Drinking water and burning coal endemic arsenism as a severe disease is confirmed by National Ministry of Health in China in 1992. It is not uniform survey of the disease for the whole country from its report in 1980 in xijiang. Therefore National Ministry of Scientific and Technology in China supports to study on distribution of endemic arsenism in 21 provinces in China, so that it can know the basic distribution of endemic arsenism in China, and the data results will be a guide for the disease prevention and control. The project used environmental epidemiology study including retrospective epidemiology, present situation survey of the disease in severe areas and sampling investigation in unknown areas, collecting data of exposure population and arsenism cases. At the same time, the data of arsenic level in environment were collected, and environment samples were analyzed by standard chemical method. The both data were statistical analysis by access database and SAS procedure in computer. Through the study, it achieves the expected aim that grasps spreading distribution of drinking water arsenism and burning coal arsenism, including arsenic level in water, coal, food and air, as well as patient's condition of the disease at macroscopic. Drinking water endemic arsenism distributed in 8 provinces, 40 counties, affecting 2,343,238 peoples, among 522566 peoples expositing to the drinking water arsenic higher than 0.05 mg/L, and 7821 arsenism patients were diagnosed. Burning coal endemic arsenism spreads in 2 provinces, 8 counties, affecting 333905 peoples, 48438 peoples exposing to high arsenic of burning coal pollution, and 2402 peoples causing chronic arsenic poising by coal burning. Drinking water endemic arsenism: Nemeng, Shanxi is a severe drinking water endemic region also. Wusu city in Xinjiang is old arsenism area, which reformed drinking water to decrease arsenic, so chronic arsenic poisoning condition decreasing. Reforming drinking water measures to decreees arsenic were performed in some areas of Neimeng and Shanxi. On other hand, 1 county of Jilin and 1 county of Ningxia as drinking water arsenism areas were affirmed. 11 counties of Shanyi, 1 Banner of Nemeng, 1 city of Jilin, 1 county of Qinhai and 1 counties of Anhui province were discovered for new drinking water arsenism areas in this survey. Shunyi district of Beijing has high arsenic in drinking water. Otherwise, high arsenic content in drinking water in some areas decreased to lower than 0.05 mg/L, which including some villages of Liaoning province, Tongxing city of Zhejiang province, and Tianzhu village of Shunyi district in Beijing. Blackfoot disease related to high arsenic in drinking water in Taiwan province does not include in this study. Burning coal endemic arsenism: Guizhou province has a typical burning coal arsenism areas in China and world. Although to reform stove and decreasing arsenic pollution, but the chronic arsenic poisoning from domestic coal combustion exists, because it located high seal level and poor areas. Some new burning coal arsenism areas in Shanxi province were found, which produced air pollution and food pollution of arsenic from domestic coal combustion for cooking and heating. The paper summarizes the arsenic distribution levels in drinking water and in environment of burning coal. At the same time, preventive and control measures of endemic arsenism were provided.