Haematuria-inducing areas in the northern and central parts of the Eastern Carpathian Mountains are characterised by the mesozoic-crystalline, neogene eruptive and transcarpathian flysch zones. The rocks have high concentrations of some metals and radioactive elements, some of them bearing polymetallic sulphides. The soils are strongly or moderately acid and oligomesobasic. They have a deficiency of soluble phosphorus and molybdenum, but up to 4.9 times the background content of metallic elements in non-affected zones. The waters have a pH around 7, a low content of salts (0.09-0.62 g L-l), but metal levels in excess of 10 times that of the background level. Pasture vegetation has a low nutritional value, and includes up to 12% of poisonous plant species. It is characterised by low total concentrations of P, Mo, N and K, and high total concentrations of metallic trace elements, including high values of Zn and excessive values of Fe, Mn, Pb, Cr, Ni, Cd and AI. Besides clinical symptoms specific to haematuria, sick animals have abnormal blood and urinary compositions and specific morphopathological features. High concentrations of metallic elements were detected in renal calculi. The correlation of the geochemical and biogeochemical features of the haematuria-inducing areas, together with the results of the epizootological, clinical, paraclinical and morphopathological research emphasises that chronic cattle haematuria is a disease with numerous causes, but is primarily a biogeochemical problem in the area studied, making it an 'ecosystem disease'.