urine samples obtained from 52 adults. The frequencies of individuals who showed more than LOD levels was above 90% for imidacloprid, thiamethoxam, clothianidin and dinotefuran, more than 50% for acetamiprid and thiacloprid and 29% for nitenpyram. Conclusions: These results indicated that our new method could be applied to biological monitoring of NEO exposure even at environmental exposure levels in Japanese adults without occupational spraying histories. (J Occup Health 2014; 56: 461-468) Key words: Biological monitoring, LC-MS/MS, Neonicotinoid, Urine Neonicotinoid (NEO) insecticides, the fastest growing class of insecticides in modern crop protection, act selectively on insect nicotinic acetylcholine receptors 1,2) . Currently, 7 different active ingredients are available in NEOs: acetamiprid, clothianidin, dinotefuran, imidacloprid, thiacloprid, thiamethoxam and nitenpyram. Launched in the late 1990s, their agricultural use has been increasing in the US 3) and Japan 4) , as organophosphorus (OP) and pyrethroid (PYR) insecticides are being phased out primarily due to the emergence of insects resistant to conventional pesticides.Exposure assessment, which is conducted to evaluate various exposures incurred by workers in the workplace and general populations in their living environments, is a key component of human health risk assessment. Mainly by using high-performance liquid chromatography (HPLC) with a single or tandem mass spectrometry detector (MS/MS), the levels of NEOs in foods and environmental samples such as soil and ground water have been quantitated 5−7) . However, methods for biological monitoring of NEO exposure In this study, we developed and validated a rapid and sensitive method for quantifying urinary NEO concentrations using high-performance liquid chromatography-tandem mass spectrometry (LC-MS/MS). Methods: After phosphate-induced acidification of a urine sample, urinary NEOs were trapped by a solid-phase extraction column and eluted with methanol for acetamiprid, imidacloprid, thiacloprid, thiamethoxam, clothianidin and dinotefuran and with an acetonitrile and methanol solution (1:1, v/v) containing 5% NH 3 for nitenpyram. A separation analysis was performed by LC-MS/MS within 10 minutes for the sample. This method was applied to first morning urine obtained from 52 Japanese (40.9 ± 10.5 years old, mean ± standard deviation) without occupational NEO exposure. Results: The linear dynamic ranges and their limit of quantification (LOQ, signal to noise ratio=10) levels were 0.3−20 or 50 μg/l (r =0.998−0.999) and 0.05−0.36 μg/l, respectively. The absolute recovery was 64−95%, and the intra-and inter-day precisions were less than 16.4% (relative standard deviation, %RSD). This method was successfully applied for analysis of NEOs in human