Objectives Chronic inorganic arsenic (iAs) exposure currently affects tens of millions of people worldwide. To accurately determine the proportion of urinary arsenic metabolites in residents continuously exposed to iAs, we performed arsenic speciation analysis of the urine of these individuals and determined whether a correlation exists between the concentration of iAs in drinking water and the urinary arsenic species content. Methods The subjects were 165 married couples who had lived in the Pabna District in Bangladesh for more than 5 years. Arsenic species were measured using high-performance liquid chromatography and inductively coupled plasma mass spectrometry. Results The median iAs concentration in drinking water was 55 lgAs/L (range \0.5-332 lgAs/L). Speciation analysis revealed the presence of arsenite, arsenate, monomethylarsonic acid (MMA), and dimethylarsinic acid in urine samples with medians (range) of 16.8 (7.7-32.3), 1.8 (\0.5-3.3), 13.7 (5.6-25.0), and 88.6 lgAs/L (47.9-153.4 lgAs/L), respectively. No arsenobetaine or arsenocholine was detected. The concentrations of the 4 urinary arsenic species were significantly and linearly related to each other. The urinary concentrations of total arsenic and each species were significantly correlated with the iAs concentration of drinking water. Conclusions All urinary arsenic species are well correlated with each other and with iAs in drinking water. The most significant linear relationship existed between the iAs concentration in drinking water and urinary iAs ? MMA concentration. From these results, combined with the effects of seafood ingestion, the best biomarker of iAs exposure is urinary iAs ? MMA concentration.

The groundwater pollution by arsenic in Bangladesh causes a serious problem for millions of people who are exposed to poisoning by this toxic element. In an attempt to evaluate the extent of arsenic poisoning, hair samples of people living in Pabna district were collected. The hair samples were analyzed using Proton Induced X-ray Emission (PIXE) through exciting the atoms of a specimen so that their intensities can be converted into elemental concentrations in the specimen. The elements present in the specimen are identified by the corresponding X-ray energies and their concentrations are deduced from the X-ray intensities. The results from hair samples indicate substantially higher level of arsenic than those demarcated as toxic levels, in people from member families both affected and non-affected by poisoning. We correlate it with exceedingly high arsenic concentration in drinking water far above the permissible limit. The analytical results are compared with the results of arsenic and other elemental analysis of 160 Bangladeshi hair samples with that of 250 Japanese samples. The results show markedly higher levels of arsenic, manganese, iron and lead where the latter three elements show a positive relation with arsenic in the case of Bangladeshi as compared to the samples from Japan. On the other hand, selenium concentrations show very low level in the Bangladeshi samples compared to Japanese, displaying an inverse relationship with arsenic. The mechanism of arsenic in relation to other elements in the human body needs further investigation. The preliminary results call for detailed experimental and epidemiological studies to further characterize these aspects.