(1) In this area, there is evidence to show that
goitre incidence in children is associated with
water supplies from cretaceous formations.
(2) These water supplies contain in suspension
mineral matter of a calcareous nature.
(3) There is no evidence in this area to show that
contaminated water supply is a factor in the
causation of goitre.
(4) The class of child liable to attack With goitre
is the mal- nourished child of the agricultural
(5) This subnórmal nutrition is due to a deficient
dietary lacking in vitamines.
(6) Simple goitre in early life increases the
numbers of "dull and backward" children.
(7) The goitrous child is often handicapped in
later life on account of his liability to disease
and lowered mentality.
(8) If malnutrition were prevented or treated in
the pre- school period, the number of goitrous
children would be small. The rural worker should
be instructed in a more suitable dietary for his
(9) That treatment of malnutrition in early goitre
is of primary importance.
(10) Diseased tonsils herald the onset of goitre,
and tonsillectomy is harmful in these cases.
(11) Iodine is definitely curative of such diseased
tonsils and early goitres, provided malnutrition, if present, is treated at the same time.