USA > Massachusetts > Suffolk County > Winthrop > Town of Winthrop : Record of Deaths 1928-1930 > Part 28
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
No undertaker or other person shall bury or other- wise dispose of a human body in a town, or remove there- from a human body which has not been buried, until he has received a permit from the board of health . . . , or if there is no such board, from the clerk of the town where the person died; and no undertaker or other person shall exhume a human body and remove it from a town, or from one cemetery to another, until he has received a permit from the board of health . .. or from the clerk of the town where the body is buried. No such permit shall be issued until there shall have been delivered to such board, . .. or clerk .... a satisfactory written statement containing the facts required by law to be returned and recorded, which shall be accompanied . . . by a satisfac- tory certificate of the attending physician, if any, as required by law, or in lieu thereof a certificate as herein- after provided. If there is no attending physician, or if, for sufficient reasons, his certificate cannot be obtained early enough for the purpose, or is insufficient, a physi- cian 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 board of health or its agent, upon receipt of such statement and certificate, shall forthwith countersign it and transmit it to the clerk of the town for registration. The per- son 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 man- ner or cause of the death, which the clerk or regis- trar may require .- General Laws, Chap 114, Sec. 45 a8 amended.
Medical examiners shall make examination upon the view of the dead bodies of only such persons as are sup- posed to have died by violence. If a medical examiner has notice that there is within his county the body of such a person, he shall forthwith go to the place where the body lies and take charge of the same. . . . General 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 be, with the cause and manner of death .- General 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 bedside 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 by recognized disease unrelated to any form of injury, have died without recent medical attendance or whose physi- cian is absent from home when the certificate of death is needed.
(3) Medical Examiners will investigate and certify to all deaths supposably due to violence. These include not only deaths caused directly or indirectly by traumatism (in- cluding resulting septicemia), and by the action of chemi- cal (drugs or poisons), thermal, or electrical agents, and deaths following abortion, but also deaths from disease re- sulting from injury or Infection related to occupation, the sudden deaths of persons not disabled by recognized disease, and those of persons found dead.
STATEMENT OF CAUSE OF DEATH
Medical Examiners in certifying to a death will state the cause and manner thereof, and will specify: (1) Under cause, the nature of an injury and of its consequences; and (2) under manner, the mode of its production together with the circumstances when these are known. For ex- ample: "Compound fracture of the femur with ensuing septicemia (gas bacillus) caused by a steam railway accident." "Pistol shot wound of the chest with associated hemorrhage, homicidal." "Asphyxiation by suspension, suicidal." "Syncope while under the influence of ether administered as a surgical anæsthetic." "Fracture of the skull with associated internal injury sustained under cir- cumstances unknown."
If investigation shows the death to have been due to disease, specify: (1) Under cause, its known or presumable nature; and (2) under manner, indicate the circumstances leading to medico-legal inquiry. For example: "Hemor- rhage spontaneous, of the brain (basal ganglia) (found dead in bed)." "Heart disease, presumably coronary sclerosis. (Sudden death.)"
DESCRIPTION (for unknown person)
apr. 28. 1928
NOTICE TO UNDERTAKERS : No embalming fluid, or any substitute therefor, shall be injected into the body of any person supposed to have met his death by violence, until a permit, signed by the Medical Examiner, has first been obtained .- General Laws, Chap. 38, Sec. 14.
THIS CERTIFICATE CONSTITUTES SUCH PERMIT
The Commonwealth of Massachusetts STANDARD CERTIFICATE OF DEATH
Boston
(City or town)
1 PLACE OF DEATH
County
Suffolk
State
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
JOHN O. COLEMAN
(If in the Army or Navy of the United States, give rank, organization, etc.)
(a) Residence.
State
(Usual place of abode)
MASS.
City or Town
WINTHROP
No.
24 VILLA AVE.
St.
Length of residence in city or town where death occurred
years
months
days.
How long in U. S., if of foreign birth?
years
months
days
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
M
4 COLOR OR RACE
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
M.
5a If married, widowed, or divorced
§ HUSBAND
Name of ? (or) WIFE
ESTHER
6 AGE
Years
63
Months -
Days
25
If LESS than 1 day, .... hrs. or .... min.
If STILLBORN, enter that fact here
7 OCCUPATION OF DECEASED
(a) Trade, profession, or
TRAVELLING SALESMAN
particular kind of work
(b) Name of employer
8 BIRTHPLACE (city or town) (State or country)
ENGLAND
9 NAME OF
FATHER
ROLLA COLEMAN
10 BIRTHPLACE OF
FATHER (city or town)
(State or country)
ENGLAND
11 MAIDEN NAME
OF MOTHER
MARY A, ROSENA
12 BIRTHPLACE OF
MOTHER (city or town).
(State or country}
ENGLAND
13
Informant
HOSPITAL RECORDS
(Address)
74 FENWOOD RD, BOSTON
14
Filed
MAY 2 ,19 28
Filed May 2 19 28
Registrar of city or town where death occurred
Registrar of city or town where deceased resided
MEDICAL CERTIFICATE OF DEATH
15 DATE OF DEATH
APRIL 30
1928
(Month)
(Day)
(Year)
16
I HEREBY CERTIFY,
That I attended deceased from
APRIL 22
19
28 to
APRIL 30
19.28
-9
that I last saw h
I M alive on
APRIL 30
19.28
and that death occurred, on the date stated above, at.
m.
The CAUSE OF DEATH was as follows: (State fully)
MYOCARDITIS LUETIC
(duration)
yra.
mos
da.
CONTRIBUTORY
PSCHOSIS WITH OTHER BRAIN
(SECONDARY)
AND NERVOUS DISEASES
duration)
mos de. if not at place of death
17 Where was disease contracted
Did an operation precede death
For what
Date of operation
Was there an autopsy
What test confirmed diagnosis.
(Signed)
DAVID PRIAL
M. D.
(Address)
Date
APRIL 30, 1928
18 PLACE OF BURIAL, CREMATION, OR REMOVAL
(OAK GROVE) MEDFORD
(Cemetery)
(City or town)
DATE OF BURIAL
5-3
, 19 28
ADDRESS
19 UNDERTAKER
C. A. BENNISON
may be properly classified. Exact statement of OCCUPATION is very important. PARENTS
4312
Registered No.
4199
(Place of death).
City or town
Boston
No.
BOSTON PSYCHOPATHIC HOSPITAL
1
-
april 30. 1928
A-301 !!
OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS 1 PLACE OF DEATH County Suffolk
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
State
Tass
(City of tona)
Registered No.
87
City or Town.
Winthrop
No. Winthrop Community Hospital
St.
____ Ward
(If death occurred in a hospital or institution, give its NAME instead of street and number)
2FULL NAME
Frances E. Chabot
(If U. S. War Veteran, specify WAR)
K(a) Residence. No
57 Bucannon 3t.
St.
Ward,
(Usual place of abode)
Length of residence in city or town where death occurred
years
months
days.
How long in U. S., if of foreign birth?
years
months
days.
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
Female
4 COLOR OR RACE
white
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
Married
5a If married, widowed or divorced
HUSBAND of
(or) WIFE of
Faul A.
6 AGE
Years
Months
Day:
IF LESS than
1 day, ........ hrs.
C :........ min.
28
IF STILLBORN, enter that fact here
7 OCCUPATION OF DECEASED
(a) Trade, profession, or
particular kind of work
Housewife
(b) Name of employer
8 BIRTHPLACE (City)
Lowell
(State or country)
Lass
9 NAME OF
FATHER
Alfred Lucier
1 O BIRTHPLACE OF
FATHER (City)
(State or country)
Canada
PARENTS
1 1 MAIDEN NAME
OF MOTHER
Margaret O'Meara
12 BIRTHPLACE OF
MOTHER (City).
Ireland
(State or country)
13
Informant
Paul A. Chabot
(Address)
57 Bucannon 3t/
14
Filed (Month) (Day) (Year)
REGISTRAR
MEDICAL CERTIFICATE OF DEATH
15 DATE OF DEATH
may
1928
(Month)
(Day)
(Year)
16
I HEREBY CERTIFY , That I attended deceased from
September 15, 1927 to May 2
19
28
that I last saw b
alive on
may1
19 28
and that death occurred, on the date stated above, at
m.
The CAUSE OF DEATH was as follows: (State fully)
Cerebral Embolus.
Placenta previa with internal hemmontage.
CONTRIBUTORY
Cesarin Section + operation
con Therefore
(duration).
_yrs.
.mcs.
.ds.
-
1 7 Where was disease contracted
if not at place of death
Did an operation precede death
yes
For what
Cesariana Section
Date of operation
april 17, 1428
Was there an autopsy
clinical
What test confirmed diagnosis
(Signed)
Jacob Clans
M. D.
(Address).
362 Shirley
Date
May 2/28
18 PLACE OF BURIAL, CREMATION, OR REMOVAL
St Johns Haverhill
(Cemetery)
(Cily or town)
DATE OF BURIAL 5/4/28
ADDRESS
19 UNDERTAKER
w & Omaley
Date of
position
Official Health Officer!
tf permit 3/2/28 -Permit No. 1407
9.8
plied. AGE should be stated EXACTLY. PHYSICIANS should state CAUSE OF DEATH in plain terms, so that it may be properly classified.
200.000. 9-26. NO. 6373
Exact statement of OCCUPATION is very important. See instructions and extracts from the laws on back of certificate.
20 I HEREBY CERTIFY that a satisfactory stan- dard certificate of death was filed with me BEFORE the burial or transit permit was issued
Ame.D. Childress
(If non-resident give city or town and state)
may !! REVISED UNITEDSTATESSTANDARD CERTIFICATE OF DEATH
(Approved by U. S. Cease an ' American Public Health Sociation)
EXTRACTS
FROM THE LAWS OF THE
COMMONWEALTH OF MASSACHUSETTS
GOVERNING THE
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 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) Sulesman, (b) Grocery; (a) Foreman, (b) Automobile factory. The material worked on may form part of the second statement. Never return "Laborer," "Forc- 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 onty (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 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 discase. 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 symp- tomatic), "Atrophy," "Collapse," "Coma," "Convulsions," "Debility" ("Congenital," "Senile," etc.), "Dropsy," "Exhaustion," "Heart failure," "Hemorrhage," "Inanition,"" "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 "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, menin- gitis, miscarriage, necrosis, peritonitis, phlebitis, pyemia, septicemia, tetanus.
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 agé, 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 bury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not been buried, until he has received a permit from the board of health or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the person died; and no undertaker or other person shall exhume a human body and remove it from a town, or from one cemetery to another, until he has received a permit from the board of health or its agent aforesaid or from the clerk of the town where the body is buried. No such permit shall be issued until there shall have been delivered to such board, agent or clerk, as the case may be, a satisfactory written statement containing the facts required by law to be returned and recorded, which shall be accompanied, in case of an original interment, by a satisfactory certi- ficate 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 ob- ' tained early enough for the purpose, 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 certificato required of the attending physician. If death is caused by violence, the medical examiner shall make such certificate. If the death certi- ficate contains a recital, as required by section ten of chapter forty-six, that the deceased served in the army, navy or marine corps of the United States in any war in which it has been engaged, such recital shall appear upon the permit. The board of health or its agent, upon receipt of such statement and certificate, shall forthwith counter- sign it and transmit it to the clerk of the town for registration. 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 require .- Chap. 114, Sec. 45, G. L., as amended.
Medical examiners shall make examination upon the view of the dead bodies of only such persons as are supposed to have died by 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 be, with the cause and manner of death .- Gen. Laws, Chap. 38, Sec. 7.
No undertaker or other person shall bury a human body or the ashes thereof which have been brought into the commonwealth until he has received a permit so to do from the board of health or its agent appointed to issue such permits, or if there is no such board, from the clerk of the town where the body is to be buried or the funeral is to be held, or from a person appointed to have the care of the cemetery or burial ground in which the interment is made .- Chap. 114, Sec. 46, G. L., as amended.
The Commonwealth of Massachusetts
STANDARD CERTIFICATE OF DEATH
BOSTON
(City or town)
Registered No.
88
City or Town
death occurred in a hospital or institution, give its NAME instead of street and number)
2 FULL NAME
322 Pleasant
.St.,
Ward.
(If in the Army or Navy of the United States, give rank, organization, etc.)
(a) Residence. No ._
(Usual place of abode)
Length of residence in city or town where death occurred
years
months
days. How long in U. S., if of foreign birth? years
months days
PERSONAL AND STATISTICAL PARTICULARS
3 SEX
4 COLOR OR RACE
5 SINGLE, MARRIED, WIDOWED, OR
DIVORCED (write the word)
Widow
5a If married, widowed or divorced
HUSBAND of
(or) WIFE-of
J. Melinda
6 AGE
87
Years
Months 10
Days
25
If LESS than 1 day, __ hrs. Of ___ min.
If STILLBORN, enter that fact here
7 OCCUPATION OF DECEASED
(a) Trade, profession, or
particular kind of work
(b) Name of employer
Detired
Dorchester
8 BIRTHPLACE (City)
(State or country)
Mark.
9 NAME OF
FATHER
Benjamin Cafen
10 BIRTHPLACE OF
FATHER (City)
(State or country)
mass,
11 MAIDEN NAME
OF MOTHER
Eliza Eager
12 BIRTHPLACE OF
MOTHER (City)
(State or country)
Marchado
mass
(Address)
290 Summer té libertà
May
7
1928
(Year)
(Month)
(Day)
18 PLACE OF BURIAL, CREMATION OR REMOVAL
DATE OF BURIAL 5/9/28
(Cemetery)
(City or town)
19 UNDERTAKER
Ca Rollins
ADDRESS & Berton
20 | HEREBY CERTIFY that a satisfactory stan- dard certificate of death was filed with me BEFORE the burial or transit permit was issued
W.D. chillies
Official position
1) calthe office Date of issue
5/8/28. Permit NO 1408
q. B.a.
MEDICAL CERTIFICATE OF DEATH
15 DATE OF DEATH
May 6 1928
(Month)
(Day)
(Year)
16 I HEREBY CERTIFY, That I attended deceased from april 6 1928, to May 6 1928 that I last saw h IM
alive on may 6 28, and that death occurred, on the date stated above, at 1050 m. ,19 The CAUSE OF DEATH was as follows:
Uracima
(duration)
yrs .....
mos ..
1 ds.
ironic myo carditis
CONTRIBUTORY
-yrs.
(SECONDARY)
(duration)
3
mos.
ds
17 Where was disease contracted
if not at place of death ?.
FOR WHATI
Did an operation precede death?
Date of
Was there an autopsy? 200
Y
Ifunder one year, was infant Breast Fed?
What test confirmed diagnosis ?.
Enes Elscura, M. D.
(Signed)
Date
13 J. W. Com
(Address)
Informant
322 Prechant It
14 Filed_ (Month) (Day) (Year)
REGISTRAR
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
200,000 9-25 NO. 2662- 3.
R-301 OFFICE OF THE SECRETARY DIVISION OF VITAL STATISTICS 1 PLACE OF DEATH Suffolk County Bostan Without 322 Pleasant
Withro
State
Massachusetts
St., Ward
asa MM. Cahen
(If non-resident give city or town and state)
PARENTS
Dorchester
may 6, 199 2
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 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 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 da .; 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," 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.
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.