USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1919-1921 > Part 31
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10 NAME OF
FATHER
Johoman abbott
PARENTS
11 BIRTHPLACE OF
FATHER
(City )
Ossipee
(State or country)
12 MAIDEN NAME
OF MOTHER
Emily & Lewis
13 BIRTHPLACE OF
MOTHER (City )
Bickford
(State or country)
14 Bentley A Healey
Informant
(Address)
15
Filed une 5. 199
(Month) (Day) ( Year)
REGISTRAR
21 Burial permit
issued by
1. maury
Official position ...
Health Offices Date of Guine is
Permit No ....
990
17 I HEREBY CERTIFY that I have investigated the death of the person above-named and that the CAUSE AND MANNER thereof are as follows:
Natural Causlos heart disease, valvular.
(Sudden death.)
(See reverse side for description for unknown person)
18 Where was injury sustained if not at place of death?
(Signed)
Burger Magnet, .. , M.D.
(Address)
Suffolk
Date
Medical Examiner for game
1919
(Month) (Day) ( Year)
19 PLACE OF BURIAL, CREMATION, or REMOVAL
Nnithry
DATE OF BURIAL Winthrop June 5 lt 1919 (City or town(Month) (Day) (Year),
(Cemetery)
20UNDERTAKER
arthur CH
ADDRESS
Chelaca
should be carefully supplied. MEDICAL EXAMINERS should state CAUSE AND MANNER OF DEATH in plain terms, N. R .- WRITE PLAINLY, WITH UNFADING BLACK INK-THIS IS A PERMANENT RECORD. Every item of information for extracts from the laws relative to the return of certificates of death. so that it may be properly classified under the International Classification of Causes of Death. See reverse side
10,065
(ISSUED UNDER THE PROVISIONS OF REVISED LAWS, CHAPTER 24)
hear Ocean Spray Station
St.,
Ward
1914
16 DATE OF DEATH
June
(Month)
(Day)
(Year)
(Usual place of abode)
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 eity 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 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 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 forni 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) caused 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
June 2, 1919
0
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 instructions on back
of certificate.
15
Filed
, 19
REGISTRAR
ed June 17, 1919
MEDICAL CERTIFICATE OF DEATH
16 DATE OF DEATH (month, day, and year)
10/7
17
I HEREBY CERTIFY, That I attended deceased from
19.
........... , to
19
that I last saw h alive on 19
and that death occurred, on the date stated above, at
m.
The CAUSE OF DEATH* was as follows :
e tomaste
(duration)
yrs.
6
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)
firas
E.Mangan
LI.D.
, 19 (Address) 6/6/19 8 22 1V.
* State the DISEASE CAUSING DEATHI, 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.)
DATE OF BURIAL
19 PLACE OF BURIAL, CREMATION, OR REMOVAL
e .yseper 12vatire
19 17
20 UNDERTAKER
ADDRESS
,
ale/
State
Registered No.
Township
..... or Village.
or
City
frenteredes
No.
St.,
... Ward
(If death occurred in a hospital or institution, give its NAME instead of street and number)
11.
2 FULL NAME
"Nixlearn)
7 12220 ,
(a) Residence. No.
199 Maisterog
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
m.
4 COLOR OR RACE
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
5a If married, widowed, or divorced
HUSBAND of
(or) WIFE of
fatherine
6 DATE OF BIRTH (month, day, and year)
7 AGE
Years
51
(a) Trade, profession, or
particular kind of work
(b) General nature of industry, business, or establishment in which employed (or employer) (c) Name of employer
9 BIRTHPLACE (city or town).
Postów Mas
(State or country)
10 NAME OF FATHER
PARENTS
11 BIRTHPLACE OF FATHER (city or town).
(State or country) Alas. il
12 MAIDEN NAME OF MOTHER 420 h lucie 610-
13 BIRTHPLACE OF MOTHER (city) or town)
land
(State or country)
trefrente
14 Informant (Address)
The Commonwealth of Massachusetts STANDARD CERTIFICATE OF DEATH
(City or town)
1 PLACE OF DEATH
County
1:3
(If non-resident give city or town and State)
0
Days
If LESS than
I day, ........ hrs.
or ........ min.
8 OCCUPATION OF DECEASED Flerve dealer
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 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) Forcman, (b) Automobile factory. The ma- terial worked on may form part of the second statement. Never return " Laborer,"
"Foreman," "Manager," "Dealer," etc., witliout 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 domcstie 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 causa of death .- Naine, 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 discase; Chronic interstitial nephritis, etc. The contributory (secondary or inter- current) affection need not be stated unless important. Example: Mcasles (disease causing death), 29 Gs .; Broncho- pneumonia (secondary), 10 ds. Never report mere symp- toms or terminal conditions, such as "Asthenia," " Anemia" (mcrely symptomatic), "Atrophy," "Col- lapse," ."' "Coma," "Convulsions,"""Debility" (“Con-
genital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Hemorrhage," "Inanition," "Maras- mus," "Old age," " "Shock," "Urcinia," "Weakness," etc., when a definite discase 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 DEATHIS 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 hcad - homicide; Poisoned by carbolic acid - probably suicide. The nature of the injury, as fracture of skull, and consequences (c. g., scpsis, 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.
1
R 15. 1-'18. 20,000.
CAUSE OF DEATH in plain terms, so that it may be properly classified. Exact statement of OCCUPATION is very 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.
The Commwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
1 PLACE OF, DEATH Post Hospital (No) Hort & Janks, THass
Caoph Clarence Corne
' FULL NAME
[If married or divorced woman or widow
give maiden name, also name of husband.]
@RESIDENCE
Talladega
alabama
Registered No.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX Male
4 COLOR OR RACE
W.
5 SINGLE,
MARRIED,
WIDOWED,
OR DIVORCED
(Write the word)
Single
' DATE OF BIRTH
November
-
(Month)
(Day)
6
1893
17
(Year)
7 AGE
If LESS than I day ........ hrs.
25
„.yrs.
7
mos.
7
ds.
Or ........ min. ?
8 OCCUPATION
(a) Trade, profession, or particular kind of work. .....
st Lieutenant Surf.
(b) General nature of industry.
business, or establishment
Ín
which employed (or employer)
9 BIRTHPLACE
(State or country)
Pell City, arama
10 NAME OF
FATHER
James Colman tornett
PARENTS
11 BIRTHPLACE OF FATHER (State or country) Chiply, La.
12 MAIDEN NAME
OF MOTHER
HER Surretta Denman
1ª BIRTHPLACE OF MOTHER (State or country)
tedartown, La.
" THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
(Address)
Talladega alabama
16 File June 2 5 1919
REGISTRAR
16 DATE OF DEATH
(Month)
13
(Day)
1919
(Year)
.......
I HEREBY CERTIFY that I attended deceased from
5
1919, to
Jan 13
1919
that I last saw him alive on
gomme 13
1919
and that death occurred, on the date stated above, ato
Am.
lobular Bilateral
The CAUSE OF DEATH* was as follows :
Pneumonia
(Duration) ...
yrs.
.......
... mos ..
......... ds.
Contributory
(SECONDARY)
ds.
(Signed)
BAthat way
(Duration)
yrs.
wit cal in lar
M.D.
Hitnu /31
1919 (Address).
If death followed injury or violence the certificate of death must be made out by the Medical Examiner.
18 LENGTH OF RESIDENCE (FOR HOSPITALS, INSTITUTIONS, TRANSIENTS, OR RECENT RESIDENTS).
At place
of death ...
yrs
.....
( ds.
In the
State ....
yrs.
mos. € ds.
Where was disease contracted, If not at place of death ?.
Former or usual residence.
19 PLACE OF BURIAL, OR REMOTAL valla gliga. ala .
Сказ /ч./Держит“
DATE OF BURIAL
7/25 1919
ADDRESS
20 UNDERTAKER Wwwtient Hans
Wanthron
(City or town.) [If death occurred In a hospital or institution, give its NAME Instead of street and number.]
St. - - Ward)
............. it
............
MEDICAL CERTIFICATE OF DEATH
mos.
June 13 1919 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, c. g., Farmer or Planter, Physician, Compositor, Architect, Loco- motive 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) Sales- man, (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 Day laborer, Farm laborer, 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, Housework, or At home, and children, not gain- fully employed, as At school or At home. Care should be taken to report specifically 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: Farmer (retired, 6 yrs.). For persons who have no occu- pation whatever, write None.
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 term 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; Bforho- pneumonia ("Pneumonia," unqualified, is indefinite) ; Tuber-
culosi's of lungs, meninges, peritonaeum, etc., Careinoma, Sar- coma, etc., of .. ...... (name origin: "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms) ; Measles; Whooping cough; Chronie valvular heart disease; Chronic interstitial nephritis, etc. The contributory (second- ary or intercurrent) affection need not be stated unless im- portant. Example: Measles (disease causing death), 29 ds .; Broncho-pneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as "Asthenia," "An- aemia" (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 disease can be ascertained as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as "PUER- PERAL septieacmia," "PUERPERAL peritonitis," etc. 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, 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.
4
1 R-301
STANDARD CERTIFICATE OF DEATH
OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS
1 PLACE OF DEATH
County
Suffolk/
State .. Massachusetts Registered No.
City or Town
BOSTON
No.
25 Tewksbury St.
St ..
Ward
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
Annie L.Weston.
(If in the Army or Navy of the United States, give rank, organization, etc.)
(a) Residence.
No. 25 Tewksbury St.
( Usual place of abode)
St.,
Ward.
(If non-resident give city or town and State)
Length of resideoce in city or town wbere death occurred
5
years
months
days. How loog in U. S., if of foreign birth ? years
mooths days
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Female
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
William.T.Weston.
6 DATE OF BIRTH
January ( Month)
I5 (Day)
I882 .. ( Year)
7 AGE 37
Years
Months
Days
If LESS ibao 1 day, ....... hrs. or ........ min.
8 OCCUPATION OF DECEASED (a) Trade, profession, or At Home.
particular kind of work (b) General oature ofindustry, business, or establishment in which employed ( or employer) (c) Name of employer
( duration)
yrs.
.mos ....
ds.
CONTRIBUTORY
chronic nephritis
( SECONDARY)
(duration)
.yrs ....
......
mos ............
.. ds.
18 Where was disease contracted
if not at place of death ?
FOR WHAT?
Did an operation precede death ?
... L ..... . Date of
Was there an autopsy ?
What test confirmed diagnosis ?
(Signed)
M.D.
(Address).
49 Kabulest
Date twee 19 1919 (Year)
( Month)
(Day)
14
Informant Mrs Catherine Melvin
(Address)
25 Tewksbury St.
15
File (Month) (Day) (Year)
REGISTRAR
20 UNDERTAKER
P.Co. At
Official positi
Health Muerte Demit meine 21
Permit 9.92. No ..
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
instructions and extracts from the laws on back of certificate.
PARENTS
12 MAIDEN NAME OF MOTHER
Catherine F.Lyons.
13 BIRTHPLACE OF
MOTHER (City)
(State or country)
Boston
MEDICAL CERTIFICATE OF DEATH
June 1% 1919 (Year)
16 DATE OF DEATH.
(Month)
(Day)
17 HEREBY, CERTIFY, That I attended deceased from Huur16 1919. to. flue 17. , 19/7.
that I last saw
alive on
10 m.
and that death occurred, on the date stated above, at .....
The CAUSE OF DEATH was as follows: ^ aceite Urina
9 BIRTHPLACE (City)
East Boston.
(State or country)
10 NAME OF
FATHER
Phillip F.Noll
11 BIRTHPLACE OF FATHER (City) (State or country)
Germany
150,000.
21 I HEREBY CERTIFY that a satisfactory stan- dard certificate of death was filed with me BEFORE the burial or transit permit was issued ......
19 PLACE OF BURIAL, CREMATION, OR REMOVAL
Holy Cross Malden
(Cemetery)
(City or town)
DATE OF BURIAL June 20,19.
ADDRESS
Date of .
If STILLBORN, eoter that fact bere
If STILLBORN, state period of nterogestation
... mos.
June 17, 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 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 cases, cspecially 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) Automobilc factory. The material 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 house- holdionly (not paid Ilousekeepers 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 serviee 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 busincss, that fact may be indicated thus: Farmer (retired, 6 yrs.). For persons who have no occupation whatever, write None.
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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 discasc. 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," 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' (discase 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 failuro,""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 &cpticemia," "PUERPERAL peritonitis," etc.
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