260 EVOLUTION AND DISEASE. 
disease, published at Turin, 1848. The boy is described 
as being twenty years old, is one metre in height; he is 
deaf and dumb, not comprehending any sign, and spends 
his time in turning the small baton between his fingers ; 
the intellectual faculties are practically wanting. 
Fic, 126.—An endemic Cretin twenty years old: one metre 
high. (From the Sardinian Report.) 
Until recently it was little thought that cretinism 
occurs in our country, although it was known that goitre 
is endemic in certain districts. In 1871 Dr. Hilton 
Fagge? clearly showed that cretins occurred in England 
*“ Medico-Chir. Trans.,”” 1871. 
