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HomeMy WebLinkAboutdeaths records form blank (2) a` k } loran"6 N° UNSATISFACTORY DEATH CERTIFICATES NOT TO BE ACCEPTED Notice Is hereby given to physicians, coroners aid either cataiahal or lobar, it should be so stated. If the moat make it clear whether the death eaiLs for a e°raaa/o Otdertakera that Registrars of Vital Statistics, deslg• ccnditlon was passive congest,.. of the lungs, pulmonary investigation. A Tra SI fat edema, or vpostatic pneumonia, the disease in which this MMRITIa. The certificate oust Nriow whtth7 the sss, dead ody tra sated to receive death certificates and issue bui condition oc urred must be named as the cause of death, tritis was puerperal or von-puerperal. It the farm;;, tt� permits, are instructed by the New York State Depart' CGNyULa[bNs, This is usually a very unsatisfactory certificate must make it clear whether the death calla for t meat of Health to refuse to accept or to issue It statement. Give the cause of the convulsions, which are a coroners investigation. burial or transit permit on a death certificate that mere symptoms that may occur in many diseases. In MISCARRIAGm. The certificate must make it clear wbetber females of childbearing age it should be ascertained whether the death calls for a coroner's investigation. The cause of Dist. No.--•• it defective in any one or more of the foll.wil$ they were of uerperal character.`i the miscarriage should be stated. details: DEBILITY; -hether alone, or qualified as "general de- NATURAL CAUsms: Thig is a very unsatisfactory stain• bility," iiafantile debility," "senile debility," etc., this ment: What was the disease causing death? 1. Omission of any information asked Ion On t return is practically worthless. Give the cause of the de- PERITONITIS. The cause should always be stated .s1_et. 9 if k4own. ally in deaths of fema of childbearing age. *as the A �� certificate. I)ENTITtON. "Teething" is not a satisfactory state- peritonitis puerperal, traalmatic, eta.? The certificate must r meat of cause of death, but on account of its presence in make :it clear whether the death calls for a coroner's y ,.."......... —' 8. Not written throughout In black Ink. The use „ lraerabl numbers in the actual returns, a special place investigation. a of rubber name stamps, black lead or indelible pencil; en provided far it among diseases of the digestive PYEMIA. The cause cf the disease should be stated, as County of" is unsatisfactory on a public document; !the census.classification. Inquiry should always tuberculous, puerperal, traumatic, etc., and the certinrats 4 Ue >+ o holr the disease, as enteritis, etc., that caused the should show whether t}e death calls for a coroner's In- the body lii 8. Mutilated, illegible, inaccurate. deg+ V e teething infout, vcstigation. o 4. Erasure, interlining, correction or alteration of z ?OF BRAIN, tU hGS, ETA.. When a -mere statement SEPTICEMIA. The cause should always be stated, esprci- � �__ 3► of a, certain orgai o _prz is, given •aquiry ally in defAhm of females of childbearing age. Was the anything printed or written on the certificate. If a ` ` ;rays be made as taf, ',wla of the ctscarre. septicemia. puerperal, t-amatic, etc.'? The certificate must a aiidresa of Sb mistake is made, another form should be filled out Varna of this class zt w _k rL h face, as, �t make it elaar -,ylia er the death calls for a coroner's 7 FOR THE M correctly. trials liven cvc plaint arc 3a k due; snveutigatlon ` Y et .. ro far Ifs c.,art ar x v c ,*n a SPINAL DIS 51�. iL�,this a disease of the spine or at 6. Where the stated cause of death is unsatisfactory he snug. oe th z LI.v a 3 ,m of tie spinal cord, Wl�it leas the nature of the disease? If a i or calls for additional information. A brief list of patic, renal ott r u is tt c, a oaald be tuil lens (it- ase of tbk spine, that fact should be clearly 3 Destinatio some of the most objectionable returns is here givcll, l; Attie can G `� a7 ft: tat I >a. z n aflnits r r S is t*nnN itP_ age indicated). A stillbirth is a eblm any one of which should lead to the rejection of the I rt,A Give the 1.r a 7.:I[ aEd } tit as.- y r �� R a:�not infrequently received in welch .Q certificate. Suggestions as to what additiomd infor i nvn traumas,c r * a r t fi..rt��n, fc' wrs nr days, is stated fora "stillborn" �° Local Re rbe, death-crtl fcr r t e r sgOh a case whether the child was in matron is necessary are appended: e4 What was the + .tee r i vi + 5 r, a dtxd �. 1 _°I q,. ich event ecrrect the statement of o Jt nt to make a p:i* e a u drf eL ciu 1 a e a•corie4,� d; a the statement of age is found to ., State of ABORTION. The certificate must make it clear q,bether We -terms, as °ty }11 f+r, irecl th r d was not "stillborn," and some M an injury or criminal operation calls for a coroner's invest I of 'uncertain e< }t i csn�e 7 ,r� s� stituted. 3 gation. In other words, the cause of the atortion should be should lavestigate Alt, dent)As f_i:: t nxcT,Uir. trI of wAatt It is usually of the m stated, baracter. t s in xAa� u :.hould be specified. Anseaas, This is usually an unsatisfactory statement, 'I3>II DISEASE" HURT FAIR 40- '11,+ �7xr g 4ti':i�t n c the 'paeans used? � 3 The Rs 'A'he cause o.`. the abscess should be given; as tubereulosle fs a r+' +:a uppvu Ameriffto stat3etzr-s t t{;ic <r ua o What was the operation under- cause etc., and the organ or part of the body affecteb acceyted, cat inquiry should be Inli.s rvnctaa¢ Q> ,: e :a t for? 1i f2 or injury requiring a surgical 4 should be stated. disease of the heart was iRtendrd and if n , Sit a or 1 �fc atlod shout be It may be assumed, as a rule, SrE ACCIDENT. AIwAyS state the nature of the accident, the r" C.+s'e that caused the heat; taiiu e \c;t ,iPfiFg1-�'� tjty ft'Ia o xa: u ^� + egnired for some disease or injury. by the the nature of the injury, 3i;.yberl4, puerperal septicemia, oa other sari cl,:aiit t u sA.,I :Vas iI) performed; hence the operation in the Lavc AspHYxiA. This is a particularly objectionable veto; ti.a: i:ee. co.cealcd by the igiwraat Ox lateaiboa:atity mis- itsclE tl1 Gold no bee sled as the sole cause of death, A When unqualified. Give the cause of the asphyxin, whethe t 1av;also of this term, snriilar rate ap es ,oaths during the administration of disease or external violence, and if the latter, state wlietbfi llsltsol1aHAov. From what organ or part of the body Gild au their, i for rgt 'rutposes. accidental, suicidal, etc„ and the saner nature of the uautk the hemorrhage occur? What was the cause of the hemor- q P n^r n re an" l . eo0lon follows an injury and the i From of death, as by illuminating gas, gas from stove, suft'rca. rhage? Inquire especially i'nr puerperal hemorrhage, sari tiri,.: .te m+ t naxc ',iclea:l whether the death calls for tioa by gas or deprivation of air in mine, etc. Similar in hemorrhage of the lungs (frequently reported.as hemor- a corriaet a iarve tigat No.c terms are choking, strangulation, and suRocation, death$ rhage" wiithout qualification) alwnys in as to whether 2rjuc,)s W,,"t a ear? Whether a cancer or a benign from which causes should always be ex IVItly detued. : the case was not a tuberculous one, ttarnor,the organ or of the body affected should always No., ANEMIA. The cause of the anemia should to stated, if INANITION. In some localities, this term covers a multi- Ile stated. llIJJJ ascertainable—tuberculosis, syphilis, etc. tude of imperfect diagnoses, What was the cause of tba TymioiD p;rn;U,in. �, i Was this typhoid fever or pneu• t V ta" 1E3RAIN FavmR. This term, and its Latinuiv'equivalent, "en. 11 inanition?" The name of the disease should be given that Inonla? i oephal,tis," are too indefinite. See also "meningitis." led to this condition. PAnArYgig, The ''atyae must be stated, as cerebral Via CANCER. Always state organ on•Part atPgeted. IJALAssIMILATION. What disease caused the malassiml- hermdorrhage or solaApecific form of disease of the spinal �112 CzLLVLITI9, state whether traumatic or non-traumatic, lation? 1p Ime certificate must make it clear whether the death calls MARASM178. What disease caused the marasmus (wast- CONGENITAL DrI117T't. The Certificate must state What ! for a coroner's investigation. ing)? This is a very unsatisfactory statement, as usually disease caused the d¢1l��'nllty. N` CHII,DSIRTH, If puerperal septicemia mused the flostb, made, and is practically worthless for statistical purposes. OLD AGE. -The diectise eausing death must be indicated. this ahoul8 be stated. The certificate must also make it MENINGITIS. Always specify fully all deaths that occur sa7nnmN DIinTIr. 771 cause of the death must be given, if w+ S• clear whether an injury or criminal operation calls for a from epidemic cerebrospival meningitis, Never omit the If unknown, the eel°titicats should show whether the death ` soroner's investigation. word epidemic, or shorten to cerebral or spinal. When calls for a coroner's Inxestigation. `. CoN�sI TIoN. This term should never be used on a car. meningitis results from tuberculosis• traumatism, etc., this UNKNOWN. The certificate a e cause should show whether the death I HMata / death. It the death was duo t0 pneumonic, fact must be stated, If trauma is the the certificate calls for a oar""or+a r ..__.,