Town of Winthrop : Record of Deaths 1919-1921, Part 22

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 22

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).

( Usual place of abode)

SchuylervilleRx.4

Ward.

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

Length of residence in city or town where death occurred

years

months

days.

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

years

months days

PERSONAL AND STATISTICAL PARTICULARS

4 COLOR OR RACE

or hito

5 SINGLE, MARRIED, WIDOWED, OR

DIVORCED (write the word)

5a If married, widowed, or divorced

HUSBAND of

(or) WIFE of

( Month)

(Day)

(Year)

Monthis

Days

If LESS than

I day,

hrs.

min.

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

U. S. Army

Mangfol

n.4

Leonard Blowers

11 BIRTHPLACE OF

FATHER (City)

(State or country)

12 MAIDEN NAME OF MOTHER /1

13 BIRTHPLACE OF MOTHER (City) (State or country)

14 Sarah. Shea

Informant

(Address)

Hof Banks Voetend

Filed apr. 22 1919

(Month) (Day) (Year)

REGISTRAR

21 | HEREBY CERTIFY that a satisfactory stan- dard certificate of death was filed with me BEFORE the burial or transit permit was issued I.C. Poury

MEDICAL CERTIFICATE OF DEATH

16 DATE OF DEATH

afmil

Month)

(Day)

1919

(Year)

17 I HEREBY CERTIFY, That I attended deceased from

, 1919 . april10, 1919. to. that I last saw h . alive on abril 15, 1919. and that death occurred, on the date stated above, at 215Pm. The CAUSE OF DEATH was as, follows : Primary. Brancho pneumcão

(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 ?

Was there an autopsy ?

What test confirmed diagnosis ?

(Signed) ..

3. In Zathan Caht )

( Address)

Date

( Month)

( Day)

16 1919 (Year)

19 PLACE OF BURIAL, CREMATION, OR REMOVAL

Schuylerville 3. 4

(Cemetery)

(City or town)

DATE OF BURIAL 3/ 19/19

ADDRESS

20 UNDERTAKER ER Beno

Official 22 Date of issue of burial or trausit permit position Lexithe Fficer C Mer 1 0, 4 9

County. 2 FULL NAME 3 SEX Malo 6 DATE OF BIRTH . 7 AGE 23 (c) Name of employer 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 Years N. B. - WRITE PLAINLY, WITH UNFADING BLACK INK - THIS IS A PERMANENT RECORD. Every item of Information 9 BIRTHPLACE (City) (State or country)

100,000.

1 PLACE OF DEATH

City or Town Marchio No.

If STILLBORN, enter that fact here If STILLBORN, state period of uterogestation mos.

Fort Banks

finition mais

Date of

apr. 15, 1919 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 cach and every person, irrespective of age. For many occupations a single word or term on the first line will be sufficient, e. g., Former or Plonter, Physicion, Compositor, Architect, Locomotive engineer, Civil engineer, Stationory firemon, etc. But in many cases, especially in industrial employments, it is necessary to know (o) 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) Salesmon, (b) Grocery; (a) Foreman, (b) Automobile factory. 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 laborer, 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 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 indicated thus: Former (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"); Lobor 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); Mcosles; Whooping cough; Chronic valvular heort 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,""Debility" ("Congenital,""Senile,"' etc.), "Dropsy,""Exhaustion,""Heart failure,""Hemorrhage,""Ina- nition," "Marasmus," "Old age," "Shock," "Uremia,""Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as "PUER- PERAL septicemia," "PUERPERAL peritonitis," ete.

State cause for which surgical operation was undertaken.

(Recommendations on statement of cause of death approved by Com- mittee on Nomenclature of the American Medical Association.)

Bronchopneumonia: If primary cause, write the word " pri- mary" ; if secondary, give primary cause.

Certificates will be returned for additional information which give any of the following diseases, without explanation, as the sole cause of death: Abortion, cellulitis, childbirth, convulsions, hemorrhage, gangrene, gastritis, 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, 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 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 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 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 Lows, Chop. 78, Sec. 88.

Medical examiners shall, in all cases, certify to the city or town clerk or to the city registrar in the place where the deceased died, his name and residence, if known, otherwise a description of such person as full as may be, with the cause and manner of his death, and shall make examination upon the view of the dead bodies of only such persons as are supposed to have come to their death by violence. - Revised Laws, Chap. 24, Sec. 8.

RULES OF PRACTICE

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

(1) Attending physicians will certify to such deaths only as those of persons to whom they have given bedside care during a last illness from discase 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.

The Commonwealth of Massachusetts

CERTIFICATE OF DEATH OF NON-RESIDENT

1 PLACE OF DEATH

County

Middlesex

State

Mass .

Registered No

(Place of residence)

St .....

. Ward

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

2 FULL NAME

Daniel W. Sweeney

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

(a) Residence.

State

Mass.

City or Town

Winthrop

.No.

12 Sevall Aven

.St.

(Usual place of abode)

Length of residence in city or town where death occurred

Fears

mooths

days

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

years

months

days

PERSONAL AND STATISTICAL PARTICULARS

MEDICAL CERTIFICATE OF DEATH

3 SEX

Malo

4 COLOR OR RACE

White

5 SINGLE, MARRIED, WIDOWED, OR

DIVORCED (write the word)

Widowed

5a If married, widowed, or divorced

HUSBAND of

(or) WIFE of

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

Oct. 12,1846

7 AGE 72 Years 6

Months

Days

If LESS than

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

or ....... min.

If STILLBORN, enter that fact here

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

Apr. 15, 1919

I HEREBY CERTIFY, That I attended deceased from

Anr. 12

.19

to .

Apr. 15

.....

19 .. 1.9

that I last saw h 1in

i. alive on

Apr .... 15

19.1.9

and that death occurred, on the date stated above, at 8 2. ... 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.)

Uraemia from

Chronic Brights Disease

(b) General nature of iodnstry,

business, or establishment in

Draw Tender

which employed (or employer )

Met. Park Com.

(duration).

yrs ......

.......

.mos ...

ds.

CONTRIBUTORY

Arteriosclerosis

(SECONDARY)

(duration)

yrs ..

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

.ds.

10 NAME OF FATHER

Unknown Sweeney

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)

Charles D. Mccarthy

M.D.

Informant

Chas. I. Sweeney

(Address)

Winthrop, Mass.

19 PLACE OF BURIAL, CREMATION, OR REMOVAL Forestdale Malden

DATE OF BURIAL

Apr.1719 19

Filed. Apr. 18 19 1.9.

thatday or howit where ceath occurred

Filed apr. 21 1919 Gulalig Churchill -- asst Registrar of city or town where deceased resided

20 UNDERTAKER

Chas. H. Boutwell Jr.

ADDRESS

Malder

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

PARENTS

11 BIRTHPLACE OF FATHER (city or town)

(State or country)

Ireland

12 MAIDEN NAME OF MOTHER Unknown Bean

13 BIRTHPLACE OF MOTHER (city or town) ...

(State or country)

N. H.

, 19- - (Address)

Nalden, Mass.

9 BIRTHPLACE (city or town).

Fitchburg,

(State or country) Nass.

( City or town)

Registered No.

(Place of death)

City or Town

Malden

No.

Malden Hospital

Malden

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

8 OCCUPATION OF DECEASED

(a) Trade, profession, or

particular kind of work

Retired

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 ean be known. The question applies to each and every person, irrespective of age. For many oceupations 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, ete. 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," ete., without more precise specification, as Day laborer, Farm laborer, Laborer - Coal mine, ete. 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- cifieally the occupations of persons engaged in domestie 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 faet may be indi- eated thus: Farmer (retired, 6 yrs.). For persons who have no occupation whatever, write Nonc.

Statement of cause of death .- Namc, 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 "Epidemie cerebrospinal inenin- 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, ete., of ...

(name origin; "Caneer" 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 eausing death), 29 ds .; Broncho- pneumonia (secondary), 10 ds. Never report mere symp- toms or terminal conditions, such as "Asthenia," "Ancinia" (merely symptomatie), "Atrophy," "Col- lapse," "Coma," "Convulsions," "Debility" ("Con- genital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Hemorrhage," "Inanition," "Maras- inus," "Old age," "Shoek," "Uremia," "Weakness," etc., when a definite disease ean 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 sueh, 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 fraeture 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 deathis under the following conditions must be referred to the Medical Examiners:

1. Deaths following injury or violenec, as Burns, Falls, Drowning, Gas poisoning, Suicide, Homicide, etc.

2. Deaths supposedly caused by violenec, 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 duc to Alcoholism, etc.

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

ADDITIONAL SPACE

FOR FURTHER STATEMENTS BY

PHYSICIAN.

R 303. 6-18. 50,000.

M R-301

The Commonwealth of Massachusetts

STANDARD CERTIFICATE OF DEATH

OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS

1 PLACE OF DEATH County.

State.

Masz

Registered No.

City or Town

No.

115

Mam

St .. .Ward

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

2 FULL NAME

Edward & Moran

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

(a) Residence. No.

115 Main

St.,

Ward.

(Usual place of abode)

Length of residence in city or town where death occurred

years

months

days.

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

years

months days

PERSONAL AND STATISTICAL PARTICULARS

3 SEX

Male.

4 COLOR OR RACE

Voluté.

5 SINGLE, MARRIED, WIDOWED, OR

DIVORCED (write the word)

5a If married, widowed, or divorced

HUSBAND of

(or) WIFE of

Cartone Donau

6 DATE OF BIRTH

Can't be Learned

( Month)

(Day)

(Year)

7 AGE

Years

Months

Days

If STILLBORN, enter that fact here

If STILLBORN, state period of ntcrogestation

mos.

If LESS than

1 day, ...... brs.

or .. .... min.

8 OCCUPATION OF DECEASED

(a) Trade, profession, or

particular kind of work ..

(b) General nature of industry,

business, or establishment in

which employed ( or employer)

Gardner

9 BIRTHPLACE (City)

6 harblown

(State or country)

Mere

10 NAME OF

FATHER

Patrick Noonan

PARENTS

11 BIRTHPLACE OF

FATHER (City)

(State or country)

Ireland

12 MAIDEN NAME

OF MOTH

Kalferme Mahoney

13 BIRTHPLACE OF

MOTHER (City)

(State or country)

14 Caltrano Nonau

Informant

(Address)

Menathrop

apr. 22 1919

(Month) (Day) (Year)

REGISTRAR

MEDICAL CERTIFICATE OF DEATH

16 DATE OF DEATH

(Month)

(Day)

(Year)

I HEREBY CERTIFY, That

attended deceased from

march IS, 1919, to a mail 16

april 15

,19 / 9

that I last saw hh alive on

, 1919,

and that death occurred, on the date stated above, at 030

The CAUSE OF DEATH was as follows :

Cerebral Namnlage

.. (duration)

yrs ...

mos. ..

ds.

CONTRIBUTORY.

Cuttino - silenzio.

( 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 ? .

Charles 7. mahoney

(Signed).

(Address)

Date

( Month)

(Day)

(Year)

19 PLACE OF BURIAL, CREMATION, OR REMOVAL

Calvary Walthame.

(Cemetery)

(City or town)

DATE OF BURIAL A/usly 1919

20 UNDERTAKER Thomas & Wilson

ADDRESS

Waltham

21 I HEREBY CERTIFY that a satisfactory stan- dard certificate of death was filed with me BEFORE the burial or transit permit was issued

Official position Thatthe Office"?

22 Date of issue of burial _or transit permit

, M.D.

8. 100,000.

should be carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very important. See N. B. - WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of information instructions and extracts from the laws on back of certificate.

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

1919

apr. 16 1919

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 applics 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, Physicion, Compositor, Architect, Locomotive engineer, Civil engincer, Stationory fireman, ctc. But in many cases, especially in industrial employments, it is necessary to know (o) 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: (o) Spinner, (b) Cotton mill; (o) Solesman, (b) Grocery; (o) Foremon, (b) Automobile factory. 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, Form loborer, Laborer - Cool mine, etc. Women at home, who are engaged in the duties of the house- hold only (not paid Housckcepers who receive a definite salary), may be entered as Housewife, Houscwork, 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 Servont, 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: Former (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 "Epidemic cerebrospinal meningitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobor pneumonio; Bronchopneumonia ("Pneumonia," unqualified, is indefinitc); Tuberculosis of lungs, men- inges, peritoneum, etc., Carcinoma, Sarcoma, etc., of .. ...... (name origin; "Cancer" is less definite; avoid use of "Tumor" for malignant ncoplasms); Meosles; Whooping cough; Chronic valvular heort disease; Chronic interstitiol nephritis, ete. The contributory (secondary or inter- current) affection need not be stated unless important. Example: Meosles (discase causing death), 29 ds .; Bronchopneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as "Asthenia," "Ancmia" (merely symptomatic), "Atrophy," "Col- lapse,""Coma,""Convulsions,""Debility" ("Congenital,""Scnile," etc.), "Dropsy,""Exhaustion,""Heart failure,""Hemorrhage,""Ina- nition," "Marasmus," "Old age," "Shock," "Uremia,""Weakness," etc., when a definite discasc can be ascertained as the cause. Always qualify all discases resulting from childbirth or miscarriage, as "PUER- PERAL septicemio," "PUERPERAL peritonitis," etc.

State cause for which surgical operation was undertaken.

(Recommendations on statement of cause of death approved by Com- mittee on Nomenclature of the American Medical Association.)

Bronchopneumonia: If primary cause, write the word "prl- mary " ; if secondary, give primary cause.

Certificates will be returnod for additional Information which give any of the following diseases, without explanation, as the sole cause of death: Abortion, cellulitis, childbirth, convulsions, hemorrhage, gangreno, 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 agc, the discase 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, Sccs. 10 and 1, as amended by Acts of 1910, Chap. 322.

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Town of Winthrop : Record of Deaths 1919-1921, Part 22

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

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