Town of Winthrop : Record of Deaths 1919-1921, Part 57

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 57


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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Statement of cause of death .- Name, first, the DISEASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted term for the same disease. Examples: Cerebrospinal fever (the only definite synonym is "Epidemic cerebrospinal menin- gitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneumonia; Bronchopneumonia ("Pneumonia," unquali- fied, is indefinite); Tuberculosis of lungs, meninges, peri- toneum, etc., Carcinoma, Sarcoma, etc., of.


(name origin; "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms); Measles; Whooping cough; Chronic valvular hcart discase; 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- pncumonia (secondary), 10 ds. Never report mere symp- toins or terminal conditions, such as "Asthenia," "Ancmia" (merely symptomatic), "Atrophy," "Col- lapse," "Coma," ""Convulsions,"""Debility" (“Con-


genital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Hemorrhage," "Inanition," "Maras- inus," "Old age," "Shock," "Uremia," "Weakness," ete., when a definite disease can be ascertaincd as the cause. Always qualify all discascs 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, and consequences (e. g., sepsis, tetanus) may be stated


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 eireumstances unknown, as A person found dead, etc.


ADDITIONAL SPACE


FOR FURTHER STATEMENTS BY


PHYSICIAN.


R 15. 1-'18. 100,000.


M R-301


The Commonwealth of Massachusetts STANDARD CERTIFICATE OF DEATH


OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS


1 PLACE OF DEATH


County Suffolk


State


Massachusetts


Registered No.


City or Town


BOSTON


Winthrop


(If death occurfed in a hospital of institution, giveits NAME instead of street and number)


2 FULL NAME


Baby Greenberg


(a) Residence.


No.


36 Woodside Que.


R ... St.,-


Ward. Winthrop


(Usual place of abode)


Length of residence in city or town where death occurred years


mooths


days.


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


years


months days


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


male


4 COLOR OR RACE


White


5 SINGLE, MARRIED, WIDOWED, OR DIVORCED (write the word) Single


5a If married, widowed, or divorced


HUSBAND of


(or) WIFE of


6 DATE OF BIRTH


Det


( Month)


27- 1919


7 AGE


Years


Days


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


If LESS than


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


or ........ min.


8 OCCUPATION OF DECEASED (a) Trade, profession, or particular kiod of work (b) General nature of industry, business, or establishment iu which employed (er employer ) (c) Name of employer


till form


(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 ?


D. Vissa M.D.


(Signed) Addres 3 4 Bayswater 1


28


Date ..


(Month)


(Day)


AYear)


14 Jareal Greenberg Informant.


(Address)


36 Woodside ave


15 Filed Oct 28, 1919 Eulalie Churchill (Month) (Day) (Year)


aut 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. a. Maury


Official position


Wealth officete permit


Date of issue Oct 28, 1919 . 46


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


). 150,000.


19-XXM.)


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH ...


(Month)


(Day)


1968


Keary


17 I HEREBY CERTIFY, That I attended deceased from


det 2


1919.


to


Oct 27, 2019.


that I last saw h alive on 19


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


m.


9 BIRTHPLACE (City)


Winthrop, Mans


(State or country)


10 NAME OF


FATHER


Isreal Greenber


11 BIRTHPLACE OF FATHER (City ). (State or country)


Russia


12 MAIDEN NAME


OF MOTHER


Minnie Gonofall


13 BIRTHPLACE OF


MOTHER (City)


(State or country)


Russia


19 PLACE OF BURIAL, CREMATION, OR REMOVAL Betty Joseph Cen Woburn


(Cemetery)


or town)


DATE OF BURIAL 00028 2019


20 UNDERTAKER


ADDRESS


Manuel Stanetsky Boston


Permit


......


1


PARENTS


No. Metcalf Hospital


St .....


.Ward


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


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


2)


The CAUSE OF DEATH was as follows :


Months


Stilleri


Oct. 27, 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 singlo word or term on the first line will be sufficient, e. g., Farmer or Planter, Physician, Compositor, Architect, Locomotive engineer, Civilengineer, Stationary fireman, cte. But in many cases, especially in industrial employments, it is necessary to know (a) tho 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 material worked on may form part of the second statement. Never return "Laborer," "Foreman," "Manager," "Dcaler," etc., without more precise specification, as Day laborer, Farm laborer, Laborer - Cocl mine, etc. Women at home, who aro engaged in the duties of the house- hold only (not paid Ilousckeepers who receive a definite salary), may be entered as Housewife, Hlouscwork, 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: 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- brospinal fever (tho 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}: Mcasles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, etc. The contributory (secondary or inter- current) affection need not bo 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 definito disease can be ascertained 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 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 disoases, 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 otlier 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. . . . - Reviscd 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 dicd; . . . no such permit shall be issued until there shall havo 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- cato 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 tho 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, Scc. 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 mako 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 tho 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 infoction related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.


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 Commonwealth of Massachusetts


STANDARD CERTIFICATE OF DEATH


1 PLACE OF DEATH Military Hospital For Banks (No


„St. ........ Ward)


Wintown, mars, (City or town.) Elf death occurred in a hospital or institution, give its NAME instead of street and number.]


? FULL NAME


stephen miller Forte


[If married or divorced woman or widow


give maiden name, also name of husband.


@RESIDENCE


wife


Fast Warren mass


Registered No.


PERSONAL AND STATISTICAL PARTICULARS


3 SEX


make


4 COLOR OR RACE


Whit


& SINGLE,


MARRIED,


WIDOWED,


OR DIVORCED


(Write the word)


married


· DATE OF BIRTH


February


19h


(Month)


(Day)


1859


7 AGE


60


.yrs.


8


mos.


......


11 ds.


.min. ?


& OCCUPATION


(a) Trade, profession, or


particular kind of work


Officer k. s. inmy


(b) General nature of industry,


business, or establishment


in


which employed (or employer) ...


9 BIRTHPLACE


(State or country)


La Salle michigan u. 1. 2.


10 NAME OF


FATHER


William H. Foot


PARENTS


11 BIRTHPLACE


OF FATHER


(State or country)


Vermouth, 1. .


12 MAIDEN NAME


OF MOTHER


Rebecca Dunlah


18 BIRTHPLACE OF MOTHER (State or country) Sertiand


"THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


(Informant).


(Address) Iat havea Nice


16 Filed Oct. 31. 1919 Enlalig Churchill


aist REGISTRAR


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH


October


(Month)


30


191 19


(Day)


(Year)


17 I HEREBY CERTIFY that I attended deceased from


(Year)


Olet. 2.5


, 1917


Letela 30


1919


to


that I last saw h ...... alive on


1919


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


90


m.


The CAUSE OF DEATH* was as follows :


1 surfucativa


(Duration)


............... yrs. ................ mos.


7


ds.


Contributory


(SECONDARY)


(Duration) / yrs ...


... mos.


.........


ds.


(Signed)


M.D.


Det-36, 1919 (Addres)


* 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.


mos.


6 de.


In the


State


... yrs.


mos. ..


ds.


Where was disease contracted,


If not at place of death ?....


Just Darren, Dass


Former or


usual residence.


19 PLACE OF BURIAL OR REMOVAL


DATE OF BURIAL


1919


20 UNDERTAKER


@ R.13m


ADDRESS


WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD.


Sara Brooke


...


If LESS than


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


STANDARD CERTIFICATE OF DEATH.


Statement of occupation. - Precise statement of oeeu- pation 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, e. 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) Salcs- man, (b) Grocery; (a) Forcman, (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 laborcr, Farm laborer, Luborcr - Coal minc, etc. Women at home, who are engaged in the duties of the household only (not paid Housc- 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 domestie service for wages, as Scrvant, 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 indicated thus: Farmer (retircd, 6 yrs.). For persons who have no occu- pation whatever, write None.


Statement of cause of death. - Name, first, the DIS- BASE CAUSING DEATH (the primary affection with respect to time and eausation), using always the same accepted terni for the same disease. Examples: Cerebro-spinal fcvcr (the only definite synonym is "Epidemic cerebro-spinal meningitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never re- port "Typhoid pneumonia"); Lobar pneumonia; Broncho- pneumonia ("Pneumonia," unqualified, is indefinite) ; Tuber-


culosis of lungs, meninges, peritonaeum, etc., Carcinoma, Sar- coma, ete., of .............. (name origin: "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms) ; Mcaslcs; Whooping cough; Chronic valvular hcart discasc; Chronie interstitial nephritis, cte. 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 symptomatie), "Atrophy," "Collapsc," "Coma," "Convulsions," "Debility" ("Congenital," "Senile," ete.), "Dropsy," "Exhaustion," "Heart failure," "Haemorrhage," "Inanition," "Marasmus," "Old age," "Shock," "Uraemia," "Weakness," ete., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as "PUER- PERAL septicacmia," "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, ete.


2. Deaths supposedly eaused by violence, as Criminal abortion, Poisoning, Starvation, Suffocation, Ex- posure, ete.


3. Sudden deaths of persons not disabled by recognized disease, as A death upon the street, or one supposed to be due to Alcoholism, cte.


4. Deaths under circumstances unknown, as A person found dead, etc.


M R-301


The Commonwealth of Massachusetts STANDARD CERTIFICATE OF DEATH


OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS


1 PLACE OF DEATH


County


Suffolk


City or Town Winthrop


State .. Mass.


Registered No.


St. Ward


2 FULL NAME


Stillborn Miller


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


(a) Residence.


No.


. 35 Summit OG


( Usual place of abode)


Length of residence in city or town where dealb occurred


years


months


days.


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


years


months days


PERSONAL AND STATISTICAL PARTICULARS


1 4 COLOR OR RACE


5 SINGLE, MARRIED, WIDOWED, OR


Miluta


DIVORCED (write the word)


Single,


5a If married, widowed, or divorced ,


HUSBAND of


(or) WIFE of


( Month)


(Day)


( Year)


Y'cars


Months


Days


If LESS than


If STILLBORN, enter that fact here


Stillborn


If STILLBORN, stale period of oterogestation


mes.


I day, . . hrs. 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)


Winthrop


Mass.


Sterman &. guiller


11 BIRTHPLACE OF


FATHER (City). .


(State or country)


12 MAIDEN NAME


OF MOTHER


Frances E. Humoral.


13 BIRTHPLACE OF


MOTHER (City) ..


Boston


(State or country)


mars


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH.


(Montlı)


VOV. 3


1919


(Day)


(Year)


17


I HEREBY CERTIFY, That I attended deceased from


flow. 3.


, 1919, to


nov. 3


, 19 19


that I last saw h alive on , 19


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


The CAUSE OF DEATH was as follows :


in.


Stillborn .


(duration)


yrs ...


mos.


.ds.


CONTRIBUTORY


( SECONDARY)


Primature Grithe Frequency.81/2


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).


E. Colman Brown


, M.D.


(Address ).


2.7 Central Sql.


Date


Nov. 4 1959


E. Basta


(Ycar)


(Day)


19 PLACE OF BURIAL, CREMATION, OR REMOVAL


St Michaels


Boston


"(Cemetery)


(City or town)


20 UNDERTAKER


John F. O'malley


DATE OF BURIAL Jon 5, 1919 ADDRESS Winthrop


3 SEX male 6 DATE OF BIRTH 7 AGE (c) Name of employer 10 NAME OF FATHER PARENTS 14 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. 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 9 BIRTHPLACE (City) (State or country)


8. 100,000.


Informant ..


Herman 4. miller


(Address)


35 Sugest avo


15


Filed Nov. 15.1919.


(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 op. warker.


Official position.


Wealth Nice! 22 Date of issue of burial or transit permit 4.8


mos ... ds.


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


St.,


Ward.


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


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. 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 material 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, etc. Women at home, who are engaged in the duties of the house- hold only (not paid Housekecpers 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: 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: Ccre- 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, ete., of .. .. (name origin; "Cancer" is less definite; avoid use of "Tumor" for malignant ncoplasms); 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 (sccondary), 10 ds. Never report mere symptoms or terminal conditions, such as "Asthenia," "Anemia" (merely symptomatic), "Atrophy," "Col- lapse,""Coma,""Convulsions,""Debility" ("Congenital," "Senile," ete.), "Dropsy,""Exhaustion,""Heart failure,""Hemorrhage,""Ina- nition," "Marasmus," "Old age," "Shock," "Uremia,""Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as "PUER- PERAL septicemia," "PUERPERAL peritonitis," etc.




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