USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1916-1918 > Part 34
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5 SINGLE,
MARRIED,
WIDOWED,
ORANGE Juiced
(Write the word)
25-
1869
(Year)
If LESS than
day.
„hrs.
or ........ min. ?
10 NAME OF
FATHER
Robert 9/1= 600well,
12 MAIDEN NAME
OF MOTHER
Elizabeth Hunter
13 BIRTHPLACE
OF MOTHER
(State or country)
At John. H. B.
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE-
forman Ceharlee J Floyd
(Addres) 36 Banke A Hinthint
Men Thank, Ma-s
STANDARD CERTIFICATE OF DEATH
1 PLACE OF DEATH
Winthink Weass.
(No. 36 Banks
St. ;.... ................... Ward)
*FULL NAME
Malvina Floyd
[If married or divorced woman or widow give maiden name, also name of husband.]. aRESIDENCE 36 Banks St.
.......
Mª Cornell (Charlie Le Flord)
Registered No.
The Commonwealth of Massachusetts
(City or town.) [If death occurred in a hospital or institution, give its NAME instead of street and number.]
In the
mos.
Laluna
Oct. 5, 1916
STANDARD CERTIFICATE OF DEATH.
Statement of occupation. - Precise statement of occu- tpation 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 occupation 3 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 necded. 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, Laborcr - Coal minc, ete. Women at home, who are engaged in the duties of the household only (not paid House- keepers who reecive 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, ete. 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 eausation), 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) ; Tubc :.
culosis of lungs, meninges, peritonaeum, etc., Carcinoma, Sar- coma, etc., of .. ... (name origin: "Caneer" is less definite; avoid use of "Tumor" for malignant neoplasms) ; Measles; Whooping cough; Chronic valvular heart discase; Chronic interstitial nephritis, etc. The contributory (second- ary or intereurrent) affection need not be stated unless im- portant. Example: Mcaslcs (discase eausing death), 23 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 discase can be ascertained as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as "PUER- PERAL septicaemia," "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 eaused by violence, as Criminal abortion, Poisoning, Starvation, Suffocation, Ex- posurc, etc.
3. Sudden deaths of persons not disabled by recognized discase, as A death upon the strcet, or onc supposed to be due to Alcoholism, etc.
4. Deaths under circumstances unknown, as A person found dcad, 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
Somerville
STANDARD CERTIFICATE OF DEATH Somerville Cottage Hospital, (No. 12 Pleasant Ave. St. :
Somerville
(City or town.)
[If death occurred in a hospital or institution, give its NAME instead of street and number.]
2 FULL NAME
Frances Puttick
[If married or divorced woman or widow give maiden name, also name of husband.]
wife of John Puttick -
(Spicer)
@RESIDENCE
51 Atlantic Street, Winthrop, Mass.
Registered No.
841
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX female
4 COLOR OR RACE
white
6 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
married
16 DATE OF DEATH
Oct. 11,
6.
(Month)
(Day)
(Year)
a DATE OF BIRTH
Aug .....
4.
1861.
(Month)
(Day)
(Year)
7 AGE
If LESS than
! day , ........ hrs.
55
.yrs.
2
mos.
7
ds.
Or ........ min. ?
8 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)
.. (Duration)
.yrs.
mos.
ds.
Contributory
Arterio-sclerosis
(SECONDARY)
(Duration)
?
.yrs.
.. mos.
ds.
(Signed)
Marion Coon
M.D.
Oct. 11 191 6
(Address)
483 Beacon 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 place
of death,
.. yrs.
mos.
12.
In the
State.
.yrs.
mos.
ds .............
Where was disease contracted, if not at place of death ?.
Former or
51 Atlantic St., Winthrop,
usual residence.
.......
19 PLACE OF BURIAL OR REMOVAL Mt. Auburn Cem., Cambridge, Mass.
DATE OF BURIAL
Oct.14th
6.
191
16
Filed Oct. 13101 6. ........
REGISTRAR
17
I HEREBY CERTIFY that I attended deceased from
6
Sept. 29,
Oct. 11,
191
191
§ to
to
that | last saw her alive on
Oct. 11,
6
and that death occurred, on the date stated above, at A .... .m.
The CAUSE OF DEATH* was as follows : Cerebral hemorrhage
1
7
10 NAME OF
FATHER
Thomas Spicer
PARENTS
12 MAIDEN NAME
OF MOTHER
Unimom
18 BIRTHPLACE
OF MOTHER
(State or country)
England
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
John Puttick
(Address)
51 Atlantic St., Winthrop,
Mass 20 UNDERTAKER
Charles E. Chester
Trinity Church, Boston, Mass.
191.
....
.......
... Ward)
12.30
England
11 BIRTHPLACE
OF FATHER
(State or country)
England
STANDARD CERTIFICATE OF DEATH.
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, Compositor, Architect, Loeo- motive enginecr, 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 taborer, Laborer - Coal minc, etc. Women at home, who are engaged in the duties of the household only (not paid Ilouse- 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 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: 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, peritoneum, etc., Carcinoma, Sur- coma, etc., of ....... .. (name origin: "Cancer" is less definite ; avoid use of " Tumor " for malignant neoplasms) ; Meuslcs; Whooping cough; Chronic valvular heart disease ; Chronic interstitial nephritis, etc. The contributory (second- ary or intercurrent) affection nced 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 causc. 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 provisions 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, Ex- posurc, etc.
3. Sudden deaths of persons not disabled by recognized disease, as A death upon the strect, or one supposed to be due to Alcoholism, ctc.
4. Deaths under circumstances unknown, as A person found dcad, etc.
COMMONWEALTH OF MASSACHUSETTS
RETURN OF A DEATH-1916.
CITY OF BOSTON.
FULL NAME
GRACE NEWELL
Registered No.
10025
Place of Death ¿ and Residence S
Boston
MASS.HOMEO.HOSPT .
Date of Death
OCT.12
1916.
Age
55
years
5
26
months days.
STATISTICAL DETAILS.
SEX.
COLOR.
SINGLE, MARRIED, WID., DIV.
F
W
M
Maiden Name
Husband's Name
J. WARREN NEWELL
Birthplace
SO . WEYMOUTH.N. S
Name of Father J --- A -- MC GILL
Birthplace of Father
WILMOT.N.S.
Maiden Name of Mother
MARTHA ELLISON
Birthplace of Mother
BANGOR.ME.
Occupation AT HOME
Informant
PHYSICIAN'S CERTIFICATE.
I HEREBY CERTIFY that I attended deceased during last illness,
1916,
from 1916, to 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 :
STRAR'S
T PATR
TRIBUS. SIT DE Primary (Duraton
CIRRHOSIS LIVER
CITY
CTVYTA
BOSTDNIA CONDITAA.
A. 182 %.
STO
Contributory . (Duration)
(Signed)
E.R.LEWIS
A.D.
OCT.12
1916
SPECIAL INFORMATION from Hospitals, Institutions, Transients, or Recent Residents.
Place of Burial or removal
NEWTON ( NEWTON CEM)
Undertaker
W.C. SKAGGS
WINTHROP
Usual Residence
WINTHROP ( 133 BELLEVUE AVE)
Filed
OCT . 16
1916.
A true copy.
Attest :
Emblemen
Registrar.
R
ICUT
OFFICE
3
ISREGIMINE DONATA A N. MASS
MC GILL
IS A PERMANENT RECORD.
JOVANO ALIM
Oct. 12, 1916
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
Wucherof Mass, No. 17 W mehr th
St. :
Ward)
[If death occurred in a hospital or institution, give its NAME instead of street and number.]
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX afemale
4 COLOR OR RACE
6 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
Widow
DATE OF BIRTH
9
1851
((Month)
(Day) (Year)
7 AGE
If LESS than i day ........ hrs.
65
.yrs.
2
mos.
9
ds.
Or ....... min. ?
8 OCCUPATION
(a) Trade, profession, or
particular kind of work
Et tone
(b) General nature of industry, business, or establishment in which employed (or employer).
9 BIRTHPLACE
(State or country)
Welcome Mass
PARENTS
11 BIRTHPLACE
OF FATHER
(State or country)
Sandown. M.H
12 MAIDEN NAME
OF MOTHER
Clara addie Hill.
18 BIRTHPLACE
OF MOTHER
(State or country)
Portsmouth. U.H.
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
Cekas Dunham
(Address)
16
Filed
191
REGISTRAR
16 DATE OF DEATH
oct
(Month)
17, 1916
(Day)
(Year)
17
I HEREBY CERTIFY that I attended deceased from
1914
1916, to
auf 17
196
that I last saw her
alive on
oct 17
1916
and that death occurred, on the date stated above, at.
1 pm.
The CAUSE OF DEATH* was as follows :
Diabetes mellitus
(Como)
.......
(Duration)
2 yrs.
................ mos. ................ ds.
Contributory
(SECONDARY)
(Duration)
.. yrs.
mos. ............
ds.
(Signed)
out 19, 1916 (Address)
M.D.
.....
-
* 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. ....
...........
Where was disease contracted, if not at place of death ?.
Former or usual residence ..
19 PLACE OF BURIAL OR REMOVAL
DATE OF BURIAL
oct 20 196
20 UNDERTAKER
ADDRESS Withnot Mayo
WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD.
important. See instructions on back of certificate.
.......
Vinnie Bailey Dunham
2 FULL NAME
Widow of Charles, W. Dunham
Registered No.
[If married or divorced woman or widow give maiden name, also name of husband.] @RESIDENCE 17 Wentto dt Manchen
Winthrop
(City or town.)
10 NAME OF
FATHER
Samuel Ingalls
1
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 fircman, ete. 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. Thc material worked on may form part of the second statement. Never return "Laborer," "Foreman," "Manager," "Dealer," ctc., without more precise specification, as Day laborer, Farm laborer, Laborer - Coal minc, etc. Women at home, who are engaged in the duties of the houschold only (not paid Housc- keepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gain- fully employed, as At school or At home. Care should be taken to report specifically the occupations of persons engaged in 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.
1
(
4
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 ("Pucumonia," 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 discasc; 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," "Uracmia," "Weakness," ete., 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 duc 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 important. See instructions on back of certificate. CAUSE OF DEATH in plain terms, so that it may be properly classified .. Exact statement of OCCUPATION is very
[12-'15-XXM.]
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
1 PLACE OF DEATH
(No.
...........
15 thatchersonst;
Ward)
[If death occurred in a hospital or institution, give its NAME instead of street and number.]
Camy Peters Reif, bown Peters
2 FULL NAME
[If married or divorced woman or widow give maiden name, also name of husband.] @RESIDENCE
Wife of Geo. Fr Piel.
Registered No.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE
1
5 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
Waved.
· DATE OF BIRTH
Lucy 21-1866
(Month)
(Day)
1 (Year)
7 AGE
yrs.
1 28
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) ....
9 BIRTHPLACE
(State or country)
10 NAME OF
FATHER
HemyPictures
PARENTS
1] BIRTHPLACE OF FATHER (State or country)
England
12 MAIDEN NAME OF MOTHER Sarah young
13 BIRTHPLACE OF MOTHER (State or country)
"THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
Rusland
(Address)
16
Filed 191
REGISTRAR
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH
Oct 18-1916
(Month)
(Day)
191 (Year)
17
I HEREBY CERTIFY that I attended deceased from
1915
to
Det 18
1916
If LESS than
I day ....... hrs that I last saw her alive on
Clef 18
1916
and that death occurred, on the date stated above, at.
8 P. m.
The CAUSE OF DEATH* was as follows :
Cancer of Haut
bowels th Stomach
Did a surgical operation precede death ?
10
Date
...........
ds.
(Duration) ...... ........ yrs.
6
.mos ..
i
Contributory
(SECONDARY)
(Duration) .... yrs. ...
mos. ..............
ds.
(Signed)
otoman/ Fraun
M.D.
Det. 19, 1916, (Address) 27 Osutral Sq
* If death followed injury or violence the certificate of death must be made out by the Medical Examiner.
18 LENGTH OF RESIDENCE (FOR HOSPITALS, INSTITUTIONS, TRANSIENTS, OR
RECENT RESIDENTS).
At place
of death,
......
... yrs
mos.
ds.
State ............ yrs. ............ mos. ............ ds.
In the
Where was disease contracted, If not at place of death ?.
Former or usual residence L'accor dealt
19 PLACE OF BURIAL OR REMOVAL
DATE OF BURIAL
Oct 21
191
20 UNDERTAKER Chas Q Bollino
ADDRESS
E. Ratio
C.C. Kollins. Contalier
WRITE PLAINLY, WITH UNFADING INK -THIS IS A PERMANENT RECORD.
Winthrop
(City or town.)
Oct. 18, 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, c. g., Farmer or Planter, Physician, Compositor, Architect, Loco- motive engineer, Civil engineer, Stationary fircman, etc. But in many cases, especially in industrial employments, it is necessary to know (a) the kind of work and also (b) the nature of the business or industry, and therefore an additional line is provided for the latter statement; it should be used only when needcd. 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 usc 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); Mcaslcs; 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- 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 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:
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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