USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1916-1918 > Part 24
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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.
PARENTS
11 BIRTHPLACE
OF FATHER
(State or country)
Scotland
12 MAIDEN NAME
OF MOTHER
Mary Temple
1ª BIRTHPLACE
OF MOTHER
(State or country)
Saillant
"THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
Eleanor, E. Dearborn
(Address)
41 Wave way Winstrol muss
16
Filed ... , 191
REGISTRAR
.........
(City or town.)
[If death occurred in a hospital or institution, give its NAME instead of street and number.]
2 FULL NAME
Mary
Sabella. Juniny
Widow of Erehl ! BB. Wurden name Mª Cully
[If married or divorced womaner widow give maiden name, also name of husband.] @RESIDENCE 4, man way Jan winnerof
Registered No.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
female
4 COLOR OR RACE
white
5 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
Widow
$ DATE OF BIRTH
Och
(Month)
(Day)
7 AGE
66
........ yrs.
7
mos.
28
ds.
or ....... min. ?
B OCCUPATION
(a) Trade, profession, or
particular kind of work
at Home
(b) General nature of industry,
business, or establishment In
which employed (or employer).
... ...................
9 BIRTHPLACE
(State or country)
Middletown n, 7
(Duration)
1
ds.
Contributory
arturo - accesoria
.. (Duration)
....... yrs.
.mos. ................ ds.
(Signed)
M.D.
June 24, 196 (Address)
Winther of
* 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.
State ............ yrs. ...........
mos.
............ „ds ............. Where was disease contracted, If not at place of death ?.
Former or
usual residence ......
19 PLACE OF BURIAL OR REMOVAL Greenwood Cercety Brookly
DATE OF BURIAL
1916
20 UNDERTAKER
ADDRESS
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
1 PLACE OF DEATH
Wiechert Man
(No.
41 Wave Way an
St. :
.......... .Ward)
(Month)
20 %, 1916-
(Day)
(Year)
26 1849 (Year)
16 DATE OF DEATH
I HEREBY CERTIFY that J attended deceased from
17
Com 231, 1916,
to
Reem 23. 1916
that I last saw have
alive on
Que 25., 1916.
and that death occurred, on the date stated above, at .... Hm:
The CAUSE OF DEATH* was as follows :
Cerebral Heureshage
10 NAME OF
FATHER
This , Me Cully
If LESS than
¿ day ......... hrs.
June 23, 1916 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, Architcet, Loco- motive engineer, Civil engineer, Stationary fireman, etc. But in many cases, especially in industrial employments, it is necessary to know (a) the kind of work and also (b) the nature of the business or industry, and therefore an additional line is provided for the latter statement; it should be used only when needed. As examples: (a) Spinner, (b) Cotton mill; (a) Sales- man, (b) Grocery; (a) Forcman, (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, ctc. Women at home, who are engaged in the duties of the household only (not paid House- keepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gain- fully employed, as At school or At home. Care should be taken to report specifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, Housemaid, etc. If the occupation has been changed or given up on account of the DISEASE CAUSING DEATH, state occupation at beginning of illness. If retired from business, that fact may be indicated thus: Farmer (retired, 6 yrs.). For persons who have no occu- pation whatever, write Nonc.
Statement of cause of death. - Name, first, the DIS- EASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted term for the same disease. Examples: Cerebro-spinal fever (the only definite synonym is "Epidemic cerebro-spinal meningitis") ; Diphtheria (avoid use of "Croup"); Typhoid fever (never re- port "Typhoid pneumonia"); Lobar pneumonia; Broncho- pneumonia ("Pneumonia," unqualified, is indefinite) ; Tuber-
culosis of lungs, meninges, 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 necd 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 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, ete.
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
antonio. ap l'invito
2 FULL NAME
[If married or divorced woman or widow
give maiden name, also name of husband.]
@RESIDENCE
46 Tewksbury
Ward)
[If death occurred in a hospital or institution, give its NAME instead of street and number.]
Registered No.
MEDICAL CERTIFICATE OF DEATH
5 SINGLE,
MARRIED,
16 DATE OF DEATH
Mani
WIDOWED,
OR DIVORCED
(Write the word)
1
(Month)
26, 1916
7
(Day)
(Year)
17
I HEREBY CERTIFY that I attended deceased from
1914
191.
fre 26
to
1916 ...
that I last saw h
alive on
26
191.6 ... ,
and that death occurred, on the date stated above, at
11 b.m.
The CAUSE OF DEATH* was as follows : General artigo salerno
Intral regurgitation hijo cardito;
(Duration)
2 yrs.
mos.
ds.
Contributory
(SECONDARY)
........
.(Duration)
yrs.
mos.
ds.
(Signed)
M.D.
fm 28, 1916. (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.
7
ds .
In the
State
........... yrs ..
......
mos.
Where was disease contracted,
if not at place of death ?
Former or
usual residence.
19 PLACE OF BURIAL OR REMOVAL
DATE OF BURIAL
G/19
191C
20 UNDERTAKER
ADDRESS
.............
REGISTRAR
(City or town.)
1 PLACE OF DEATH
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Mali
4 COLOR OR RACE
White
" DATE OF BIRTH
30
1851
1
7 AGE
58
5
8 OCCUPATION
2200
(a) Trade, profession, or
particular kind of work
(b) General nature of industry,
business, or establishment
which employed (or employer).
9 BIRTHPLACE
(State or country)
LA Marijo Yoland azores
10 NAME OF
FATHER
11 BIRTHPLACE
OF FATHER
(State or country)
12 MAIDEN NAME
OF MOTHER
1
PARENTS
1ª BIRTHPLACE
OF MOTHER
4
(State or country)
" THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
le R. Bemusa
important. See instructions on back of certificate.
(Address)
16
Filed
191
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
-.. yrs.
mos.
26
ds.
or ........ min. ?
(Month) (Day) (Year)
If LESS than
I day ......... hrs.
SU
June 26 1916
STANDARD CERTIFICATE OF DEATH.
Statement of occupation. - Precise statement of occu- pation is very important, so that the relative healthfulness of various pursuits can be known. The question applies to cach and every person, irrespective of age. For many occupations a single word or term on the first line will be sufficient, e. g., Farmer or Planter, Physician, Compositor, Architcet, Loco- motive engineer, Civil engineer, Stationary fireman, etc. But in many cases, especially in industrial employments, it is necessary to know (a) the kind of work and also (b) the nature of the business or industry, and therefore an additional linc 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 dutics 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 domestie 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 discase. 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 ncoplasms) ; Measles; Whooping cough; Chronie 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 (sccondary), 10 ds. Never report mere symptoms or terminal conditions, such as "Asthenia," "An- aemia" (merely symptomatic), "Atrophy," "Collapse," "Coma," "Convulsions," "Debility" ("Congenital," "Senilc," ctc.), "Dropsy," "Exhaustion," "Heart failure," "Haemorrhage," "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 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 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.
3 SEX Female · DATE OF BIRTH 7 AGE 9 BIRTHPLACE (State or country) 10 NAME OF FATHER 11 BIRTHPLACE OF FATHER (State or country) PARENTS 1ª BIRTHPLACE OF MOTHER (State or country) important. See instructions on back of certificate. (Address) 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 94
The Commonwealth of Massachusetts STANDARD CERTIFICATE OF DEATH
1 PLACE OF DEATH
Revere
.........
(No.
80 Florence Ave.
St. ;..
....... Ward)
REVERE
(City or town.)
[If death occurred In a hospital or institution, give ita NAME instead of atreat and number.]
? FULL NAME
Margaret M. Morrison
[If married or divorced woman or widow
give maiden name, also name of husband.]
@RESIDENCE
Winthrop,
Mass.
(Unknown)
George F. Morrison
Registered No.
158
PERSONAL AND STATISTICAL PARTICULARS
4 COLOR OR RACE
White
6 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
Wid.
1
(Month)
(Day)
(Year)
If LESS than
1 day ......... hrs.
...... „.yrs .. 7 mos. 12.ds.
.min. ?
8 OCCUPATION
(a) Trade, profession, or
particular kind of work
none
(b) General nature of industry, business, or establishment which employed (or employer).
Edinborough, Scotland
Unknown
Edinborough, Scotland
12 MAIDEN NAME
OF MOTHER
Unknown
Edinborough, Scotland
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
Mr. Morrison
Revere
15 Filed June 30 196
REGISTRAR
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH
June 27
191.6
(Month)
(Day)
(Year)
17
I HEREBY CERTIFY that I attended deceased from
Feb
7
6 to June 27
191
,191
....
6
that I last saw h .... e.I. alive on
June 27
1916,
and that death occurred, on the date stated above, at 9:30 Am.
The CAUSE OF DEATH* was as follows : Chronic interstitial nephritis
Chronic myocarditis
.(Duration)
3
.yrs.
.........
ds.
.mos.
Contributory
Arterio Sclerosis
(SECONDARY)
.(Duration)
yrs.
............. mos.
ds.
(Signed)
R. B. Parker
M.D.
June 27191 6 (Address)
Winthrop, Masg
.........
If death followed injury or violence the certificate of death must be made out by the Medical Examiner.
18 LENGTH OF RESIDENCE (FOR HOSPITALS, INSTITUTIONS, TRANSIENTS, OR RECENT RESIDENTS).
At place
of death
yrs.
mos.
...........
In the
ds.
State
............ yrs.
............ mos. .
Where was dlsease contracted, If not at place of death ?.
Former or usual residence
19 PLACE OF BURIAL OR REMOVAL
DATE OF BURIAL
Valrut St. Cem., Brookline 6/29191.
6
.......
20 UNDERTAKER C. H. Faunce
ADDRESS
Chelsea
Lume 27, 1916
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 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) Forcman, (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 laborcr, 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), inay 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 (rctircd, 6 yrs.). For persons who have no oecu- pation whatever, write Nonc.
Statement of cause of death. - Name, first, the DIS- EASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted term for the same disease. Examples: Cerebro-spinal fever (the only definite synonym is "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, peritonacum, etc., Carcinoma, Sar- coma, etc., of .. .......... (name origin: "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms) ; Mcasles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, etc. The contributory (sceond- ary or intercurrent) affection need not be stated unless im- portant. Example: Mcasles (disease causing death), 29 ds .; Broncho-pneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as "Asthenia," "An- acmia" (merely symptomatic), "Atrophy," "Collapse," "Coma," "Convulsions," "Debility" ("Congenital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Haemorrhage," "Inanition," "Marasmus," "Old age," "Shock," "Uracmia," "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. Stato 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 Examinera:
1. Deaths following injury or violence, as Burns, Falls, Drowning, Gas poisoning, Suicide, Homicide, etc.
2. Deaths supposedly caused by violence, as Criminal abortion, Poisoning, Starvation, Suffocation, Ex- posurc, etc.
3. Sudden deaths of persons not disabled by recognized disease, as A death upon the street, or onc 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. 16 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 PARENTS
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
1 PLACE OF DEATH
Chelsea ..... Mass. ...... .(No ............. .Frost ..... Hospital ... St. ;........... .Ward)
CHELSEA (City or town.)
[If death occurred in a hospital or institution, give its NAME instead of street and number.]
? FULL NAME
Emma F. Tuttle
[If married or divorced woman or widow
give maiden name, also name of husband.]
@RESIDENCE
29 Thornton Pk. Winthrop, Mass.
Registered No. 423
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX Female
4 COLOR OR RACE
White
5 SINGLE
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
Single
16 DATE OF DEATH
June
28. 1916. 191
(Month)
(Day)
(Year,
· DATE OF BIRTH
Jan. 16.
(Month)
(Day)
1.85 717
(Year)
7 AGE
If LESS than
1 day ........ hrs.
59
yrs.
4
mos.
21
ds.
Or ....... min. ?
8 OCCUPATION
(a) Trade, profession, or
particular kind of work
Housekeeper
(b) General nature of Industry, business, or establishment in which employed (or employer) ..
9 BIRTHPLACE
(State or country)
Tewksbury, Mass.
10 NAME OF
FATHER
11 BIRTHPLACE
OF FATHER
(State or country)
Eppingham, N.H.
12 MAIDEN NAME
OF MOTHER
Hannah S. Ambrose
1ª BIRTHPLACE
OF MOTHER
(State or country)
Ossipee, N. H.
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
E. R. Bennison
(Address)
Winthrop, Mass
Filed
June 309, 6
dis. H.
REGISTRAR
.(Duration)
4
yrs.
mos.
ds.
Contributory ...
Anasarca & valvular heart
....
(SECONDARY)
disease
-
(Duration)
.. yrs.
mos.
ds.
(Signed)
O. E.
Johnson
M.D.
June 28, 19, 6
(Address)
Winthrop, Mass.
* 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.
In the
State
yrs.
mos.
.ds.
............
Where was disease contracted,
-
If not at place of death ?.
Former or usual residence
19 PLACE OF BURIAL OR REMOVAL Bath, Me.
DATE OF BURIAL
July 2.
191.6
20 UNDERTAKER
C. R.
Bennison
ADDRESS
Winthrop
I HEREBY CERTIFY that I attended deceased from
April 18 , 1916, to
June 28.
1916
that i last saw h .... e.r alive on
28.
1916
and that death occurred, on the date stated above, at
9 .25 ₽
The CAUSE OF DEATH* was as follows :
Cancer of Liver multiple
abdominal cancers
-
3
-
George S.
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, c. 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) Forcman, (b) Automobile factory. The material worked on may form part of the second statement. Never return "Laborer," "Foreman," "Manager," "Dealer," ete., without more precise specification, as Day laborer, Farm 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 domestie service for wages, as Servant, Cook, Housemaid, etc. If 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 indicated thus: Farmer (retired, 6 yrs.). For persons who have no occu- pation whatever, write Nonc.
Statement of cause of death. - Naine, first, the DIS- EASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted term for the same disease. Examples: Cerebro-spinal fever (the only definite synonym is "Epidemie cerebro-spinal meningitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never re- port "Typhoid pneumonia"); Lobar pneumonia; Broncho- pneumonia ("Pneumonia," unqualified, is indefinite); Tuber
culosis of lungs, meninges, peritonacum, etc., Carcinoma, Sar- coma, etc., of .. .(name origin: "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms) ; Measles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, etc. The contributory (second- ary or intercurrent) affection need not be stated unless im- portant. Example: Mcasles (disease causing death), 29 ds .; Broncho-pneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as "Asthenia," "An- acmia" (merely symptomatic), "Atrophy," "Collapse," "Coma," "Convulsions," "Debility" ("Congenital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Haemorrhage," "Inanition," "Marasmus," "Old age," "Shock," "Uracınia," "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," cte. 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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