Trace element definition and functions, and inputs into soils from the most important anthropogenic sources, related and not related to agricultural practices, of general and local or incidental concern, are discussed in the first part of this review. Trace element inputs include those from commercial fertilizers, liming materials and agrochemicals, sewage sludges and other wastes used as soil amendments, irrigation waters, and atmospheric depositions from urban, industrial, and other sources. In the second part of the review, the most important ascertained effects of soil trace elements on human health are presented. The possible relations found between some specific soil trace elements, such as Cd, Se, As and others, and cancer incidence and mortality, and diffusion of other important human diseases are reviewed. Brief conclusions and recommendations conclude this review.