Town of Winthrop : Record of Deaths 1919-1921, Part 127

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 127


Note: The text from this book was generated using artificial intelligence so there may be some errors. The full pages can be found on Archive.org (link on the Part 1 page).


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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.)


9 BIRTHPLACE (city or town)


STONEHAM


10 NAME OF FATHER


JONATHAN DUSTIN


11 BIRTHPLACE OF FATHER (city or town) (State or country) .


MASS


12 MAIDEN NAME OF MOTHER MARY NOBLE


13 BIRTHPLACE OF MOTHER (city or town)


(State or country)


MASS.


, 19 20 (Address)


20 UNDERTAKER


T.W. RHODES


ADDRESS


LYNN


City or Town


3 SEX


F


7 AGE


75


particular kind of work


(State or country)


PARENTS


14


Informant


( Address)


15


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


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


of certificate.


N. B. - WRITE PLAINLY, WITH UNFADING INK - THIS IS A PERMANENT RECORD. Every item of information should be


(b) General nature of industry,


business, or establishment in


which employed (or emplayer)


(c) Name nf empinyer


99711


(Place of death)


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


If STILLBORN, enter that fact bere


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, e. g., Farmer or Planter, Physician, Compos- itor, Architect, Locomotive engincer, Civil engineer, Stationary fireman, etc. But in many cases, especially in industrial employinents, 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) Forcman, (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, 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 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 DEATII (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 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 use of "Tumor" for malignant neoplasms); Mcasles; 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 as .; 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., wlien 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 DEATIIS STATE MEANS OF INJURY and qualify as ACCIDENTAL, SUICIDAL, or HOMICIDAL, or as probably suclı, 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 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, Drouming, 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.



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


R-302


The Commonwealth of Massachusetts


STANDARD CERTIFICATE OF DEATH


Everett


( City or town)


Registered No. -


(Place of death)


Registered No.


69


(Place of residence)


St.,


.. Ward


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


2 FULL NAME


Mary Ann Gardner


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


(a) Residence. State


Mass.


City or Town


Winthrop


No.


57 Levering Rd.


St.


Loung


months


days


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


f


4 COLOR OR RACE


5 SINGLE, MARRIED, WIDOWED, OR


DIVORCED (write the word)


married


5a If married, widowed, or divorced


HUSBAND of


(or) WIFE of


George


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


Oct. 31, 1846


7 AGE


Years


Months


If LESS thao


74


--


Days


8


I day, ........ hrs.


or ....... min.


If STILLBORN, eoter that fact here


8 OCCUPATION OF DECEASED


(a) Trade, profession, or


particular kind of work.


At home


(b) Name of employer


.. (duration).


.... yrs.


.mos.


ds.


CONTRIBUTORY


Operation for relief


(SECONDARY)


(duration)


-yrs ..


18 Where was disease contracted


if not at place of death ?


Did an operation precede death ?.


ves


Date of


Nov. 2-20


Was there an autopsy?


no


physical signs


(Signed)


D. D. Nalchajian


......


. M.D.


"11 /8 192 ( Address)


Chelsea


14


Informant


Mrs. E. B. Currier


(Address)


Winthrop


15


Filed


11-15-20 Joseph H. Cannell


Registrar of city or towo where death occorred


Filed


11/29/1920


Registrar of city or towo where deceased resided


19 PLACE OF BURIAL, CREMATION, OR REMOVAL


Woodlawn, Everett


DATE OF BURIAL 11-10-19 20


20 UNDERTAKER


Chas. R. Bennison


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.


9. 25,000


16 DATE OF DEATH (month, day, and year) Nov. 8, 19 20


17


I HEREBY CERTIFY, That I attended deceased from


Nov. 3


to


19.


Nov. 8,


. 19.


19


20


20


that I last saw her


alive on.


Nov. 7,


19


20


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


4 a.


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. (Sce reverse side for additional space.) Partial Stragulated hernia


11


9 BIRTHPLACE (city or town)


Boston


(State or country)


Mass.


10 NAME OF FATHER


George Piggott


PARENTS


11 BIRTHPLACE OF FATHER (city or town)


(State or country)


England


12 MAIDEN NAME OF MOTHER


Elizabeth FosterWhat test confirmed diagnosis ?.


13 BIRTHPLACE OF MOTHER (city of town ofland


(State or country)


MEDICAL CERTIFICATE OF DEATH


(Usual place of abode)


Length of residence in city or towo where death occorred


years


mooths


7


days


1 PLACE OF DEATH


County


Middlesex


State.


Mass.


City or Town


Everett


No ..


Whidden Mem. Hospital


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


years


. mos.



ds.


Nov. 8.1920


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 agc. 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," "Dcaler," 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 .- 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: 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," ctc. 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. 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, 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.


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.


* DATE OF BIRTH 7 AGE PARENTS (Informant) 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


(No. Metcall Hospitals


Permet # 198 Date Uv. 9. 19 20 alberts smith Secretary


(City or town.)


{If death occurred in a hospital or institution, give its NAME instead of street and number.]


Stillborn Miller


2 FULL NAME


[If married or divorced woman or widow


give maiden name, also name of husband.]


@RESIDENCE


35 Summit QUE


....


Registered No.


170


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


3 SEX


male White


4 COLOR OR RACE


5 SINGLE,


MARRIED,


WIDOWED,


OR DIVORCED


(Write the word)


16 DATE OF DEATH


nov. a


1920


....


(Month)


(Day)


... .


(Year)


17 I HEREBY CERTIFY that I attended deceased from


, 191 __._. , to


191


..........


that I last saw h.


alive on


191


.........


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


m.


The CAUSE OF DEATH* was as follows :


"Still four"



(Duration)


yrs.


............... mos.


ds.


Contributory.


(SECONDARY)


......... (Duration)


E Coloman Trong


mos.


...............


ds.


(Signed)


..........


M.D.


Nov. 9, 19to (Address) 27 Cancual 5g/


* If death followed injury or violence the certificate of death must Ve Grade. ont 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. ............


In the


Where was disease contracted, If not at place of death ?.


Former or usual residence.


19 PLACE OF BURIAL OR REMOVAL St Michaels


DATE OF BURIAL


Nov.10


(Address)


35 Suivant avec


16 Filed nov. 13,1020 ....


......


REGISTRAR


" 145


1920


(Month)


(Day)


.....


(Year)


If LESS than


day ...


.. yrs.


mos.


ds.


or ....... min. ?


& OCCUPATION


(a) Trade, profession, or


particular kind of work.


(b) General nature of industry,


business, or establishment


which employed (or employer).


9 BIRTHPLACE


(State or country)


Winthrop


10 NAME OF


FATHER


Harman Miller


11 BIRTHPLACE OF FATHER (State or country)


herafvela


12 MAIDEN NAME


OF MOTHER


Thanes Lo Hemery


1ª BIRTHPLACE


OF MOTHER


(State or country)


Boston


" THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


Ward)


20 UNDERTAKER John F. Omaley


ADDRESS


·


Winthrop


......


.............


Nov. 9. 1920 STANDARD CERTIFICATE OF DEATH.


Statement of occupation. - Precise statement of occu- pation is very important, so that the relative healthfulness of various pursuits can be known. The question applies to each and every person, irrespective of age. For many occupations a single word or term on the first line will be sufficient, e. g., Farmer or Planter, Physician, Compositor, Architect, Loco- motive engineer, Civil engineer, Stationary fireman, ctc. 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 cxamples: (a) Spinner, (b) Cotton mill; (a) Sales- man, (b) Grocery; (a) Forcman, (b) Automobile factory. The inaterial worked on inay form part of the second statement. Never return "Laborer," "Foreman," "Manager," "Dealer," etc., without more precise specification, as Day laborer, Farm laborcr, 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 employcd, as At school or At home. Care should be taken to report specifically the occupations of persons engaged in doniestie 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 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 terni for the same disease. Examples: Cerebro-spinal fever (the only definite synonym is "Epidemic cerebro-spinal meningitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never re- port "Typhoid pneumonia"); Lobar pneumonia; Broncho- pneumonia ("Pneumonia," unqualificd, is indefinite) ; Tuber-


culosis of lungs, meninges, peritonacum, etc., Carcinoma, Sar- coma, ctc., of .... .... (name origin: "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms) ; Measles; Whooping cough; Chronie valvular heart disease; Chronic interstitial nephritis, ete. 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 merc 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 discase can be ascertaincd as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as "PUER- PERAL scpticaemia," "PUERPERAL peritonitis," ctc. 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, ctc.


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-301


OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS


The Commonwealth of Massachusetts STANDARD CERTIFICATE OF DEATH


1 PLACE OF DEATH


County


Suffolx


City or Town Winthrop


State Mass.


Registered No. ١٦١


St .. Ward


No.139 Washington Ave. (If death occurred in a hospital or institution, give its NAME instead of street and number)


2 FULL NAME Herbert Granville Flinn


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


(a) Residence.


No.


730 Washington Ave.


St.


Ward.


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


(Usual place of abode)


Length of resideoce io city or towo where death occurred


years


mooths


days.


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


years


mooths


days


PERSONAL AND STATISTICAL PARTICULARS


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


Colin E. Flinn


6 DATE OF BIRTH


May


3I


( Month)


(Day)


(Year)


Years


Months


Days


If LESS thao


1 day, ........ hrs.


or ....... min.


If STILLBORN, eoter that fact here


8 OCCUPATION OF DECEASED


(a) Trade, profession, or


particular kind of work ..


Merchant Tailor


9 BIRTHPLACE (City)


East Boston


(State or country)


Mass


10 NAME OF


FATHER


William W. Flinn


11 BIRTHPLACE OF


Nantucket


FATHER (City)


(State or country)


Mass


12 MAIDEN NAME


OF MOTHER


Lydia Taylor


13 BIRTHPLACE OF


MOTHER (City)


Chatham


(State or country)


Mass.


Informant.


Mrs. C. Tlizabeth Flinn


(Address)


139 Washington Ave.


15 Nov, 20 1920


Filed (Month) (Day) (Year)


REGISTRAR


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH.


(Month)


Nov


12


1920


(Year)


17


I HEREBY CERTIFY, That I attended deceased from


Jun 28


1920


to


No/2


1920


that I last saw h


alive on


, 1920


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


111 Am.


The CAUSE OF DEATH was as follows:


Pernicious Unalmy


(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)


Harvey ast ell


., M.D.


(Address).


200 T leur aus +/-


Date.


vor


12


1920


(Month) (Day) (Year)


19 PLACE OF BURIAL, CREMATION, OR REMOVAL


Sit. Josephs


Boston


DATE OF BURIAL II/15/20 19


(Cemetery)


(City or town)


ADDRESS


20 UNDERTAKER


John F. C maley.


Permit


50,000.


21 I HEREBY CERTIFY that a satisfactory stao- dard certificate of death was filed with me BEFORE the hurial or transit permit was issued Dr. R. B. Parker


ia Wealth office:


Date of issue


of permit, Nov. 15/2.0.N. 199


3 SEX Male 7 AGE PARENTS 14 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 instructions and extracts from the laws on back of certificate.


64


5


12


18.56


(Day)


(City or Town)


nov. 12. 1920 REVISED UNITED STATES STANDARD CERTIFICATE OF DEATH


[Approved by U. S. Census aod American Public Health Association]


Statement of occupation. - Precise statement of occupation is very important, so that the relative healthfulness of various pursuits can he 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 he 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) Grocery; (a) Foreman, (b) Automobile factory. The material worked on may form part of the second statement. Never return "Lahorer," "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 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 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 heginning 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 diseasc. Examples: Cere- brospinal fever (the only definite synonym is "Epidemic cerebrospinal meningitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneumonia; Bronchopneumonia ("Pneumonia," unqualifisd, is indefinite); Tuberculosis of lungs, men- inges, peritoneum, 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 ds .; Bronchopneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as "Asthenia," "Anemia" (merely symptomatic), "Atrophy," "Col- lapse,""Coma,""Convulsions,""Dehility" ("Congenital,"""Senile," ete.), "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 peritonitis," etc.




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