USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1919-1921 > Part 150
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23
1921
County
Suffolk
-
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 stand- ard 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 clerk, . . . a satisfactory written state- ment containing the facts required by law to be re- turned and recorded, which . . . shall be accompanied by a satisfactory certificate of the attending physician, if any, as required by law, or in lieu thereof a certificate as herein- after 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 & 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 permit is so given and the physician 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 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 sup- posed 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 supposably 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 in- jury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
STATEMENT OF CAUSE OF DEATH
Medical Examiners in certifying to a death will state the cause and manner thereof, and will specify: (1) Under cause, the nature of an injury and of its consequences; and (2) under manner, the mode of its production together with the circumstances when these are known. For example: "Compound fracture of the femur with ensuing septicemia (gas bacillus) eaused by a steam railway accident." "Pistol shot wound of the chest with associated hemorrhage, homi- cidal." " Asphyxiation by suspension, suicidal." "Syn- cope while under the influence of ether administered as a surgical anæsthetic." "Fracture of the skull with associated internal injury sustained under circumstances unknown."
If investigation shows the death to have been due to dis- ease, specify: (1) Under cause, its known or presumable nature; and (2) under manner, indicate the circumstances leading to medico-legal inquiry. For example: "Hemorrhage spontaneous, of the brain (basal gangloid) (found dead in bed)." "Heart disease, presumably coronary sclerosis. (Sudden death.)"
DESCRIPTION (for unknown person).
NOTICE TO UNDERTAKERS : No embalming fluid, or any substitute therefor, shall be injected into the body of any person supposed to have come to his death by violence, until a permit in writing, signed by the Medical Examiner, has first been obtained. - Revised Laws, Chap. 24, Sec. 20.
THIS CERTIFICATE CONSTITUTES SUCH PERMIT
Calor
Feb. 23.1921
Mouse welt
R-302
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
1648
(City or town)
Registered No.
(Place of death)
City or Town
.......
BOSTON
No. NEW! ENG. HOSPT
(If death occurred in a hospital or institution, give its NAME instead of strect and number)
2 FULL NAME
MASS.
(If in the
WANT HABof the United States, give rank, organization, etc.)
No.
20 CRESCENT
St.
(a) Residence. State.
(Usual placc of abode)
Length of residence in city or town where death occorred
years
months
days
How long in U. S., if of foreign birth?
years
months
days
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
F
4 COLOR OR RACE
BLK
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
MAR.
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
JOHN H.
6 DATE OF BIRTH (month, day, and year) OCT. 13.1895
7 AGE
Years
26
Months
4
Days 10
If LESS than
1 day, ........ hrs.
or ....... min.
If STILLBORN, eoter that fact here
8 OCCUPATION OF DECEASED
(a) Trade, profession, or
particolar kiod of work
HOUSEWIFE
(b) Name of employer
9 BIRTHPLACE (city or town).
CHARLESTON.
(State or country)
S.C ..
10 NAME OF FATHER
JOHN SANDERS
PARENTS
11 BIRTHPLACE OF FATHER (city or town)
ORANGE
(State or country)
S.C.
12 MAIDEN NAME OF MOTHER PARALEE LOGAN
13 BIRTHPLACE OF MOTHER (city or town).
(Statc or country)
COLUMBIA
S. C.
14 Informant (Address)
MOTHER
15 MAR.
Filed
19
Registrar of city or town where death occurred
Filed March 26
(1921
Registrar of city er town where deceased resided
18 Where was disease contracted
if not at place of death ?
Did an operation precede death?
YES
FEB. 23. 1921
Was there an autopsy?
(VERSION & EXTRACTION)
What test confirmed diagnosis?
(Signed)
H. G. MYRICK
,19
( Address)
FEB . 24.
. M.D.
19 PLACE OF BURIAL, CREMATION, OR REMOVAL
MT.HOPE CEM.
DATE OF BURIAL
FEB.27
19
28 UNDERTAKER
G. H. P. GANAWAY
ADDRESS
9. 25,000
so that it may be properly classified. Exact statement of OCCUPATION is very important. See instructions on back
of certificate.
1 PLACE OF DEATH
County .......
SUFFOLK
State
MASS.
Registered No.
33
(Place of res lence) -
St., . Ward
VIVIAN WALKER
City or Town
16 DATE OF DEATH (month, day, and year)
FEB.23.
19 2 |
17
I HEREBY CERTIFY, That I attended deceased from
FEB. 23.
1921, to.
FEB. 23, 19 21.
FEB.23
19
21
ER
that I last saw h
alive on
and that death occurred, on the date stated above, at 6.05 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. (Sce reverse side for additional space.)
POST-PARTUM HEMORRHAGE
(duration)
yrs.
mos.
.......
.ds.
CONTRIBUTORY
PLACENTA PRAEVIA
(SECONDARY)
(duration)
........ yrs.
mos.
ds.
carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms,
It
Feb 23.1921 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 agc. For many occupations a single word or term on the first line will be sufficient, e. g., Farmer or Planter, Physician, Compos- itor, Architcet, 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 dutics 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 Nonc.
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- toncum, 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 necd not be stated unless important. Example: Measles (discase causing dcath), 29 ds .; Broncho- pneumonia (secondary), 10 ds. Never report mere symp- toms or terminal conditions, such as " Asthenia," "Anemia" (merely symptomatic), "Atrophy," "Col- lapsc," "Coma," "Convulsions,"""Debility" (“Con-
genital," "Scnilc," etc.), "Dropsy," "Exhaustion," "Heart failure," "Hemorrhage," "Inanition," "Maras- mus," "Old age," "Shock," "Urcmia," "Weakness," cte., when a definite disease can be ascertaincd 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 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 itom of Information should be carefully suppiled. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain torms, so that it may be properly classified. Exact statement of OCCUPATION is very
important. See instructions on back of certificate.
1 PLACE OF DEATH
DEPARTMENT OF COMMERCE BUREAU OF THE CENSUS
STANDARD CERTIFICATE OF DEATH
Township
Winthrop
State of
Massachusetts
Registered No. 37
[If death occurred in
Ward)
a hospital or Institution, give 'ts NAME Instead of street and number.]
2 FULL NAME
Frank.A. Rvan
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE
White
5 SINGLE,
MARRIED.
WIDOWED,
OR DIVORCED
( Write the word)
Married
6 DATE OF BIRTH
March 22,
(Month)
(Day)
1 875
(Year)
7 AGE
45
yrs.
1.1mos.
5
ds,
or ___ min. ?
8 OCCUPATION
(a) Trade, profession, or
particular kind of work.
soldier
(b) General nature of Industry,
business, or establishment in
which employed (or employer)
Fate Bank
9 BIRTHPLACE
wille to alter
(State or country)
Massachusetts
PARENTS
11 BIRTHPLACE
OF FATHER
(State or country)
12 MAIDEN NAME
OF MOTHER
5
13 BIRTHPLACE
OF MOTHER
(State or country)
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
(Address)
15
Filed
Mar. 2. 1921
REGISTRAR
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH February 27, 1921 (Month) (Day) ( Year)
17 I HEREBY CERTIFY, That I attended deceased from Ech.10,1921 ,191 ....
, to.
Feb.27,1921.
, 191
that I last saw him. alive on
Feb.27.1921
191
---- , and that death occurred, on the date stated above, at .8:05 mP . M The CAUSE OF DEATH* was as follows: Pneumonia,Lobar left side
20 days
(Duration)
yrs.
mos.
ds.
Contributory. (SECONDARY)
(Duration) mos. ds.
- yrs.
(Signed) med mlnous
M. D.
Feb.27/21 191 ____ (Address)
Fort Banks, Mass
* State the DISEASE CAUSING DEATH, or, in deaths from VIOLENT CAUSES, state (1) MEANS OF INJURY ; and (2) whether ACCIDENTAL, SUICIDAL, or HOMICIDAL.
18 LENGTH OF RESIDENCE (FOR HOSPITALS, INSTITUTIONS, TRANSIENTS, OR RECENT RESIDENTS)
At place In the
of death
yrs.
mos. 17 __ ds. State
yrs.
mos.
ds.
Where was disease contracted,
If not at place of death ?
Shawmut Ave Poston,less
Former or
usual residence.
Showmut Ave Boston Lass
19 PLACE OF BURIAL OR REMOVAL
DATE OF BURIAL
3/2
1921
20 UNDERTAKER
¿9DRESS
11-3184 S. a. mowry
Health officer 2/28/20
244
or
Village
or
City
2
(No.
Farb Bunch Amputate
St .;
191
Mp 1€
County
Suffolk
10 NAME OF
FATHER
Under tollen
If LESS than
1 day, ____ hrs.
Feb.271921 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 ean 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) 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., withcut 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, 0" .It 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, ete. 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 CAUS- ING 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 "Epidemic cerebrospinal menin- gitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneumonia; Bronchopneumonia ("Pneumonia," unqualified, is indefi- nite) ; Tuberculosis of lungs, meninges, peritonaeum, etc., Car- cinoma, Sarcoma, etc., of .. (name origin; “Call- cer" is less definite; avoid use of " Tumor" for malignant neoplasıns); Measles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, etc. The con- tributory (secondary or intercurrent) affection need not be stated unless important. Example : Measles (disease causing death), 29 ds .; Bronchopneumonia (secondary), 10 ds. Never report mere symptoms or terminal condi- tions, such as "Asthenia," "Anaemia" ( merely symptom-
atic), "Atrophy," "Collapse," "Coma," "Convulsions," "Debility" ("Congenital," "Senile," etc.), "Dropsy," "Exhaustion,""Heart failure," "Haemorrhage," "Inani- tion," "Marasmus," "Old age," "Shock," "Uraemia," "Weakness," ctc., when a definite discase can be ascer- tained as the cause. Always qualify all diseases result- ing from eliildbirth or miscarriage, as "PUERPERAL sept :- chaemia," "PUERPERAL 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 determine 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 eause of death approved by Committee on Nomenclature of the American Medical Association.)
NOTE .- Individual offices may add to above list of nndesirablo terms and refuse to accept certificates containing them. Thus the form in use in New York City states: "Certificates will be returned for additional information which give any of tho following diseases, without explanation, as tho sole cause of death: Abortion, cellulitis, childbirth, convnisione, haemorrhage, gangrene, gastritis, erysipelas, meningitis, miscarriago, necrosis, peritonitis, phlebitis, pyaemia, septichaemia, tetanus." But general adoption of the minimum list suggested will work vast improvement, and its scopo can be extended at a later date.
11-3184
R-301
OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS
STANDARD CERTIFICATE OF DEATH
(City or Town)
1 PLACE OF DEATH
City or Towa Stintelecon
State
No 145 to Lift are
St., ...
.. Ward
(If death occurred to a hospital oy Institution, give its NAME instead of street and number)
2 FULL NAME
(d) Residence. No. 145Cliff Cere
( Usual place of abode)
Length of resideoce io city or towo where death occorred
years
months
Ward.
(If non-resident give city or town and State)
days.
How long io U. S., if of foreign birth ?
years
months
days
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
Mai
(Day)
1921
(Year)
17 I HEREBY CERTIFY, That I attended deceased from 1 ,21
19
that I last saw h - alive on
1ª
19
.I.
and that death occurred, on the date stated above, at
10-302
.m.
The CAUSE OF DEATH was as follows:
If LESS thao 1 day, ........ hrs. er ... ... mio. Carcinoma of two
(duration)
.yrs
mos.
.........
ds.
CONTRIBUTORY ( SECONDARY)
(duration) mos ................ ds. .yrs ...............
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).
....
7 March 27
Rio
(Month) (Day) (Year)
14 Que Millie a Harm
145 Coliid ana Wentreal
....
15 Filed Mar 11/1921 (Month) (Day) (Year)
REGISTRAR
21 I HEREBY CERTIFY that a satisfactory stao- dard certificate of death was filed with me BEFORE the burial or transit permit was issued- I.G. Mowy
1
19 PLACE OF BURIAL, CREMATION, OR REMOVAL. Madison
(Cemetery)
(City or town)
DATE OF BURIAL Mar 4192,
ADDRESS 20 UNDERTAKER Mr. to Lordrich Lynn Les
Official Healthoffear of permit. position
Date of issoe 9/3/2/
Permit No. 2445
00.
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
nellie a.
6 DATE OF BIRTH
Yeafs
71
Months 1
Days
23
If STILLBORN, enter that fact here
8 OCCUPATION OF DECEASED (a) Trade, profession, or particular kiod of work.
Karl Rond Clerk
9 BIRTHPLACE (City) .
(State or country)
Charlestown
masa
RE Benjamin Nammon
11 BIRTHPLACE OF
FATHER (City).
Eaton
(State or country)
12 MAIDEN NAME
OF MOTHERS
Elizabeth Jones
Lebanon
13 BIRTHPLACE OF
MOTHER (City)
(State or country)
me
County 3 SEX Male 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 (b) Name of employer
The Commonwealth of Massachusetts
Registered No.
38
Benjamin Franklin Jarmon
(If in the Army or Navy of the United States, give rank, organization, etc.)
Date ...!
16 DATE OF DEATH
(Month)
1
Jaci: 6 1850 ( Month) (Day) (Year)
0 Mar. 1. 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 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 Plonter, Physicion, Compositor, Architect, Locomotive engineer, Civilengineer, Stationory firemon, 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 he used only when needed. As examples: (0) Spinner, (b) Cotton mill; (a) 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 inore precise specification, as Doy loborer, Form 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 he 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 servico for wages, as Servant, Cook, Housemaid, etc. If the occupation has been changed or given up on account of the DISEASE CAUSING DEATII, stato occupation at heginning of illness. If retired from business, that fact may he 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- brospinol fever (the only definite synonym is "Epidemic cerebrospinal meningitis"); Diphtheria (avoid use 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 uso of "Tumor" for malignant neoplasms); Measles; Whooping cough; Chronic valvulor heart disease; Chronic interstitiol nephritis, etc. The contrihutory (secondary or inter- current) affection need not he stated unless important. Example: Meusles (disease causing death), 29 ds .; Bronchopneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as "Asthenia," "Anemia" (merely symptomatic), "Atrophy," "Col- lapso,""Coma,""Convulsions,""Dehility" ("Congenital,""Senilo," ete.), "Dropsy,""Exhaustion,""Heart failure,""Hemorrhage,""Ina- nition," "Marasmus," "Old age," "Shock," "Uremia,""Weakness," etc., when a definite diseaso 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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