USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1916-1918 > Part 110
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"Foreman," "Manager," "Dealer," ete., 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 Housekeepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gainfully employed, as At school or At home. Care should be taken to report spe- eifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, Housemaid, etc. It the occupation has been changed or given up on account of the DISEASE CAUSING DEATII, State occupation at beginning of illness. If retired from business, that fact may be indi- cated 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 discase. Examples: Cerebrospinal fever (the only definite synonym is "Epidemie cerebrospinal menin- gitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneumonia; Bronehopneumonia ("Pneumonia," unquali- fied, is indefinite); Tuberculosis of lungs, meninges, peri- toncum, etc., Carcinoma, Sarcoma, etc., of_
(name origin; "Cancer" is less definite; avoid use of "Tuinor" for malignant neoplasms); Measles; Whooping cough; Chronic valvular heart disease; Chronie interstitial nephritis, etc. The contributory (secondary or inter- current) affection need not be stated unless important. Example: Measles (disease causing death), 29 &s .; Broneho- pneumonia (secondary), 10 ds. Never report mere symp- toins or terininal conditions, such as "Asthenia," "Anemia" (merely symptomatic), "Atrophy," "Col-
lapse," "Coma," "Convulsions,"" "Debility " ("Con-
genital," "Senile," etc.), " Dropsy," "Exhaustion," "Heart failure," "Hemorrhage," "Inanition," "Maras- inus," "Old age," "Shock," "Uremia," "Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from child- birth or miscarriage, as "PUERPERAL septicemia," "PUER- PERAL peritonitis," etc. State cause for which surgical operation was undertaken. For VIOLENT DEATIIS STATE MEANS OF INJURY and qualify as ACCIDENTAL, SUICIDAL, or HOMICIDAL, or as probably such, if impossible to de- termine definitely. Exanırles: Accidental drowning; Strvek by railway train - accident; Revolver wound of head - homicide; Poisoned by carbolic acid - probably suicide. The nature of the injury, as fracture of skull, and consequences (e. g., sepsis, tetanus) may be stated
LUCC nenaations
ACL LOTY . on statement of cause of death approved by Committee on Nomenclature of the American Medical Association.)
Cases for the Medical Examiners. - Under the provi- sions 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 Crimina. abortion, Poisoning, Starvation, Suffocation, Exposure, etc.
3. Sudden deaths of persons not disabled by recognized discase, as A death upon the street, or one supposed to be due to Alcoholism, etc.
4. Deaths under circumstances unknown, as A person found dead, etc.
ADDITIONAL SPACE
FOR FURTHER STATEMENTS BY
PHYSICIAN.
R 15. 1-'18. 20,000.
R-302
Certificate Based on U.S. Army transportation Permit The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
Winthrop (City or town)
Registered No.
(Place of death) Registered No.
(Place of residence) St., Ward
City or Town # 62857 No.
(If death occurred in a hospital or institution, give its NAME instead of strcet and number) .,
Richard J. Metcalf, Corporal-Co.M. g.101 st auf antry
(If in the Army or Kavy of the United States, give rank, organization, etc.)
(a) Residence.
State
Mass.
City or Town
Winthrop No. 170 Winthrop St
St.
(Usual place of abode)
Length of residence in city or town where death occurred
years
months
days How long in U. S., if of foreign birth? years
months
days
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
male
4 COLOR OR RACE
white
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
single
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
6 DATE OF BIRTH (month, day, and year)
apr.4.1898
7 AGE
Years
20
Months
3
Days
11
If LESS than 1 day, ........ hrs. or ........ min.
If STILLBORN, enter that fact bere
8 OCCUPATION OF DECEASED
(a) Trade, profession, or
particular kind of work
Student
(b) Name of employer
9 BIRTHPLACE (eity or town)
(State or country)
Winthrop Mars
10 NAME OF FATHER Ben Hicks Metcalf
PARENTS
11 BIRTHPLACE OF FATHER (eity or town) ... (State or country) Meadville Pa.
12 MAIDEN NAME OF MOTHER Mand R. Fossett
13 BIRTHPLACE OF MOTHER (eity or town) (State or country) Roslindale Boston ) Mass
14
miss Wry
Informant
( Address)
170 Winthrop St Withwok
15
Filed Oct 6
19 2 1
Registrar of city or town where death occurred
Filed.
19
Registrar of city or town where deceased resided
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH (month, day, and year) July 15 19 / 8
17
I HEREBY CERTIFY, That I attended deceased from
19 ..
....... , to.
19
...
that I last saw h ....
............ alive on
19
and that death occurred, on the date stated above, at .
m. The CAUSE OF DEATH* was as follows:
* State the DISEASE CAUSING DEATHI, or in deaths from VIOLENT CAUSES, state (1) MEANS AND NATURE OF INJURY, and (2) whether ACCIDENTAL, SUICIDAL, or HOMICIDAL. (See reverse side for additional spaee.) Killed in action
in France
.. (duration).
.......
... yrs ..
......
.mos ................ ds.
CONTRIBUTORY
(SECONDARY)
(duration)
.yrs.
............... mos ............... .ds.
18 Where was disease contracted
if not at place of death ?
Did an operation precede death ?. Date of.
Was there an autopsy ?.
What test confirmed diagnosis ?.
(Signed) M.D.
.19 (Address)
19 PLACE OF BURIAL, CREMATION, OR REMOVAL
Winthrop
DATE OF BURIAL
aug. 28 1921
20 UNDERTAKER
C. R. Benson
ADDRESS
Winthrop
1
9. 25,000
carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statoment of OCCUPATION is very important. See instructions on back
of certificate.
1 PLACE OF DEATH
County
France
.State ....
2 FULL NAME.
REVISED UNITED STATES STANDARD CERTIFICATE OF DEATH [Approved by U. S. Census and American Public Health Association]
Statement of occupatien. - 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 inany occupations a single word or terin on the first line will be sufficient, e. g., Farmer or Planter, Physician, Compos- itor, Architect, Locomotive engineer, Civil engineer, Stationary fireman, etc. But in many cases, especially in industrial employments, it is necessary to know (a) tlie 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) Salesman, (b) Grocery; (a) Foreman, (b) Automobile factory. The ma- terial worked on may forni 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, wlio are engaged in the duties of the household only (not paid Housekeepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gainfully employed, as At school or At home. Care should be taken to report spe- cifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, Housemaid, etc. It the occupation has been changed or given up on account of the DISEASE CAUSING DEATII, state occupation at beginning of illness. If retired from business, that fact inay be indi- cated thus: Farmer (retired, 6 yrs.). For persons who have no occupation whatever, write None.
Statement of cause of death .- Nanie, 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: Cerebrospinal fever (the only definite synonym is "Epidemie cerebrospinal menin- gitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneumonia; Bronchopneumonia ("Pneumonia," unquali- fied, is indefinite); Tuberculosis of lungs, meninges, peri- toneum, etc., Carcinoma, Sarcoma, etc., of.
(name origin; "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms); Measles; Whooping cough; Chronie valvular heart disease; Chronie interstitial nephritis, etc. The contributory (secondary or inter- current) affection need not be stated unless important. Example: Measles (disease causing death), 29 as .; Broncho- pneumonia (secondary), 10 ds. Never report mere symp- toms or terminal conditions, such as "Asthenia," " Anemia" (merely symptomatic), "Atrophy," "Col- lapse," "Coma," "Convulsions,"""Debility" ("Con- genital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Hemorrhage," "Inanition," "Maras- mus," "Old age," "Shock," "Uremia," "Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from child- birth or miscarriage, as "PUERPERAL septicemia," "PUER- PERAL peritonitis," etc. State cause for which surgical operation was undertaken. For VIOLENT DEATHS STATE MEANS OF INJURY and qualify as ACCIDENTAL, SUICIDAL, or HOMICIDAL, or as probably such, if impossible to de- termine 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 (c. g., sepsis, tetanus) may be stated
under the head of "Contributory." (Recommendations on statement of cause of death approved by Committee on Nomenclature of the American Medical Association.)
Cases for the Medical Examiners. - Under the provi- sions 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, Exposure, etc.
3. Sudden deaths of persons not disabled by recognized clisease, 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.
ADDITIONAL SPACE
FOR FURTHER STATEMENTS BY PHYSICIAN.
am g
UNITED STATES GOVERNMENT WAR DEPARTMENT QUARTERMASTER CORPS GRAVES REGISTRATION SERVICE PIER 2. HOBOKEN, N. J.
Aug. 24, 1921.
TRANSPORTATION OF CORPSE
PERMISSION IS HEREBY GRANTED TO CONVEY THE BODY OF THE FOLLOWING NAMED PERSON, WHO DIED OVERSEAS IN THE SERVICE OF T UNITED STATES, FROM HOBOKEN, N. J. TO WINTHROP MASS CHUSETTS
AND SOLDIER ESCORT IS HEREBY AUTHORIZED TO ACCOMPANY SAID BODY IN TRANSIT.
FULL NAME OF DECEASED METCALF, RICHARD F. CPL. 62857
Co. M.G. 101st Inf
CAUSE OF DEATH K/A DATE OF DEATH 7-15-18
DEATH OCCURRED ON DATE STATED ABOVE WHILE SERVING WITH THE UNITED STATES ARMY IN FRANCE.
BODY DISINTERRED BY THE UNITED STATES GOVERNMENT IN FRANCE.
THIS BODY HAS BEEN PREPARED IN ACCORDANCE WITH THE REGULATIONS OF THE DEPARTMENT OF HEALTH OF THE STATE OF NEW JERSEY, AND THE ISSUANCE OF THIS PERMIT HAS BEEN APPROVED BY THE SAID DEPARTMENT.
R. E. SHANNON, CAPTAIN, Q.M.C .. U.S.A .. OFFICER IN CHARGE.
July 15, 1918
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
State
Mass
Nincsroli (City or town C- ...
Registered No.
City.
No.
William Henry
Troyes
St.,
.. Ward.
(If non-resident give city or town and State)
months
days.
How long in U. S., if of foreign birth ?
months
days
PERSONAL AND STATISTICAL PARTICULARS
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
Marcar
6 DATE OF BIRTH (month, day, and year) Cock 29, 1840
If LESS than 1 day, ........ hrs. or ........ min.
Edinburgh
(State or country) England
10 NAME OF FATHER п. Слица
12 MAIDEN NAME OF MOTHER ER Jane Broke
REGISTRAR
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH (month, day, and ycar)
July ??
1918
17 I HEREBY CERTIFY, That I attended deceased from 17, to July 17, 1918.
that I last saw h hey. alive on
July 6,, 1918.
and that death occurred, on the date stated above, at
1309. m.
The CAUSE OF DEATH* was as follows :
acute relation of leave.
.(duration)
yrs ..
mos ...
3 ds.
CONTRIBUTORY ....
(SECONDARY)
avenidaclein
(duration)
2 yrs.
mos ..
ds
18 Where was disease contracted
if not at place of death ?
x
Did an operation precede death? 20
Date of
x
Was there an autopsy ?
no
What test confirmed diagnos
Amator I Clinical Fest
1
7/18, 19/8 (Address)
5 11 mars. but. Boston
* State the DISEASE CAUSING DEATH, or in deaths from VIOLENT CAUSES, state (1) MEANS AND NATURE OF INJURY, and (2) whether ACCIDENTAL, SUICIDAL, or HOMICIDAL. (See reverse side for additional space.)
19 PLACE OF BURIAL, CREMATION, OR REMOVAL Windbuch man
DATE OF BURIAL
July 201018
20 UNDERTAKER
ADDRESS
14.7 Windy
or
or Village 11 Beacon Of
St ..
Ward
(If death occurred in a hospital or institution, give its NAME instead of street and number)
1 PLACE OF DEATH
County.
Kveldalk
Township
winchiot
2 FULL NAME
(a) Residence.
No.
10 Beacon
(Usual place of abodc)
Length of residence in city or town where death occurred
9
years
4 COLOR OR RACE
3 SEX
Muito
5a If married, widowed, or diyorced
HUSBAND of
alice. B. Trayes
(or) WIFE of
7 AGE
Ycars
Months
17
Days
20
8 OCCUPATION OF DECEASED
(a) Trade, profession, or
Proof Reader
particular kind of work
Boston Globe.
9 BIRTHPLACE (city or town).
13 BIRTHPLACE OF MOTHER (city or town)
PARENTS
(State or country)
14
Informant
alici B. Irmão
(Address)
10 Beacon &h
of certificate.
so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions on back
carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms,
15
Filed
, 19
N. B. - WRITE PLAINLY, WITH UNFADING INK - THIS IS A PERMANENT RECORD. Every item of information should be
(b) General nature of industry,
business, or establishment in
which employed (or employer)
(c) Name of employer
Bustos maso
11 BIRTHPLACE OF FATHER (city or town) ty mache
(State or country)
England
(Signed)
William 10. 8 cagnes &
M.D.
ICU SIALES SIANDARD CERTIFICATE OF DEATH [Approved by U. S. Census and American Public Health Association]
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, Compos- itor, Architect, Locomotive 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) Salesman, (b) Grocery; (a) Forcman, (b) Automobile factory. The ma- terial 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 Housekeepers who receive a definite salary), may be entered as Housewife, Houscwork, or At home, and children, not gainfully employed, as At school or At homc. Care should be taken to report spe- eifically 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 indi- cated 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: Cerebrospinal fever (the only definite synonym is "Epidemie cerebrospinal menin- gitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneumonia; Bronchopneumonia ("Pneumonia," unquali- fied, is indefinite); Tuberculosis of lungs, meninges, peri- toneum, etc., Carcinoma, Sarcoma, etc., of_
(name origin; "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms); Mcasles; Whooping cough; Chronic valvular heart discase; Chronic interstitial nephritis, etc. The contributory (secondary or inter- current) affection need not be stated unless important. Example: Measles (disease causing death), 29 ds .; Broncho- pneumonia (secondary), 10 ds. Never report mere symp- toms or terminal conditions, such as "Asthenia," "Anemia" (merely symptomatic), "Atrophy," "Col- lapse," "Coma," "Convulsions,"""Debility" (“Con- genital," "Senile,"
etc.), "Dropsy," "Exhaustion," "Heart failure," "Hemorrhage," "Inanition," "Maras- mus," "Old age," "Shock," "Uremia," "Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from child- birth or miscarriage, as "PUERPERAL septicemia," "PUER- PERAL peritonitis," etc. State cause for which surgical operation was undertaken. For VIOLENT DEATHS STATE MEANS OF INJURY and qualify as ACCIDENTAL, SUICIDAL, or HOMICIDAL, or as probably such, if impossible to de- termine definitely. Examples: Accidental drowning; Struck by railway train - accident; Rcvolver wound of hcad - homicide; Poisoncd by carbolic 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." (Recommendations on statement of cause of death approved by Committee on Nomenclature of the American Medical Association.)
Cases for the Medical Examiners. - Under the provi- sions 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, Exposure, 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.
ADDITIONAL SPACE
FOR FURTHER STATEMENTS BY
PHYSICIAN.
R 15. 1-'18. 100,000.
R-301
OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
BOSTON
1 PLACE OF DEATH
County.
Suffolk
FRANCE
State Massachusetts
Registered No. 72
St., Ward
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
Lieut Henry Q. Griffin.
2nd, It, Co B 109th Inf.
(If in the Army or Navy of the United States, give rank, organization, etc.)
(a) Residence.
No.9.1.Fremont St
( Usual place of abode)
Length of residence in city or town where death occurred
years
months
days. How long in U. S., if of foreign birth ? years months days
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH
July 18.1918.
lonth)
(Day)
(Year)
17 I HEREBY CERTIFY, That I attended deceased from
19
.. , co
.
19
that I last saw h
alive on
19
and that death occurred, on the date stated above, at
m.
The CAUSE OF DEATH was as follows :
if LESS than 1 day, ........ hrs. or ....... min. Filled in action
(duration)
yrs ................
mos ..........
ds.
CONTRIBUTORY (SECONDARY)
(duration)
yrs .............
mos .............
ds.
18 Where was disease contracted if not at place of death? FOR WHAT?
Did an operation precede death ?
Date of
Was there an autopsy ?
What test confirmed diagnosis ?
(Signed)
M.D.
( Address).
Date.
( Month)
( Day)
(Year)
Informant
r. Wilbur I. Griffin
19 PLACE OF BURIAL, CREMATION, OR REMOVAL
Wirtuo Winthrop
DATE OF BURIAL
(Address)
91 Fremont St., Winthrop, Mans (Cemetery)
(City or town)
20 UNDERTAKER
ADDRESS
Q.E. Jours Son ami vir
21 I HEREBY CERTIFY that a satisfactory stan- dard certificate of death was filed with me BEFORE the burial or transit permit was issued Ego
Official position.
CES 13 192 N.2779
3 SEX
4 COLOR OR RACE
Male
White
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
7 AGE
Years
Months
23
13
If STILLBORN, enter that fact here
8 OCCUPATION OF DECEASED
(a' Trade, profession, or
particular kind ot work
2nd Lt
PARENTS
14
instructions and extracts from the laws on back of certificate.
in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See
(h) Name of employer
U. S. A.
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
Single
6 DATE OF BIRTH
July 29,
( Month)'
(Day)
(Year)
Days
19
9 BIRTHPLACE (City) Winthrop
(State or country)
Massachusetts
10 NAME OF
FATHER
Wilbur Griffin
11 BIRTHPLACE OF
FATHER (City) .... Chelsea
(State or countryMassachusetts
12 MAIDEN NAME
OF MOTHER
Mary F. Quinby
13 BIRTHPLACE OF MOTHER (City) Portland (State or countryMaine
15
may 221922
(Month) /(Day) (Year) '
REGISTRAR
Gr. 7 Sec B. Pt. Com. 608.
274
(City or Town)
City or Town
Boston
No.
St.,
.....
Ward.
Winthrop, Massachusetts
(If non-resident give city or town and State)
PERSONAL AND STATISTICAL PARTICULARS
18.94.
REVISED UNITED STATES STANDARD CERTIFICATE OF DEATH
[Approved by U. S. Census and American Public Health Association]
Statement of occupation. - Precise statement of occupation is very important, eo that the relative healthfulness of various pursuite can be known. The question appliee to each and every person, irrespective of age. For many occupatione a eingle word or term on the first line will be eufficient, e. g., Farmer or Planter, Physician, Compositor, Architect, Locomotive engineer, Civilengineer, Stationary fireman, etc. But in many cases, especially in industrial employments, it ie necessary to know (a) the kind of work and aleo (b) the nature of the businese or industry, and therefore an additional line ie provided for the latter statement; it ehould be used only when needed. As examples: (a) Spinner, (b) Cotton mill; (a) Salesman, (b) Grocery; (a) Foreman, (b) Automobile factory. The material worked on may form part of the second etatement. Never return "Laborer," "Foreman," "Manager," "Dealer," etc., without more precise epecification, as Day laborer, Farm laborer, Laborer - Coal mine, etc. Women at home, who are engaged in the dutics of the house- hold only (not paid Housekeepers who receive a definite ealary), may be entered as Housewife, Housework, or At home, and children, not gainfully employed, as At school or At home. Care should be taken to report epe- cifically the occupatione of persons engaged in domestic ecrvice for wages, as Servant, Cook, Housemaid, ete. If the occupation has been changed or given up on account of the DISEASE CAUSING DEATH, etate 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 alwaye the same accepted term for the same disease. Examples: Cere- brospinal fever (the only definite eynonym is "Epidemic cerebrospinal meningitis"); Diphtheria (avoid uso of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneumonia; Bronchopneumonia ("Pneumonia," unqualified, is indefinite); Tuberculosis of lungs, men- inges, peritoneum, etc., Carcinoma, Sarcoma, 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 (secondary or inter- current) affection need not be etated unless important. Example: Measles (disease causing death), 29 ds .; Bronchopneumonia (secondary), 10 ds. Never report mere symptome or terminal conditions, euch as "Asthenia," "Anemia" (merely eymptomatic), "Atrophy," "Col- lapse,""Coma,""Convulsione,""Debility" ("Congenital,""Senile," etc.), "Dropsy,""Exhaustion,""Heart failure,""Hemorrhage,""Ina- nition," "Marasmus," "Old age," "Shock," "Uremia,""Weakness," etc., when a definite disease can be ascertaincd as the cause. Alwaye qualify all dieeasee resulting from childbirth or miscarriage, as "PUER- PERAL septicemia," "PUERPERAL peritonitis," etc.
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