Exposure to arsenic contaminated ground water has been a global environmental health hazard for 2/3 decades. Multi-organ diseases including cancers have been reported in humans chronically exposed to arsenic. Urinary porphyrin profiles and MDA induced by arsenic may be useful for prevention of health risk in endemic areas. Study measured ground water arsenic and urine arsenic among adult individuals from control and exposed areas of West Bengal, India respectively by flow injection atomic spectroscopy and transversely-heated graphite atomiser techniques. Porphyrins, uroporphyrin III, heptacarboxyporphyrin I, hexacarboxyporphyrin I, pentacarboxyporphyrin I, coproporphyrin III and malonaldehyde in urine of control and exposed individuals were analysed separately by HPLC using fluorescence detector. Significant statistical association between water and urine arsenic was noticed among population exposed to, < 50µg As/L and > 50µg As/L water. Higher levels of uro III, hepta I and Copro III, were observed in group exposed to > 50µg As/L water, irrespective of gender and age. Higher porphyrins in group exposed to, < 50 µg As /L water compared to control indicate, change in porphyrin profile starts before appearance of skin changes. Ratio, copro III/ uroIII, also increased significantly with exposure and age. A good correlation was observed in the regression analysis between U-As against uro III and copro III for exposed population. Oxidative stress condition was revealed by elevated MDA with increased U-As. Study demonstrated a positive correlation between U-As and porphyrins in exposed and control individuals indicating bio-chemical toxicity. Exposed individuals with raised MDA indicated oxidative cellular damage to confirm oxidative stress. Altered porphyrin profiles even in younger group suggest it to be potential early biomarker. Abbreviations: uro III, Uro porphyrin III dihydrochloride; hepta I, Heptacarboxy porphyrin I heptamethyl ester; hexa I, Hexacarboxy porphyrin I hexamethyl ester; penta I, Pentacarboxy porphyrin I pentamethyl ester