USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1916-1918 > Part 74
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Cases for the Medical Examiners. - Under the provi- sions of chapter 24 of the Revised Laws deaths under the fol- lowing conditions must be referred to the Medical Examiners:
1. Deaths following injury or violence, as Burns, Falls, Drowning, Gas poisoning, Suicide, Homicide, etc.
2. Deaths supposedly 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 one supposed to be due to Alcoholism, ctc
4. Deaths under circumstances unknown, as A person found dead, etc.
R 'S. 1-'17. 10,000.
N. B. - Every item of information should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very
important. See instructions on back of certificate.
The Commonwealth of Massachusetts STANDARD CERTIFICATE OF DEATH
Brookline ....
1 PLACE OF DEATH
Brookline
(No
Brooks Hospital
St. :
.........
.Ward)
Harry Morrison
2 FULL NAME
[If married or divorced woman or widow
give maiden name, also name of husband.]
@RESIDENCE
Winthrop Mass
Registered No.
285
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
Male
4 COLOR OR RACE
White
5 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCEMarried
(Write the wordy
16 DATE OF DEATH
Oct 4
(Month)
(Year)
" DATE OF BIRTH
(Month)
(Day)
1 (Year)
, AGE
50
.......... yrs.
mos. .......
ds.
or ......... min. ?
& OCCUPATION
(a) Trade, profession, or
particular kind of work
Adv Agent
(b) General nature of industry, business, or establishment in which employed (or employer).
9 BIRTHPLACE
(State or country)
Ireland
More than 1 yr
.(Duration)
......... yrs. ................
mos. ...............
.ds.
Contributory.
.........
.......... (SECONDARY)
(Duration)
................ yrs.
mos. ...............
ds.
John W Davis
M.D.
Oct 4
..........
1917
(Address)
Boston
* 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
......
In the
.yrs.
mos. ...... .ds ............. Where was disease contracted, If not at place of death ?. Former or usual residence.
19 PLACE OF BURIAL OR REMOVAL
Mit Benedict Boston
DATE OF BURIAL
Oct 5
1917
20 UNDERTAKER
J S Waterman & Sons
ADDRESS
Boston
WRITE PLAINLY, WITH UNFADING INK - THIS IS A PERMANENT RECORD.
PARENTS
11 BIRTHPLACE
OF FATHER
(State or country)
Ireland
12 MAIDEN NAME
OF MOTHER
Mary ----
13 BIRTHPLACE
OF MOTHER
(State or country)
Ireland
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
Mr C J O'Malley
(Address)
375 Harvard st Brookline
16
Filed
Oct 4
..........
.
17
I HEREBY CERTIFY that I attended deceased from
Oct 1
7
Oct 4
....
191
to
197
....
that I last saw him
alive on
Oct 3
1917
and that death occurred, on the date stated above, at
2A
m.
The CAUSE OF DEATH* was as follows :
Arterio Sclerosis- Chronic Nephritis
(City or town.)
......... .
....
[If death occurred in a hospital or institution, give its NAME Instead of street and number.]
(Day)
1917
If LESS than
I day ......... hrs.
10 NAME OF
FATHER
Harry Morrison
(Signed)
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, 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) 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. Wonen at home, who are engaged in the duties of the household only (not paid House- keepers wlio receive a definite salary), may be entered as Howamigo, 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 tlie 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 thre saine disease. Examples: Cerebro-spinal fever (the only definite synonym is "Epidemic cerebro-spinal meningitis") ; Diphtheria (avoid use of "Croup"); Typhoid fever (never re- port "Typhoid pneumonia"); Lobar pneumonia; Broncho- pneumonia ("Pneumonia," unqualified, is indefinite) ; Tuber-
culosis of lungs, meninges, peritonacum, etc., Carcinoma, Sar- coma, etc., of ... .... (name origin: "Cancer" is less definite; avoid use of "Tumor" for malignant ncoplasms) ; Measles; Whooping cough; Chronic valvular heart discase; 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- acmia" (merely symptomatic), "Atrophy," "Collapse," "Coma," "Convulsions," "Debility" ("Congenital," "Senile," etc.), "Dropsy," "Exhaustion," "IIcart failure," "Haemorrlage," "Inanition," "Marasmus," "Old age," "Shock," "Uracmia," "Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all cliscases 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. Deathis 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.
4
[5-'17-XXM |
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
1 PLACE OF DEATH Winthrop (No. 48 Bowdoin
St. ;.... . ....... Ward)
BOSTON
........... . (City or town.) [If death occurred In a hospita. or institution, give its NAME instead of street and number.]
'FULL NAME
Timothy
Collins
[If married or divorced woman or widow
give maiden name, also name of husband.]
@RESIDENCE 48 bowdoin Is
Winthrop
Registered No.
MEDICAL CERTIFICATE OF DEATH
3 SEX
m
4 COLOR OR RACE
20
5 SINGLE.
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
Single
· DATE OF BIRTH
(Month)
(Day)
1
(Year)
1 AGE
68
.......... mos. ds.
......
or ....... min. ?
& OCCUPATION
(a) Trade, profession, or
particular kind of work
Laborer
over
(b) General nature of Industry, business, or establishment in which employed (or employer).
Did a surgical operation precede death ?
no Date
(Duration)
yrs.
..........
„mos.
ds.
Contributory
mitral Requisition
(SECONDARY)
(Duration)
.rs.
...........
mos. „ds.
(Signed)
Oleandro 7. Malin
art. 6.
.. 1917 (Address)
35642
* 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 Malden Holy Cross bem
DATE OF BURIAL
Oct.8
191.Z
(Address)
48 Bowdoin St, Vin.
REGISTRAR
....
18 DATE OF DEATH
(Month)
5. 1912
....
(Day)
(Year)
17 I HEREBY CERTIFY that I attended deceased from
1917, to
cent. 5
1917
that I last saw h Limalive on
5
197
and that death occurred, on the date stated above, at
3.3 Pm
The CAUSE OF DEATH* was as follows :
Bemlantis, Bumucho-
Imeum
ma
· BIRTHPLACE
(State or country)
E Boston
10 NAME OF
FATHER
Unknown Collins
PARENTS
11 BIRTHPLACE
OF FATHER
(State or country)
Ireland
12 MAIDEN NAME
OF MOTHER
Unknown
13 BIRTHPLACE
OF MOTHER
(State or country)
Dieland
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
James Hedrington
16 Filed 191
20 UNDERTAKER Thos. J. Lane
ADDRESS Boston
120 Have LA
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.
PERSONAL AND STATISTICAL PARTICULARS
If LESS than
day ......... hrs.
Oct. 5, 1917
STANDARD CERTIFICATE OF DEATH.
Statement of occupation. - Precise statement of oeeu- 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 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 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 discase. Examples: Cerebro-spinal fever (the only definite synonym is "Epidemie cerebro-spinal meningitis") ; Diphtheria (avoid use of "Croup"); Typhoid fever (never re- port "Typhoid pneumonia"); Lobar pneumonia; Broncho- pneumonia ("Pneumonia," unqualified, is indefinite) ; Tuber-
culosis of lungs, meninges, peritonaeum, etc., Carcinoma, Sar- coma, etc., of. .. (name origin: "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms) ; Measles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, etc. The contributory (second- ary or intercurrent) affection need not be stated unless im- portant. Example: Measles (discase causing death), 29 ds .; 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 discases resulting from childbirth or miscarriage, as "PUER- PERAL septicacmia," "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.
4. Deaths under circumstances unknown, as A person found dead, etc.
R. 15. 1-'17 100,000.
SIH. L ONOVONA
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.
John .1. Clements
11 BIRTHPLACE OF FATHER (State or country) Bourg This
12 MAIDEN NAME
OF MOTHER
Lecha- Xtavolino
13 BIRTHPLACE OF MOTHER (State or country)
Pen scicela Flordet
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
John. P. Elemento
(Address)
450 Warchot &t
15 Filed 191
REGISTRAR
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH
oct
(Month)
(Day) ,
7. 1912
(Year)
17 I HEREBY CERTIFY that I attended deceased from
(Year)
Selt 26
1917 to
out ?'
1912
If LESS than ( day ......... hrs. that ! last saw h wy alive on 1912 and that death occurred, on the date stated above, at /1,15 km. or ........ min. ? The CAUSE OF DEATH* was as follows : i
Congenital malformation heart
(Fence Today).
(Duration)
yrs.
mos. 10
ds.
Contributory (SECONDARY)
.(Duration)
yrs.
....
.......
(Signed)
631/malcall
M.D.
Und 8. 1917 (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
In the
of death
... yrs.
mos. ............
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
1.79
191
20 UNDERTAKER
ADDRESS
(City or town.)
[If death occurred in a hospital or institution, give its NAME instead of street and number.]
2 FULL NAME.
........
[If married or divorced woman or widow give maiden name, also name of husband.I .. @RESIDENCE 450 Durchut 21
.... Registered No.
PERSONAL AND STATISTICAL PARTICULARS
{ COLOR OR RACE White
5 SINGLE, MARRIED, WIDOWED, OR DIVORCED Write the word)
KA 221917.
(Month)
(Day)
X
.......... yrs.
١٠
mos.
10
ds
(a) Trade, profession, or particular kind of work
(b) General nature of industry,
business, or establishment In
which employed (or employer).
3 SEX Male · DATE OF BIRTH 7 AGE 8 OCCUPATION 10 NAME OF FATHER PARENTS WITTE PLAINLY, WITIT UNFADING INK THIS IS A PERMANENT RECORD. 9 BIRTHPLACE (State or country)
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
1 PLACE OF DEATH
(No.
Ward)
mos. ds.
ECORD
INYWH3d A
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 wlicn needed. As examples: (a) Spinner, (b) Cotton mill; (a) Sales- man, (b) Grocery; (a) Foreman, (b) Automobile factory. The niaterial 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, Laborcr - Coal minc, 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 gaill- fully employed, as At school or At homc. 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 Nonc.
Statement of cause of death. - Name, first, tlie DIS- EASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted term for the same discasc. Examples: Ccrebro-spinal fever (the only definite synonym is "Epidemie cerebro-spinal meningitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never re- port "Typhoid pneumonia"); Lobar pneumonia; Broncho- pneumonia ("Pneumonia," unqualified, is indefinite); Tuber-
culosis of lungs, meninges, peritonaeum, etc., Carcinoma, Sar- coma, etc., of. ... (name origin: "Cancer" is less definite; avoid use of "Tumor" for malignant ncoplasms) ; Mcasles; Whooping cough; Chronic valvular heart discase; 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- aemia" (merely symptomatic), "Atrophy," "Collapsc," "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 duc 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
STANDARD CERTIFICATE OF DEATH
1 PLACE OF DEATH Nunctuo Mas (No. 6 Trefferen Lle
St.
...................... Ward)
2 FULL NAME
Lucy.
Widen of Chas. G. Chefman
....
Registered No.
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
$ SEX
female
4 COLOR OR RACE
White
5 SINGLE,
MARRIED,
widow
WIDOWED, OR DIVORCED (Write the word)
DATE OF BIRTH
30 1844
(Month) (Day)
(Year)
7 AGE
If LESS than i day ......... hrs.
73 Bo mos, 15 .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)
" Greenbay Wenscomen
PARENTS
12 MAIDEN NAME
OF MOTHER
Mary J. house
13 BIRTHPLACE
OF MOTHER
(State or country)
, Greenbay Winsemen
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
Chas. Chipman
(Address)
89 statesh 18m215
15 Filed 191
REGISTRAR
Indef
(Duration)
... yrs.
.mos.
.ds.
Contributoby.
Interditial Nephrates
(SECONDARY)
.. (Duration)
21 yr
.... yrs.
......
... mos.
ds.
(Signed)
rt Partir
M.D.
Oct. 14 1917 (Address)
Winthrop, Mars.
* If death followed injury or violence the certificate of death must be made out by the Medical Examiner.
In the
18 LENGTH OF RESIDENCE (FOR HOSPITALS, INSTITUTIONS, TRANSIENTS, OR
RECENT RESIDENTS).
At place
ds.
State ............ yrs. ............
.. mos. ..........
of death ............ yrs.
.mos.
..........
Where was disease contracted, If not at place of death ?.
Former or usual residence.
19 PLACE OF BURIAL OR REMOVAL
Harmony Sure
Salen
DATE OF BURIAL
Det-15- 1912
20 UNDERTAKER
ADDRESS
--
(City or town.) [If death occurred in a hospital or institution, give its NAME instead of street and number.]
f
[ If married or divorced woman or widow give maiden name, also name of husband.] @RESIDENCE 6 Jefferson IR winthis news
16 DATE OF DEATH
Och.
(Month)
(Day)
13.
, 1917 A ..
(Year)
17
I HEREBY CERTIFY that I attended deceased from
Sept. 15, 1917, to.
Och. 13., 1917.
that Vlast saw her alive on
Och. 12.
..... 1912
.. .
and that death occurred, on the date stated above, at
20
m.
The CAUSE OF DEATH* was as follows :
Organic Heart Deleave.
10 NAME OF
FATHER
Porter Parisk
11 BIRTHPLACE
OF FATHER
(State or country)
n. Y. Stato
C - 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, Architeet, 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 nceded. As examples: (a) Spinner, (b) Cotton mill; (a) Salcs- 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, Houscwork, 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 (retircd, 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: Cercbro-spinal fcver (the only definite synonym is "Epidemic cercbro-spinal meningitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never re- port "Typhoid pneumonia"); Lobar pneumonia; Broncho- pneumonia ("Pneumonia," unqualified, is indefinite); Tuber-
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culosis of lungs, meninges, peritonaeum, etc., Careinoma, Sar- coma, etc., of .. „(name origin: "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms) ; Measles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, etc. The contributory (second- ary or intercurrent) affection need not be stated unless im- portant. Example: Measles (disease causing death), 29 ds .; Broncho-pneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as "Asthenia," "An- aemnia" (merely symptomatic), "Atrophy," "Collapse," "Coma," "Convulsions," "Debility" ("Congenital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Haemorrhage," "Inanition," "Marasmus," "Old age," "Shock," "Uraemia," "Wcakness," 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.
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