The aim of this study is to assess the level of heavy metals (HMs) in surface sediments along the coastal estuaries of the Republic of Congo. A variety of approaches were employed, integrating elemental analysis (Atomique Absorption Spectroscopy), environmental, ecological, health risk assessment, and source identification techniques to evaluate the distribution, origin, environmental, ecological and health risks of potentially toxic element (PTE) contamination in sediments. The ascending mean concentration (mg/kg) of Cd (0.4) < Cu (18.6) < Pb (28.8) < Zn (62.1) < Mn (107) < Mg (569.6) complied with the local background, except for Cd and Pb. However, notable variations across sampling points and sites were observed, with a strong relationship between metals and organic matter. The comparing of PTEs with USEPA international standards and sediment toxicity guidelines showed compliance. The assessment of environmental risk parameters, based on the calculation of the geo-accumulation index, concentration factor and pollutant load indices showed low pollution of sediments. The ecological risk assessment, on the other hand, revealed a low level of pollution of biota and a low toxicity risk of ecosystems related to Cd and Pb and then to Cu in some sites. Regarding human health risk assessment, related to the PTEs, the cancerogenic effect indices were calculated for Cd and Pb through ingestion and inhalation pathways, and the non-cancerogenic effect indices were calculated for all HMs through ingestion, inhalation, and cutaneous contact routes, for children and adults, and showed that the results comply with the international standards set by USEPA, ranging from 10(-4) to 10(-6) and less than 1, respectively, where children were more sensitive and vulnerable than adults to the effects of the PTEs. Ultimately, this study revealed sediment lithology, anthropogenic activities, and mixed origins of HMs, with a large contribution from industrial activities. However, no significant impacts are discernible in the study area. In addition to the importance of this study, it forms part of the region database and could serve as a reference for future monitoring studies, since no data are available in th Congolese coastal environment.
