The first health effects of cadmium (Cd) were reported already in 1858. Respiratory and gastrointestinal symptoms occurred among persons using Cd-containing polishing agent. The first experimental toxicological studies are from 1919. Bone effects and proteinuria in humans were reported in the 1940's. After World War II, a bone disease with fractures and severe pain, the itai-itai disease, a form of Cd-induced renal osteomalacia, was identified in Japan. Subsequently, the toxicokinetics and toxicodynamics of Cd were described including its binding to the protein metallothionein. International warnings of health risks from Cd-pollution were issued in the 1970's. Reproductive and carcinogenic effects were studied at an early stage, but a quantitative assessment of these effects in humans is still subject to considerable uncertainty. The World Health Organization in its International Program on Chemical Safety, WHO/IPCS (1992) (Cadmium. Environmental Health Criteria Document 134, IPCS. WHO, Geneva, 1-280.) identified renal dysfunction as the critical effect and a crude quantitative evaluation was presented. In the 1990's and 2000 several epidemiological studies have reported adverse health effects, sometimes at low environmental exposures to Cd, in population groups in Japan, China, Europe and USA (reviewed in other contributions to the present volume). The early identification of an important role of metallothionein in cadmium toxicology formed the basis for recent studies using biomarkers of susceptibility to development of Cd-related renal dysfunction such as gene expression of metallothionein in peripheral lymphocytes and autoantibodies against metallothionein in blood plasma. Findings in these studies indicate that very low exposure levels to cadmium may give rise to renal dysfunction among sensitive subgroups of human populations such as persons with diabetes.

Using amendments is a cost-effective method to soil cadmium (Cd) remediation, whereas knowledge about how different amendments and rates affect remediation efficiency remains limited. This study aimed to evaluate the impacts of different types and amounts of amendments on soil Cd immobilization and its uptake by plants. Biochar (BC), zeolite (ZE), humic acid (HA), superphosphate (SP), lime (L), and sodium sulfide (SS) were applied at three rates (low, medium, and high) ranging from 0.5 to 5%. The concentration of CaCl-extractable Cd was considerably affected by the amendments, except HA, and the high doses achieved better immobilization effects than the low doses did. The addition of amendments decreased weak acid soluble Cd by 4.1-44.0% but slightly increased the fractions of oxidizable and residual Cd. These amendments (except BC and HA dose of 1%) decreased Cd accumulation in grains by 1.3-68.8% and (except SP) in roots by 16.3-65.5% compared with the control. The SP efficiently immobilized Cd but posed a potential soil acidification risk. Moreover, SS treatment increased the soil electrical conductivity (EC) value and restricted the growth of wheat, possibly due to high-salt stress. BC, ZE, and L exerted significant effects on the reduction in available Cd as the application rate increased. These amendments enhanced Cd immobilization mainly by changing Cd availability in soil and influencing its redistribution in different fractions in soil and root uptake by plants. This study concluded that BC-5%, ZE-1%, and L-0.5% can be used for Cd immobilization in acidic or neutral soils.