The symptoms of Itai-Itai disease were first observed in 1913 and characterized between 1947 and 1955; it was 1968, however, before the Japanese Ministry of Health and Welfare officially declared that the disease was caused by chronic cadmium poisoning in conjunction with other factors such as the stresses of pregnancy and lactation, aging, and dietary deficiencies of vitamin D and calcium. The name arose from the cries of pain, "itai-itai" (ouch-ouch) by the most seriously stricken victims, older Japanese farm women. Although men, young women, and children were also exposed, 95% of the victims were post-menopausal women over 50 years of age. They usually had given birth to several children and had lived more than 30 years within 2 mi (3 km) of the lower stream of the Jinzu River near Toyama.

The disease started with symptoms similar to rheumatism, neuralgia, or neuritis. Then came bone lesions, osteomalacia, and osteoporosis, along with renal disfunction and...