USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1916-1918 > Part 27
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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: Cercbro-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, cte., 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- 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 ascertained as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as "PUER- PERAL septicaemia," "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
| 12-15-XXML |
The Commonwealth of Massachusetts
Winthrop
BOSTON
.(City or town.) [If death occurred in a hospital or institution, give its NAME instead of street and number.]
2 FULL NAME
Baby
Gordon
[If married or divorced woman or widow
give maiden name, also name of husband.]
@RESIDENCE
431
Winthrop Ht
Registered No.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX Female
‘ COLOR OR RACE
5 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
single
16 DATE OF DEATH
July
1.3
(Month)
(Day) ... , (Year)
' DATE OF BIRTH July 13
((Month)
(Day) (Year)
7 AGE
If LESS than day, ... hrs.
.yrs.
.... ....... mos. ................. .. ds.
or 30 min. ?
· OCCUPATION (a) Trade, profession, or particular kind of work
(b) General nature of industry, business, or establishment In which employed (or employer)
9 BIRTHPLACE
(State or country)
Winthrop
-
PARENTS
12 MAIDEN NAME OF MOTHER Rachel Yodelmon
13 BIRTHPLACE
OF MOTHER
(State or country)
Barton
"THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
Father
(Address)
431 Winthrop It
16
Filed 191
....
........................ ...... REGISTRAR
17
1 HEREBY CERTIFY that I attended deceased from
13
1916
to
July 13, 1916.
that I last saw her alive on July 13, 1916, and that death occurred, on the date stated above, at 800 .m. The CAUSE OF DEATH* was as follows : Premature Birth
Did a surgical operation precede death ?
-
Date
(Duration) .... ...... yrs. ................ mos. .............. ds.
Contributory
(SECONDARY)
(Duration) ........... yrs. ... mos.
.........
dı.
(Signed)
H. Finkelstein
M.D.
July 14, 1916. (Address).
342 Hanover Sr
....
(* 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
mos.
.......
ds .............
Where was disease contracted, If not at place of death ?
Former or usual residence.
12 PLACE OF BURIAL OR REMOVAL
Woburn Beth
20 UNDERTAKER
Jacek Stanetsky
DATE OF BURIAL
July 14, 1916
ADDRESS
WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD.
important. See instructions on back of certificate.
STANDARD CERTIFICATE OF DEATH
1 PLACE OF DEATH
Winthrop
431 Winthrop
St. : Ward)
6
191
19/6
10 NAME OF
FATHER
David Gordon
11 BIRTHPLACE
OF FATHER
(State or country}
..........
At place
of death.
......... yr$.
mos.
ds.
State
.yrs.
July 13, 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) 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; 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) affcetion 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," "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 strcet, or one supposed to be due to Alcoholism, etc. **-
4. Deaths under circumstances unknown, as A person found dead, etc.
R. 15-8-'15. 100,000.
COMMONWEALTH OF MASSACHUSETTS
RETURN OF A DEATH-1916.
CITY OF BOSTON.
FULL NAME
EDWARD GAFFNEY
Registered No.
7198
Place of Death ¿
Boston
CITY HOSPT .
and Residence
Date of Death
JULY 14
1916.
Age
46
years
months days.
STATISTICAL DETAILS.
SEX.
COLOR.
SINGLE, MARRIED, WID., DIV.
M
W
M
Maiden Name
Husband's Name
Birthplace
FALL RIVER
Name of Father
PATRICK GAFFNEY
Birthplace of Father IRELAND
Maiden Name of Mother
ELIZA KELLY
Birthplace of Mother IRELAND
Occupation
SUPT.BUILDINGS
Informant
PHYSICIAN'S CERTIFICATE.
I HEREBY CERTIFY that I attended deceased during last illness,
from 1916, to 1916, 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
PATRIBUS SIT DE
(Duration
OFFICE
CTYYT BOSTONIA CONDITA AL
0. 1822
B
TE EGTMINE DONATAM OSTO
N. MASS.
Contributory . ! (Duration) PULM.OEDEMA - DAYS
(Signed)
W. T. GARFIELD
M.D.
JULY 141916 SPECIAL INFORMATION from Hospitals, Institutions, Transients, or Recent Residents.
ADMITTED TO HOSPT.JULY 10
Usual Residence
WINTHROP (46 DOLPHIN AVE)
Filed
JULY 18
1916.
A true copy.
Attest :
ErMSlenen
Registrar.
Place of Burial or removal ST.JOSEPHS CEM.
Undertaker J.F. O MALEY
CERE.HEMORRHAGE - WEEKS
CITY
July
14,1916 U
-
COMMONWEALTH OF MASSACHUSETTS
RETURN OF A DEATH-1916.
CITY OF BOSTON.
FULL NAME
WILLIAM BARTER
Registered No.
CARNEY HOSPT.
Place of Death ¿
Boston
and Residence S
Date of Death
JULY 17
1916.
Age
13
years
months days.
STATISTICAL DETAILS.
SEX.
COLOR.
SINGLE, MARRIED, WID., DIV.
M
W
S
Maiden Name
ISTRAR'S
Husband's Name
( Durata
OFFICE
Name of Father
WILLIAM J.BARTER
STO
Birthplace of Father
BOSTON
Contributory · ( Duration)
RUPTURED APPENDIX-DAYS
(Signed)
R.A.ROCHFORD M.D.
JULY 15 1916 SPECIAL INFORMATION from Hospitals, Institutions, Transients, or Recent Residents.
Place of Burial or removal
CALVARY
J.C.GALLIVAN
WINTHROP (24 BEAL ST)
Usual
Residence
Filed
JULY 20
1916.
A true copy. Attest : Emblemen
Registrar.
1
BOSTON
Birthplace
CTVTTA
BOSTONIA CONDITAA
DONATA A
Maiden Name of Mother
BOSTON
Birthplace of Mother
-
Occupation
Informant
PHYSICIAN'S CERTIFICATE.
I HEREBY CERTIFY that I attended deceased during last illness,
from 1916, to 1916, 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 :
DATRIBUS SITDEBLO,
GENERAL PERITONITIS -OPR.
CITY
JULY 16.1916 - DAYS
o CGIMINE
N. MASS.
CATHERINE G.HEALEY
Undertaker
L
7307
July 17, 1916
important. See instructions on back of certificate. N. B. - Every item of information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
1 PLACE OF DEATH Winthrop Masa, (No. 143 Court Roades.
...... .. Ward)
(City or town.) [if death occurred in a hospital or institution, give its NAME instead of street and number.]
Louisa &
Carla.
(Louisa& Santos) windowof Joseph Carla.
[If married or divorced woman or widow give maiden name, also name of busband. @RESIDENCE 143 Court Road Winthrola mars. Registered No.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Female
4 COLOR OR RACE
Mite
5 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
Widow
" DATE OF BIRTH
X
... . , 1831 17
(Month)
(Day)
(Year)
7 AGE 85
.yrs.
-
mos.
ds.
„.min. ?
& OCCUPATION
(a) Trade, profession, or
particular kind of work
(b) General nature of Industry,
business, or establishment In
which employed (or employer).
9 BIRTHPLACE
(State or country)
Azore Solando
PARENTS
11 BIRTHPLACE
OF FATHER
(State or country)
Anne Sel ando
12 MAIDEN NAME
OF MOTHER
13 BIRTHPLACE
OF MOTHER
(State or country)
Azore Stando
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
Mrs. Joseph, Icarly.
(Address)
143 Court Road Winthrop
16
Filed 191
REGISTRAR
MEDICAL CERTIFICATE OF DEATH
10 DATE OF DEATH
July
Month)
19
(Day)
1916.
(Year)
......
I HEREBY CERTIFY that I attended deceased from
July 17
1916, to
July 19, 1916
that I last saw her alive on
July 18
191.6.
and that death occurred, on the date stated above, at 8 Am.
The CAUSE OF DEATH* was as follows :
-
Pleuritis
Lobar neumonia
(Duration)
............. yrs. ................ mos.
.........
ds.
Contributory
(SLCONDARY)
(Duration)
... yrs.
mos.
.........
ds.
(Signed)
Charles f mahoney.
M.D.
July 9, 1916 (Address)
366 melan St
......
* 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 plece
of death
yrs.
.mos.
ds.
State ............ yrs.
........
In the
... mos.
...... ds .............
Where was disease contracted, If not at place of death ?.
Former or usual residence.
19 PLACE OF BURIAL OR REMOVALI Dale Kill
DATE OF BURIAL
July 2:
191.5 .
................ .
20 UNDERTAKER
ADDRESS
James & Freily GloucesterMan
WRITE PLAINLY, WITH UNFADING INK - THIS IS A PERMANENT RECORD.
2 FULL NAME
10 NAME OF
FATHER
If LESS than
I day ......... hrs.
July 19/ 19/6 6
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 eases, 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) 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 wagcs, 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 discasc. 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," unqualificd, is indefinite); Tuber
culosis of lungs, meninges, peritonaeum, etc., Carcinoma, Sar- coma, etc., of ... ....... (name origin: "Cancer" is lcss definite; avoid use of "Tumor" for malignant neoplasms); 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 (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 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, ctc.
R. 15.8-'15. 100,000.
COMMONWEALTH OF MASSACHUSETTS
RETURN OF A DEATH-1916.
CITY OF BOSTON.
FULL NAME
BESSIE WEINER
Registered No. 7345
MASS.GEN.HOSPT.
Place of Death ¿
Boston
and Residence S
Date of Death
JULY 20
1916,
Age
32
years
months days.
STATISTICAL DETAILS.
SEX.
COLOR.
SINGLE, MARRIED, WID., DIV.
F
W
M
KAPLAN
Maiden Name
Husband's Name
LOUIS WEINER
RUSSIA
Birthplace
Name of Father
JOSEPH KAPLAN
Birthplace of Father RUSSIA
Maiden Name of Mother
GOLDIE
Birthplace of Mother RUSSIA
Occupation HOUSEWIFE
Informant
PHYSICIAN'S CERTIFICATE.
I HEREBY CERTIFY that I attended deceased during last illness,
from
1916, to
1916, 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
PATRIBUS. SITDE
Primary ( Duration
CITY
OFFICE
CTYTTA
CONDITAA
SREGIMINE DONATA D BOSTO 1280.
I. MASS.
Contributory . (Duration)
EMPYEMA OF GALL BLADDER -DAYS
(Signed) H.W. HERSEY M.D.
JULY 20 1916 SPECIAL INFORMATION from Hospitals, Institutions, Transients, or Recent Residents.
IN HOSPT. I DAY
Usual Residence
WINTHROP (16 SEA FOAM AVE)
Filed
1916.
A true copy.
Attest :
JULY 22
EumElement
Registrar.
Place of Burial or removal WOBURN(CHELSEA CEM.)
Undertaker
J. STANETSKY
CHOLELITHIASIS . DAYS
OPR.JULY 19.1916
BOSTONIA
July 20, 1916
WRITE PLAINLY, WITH UNFADING INK -THIS IS A PERMANENT RECORD.
CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very N. B .- Every item of information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state important. See instructions on back of certificate.
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
1 PLACE OF DEATH Winthrop (No. 81 Plummer avr-
St. :
Ward)
(City or town.) [If death occurred in a hospital or institution, give its NAME instead of street and number.]
" FULL NAME
Regina & Kvarduncan
[If married or divorced woman or widow give maiden name, algo name of husband Boardman- Delig P.
@RESIDENCE
Wirth of-81 Placeao
Registered No.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE
& SINGLE,
MARRIED.
WIDOWED.
OR DIVORCED
(Write the word)
Widound
" DATE OF BIRTH
12 (Month)
6-
1836x 17
(Year)
7 AGE
If LESS than 1 day ......... hrs.
81
„yrs.
7 mos
mos.
15 ds.
or ....... min. ?
$ OCCUPATION
(a) Trade, profession, or particular kind of work
(b) General nature of industry, business, or establishment in which employed (or employer)
C
9 BIRTHPLACE
(State or country)
JO NAME OF
FATHER
Henry C. Boardusar
11 BIRTHPLACE
OF FATHER
(State or country}
12 MAIDEN NAME
Catherine Spraque
13 BIRTHPLACE
OF MOTHER
(State or country)
ShowShare R. O.
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
Mrs. Es. G. Madden.
(Address)
16
Filed
191
REGISTRAR
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH
20
1916
(Month)
(Day)
(Year)
I HEREBY CERTIFY that I attended deceased from
march 20, 1915
to
July 25, 1916,
191
6.10 Pm.
that ! last saw her alive on
July 20
6
and that death occurred, on the date stated above, at.
The CAUSE OF DEATH* was as follows : Und age
......
........
.. (Duration) .............. yrs. ............... mos. ................ ds.
Contributory. (SECONDARY)
(Duration).
.. yrs.
...........
mos ..
......
ds.
M.D.
Jely 21, 1916 (Address)
342Brandcom
Somenelle
* If death followed injury or violence the certificate of death must be inade 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.
In the
mos.
ds .............
Where was disease contracted, if not at place of death ?. Former or usual residence.
19 PLACE OF BURIAL OR REMOVAL
DATE OF BURIAL
Delebarre Ma -7-24, 1916.
20 UNDERTAKER
W.C. Skagay
ADDRESS
Winthrop
....
PARENTS
(Day)
July 20, 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, 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 necded. 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, 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; Broncho- pneumonia ("Pneumonia," unqualificd, is indefinite) ; Tuber-
culosis of lungs, meninges, peritonaeum, etc., Carcinoma, Sar- eoma, 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 ean be ascertained as the eause. Always qualify all diseases resulting from childbirth or miscarriage, as "PUER- PERAL septieaemia," "PUERPERAL peritonitis," etc. State eause 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.
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