Mostly false Scientifically refuted Certainty of evidence: moderate provisional C-GRN-06

Concerns about arsenic in rice are unfounded and can be dismissed ('we love arsenic').

Safety note: Infants and young children should not be fed large amounts of rice drinks or rice-based foods outside products made for them under EU/national limits.
In short: This claim is mostly false. Rice is a recognised and regulated source of inorganic arsenic, a carcinogen, and EFSA concludes that current exposure raises a health concern; the individual risk from normal portions is small, and Egyptian rice tested low in one multi-country survey, but the concern cannot be dismissed, especially for infants.
Conclusion: Rice arsenic is a recognised, regulated long-term concern, not something to dismiss.

Original statement

الرز فيه زرنيخره بيضر ما فيش مشكله يا حبيبي احنا بنحب الزرنيخ

verbatim according to source. Translation by the project; the Arabic wording is authoritative.

Translation

Concerns about arsenic in rice are unfounded and can be dismissed ('we love arsenic').

Origin

Source status
Video transcript (own words)
Attribution
Elawady (machine transcript)
Video
Dr Diaa Al Awady د ضياء العوضي is live! النسيج البيني و مقدمة عن الكلي (Open source)
Published
23 July 2025
Timestamp
1:05:36 (location in the original video’s automatic YouTube caption track; confirms where the words occur, not who speaks)
Attribution uncertainty
Machine transcript; sarcastic remark in a live stream, context: a patient told she should avoid rice because of arsenic.
Claimed mechanism

None.

Claimed health effect

Rice arsenic is irrelevant.

Population concerned

Everyone.

Geographic restriction by Elawady

none found

Diverging source versions

Source status
Video transcript (own words)
Attribution
Elawady (machine transcript)
Video
Dr Diaa Al Awady د ضياء العوضي is live! الدراسات اللي ينشرها لمعرفة مدي تخبط الطب حتي ٢٠٢٥ (Open source)
Published
26 July 2025
Timestamp
not available (transcript has no timings)
Attribution uncertainty
Machine transcript: mocks other commentators who said 'rice contains arsenic'.

Scientific assessment

Mostly false – Essential parts of the statement are not supported by the evidence or are strongly exaggerated.

Certainty of evidence: moderate – Further research may still affect the assessment.

1. What was claimed?

Rice arsenic is not a concern.

2. What is demonstrably correct?

Normal rice consumption from regulated supply is not acutely dangerous; detection is not the same as harmful exposure. In US cohorts with low-to-moderate rice intake, rice was not associated with CVD (I-GRN-115) or clearly with arsenic-related cancers (I-GRN-118). Egyptian white rice had the lowest median arsenic of 10 countries in a 2009 market survey (0.04 mg/kg total arsenic; I-GRN-117).

3. What is wrong or exaggerated?

Dismissing the issue entirely contradicts EFSA's conclusion of a health concern and the EU maximum levels; rice is a main exposure source.

4. What remains unclear?

Arsenic content of rice consumed in Egypt (not reviewed).

5. Which studies support it?

Partial: I-GRN-117 (low arsenic in Egyptian rice, 2009), I-GRN-115 and I-GRN-118 (no clear CVD or cancer association at US intakes).

6. Which studies contradict it?

I-GRN-06 (EFSA: health concern; rice a main exposure source); I-GRN-116 (rice measurably raises urinary arsenic: half a cup a day comparable to drinking water at the regulatory limit).

7. What applies to Germany and Europe?

EU maximum levels for inorganic arsenic (Reg. (EU) 2023/915, as reproduced in EFSA 2024): non-parboiled milled rice 0.15 mg/kg; parboiled and husked rice 0.25; rice flour 0.25; rice cakes/waffles 0.30; rice for infant food 0.10 mg/kg.

8. What is known about Egypt?

Rice is consumed daily in Egypt, sometimes in large amounts. One multi-country survey (2009) found the lowest median arsenic in Egyptian rice (0.04 mg/kg total arsenic; I-GRN-117), which suggests a smaller concern than for US or European rice, but current Egyptian monitoring data were not found.

9. What practical conclusion is appropriate?

Rice can be eaten, but variety in grains and cooking rice in excess water reduce exposure; rice-based foods for infants should comply with stricter limits.

Assessment details

Rationale for certainty of evidence

EFSA (2024) identifies rice and rice products as main contributors to dietary inorganic arsenic exposure in Europe and concludes that margins of exposure for adults (2 to 0.4 mean; 0.9 to 0.2 high consumers) raise a health concern (I-GRN-06). The EU therefore sets maximum levels (Reg. 2023/915: 0.15 mg/kg white rice; 0.10 mg/kg rice for infant food). Partly fair: for an adult eating normal portions of regulated rice the individual absolute risk is small; the concern is greatest for infants, young children and very high consumers.

Source quality

Sarcastic live-stream remark.

Regional transferability

Arsenic levels vary by origin; Egyptian rice data were not reviewed here.

Individual exceptions

Infants and young children are more vulnerable.

Regional scope of the claim
general (biological/medical)
Last reviewed
26 October 2026 provisional

Scientific evidence in detail

Scientifically refuted – High-quality evidence shows the opposite, or the claim contradicts well-established physiology.

Research question: Is arsenic in rice a negligible concern that can be dismissed?

Research question in detail (PECO)
Population
General population, infants and young children, high rice consumers; Egypt
Intervention or exposure
Inorganic arsenic from rice
Comparison
Low rice intake / low-arsenic rice
Geographic scope
production-dependent (soil, water, variety); Egypt-specific data checked
Outcomes
  • Arsenic exposure biomarkers
  • Risk assessment margins of exposure
  • Cancer and CVD incidence

Study results as reported by the authors. Our assessment follows below.

What speaks for the claim?

What speaks against the claim?

What does the overall evidence say?

Editorial assessment based on the studies above – not itself a study result.

Which position is better supported?

Rice arsenic is a recognised, regulated long-term concern, mainly for infants, young children and very high consumers; for adults eating normal portions of low-arsenic rice (such as Egyptian rice in the 2009 survey) the absolute risk appears small.

Why some studies weigh more

Formal risk assessment and exposure biomarkers outweigh null cohort results at low US intakes; regional market data modify the size of the concern but not its existence.

Is a causal relationship established? Probable Inorganic arsenic is an established human carcinogen; rice contributes measurably to exposure; direct disease evidence at normal rice intakes is lacking.

Remaining uncertainty

Current inorganic arsenic levels in Egyptian rice; health effects at high Egyptian intakes.

Justified conclusion

Do not dismiss the issue; keep rice varied, cook in excess water, use regulated infant foods.

Why do studies seem to disagree?

Exposure studies and risk assessments (I-GRN-06, I-GRN-116) and null outcome cohorts (I-GRN-115, I-GRN-118) answer different questions; cohorts with low intake and no biomarker are underpowered for arsenic effects. Country of origin strongly changes exposure (I-GRN-117).

Does this depend on the country?
General biological effects
Arsenic toxicity is universal.
Eating habits
Egyptian rice intake can be high.
Origin of the food
Arsenic content depends strongly on country, soil and irrigation water (7-fold range, I-GRN-117).
Contaminants
Inorganic arsenic.
National production conditions
Egyptian rice tested low in 2009 (0.04 mg/kg total As); no current Egyptian monitoring data found.
Legal rules
EU Regulation 2023/915 maximum levels (0.15 mg/kg white rice; 0.10 mg/kg for infant food).
Actual monitoring data
No Egyptian monitoring data reviewed.

A regional difference that changes the conclusion is not supported by robust data.

Statistical re-check
  • Equivalence of rice and water arsenic from reported regression coefficients – About 31 g dry rice/day = 1 L/day of 10 ug/L water, consistent with the authors' 0.56 cup statement. recalculated
  • Country ratios – US rice 6.2x and French rice 7.0x the Egyptian median (total arsenic). recalculated
  • CI symmetry – All HR CIs consistent. recalculated
Certainty of the overall evidence (GRADE, simplified)
Main outcome
Health concern from inorganic arsenic exposure via rice
Starting level
high (randomised trials)
Reasons for downgrading
  • indirectness (formal risk assessment of an established carcinogen, rather than observed disease from rice)
Result
moderate

Simplified assessment by a single reviewer, following the GRADE approach; not a formal GRADE panel. GRADE rates the body of evidence for one outcome, not individual studies.

Clinical guidelines and official statements checked
  • WHO: Arsenic - fact sheet (2022) · Original publication
    Inorganic arsenic is highly toxic; contaminated water used for drinking, food preparation and irrigation of food crops poses the greatest threat; long-term exposure from drinking water and food can cause cancer and skin lesions; communities should understand arsenic intake by crops such as rice from irrigation water.
Search strategy

Documented literature searches for this review (search strings in the original database syntax).

DatabaseDateSearchLooking forHitsIncluded
PubMed26 October 2026rice[ti] AND (consumption[ti] OR intake[ti]) AND (cancer[ti] OR mortality[ti] OR cardiovascular[ti]) AND arsenic[tiab] AND (cohort*[tiab] OR prospective[tiab])supporting evidence2
Europe PMC26 October 2026"rice" AND "arsenic" AND ("not associated" OR "no association") AND (cohort OR prospective) AND (cardiovascular OR cancer OR diabetes)supporting evidence1301
PubMed26 October 2026rice[tiab] AND arsenic[tiab] AND (Egypt[tiab] OR Egyptian[tiab])contradicting evidence1
Europe PMC26 October 2026"rice" AND "arsenic" AND ("cancer" OR "skin lesions" OR "bladder" OR "lung") AND ("biomarker" OR "urinary arsenic") AND (cohort OR "case-control")contradicting evidence499
PubMed26 October 2026rice consumption[ti] AND arsenic[ti] AND (urinary[tiab] OR exposure[ti])contradicting evidence10

Open questions

Current Egyptian monitoring of inorganic arsenic in rice.

How deeply was this checked?

5 linked studies: 1 checked in full text (0 of them with a structured risk-of-bias assessment), 4 on the basis of the abstract, 0 bibliographically only. No formal assessment with two independent reviewers and no independent human expert review has taken place yet.

Last scientific review: 26 October 2026

History of the verdict
  1. 25 October 2026 · Phase 1 · Initial assessment: Mostly false (moderate)
  2. 26 October 2026 · Phase 4 (systematic evidence review) · Re-examined with extended evidence; verdict unchanged: Mostly false (moderate)
    Unchanged. Exposure evidence (I-GRN-116) reinforces the concern; regional data (I-GRN-117) and null cohorts (I-GRN-115, I-GRN-118) justify a fairer acknowledgement that Egyptian rice may be low in arsenic and that individual risk at normal intake is small. Regional difference is not treated as robust (single 2009 survey).
    New sources: I-GRN-115 I-GRN-116 I-GRN-117 I-GRN-118

In plain language

Rice naturally takes up arsenic from soil and water. The European Food Safety Authority says rice is a main source of arsenic in the diet and that current exposure is a health concern, especially for young children. The EU has legal limits for arsenic in rice. Eating rice normally is not dangerous in the short term, but laughing off the issue is not justified.

Studies on this claim

Studies supporting the claim (2)

  • Rice eating was not linked to heart disease in 200,000 Americans

    Muraki I et al.. Am J Clin Nutr 2015 · PMID 25527760 · DOI 10.3945/ajcn.114.087551
    Cohort studyindependent cross-checkabstract checked

    Eating white or brown rice 5 or more times a week was not associated with higher cardiovascular risk.

    At US intakes, rice (an arsenic source) was not associated with CVD.

    Does the study support the specific claim? Partly · Methodological quality: high · Certainty of evidence: see overall assessment of the claim

    Original publication · Scientific details

    Study explained simply
    What did the researchers want to find out?

    Test rice and CVD.

    How was the study done?

    Three cohorts.

    How many people, animals or samples were studied?

    207,556 adults.

    What was actually found?

    No association.

    How large was the observed effect?

    HR 0.98 for white rice.

    What do the results mean in everyday life?

    Moderate rice is not a heart risk.

    What are the study's limitations?

    Low US intake.

    What does it say about Elawady's specific claim?

    Supports moderate rice; not "unlimited".

    Do the results apply to Germany and Europe?

    Moderate.

    What can explicitly not be concluded from this study?

    Does not address diabetes or very high intake.

    Scientific details →

  • Rice was not clearly linked to cancer in US women

    Sanchez TR et al.. Cancer Causes Control 2020 · PMID 32974796 · DOI 10.1007/s10552-020-01350-9
    Cohort studyindependent cross-checkabstract checked

    Rice intake was not associated with most arsenic-related cancers; breast cancer showed a borderline 7% higher risk.

    No clear cancer association at low-to-moderate rice intakes; does not test high intakes.

    Does the study support the specific claim? Partly · Methodological quality: moderate · Certainty of evidence: see overall assessment of the claim

    Original publication · Scientific details

    Study explained simply
    What did the researchers want to find out?

    Test rice and cancer.

    How was the study done?

    Cohort study.

    How many people, animals or samples were studied?

    Large cohort of women.

    What was actually found?

    Mostly no association.

    How large was the observed effect?

    HR 0.87-1.11.

    What do the results mean in everyday life?

    Low intakes did not show clear harm.

    What are the study's limitations?

    Low intake, no biomarker.

    What does it say about Elawady's specific claim?

    Partly supports low concern at normal intake.

    Do the results apply to Germany and Europe?

    Moderate.

    What can explicitly not be concluded from this study?

    Cannot reassure about high intakes or infants.

    Scientific details →

Studies contradicting or limiting the claim (2)

  • EU food safety assessment of arsenic

    EFSA CONTAM Panel. EFSA J 2024 · PMID 38239496 · DOI 10.2903/j.efsa.2024.8488
    Risk assessmentindependent cross-checkfull text checked★ key study

    Arsenic exposure from food, mainly rice, is a health concern; the EU limits arsenic in rice.

    Does the study support the specific claim? No · Methodological quality: high · Certainty of evidence: see overall assessment of the claim

    Original publication · Scientific details

    Study explained simply
    What did the researchers want to find out?

    Arsenic risk

    How was the study done?

    Risk assessment

    How many people, animals or samples were studied?

    EU population

    What was actually found?

    Health concern; rice main source

    How large was the observed effect?

    MOE 0.2-2

    What do the results mean in everyday life?

    Variety and regulated rice reduce exposure

    What are the study's limitations?

    Uncertainties

    What does it say about Elawady's specific claim?

    Contradicts 'no problem'

    Do the results apply to Germany and Europe?

    Directly applicable

    What can explicitly not be concluded from this study?

    Individual risk from normal portions

    Scientific details →

  • Half a cup of rice a day adds arsenic like drinking water at the legal limit

    Gilbert-Diamond D et al.. Proc Natl Acad Sci U S A 2011 · PMID 22143778 · DOI 10.1073/pnas.1109127108
    Measurement / residue studyindependent cross-checkabstract checked★ key study

    In 229 pregnant women, rice intake raised urinary arsenic; 0.56 cup of cooked rice per day matched 1 L of water at 10 ug/L.

    Rice is a measurable arsenic source, comparable to drinking water at the regulatory limit.

    Does the study support the specific claim? No · Methodological quality: moderate · Certainty of evidence: see overall assessment of the claim

    Original publication · Scientific details

    Study explained simply
    What did the researchers want to find out?

    Measure rice as arsenic source.

    How was the study done?

    Urine tests and diet records.

    How many people, animals or samples were studied?

    229 pregnant women.

    What was actually found?

    Rice raised arsenic levels.

    How large was the observed effect?

    Equivalent to 1 L/day of water at the limit.

    What do the results mean in everyday life?

    Rice is a real arsenic source.

    What are the study's limitations?

    No health outcomes.

    What does it say about Elawady's specific claim?

    Contradicts dismissing arsenic concerns.

    Do the results apply to Germany and Europe?

    Moderate.

    What can explicitly not be concluded from this study?

    Does not show disease from rice.

    Scientific details →

Studies with mixed or unclear results (1)

  • Egyptian rice had the lowest arsenic levels of 10 countries tested

    Meharg AA et al.. Environ Sci Technol 2009 · PMID 19350943 · DOI 10.1021/es802612a
    Measurement / residue studyindependent cross-checkabstract checked★ key study

    Median total arsenic in white rice was 0.04 mg/kg in Egypt versus 0.25-0.28 mg/kg in the USA and France.

    Egyptian rice had the lowest median arsenic of 10 countries: concern is smaller, not absent.

    Does the study support the specific claim? Partly · Methodological quality: moderate · Certainty of evidence: see overall assessment of the claim

    Original publication · Scientific details

    Study explained simply
    What did the researchers want to find out?

    Compare arsenic in rice worldwide.

    How was the study done?

    Laboratory analysis of market rice.

    How many people, animals or samples were studied?

    901 samples.

    What was actually found?

    Big differences by country; Egypt lowest.

    How large was the observed effect?

    7-fold range.

    What do the results mean in everyday life?

    Where rice comes from matters.

    What are the study's limitations?

    Old data; Egyptian inorganic share unknown.

    What does it say about Elawady's specific claim?

    Partly supports lower concern for Egyptian rice.

    Do the results apply to Germany and Europe?

    European rice higher.

    What can explicitly not be concluded from this study?

    Cannot show current Egyptian levels or health effects.

    Scientific details →

Regional context

Germany / EU

EU maximum levels for inorganic arsenic (Reg. (EU) 2023/915, as reproduced in EFSA 2024): non-parboiled milled rice 0.15 mg/kg; parboiled and husked rice 0.25; rice flour 0.25; rice cakes/waffles 0.30; rice for infant food 0.10 mg/kg.

Egypt

Rice is consumed daily in Egypt, sometimes in large amounts. One multi-country survey (2009) found the lowest median arsenic in Egyptian rice (0.04 mg/kg total arsenic; I-GRN-117), which suggests a smaller concern than for US or European rice, but current Egyptian monitoring data were not found.

What applies in my country?

General scientific assessment

Mostly false Rice arsenic is a recognised, regulated long-term concern, not something to dismiss.

The following areas of food safety are relevant to this statement:

  • Pesticides and pesticide residues
  • Veterinary medicines and antibiotics
  • Hormonal growth promoters
  • Contaminants (heavy metals, PFAS, PCBs, dioxins, nitrate)
  • Mycotoxins (mould toxins)

Eggs · Poultry · Dairy · Fish and seafood · Red meat · Fruit and vegetables · Cereals and rice

Choose a country to see the checked information for it.

Limits: legal rules describe what is allowed, not what every single food contains. Measurement data come from samples and are meaningful only together with their method details.

Country of residence or purchase Compare with another country

References

  1. Rice consumption and risk of cardiovascular disease: results from a pooled analysis of 3 U.S. cohorts.. Muraki I et al.. Am J Clin Nutr 2015 · PMID 25527760 · DOI 10.3945/ajcn.114.087551
  2. Association between rice consumption and risk of cancer incidence in the California Teachers Study.. Sanchez TR et al.. Cancer Causes Control 2020 · PMID 32974796 · DOI 10.1007/s10552-020-01350-9
  3. Update of the risk assessment of inorganic arsenic in food.. EFSA CONTAM Panel. EFSA J 2024 · PMID 38239496 · DOI 10.2903/j.efsa.2024.8488
  4. Rice consumption contributes to arsenic exposure in US women.. Gilbert-Diamond D et al.. Proc Natl Acad Sci U S A 2011 · PMID 22143778 · DOI 10.1073/pnas.1109127108
  5. Geographical variation in total and inorganic arsenic content of polished (white) rice.. Meharg AA et al.. Environ Sci Technol 2009 · PMID 19350943 · DOI 10.1021/es802612a

← Back to overview