Town of Winthrop : Record of Deaths 1919-1921, Part 82

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 82


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).


Part 1 | Part 2 | Part 3 | Part 4 | Part 5 | Part 6 | Part 7 | Part 8 | Part 9 | Part 10 | Part 11 | Part 12 | Part 13 | Part 14 | Part 15 | Part 16 | Part 17 | Part 18 | Part 19 | Part 20 | Part 21 | Part 22 | Part 23 | Part 24 | Part 25 | Part 26 | Part 27 | Part 28 | Part 29 | Part 30 | Part 31 | Part 32 | Part 33 | Part 34 | Part 35 | Part 36 | Part 37 | Part 38 | Part 39 | Part 40 | Part 41 | Part 42 | Part 43 | Part 44 | Part 45 | Part 46 | Part 47 | Part 48 | Part 49 | Part 50 | Part 51 | Part 52 | Part 53 | Part 54 | Part 55 | Part 56 | Part 57 | Part 58 | Part 59 | Part 60 | Part 61 | Part 62 | Part 63 | Part 64 | Part 65 | Part 66 | Part 67 | Part 68 | Part 69 | Part 70 | Part 71 | Part 72 | Part 73 | Part 74 | Part 75 | Part 76 | Part 77 | Part 78 | Part 79 | Part 80 | Part 81 | Part 82 | Part 83 | Part 84 | Part 85 | Part 86 | Part 87 | Part 88 | Part 89 | Part 90 | Part 91 | Part 92 | Part 93 | Part 94 | Part 95 | Part 96 | Part 97 | Part 98 | Part 99 | Part 100 | Part 101 | Part 102 | Part 103 | Part 104 | Part 105 | Part 106 | Part 107 | Part 108 | Part 109 | Part 110 | Part 111 | Part 112 | Part 113 | Part 114 | Part 115 | Part 116 | Part 117 | Part 118 | Part 119 | Part 120 | Part 121 | Part 122 | Part 123 | Part 124 | Part 125 | Part 126 | Part 127 | Part 128 | Part 129 | Part 130 | Part 131 | Part 132 | Part 133 | Part 134 | Part 135 | Part 136 | Part 137 | Part 138 | Part 139 | Part 140 | Part 141 | Part 142 | Part 143 | Part 144 | Part 145 | Part 146 | Part 147 | Part 148 | Part 149 | Part 150 | Part 151 | Part 152 | Part 153 | Part 154 | Part 155 | Part 156 | Part 157 | Part 158 | Part 159 | Part 160 | Part 161 | Part 162 | Part 163 | Part 164 | Part 165 | Part 166 | Part 167 | Part 168 | Part 169 | Part 170 | Part 171 | Part 172 | Part 173 | Part 174 | Part 175 | Part 176 | Part 177 | Part 178 | Part 179 | Part 180 | Part 181 | Part 182 | Part 183 | Part 184 | Part 185 | Part 186 | Part 187 | Part 188 | Part 189 | Part 190 | Part 191 | Part 192 | Part 193 | Part 194 | Part 195 | Part 196 | Part 197 | Part 198 | Part 199 | Part 200 | Part 201 | Part 202 | Part 203 | Part 204 | Part 205 | Part 206 | Part 207 | Part 208 | Part 209 | Part 210 | Part 211 | Part 212


(1) Attending physicians will certify to such deaths only as those of persens 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 eaused 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 fromn 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


A R-301


The Commonwealth of Massachusetts


STANDARD CERTIFICATE OF DEATH


OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS


1 PLACE OF DEATH Suffolk


County ...


State Mark


Registered No.


42


City or Town


Sarah


Me tie


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


(a) Residence.


No


. 47 Washington Ave


(Usual place of abode)


Length of residence in city or town where death occurred


years


montlas


days.


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


years


months days


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


16 DATE OF DEATH


March (Month)


(Day)


(Year)


17 , 19 I HEREBY CERTIFY, That I attended deceased from Fabry 20 , 19.2.0, to 1


2.


...


that I last saw h


alive on


and that death occurred, on the date stated above, at 4 P. m. The CAUSE OF DEATH was as follows :


Contie Regurgitation


(duration)


1


yrs-


z


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?


Date of


200


Was there an autopsy ?


What test confirmed diagnosis ?


(Signed).


, M.D.


(Address) 11 8 Princion en ce Qui


1420


Date


( Month)


(Day)


(Year)


19 PLACE OF BURIAL, CREMATION, OR REMOVAL


Vovdiaun


Everett


(Cemetery)


(City or town)


20 UNDERTAKER


E. G. Brown fer


ADDRESS


East Boston


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


S. C. mowry


Official position


Healthe offer2


22 Date of issue of burial or transit permit Mar. 3, 1920


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


10 NAME OF


FATHER


Eduard Jurk


11 BIRTHPLACE OF


FATHER (City)


Boston


(State or eonntry)


Masa


12 MAIDEN NAME


OF MOTHER


ME Mary Knowlen


13 BIRTHPLACE OF


MOTHER (City)


(State or country)


Unknown


14/1H1.


Informant


(Address)


Minceti Sp 6. 3.


15 mch. 31, 1920


Filed ...


(Month) (Day) (Ycar)


m. G. Draw.


asp.t. REGISTRAR


No. Walkingtre -


Ave


St.


.Ward


Af death ocenrred in a hospital or institution, give its NAME instead of street and number)


2 FULL NAME


4 COLOR OR RACE


5 SINGLE, MARRIED, WIDOWED, OR


1fluite


DIVORCED (write the word)


Widoweil


5a If married, widowed, or divorced


HUSBAND of


(or) WIFE of


Ohn + Me Kie


6 DATE OF BIRTH


April. / Month)


24


1848 crear


7 AGE


71


Years


10


Months


7


Days


If LESS than


1 day, .. . brs.


If STILLBORN, enter that fact here


If STILLBORN, state period of uterogestation


mos.


-. min.


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


At Home


(c) Name of employer


Boston


9 BIRTHPLACE (City)


(State or country)


Mask


Um. F. E. Mc Ki


DATE OF BURIAL , March 292-0


100,000.


3 SEX L'email


St.,


Ward.


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


1920


Inan


, 19


March 1, 1920. 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 he 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 he sufficient, e. g., Farmer or Planter, Physicion, Compositor, Architect, Locomotive engineer, Civil engineer, Stationory 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 he used only when needed. As examples: (a) Spinner, (b) Cotton mill; (a) Solesmon, (b) Grocery; (a) Foremon, (b) Automobile foctory. The material worked on may form part of the second statement. Never return "Lahorer," "Foreman," "Manager," "Dealer," etc., without more precise specification, as Doy loborer, Farm loborer, Laborer - Cool mine, etc. Women at home, who are engaged in the dutics of the house- hold only (not paid Housekeepers who receive a definite salary), may he entered as Housewife, Housework, or At home, and children, not gainfully employed, as At school or At home. Care should be taken to report spe- cifically the occupations of persons engaged in domestic service for wages, as Servont, Cook, Housemaid, etc. If the occupation has heen changed or given up on account of the DISEASE CAUSINO 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 Nonc.


Statement of cause of death. - Name, first, the DISEASE CAUSINO 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, etc., of .......... (name origin; "Cancsr" 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 he stated unless important. Example: Meosles (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 childhirth 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 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 helief 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 hy the physician, and the date of his death. . . . - Revised Lows, Chap. 29, Secs. 10 and 1, as amended by Acts of 1910, Chap. 322.


1


No undertaker or other person shall hury a human body . . . until he has received a permit from the hoard 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 he 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 he 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 he, 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 Lows, Chop. 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 hedside care during a last illness from disease unrelated to any form of injury.


(2) Board of Health Physicians will certify to such deaths only as those of persons who, though disahled 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, hut also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disahled hy recognized disease, and those of persons found dead.


N. B .- Every item of information 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 on back of certificate.


The Commonwealth of Massachusetts


STANDARD CERTIFICATE OF DEATH


1 PLACE OF DEATH


.(No. 38 Beuk LL St. :


............ Ward)


{If death occurred in a hospital or institution, give its NAME instead of street and number.]


Ydy, Eline. Schmidt


2 FULL NAME


[If married or divorced woman or widow give maiden name, also name of husband.] @RESIDENCE 38 Beal Sh


Wifes of Charbon Schnell


.....


Registered No.


43


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


3 SEX


4 COLOR OR RACE


White


6 SINGLE, MARRIED, WIDOWED OR DIVORCED (myme the word)


16 DATE OF DEATH


march


(Month)


4


(Day)


(Year)


"DATE OF BIRTH


(Month)


(Day)


(Year)


7 AGE


57


... yrs.


.. mos.


ds.


or ........ min. ?


& OCCUPATION


(a) Trade, profession, or


particular kind of work


(b) General nature of industry,


business, or establishment


which employed (or employer)


9 BIRTHPLACE


(State or country)


(Duration) 2 ... yrs. mos. ............. ds.


Contributory.


(SECONDARY)


(Duration), .yrs.


... mos.


........... .............. ds.


(Signed)


R. B. Calle


M.D.


5


19120 (Address)


Winthrop Mer


* 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).


în the


At place


of death


....... yrs.


mos.


ds.


State


.yrs.


mos.


Where was disease contracted, If not at place of death ?.


Former or usual residence


19 PLACE OF BURIAL OR REMOVAL


DATE OF BURIAL


192.0


20 UNDERTAKER cons.


ADDRESS


15 Ich 31 19/20 M. S. draw Filed


acest REGISTRAR


....


17 I HEREBY CERTIFY that I attended deceased from march 4


1920


March 4


to


1920


If LESS than day . „hrs. that I last saw h.L.A. alive on march 4 192 ..... and that death occurred, on the date stated above, at /OP m. The CAUSE OF DEATH* was as follows : Diabetes


10 NAME OF


FATHER


mechani octo


PARENTS


11 BIRTHPLACE


OF FATHER


(State or country)


Germany


12 MAIDEN NAME


OF MOTHER


lin aber to oblom


theo conform.com


18 BIRTHPLACE


OF MOTHER


(State or country)


14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE


(Informant)


Charles. Schmidt


(Address)


88 Real AL Warchat


ontario


......


(City or town.)


1920


I


March 4, 7920.


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 Inaterial worked on may form part of the second statement. Never return "Laborcr," "Foreman," "Manager," "Dealer," etc., without more precise specification, as Day laborer, Farm laborer, Laborer - Coal mine, etc. Women at home, who are engaged in the dutics of the household only (not paid 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 Nonc.


-


.


1


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 discase. Examples: Cerebro-spinal fever (the only definite synonym is "Epidemic cerebro-spinal meningitis"); Diphtheria (avoid usc of "Croup") ; Typhoid fever (never re- port "Typhoid pneumonia"); Lobar pneumonia; Broncho- pneumonia ("Pneumonia," unqualificd, is indefinite) ; Tuber-


culosis of lungs, meninges, peritonaeum, etc., Carcinoma, Sar- coma, 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 (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 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, 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.


R-302


The Commonwealth of Massachusetts


CERTIFICATE OF DEATH OF NON-RESIDENT ....


( City or town)


1 PLACE OF DEATH


Registered No.


County


Suffolk


State


Massachusetts


Registered No ..


56


(Place of residence)


St.,


.Ward


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


2 FULL NAME


CATHERINE LYONS


MASS


City or Town


No


52 SUNNYSIDE AVE


St.


(a) Residence. State


(Usual place of abode)


Length of residence in city or town where death occorred


years


months


days


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


years


mooths days


PERSONAL AND STATISTICAL PARTICULARS


MEDICAL CERTIFICATE OF DEATH


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


MAR. 4.


19 20


3 SEX


F


4 COLOR OR RACE


W


5 SINGLE, MARRIED, WIDOWED, OR


DIVORCED (write the word)


WID.


5a If married, widowed, or divorced


HUSBAND of


(or) WIFE of


LUKE


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


--- 1864


7 AGE


56


Years


Months


Days


If LESS than


I day, ........ brs.


or ....... mio.


If STILLBORN, enter that fact bere


8 OCCUPATION OF DECEASED


(a) Trade, professioo, or


particolar kiod of work


AT HOME


(b) General nature of iodustry, business, or establishment in which employed (or employer) (c) Name of employer


9 BIRTHPLACE (city or town)


ENGLAND


CONTRIBUTORY


(SECONDARY)


(duration)


.yrs ..


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


.ds.


10 NAME OF FATHER JAMES HANLEY


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 diagnosia?


(Sigoed)


H.M.POLLOCK


M.D.


. 19 20 (Address)


14 SON


Informant


(Address)


19 PLACE OF BURIAL, CREMATION, OR REMOVAL


WOBURN (CALVARY)


DATE OF BURIAL


MAR.6.


19 20


15


Filed MAR . 8, 19 20 ErMSlenen


Registrar of city or town where death occurred


Fil May 1, 19 20 Bessie 1. Dodge


( vest Registrar of city or town where deceased resided


carefully supplied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms,


so that it may be properly classified. Exact statoment of OCCUPATION is very important. See instructions on back


of certificate.


PARENTS


11 BIRTHPLACE OF FATHER (city or town)


(State or country) IRELAND


12 MAIDEN NAME OF MOTHER NOT STATED


13 BIRTHPLACE OF MOTHER (city or town)


(State or country)


IRELAND


and that death occurred, on the date stated above, at 1.35A 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.)


BRONCHO -PNEUMONIA


MAR .4


17


I HEREBY CERTIFY, That I attended deceased from


MAR. I


19 .. 20


to


19.20.


... ,


ER


MAR.4


that I last saw h


alive on


19.20.


(duration).


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


7


.. ds.


(State or country)


3063


(Place of death)


City or Town


BOSTON


No.


MASS. HOME O.HOSPT.


.. ,


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


WINT HROP


20 UNDERTAKER


E.E.ROACH


ADDRESS


=


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 cach and every person, irrespective of age. For many occupations a single word or term on the first linc will be sufficient, c. g., Farmer or Planter, Physician, Compos- itor, Architcet, Locomotive engineer, Civil engineer, Stationary fireman, etc. But in many cases, especially in industrial employments, it is necessary to know (a) the kind of work and also (b) the nature of the business or industry, and therefore an additional line is provided for the latter statement; it should be used only when needed. As examples: (a) Spinner, (b) Colton mill; (a) Salesman, (b) Grocery; (a) Foreman, (b) Automobile factory. The nia- terial worked on may form part of the second statement. Never return "Laborcr," "Foreman," " Manager, "Dcaler," ctc., without more precise specification, as Day laborer, Farm laborer, Laborer - Coal mine, etc. Women at hoine, 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. Carc should be taken to report spe- cifically the occupations of persons engaged in domestic service 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 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 .-- Namc, first, the DISEASE CAUSING DEATII (the primary affection with respect to time and causation), using always the same accepted terin for the same diseasc. Examples: Cerebrospinal fever (the only definite synonyın is "Epidcinic cerebrospinal mcnin- gitis"); Diphtheria (avoid usc of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneumonia; Bronchopneumonia ("Pneumonia," unquali- fied, is indefinite); Tuberculosis of lungs, meninges, peri- toncum, ctc., 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 deatlı), 29 &s .; 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- inus," "Old age," "Shock," "Uremia," "Weakness," etc., when a definite discase can be ascertained as the cansc. 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 DEATIIS STATE MEANS OF INJURY and qualify as ACCIDENTAL, SUICIDAL, or HOMICIDAL, or as probably such, if impossible to de- terinine 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." (Rccominendations on statement of cause of death approved by Committee on Nomenclature of the American Medical Association.)


Casos 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. Deathis 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.




Need help finding more records? Try our genealogical records directory which has more than 1 million sources to help you more easily locate the available records.