THE present study of endemic cretinism is based on an analysis of 203 cases of the disease, comprising the total cretinous population of the Gilgit and Mastuj districts. These districts extend over an area of about 500 miles of Himalayan country. The cases have been collected by a house-to-house examination of almost every goitrous village in the district, so that few examples of the disease have escaped my observation. At the outset I should, perhaps, direct attention to the fact that the observations to be detailed and the conclusions to be drawn refer only to cretinism as prevailing among the Chitrali and Gilgiti races.
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