Human exposure to arsenic (As) is primarily through drinking water and food ingestion. Arsenic is naturally present in the environment and has been known as “the king of poisons” since the Middle Ages. It is mutagenic, teratogenic, and carcinogenic and approximately 70% comes from ingested food and 29% from water. Once ingested, arsenic can bio-accumulate in the human body or be excreted. Arsenic in groundwater is a main source of As in humans and the two arsenicals most abundant in water are arsenite (+3 oxidation state) and arsenate (+5 oxidation state). In order of toxicity from the most toxic to least toxic are arsines, arsenites, arsenoxides, arsenates, pentavalent arsenicals, Arsenic compounds, and metallic arsenic. Arsenic accumulates in the body when ingested in small doses. It often takes decades before physical symptoms of As poisoning show. While As is element normally found in the human body, it is highly toxic in excess amounts. The lethal dose for rates is 48 µg/L which translates to 125 mg for a middle-aged male. The maximum safe limit for As ingestion for an average Vietnamese middle-aged male is 220 µg per day. This lethal dosage puts As in a highly toxic category in food and toxicology. Most of the As in the Mekong Delta groundwater is from natural alluvial sediment sources. Other anthropic sources include the burial of millions of Vietnamese with elevated As levels since 1962, industrial sources, smelting by-products, water treatment plants, sewage and wastewater treatment discharges into waterways have added to the Mekong Delta As levels in the soil and groundwater. However, Agent Blue, the As-based herbicide, used during the Vietnam War, did contribute a significant amount (over 1,132,400 kg of manufactured (anthropic) As) to Southern Vietnam landscape. The As spikes and levels in the Mekong Delta soils and groundwater need restoration. uptake of trace amounts of As in rice is indeed a critical food security and human health issue and requires mitigation. The uptake of trace amounts of As in rice is indeed a critical food security and human health issue and requires mitigation.