USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1919-1921 > Part 116
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(3) Medical examiners will investigate and certify to all deaths sup- posably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, nnd deaths following abortien, but also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
R-302
The Commonwealth of Massachusetts
8747
CERTIFICATE OF DEATH OF NON-RESIDENT
(City or town)
1 PLACE OF DEATH
Registered No.
County
..........
Suffolk
State
Massachusetts
Registered No.
158
City or Town
BOSTON
No.
MASS.GEN.HOSPT.
St.,
Ward
(If death occurred in a hospital or institution, give its NAME instead of street and number) .. ,
2 FULL NAME
PATRICK JAMES CHRISTOPHER
(If in the Army or Navy of the United States, give rank, organization, etc.)
WINTHROP
No
II REVERE
St.
(a) Residence. State
(Usnai piace of abode)
MASS.
City or Town
days
How long io U. S., if of foreign hirth?
years
months days
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH (month, day, and year)
SEPT.20
19 20
3 SEX
M
4 COLOR OR RACE
W
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
MAR .
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
MARY
6 DATE OF BIRTH (month, day, and year)
JUN.20.1891
7 AGE
29
Years
Months
Days
If LESS thao
3
1 day. ........ brs. or ........ min.
8 OCCUPATION OF DECEASED
(a) Trade, professioo, or
MARINE ENGINEER
particular kiod of work
(b) General oature of industry,
business, or establishment io
which employed (or employer )
(c) Name of employer
9 BIRTHPLACE (city or town)
BOSTON
CONTRIBUTORY
(SECONDARY)
(duration)
....... yrs.
mos.
ds.
10 NAME OF FATHER
PETER
18 Where was disease contracted
if not at place of death ?
Did an operation precede death ?.
Date of
Was there an autopsy?
12 MAIDEN NAME OF MOTHER BRIDGET FITZGIBBONSt test confirmed diagnosis?
13 BIRTHPLACE OF MOTHER (city or town)
(State or country)
IRELAND
, 19 20(Address)
14
Informant
(Address)
WIFE
19 PLACE OF BURIAL, CREMATION, OR REMOVAL
MALDEN (HOLY CROSS)
DATE OF BURIAL
SEPT . 23 20
15 SEP.23
Filed
19
...........
20 ErMSlenen Registrar of city or town where death occurred
20 UNDERTAKER
J.F.O MALEY
ADDRESS
WINTHROP
Filed Vvv-13, 19 20
Registrar of city or town where deceased resided
17
I HEREBY CERTIFY, That I attended deceased from
SEPT 20
19 .. 20
SEPT .20
19.20
., to ...
IM
SEPT.20
that I last saw h
alive on
19.20
and that death occurred, on the date stated above, at
11.20P
m.
The CAUSE OF DEATH* was as follows :
* State the DISEASE CAUSING DEATH, or in deaths from VIOLENT CAUSES, state (1) MEANS AND NATURE OF INJURY, and (2) whether ACCIDENTAL, SUICIDAL, or HOMICIDAL. (See reverse side for additionai space.)
LOBAR PNEUMONIA
.(duration)
yrs ...
mos.
6
ds.
(State or country)
PARENTS
11 BIRTHPLACE OF FATHER (city or town).
(State or country)
N.F .
(Signed)
N.W.FAXON
M.D.
of certificate.
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
(Place of death)
(Place of residence)
Length of resideoce in city or town where death occorred
years
months
If STILLBORN, enter that fact here
......... .....
Sept. 20. 1920
REVISED UNITED STATES STANDARD CERTIFICATE OF DEATH [Approved by U. S. Census and American Public Health Association]
Statement of occupation. - Precise statement of occupa- tion is very important, so that the relative healthfulness of various pursuits can be known. The question applies to each and every person, irrespective of age. For many occupations a single word or terin on the first line will be sufficient, e. g., Farmer or Planter, Physician, Compos- itor, Architect, Locomotive engineer, Civil engineer, Stationary fireman, etc. But in many cases, especially in industrial employments, it is necessary to know (a) the kind of work and also (b) the nature of the business or industry, and therefore an additional line is provided for the latter statement; it should be used only when needed. As examples: (a) Spinner, (b) Cotton mill; (a) Salesman, (b) Grocery; (a) Foreman, (b) Automobile factory. The ma- terial worked on may form part of the second statement. Never return "Laborer," "Foreman," "Manager," "Dealer," etc., without more precise specification, as Day laborer, Farm laborer, Laborer - Coal mine, etc. Women at home, who are engaged in the duties of the household only (not paid Housekeepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gainfully employed, as At school or At home. Care should be taken to report spe- cifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, Housemaid, etc. If the occupation has been changed or given up on account of the DISEASE CAUSING DEATH, state occupation at beginning of illness. If retired from business, that fact may be indi- cated thus: Farmer (retired, 6 yrs.). For persons who have no occupation whatever, write None.
Statement of cause of death .- Name, first, the DISEASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted term for the saine disease. Examples: Cerebrospinal fever (the only definite synonym is "Epidemie cerebrospinal menin- gitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneumonia; Bronchopneumonia ("Pneumonia," unquali- fied, is indefinite); Tuberculosis of lungs, meninges, peri- loncum, etc., Carcinoma, Sarcoma, etc., of_
(name origin; "Cancer" is less definite; avoid use of ""Tuinor" for malignant neoplasms); Measles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, etc. The contributory (secondary or inter- current) affection need not be stated unless important. Example: Measles (disease causing death), 29 ds .; Broncho- pneumonia (secondary), 10 ds. Never report mere symp- toms or terminal conditions, such as "Asthenia," "Anemia" (increly symptomatic), "Atrophy," "Col-
(“Con- lapse," "Coma," ""Convulsions,"" "Debility" genital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Hemorrhage," "Inanition," "Maras- inus," "Old age," "Shock," "Uremia," "Weakness," ctc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from child- birth or miscarriage, as "PUERPERAL septicemia," "PUER- PERAL peritonitis," etc. State cause for which surgical operation was undertaken. For VIOLENT DEATHS STATE MEANS OF INJURY and qualify as ACCIDENTAL, SUICIDAL, or HOMICIDAL, or as probably such, if impossible to de- termine definitely. Examples: Accidental drowning; Struck by railway train - accident; Revolver wound of head -homicide; Poisoned by carbolic acid - probably suicide. The nature of the injury, as fracture of skull,
under the head of "Contributory." (Recommendations on statement of cause of deatlı approved by Committee on Nomenclature of the American Medical Association.)
Casos for the Medical Examiners. - Under the provi- sions of chapter 24 of the Revised Laws deaths under the following conditions must be referred to the Medical Examiners:
1. Deaths following injury or violence, as Burns, Falls Drowning, Gas poisoning, Suicide, Homicide, etc.
2. Deaths supposedly caused by violence, as Criminal abortion, Poisoning, Starvation, Suffocation, Exposure, etc.
3. Sudden deaths of persons not disabled by recognized disease, as A death upon the street, or one supposed to be due to Alcoholism, etc.
4. Deaths under circumstances unknown, as A person found dead, etc.
ADDITIONAL SPACE
FOR FURTHER STATEMENTS BY
PHYSICIAN.
1 202 62218 50.000
IR-301
OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS
STANDARD CERTIFICATE OF DEATH
1 PLACE OF DEATH
County.
Suffolk
State.
mass
Registered No.
139
City or Town
14 Charles
St.,
.Ward
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
Eugene Gammon Burna vi
(If in the Army or Navy of the United States, give rank, organization, ete.)
St.
.Ward.
Somerville Mars
(a) Residence. Nom
( Usual place of abode)
Length of residence ia city or town where death occurred
4 years 4 months
days.
How long in U. S., if of foreign birth ?
years
months
days
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
male white
4 COLOR OR RACE
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
Single
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
6 DATE OF BIRTH
abril (Month)
19
1899
(Day)
(Year)
Years
Months
Days
If LESS than
1 day ......... brs.
21
5,
or ........ min.
If STILLBORN, enter that fact here
8 OCCUPATION OF DECEASED
(a) Trade, professioo, or
particular kind of work
No occupation
9 BIRTHPLACE (City)
Somerville
(State or country)
mass
Samuel Burns
11 BIRTHPLACE OF
FATHER (City).
Londonar
(State or country)
12 MAIDEN NAME
OF MOTHER
Margaret Stromberg
13 BIRTHPLACE OF .
MOTHER (City)
(State or country)
P. E. Island
14 Margaret Buruz
Informant
(Address)
14 Challes Si Mulund Mais
15 Sept. 22. 1920
Filed (Month) (Day) (Year)
REGISTRAR
21 I HEREBY CERTIFY that a satisfactory stan- dard certificate of death was filed with me BEFORE the burial or transit permit was issued av .. f. C. Maury
Official Health officer position
Date of issoe of permit
1/22/20 No
Permit 177 .. ..
....
17 19 I HEREBY CERTIFY, That I attended deceased from Salt 15 1920 to. 20
that I last saw h
alive on
1920. and that death occurred, on the date stated above, at /A m. The CAUSE OF DEATH was as follows :
(duration)
.. yrs .............
mos ..
.......
ds.
CONTRIBUTORY
(SECONDARY)
(duration) ...... .yrs ... ...... mos. ds.
18 Where was disease contracted
if not at place of death ?
Did an operation precede death ?
Date of
Was there an autopsy ?
What test confirmed diagnosis ?
(Signed)
M.D.
(Address ).
356 minthal St
Dale.
22
1920
( Month)
(Day)
(Year)
19 PLACE OF BURIAL, CREMATION, OR REMOVAL Mare Cambudge Cem-Cambridge (Cemetery) (City or town)
DATE OF BURIAL Sept- 24 1920
20 UNDERTAKER Francis M. Wilson
ADDRESS Somerville
50,000.
7 AGE 10 NAME OF FATHER PARENTS instructions and extracts from the laws on back of certificate. in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH (h) Name of employer
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH
(Month)
Selt 22
1920
(Day)
(Year)
.
·
The Commonwealth of Massachusetts
(City or Town)
16 Hamlet
(If non-resident give eity or town and State)
Sept. 22. 1920 REVISED UNITED STATES STANDARD CERTIFICATE OF DEATH
[Approved by U. S. Census and American Public Health Association]
Statement of occupation. - Precise statement of occupation is very important, 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, Locomotive engineer, Civilengineer, Stationary fireman, etc. But in many cases, especially in industrial employments, it is necessary to know (a) the kind of work and also (b) the nature of the business or industry, and therefore an additional line is provided for the latter statement; it should be used only when needed. As examples: (a) Spinner, (b) Cotton mill; (a) Salesman, (b) Gracery; (a) Foreman, (b) Autamobile factary. 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, Labarer -- Coal mine, etc. Women at home, who are engaged in the duties of the house- hold only (not paid Housekeepers who receive a definite salary), may be entered as Housewife, Hausewark, or At hame, and children, not gainfully employed, as At schoal or At hame. Care should be taken to report spe- cifically the occupations of persons engaged in domestic service for wages, as Servant, Coak, 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: Cere- braspinal fever (the only definite synonym is "Epidemic cerebrospinal meningitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (nover report "Typhoid pneumonia"); Lobar pneumonia; Bronchapneumonia ("Pneumonia," unqualified, is indefinite); Tuberculosis of lungs, men- inges, peritaneum, etc., Carcinoma, Sarcoma, etc., of .. . (name origin; "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms); Measles; Whaoping caugh; Chranic valvular heart disease; Chranic interstitial nephritis, etc. The contributory (sccondary or inter- current) affection nced not be stated unless important. Example: Measles (disease causing death), 29 ds .; Branchapneumania (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as "Asthenia," "Anemia" (merely symptomatic), "Atrophy," "Col- lapse,""Coma,""Convulsions,""Debility" ("Congenital,""Senile," etc.), "Dropsy,""Exhaustion,""Heart failure,""Hemorrhage,""Ina- nition," "Marasmus," "Old age," "Shock," "Uremia,""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 peritanitis," etc.
State cause for which surgical operation was undertaken.
(Recommendations on statement of cause of death approved by Com- mittee on Nomenclature of the American Medical Association.)
Bronchopneumonia: If primary cause, write the word "pri- mary " ; if secondary, give primary cause.
Certificates will be returned for additional information which give any of the following diseases, without explanation, as the sole cause of death: Abortion, cellulitis, childbirth, convulsions, hemorrhage, gangrene, gastritis, erysipeias, meningitis, miscar- riage, necrosis, peritonitis, phlebitis, pyemia, septicemia, tetanus.
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE 'RETURN OF CERTIFICATES OF DEATH
A physician shali forthwith, after the death of a person whom he has attended during his last illness, at the request of an undertaker or other authorized person or of any member of the family of the deceased, furnish for registration a standard certificate of death, stating to the best of his knowledge and belief the name of the deceased, his supposed age, the disease of which he died [defined so that it can be classified under the international classification of causes of death], where contracted, the duration of his last illness, when last seen alive by the physician, and the date of his death. . .. - Revised Laws, Chap. 29, Secs. 10 and 1. as amended by Acts of 1910, Chap. 322.
No undertaker or other person shall bury a human body . . . until he has received a permit from the board of health or its agent, . . . or .. . from the clerk of the city or town in which the person died; . . . no such permit shall be issued until there shall have been delivered to such board, agent or cierk, . . . a satisfactory written statement con- taining the facts required by law to be returned and recorded, which ... shall be accompanied by a satisfactory certificate of the at- tending physician, if any, as required by law, or in lieu thereof a certifi- cate as hercinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is insufficient, the chairman of the board of health, if a physician, or any physician employed Sby said board or by the selectmen for the purpose, shail upon application make such certificate as is required of the attending physician. If death is caused by violence, the medical examiner only shall make such certificate. . .. The person to whom the per- mit is so given and the physician who certifies to the cause of death shall thereafterfurnish for registration any other necessary information which can be obtained as to the deceased, or as to the manner or cause of the death, which the clerk or registrar may require. - Revised Laws, Chap. 78, Sec. 38.
Medical examiners shall, in all cases, certify to the city or town clerk or to the city registrar in the place where the deceased died, his name and residence, if known, otherwise a description of such person as full as may be, with the cause and manner of his death, and shall make examination upon the view of the dead bodies of only such persons as are supposed to have come to their death by violence. - Revised Laws, Chap. 24, Sec. 8.
RULES OF PRACTICE
The fulfilment of the purpose of these laws calls for the observance of the following rules of practice:
(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from disease unrelated to any form of injury.
(2) Board of Health Physicians will certify to such deaths only as those of persons who, though disabled by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physician is absent from home when the certificate of death is needed.
(3) Medical examiners will investigate and certify to all deaths sup- posably due to injury. These include not only deaths caused directly or indirectly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persone found dead.
R-302
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
(City or town)
1 PLACE OF DEATH
County
Middlesex
State
M888.
Registered No.
141
(Place of residence)
St ..
Ward
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
Frank Anthony
(If in the Army or Navy of the United States, give rank, organization, etc.)
(a) Residence.
State
Ma88.
City or Town
Winthrop
No.
52 Sargent
.St.
(Usual place of abode)
Length of resideoce io city or town where death occurred
years
months
days
How loog in U. S., if of foreign birth?
years
months
days
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Male
4 COLOR OR RACE
White
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
Married
5a If married, widowed, or divorced HUSBAND of (or) WIFE of Alice G. Anthony
6 DATE OF BIRTH (month, day, and year)
Dec. 10,1864
7 AGE
55
Years
Months
9
Days
17
If LESS than 1 day, ........ brs. or ....... mio.
If STILLBORN, eoter that fact bere
8 OCCUPATION OF DECEASED
(a) Trade, professioo, or
particular kind of work.
Automobile Dealer
(b) Name of employer
.(duration).
.. yrs ....
9
.. mos.
. ds.
CONTRIBUTORY
Acute myocarditis
(SECONDARY)
(duration)
_yrs.
18 Where was d
if not at place of death ?
Winthrop, Mass
Did an operation precede death?
no
„Date of.
Was there an autopsy ?.
nc
What test confirmed diagnosis ?.
Laboratory
(Sigoed)
Harold F. Simon
M.D.
. 2.719 2 0 ddress)
Winchester, Mass.
14
Informant Alice G. Anthony
( Address) 52 Sargent St.Winthrop
15
Filed Sept. 27, 1920 Makel DeStinson
Registrar of city or town where death occurred Filed. Och. 11. 1920 Bessie 2. Dodge asst
Registrar of city or town where deceased resided
19 PLACE OF BURIAL, CREMATION, OR REMOVAL Winthrop
DATE OF BURIAL Sept. 309 20
20 UNDERTAKER
C. A. ROLLINS
ADDRESS
WINTHROP
carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statoment of OCCUPATION is very important. See instructions on back
of certificate.
. 25,000
16 DATE OF DEATH (month, day, and year) Sept. 27, 19 20
17
I HEREBY CERTIFY, That I attended deceased from
Aug .....
18
19.20
to
Sept. 27. 19 20.
that I last saw h
im alive on.
Sept. 27.
19.2.0.
and that death occurred, on the date stated ahove, at 1.05 pm. The CAUSE OF DEATH* was as follows:
*State the DISEASE CAUSING DEATH, or in deaths from VIOLENT CAUSES, state (1) MEANS AND NATURE OF INJURY, and (2) whether ACCIDENTAL, SUICIDAL, or HOMICIDAL. (See reverse side for additional space.)
Pernicious Anaemia
9 BIRTHPLACE (city or town)
Providence ,R. I.
(State or country)
10 NAME OF FATHER
John in. Anthony
PARENTS
11 BIRTHPLACE OF FATHER (city or town) Providence. (State or country) R. I.
12 MAIDEN NAME OF MOTHER Anna Ewell
13 BIRTHPLACE OF MOTHER (city or town) (State or country) Cannot be learned Sep
Registered No .. 115
(Place of death)
City or Town
Winchester
No.
Winchester Hospital
Wir hester
.mos.
......
ds.
MEDICAL CERTIFICATE OF DEATH
Sept. 27.1920 V
REVISED UNITED STATES STANDARD CERTIFICATE OF DEATH [Approved by U. S. Census and American Public Health Association]
Statement of occupatien. - Precise statement of occupa- tion is very important, so that the relative healthfulness of various pursuits can be known. The question applies to each and every person, irrespective of age. For many occupations a single word or term on the first line will be sufficient, e. g., Farmer or Planter, Physician, Compos- itor, Architect, Locomotive engineer, Civil engineer, Stationary fireman, etc. But in many cases, especially in industrial employments, it is necessary to know (a) the kind of work and also (b) the nature of the business or industry, and therefore an additional line is provided for the latter statement; it should be used only when needed. As examples: (a) Spinner, (b) Cotton mill; (a) Salesman, (b) Grocery; (a) Foreman, (b) Automobile factory. The ma- terial worked on may form part of the second statement. Never return "Laborer," "Foreman," " Manager,' " Dealer," etc., without more precise specification, as Day laborer, Farm laborer, Laborer - Coal mine, etc. Women at home, who are engaged in the duties of the household only (not paid Housekeepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gainfully employed, as At school or At home. Care should be taken to report spe- cifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, Housemaid, etc. It the occupation has been changed or given up on account of the DISEASE CAUSING DEATH, state occupation at beginning of illness. If retired from business, that fact may be indi- cated thus: Farmer (retired, 6 yrs.). For persons who have no occupation whatever, write None.
Statement of cause of death .- Naine, first, the DISEASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted term for the same disease. Examples: Cerebrospinal fever (the only definite synonym is "Epidemic cerebrospinal menin- gitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneumonia; Bronchopneumonia ("Pneumonia," unquali- fied, is indefinite); Tuberculosis of lungs, meninges, peri- toneum, etc., Carcinoma, Sarcoma, etc., of_
(name origin; "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms); Measles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, etc. The contributory (secondary or inter- current) affection need not be stated unless important. Example: Measles (disease causing death), 29 &s .; Broncho- pneumonia (secondary), 10 ds. Never report mere symp- toms or terminal conditions, such as "Asthenia," "Anemia" (merely symptomatic), "Atrophy," "Col- lapse," "Coma," "Convulsions," "Debility" (“Con- genital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Hemorrhage," "Inanition," "Maras- mus," "Old age," "Shock," "Uremia," "Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from child- birth or miscarriage, as "PUERPERAL septicemia," "PUER- PERAL peritonitis," etc. State cause for which surgical operation was undertaken. For VIOLENT DEATHS STATE MEANS OF INJURY and qualify as ACCIDENTAL, SUICIDAL, or HOMICIDAL, or as probably such, if impossible to de- termine definitely. Examples: Accidental drowning; Struck by railway train - accident; Revolver wound of head - homicide; Poisoned by carbolic acid - probably suicide. The nature of the injury, as fracture of skull, and consequences (e a sepsis telange) may ha atotal
under the head of "Contributory." (Recommendations on statement of cause of death approved by Committee . on Nomenclature of the American Medical Association.)
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