The public in the southwestern Taiwan’s Kaohsiung City expressed concern over risk of arsenic (As) to people living in six of that city’s townships nearby a coastal area with heavy industry. To investigate, we first analyzed urinary total As levels in 539 subjects administered Taiwan’s Nutrition and Health Survey, a nationwide survey of nutritional status 2005-2008 (NAHSIT 2005-8). We found the top three highest median urinary total As levels in residents from Penghu island (136.93 µg/L, n = 24), the upper northern region of Taiwan (78.54 µg/L, n = 69), and the southwestern region of Taiwan (71.87 µg/L, n = 36). We then measured total urinary As levels in 1,801 and 1,927 voluntary residents of the above-mentioned six townships in 2016 and 2018, respectively, and compared with those with people residing in the top three highest total As levels of NAHSIT 2005-8. Median urinary As levels were 84.6 µg/L in 2016 and 72.5 µg/L in 2018, similar to those in southwestern region of Taiwan, but far below those in Penghu island (p <0.05). Finally, in 2020, we interviewed 116 healthy and voluntary residents from the same six townships and collected one-spot urine samples to analyze total inorganic-related As (TiAs), a summation of As3+, As5+, monomethylarsonic acid (MMA), and dimethylarsinic acid (DMA). Median urinary TiAs in participants consuming seafood two days before urine sampling (n=15) was 24.0 µg/L, significantly higher than those not consuming seafood then (median: 20.5 µg/L, n=101, p=0.029). The results remained significant after adjusting for other covariates (p = 0.028). These findings suggest that seafood consumption is probably the main source of urinary total As and TiAs in people residing close to that coastal heavy industrial area of southern Taiwan. A future intervention study (dietary control) could be conducted to re-confirm our findings.