Town of Winthrop : Record of Deaths 1919-1921, Part 124

Author: Winthrop (Mass.)
Publication date: 1919
Publisher:
Number of Pages: 1192


USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1919-1921 > Part 124


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3. Sudden deaths of persons not disabled by recognized disease, as A death upon the street, or one supposed to be due to Alcoholism, etc.


4. Deatlıs under circumstances unknown, as A person found dead, etc.


ADDITIONAL SPACE


FOR FURTHER STATEMENTS BY PHYSICIAN.


-


1


1


R 303. 6.'18. 50,000.


R-302


The Commonwealth of Massachusetts


CERTIFICATE OF DEATH OF NON-RESIDENT ........


9765


(City or town)


1 PLACE OF DEATH


Registered No.


(Place of death)


Registered No.


(Place of residence)


St.,


Ward


(If death occurred in a hospital or institution, give its NAME instead of strect and number)


2 FULL NAME


IRENE MC CARTHY


(If in the Army or Navy of the United States, giye rank, organization, etc.)


(a) Residence.


State


MASS.


City or Town


WINTHROP


No.


88 MAIN


St.


(Usual place of abode)


Length of residence in city or town where death occurred


years


months


days


How long io U. S., if of foreign birth?


years


months


days


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH (month, day, and year)


OCT.28


1920


3 SEX


F


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


JOHN


6 DATE OF BIRTH (month, day, and year)


7 AGE


54


Years


Months


Days


8


24


If LESS thao


1 day, ........ brs.


or ........ min.


If STILLBORN, enter that fact bere


8 OCCUPATION OF DECEASED


(a) Trade, profession, or


particolar kiod of work.


HOUSEWIFE


(b) General nature of industry,


business, or establishment in


wbich employed (or employer).


(e) Name of employer


(duration) ..


5 yrs.


.....


... mos


.ds.


CONTRIBUTORY


ANEURYSM THORACIC AORTA


(SECONDARY)


(duration)


yrs ..


mos ..


ds.


10 NAME OF FATHER


OWEN RANSOM


18 Where was disease contracted


if not at piace of death ?


Did an operation precede death?


Date of


Was there an autopsy?


12 MAIDEN NAME OF MOTHER


What test confirmed diagnosis ?


(Signed)


C.A.RILEY


M.D.


, 19 20 (Address)


ост.29


14


Informant


(Address)


HUSBAND


19 PLACE OF BURIAL, CREMATION, OR REMOVAL


WINTHROP (WINTHROP CEM)


DATE OF BURIAL


OCT .31


19 20


15


Filed


NOV . 2, 19 20-


Registrar of city or town where death occurred


Filed.


Nov. 13, 19 20.


Bessie 2 Dodge asst


Registrar nf city or town where deceased resided


20 UNDERTAKER


C.R.BENNISON


ADDRESS


WINTHROP


so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions on back


of certificate.


carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms,


PARENTS


(State or country)


KY.


17


I HEREBY CERTIFY, That I attended deceased from


SEPT.22


19.20


to


OCT .28


19.20


that I last saw h .... R.


alive on


OCT .28


19.20


and that death occurred, on the date stated above, at


9 P. 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 additional space.)


CHR. NEPHRITIS, CHR.MYOCARDITIS


9 BIRTHPLACE (city or town).


COVINGTON


11 BIRTHPLACE OF FATHER (city or town)


(State or country)


13 BIRTHPLACE OF MOTHER (city or town)


(State or country)


County


Suffolk


State


Massachusetts


.....


City or Town


BOSTON


No.


1431 COMMONWEALTH AVE.


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 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, Compos- itor, Architect, Locomotive engineer, Civil engineer, Stationary fireman, cte. 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 inay forin part of the second statement. Never return "Laborer,"


"Foreman," "Manager," "Dealer," cte., 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 DEATII, 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 Nonc.


Statement of cause of death. - Name, first, the DISEASE CAUSING DEATH (the primary affection with respect to time and eausation), using always the same accepted term for the same disease. Examples: Cerebrospinal fever (the only definite synonym is "Epidemie cerebrospinal menin- gitis"); Diphtheria (avoid use of "Croup"); Typhoid fcver (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 discase; Chronic interstitial nephritis, ete. 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" (merely symptomatic), "Atrophy," "Col-


lapse," "Coma," ""Convulsions,"" "Debility" (“Con- genital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Hemorrhage," "Inanition," "Maras- inus," "Old age," "Shock," "Uremia," "Weakness," etc., when a definite discase ean be ascertained as the cause. Always qualify all diseases resulting from child- birth or miscarriage, as "PUERPERAL septicemia," "PUER- PERAL peritonitis," ete. 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 (c. g., sepsis, tetanus) may be stated


under the head of "Contributory." (Recommendations on statement of cause of death approved by Committee on Nomenclature of the American Medical Association.)


Cases 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, cte.


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 eircumstances unknown, as A person found dead, cte.


ADDITIONAL SPACE FOR FURTHER STATEMENTS BY


PHYSICIAN.


..


R 303. G.'18. 50,000.


R-301


OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS


STANDARD CERTIFICATE OF DEATH


Winthrop (City or Town)


1 PLACE, OF DEATH Lock


County.


State


Registered No ..


157


City or Town


Wiretterch


No


10. Lovadzade are


St.,.


......


.Ward


(If death occurred in a hospital or institution, give its NAME instead of street and number)


2 FULL NAME


Canary Wellwood


(If in the Army or Navy of the United States, give rank, organization, etc.)


(a) Residence.


No.


10 Woodside Park


St.,


.Ward.


( Usual place of abode)


Length of residence in city or towo wbere death occurred


10


years


mooths


days.


How long io U. S., if of foreign birth ?


years


months


days


PERSONAL AND STATISTICAL PARTICULARS


4 COLOR OR RACE


5 SINGLE, MARRIED, WIDOWED, OR


DIVORCED (write the word)


5a If married, widowed, or divorced


HUSBAND of


(or) WIFE of


Robert Ramsay


6 DATE OF BIRTH


( Month)


(Day)


(Year)


Years


70


Months


Days


7


If LESS thao 1 day, ........ hrs. or ....... min.


If STILLBORN, enter that fact here


8 OCCUPATION OF DECEASED


(a) Trade, profession, or


particular kind of work.


a.f. Home


9 BIRTHPLACE (City)


glascow- Scotland.


(State or country)


10 NAME OF


FATHER


John Wellwood


11 BIRTHPLACE OF


FATHER (City) ..


13 elfash


(State or country)


Meland


12 MAIDEN NAME


OF MOTHER


Margaret. Thoughson


-Glasgowa


13 BIRTHPLACE OF


MOTHER (City)


(State or country)


Scotland


Informant


véofert:


10


woodside are.


15 Nov.3.1920


Filed


(Month) (Day) ( Year)


REGISTRAR


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH.


octobre


30


(Month)


(Day)


(Year)


17


I HEREBY CERTIFY, That I attended deceased from


1915


oct 30


,1920


, 19


to


that I last saw h


fr


alive on


Oct 28'


, 19 ... 2.3.


and that death occurred, on the date stated above, at


2-30 A.m.


The CAUSE OF DEATH was as follows :


Diabetes


mellition


5 .yrs .. .......... .mos. .ds.


CONTRIBUTORY


(SECONDARY)


(duration)


1


yrs.


mos ...


ds.


18 Where was disease contracted if not at place of death ?


Did an operation precede death ?


no


Date of


Was there an autopsy ?


no


What test confirmed diagnosis ?


310metcall


(Signed)


M.D.


(Address) ...


DOWN.


1920


Date


(Month)


(Day)


(Year)


19 PLACE OF BURIAL, CREMATION, OR REMOVAL


DATE OF BURIAL 1100 1st 1920


(Cemetery)


'City or town)


20 UNDERTAKER


C tivo R. Sevenum


ADDRESS


21 I HEREBY CERTIFY that a satisfactory stao- dard certificate of death was fled with me BEFORE the burial or transit permit was issued. J. a. moury


Of position


Health officer


Date of issoe of permit nov. 1/20 No 193


Permit


50,000.


The Commonwealth of Massachusetts


3 SEX termale 7 AGE PARENTS 14 (Address) 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 (b) Name of employer


.(duration) Drabelig Jungrene J


(If non-resident give city or town and State)


1920


21 1850


Oct. 30. 1920" 0 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 ags. For many occupations a single word or term on the first line will he sufficient, e. g., Former or Plonter, Physicion, Compositor, Architect, Locomotive engineer, Civil engineer, Stationory fireman, etc. But in many eases, 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; (o) Salesman, (b) Grocery; (a) Foreman, (b) Automobile foctory. The material worked on may form part of the second statement. Never return "Laborer," "Foreman," "Manager," "Dealer," etc., without more precise specification, as Doy loborer, Farm loborer, Laborer - Cool 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, 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 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 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- brospinal fever (the only definite synonym is "Epidemie cerebrospinal meningitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobor pneumonio; Bronchopneumonia ("Pneumonia," unqualified, is indefinite); Tuberculosis of lungs, men- inges, peritoneum, etc., Carcinoma, Sarcoma, ete., of .......... (name origin; "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms); Meosles; Whooping cough; Chronic valvulor heort disease; Chronic interstitial nephritis, etc. The contributory (secondary or inter- current) affection need not be stated unless important. Example: Meosles (disease causing death), 29 ds .; Bronchopneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as "Asthenia," "Anemia" (msrely 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 discases resulting from childhirth or miscarriage, as "PUER- PERAL septicemio," "PUERPERAL peritonitis," etc.


State cause for which surgical operation was undertaken.


(Recommendations on statement of causs 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, erysipelas, 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 shall 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, Chop. 29, Secs. 10 and 1, as amended by Acts of 1910, Chop. 322.


No undertaker or other person shall bury a human body . . . until hs has received a permit from the board of health or its agent, . . . or . . from ths clerk of the city or town in which the person disd; . .. no such permit shall be issued until there shall have been delivered to such board, agent or clerk, . . . a satisfactory written statement con- taining the facts roquired 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 hereinafter 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 by said board or by the selectmen for the purpose, shall 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 physiciau who certifies to the cause of death shall thereafter furnish 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 Lows, 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 Lows, Chop. 24, Sec. 8.


RULES OF PRACTICE


The fulfilment of the purpose of these laws calls for the observanee 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 persons found dead.


2 FULL NAME 3 SEX m W. 7 AGE MYears 35 PARENTS 14 Informant ( Address) 15 Novel 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. Filed Filed. N. D .- WRITE PLAINLT, WITH UNFADING INA THIS IS A PERMANENT DEGUNU. Every nem of information should be (b) General nature of industry, business, or establishment in which employed (or employer) (c) Name of employer


The Commonwealth of Massachusetts


CERTIFICATE OF DEATH OF NON-RESIDENT


1 PLACE OF DEATH


Registered No ...


(Place of death)


Registered No ..


162


City or Town


howwell


No. 5 So Franklin Of


St.,.


2


Ward


(If death occurred in a hospital or institution, give its NAME instead of street and number) Bert a. arlin berg. Ind. Co. At Banks . a. Winthe


(a) Residence. State.


(Usual place of abode)


mass.


City or Town howel No. 5 so Franklin et St .


Length of residence in city or town where death occurred


years


months


days


How long in U. S., if of foreign birth?


years


days


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH (month, day, and year) . 1


19 20


17


HEREBY CERTIFY, That I attended deceased from


Och. 25


1920 to haveil


1920.


that I last saw h.&t.+4., alive on


Cat. 31


192.0.


815a. 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 additional space.) Doublehobar Pneumonia Primary


.(duration).


.... yrs ..


.. mos


T


ds.


(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 ?.


1. J. mechan


M.D.


(Signed)


11-1,19 2(Address)


19 PLACE OF BURIAL, CREMAȚION, OR REMOVAL Edson, howell


DATE OF BURIAL novio 1020


20 UNDERTAKER Leo. W. Healey


ADDRESS Lowell


allov 29 19 20


Registrar of city or town where deceased resided


CONTRIBUTORY


Enteritis


3


10 NAME OF FATHERyear


glgilmanton


11 BIRTHPLACE OF FATHER (city or to wood


(State or country)


2 MAIDEN NAME OF MOTHI Adam Spinney


13 BIRTHPLACE OF MOTHER (city or town)


(State or country)


Portsmouth n.4.


Father


Registar. of city or town mere death occurred


Lou


el.


1497


County


middlesex


State


mass


4 COLOR OR RACE


tringle


5 SINGLE, MARRIED, WIDOWED, OR


DIVORCED (write the word)


5. If married, widowed, or divorced


HUSBAND of


(or) WIFE of


6 DATE OF BIRTH (month, day, and year) 17.231885


Months


81


1


If LESS than


I day, ........ brs.


or ....... min.


If STILLBORN, eoter that fact bere


8 OCCUPATION OF DECEASED


(a) Trade, profession, or


particolar kind of work.


Soldier (U.S.a.)


9 BIRTHPLACE (city or townho


(State or country)


howell


Lowell


months


(Place of residence)


(life the Army or Navy of the United States, give rank, organization, etc ma


and that death occurred, on the date stated above,


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 term on the first line will be sufficient, c. 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) Colton 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," "Forcinan," "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 doinestic 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 "Epidemic cerebrospinal inenin- gitis"); Diphtheria (avoid use of "Croup"); Typhoid fcver (never report "Typhoid pneumonia"); Lobar pneumonia; Bronchopneumonia ("Pneumonia," unquali- fied, is indefinite); Tuberculosis of lungs, meninges, peri- toncum, etc., Carcinoma, Sarcoma, etc., of_


(name origin; "Cancer" is less definite; avoid usc of "Tumor" for inalignant 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 (discase causing death), 29 &s .; Broncho- pneumonia (secondary), 10 ds. Never report inere 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, Of 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. g., sepsis, tetanus) may be stated


under the head of "Contributory." (Recommendations on statement of cause of death approved by Committee on Nomenclature of the Aincrican Medical Association.)




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