260 E VOL UTION 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. 



Fin. 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 



1 " Medico-Chir. Trans.," 1871. 



