USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1913-1915 > Part 92
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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 eaused 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
1 PLACE OF DEATH
STANDARD CERTIFICATE OF DEATH 174 Winthrop St. Wantlook more. Ward)
(City or town.) [If death occurred in a hospital or institution, give its NAME instead of street and number.]
? FULL NAME
Richard Hopesett Loring
[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
3 SEX
male
4 COLOR OR RACE
white
5 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
Single
$ DATE OF BIRTH
March 30 cho.
(Month)
(Day)
(Year)
7 AGE
If LESS than
! day ........ hrs.
or ........ min. ?
$ OCCUPATION
(a) Trade, profession, or
particular kind of work
(b) General nature of Industry,
business, or establishment in
which employed (or employer).
I HEREBY CERTIFY that I attended deceased from Nouh 30 1913 to afuit 11 .... , that I last saw h.w. alive on aquis 11 1915 and that death occurred, on the date stated above, at 1036-am. The CAUSE OF DEATH* was as follows : Hamortage of the new Born.
.(Duration)
......
.. yrs.
mos.
ds.
Contributory.
(SECONDARY)
(Duration)
.. yrs.
........ mos.
ds.
(Signed)
M.D.
agn 13, 1915 (Address)
.................
* If death followed Injury or violence the certificate of death must be made out by the Medical Examiner.
18LENGTH OF RESIDENCE (FOR HOSPITALS, INSTITUTIONS, TRANSIENTS, OR RECENT RESIDENTS).
At place
of death.
........... yrs.
mos.
12 ds.
In the
State.
.yrs.
mos.
ds. 12
Where was disease contracted,
If not at place of death ?.
confunctialo.
Former or usual residence
1º PLACE OF BURIAL OR REMOVAL
DATE OF BURIAL
4/14
1915
......
" UNDERTAKER
ADDRESS
Filed 191
REGISTRAR
16 DATE OF DEATH
afmil
(Month)
11
1915
(Day)
(Year)
18/15
17
yrs.
mos.
12 ds.
PARENTS
1) BIRTHPLACE
OF FATHER
(State or country)
So. Boston Mass.
12 MAIDEN NAME
OF MOTHER
Grace Love Verbally
13 BIRTHPLACE
OF MOTHER
(State or country)
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informent)
S.M. Laidlaw. 12. 1.
(Address)
Metcalf Hopital Niettrots buchet Canmake
* BIRTHPLACE
(State or country)
Wiekrop, mass.
10 NAME OF
FATHER
Les. Louis
11 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, Architect, Loeo- motivc 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 nceded. As examples: (a) Spinner, (b) Cotton mill; (a) Sales- man, (b) Grocery; (a) Foreman, (b) Automobile factory. The material worked on may form part of the second statement. Never return "Laborer," "Foreman," "Manager," "Dealer," etc., without more precise specification, as Day laborer, Farm laborer, Laborer - Coal mine, etc. Women at home, who are engaged in the duties of the household only (not paid House- keepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gain- fully employed, as At school or At home. Care should be taken to report specifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, Housemaid, etc. If the occupation has been changed or given up on account of the DISEASE CAUSING DEATH, state occupation at beginning of illness. If retired from business, that fact may be indicated thus: Farmer (retired, 6 yrs.). For persons who have no occu- pation whatever, write None.
Statement of cause of death. - Name, first, the DIS- EASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted 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, 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 (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 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.
.
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
007 chute
St. :
Ward)
douaini
2 FULL NAME [If married or divorced woman or widow! give maiden name, also name of husband.] @RESIDENCE
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH
Char. 12
1913
(Month)
(Day)
(Year)
I HEREBY CERTIFY that I attended deceased from
Dec 15
1914, to
.....
Cebr /2015
that I last saw h low alive on
afew. 12. 1919
and that death occurred, on the date stated above, at.
m.
The CAUSE OF DEATH* was as follows :
Compra Hem ockage
..........
(Duration)
yrs.
.......
mos.
1
ds
Contributory.
artères sclerosis
(SLCONDARY)
.(Duration)
.yrs.
mos. ds
(Signed)
Cfr. 12.
(Addre
..........
* If death followed injury or violence the certificate of death inust be made ont by the Medical Examiner.
18 LENGTH OF RESIDENCE (FOR HOSPITALS, INSTITUTIONS, TRANSIENTS, OR RECENT RESIDENTS).
In the
At place
of death.
yrs
mos.
ds.
State
........... yrs.
mos.
ds .............
Where was disease contracted, If not at place of death ?. Former or usual residence
12 PLACE OF BURIAL OR REMOVAL
DATE OF BURIAL
(Informant) ....
(Address)
50% S unavail
Filed
191
REGISTRAR
Registered No.
4 COLOR OR RACE
3 SEX Chave /flute
5 SINGLE,
MARRIED,
. WIDOWED.
OR DIVORCED
(Write the word)-
$ DATE OF BIRTH
Nor-
(Month)
14
186 - 17
(Day)
(Year)
? AGE
If LESS than I day ......... hrs.
51
.yrs. mos.
29
· ds.
Or ........ min. ?
& OCCUPATION
(a) Trade, profession, or
particular kind of work
MaradEL
(b) General nature of industry,
business, or establishment In
which employed (or employor)
9 BIRTHPLACE
(State or country)
10 NAME OF
THE Laurence Comer
OUIVENCE,
PARENTS
11 BIRTHPLACE
OF FATHER
(State or country)
Eland.
12 MAIDEN NAME
OF MOTHER
Ellen Houseal
1ª BIRTHPLACE
OF MOTHER
(State or country)
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
120-
(City or town.)
[If death occurred in a hospital or institution, give its NAME Instead of street and number.]
.
20 UNDERTAKER 10 m. J. 01 /
ADDRESS
M.D.
+
apr. 12,110
STANDARD CERTIFICATE OF DEATH.
Statement of occupation. - Precise statement of occu- pation is very important, so that thic relative healthfulness of various pursuits can be known. The question applies to each aud 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- motivc 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- kcepers 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. - Namc, 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-
1800 culosis of lungs, meninges, peritonacum, etc., Carcinoma, Sar- 51 coma, d,d. „(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 scpticaemia," "PUERPERAL peritonitis," ete. 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.
N. B. - Every item of information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very
important. See instructions on back of certificate.
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
1 PLACE OF DEATH
Winthrop Beach (No. 92 Shore Drive St. :. ....... Ward)
2 FULL NAME
Oliver Willdury In axwell
[If married or divorced woman or widow
give maiden name, also name of husband.]
"RESIDENCE 92
Shore Drive, Skintrop, mais.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
Imale
4 COLOR OR RACE
White
5 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
stidower
" DATE OF BIRTH
December 13
(Month)
(Day)
1831
(Year)
7 AGE
If LESS than
¡ day ......... hrs.
83
.yrs.
4
mos.
X
ds.
or ........ min. ?
8 OCCUPATION
(a) Trade, profession, or
particular kind of work
Retired merchant
(b) General nature of industry,
business, or establishment in
which employed (or employer).
Wholesale Produce
9 BIRTHPLACE
(State or country)
Atsales. maine
PARENTS
11 BIRTHPLACE
OF FATHER
(State or country)
maine
12 MAIDEN NAME
OF MOTHER
Elmina Gray
18 BIRTHPLACE
OF MOTHER
(State or country)
Gray, maine
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(informant) .......
Mildred M. Allen.
(Address)
Winthrop, Mass.
18
Filed ., 191
REGISTRAR
17 I HEREBY CERTIFY that I attended deceased from
, 1913, to.
april 13
191.
....
that I last saw hw alive on
april 13
1916
and that death occurred, on the date stated above, at.
3.30P.m.
The CAUSE OF DEATH* was as follows :
Intestinal Cancer
(Duration).
1 yra. 3
„mos.
ds.
Contributory.
(SECONDARY)
.. (Duration)
20
„yrs.
.......
mos.
ds.
(Signed)
IN Morse 2 0
M.D.
...
afraid 1.3
191$
(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
of death
.yrs.
.. mos.
de.
State
.. yrs. ..
In the.
mos.
d ..............
Where was disease contracted,
If not at place of death ?..
Former or usual residence.
1 PLACE OF BURIAL OR REMOVAL
DATE OF BURIAL
afm. 15. 1915
Spielvise marzo
" UNDERTAKER
Henry St. Charles
ADDRESS
melrose, mais
Skinthanh (City or town.) [If death occurred in a hospital or institution, give its NAME instead of street and number.]
.... Registered No.
16 DATE OF DEATH
april
(Month)
13
(Day)
1913 -
(Year)
10 NAME OF
FATHER
Samuel maxwell
462 Bor Coton St
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 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 houschold 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 DEATII (the primary affection with respect to time and causation), using always the same accepted terin 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," unqualified, is indefinite) ; Tuber-
culosis of lungs, meninges, peritonaeum, 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; 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," "Hacmorrhage," "Inanition," "Marasmus,", "Old age," "Shock," "Uraemia," "Weakness,", etc., when a definite disease 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, 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 Massariutsetts
STANDARD CERTIFICATE OF DEATH
BOSTON ...
(City or town.) [If death occurred in a hospital or institution, give its NAME instead of street and number.]
Elizabeth Mac Quarrie
carrie
2 FULL NAME
widow of William a. Mª Quarrie
[If married or divorced woman or widow
give maiden name, also name of husband.]
@RESIDENCE
34 Ocean avec Winthrop
Registered No.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
4 COLOR OR RACE
Eb. Undowned
5 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
$ DATE OF BIRTH
(Month)
(Day)
1
(Year)
' AGE 81 / 11
If LESS than
I day. ....... hrs.
& OCCUPATION
(a) Trade, profession, or
particular kind of work
natired
(b) General nature of industry,
business, or establishment in
which employed (or employer).
-
9 BIRTHPLACE
(State or country)
Castport maine
PARENTS
12 MAIDEN NAME
OF MOTHER
Elizabeth Pragau
13 BIRTHPLACE
OF MOTHER
(State or country)
Ireland
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
ant) Mrs My. C. MarQuarrie
(Address)
34 Ocean ave Min.
REGISTRAR
16 DATE OF DEATH
17
I HEREBY CERTIFY that I attended deceased from
seen by Croftwany a Kelling
191
.......
that I last saw h
On drive annah ago
191
and that death occurred, on the date stated above, at
10Am.
The CAUSE OF DEATH* was as follows :
Carmona of Stomach
Did a surgical operation precede death ?
Date
.......
(Duration)
yrs.
6
mos.
ds.
Contributory
(SECONDARY)
(Duration)
.yrs.
mos.
ds.
(Signed)
M.D.
Chamand
a3 13%, 1915 (Address)
* If death followed injury or violence the certificate of death minst be made out by the Medical Examiner.
18 LENGTH OF RESIDENCE (FOR HOSPITALS, INSTITUTIONS, TRANSIENTS, CR RECENT RESIDENTS).
At place
of deatn .
yrs.
mos.
ds.
Stato.
.yrs.
In the
mos.
ds ..
Where was disease contracted, If not at place of death ?
Former or usual residence.
+
1ª PLACE OF BURIAL OR REMOVAL
Forrest Hills Cen.
Pembroke me.
DATE OF BURIAL
Cfr. 15-1915
UNDERTAKER Thomas J. Lame.
ADDRESS
130 Have Sit
az-Boston.
(Month)
13
(Day)
, 1915
(Year)
mos.
12
ds.
... min. ?
10 NAME OE
FATHER
Bartholomew dickey
11 BIRTHPLACE
OF FATHER
(State or country)
Ireland
Filed 19 !.
RACE OF DEATH
Manchrap
(No.
34 Ocean Live
.....
St. :..
..........
Ward)
apr. . 131915
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 engincer, 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) Groccry; (a) Foreman, (b) Automobile factory. The material worked on may form part of the second statement. Never return "Laborer," "Foreman," "Manager," "Dcaler," etc., without more precise specification, as Day laborer, Farm laborer, Laborer - Coal mine, etc. Women at home, who are engaged in the duties of the household only (not paid Housc- keepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gain- fully employed, as At school or At home. Care should be taken to report specifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, Housemaid, etc. If the occupation has been changed or given up on account of the DISEASE CAUSING DEATH, state occupation at beginning of illness. If retired from business, that fact may be indicated thus: Farmer (retired, 6 yrs.). For persons who have no occu- pation whatever, write None.
Statement of cause of death. - Name, first, the DIS- 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 Icss definite; avoid use of "Tumor" for malignant neoplasms) ; Measles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, ctc. 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," "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 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:
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