Town of Winthrop : Record of Deaths 1919-1921, Part 7

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 7

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).

"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 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, 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 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 menin- gitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneumonia; Bronchopneumonia ("Pneumonia," unquali- ficd, is indefinite); Tuberculosis of lungs, meninges, peri- toneum, etc., Carcinoma, Sarcoma, etc., of.

(naine origin; "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms); Measles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, etc. The contributory (secondary or inter- current) affection need not be stated unless important. Example: Measles (disease causing death), 29 ds .; Broncho- pneumonia (secondary), 10 ds. Never report mere symp- toms or terminal conditions, such as "Asthenia," "Anemia" (merely symptomatic), "Atrophy," "Col- lapse," "Coma," "Convulsions," ""Debility" ("Con- genital," "Senile," cte.), "Dropsy," "Exhaustion," "Heart failure," "Hemorrhage," "Inanition," "Maras- mus," "Old age," "Shock," "Uremia," "Weakness," ete., when a definite disease ean be ascertained as the cause. Always qualify all diseases resulting from child- birth or iniscarriage, as "PUERPERAL septicemia," "PUER- PERAL peritonitis," cte. 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 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 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 15. 1-'18. 100,000.

The Commonwealth of Massachusetts STANDARD CERTIFICATE OF DEATH

Winthe

BOSTON

"town"

1 PLACE OF DEATH

County

Suffolk

State

Massachusetts

Registered No ...

Township

City

BOSTON

No.

.. ,

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

alice a. Flannery

936

(a) Residence. No. 52 Pebble Cin

(Usual place of abode)

Leogth of residence io city or town where death occurred

years

months

days.

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

years

mooths

days

PERSONAL AND STATISTICAL PARTICULARS

3 SEX

Ferinals

4 COLOR OR RACE

5 SINGLE, MARRIED, WIDOWED, OR

DIVORCED (write the word)

5a If married, widowed, or divorced HUSBAND OF (or) WIFE John Y.

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

7 AGE

3.7

Years

Months

Days

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

8 OCCUPATION OF DECEASED

(a) Trade, profession, or

particular kind of work ....

at Home

(b) General nature of industry, bosiness, or establishment in which employed (or employer) (c) Name of employer

9 'BIRTHPLACE (city or town)

(State orcountry)

New Bedford

10 NAME OF FATHER Frederick Russellw

PARENTS

11 BIRTHPLACE OF FATHER (city or town) (State or country) new Bedford

12 MAIDEN NAME OF MOTHER Allen a. Damos ,19 (Address) Supaths

13 BIRTHPLACE OF MOTHER (eity, or town)

(State or country) new Bedford

Informant

Jauchand John f.

(Address) 52 Perbut are

Fil Jeb 10, 1919.

REGISTRAR

MEDICAL CERTIFICATE OF DEATH

16 DATE OF DEATH (month, day, and year) FEL. 1

1919

I HEREBY CERTIFY, That I attended deceased from

191.9

Jan. 31,

, 1919.

to.

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

, 19.09.

and that death occurred, on the date stated above, at 11.55 ... m. The CAUSE OF DEATH* was as follows :

(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 ?

Plumcale

(Signed)

* State the DISEASE CAUSING DEATH, or in deaths from VIOLENT CAUSES, state (I) MEANS AND NATURE OF INJURY, and (2) whether ACCIDENTAL, SUICIDAL, or HOMICIDAL. (See reverse side for additional space.)

19 PLACE OF BURIAL, CREMATION, OR REMOVAL

DATE OF BURIAL

New Bedford Have Del. 3, 1919

20 UNDERTAKER

ADDRESS

1 - XXMI

so that it may be properly classified. Exact statement 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, N. B .- WRITE PLAINLY, WITH UNFADING INK-THIS IS A PERMANENT RECORD. Every item of information should be of certificate.

MARGIN RESERVED FOR BINDING

............ or

or Village .. 32 Pebble

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

2 FULL NAME

tifinttre Army or Nary of the tniret states; give runk, organization

St.,

Ward.

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

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) Foreman, (b) Automobile factory. The ma- terial worked on may form part of the second statement. Never return "Laborer," "Foreman," "Manager," "Dealer," etc., without more precise specification, as Day laborer, Farm laborer, Laborer - Coal mine, etc. Women at home, who are engaged in the duties of the household only (not paid Housekeepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gainfully employed, as At school or At home. Care should be taken to report spe- cifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, Housemaid, etc. 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 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 "Epidemie 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 need not be stated unless important. Example: Measles (disease causing deatlı), 29 Gs .; Broncho- pneumonia (secondary), 10 ds. Never report mere symp- toms or terminal conditions, such as "Asthenia," "Anemia" (merely symptomatic), "Atrophy," "Col- lapse," "Coma," "Convulsions," " "Debility" (“Con- genital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Hemorrhage," "Inanition," "Maras- mus," "Old age," "Shock," "Uremia," "Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from child- birth or miscarriage, as "PUERPERAL septicemia," "PUER- PERAL peritonitis," etc. State cause for which surgical operation was undertaken. For VIOLENT DEATHS STATE MEANS OF INJURY and qualify as ACCIDENTAL, SUICIDAL, Or HOMICIDAL, or as probably such, if impossible to de- termine definitely. Examples: Accidental drowning; Strvek 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 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

PHYSICIAN.

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

COMMONWEALTH OF MASSACHUSETTS

RETURN OF A DEATH-1919.

CITY OF BOSTON

ELEANOR BROOKS

FULL NAME

Place of Death

Boston

CHILDRENS HOSPT .

1919,

Age

years

months

days.

STATISTICAL DETAILS.

SEX. F Name of Father Birthplace of Mother MARGIN RESERVED FOR DIRDINY. Birthplace of Father

COLOR

SINGLE, MARRIED, WID., DIV.

Maiden Name

Husband's Name

Birthplace WINTHROP

MICHAEL BROOKS

IRELAND

Maiden Name of Mother

JULIA ROGERS

BOSTON

(Signed)

R.E.RAMSAY

M. D.

FEB.2

1919

SPECIAL INFORMATION from Hospitals, Institutions, Transients, or Recent Residents.

Place of Burial or removal

CALVARY (NEW)

Usual

Residence

WINTHROP (31 CROSS ST)

Undertaker

J.L.BURKE

Filed 1919

A true copy.

Attest :

FEB .5

Date of Burial

PHYSICIAN'S CERTIFICATE.

I HEREBY CERTIFY that I attended deceased during last illness

from 1919, to 1919, that to the best of my knowledge and belief death occurred, on the date stated above, and that the CAUSE OF DEATH was as follows:

RAR

PATRIA

Primary ( CARDIAC FAILURE DUE TO PRESSURE

13 (Duration

CITY

MYOFFICE

BOSTONIA

CONDITA A.

4.1822

OF PUS IN PLEURAL CAVITY 3 WEEKS

1380.

STO!

CGIMINE DONATA MASS.

Contributory : (Duration)

OPR.RIB RESECTION JAN . 1. 1919

Occupation

Informant

Registered No.

1758

Date of Death

FEB. I

Registrar.

crea

Feb. 1, 1919

The Commonwealth of Massachusetts

CERTIFICATE OF DEATH OF NON-RESIDENT

Chelsea

( City or town)

1 PLACE OF DEATH

County

Suffolk

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

Charles Vessey

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

(a) Residence. State

(Usual place of abode)

My ss .

City or Town

Winthrop

32 Marshall

St.

Length of resideoce io city or town where death occurred

years

mooths

days

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

years

months

days

PERSONAL AND STATISTICAL PARTICULARS

MEDICAL CERTIFICATE OF DEATH

3 SEX

Male

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

Mary Ann

6 DATE OF BIRTH (month, day, and year)- -- 18 65

7 AGE

Years

Months

Days

If LESS thao

1 day, ........ brs.

or ....... mio.

If STILLBORN, eoter that fact bere

8 OCCUPATION OF DECEASED

(a) Trade, profession, or

Carpenter-Builder

particular kiod of work

(b) General oature of industry,

business, or establishment in

which employed ( or employer)

9 BIRTHPLACE (city or town)

(State or country)

CONTRIBUTORY

(SECONDARY)

(duration)

.yrs ..

mos ...

.ds.

18 Where was disease contracted

if not at piace of death?

Navy Yard, Chas'n

Did an operation precede death ?.

Date of

Was there an autopsy?

What test confirmed diagnosis?

(Signed)

W.H.Walters

M.D.

2-519 ] (Address)

Boston

19 PLACE OF BURIAL, CREMATION, OR REMOVAL

DATE OF BURIAL

Feb.6

File Feb. 6, 1919

Registrar of city or town where death occurred Feb. 13

Filed

1919. Eulalie Churchill

ant Registrar of city or towo where deceased resided

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.

Informant Mrs. C . Vessey

( Address)

32 Marshall St., Winth

rop

Winthrop Cem.

20 UNDERTAKER

W.C.Skaggs

ADDRESS

Winthrop

Multiple fractures and probable

pulmonary embolism

Accidental fall from scaffold.

.. (duration).

yrs.

mos ..

ds.

10 NAME OF FATHER Daniel Vessel

PARENTS

11 BIRTHPLACE OF FATHER (city or town)

(State or country)

Eng la nd

12 MAIDEN NAME OF MOTHER - -- MacIarren

13 BIRTHPLACE OF MOTHER (city or townscotland (State or country)

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

Feb.3

1919

I HEREBY CERTIFY, That I attended deceased from

have investigated the death of the

deceased

sliva op

.19

-and- that death occurred; on the date stated above, at m. The CAUSE OF DEATH* was as follows :

* State the DISEASE CAUSING DEATH, or in deaths from VIOLENT CAUSES, state (1) MEANS AND NATURE OF INJURY, and (2) whether ACCIDENTAL, SUICIDAL, or HOMICIDAL. (See reverse side for additional space.)

MARVINY ALPLAYLU TON SINDING

Registered No.

1.07

(Place of death)

City or Town

Chelsea

No.

U .S.Marine Hospital

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) Foreman, (b) Automobile factory. The ma- terial worked on may form part of the second statement. Never return " Laborer," "Foreman," "Manager," "Dealer," etc., without more precise specification, as Day laborer, Farm laborer, Laborer - Coal mine, etc. Women at home, who are engaged in the duties of the household only (not paid Housekeepers who receive a definite salary), may be entered as Housewife, Housework, or At home, and children, not gainfully employed, as At school or At home. Care should be taken to report spe- cifically the occupations of persons engaged in domestic service for wages, as Servant, Cook, Housemaid, etc. If the occupation has been changed or given up on account of the DISEASE CAUSING DEATH, state occupation at beginning of illness. If retired from business, that fact may be indi- cated thus: Farmer (retired, 6 yrs.). For persons who have no occupation whatever, write None.

Statement of cause of death. - Name, first, the DISEASE CAUSING DEATH (the primary affection with respect to time and causation), using always the same accepted terin 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- ficd, is indefinite); Tuberculosis of lungs, meninges, peri- toneum, etc., Carcinoma, Sarcoma, etc., of_

(name origin; "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms); Measles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, etc. The contributory (secondary or inter- current) affection need not be stated unless important. Example: Measles (disease causing death), 29 as .; Broncho- pneumonia (secondary), 10 ds. Never report niere syinp- toms or terminal conditions, such as "Asthenia," "Anemia" (merely symptomatic), "Atrophy," "Col- lapse," "Coma," ""Convulsions,"" "Debility" (“Con- genital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Hemorrhage," "Inanition," "Maras- mus," s." "Old age," "Shock,"Uremia," "Weakness," etc., when a definite disease can be ascertained as the cause. Always qualify all diseases resulting from child- birth or miscarriage, as "PUERPERAL septicemia," "PUER- PERAL peritonitis," etc. State cause for which surgical operation was undertaken. For VIOLENT 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 head - homicide; Poisoned by carbolic acid - probably suicide. The nature of the injury, as fracture 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 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.

R 303. 6-'18. 50,000.

RM 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 ..... Mark

Registered No.

City or Town Winthrop

No. 5 %. Lea Vin (hd) St., Ward

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

Frances Howald Word

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

(a) Residence. No.

( Usual place of abodey

37 Sea View Che'S.

Ward.

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

Length of resideoce in city or town where death occurred years

mooths

days.

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

years

months days

PERSONAL AND STATISTICAL PARTICULARS

MEDICAL CERTIFICATE OF DEATH

16 DATE OF DEATH

niet

(Month)

(Day)

(Year)

17 I HEREBY CERTIFY, That I attended deceased from

dec

,19/0, to

,194.5

that I last saw her.

alive on

Feb 2

,197 9 .

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

4.9 m.

The CAUSE OF DEATH was as follows :

(Year)

If LESS than

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

Fibroid growth in Kidney

or .... . mio.

unknown.

.... (duration)

yrs ....... ..

mos ...... .

ds.

CONTRIBUTORY

( SECONDARY)

hranic Kooning

(duration) ..

yrs ..... mos .... ds.

18 Where was disease contracted

if not at place of death ?

Did an operation precede death ? yes Date of

exploratory yfenati

Was there an autopsy ? ...

What test confirmed diagnosis ?

operation, wassent

(Sigoed)

chapeau,

., M.D.

(Address).

Date

( Month) (Day) (Year)

Informant

Clarins , Word

(Address)

Filed

Feb. 10 1919

(Month) (Day) (Yeaf)

REGISTRAR

19 PLACE OF BURIAL, CREMATION, OR REMOVAL

Winthrop

(Cemetery)

(City or town)

DATE OF BURIAL LEbr / 19/1

ADDRESS

149 Huseth

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

Official Teallthe office2! position

22 Date of issue of burial or transit permit

Jeb. 4, 1919

3 SEX

4 COLOR OR RACE 5 SINGLE, MARRIED, WIDOWED, OR DIVORCED (write the word)

Married A Word

5a If married. widowed, or divorced

HUSBAND of

(or) WIFE of

6 DATE OF BIRTH

( Month)

(Day)

7 AGE

5-3

Years

4 Months

Days

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

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 ) Houswork

9 BIRTHPLACE (City)

England

(State or country)

10 NAME OF

FATHER

Williams Called

11 BIRTHPLACE OF

FATHER (City)

england

(State or country)

12 MAIDEN NAME

OF MOTHER

Unpey Per-20

13 BIRTHPLACE OF

MOTHER (City)

(State or country)

England

1919

20 UNDERTAKER

Chas. B. Juni 20

L'18. 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.

PARENTS

apr

1863

1919

2 FULL NAME

february 3. 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 liealtlifulness 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, Campositar, Architect, Locomotive engineer, Civilengineer, Stationary fireman, etc. Butin many eases, especially in industrial employments, it is necessary to know (a) the kind of work and also (b) the nature of the business or industry, and therefore an additional line is provided for the latter statement; it should be used only when needed. As examples: (a) Spinner, (b) Cottan mill; (a) Salesman, (b) Grocery; (a) Foreman, (b) Autamobile factary. The material worked on may form part of the second statement. Never return "Laborer," "Foreman," "Manager," "Dealer," etc., without more precise specification, as Day labarer, Farm labarer, Laborer - Coal mine, etc. Women at home, who are engaged in the duties of the house- hold only (not paid Ilausekcepers who receive a definite salary), may be entered as Housewife, Housewark, or At hame, and children, not gainfully employed, as At schaal 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 (retircd, 6 yrs.). For persons who have no occupation whatever, write None. .

Statement of cause of death. - Name, first, the DISEASE CAUSING DEATHI (the primary affection with respect to time and causation), using always the same accepted term for the same discasc. Examples: Cere- braspinal fever (the only definite synonym is "Epidemic ecrebrospinal meningitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Labar pneumonia; Bronchapneumonia ("Pneumonia," unqualified, is indefinite); Tuberculasis of lungs, men- inges, peritaneum, etc., Carcinoma, Sarcama, etc., of .......... (name origin; "Cancer" is less definite; avoid use of "Tumor" for malignant neoplasms); Measles; Whooping cough; Chranic valvular heart disease; Chranic interstitial nephritis, etc. The contributory (secondary or inter- current) affection need not be stated unless important. Example: Measles (disease causing death), 29 ds .; Branchopneumania (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 ascertaincd as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as "PUER- PERAL septicemia," "PUERPERAL peritanitis," etc.

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Town of Winthrop : Record of Deaths 1919-1921, Part 7

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

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