Town of Winthrop : Record of Deaths 1913-1915, Part 9

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 9


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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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.


----


WRITE PLAINLY, WITH UNFADING INK -THIS IS A PERMANENT RECORD.


important. See instructions on back of certificate. N. B .- Every item of Information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very


The Commonwealth of Massachusetts


STANDARD CERTIFICATE OF DEATH


PLACE OF DEATH


(Truthrok


(No.


.15 Nevada


.St.


Ward)


BOSTON


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


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


3 SEX


1 COLOR OR RACE


Armali Whystr


5 SINGLE,


MARRIED,


WIDOWED,


OR DIVORCED


(Write the word)


Madow


18 DATE OF DEATH


March


10


2


(Month)


(Day)


1913


(Year)


I HEREBY CERTIFY that I attended deceased from


1911 ..... to


18 mois


meh 10


1913


that I last saw hun


alive on


1913,


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


4º5gm.


The CAUSE OF DEATH* was as follows:


Diabetes


mellitus)


.(Duretion)


1


Lys. 6


.. mos.


ds.


Contributory


(SECONDARY)


yrs.


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


ds.


(Duration)


Bimel call


M.D.


(Signed)


Ich 10


1913 (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).


In the


At place


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


......... mos.


ds.


Stato ........... yrs.


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


......


ds.


..........


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


Former of usual residence ...


19 PLACE OF BURIAL OR REMOVAL


DATE OF BURIAL


Man 12-1919


20 UNDERTAKER


Thick & Bugger


ADDRESS


Filed 191


REGISTRAR


184 ST


(Month)


(Day)


(Year)


If LESS than


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


... yrs.


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


ds.


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


8 OCCUPATION


(a) Trade, profession, or


particular kind of work


(b) General nature of industry,


business, or establishment in


which employed (or employer).


9 BIRTHPLACE


(State or country)


Juland


PARENTS


11 BIRTHPLACE


OF FATHER


(State or country)


Irland


12 MAIDEN NAME


OF MOTHER


Atalay Callaway


13 BIRTHPLACE OF MOTHER (State or country}


Inland. Y


14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


(Informant) (Address)


18


Susan


'FULL NAME [If married or divorced woman or widow give maiden name, also name of husband.] @RESIDENCE 15 Arvada.


Registered No.


DATE OF BIRTH


7 AGE 6),


10 NAME OF


Samuel M Culan


.....


STANDARD CERTIFICATE OF DEATH.


Statement of occupation. - Precise statement of occupa- tion is very important, so that the relative healthfulness of various pursuits can be known. The question applies to each and every person, irrespective of age. For many occupations a single word or term on the first line will be sufficient, e. g., Farmer or Planter, Physician, Compositor, Architect, Loco- motive engineer, Civil engineer, Stationary fireman, etc. But in many cases, especially in industrial employments, it is necessary to know (a) the kind of work and also (b) the nature of the business or industry, and therefore an additional line is provided for the latter statement ; it should be used only when needed. As examples: (a) Spinner, (b) Cotton mill; (a) Sales- man, (b) Grocery ; (a) Foreman, (b) Automobile factory. The material worked on may form part of the second statement. Never return "Laborer," "Foreman," " Manager,""Dealer," etc., without more precise specification, as Day laborer, Farm laborer, Laborer - Coal mine, etc. Women at home, who are engaged in the duties of the household only (not paid House- keepers who receive a definite salary), may be entered as Ilousewife, Housework, or At home, and children, not gain- fully employed, as At school or At home. Care should be taken to report specifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, Housemaid, etc. If the occupation has been changed or given up on account of the DISEASE CAUSING DEATH, state occupation at beginning of illness. If retired from business, that fact may be indicated thus: Farmer (retired, 6 yrs.). For persons who have no occupation whatever, write None.


Statement of cause of death .- Name, first, the DISEASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted term for the same disease. Examples: Cerebro-spinal fever (the only definite synonym is "Epidemic cerebro-spinal meningitis") ; Diphtheria (avoid use of "Croup ") ; Typhoid fever (never re- port " Typhoid pneumonia ") ; Lobar pneumonia ; Broncho- pneumonia (" Pneumonia," unqualified, is indefinite) ; Tuber-


7. 10, 1913 culosis of lungs, meninges, peritonaeum, etc , Carcinoma, Sar- coma, etc., of ..... .. (name origin: "Cancer" is less definite ; avoid use of "Tumor" for malignant neoplasms) ; Measles ; Whooping cough ; Chronic valvular heart disease; Chronic interstitial nephritis, etc. The contributory (second- ary or intercurrent) affection need not be stated unless im- portant. Example: Measles (disease causing death), 29 ds .; Broncho-pneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as " Asthenia," " An- aemia " (merely symptomatic), "Atrophy," "Collapse," " Coma," " Convulsions," "Debility " ("Congenital," "Senile," etc.), "Dropsy,"" Exhaustion," "Heart failure," "Haemorrhage," " Inanition," "Marasmus," " Old age," "Shock," "Uraemia," " Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as "PUER- PERAL septicaemia," "PUERPERAL peritonitis," etc. State cause for which surgical operation was undertaken.


Cases for the Medical Examiners. - Under the provisions of chapter 24 of the Revised Laws deaths under the following conditions must be referred to the Medical Examiners:


1. Deaths following injury or violence, as Burns, Falls, Drowning, Gas Poisoning, Suicide, Homicide, etc.


2. Deaths supposedly caused 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.


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


The Commonwealth of Massachusetts


STANDARD CERTIFICATE OF DEATH


PLACE OF DEATH


(No. 71 Klalderman (siLE


Ward)


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


Alico Goodwin


2 FULL NAME


[If married or divorced woman or widow


give maiden name, also name of husband.]


@RESIDENCE


71 Wardermal (UE)


Registered No.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


3 SEX


Female Mjesto


4 COLOR OR RACE


6 SINGLE,


MARRIED,


WIDOWED,


OR DIVORCED


(Write the word) emitte


6 DATE OF BIRTH Clua (Month)


(Day) (Year)


7 AGE


If LESS than


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


.. yrs.


7


mos.


3


ds.


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


& OCCUPATION


(a) Trade, profession, or


particular kind of work


(b) General nature of industry, business, or establishment in which employed (or employer).


$ BIRTHPLACE


(State or country)


(Duration)


-- yves ............


.mos.


2


ds.


Contributory


(SECONDARY)


(Duration)


yrs.


mos.


5


ds.


(Signed)


3/11


1912 (Address)


325 W inth


1


....


* Jf 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.


19 PLACE OF BURIAL OR REMOVAL


(Informent)


(Address)


71 [ Halderman (11€)


Filed 191


....


REGISTRAR


16 DATE OF DEATH


-


111 auch


(Month)


11


1913


(Day)


(Year)


19/2


17


I HEREBY CERTIFY that I attended deceased from


ITauch 5-


1913 .... ,


to


ITT auch 11


1913


that I last saw h4


alive on


Tranche


11


. 191.3


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


630


f.m.


The CAUSE OF DEATH* was as follows :


acute Leptomeningitis


WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD.


important. See instructions on back of certificate.


PARENTS


12 MAIDEN NAME


OF MOTHER


Ulia Know


13 BIRTHPLACE OF MOTHER (State or country)


Galias MME


14 THE ABOVE IS TRUE, TO THE BEST OF MY KNOWLEDGE


DATE OF BURIAL


2/01/2/ 1913


20 UNDERTAKER othe S. le thany


ADDRESS Zy Atandie VI


M.D.


11 BIRTHPLACE


OF FATHER


(State or country)


Enteritis


10 NAME OF


FATHER


Harry A Goodvin


......


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 "Lahorer," " 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 he 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 he 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-


Thay. 11, 1913


culosis of lungs, meninges, peritoneum, 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 he ascertained as the cause. Always qualify all diseases resulting from childhirth or miscarriage, as "PUER- PERAL septicaemia," "PUERPERAL peritonitis," etc. State cause for which surgical operation was undertaken.


Cases for the Medical Examiners. - Under the provisions of chapter 24 of the Revised Laws deaths under the following conditions must he 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.


1. Deaths under circumstances unknown, as A person found dead, etc.


The Commonwealth of Massachusetts


STANDARD CERTIFICATE OF DEATH


i PLACE OF DEATH Winthrop .(No. 174. Winthrop.


Bt. >


Ward)


[If death occurred in a hospital or institution, give its NAME instead of street and number.]


Registered No.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX Female


4 COLOR OR RACE


valute


5 SINGLE,


MARRIED,


WIDOWED,


OR DIVORCED


(Write the word)


Balu


6 DATE OF BIRTH


February


20


(Month)


(Day)


(Year)


7 AGE


If LESS than day,. hrs.


.yrs.


mos. 3 Zacats


or min. ?


& 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)


Winthrop. Mass.


.


10 NAME OF


FATHER


PARENTS


12 MAIDEN NAME OF MOTHER mary


1ª BIRTHPLACE OF MOTHER (State or country)


Preland


14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


(Informant)


té 12 Serveur


(Address)


16


Filed. 191


REGISTRAR


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH


march.


(Month)


11th (Day)


( Year)


1


I HEREBY CERTIFY that I attended deceased from


Het. 20th


to


march 11, 1913;


that I last saw her alive on march 11: 19Ng.


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


The CAUSE OF DEATH* was as follows : malnutrition


(Duration) ..


yrs.


ds.


Contributory


(SECONDARY)


.. (Duration)


yrs.


mos. ds.


(Signed)


M.D.


then IS, 1918. (Address)


Winthrop Laav.


* 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.


3 wa State


in the


yrs.


mos.


ds.


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


Former or usual residence . .


19 PLACE OF BURIAL OR REMOVAL


DATE OF BURIAL


Each (> 1913


20 UNDERTAKER


ADDRESS


WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD.


CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very N. B. - Every item of information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state important. See instructions on back of certificate.


frances


ces


Ellene Lynch


(City or town.)


2 FULL NAME ..


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


119/13.


..


11 BIRTHPLACE OF FATHER (State or country) -


STANDARD CERTIFICATE OF DEATH.


Statement of occupation. - Precise statement of occupa- tion is very important, so that the relative healthfulness of various pursuits can be known. The question applies to each and every person, irrespective of age. For many occupations a single word or term on the first line will be sufficient, e. g., Farmer or Planter, Physician, Compositor, Architect, Loco- motive engineer, Civil engineer, Stationary fireman, etc. But in many cases, especially in industrial employments, it is necessary to know (a) the kind of work and also (b) the nature of the business or industry, and therefore an additional line is provided for the latter statement ; it should be used only when needed. As examples: (a) Spinner, (b) Cotton mill; (a) Sales- man, (b) Grocery ; (a) Foreman, (b) Automobile factory. The material worked on may form part of the second statement. Never return " Laborer," " Foreman," " Manager,""Dealer," etc., without more precise specification, as Day laborer, Farm laborer, Laborer- Coal mine, etc. Women at home, who are engaged in the duties of the household only (not paid House- keepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gain- fully employed, as At school or At home. Care should be taken to report specifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, Housemaid, etc. If the occupation has been changed or given up on account of the DISEASE CAUSING DEATH, state occupation at beginning of illness. If retired from business, that fact may be indicated thus: Farmer (retired, 6 yrs.). For persons who have no occupation whatever, write None.


Statement of cause of death. - Name, first, the DISEASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted term for the same disease. Examples: Cerebro-spinal fever (the only definite synonym is "Epidemic cerebro-spinal meningitis") ; Diphtheria (avoid use of " Croup") ; Typhoid fever (never re- port " Typhoid pneumonia ") ; Lobar pneumonia, Broncho- pneumonia (" Pneumonia," unqualified, is indefinite) ; Tuber-


-may. 11, 19-13


culosis of lungs, meninges, peritonaeum, etc., C'arcinoma, Sar- coma, etc., of .. (name origin: "Cancer" is less definite ; avoid use of "Tumor" for malignant neoplasms) ; Measles ; Whooping cough ; Chronic valvular heart disease; Chronic interstitial nephritis, etc. The contributory (second- ary or intercurrent) affection need not be stated unless im- portant. Example: Measles (disease causing death), 29 ds .; Broncho-pneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as " Asthenia," " An- aemia " (merely symptomatic), " Atrophy," "Collapse," "Coma," "Convulsions," "Debility " ("Congenital," "Senile," etc.), "Dropsy," " Exhaustion," "Heart failure," "Haemorrhage," "Inanition," " Marasmus," " Old age," "Shock," "Uraemia," " Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as " PUER- PERAL septicaemia," " PUERPERAL peritonitis," etc. State cause for which surgical operation was undertaken.


Cases for the Medical Examiners. - Under the provisions of chapter 24 of the Revised Laws deaths under the following conditions must be referred to the Medical Examiners :


1. Deaths following injury or violence, as Burns, Falls, Drowning, Gas Poisoning, Suicide, Homicide, etc.


2. Deaths supposedly caused 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.


important. See instructions on back of certificate. N B .- Every item of information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very


The Commonwealth of Massachusetts


STANDARD CERTIFICATE OF DEATH


1 PLACE OF DEATH


Clif House


(No.


Winthis. man


St. :


Win Throp


(City or town.) [If death occurred in a hospitel or institution, give its NAME instead of street and number.]


Caroline Amelia Roberto Marsh


2 FULL NAME


[If married or divorced worin or widow give maiden name, also name of husband.] @RESIDENCE Furt Banks, Win Throp.


U.S.A Registered No.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


3 SEX


Female


4 COLOR OR RACE


w


5 SINGLE,


MARRIED,


WIDOWED,


OR DIVORCED


(Write the word)


Married


(Month)


(Day)


(Year)


7 AGE


If LESS then I dey ......... hrs.


48


.yrs.


11


mos.


25.


ds.


or ....... min. ?


8 OCCUPATION


(e) Trade, profession, or


particular kind of work


House wife (at home)


(b) General neture of industry, business, or esteblishment in which employed (or employer)


9 BIRTHPLACE


(State or country)


Brooklyn, Ny.


PARENTS


11 BIRTHPLACE


OF FATHER


(State or country)


Vermont


12 MAIDEN NAME


OF MOTHER


Caroline Eastman


18 BIRTHPLACE


OF MOTHER


(State or country)


Vermont


" THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


(Informant)


(Address)


Fork Banks Maso


Filed 191


REGISTRAR


(Duration)


.. yrs.


.mos.


.ds.


Contributory


Toxemia


(SECONDARY)


(Duration).


JUS.


.. mos. ds.


Var Watterson M.D.


(Signed)


man 12


3


(Address)


For Banks, Winthrop, Mass


191


* 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.


31/200


In the


11906-1908


Stete


20 yrs


.mos.


ds


Where was disease contracted,


Presumably in Train our route


dienot at place of death ? Borte food


pour york.


Former or


usual residence.


San Francisco


Cal


19 PLACE OF BURIAL OR REMOVAL


DATE OF BURIAL 3/14 1913


20 UNDERTAKER


ADDRESS


191.


(Month)


(Day)


(Year)


3


March 12 191


I HEREBY CERTIFY that I attended deceased from


March 9th


191


to


that I last saw her


alive on


March 12. 1913


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


8:27 Pm


.m.


The CAUSE OF DEATH* was as follows :


Acute lobar foneumonia


3


10 NAME OF


FATHER


Richard S. Roberts


3


12 3


6 DATE OF BIRTH


March


19


1864# 17


16 DATE OF DEATH


March


Ward)


Col. Frederick March (husband)


WRITE PLAINLT, WITH UNFADING INK - THIS IS A PERMANENT RECORD.


STANDARD CERTIFICATE OF DEATH.


Statement of occupation. - Precise statement of occupa- tion is very important, so that the relative healthfulness of various pursuits can be known. The question applies to each and every person, irrespective of age. For many occupations a single word or term on the first line will be sufficient, e. g., Farmer or Planter, Physician, Compositor, Architect, Loco- motive engineer, Civil engineer, Stationary fireman, etc. But in many cases, especially in industrial employments, it is necessary to know (a) the kind of work and also (b) the nature of the business or industry, and therefore an additional line is provided for the latter statement ; it should be used only when needed. As examples: (a) Spinner, (b) Cotton mill; (a) Sales- man, (b) Grocery ; (a) Foreman, (b) Automobile factory. The material worked on may form part of the second statement. Never return "Laborer," "Foreman,""Manager,""Dealer," etc., without more precise specification, as Day laborer, Farm Laborer, Laborer- Coal mine, etc. Women at home, who are engaged in the duties of the household only (not paid House- keepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gain- fully employed, as At school or At home. Care should be taken to report specifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, Housemaid, etc. If the occupation has been changed or given up on account of the DISEASE CAUSING DEATH, state occupation at beginning of illness. If retired from business, that fact may be indicated thus: Farmer (retired, 6 yrs.). For persons who have no occupation whatever, write None.


Statement of cause of death. - Name, first, the DISEASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted term for the same disease. Examples: Cerebro-spinal fever (the only definite synonym is "Epidemic cerebro-spinal meningitis") ; Diphtheria (avoid use of "Croup ") ; Typhoid fever (never re- port " Typhoid pneumonia ") ; Lobar pneumonia ; Broncho- pneumonia ("Pneumonia," unqualified, is indefinite) ; Tuber-


ar 12, 1413


1


culosis of lungs, meninges, peritonaeum, etc., Carcinoma, Sur- coma, etc., of .. (name origin: "Cancer" is less definite; avoid use of " Tumor" for malignant neoplasms) ; Measles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, etc. The contributory (second- ary or intercurrent) affection need not be stated unless im- portant. Example: Measles (disease causing death), 29 ds .; Broncho-pneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as " Asthenia," " An- aemia " (merely symptomatic), " Atrophy," "Collapse," "Coma," "Convulsions," "Debility " ("Congenital," "Senile," etc.), " Dropsy," "Exhaustion," "Heart failure," "Haemorrhage," " Inanition," " Marasmus," " Old age," "Shock," "Uraemia," "Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as " PUER- PERAL septicaemia," " PUERPERAL peritonitis," etc. State cause for which surgical operation was undertaken.


Cases for the Medical Examiners. - Under the provisions of chapter 24 of the Revised Laws deaths under the following conditions must be referred to the Medical Examiners:




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