Town of Winthrop : Record of Deaths 1913-1915, Part 91

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 91


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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MEDICAL CERTIFICATE OF DEATH


3 SEX


4 COLOR OR RACE


Mute


5 SINGLE,


MARRIED,


WIDOWED,


OR DIVORCED


(Write the word)


$ DATE OF BIRTH


Saft


17


1902


(Month)


(Day)


(Year)


7 AGE


If LESS than i day ........ hrs.


12 .yrs. 6


....... ..... mos. 26 ds.


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


· OCCUPATION


Schock bin


(a) Trade, profession, or


particular kind of work


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


3 BIRTHPLACE


(State or country)


Chelun. Mars


PARENTS


12 MAIDEN NAME


OF MOTHER


Hany . W. Bucker


1ª BIRTHPLACE


OF MOTHER


(State or country)


Barrington U.S.


14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


(Informant)


18 Bimini


(Address)


16


Filed


191


......


REGISTRAR


16 DATE OF DEATH


afw


Y., 1915


(Month)


(Day)


(Year)


17


I HEREBY CERTIFY that I attended deceased from


March 10


. 19115, to


Ihr 7.


that I last saw h ...


alive on


Opr 6., 1915


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


9,9.m.


The CAUSE OF DEATH* was as follows :


Septie Endo candita


(Duration)


.. yrs ..


4


.mos.


ds.


Contributory


Cardiac Dropeu


(SECONDARY)


(Duration)


yrs.


ds.


(Signed)


He Partir


M.D.


Cifer-9, 1015 (Address)


Winthrop


. 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.


ds.


State ............ yrs.


mos.


In the


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


Former or usual residence


18 PLACE OF BURIAL OR REMOVAL Minthaes


DATE OF BURIAL


and 10.


1915.


" UNDERTAKER


le R Beminin


ADDRESS


Winther


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


important. See instructions on back of certificate.


St. : Ward)


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


10 NAME OF


FATHER


avery. I. Parul


11 BIRTHPLACE


OF FATHER


(State or country)


Bargin U.S.


apr. 7, 1915


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, Architeet, Loeo- 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 needcd. As cxamples: (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, ctc. 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; Broneho- pneumonia ("Pneumonia," unqualified, is indefinite); Tuber-


culosis of lungs, meninges, peritonaeum, ctc., 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 (discase causing death), 29 ds .; Broneho-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 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, Homieide, 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


Important. See instructions on back of certificate.


The Commonwealth of Massachusetts


STANDARD CERTIFICATE OF DEATH


1 PLACE OF DEATH


(No. 124 Pleasant


St. :


..........


Ward)


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


2FULL NAME


Wilhelmina G. Haigh.


[If married or divorced woman or widow


give maiden name, also name of husband.]


@RESIDENCE


Winthrop 124 pleasant


Registered No.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


$ SEX


4 COLOR OR RACE


LV


6 SINGLE,


MARRIED,


WIDOWED,


OR DIVORCED


(Write the word)


Single


1


10 DATE OF DEATH


ah.


(Month)


8. , 1955


.......


(Year)


(Day)


· DATE OF BIRTH


4


(Month)


75~


(Day)


1916


(Year)


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)


Winthrop


PARENTS


12 MAIDEN NAME


OF MOTHER


13 BIRTHPLACE


OF MOTHER


(State or country)


Cal -


" THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


(Informant)


Genuine Mc Donald.


(Address)


124 Pleasant St


14 Filed


191


REGISTRAR


11


I HEREBY CERTIFY that i attended deceased from


til . . .


1915, to.


apr. 8.


1915


that 1 last saw


Lalive on


apr. 8.


1915


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


99.m.


The CAUSE OF DEATH* was as follows :


acute nephritis


.(Duration)


2


mos.


ds.


Contributory.


Par analitin


.


..........


(SECONDARY)


(Duration) ....... yrs. ..............


mos.


ds


7


Chr. 9.1953 (Address)


Winthe of Mars


....


....


* If death followed injury or violence the certificate of death must be made out by the Medical Examiner.


16 LENGTH OF RESIDENCE (FOR HOSPITALS, INSTITUTIONS, TRANSIENTS, OR RECENT RESIDENTS).


At place


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


„ mos.


ds.


Stato ........... y's.


mos.


In the


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


Former or usual residence


1 PLACE OF BURIAL OR REMOVAL


DATE OF BURIAL


16-10-


1916


D UNDERTAKER


W.C. flex970


ADDRESS


.


7 AGE


If LESS than


1 day ......... hrs.


..... yra.


mos.


1.5.00


10 NAME OF


FATHER


Claude Haugh


11 BIRTHPLACE


OF FATHER


(State or country)


(Signed)


N.l. Partin


M.D.


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 linc 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 laborcr, Farm laborer, Laborer - Coal minc, etc. Women at home, who are engaged in the duties of the houschold 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, ctc. 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 discase. Examples: Cerebro-spinal fcver (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) ; Tubcr-


culosis of lungs, meninges, peritonacum, etc., Carcinoma, Sar- coma, ctc., of .. ... (name origin: "Cancer" is less definite; avoid use of "Tumor" for malignant ncoplasıns) ; Measles; Whooping cough; Chronic valvular heart discasc; Chronic interstitial nephritis, etc. The contributory (second- ary or intercurrent) affection necd not be stated unless im- portant. Example: Measles (discase causing death), 29 ds .; Broncho-pneumonia (secondary), 10 ds. Never report mere syinptoms 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 agc," "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 septicemia," "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 strect, or onc 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-1915.


CITY OF BOSTON.


FULL NAME


FRANK DAFFIN


Registered No.


3557


B. C. H. RELIEF STA.


1915. Age 47


years 3


months


28


days.


STATISTICAL DETAILS.


SEX.


COLOR.


SINGLE, MARRIED, WID., DIV.


M


N


MAR.


Maiden Name


STIE


PATRIBIS. SIT DI , Primary (Duration !!


NATURAL CAUSES - PRESUMABLY


Birthplace


BALTIMORE.MD


Name of Father


FRANK D. DAFFIN


Birthplace of Father


BALTIMORE.MD.


Maiden Name of Mother


IDA NOULTON


Birthplace of Mother


BALTIMORE. ME.


Occupation


COMPOSITOR


SPECIAL INFORMATION from Hospitals, Institutions, Transients, or Recent Residents.


Place of Burial or removal


WINTHROP ( WINTHROP CEM) Usual Residence WINTHROP (63 CHESTER AV)


Undertaker


W.C. SKAGGS


Filed


APR . 14 1915


WINTHROP


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


Husband's Name


CITY


ILVULALO


BOSTONIA CONLAITA A MED.


CA AD. 1822.


HEART DISEASE ( ORGANIC)


6 SRE IMIN


: DONATA A


STO


1. MASS


Contributory : ( (Duration) SUDDEN DEATH


(Signed) G. B. MAGRATH MED. EX. M.D.


APR.9


1915


A true copy. A:test :


Emblemen


Registrar.


Place of Death ¿ and Residence S


Boston


APR.8


Date of Death


Informant


SICUT


apr. 8, 1915


$


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


PLACE OF DEATH


......


(No. 35 menard als.


Emma Frances Bose Haite


Ward)


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


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


" SEX-


‘ COLOR OR RACE


Female Mute,


5 SINGLE,


MARRIED,


WIDOWED,


OR_DIVORCED


(Write the word)


manca


· DATE OF BIRTH


(Month)


(Day)


1


184


(Year)


7 AGE


If LESS than


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


67 yra. 2


9.


mos.


ds.


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


* OCCUPATION


(a) Trade, profession, or


particular kind of work


At Home


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


· BIRTHPLACE


(State or country)


Judge Masa


Mask.


10 NAME OF


FATHER


PARENTS


11 BIRTHPLACE


OF FATHER/


(State of country)


Unknown.


12 MAIDEN NAME


OF MOTHER


Nancy Halden


18 BIRTHPLACE


OF MOTHER


(State or country)


14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


(Informant)


Eloi Haute


(Address)


Filed 191


REGISTRAR


16 DATE OF DEATH


17


I HEREBY CERTIFY that I attended deceased from


Dec. 20


1914, to


após 10


1915


that I last saw h ... ...... alive on


apie 9


1915


....


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


3 A.m.


The CAUSE OF DEATH* was as follows :


Secondary Cancunnie ff Ley


(Duration)


.........


.. yrs.


.............


.. mos.


ds.


Contributory (SECONDARY)


.(Duration) .


............ yrs. .


.mos.


de.


(Signed)


M.D.


.......


. 19kč ..... (Address).


218 horas Huiles


* 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.


Stete ............ y ... ............ mos.


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


Former or usual residence


1 PLACE OF BURIAL OR REMOVAL Forest Hills


DATE OF BURIAL


C/12001. 1915


20 UNDERTAKER


Holm Formally


ADDRESS


Mutter


(City or town.)


2 FULL NAME


[If married or divorced woman or widow


give maiden name, also name of husband.]


@RESIDENCE


35 Mermaid ave


....


Registered No.


(Month)


10


1915


....


(Day)


(Year)


....


apr. 101915


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 eacl and every person, irrespective of agc. For many occupations a single word or term on the first line will be sufficient, e. g., Farmer or Planter, Physician, Compositor, Architect, Loeo- motive engineer, Civil engineer, Stationary fircman, 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. Carc 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 rc- 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," "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- 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.


Varta 67 you.


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


Huittrap, Highlands (No.


88


Cliff are


St. :


....... Ward)


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


2 FULL NAME


diristiana Fleratutte. Wilson


[If married or divorced woman or widow give maiden name, also name of husband.] a RESIDENCE 88 Elefan


Hayder


Registered No.


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


3 SEX


4 COLOR OR RACE


cette


5 SINGLE,


MARRIED,


OR DIVORCED


(Write the word)


DATE OF BIRTH


mar


17


18.30


(Year)


(Month)


(Day)


7 AGE


63


.yrs.


mos


26


ds.


If LESS than


day.


min.


* OCCUPATION


(a) Trade, profession, or


particular kind of work


at Home.


(b) General nature of industry,


business, or establishment in


which employed (or employer).


17 I HEREBY CERTIFY that I attended deceased from april 3 ..... 1916 ... , to april 11. 1915 that I last saw alive on april 10 1915 and that death occurred, on the date stated above, at 70 m. The CAUSE OF DEATH* was as follows : Sabar Primaria


.


Did a surgical operation precede death ? To Date


(Duration)


X


mos.


ds.


.yrs.


Hemiplegia


Contributory.


(SECONDARY)


(Duration)


1


„yrs.


.......


mos.


ds.


(Signed)


Qwille E. Haluyou


M.D.


april 11, 1915 (Address) Vernetuolo, Mais


* If death followed injury or violence the certificate of death must be made out by the Medical Examiner.


1$ LENGTH OF RESIDENCE (FOR HOSPITALS, INSTITUTIONS, TRANSIENTS, OR RECENT RESIDENTS).


At place


In the


life


of death.


2


... mos.


ds.


State


.yrs.


mos.


ds.


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


Former or usual residence.


18 PLACE OF BURIAL OR REMOVAL Zet Wollentar Jeunes


DATE OF BURIAL


Quil '4


1918


· UNDERTAKER


Filed


191


..... REGISTRAR


16 DATE OF DEATH


april


1915


(Month)


(Day)


(Year)


· BIRTHPLACE


(State or country)


Lucy Juans.


10 NAME OF


FATHER


Jakich Handen.


11 BIRTHPLACE OF FATHER (State or country)


12 MAIDEN NAME


OF MOTHER


13 BIRTHPLACE


OF MOTHER


(State or country)


14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


(Informant)


(Address)


88 Elec ave.


ADDRESS


110 Moralunter


PARENTS


BOSTON ...


apr. 10/1915


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 eacli 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 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- 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., Careinoma, Sar- coma, etc., of .... .. (name 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," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Haemorrhage," "Inanition," "Marasmus," "Old age,". "Shock," "Uraemia," "Weakness," etc., when a definite disease ean 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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