Town of Winthrop : Record of Deaths 1919-1921, Part 148

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 148


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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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, liis 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 arc supposed te have como to their death by violence. - Revised Laws, Chap. 24, Sce. 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 Hoalth 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 certificato of death is needed.


(3) Medical examiners will investigate and certify to all deaths sup- posably duo to injury. These include not only deaths caused directly or indirectly by traumatismn (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.


R-302


The Commonwealth of Massachusetts


STANDARD CERTIFICATE OF DEATH


1423


(City or town)


1 PLACE OF DEATH


County


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


SUFFOLK


State


MASS.


Registered No


35


(Place of residence)


St.,


Ward


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


2 FULL NAME


DORAH COULAM


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


(a) Residence. State ...


.MA.S.S.


City or Town ...... WINTHROP ...... .No. 30 PERKINS St.


(Usual place of abode)


Length of residence in city or town where death occurred


years


months


davs


How loog in 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)


FEB.17


19


21


17


19


I HEREBY CERTIFY, That I attended deceased from


FEB. 15.


21


FEB.17 21


19


to.


that I last saw h ..


ER


alive on


FEB. 1 7 19 .... 2. 1.


5.05A


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


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.)


CEREBRAL


HEMORRHAGE


.(duration) ..


... yrs.


mos.


ds.


CONTRIBUTORY


CARDIO-RENAL


(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)


J. G. BRESLIN


M.D.


, 19 (Address)


FEB. 17


19 PLACE OF BURIAL, CREMATION, OR REMOVAL


LOVELL (EDSON CEM)


DATE OF BURIAL


FEB.20


19


Filed. FEB. 19.


Registrar of cry or towo where death occurred


le mar 26


19 21


Registrar of city or towo where deceased resided


9. 25,000


3 SEX F 7 AGE 65 (b) Name of employer PARENTS 14 Informant ( Address) 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 (State or country) of certificate.


4 COLOR OR RACE


5 SINGLE, MARRIED, WIDOWED, OR


DIVORCED (write the word)


MAR.


5a If married, widowed, or divorced


HUSBAND of


(or) WIFE of


WILLIAM B.


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


Years


Months


Days


If LESS thao


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


or ....... min.


If STILLBORN, coter that fact bere


8 OCCUPATION OF DECEASED


(a) Trade, profession, or


particular kind of work.


NONE


STANBRIDGE


9 BIRTHPLACE (city or town)


P. Q. CAN.


10 NAME OF FATHER


NELSON PHELPS


11 BIRTHPLACE OF FATHER (city or town)


(State or country)


P. Q. CAN.


12 MAIDEN NAME OF MOTHER LOUISE MUNSELL


13 BIRTHPLACE OF MOTHER (city or town)


(State or country)


P.Q.CAN.


F. L. ERWIN


15


Registered No.


(Place of death)


City or Town


BOSTON


No. B . C. H. RELIEF HOSPT


20 UNDERTAKER


C. R. BENIISON


ADDRESS


JINTHROP


2


Feb.17 1921 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, e. g., Farmer or Planter, Physician, Compos- itor, Architect, Locomotive engineer, Civil engineer, Stationary fireman, etc. But in many cases, especially in industrial cinployments, 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 .- Namne, first, the DISEASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted term for the same discase. 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 ds .; Broncho- pneumonia (secondary), 10 ds. Never report mere symp- toms or terminal conditions, such as "Asthenia," "Anemia" (merely symptomatic), "Atrophy," "Col- lapse," "Comna," "Convulsions," "Debility" ("Con-


genital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Hemorrhage," "Inanition," "Maras- mus," "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 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 discase, 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.


The Commonwealth of Massachusetts


STANDARD CERTIFICATE OF DEATH


OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS


1 PLACE OF DEATH


County ...


Suffolk


State


Massachusetts.


Registered No.


29


Gitaar Town


Winthren


No 292


Winthrop


St ..... .Ward


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


2 FULL NAME


Anostus IV. norris


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


(a) Residence. No.


( Usual place of abode)


292 Winthrop


St.


Ward.


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


Length of residence in city or town where death occurred


1 7 years


months


days.


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


years


months


days


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


In


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


Ellen


I. Morris


( Month)


('Day)


(Year)


7 AGE


56


Years


3


Months


/ 6 Days


If STILLBORN, enter that fact bere


If STILLBORN, state period of nterogestation


.. mos.


If LESS than 1 day, ........ brs. or ....... min.


8 OCCUPATION OF DECEASED (a) Trade, profession, or particular kind of work (h) General nature of industry, business, or establishment in which employed ( or employer )


Supt


(c) Name of employer


Barber Rice (Corporation)


Halifax


9 BIRTHPLACE (City)


(State or country)


nova Scotia


10 NAME OF


FATHER


Samuel norris


11 BIRTHPLACE OF


FATHER (City).


Halifax


(State or country)


12 MAIDEN NAME


OF MOTHER


Matilda Power


Halifax


13 BIRTHPLACE OF


MOTHER (City)


(State or country)


n.f.


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH


(Month)


14 1921


(Day)


(Year)


17


I HEREBY CERTIFY, That I attended deceased from


Centi


19


to


,20


tab. 17


, 19.2 ..! ,


and that death occurred, on the date stated above, at 4H m.


The CAUSE OF DEATH was as follows : Junto vedina y emigro


{ duration)


yrs ....


mos .....


ds.


CONTRIBUTORY


( SECONDARY)


(duration)


.. yrs ......


......


mos.


ds.


18 Where was disease contracted


if not at place of death ?


FOR WHAT ?


Did an operation precede death ?


Date of


Was there an autopsy ?


What test confirmed diagnosis ?.


(Signed)


, M.D.


(Address) VS 6


Date


4


1/21


( Month)


( Day)


( Year)


14 Ellan Gs. Morris


Informant.


(Address)


292 Winthrop At


19 PLACE OF BURIAL, CREMATION, OR REMOVAL


Holy Cross bem,


Malden


(Cometery)


(City or town)


DATE OF BURIAL FLEb. 22, 1921


15 Feb,28, 1921


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 S.G. Mowry


Official .position


of Thealth office 2/21/2/


Date of issne


Permit


242


19-XXM.)'


in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See


instructions and extracts from the laws on back of certificate.


PARENTS


150,000.


1 R-301


should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH


-


20 UNDERTAKER


Stwoin A. Lane 259 Bowdown&t Dorchester


ADDRESS


y. &


6 DATE OF BIRTH


nov


3


1864


that I last saw h.


wealive on


Feb. 19. 1921 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 bs 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, Compasitor, Architect, Lacomotive engineer, Civil engincer, 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) Catton mill; (a) Salesman, (b) Grocery; (a) Foreman, (b) Autamobile factory. The material worked on may form part of tho second statement. Never return "Laborer," "Foreman," "Manager," "Dealer," etc., without more precise specification, as Day laborer, Farm laborer, Laborer - Caal 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 Hausewife, Housework, 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 samo disease. Examples: Cere- brospinal fever (the only definite synonym is "Epidemic cerebrospinal meningitis"); Diphtheria (avoid uso of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Labar pneumonia; Bronchopneumonia ("Pneumonia," unqualified, 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; Whoaping cough; Chranic valvular heart disease; Chronic interstitial nephritis, etc. The contributory (secondary or inter- current) affcetion need not be stated unless important. Example: Measles (discase causing death), 29 ds .; Bronchapncumania (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as "Asthenia," "Anemia" (merely symptomatic), "Atrophy," "Col- lapse,""Coma,""Convulsions,""Debility" ("Congenital,""Senile," ote.), "Dropsy,""Exhaustion,""Heart failure,""Hemorrhage,""Ina- nition," "Marasmus," "Old age," "Shock," "Uremia,""Weakness," etc., when a definite disease can be ascertaincd as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as "PUER- PERAL septicemia," "PUERPERAL peritonitis," etc.


State cause for which surgical operation was undertaken.


(Recommendations on statement of cause of death approved by Com- mittee on Nomenclaturo 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 dsceased, furnish for registration a standard certificate of death, stating to the best of his knowledge and belief the name of the deccased, his supposed age, the disease of which he died [defined so that it can be classified under ths international classification of causes of death], where contracted, ths 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 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 sciectmen 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 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 namo 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 tho dead bodies of only such persons as are supposed to have come to their death by violence. - Revised Laws, Chap. 24, Scc. 8.


RULES OF PRACTICE


The fulfilment of the purpose of these laws calls for the observancs of the following rules of practice:


(1) Attending physicians will certify to such deaths only as thoss 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 thoss of persons who, though disabled by recognized disease unrelated to any form of injury, havo died without recent medical attendanco 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- posabiy 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 parsons not disabled by recognized disease, and those of persons found dead.


R-301


The Commonwealth of Massachusetts STANDARD CERTIFICATE OF DEATH


OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS


1 PLACE OF DEATH


County


......


........


Suffolk


State Massachusetts


Registered No ..


30


City or Town


No ..


St., .......... Ward


(If deathsoccurred in a hospital or institution, give its NAME instead of street and number) Susan Wallace Mc Donald


2 FULL NAME


5-10 Charly


Ward.


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


Length of residence ia city or town where death occurred


25 years ×


months


days.


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


years


months


days


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


F.


4 COLOR OR RACE


5 SINGLE, MARRIED, WIDOWED, OR


DIVORCED (write the word)


5a If married, widowed, or divorced


(O)) WIFE of


Davis a. Mc Donald


6 DATE OF BIRTH


Jan 5 - 1844


( Month)


(Day)


(Year)


7 AGE


7 7 Years


Months 16 Days


If STILLBORN, enter that fact here


If STILLBORN, state period of uterogestation


mos.


If LESS than 1 day ........ hrs. or ....... min.


8 OCCUPATION OF DECEASED


(a) Trade, profession, or


particular kind of work


a


(b) Generai nature of industry,


business, or establishment in


which employed (er employer) ...


(c) Name of employer 2


9 BIRTHPLACE (City)


(State or country)


10 NAME OF


FATHER


alexandria Halter


PARENTS


11 BIRTHPLACE OF


FATHER (City )


Icollent


(State or country)


12 MAIDEN NAME


OF MOTHER


Sarah. Wallace


13 BIRTHPLACE OF


MOTHER (City)


(State or country)


Ruland


14


Informant


(Address)


15 Feb, 28, 1921


Filed. (Month) (Day ) (Year)


REGISTRAR


21 I HEREBY CERTIFY that a satisfactory stan- dard certificate of death was fled with me BEFORE the burial or transit permit was issued .In S.a. mowry


Official position


on Health ofiste Date of issue


2/21/2


Permit 241


T


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


2.45 Pm.


The CAUSE OF DEATH was as follows : -


vente Joba Unenmonia


. .. (duration)


mos ......


ds.


CONTRIBUTORY


Pente Cardine Dilatation.


(SECONDARY)


(duration)


yrs ........


mos ./ ds.


18 Where was disease contracted


if not at place of death ?


FOR WHAT'?


Did an operation precede death ?


nd Date of


Was there an autopsy ?


What test confirmed diagnosis ?


(Signed) frehand hirteat)


(Address) 114 Please ASK


, M.D.


Date.


( Month )


(Day)


20


19 21


.,


(Year)


19 PLACE OF BURIAL, CREMATION, OR REMOVAL


wiechers.som


(Cemetery) /


City or town)


DATE OF BURIAL


2/ 1L


19 A/


20 UNDERTAKER


ADDRESS wucht


150,000. 19-XXM.)


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH


Feb 19-1921


(Day)


(Month)


(Year)


17


I HEREBY CERTIFY, That I attended deceased from


Set 10


, 1921, to


Feb 19


,19.2/.,


that I last saw be alive on


Feb 19


, 19.2/,


yrs ...


4


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


(a) Residence. No.


( Usual place of abode)


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 instructions and extracts from the laws on back of certificate.


-


susan warrack . vv


Feb . 19. 1921 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. Tho 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. Butin 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; (a) Salesman, (b) Grocery; (a) Foreman, (b) Automobile factory. The material worked on may form part of the second statement. Never return "Laborer,"."Foreman," "Manager," ""Dealcr," etc., without moro precise specification, as Day laborer, Farm laborer, Laborer - Coal mine, ete. Women at home, who are engaged in the duties of the house- hold only (not paid Housekeepers who receive a dsfinite salary), may bs entered as Housewife, Housework, or At home, and children, not gainfully employed, as At school or At home. Care should bo taken to report spe- cifically the occupations of persons engaged in domestic service for wages, as Servant, Couk, Hlousemaid, etc. If the occupation has been changed or given up on account of the nisEASE 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 samo disease. Examples: Ccre- brospinal fever (the only definite synonym is "Epidemie ecrebrospinal meningitis"); Diphtheria (avoid uso of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneumonia; Bronchopneumonia ("Pneumonia," unqualified, 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 symptomatie), "Atrophy," "Col- lapse,""Coma,""Convulsions,""Debility" ("Congenital,""Senile," etc.), "Dropsy,""Exhaustion,""Heart failure,""Hemorrhage,""Ina- nition," "Marasmus," "Old age," "Shock," "Uremia,""Weakness," ete., when a definite disease ean 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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