USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1922-1924 > Part 167
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 | Part 213 | Part 214 | Part 215 | Part 216 | Part 217 | Part 218 | Part 219 | Part 220 | Part 221 | Part 222 | Part 223 | Part 224 | Part 225 | Part 226 | Part 227 | Part 228 | Part 229
(2) Board of Health Physicians will certify to such deaths only. as those of persons who, though disabled by recognized disease unre- iated to any form of injury, have died without recent medical at- tendance 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 inciude not only deaths caused directly or indirectly by traumatism (including resulting septicemia), and by the action of chemical (drugs or poisons), thermal, or electrical agents, and deaths following abortion, but also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
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 stato important. See instructions on back of certificate.
1 PLACE OF DEATH
DEPARTMENT OF COMMERCE BUREAU OF THE CENSUS
STANDARD CERTIFICATE OF DEATH
State of.
Massachusetts
Registered No
Village
or
City
Winthrop
(No. U. S. Army Hospital, Fort BanksSt .;
Ward)
2 FULL NAME
Helen
Littlefield
PERSONAL AND STATISTICAL PARTICULARS
MEDICAL CERTIFICATE OF DEATH
3 SEX
Female
4 COLOR OR RACE
Thite
5 SINGLE,
MARRIED,
Single
WIDOWED,
OR DIVORCED
( Write the word)
6 DATE OF BIRTH
April
26. 1924
(Month )
(Day)
(Year)
7 AGE
If LESS than
1 day, ____ hrs.
yrs.
mos.
14_ ds.
or ____. mln. ?
8 OCCUPATION
(a) Trade, profession, or
particular kind of work
none
(b) General nature of Industry,
business, or establishment in
which employed (or employe-)
none
9 BIRTHPLACE
(State or country)
Massachusetts
Contributory.
(SECONDARY)
(Duration)
--- yrs.
mos.
ds.
(Signed)
Olay Lo Layton
M. D.
Apr .__ 26-,., 191-24 (Address)
Winthrop,-Nass
* State the DISEASE CAUSING DEATH, or, in deaths from VIOLENT CAUSES, state (1) MEANS OF INJURY ; and (2) whether ACCIDENTAL, SUICIDAL, or HOMICIDAL.
18 LENGTH OF RESIDENCE (FOR HOSPITALS, INSTITUTIONS, TRANSIENTS, OR RECENT RESIDENTS)
At place
In the
Where was disease contracted,
if not at place of death ?
same
yrs.
mos.
14ds.
14 THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)
Alton H. Littlefield
(Address)
Camp Devens Mass.
15 5/6/24
Flied
191
REGISTRAR
11-3184
Ne briels
really
4/20/2× 21. 0 717
15 DATE OF DEATH
April 26
124
(Month)
(Day)
(Year)
17
I HEREBY CERTIFY, That I attended deceased from
__ April ___ 12
192.4-, to -- Apr-11-26
193-4 -- ,
that I last saw h __ Of_ alive on April26
19124,
and that death occurred, on the date stated above, at
9 a. m.
The CAUSE OF DEATH* was as follows: Inanition
(Duration)
yrs.
mos.
14ds.
10 NAME OF
FATHER
Alton H. Littlefield
PARENTS
11 BIRTHPLACE
OF FATHER
(State or country)
Massachusetts
12 MAIDEN NAME
OF MOTHER
May Bronson
13 BIRTHPLACE
OF MOTHER
(State or conntry)
Massachusetts
Former or
usual residence.
none
19 PLACE OF BURIAL OR REMOVAL Locust Grave Spawich
DATE OF BURIAL
apr. 28, 1924
20 UNDERTAKER
C.P. Bennison
ADDRESS
Winturok
County
Suffolk
Township
or
[If death occurred in a hospital or Institution, give Its NAME Instead of street and number.]
of death
yrs.
mos.
14s.
State
REVISED UNITED STATES STANDARD CERTIFICATE OF DEATH
[Approved by U. S. Census and American Public Health Association]
Statement of occupation .- Precise statement of oceupation 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., withcut more precise specification, as Day laborer, Farm laborer, Laborer-Coal mine, ete. Women at home, who are engaged in the dutics of the household only (not paid Housekeepers wlio receive a definite salary), may be entered as Housewife, Housework, 02 16 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 DEATII, 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 CAUS- ING DEATHI (the primary affection with respect to time and causation), using always the same accepted term for the same discase. 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," unqualified, is indefi- nite) ; Tuberculosis of lungs, meninges, peritonaeum, etc., Car- cinoma, Sarcoma, etc., of - (name origin; “Can- cer" is less definite; avoid use of " Tumor" for malignant neoplasms); Measles; Whooping cough; Chronic valvular heart disease; Chronic interstitial nephritis, etc. The con- tributory (secondary or intercurrent) affection need not be stated unless important. Example : Measles (disease causing death), 29 ds .; Bronchopneumonia (secondary), 10 ds. Never report mere symptoms or terminal condi- tions, such as "Asthenia," "Anaemia" ( merely symptom-
atie), "Atrophy," "Collapse," "Coma," "Convulsions," "Debility" ("Congenital," "Senile," ete.), "Dropsy," "Exhaustion," "Heart failure," "Iaemorrhage," "Inani- tion," "Marasmus," "Old age," "Shock," "Uracmia," "Weakness," ete., when a definite disease can be ascer- tained as the cause. Always qualify all diseases result- ing from childbirth or miscarriage, as "PUERPERAL septi- chaemia," "PUERPERAL peritonitis," ete. State eause 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 determine 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. )
NOTE .- Individual offices may add to above list of undesirable terms and refuse to accept certificates containing them. Thus tho form in use in Now York City states: "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: haemorrhago, gangrene, gastritis, crysipelas, meningitis, miscarriage, uecrosis, peritonitis, phlebitis, pyaemia, septichaemia, tetanus." But general adoption of tho minimum list suggested will work vast improvement, and its scope can be extended at a later date.
11-3184
1 R-301
OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
(City or town
Registered No.
St., Ward
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
albert. E. Cuyas
(If in the Army or Navy of the United States, give rank, organization, etc.)
Ward.
(If non-resident give city or town and state)
months days
PERSONAL AND STATISTICAL PARTICULARS
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
Manuel
Mary. a. ayer
If LESS than 1 day, ___ hrs. Of ____ min.
returet Mechanical
11 MAIDEN NAME
OF MOTHER
Justa. Cogewell
New Buna
13 Mary. a. Meyer Wicket
176 Woodlake are
14
Filed_
may 6, 1924
(Month) (Day) (Year)
REGISTRAR
MEDICAL CERTIFICATE OF DEATH
15 DATE OF DEATH
apr 27
(Month)
(Day)
1724
(Year)
16
I HEREBY CERTIFY, That I attended deceased from
march 3
19 39, to
March 27
25
19
that I last saw h.
alive on
19.44,
and that death occurred, on the date stated above, at.
1216 Am.
The CAUSE OF DEATH was as follows:
(duration)
.yrs.
mos ..
ds.
CONTRIBUTORY
(SECONDARY)
-
(duration)
yrs.
17 Where was disease contracted
if not at place of death?
Did an operation precede death?
20
Date of
Was there an autopsy?
What test confirmed diagnosis?
(Signed) Tricul Timo M. 0.
(Address) 2.8 miami 25
1424
Date
(Month)
(Day)
(Year)
18 PLACE OF BURIAL, CREMATION OR REMOVAL
Woodlam Emmett Mans
DATE OF BURIAL
april 30"
(Cemetery) (City or town)
19 UNDERTAKER
ADDRESS
20 | HEREBY CERTIFY that a satisfactory stan- dard certificate of death was filad with me BEFORE the burial or transit permit was issuad A-D-Daniela
Official position
Health feces"
Data of issua 4/30/24
Permit סא 720
100.000
I PLACE OF DEATH
County
City or Town
(a) Residence. No.
(Usual place of abode)
Langth of residence in city or town where death occurred
3 SEX
4 COLOR OR RACE
5a If married, widewed or divorced
HUSBAND of
(or) WIFE of
6 AGE
Years
Months
10
( ?
Days
6
If STILLBORN, enter that fact here
7 OCCUPATION OF DECEASED
(a) Trada, profession, or
particular kind of work
8 BIRTHPLACE (City)
(State or country)
Peabody
Mass
9 NAME OF
FATHER
John . Cuyer
10 BIRTHPLACE OF
FATHER (City)
Peabody
(State or country)
PARENTS
12 BIRTHPLACE OF
MOTHER (City)
(State or country)
Informant
(Address)
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.
(b) Name of employer
Engineer- Self
176 Woodside Onest.
14
years
x
months
days.
How long in U. S., if of foraign birth?
years
No.
State 17.6 Woodridge come
.mos. ds
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, irre- spective of age. For many occupations a single word or term on the first line will be sufficient, e. g., Farmer or Planter, Physician, Com- positor, Architect, Locomotive engineer, Civil engineer, Stationary fire- man, eto. 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 material worked on may form part of the second statement. Never return "Laborer," "Fore- man," "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 House- wife, Housework, or At home, and children, not gainfully 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 occupa- tion at beginning of illness. If retired from business, that fact may he 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. Exam- ples: Cerebrospinal fever (the only definite synonym is "Epidemic cerebrospinal meningitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneu- monia; Bronchopneumonia ("Pneumonia," unqualified, is indefinite) ; Tuberculosis of lungs, meninges, 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 intercurrent) affection need not be stated unless important. Example: Measles (disease causing death), 29 ds .; Bronchopneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as "Asthenia," "Anemia" (merely symptomatic), "Atrophy," "Collapse," "Coma," "Convul- sions," "Debility" ("Congenital," "Senile," etc.), "Dropsy," "Ex- haustion," "Heart failure," "Hemorrhage," "Inanition," "Maras- mus," "Old age," "Shock," "Uremia,". "Weakness," etc., when a definite disease can he ascertained as the cause. Always qualify all diseases resulting from childbirth or miscarriage, as "PUERPERAL 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 "primary"; 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, miscarriage, necrosis, peritonitis, phlebitis, pyemia, septicemia, tetanus.
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH
A physician or registered hospital medical officer shall forth- with, 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 registra- tion a standard certificate of death, stating to the best of his knowl- edge and belief the name of the deceased, his supposed age, the disease of which he died, defined as required by section one, where same was contracted, the duration of his last illness, when last seen alive by the physician or officer and the date of his death. . ..- Gen. Laws, Chap. 46, Sec. 9.
No undertaker or other person shall hury a human body. . . until he has received a permit from the board of health or its agent. . . or. . . from the clerk of the town where the person died ;. . . No such permit shall be issued until there shall have been delivered to such board, agent or clerk. . . a satisfactory written statement con- taining the facts required by law to be returned and recorded, which shall be accompanied, in case of an original interment, by a satisfactory certificate of the attending physician, if any, as required by law, or in lieu thereof a certificate as hereinafter provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the pur- pose, or is insufficient, a physician who is a member of the board of health, or employed by it or by the selectmen for the purpose, shall upon application make the certificate required of the attending physician. If death is caused by violence, the medical examiner shall make such certificate. . . The person to whom the permit is so given and the physician certifying 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 re- quire .- Gen. Laws, Chap. 114, Sec. 45.
Medical examiners shall make examination upon the view of the dead hodies of only such persons as are supposed to have died hy violence .- Gen. Laws, Chap. 38, Sec. 6.
... He shall in all cases certify to the town clerk or registrar in the place where the deceased died his name and residence, if known; otherwise a description as full as may he, with the cause and manner of death .- Gen. Laws, Chap. 38, Sec. 7.
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 disabled hy recognized disease unre- lated to any form of injury, have died without recent medical at- tendance 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 ahortion, but also deaths from disease resulting from injury or infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
I R-301 OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS 1 PLACE OF DEATH Jaklock County
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
State
Mars
(City or towy)
Registered No.
St., Ward
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
Hiram augusta Wright
(If in the Army or Navy of the United States, give rank, organization, etc.)
St.,
Ward.
(If non-resident give city or town and state)
days.
How long in U. S., if of foreign birth?
years
months
days
MEDICAL CERTIFICATE OF DEATH
15 DATE OF DEATH
april
27 1924
(Month)
(Day)
(Year)
16
I HEREBY CERTIFY, That I attended deceased from
Sylt 1
1923, to.
april 27, 1924,
that I last saw have alive on
april 24, 124
and that death occurred, on the date stated above, at
2 30 g.m.
The CAUSE OF DEATH was as follows: Chuonic Braceletes
(duration)
=_ yrs ..
> mos. -
.ds.
CONTRIBUTORY
artico- selecares
(SECONDARY)
17 Where was disease contracted
if not at place of death?
Did an operation precede death? 200 Date of 20
Was there an autopsy?
What test confirmed diagnosis ?.
Clinical
(Signed)
Quite E Salmone, M. D.
(Address)
Data
(Month)
(Day)
(Year)
18 PLASS OF BURIAL, CREMATION OR REMOVAL Forest Hills Comedy
DATE OF BURIAL af x28%
(Cemetery) 13 0200
(City or town)
19 UNDERTAKER
CR Bencion
ADDRESS
20 | HEREBY CERTIFY that e satisfactory stan- dard certificate of death was filed with me BEFORE the buriel or trensit permit was issued H.C-Daniela
Official posit Health officer
Date of issua 4/28/24 ND. 719
Permit
0.000
City or Town
Eglela Park
(a) Residence. No.
(Usual place of abode)
Length of residence in city or town where death occurred
25 Years
months
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE
White
5a If married, widowed or-divorced
HUSBAND of
Ellen .V. Wright
(er) WIFE-of
6 AGE
Years
Months
Days
5
84
If STILLBORN, enter that fect hara
7 OCCUPATION OF DECEASED
(a) Trade, profession, or
Retuet
particular kind of work
8 BIRTHPLACE (City)
(State or country)
arlington
maso
10 BIRTHPLACE OF
FATHER (City)
allenatore
(State or country)
mas
Nancy Mason
11 MAIDEN NAME
OF MOTHER
PARENTS
12 BIRTHPLACE OF
MOTHER (City)
(State or country)
13
Elizabet W. Harper
Informant
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
(b) Name of employer
Custom House Gager
5 SINGLE, MARRIED, WIDOWED, DR
DIVORCED (write the word)
Widowis
if LESS then
1 day ._._ hrs.
of ___ min.
9 NAME OF
FATHER
Ilotten &. wright
(Address)
14 Eglecon ik Winch
14
Filed
may 6, 1924
(Month)/
(Day) (Year)
REGISTRAR
28 1924
_mos ..
ds
1
No.
14 Egladon Track
tarif 27, 14 2 x 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, irre- spective of age. For many occupations a single word or term on the first line will be sufficient, e. g., Farmer or Planter, Physician, Com- positor, Architect, Locomotive engineer, Civil engineer, Stationary fire- man, 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 tbe 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 material worked on may form part of the second statement. Never return "Laborer," "Fore- man," "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 House- wife, Housework, or At home, and children, not gainfully 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 Servant, Cook, Housemaid, etc. If the occupation has been changed or given up on account of the DISEASE CAUSING DEATH, state occupa- tion 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. Exam- ples: Cerebrospinal fever (the only definite synonym is "Epidemic cerebrospinal meningitis"); Diphtheria (avoid use of "Croup"); Typhoid fever (never report "Typhoid pneumonia"); Lobar pneu- monia; Bronchopneumonia ("Pneumonia," unqualified, is indefinite); Tuberculosis of lungs, meninges, 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 intercurrent) affection need not be stated unless important. Example: Measles (disease causing death), 29 ds .; Bronchopneumonia (secondary), 10 ds. Never report mere symptoms or terminal conditions, such as "Asthenia," "Anemia" (merely symptomatic), "Atrophy," "Collapse," "Coma," "Convul- sions," "Debility" ("Congenital," "Senile," etc.), "Dropsy," "Ex- haustion," "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 childbirth or miscarriage, as "PUERPERAL septicemia," "PUERPERAL peritonitis," ete.
State cause for which surglcai operatlon was undertaken.
(Recommendations on statement of cause of death approved by Com- mittce on Nomenclature of the American Medical Association.)
Bronchopneumonia: If primary cause, write the word "primary"; If secondary, give primary cause.
Certificates will be returned for additional Information which give any of the foliowing diseases, without expianation, as the sole cause of death: Abortlon, cellulitis, childbirth, convulsions, hemorrhage, gangrene, gastritis, eryslpelas, meningitis, miscarriage, necrosis, peritonitis, phiebltis, pyemia, septicemla, tetanus.
EXTRACTS FROM THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS GOVERNING THE RETURN OF CERTIFICATES OF DEATH
A physiclan or registered hospitai medlcai officer shall forth- with, 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 registra- tion a standard certificate of death, stating to the best of his knowl- edge and belief the name of the deceased, his supposed age, the disease of which he died, defined as required by section one, where same was contracted, the duration of his last illness, when last seen alive by the physician or officer and the date of his death . . ..- Gen. Laws, Chap. 46, Sec. 9.
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.