F
W
SIN.
Maiden Name
Husband's Name
CAMBRIDGE
Birthplace
Name of Father
JOHN HARTIN
Birthplace of Father
IRELAND
Maiden Name of Mother
ELIZA MC ELROY
AUTOMOBILE
(Signed)
T. LEARY MED.EX.
M.D.
JAN . 7
1915
SPECIAL INFORMATION from Hospitals, Institutions, Transients, or Recent Residents.
Place of Burial
or removal
MALDEN ( HOLY CROSS)
Usual Residence
WINTHROP(SHIRLEY & BEACON
STS) 1915
Filed
JAN. II
A true copy.
Attost :
Registrar.
O
PHYSICIAN'S CERTIFICATE.
I HEREBY CERTIFY that I attended deceased during last illness,
from
1915, to
1915, 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 : RAR'S
G PATRIONS, SIT DEL
Primary: ( Duration)
MULT. INJURIES -FRAC.SKULL -
EFICE
LACERATION & SONT.BRAIN - RUPT.
CIVIT
SOSTONIA
CONTITAA
A). 1822
INTESTINE-LAC.MESENTERY -
OSTO
.J. MASS Contributory : { (Duration)
HEMOPERITONEUM - STRUCK BY
Birthplace of Mother
CHARLESTOWN
Occupation
CLERK
Informant
-
166
Registered No.
CITY HOSPT.
Date of Death
1915.
Age
years
Undertaker
D .H. CURTIS
CITY
TIS REGIMITE DONATA 11 30.
Jan.
لا
-
19 一 ـى
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 Commmwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
I PLACE OF DEATH
Winthrop
(No.
14
. Linden
St. :
...
.Ward)
(City or town.) [If death occurred Im a hospital or institution, give its NAME instead of street and number.]
*FULL NAME
E Jessie J. Watson
{If married or divorced woman or widow Willian Italiani
give maiden name, also name of husband.]
@RESIDENCE
W Linden St. Winther2
Registered No.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
8 SEX
4 COLOR OR RACE
MARRIED Mamed.
OR DIVORCED
(Write the word)
18 DATE OF DEATH
1-
(Month)
(Day)
7, 1915
(Year)
I HEREBY CERTIFY that ! attended deceased from
December 1 191 4, to
Xan 75
1915
---
that I last saw hel
alive on
Jan 65
1913
and that death occurred, on the date stated above, at
12:30/tm.
The CAUSE OF DEATH* was as follows : Mitral Señora & regurgitation
(Incompetence) Passiv congestion
Sivas, Cerebral hiemalis
2
Embolism
.(Duration)
.......
............. yrs.
mos.
da.
Les abre
Contributory
(SECONDARY)
(Duration)
.............. yrs.
mos.
...........
M.D.
(Signed)
lan 8".
191. (Address)
180 UmathurSt- Directing
* If death followed injury or violence the certificate of death must be made out by the Medical Examiner.
18 LENGTH OF RESIDENCE (FOR HOSPITALS, INSTITUTIONS, TRANSIENTS, OR RECENT RESIDENTS).
At place
of death ............ yrs.
mos.
In the
State ......... yra.
mos.
.ds .............
Where was disease contracted,
If not at place of death ?.
Former or usual residonce.
D PLACE OF BURIAL OR REMOVAL
DATE OF BURIAL
1- 9-1965-
(Address)
14 Lundi St.
REGISTRAR
17
(Month)
(Day)
11
.. 1852
(Year)
7 AGE
If LESS than
day ..
62 yrs. 5 mos. 26
da.
Of ......... min. ?
8 OCCUPATION
(a) Trade, profession, or
particular kind of work
athome
(b) General nature of Industry.
business, or establishment in
which employed (or employer)
9 BIRTHPLACE
(State or country)
Scotland-
10 NAME OF
FATHER
Phillips Houston
PARENTS
11 BIRTHPLACE
OF FATHER
(State or country)
"Scotland-
12 MAIDEN NAME
OF MOTHER
Mary Muir
18 BIRTHPLACE
OF MOTHER
(State or country)
Scotland
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
-
D UNDERTAKER
IS. Skaggs
ADDRESS
Filed 191
5 SINGLE,4
6 DATE OF BIRTH
7
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 line will be sufficient, e. g., Farmer or Planter, Physician, Compositor, Architcet, Loco- motive engineer, Civil engineer, Stationary fireman, etc. But in many cases, especially in industrial employments, it is necessary to know (a) the kind of work and also (b) the 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, Laborcr - 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 Nonc.
Statement of cause of death. - Name, first, the DIS- EASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted term for the same disease. Examples: Cerebro-spinal fever (the only definite synonym is "Epidemic cerebro-spinal meningitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never re- port "Typhoid pneumonia"); Lobar pneumonia; Broncho- pneumonia ("Pneumonia," unqualified, is indefinite) ; Tuber-
culosis of lungs, meninges, peritonacum, etc., Carcinoma, Sar- coma, etc., of .. .... (name origin: "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms); Mcasles; 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- acmia" (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 septieaemia," "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- posurc, 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.
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
I PLACE OF DEATH Writings (No. 23 Indent are St. ;............ .Ward)
6006
(City or towf.)
[If death occurred in a hospital or institution, give its NAME instead of streat and number.]
2 FULL NAME
Elizabetto
agnes Doyle Celebert a Keinan unk Richard fi Lloy Ce
[If married or divorced woman or widow give maiden name, also name of husband.] @RESIDENCE 23 Tudent ave, Winthrop
Registered No.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR' RACE
5 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
Married
6 DATE OF BIRTH
(Month)
(Day)
(Year)
7 AGE
If LESS than I . day , ........ hrs.
Est. 47 yrs.
mos. ds.
or ........ min. ?
8 OCCUPATION
(a) Trade, profession, or particular kind of work
Hva Wife
(b) General nature of industry, business, or establishment in which employed (or employer).
Cet Homme
9 BIRTHPLACE
(State or country)
Ireland
PARENTS
12 MAIDEN NAME OF MOTHER Eller Pinvers
13 BIRTHPLACE OF MOTHER (State or country) Ireland
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informan*)
Richard& Klagte
(Address)
23
Fed 12
C STRAR
16 DATE OF DEATH
11, 1915
(Day)
(Year)
17 I HEREBY CERTIFY that I have investigated the death of the deceased. The CAUSE OF DEATH* was as follows : natural Causes: acute dilatation ofthe
Heart. Oedema att
(Duration)
.yrs.
mos.
ds.
Contribute Sudden death)
(SECONDARY)
(Duration)
. yrs.
...
mos. ds.
Serge Burgers Magrath,
M.D.
(Signed)
Jan
12.19 85 (Address).
1:50 am MEDICAL EXAMINER
* State the DISEASE CAUSING DEATH, or, In deaths from VIOLENT CAUSES, state (I) 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.
Stato
yrs. .
mos.
ds.
Where was disease contracted, if not at place of death ?.
Former or usual residence
·9 PLACE OF BURIAL OR REMOVAL
DATE OF BURIAL
Finaldays
.O UNDERTAKER
ADDRESS
Mccudle q/ Colsetient
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.
10 NAME OF
FATHER
1
James Drinau
11 BIRTHPLACE OF FATHER (State or country)
leland
In the
1
MEDICAL CERTIFICATE OF DEATH
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 line will be sufficient, e. g., Farmer or Planter, Physician, Compositor, Architeet, Loco- motive engineer, Civil engineer, Stationary fireman, etc. But in inany 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 necded. 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," ete., 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 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 homc. Care should be taken to report specifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, Housemaid, etc. If the occupation has been changed or given up on account of the DISEASE CAUSING DEATH, state occupation at beginning of illness. If retired from business, that fact may be indicated thus: Farmer (retired, 6 yrs.). For persons who have no occu- pation whatever, write None.
Statement of cause of death. - Name, first, the DIS- EASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted term for the same disease. Examples: Cerebro-spinal fever (the only definite synonym is "Epidemie cerebro-spinal meningitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never re- port "Typhoid pneumonia"); Lobar pneumonia; Broncho- pneumonia ("Pneumonia," unqualificd, is indefinite) ; Tuber-
... .
culosis of lungs, meninges, peritoneum, etc., Careinoma, Sar- coma, ete., of_ ... (nanie origin: "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasmns) ; Mcasles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, ete. The contributory (second- ary or intereurrent) affection need not be stated unless imn- portant. Example: Mcasles (disease causing death), 29 ds .; Broncho-pneumonia (secondary), 10 ds. Never report mero symptoms or terminal conditions, such as "Asthenia," "An- aemia" (merely symptomatic), "Atrophy," "Collapse," "Coma," "Convulsions," "Debility" ("Congenital," "Senile," ete.), "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. 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 carbolie acid - probably suicide. The nature of the injury, as fracture of skull, and consequences (e. g., sepsis tetanus) may be stated under the head of "Contributory."
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