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Arsenic ranks No. 1 on the ATSDR’s substance priority list. In many regions, groundwater arsenic levels far exceed the EPA and WHO limit of 10 µg/L, and exposures below this “safe” level still impair infant growth.

Arsenic (As)

Researched by:

  • Divine Aleru ID
    Divine Aleru

    User avatarDivine Aleru is an accomplished biochemist and researcher with a specialized background in environmental toxicology, focusing on the impacts of heavy metals on human health. With deep-rooted expertise in microbiome signatures analysis, Divine seamlessly blends rigorous scientific training with her passion for deciphering the intricate relationships between environmental exposures and the human microbiome. Her career is distinguished by a commitment to advancing integrative health interventions, leveraging cutting-edge microbiome research to illuminate how toxic metals shape biological systems. Driven by curiosity and innovation, Divine is dedicated to translating complex environmental findings into actionable insights that improve individual and public health outcomes.

    Read More

October 15, 2025

Arsenic is a naturally occurring metalloid that ranks first on the ATSDR toxic substances list. Inorganic arsenic contaminates water, rice and consumer products, and exposure is linked to cardiovascular disease, cognitive deficits, low birth weight and cancer. HMTC’s stringent certification applies ALARA principles to protect vulnerable populations.

Researched by:

  • Divine Aleru ID
    Divine Aleru

    User avatarDivine Aleru is an accomplished biochemist and researcher with a specialized background in environmental toxicology, focusing on the impacts of heavy metals on human health. With deep-rooted expertise in microbiome signatures analysis, Divine seamlessly blends rigorous scientific training with her passion for deciphering the intricate relationships between environmental exposures and the human microbiome. Her career is distinguished by a commitment to advancing integrative health interventions, leveraging cutting-edge microbiome research to illuminate how toxic metals shape biological systems. Driven by curiosity and innovation, Divine is dedicated to translating complex environmental findings into actionable insights that improve individual and public health outcomes.

    Read More

Last Updated: 2025-10-06

Our team of researchers are constantly monitoring and summarizing the latest research,
and we continue to update our pages to ensure you have the most accurate information.

Note on the last update: One new meta analysis added

Divine Aleru

Divine Aleru is an accomplished biochemist and researcher with a specialized background in environmental toxicology, focusing on the impacts of heavy metals on human health. With deep-rooted expertise in microbiome signatures analysis, Divine seamlessly blends rigorous scientific training with her passion for deciphering the intricate relationships between environmental exposures and the human microbiome. Her career is distinguished by a commitment to advancing integrative health interventions, leveraging cutting-edge microbiome research to illuminate how toxic metals shape biological systems. Driven by curiosity and innovation, Divine is dedicated to translating complex environmental findings into actionable insights that improve individual and public health outcomes.

Arsenic is a metalloid that occupies the top position on the U.S. Agency for Toxic Substances & Disease Registry (ATSDR) substance priority list, surpassing even lead and mercury.[1] It occurs naturally in rocks and soils and is mobilized by industrial activities such as mining, smelting, and the manufacture of pesticides. The U.S. Environmental Protection Agency (EPA) and the World Health Organization (WHO) have set a maximum contaminant level of 10 µg/L for drinking water.[2][3] Yet, more than 100 million people worldwide still rely on contaminated wells. Chronic exposure to inorganic arsenic is associated with significant health issues, making it a key metal in the Heavy Metal Tested & Certified (HMTC) Top-8 certification program.

Overview

Arsenic exists as trivalent arsenite (As III) and pentavalent arsenate (As V) in inorganic form and as organo‑arsenicals such as arsenobetaine, dimethylarsinic acid (DMA), monomethylarsonic acid (MMA) and arsenosugars.[4][5] Inorganic species lack a carbon–arsenic bond and are considerably more toxic than organic arsenic; some methylated forms (DMA and MMA) may still pose health concerns. [6]Naturally occurring arsenic leaches from bedrock into groundwater in geologically susceptible regions, and anthropogenic activities such as mining, coal combustion, chromated‑copper‑arsenate lumber, herbicide/pesticide manufacture, glass production and semiconductor processing raise local soil and water concentrations.[7] Food has become a major exposure source: rice accumulates arsenic from flooded soils, seafood contains organo‑arsenicals and some seaweeds accumulate inorganic arsenic, and arsenic has been detected in apple juice, pear juice, wines and herbal supplements.[8] Because inorganic arsenic is genotoxic and disrupts cellular signaling and epigenetic regulation, chronic exposure from environmental, dietary and industrial sources contributes to cancers, cardiovascular disease and neurodevelopmental deficits.[9]

Major Sources of Exposure

Human arsenic exposure arises from multiple pathways. In regions with naturally high arsenic, private wells and poorly regulated public supplies may contain tens to hundreds of micrograms per liter of inorganic arsenic, well above the 10 µg/L drinking‑water guideline.[10] Diet is another key route: rice and rice‑based foods accumulate inorganic arsenic, and rice‑based infant cereals often contain the highest concentrations.[11] Seafood and certain seaweeds mainly contribute organo‑arsenicals such as arsenobetaine and arsenosugars.[12] Occupational exposures occur in mining, smelting, wood‑treatment, and semiconductor fabrication, where arsenic‑laden dust is inhaled.[13]

Exposure Category
Supporting Research Evidence
EnvironmentalArsenic exposure occurs mainly through contaminated drinking water, particularly in regions with naturally high concentrations.[14] Groundwater, especially from private wells, can exceed the EPA/WHO guideline of 10 µg/L, posing significant risks to populations relying on unregulated water sources.[15][16] Arsenic is also a byproduct of industrial activities such as mining and coal combustion, contaminating surrounding environments.[17]
DietaryRice, seafood, and herbal supplements are key sources of dietary arsenic exposure.[18] Rice absorbs arsenic from contaminated water and soil, especially in flooded fields, and rice-based baby foods are a significant concern due to high levels of inorganic arsenic. Seafood typically contains organic arsenic, which is less toxic, but certain seaweeds and fish can accumulate inorganic arsenic, posing health risks.[19]
OccupationalOccupational exposure occurs in industries such as mining, glass manufacturing, and semiconductor production, where workers inhale arsenic-laden dust.[20] The arsenic in these settings is typically airborne, contributing to long-term health issues like lung and bladder cancers. Smokers and those exposed to diesel exhaust face even greater risks due to the synergistic effects of arsenic and other carcinogens.

Adverse Health Effects

Arsenic exposure is associated with a wide range of systemic toxic effects, with evidence highlighting its detrimental impact on vulnerable groups, including infants, children, and pregnant women.[21] Recent studies have shown that even low-to-moderate levels of arsenic exposure can lead to significant health problems, including cardiovascular disease, neurodevelopmental impairments, and adverse birth outcomes.[22][23] Chronic exposure to inorganic arsenic has been linked to several types of cancer, as well as to metabolic and vascular diseases. The mechanisms behind the toxic effects of arsenic involves the generation of reactive oxygen species, DNA damage, and disruption of endocrine regulation, with long-term effects on immune and cardiovascular systems.[24]

Health EffectSupporting Research (Author, Year, Journal)
Stroke and ischemic heart diseaseUrinary arsenic was positively associated with stroke incidence (RR 1.62) and ischemic heart disease (RR 1.37).[25] This systematic review also found that arsenic exposure contributed to increased mortality from ischemic heart disease and acute myocardial infarction (AMI) when ecological studies were excluded.[26] The analysis suggested that both men and women experienced higher risks, especially at low-to-moderate levels of exposure (<100 µg l).[27]
Cognitive impairment/IQ reductionA systematic review synthesized studies from diverse cohorts across Bangladesh, China, and other regions and found that higher arsenic exposure consistently led to lower IQ scores, memory impairment, and poor processing speed in children, even after adjusting for socioeconomic factors.[28]
Low birth weight and shorter gestationPrenatal exposure to arsenic concentrations below the EPA’s 10 µg/L standard were associated with reduced birth-weight-for-gestational-age z scores and increased risk of low birth weight.[29]
Skin, lung, bladder, kidney cancersArsenic is classified as a Group 1 human carcinogen by the International Agency for Research on Cancer.[30] Long-term arsenic exposure causes cancers of the skin, lung, bladder, kidney, and liver. The mechanisms include the generation of reactive oxygen species (ROS), DNA damage, and interference with DNA repair, leading to mutations and carcinogenesis.[31]
Skin lesionsChronic arsenic exposure is associated with skin lesions, including keratosis and hyperkeratosis, which are sensitive biomarkers of arsenic toxicity. Skin lesions often precede other systemic health effects and can be used to detect early arsenic toxicity.[32]
Hypertension and vascular diseaseChronic arsenic exposure has been linked to hypertension and coronary disease, with epidemiological studies showing a higher incidence of cardiovascular issues in populations with prolonged exposure to arsenic, especially in drinking water.[33] Arsenic exposure disrupts vascular function, leading to endothelial dysfunction and an increased risk of developing atherosclerosis, hypertension, and related cardiovascular diseases.[34]
Diabetes and endocrine dysfunctionLong-term exposure to inorganic arsenic has been associated with metabolic disorders, including diabetes. The FDA reports that arsenic disrupts endocrine function, potentially altering insulin signaling pathways and leading to insulin resistance, which is a precursor to diabetes.[35] Epidemiological studies have consistently shown that populations with higher arsenic exposure have elevated rates of type 2 diabetes, further supporting arsenic’s role in metabolic dysfunction.[36]

Consumer Relevance

Arsenic is a toxic element that can be found in several everyday products. It poses potential risks to human health through its presence in food, beverages, supplements, and even certain occupational settings. Key industries and consumer products can expose individuals to arsenic, often through contamination or as a result of regulatory gaps.

ProductsConsumer Relevance
Rice and Baby FoodsRice absorbs arsenic from soil and irrigation, with baby foods containing rice posing risks.[37] EU limits arsenic in baby foods to 0.1 mg/kg; FDA sets limits at 100 µg/kg for rice cereal. Rice cakes and rice flours may exceed these limits.
Apple Juice and FruitInorganic arsenic has been found in apple juices, with the FDA proposing a 10 ppb action level; regulations are still evolving.[38]
Seafood and SeaweedSeafood mostly contains non-toxic arsenic, but some seaweeds accumulate toxic forms like arsenosugars.[39]
Herbal and Dietary SupplementsSome Ayurvedic and traditional medicines are contaminated with arsenic, highlighting the need for third-party testing.[40]
Occupational SettingsWorkers in mining, smelting, and semiconductor industries are at risk. Treated wood from older structures can release arsenic-laden dust.[41]

Regulatory Snapshot

EPA and WHO limit inorganic arsenic in public drinking water to 10 µg/L (10 ppb).[42] Private wells are unregulated. The EU Regulation 2023/915 sets maximum levels of inorganic arsenic in polished rice (0.15 mg/kg), parboiled rice (0.25 mg/kg) and rice intended for infant foods (0.1 mg/kg).[43] Rice cakes and rice flours have MRLs of 0.3 mg/kg and 0.25 mg/kg, respectively.[44] FDA’s action level for infant rice cereal is 100 µg/kg; no binding limits yet exist for other foods.[45] OSHA limits airborne arsenic to 10 µg/m³.[46] Standards focus on drinking water and rice but neglect other foods and supplements. Emerging evidence shows adverse birth outcomes at arsenic levels below current drinking water limits, suggesting the MCL is not sufficiently protective. Organic arsenic species (DMA/MMA) lack clear regulatory thresholds despite potential toxicity

Implications for the HMTC Program

The HMTC program adopts the As Low As Reasonably Achievable (ALARA) principle for arsenic. Certified products undergo stringent testing for total and inorganic arsenic in raw materials, finished goods and packaging. By targeting lower action limits than regulatory requirements, HMTC protects consumers, especially infants and pregnant individuals, from subtle but significant health risks. Brands that achieve HMTC certification demonstrate transparency and leadership, positioning themselves ahead of tightening regulations and earning trust among clinicians and parents. With global awareness of arsenic’s health impacts rising, proactive testing and disclosure will be essential to differentiate safe products.

Research Feed

Chronic arsenic exposure-provoked biotoxicity involved in liver-microbiota-gut axis disruption in chickens based on multi-omics technologies
January 17, 2024

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The effect of the Environmental Protection Agency maximum contaminant level on arsenic exposure in the USA from 2003 to 2014: an analysis of the National Health and Nutrition Examination Survey (NHANES)

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The Broad Scope of Health Effects from Chronic Arsenic Exposure: Update on a Worldwide Public Health Problem
January 3, 2013

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Arsenic and cancer: Evidence and mechanisms
February 12, 2024

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Organoarsenicals in Seafood: Occurrence, Dietary Exposure, Toxicity, and Risk Assessment Considerations — A Review
January 29, 2021

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Feasible approaches for arsenic speciation analysis in foods for dietary exposure assessment: a review
January 8, 2025

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Toxicology of Airborne Inorganic Arsenic: Oxidative Stress, Molecular Mechanisms, and Organ-Specific Pathologies
September 4, 2025

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Diet’s role in the toxicity of inorganic arsenic (iAs): A journey from soil to children’s mouth
November 27, 2012

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Environmental Source of Arsenic Exposure
September 11, 2014

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The private well water climate impact index: Characterization of community-level climate-related hazards and vulnerability in the continental United States
November 14, 2024

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US drinking water quality: Exposure risk profiles for seven legacy and emerging contaminants
September 22, 2023

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Arsenic Contamination in Sludge and Sediment and Relationship with Microbial Resistance Genes: Interactions and Remediation

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Health Effects Associated with Inhalation of Airborne Arsenic Arising from Mining Operations
August 13, 2014

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Maternal Exposure to Arsenic and Its Impact on Maternal and Fetal Health: A Review
November 21, 2023

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Low-to-moderate arsenic exposure: a global systematic review of cardiovascular disease risks
May 9, 2025

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Arsenic contamination in rice and drinking water: An insight on human cognitive function
November 23, 2024

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Exposure to arsenic and cognitive impairment in children: A systematic review
February 26, 2025

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Public Water Arsenic and Birth Outcomes in the Environmental Influences on Child Health Outcomes Cohort
June 16, 2025

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Prevalence of arsenic-induced skin lesions and associated factors in Ethiopia: Community-based study
July 29, 2023

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Mitigating dietary arsenic exposure: Current status in the United States and recommendations for an improved path forward
January 5, 2017

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Arsenic in Rice and Rice-Based Products with Regard to Consumer Health
October 2, 2024

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Heavy Metals and Gut Microbiota: Interactions, Health Risks, and Certification Implications

This review details how toxic and essential heavy metals interact metabolically with the gut microbiota, influencing absorption, toxicity, and health outcomes. Findings emphasize bidirectional effects, the risks of combined exposures, and the importance of microbiome health in heavy metal safety certification.

Overview This comprehensive review examines the metabolic interactions between ten common heavy metals—including toxic heavy metals (THMs) such as arsenic (As), mercury (Hg), lead (Pb), and cadmium (Cd), and essential trace elements like iron (Fe), copper (Cu), and manganese (Mn)—and the gut microbiota. The review summarizes how both toxic and essential metals influence the composition, diversity, and metabolic functions of the gut microbiome, and, reciprocally, how the gut microbiota modulates the absorption, metabolism, and toxicity of these metals. The analysis incorporates data from in vivo and in vitro studies across multiple species (humans, rodents, fish, birds, and insects), focusing on the bidirectional relationship and the resulting health implications, including metabolic, inflammatory, neurological, and immune disorders. Special attention is given to the consequences of both deficiencies and excesses of essential trace elements, and the additive, synergistic, or antagonistic effects of combined metal exposures, reflecting real-world environmental and dietary exposures. Who was reviewed? The review aggregates findings from a broad spectrum of research involving human cohorts, various animal models (rodents, fish, birds, insects), and in vitro systems. These studies investigated the effects of single and combined exposures to heavy metals and trace elements on gut microbiota composition, metabolic pathways, and related health outcomes. Both clinical and epidemiological studies in humans, as well as controlled laboratory experiments in animals, are included. The review highlights population subgroups such as infants, children, and occupationally exposed adults, as well as special conditions such as high-fat diets, specific disease models (e.g., diabetes, cancer), and gender-specific effects. Key Findings on Heavy Metals, Trace Elements, and the Gut Microbiota The review highlights how both toxic heavy metals and essential trace elements can disrupt gut microbiota composition and function, with significant implications for host metabolism, immunity, and long-term health. These interactions are highly relevant to heavy metal certification and safety programs because they underscore the role of the gut microbiota as both a target and mediator of metal toxicity. The evidence also emphasizes the complexity of combined exposures, the promise of probiotic interventions, and the potential utility of microbiome biomarkers in certification frameworks. FindingDetailsToxic Heavy Metals (THMs)Arsenic (As), mercury (Hg), lead (Pb), and cadmium (Cd) disrupt gut microbiota diversity and metabolic activity, weakening gut barrier function. Linked to metabolic disorders, immune dysregulation, neurotoxicity, inflammation, and chronic disease risk.Essential Trace ElementsIron (Fe), copper (Cu), and manganese (Mn) are required in small amounts but toxic in excess. Elevated Cu reduces probiotics and impairs gut barrier integrity; Fe imbalance alters fatty acid metabolism, promotes pathogens, and drives inflammation; excess Mn is linked to neurotoxicity and neurotransmitter disruption.Bidirectional InteractionsThe gut microbiota can transform, detoxify, or accumulate metals, influencing their bioavailability and toxicity. Lactobacillus, Bifidobacterium, and Akkermansia mitigate toxicity via chelation, metabolic transformation, and gut barrier maintenance.Combined ExposuresMultiple metals often co-occur in food and environment, producing additive, synergistic, or antagonistic effects. Examples include Cr and Ni, which jointly alter microbiota composition, metabolic pathways, and inflammatory outcomes.Probiotic and Biomarker StrategiesProbiotics (conventional and next-generation) reduce absorption and mitigate toxicity. Microbial biomarkers show potential as indicators of exposure or early effect, supporting certification and monitoring.Health ImplicationsMetal-induced microbiota disruptions are mechanistically linked to diabetes, cardiovascular disease, neurodegenerative conditions, cancer, and immune dysfunction, underscoring broad public health risks. Key implications For heavy metal certification programs (such as HMTC), these findings underscore the necessity of considering not only direct toxicological thresholds but also the indirect and long-term health effects mediated by the gut microbiota. Regulatory standards should account for the complex interplay between metals and the microbiome, including the risks posed by mixtures, the potential for low-level chronic exposures to induce subtle but significant health outcomes, and the protective or mitigating role of specific microbial taxa. Certification protocols may benefit from incorporating assessments of microbiome health, the use of probiotic interventions, and the development of microbial or metabolic biomarkers to monitor exposure and effect. The review also highlights the importance of gender-specific and age-specific considerations, as well as the need to expand research into combined exposures and real-world scenarios to better inform safety standards and regulatory policies. Citation Zhu Q, Chen B, Zhang F, Zhang B, Guo Y, Pang M, Huang L, Wang T. Toxic and essential metals: metabolic interactions with the gut microbiota and health implications. Front Nutr. 2024;11:1448388. doi:10.3389/fnut.2024.1448388
Arsenic and Cardiovascular Disease
November 17, 2008

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Arsenic exposure induces glucose intolerance and alters global energy metabolism
November 8, 2017

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Elevated whole blood arsenic level is associated with type 2 diabetes in coal-burning areas in Guizhou
July 18, 2020

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The ALARA Principle

The ALARA principle (“As Low As Reasonably Achievable”) is a safety standard that minimizes harmful exposures like heavy metals beyond regulatory compliance. By applying continuous reduction practices, it ensures food and consumer products meet the lowest feasible contamination levels, protecting vulnerable populations from cumulative risks.

References

  1. Chronic arsenic exposure-provoked biotoxicity involved in liver-microbiota-gut axis disruption in chickens based on multi-omics technologies.. Li, J., Guo, C., Liu, Y., Han, B., Lv, Z., Jiang, H., Li, S., & Zhang, Z. (2025).. (Journal of Advanced Research, 67, 373-386.)
  2. The effect of the Environmental Protection Agency maximum contaminant level on arsenic exposure in the USA from 2003 to 2014: An analysis of the National Health and Nutrition Examination Survey (NHANES).. Nigra, A. E., Sanchez, T. R., Nachman, K. E., Harvey, D., Chillrud, S. N., Graziano, J. H., & Navas-Acien, A. (2017).. (The Lancet. Public Health, 2(11), e513.)
  3. The Broad Scope of Health Effects from Chronic Arsenic Exposure: Update on a Worldwide Public Health Problem.. Naujokas, M. F., Anderson, B., Ahsan, H., Aposhian, H. V., Graziano, J. H., Thompson, C., & Suk, W. A. (2013).. (Environmental Health Perspectives, 121(3), 295.)
  4. The Broad Scope of Health Effects from Chronic Arsenic Exposure: Update on a Worldwide Public Health Problem.. Naujokas, M. F., Anderson, B., Ahsan, H., Aposhian, H. V., Graziano, J. H., Thompson, C., & Suk, W. A. (2013).. (Environmental Health Perspectives, 121(3), 295.)
  5. Organoarsenicals in Seafood: Occurrence, Dietary Exposure, Toxicity, and Risk Assessment Considerations — A Review.. Luvonga, C., Rimmer, C. A., Yu, L. L., & Lee, S. B. (2020).. (Journal of Agricultural and Food Chemistry, 68(4), 943.)
  6. Feasible approaches for arsenic speciation analysis in foods for dietary exposure assessment: a review. . Chung, S. W. C. (2025).. (Food Additives & Contaminants: Part A, 42(3), 342–358.)
  7. Arsenic and cancer: Evidence and mechanisms.. Speer, R. M., Zhou, X., Volk, L. B., Liu, K. J., & Hudson, L. G. (2022).. (Advances in Pharmacology (San Diego, Calif.), 96, 151.)
  8. Arsenic and cancer: Evidence and mechanisms.. Speer, R. M., Zhou, X., Volk, L. B., Liu, K. J., & Hudson, L. G. (2022).. (Advances in Pharmacology (San Diego, Calif.), 96, 151.)
  9. Toxicology of Airborne Inorganic Arsenic: Oxidative Stress, Molecular Mechanisms, and Organ-Specific Pathologies.. Liu, Q. (2025).. (Toxics, 13(9), 753.)
  10. Arsenic and cancer: Evidence and mechanisms.. Speer, R. M., Zhou, X., Volk, L. B., Liu, K. J., & Hudson, L. G. (2022).. (Advances in Pharmacology (San Diego, Calif.), 96, 151.)
  11. Diet's role in the toxicity of inorganic arsenic (iAs): A journey from soil to children's mouth.. Da Sacco, L., Baldassarre, A., & Masotti, A. (2013).. (Journal of Geochemical Exploration, 131, 45-51.)
  12. Organoarsenicals in Seafood: Occurrence, Dietary Exposure, Toxicity, and Risk Assessment Considerations — A Review.. Luvonga, C., Rimmer, C. A., Yu, L. L., & Lee, S. B. (2020).. (Journal of Agricultural and Food Chemistry, 68(4), 943.)
  13. Arsenic and cancer: Evidence and mechanisms.. Speer, R. M., Zhou, X., Volk, L. B., Liu, K. J., & Hudson, L. G. (2022).. (Advances in Pharmacology (San Diego, Calif.), 96, 151.)
  14. Environmental Source of Arsenic Exposure.. Chung, Y., Yu, D., & Hong, S. (2014).. (Journal of Preventive Medicine and Public Health, 47(5), 253.)
  15. US drinking water quality: Exposure risk profiles for seven legacy and emerging contaminants.. Levin, R., Villanueva, C. M., Beene, D., Cradock, A. L., Lewis, J., Minovi, D., Nigra, A. E., Olson, E. D., Schaider, L. A., Ward, M. H., & Deziel, N. C. (2024).. (Journal of Exposure Science & Environmental Epidemiology, 34(1), 3-22.)
  16. The Private Well Water Climate Impact Index: Characterization of Community-level Climate-related Hazards and Vulnerability in the Continental United States.. Peer, Komal, Brian Hubbard, Michele Monti, Patrick Vander Kelen, and Angela K. Werner.. (Science of The Total Environment 957, (2024): 177409. Accessed October 8, 2025.)
  17. Arsenic Contamination in Sludge and Sediment and Relationship with Microbial Resistance Genes: Interactions and Remediation.. Xing, M., Yan, D., Hai, M., Zhang, Y., Zhang, Z., & Li, F. (2024).. (Water, 16(24), 3633.)
  18. Diet's role in the toxicity of inorganic arsenic (iAs): A journey from soil to children's mouth.. Da Sacco, L., Baldassarre, A., & Masotti, A. (2013).. (Journal of Geochemical Exploration, 131, 45-51.)
  19. Organoarsenicals in Seafood: Occurrence, Dietary Exposure, Toxicity, and Risk Assessment Considerations — A Review.. Luvonga, C., Rimmer, C. A., Yu, L. L., & Lee, S. B. (2020).. (Journal of Agricultural and Food Chemistry, 68(4), 943.)
  20. Health Effects Associated with Inhalation of Airborne Arsenic Arising from Mining Operations.. Martin, R., Dowling, K., Pearce, D., Sillitoe, J., & Florentine, S. (2014).. (Geosciences, 4(3), 128-175.)
  21. Maternal Exposure to Arsenic and Its Impact on Maternal and Fetal Health: A Review.. Ortiz-Garcia, N. Y., Cipriano Ramírez, A. I., Juarez, K., Galindo, J. B., Briceño, G., & Martinez, E. C. (2023).. (Cureus, 15(11), e49177.)
  22. Low-to-moderate arsenic exposure: A global systematic review of cardiovascular disease risks. Gopang, M., Yazdi, M. D., Moyer, A., Smith, D. M., & Meliker, J. R. (2025).. (Environmental Health, 24, 29.)
  23. Arsenic contamination in rice and drinking water: An insight on human cognitive function.. Abu Bakar, N., Wan Ibrahim, W. N., & Mohd Faudzi, S. M. (2025).. (Journal of Hazardous Materials Advances, 17, 100543.)
  24. Toxicology of Airborne Inorganic Arsenic: Oxidative Stress, Molecular Mechanisms, and Organ-Specific Pathologies.. Liu, Q. (2025).. (Toxics, 13(9), 753.)
  25. Low-to-moderate arsenic exposure: A global systematic review of cardiovascular disease risks. Gopang, M., Yazdi, M. D., Moyer, A., Smith, D. M., & Meliker, J. R. (2025).. (Environmental Health, 24, 29.)
  26. Low-to-moderate arsenic exposure: A global systematic review of cardiovascular disease risks. Gopang, M., Yazdi, M. D., Moyer, A., Smith, D. M., & Meliker, J. R. (2025).. (Environmental Health, 24, 29.)
  27. Low-to-moderate arsenic exposure: A global systematic review of cardiovascular disease risks. Gopang, M., Yazdi, M. D., Moyer, A., Smith, D. M., & Meliker, J. R. (2025).. (Environmental Health, 24, 29.)
  28. Exposure to arsenic and cognitive impairment in children: A systematic review.. Tian, Y., Hou, Q., Zhang, M., Gao, E., & Wu, Y. (2025).. (PLOS One, 20(2), e0319104.)
  29. Public Water Arsenic and Birth Outcomes in the Environmental Influences on Child Health Outcomes Cohort.. Nigra, A. E., Bloomquist, T. R., Rajeev, T., Burjak, M., Casey, J. A., Goin, D. E., Herbstman, J. B., Van Horne, Y. O., Wylie, B. J., Cerna-Turoff, I., Braun, J. M., McArthur, K. L., Karagas, M. R., Ames, J. L., Sherris, A. R., Bulka, C. M., Padula, A. M., Howe, C. G., Fry, R. C., . . . Kress, A. M. (2025).. (JAMA Network Open, 8(6), e2514084.)
  30. Arsenic and cancer: Evidence and mechanisms.. Speer, R. M., Zhou, X., Volk, L. B., Liu, K. J., & Hudson, L. G. (2022).. (Advances in Pharmacology (San Diego, Calif.), 96, 151.)
  31. Toxicology of Airborne Inorganic Arsenic: Oxidative Stress, Molecular Mechanisms, and Organ-Specific Pathologies.. Liu, Q. (2025).. (Toxics, 13(9), 753.)
  32. Prevalence of arsenic-induced skin lesions and associated factors in Ethiopia: Community-based study.. Demissie, S., Mekonen, S., Awoke, T., Teshome, B., & Mengistie, B. (2023).. (Toxicology Reports, 11, 153.)
  33. The Broad Scope of Health Effects from Chronic Arsenic Exposure: Update on a Worldwide Public Health Problem.. Naujokas, M. F., Anderson, B., Ahsan, H., Aposhian, H. V., Graziano, J. H., Thompson, C., & Suk, W. A. (2013).. (Environmental Health Perspectives, 121(3), 295.)
  34. Arsenic and Cardiovascular Disease.. States, J. C., Srivastava, S., Chen, Y., & Barchowsky, A. (2008).. (Toxicological Sciences, 107(2), 312.)
  35. Arsenic exposure induces glucose intolerance and alters global energy metabolism.. Kirkley, A. G., Carmean, C. M., Ruiz, D., Ye, H., Regnier, S. M., Poudel, A., Hara, M., Kamau, W., Johnson, D. N., Roberts, A. A., Parsons, P. J., Seino, S., & Sargis, R. M. (2017).. (American Journal of Physiology - Regulatory, Integrative and Comparative Physiology, 314(2), R294.)
  36. Elevated whole blood arsenic level is associated with type 2 diabetes in coal-burning areas in Guizhou.. Dai, L., Lv, X., Chen, Z., Huang, Z., Li, B., Xie, Y., Duan, Y., Zhao, H., Wang, Y., Yu, Q., Li, S., Zhou, Y., & Shen, X. (2020).. (Toxicology and Applied Pharmacology, 403, 115135.)
  37. Arsenic in Rice and Rice-Based Products with Regard to Consumer Health.. Rajkowska-Myśliwiec, M., Ciemniak, A., & Karp, G. (2024).. (Foods, 13(19), 3153.)
  38. Mitigating dietary arsenic exposure: Current status in the United States and recommendations for an improved path forward.. Nachman, K. E., Ginsberg, G. L., Miller, M. D., Murray, C. J., Nigra, A. E., & Pendergrast, C. B. (2017).. (Science of The Total Environment, 581-582, 221-236.)
  39. Organoarsenicals in Seafood: Occurrence, Dietary Exposure, Toxicity, and Risk Assessment Considerations — A Review.. Luvonga, C., Rimmer, C. A., Yu, L. L., & Lee, S. B. (2020).. (Journal of Agricultural and Food Chemistry, 68(4), 943.)
  40. Toxic metals in ayurvedic preparations from a public health lead poisoning cluster investigation.. Mikulski, M. A., Wichman, M. D., Simmons, D. L., Pham, A. N., Clottey, V., & Fuortes, L. J. (2018).. (International Journal of Occupational and Environmental Health, 23(3), 187.)
  41. Health Effects Associated with Inhalation of Airborne Arsenic Arising from Mining Operations.. Martin, R., Dowling, K., Pearce, D., Sillitoe, J., & Florentine, S. (2014).. (Geosciences, 4(3), 128-175.)
  42. Arsenic and cancer: Evidence and mechanisms.. Speer, R. M., Zhou, X., Volk, L. B., Liu, K. J., & Hudson, L. G. (2022).. (Advances in Pharmacology (San Diego, Calif.), 96, 151.)
  43. Arsenic in Rice and Rice-Based Products with Regard to Consumer Health.. Rajkowska-Myśliwiec, M., Ciemniak, A., & Karp, G. (2024).. (Foods, 13(19), 3153.)
  44. Arsenic in Rice and Rice-Based Products with Regard to Consumer Health.. Rajkowska-Myśliwiec, M., Ciemniak, A., & Karp, G. (2024).. (Foods, 13(19), 3153.)
  45. Arsenic in Rice and Rice-Based Products with Regard to Consumer Health.. Rajkowska-Myśliwiec, M., Ciemniak, A., & Karp, G. (2024).. (Foods, 13(19), 3153.)
  46. Arsenic and cancer: Evidence and mechanisms.. Speer, R. M., Zhou, X., Volk, L. B., Liu, K. J., & Hudson, L. G. (2022).. (Advances in Pharmacology (San Diego, Calif.), 96, 151.)

Li, J., Guo, C., Liu, Y., Han, B., Lv, Z., Jiang, H., Li, S., & Zhang, Z. (2025).

Chronic arsenic exposure-provoked biotoxicity involved in liver-microbiota-gut axis disruption in chickens based on multi-omics technologies.

Journal of Advanced Research, 67, 373-386.

Read Review

Nigra, A. E., Sanchez, T. R., Nachman, K. E., Harvey, D., Chillrud, S. N., Graziano, J. H., & Navas-Acien, A. (2017).

The effect of the Environmental Protection Agency maximum contaminant level on arsenic exposure in the USA from 2003 to 2014: An analysis of the National Health and Nutrition Examination Survey (NHANES).

The Lancet. Public Health, 2(11), e513.

Read Review

Naujokas, M. F., Anderson, B., Ahsan, H., Aposhian, H. V., Graziano, J. H., Thompson, C., & Suk, W. A. (2013).

The Broad Scope of Health Effects from Chronic Arsenic Exposure: Update on a Worldwide Public Health Problem.

Environmental Health Perspectives, 121(3), 295.

Read Review

Naujokas, M. F., Anderson, B., Ahsan, H., Aposhian, H. V., Graziano, J. H., Thompson, C., & Suk, W. A. (2013).

The Broad Scope of Health Effects from Chronic Arsenic Exposure: Update on a Worldwide Public Health Problem.

Environmental Health Perspectives, 121(3), 295.

Read Review

Luvonga, C., Rimmer, C. A., Yu, L. L., & Lee, S. B. (2020).

Organoarsenicals in Seafood: Occurrence, Dietary Exposure, Toxicity, and Risk Assessment Considerations — A Review.

Journal of Agricultural and Food Chemistry, 68(4), 943.

Read Review

Chung, S. W. C. (2025).

Feasible approaches for arsenic speciation analysis in foods for dietary exposure assessment: a review. 

Food Additives & Contaminants: Part A, 42(3), 342–358.

Read Review

Speer, R. M., Zhou, X., Volk, L. B., Liu, K. J., & Hudson, L. G. (2022).

Arsenic and cancer: Evidence and mechanisms.

Advances in Pharmacology (San Diego, Calif.), 96, 151.

Read Review

Speer, R. M., Zhou, X., Volk, L. B., Liu, K. J., & Hudson, L. G. (2022).

Arsenic and cancer: Evidence and mechanisms.

Advances in Pharmacology (San Diego, Calif.), 96, 151.

Read Review

Speer, R. M., Zhou, X., Volk, L. B., Liu, K. J., & Hudson, L. G. (2022).

Arsenic and cancer: Evidence and mechanisms.

Advances in Pharmacology (San Diego, Calif.), 96, 151.

Read Review

Da Sacco, L., Baldassarre, A., & Masotti, A. (2013).

Diet's role in the toxicity of inorganic arsenic (iAs): A journey from soil to children's mouth.

Journal of Geochemical Exploration, 131, 45-51.

Read Review

Luvonga, C., Rimmer, C. A., Yu, L. L., & Lee, S. B. (2020).

Organoarsenicals in Seafood: Occurrence, Dietary Exposure, Toxicity, and Risk Assessment Considerations — A Review.

Journal of Agricultural and Food Chemistry, 68(4), 943.

Read Review

Speer, R. M., Zhou, X., Volk, L. B., Liu, K. J., & Hudson, L. G. (2022).

Arsenic and cancer: Evidence and mechanisms.

Advances in Pharmacology (San Diego, Calif.), 96, 151.

Read Review

Chung, Y., Yu, D., & Hong, S. (2014).

Environmental Source of Arsenic Exposure.

Journal of Preventive Medicine and Public Health, 47(5), 253.

Read Review

Levin, R., Villanueva, C. M., Beene, D., Cradock, A. L., Lewis, J., Minovi, D., Nigra, A. E., Olson, E. D., Schaider, L. A., Ward, M. H., & Deziel, N. C. (2024).

US drinking water quality: Exposure risk profiles for seven legacy and emerging contaminants.

Journal of Exposure Science & Environmental Epidemiology, 34(1), 3-22.

Read Review

Peer, Komal, Brian Hubbard, Michele Monti, Patrick Vander Kelen, and Angela K. Werner.

The Private Well Water Climate Impact Index: Characterization of Community-level Climate-related Hazards and Vulnerability in the Continental United States.

Science of The Total Environment 957, (2024): 177409. Accessed October 8, 2025.

Read Review

Da Sacco, L., Baldassarre, A., & Masotti, A. (2013).

Diet's role in the toxicity of inorganic arsenic (iAs): A journey from soil to children's mouth.

Journal of Geochemical Exploration, 131, 45-51.

Read Review

Luvonga, C., Rimmer, C. A., Yu, L. L., & Lee, S. B. (2020).

Organoarsenicals in Seafood: Occurrence, Dietary Exposure, Toxicity, and Risk Assessment Considerations — A Review.

Journal of Agricultural and Food Chemistry, 68(4), 943.

Read Review

Martin, R., Dowling, K., Pearce, D., Sillitoe, J., & Florentine, S. (2014).

Health Effects Associated with Inhalation of Airborne Arsenic Arising from Mining Operations.

Geosciences, 4(3), 128-175.

Read Review

Ortiz-Garcia, N. Y., Cipriano Ramírez, A. I., Juarez, K., Galindo, J. B., Briceño, G., & Martinez, E. C. (2023).

Maternal Exposure to Arsenic and Its Impact on Maternal and Fetal Health: A Review.

Cureus, 15(11), e49177.

Read Review

Gopang, M., Yazdi, M. D., Moyer, A., Smith, D. M., & Meliker, J. R. (2025).

Low-to-moderate arsenic exposure: A global systematic review of cardiovascular disease risks

Environmental Health, 24, 29.

Read Review

Abu Bakar, N., Wan Ibrahim, W. N., & Mohd Faudzi, S. M. (2025).

Arsenic contamination in rice and drinking water: An insight on human cognitive function.

Journal of Hazardous Materials Advances, 17, 100543.

Read Review

Gopang, M., Yazdi, M. D., Moyer, A., Smith, D. M., & Meliker, J. R. (2025).

Low-to-moderate arsenic exposure: A global systematic review of cardiovascular disease risks

Environmental Health, 24, 29.

Read Review

Gopang, M., Yazdi, M. D., Moyer, A., Smith, D. M., & Meliker, J. R. (2025).

Low-to-moderate arsenic exposure: A global systematic review of cardiovascular disease risks

Environmental Health, 24, 29.

Read Review

Gopang, M., Yazdi, M. D., Moyer, A., Smith, D. M., & Meliker, J. R. (2025).

Low-to-moderate arsenic exposure: A global systematic review of cardiovascular disease risks

Environmental Health, 24, 29.

Read Review

Tian, Y., Hou, Q., Zhang, M., Gao, E., & Wu, Y. (2025).

Exposure to arsenic and cognitive impairment in children: A systematic review.

PLOS One, 20(2), e0319104.

Read Review

Nigra, A. E., Bloomquist, T. R., Rajeev, T., Burjak, M., Casey, J. A., Goin, D. E., Herbstman, J. B., Van Horne, Y. O., Wylie, B. J., Cerna-Turoff, I., Braun, J. M., McArthur, K. L., Karagas, M. R., Ames, J. L., Sherris, A. R., Bulka, C. M., Padula, A. M., Howe, C. G., Fry, R. C., . . . Kress, A. M. (2025).

Public Water Arsenic and Birth Outcomes in the Environmental Influences on Child Health Outcomes Cohort.

JAMA Network Open, 8(6), e2514084.

Read Review

Speer, R. M., Zhou, X., Volk, L. B., Liu, K. J., & Hudson, L. G. (2022).

Arsenic and cancer: Evidence and mechanisms.

Advances in Pharmacology (San Diego, Calif.), 96, 151.

Read Review

Demissie, S., Mekonen, S., Awoke, T., Teshome, B., & Mengistie, B. (2023).

Prevalence of arsenic-induced skin lesions and associated factors in Ethiopia: Community-based study.

Toxicology Reports, 11, 153.

Read Review

Naujokas, M. F., Anderson, B., Ahsan, H., Aposhian, H. V., Graziano, J. H., Thompson, C., & Suk, W. A. (2013).

The Broad Scope of Health Effects from Chronic Arsenic Exposure: Update on a Worldwide Public Health Problem.

Environmental Health Perspectives, 121(3), 295.

Read Review

States, J. C., Srivastava, S., Chen, Y., & Barchowsky, A. (2008).

Arsenic and Cardiovascular Disease.

Toxicological Sciences, 107(2), 312.

Read Review

Kirkley, A. G., Carmean, C. M., Ruiz, D., Ye, H., Regnier, S. M., Poudel, A., Hara, M., Kamau, W., Johnson, D. N., Roberts, A. A., Parsons, P. J., Seino, S., & Sargis, R. M. (2017).

Arsenic exposure induces glucose intolerance and alters global energy metabolism.

American Journal of Physiology - Regulatory, Integrative and Comparative Physiology, 314(2), R294.

Read Review

Dai, L., Lv, X., Chen, Z., Huang, Z., Li, B., Xie, Y., Duan, Y., Zhao, H., Wang, Y., Yu, Q., Li, S., Zhou, Y., & Shen, X. (2020).

Elevated whole blood arsenic level is associated with type 2 diabetes in coal-burning areas in Guizhou.

Toxicology and Applied Pharmacology, 403, 115135.

Read Review

Rajkowska-Myśliwiec, M., Ciemniak, A., & Karp, G. (2024).

Arsenic in Rice and Rice-Based Products with Regard to Consumer Health.

Foods, 13(19), 3153.

Read Review

Nachman, K. E., Ginsberg, G. L., Miller, M. D., Murray, C. J., Nigra, A. E., & Pendergrast, C. B. (2017).

Mitigating dietary arsenic exposure: Current status in the United States and recommendations for an improved path forward.

Science of The Total Environment, 581-582, 221-236.

Read Review

Luvonga, C., Rimmer, C. A., Yu, L. L., & Lee, S. B. (2020).

Organoarsenicals in Seafood: Occurrence, Dietary Exposure, Toxicity, and Risk Assessment Considerations — A Review.

Journal of Agricultural and Food Chemistry, 68(4), 943.

Read Review

Mikulski, M. A., Wichman, M. D., Simmons, D. L., Pham, A. N., Clottey, V., & Fuortes, L. J. (2018).

Toxic metals in ayurvedic preparations from a public health lead poisoning cluster investigation.

International Journal of Occupational and Environmental Health, 23(3), 187.

Martin, R., Dowling, K., Pearce, D., Sillitoe, J., & Florentine, S. (2014).

Health Effects Associated with Inhalation of Airborne Arsenic Arising from Mining Operations.

Geosciences, 4(3), 128-175.

Read Review

Speer, R. M., Zhou, X., Volk, L. B., Liu, K. J., & Hudson, L. G. (2022).

Arsenic and cancer: Evidence and mechanisms.

Advances in Pharmacology (San Diego, Calif.), 96, 151.

Read Review

Rajkowska-Myśliwiec, M., Ciemniak, A., & Karp, G. (2024).

Arsenic in Rice and Rice-Based Products with Regard to Consumer Health.

Foods, 13(19), 3153.

Read Review

Rajkowska-Myśliwiec, M., Ciemniak, A., & Karp, G. (2024).

Arsenic in Rice and Rice-Based Products with Regard to Consumer Health.

Foods, 13(19), 3153.

Read Review

Rajkowska-Myśliwiec, M., Ciemniak, A., & Karp, G. (2024).

Arsenic in Rice and Rice-Based Products with Regard to Consumer Health.

Foods, 13(19), 3153.

Read Review

Speer, R. M., Zhou, X., Volk, L. B., Liu, K. J., & Hudson, L. G. (2022).

Arsenic and cancer: Evidence and mechanisms.

Advances in Pharmacology (San Diego, Calif.), 96, 151.

Read Review