Background: Anthropogenic activities have clearly affected the environment, with irreversible and destructive consequences. Mining activities have a significant negative impact, primarily on soil, and then on human health. The negative impact of the first mining activities is represented even today in the soils of those localities. Research shows that, for different types of mines, the concentrations of potentially toxic elements (PTEs) are high, especially in antimony, multi-metal and lead-zinc mines, which have adverse effects on the environment and then on human health and the economy. A large flood in 2014 in Western Serbia resulted in the breaking of the dam of the processed antimony ore dump of the former antimony mine, causing toxic tailings to spill and pollute the downstream area. Due to this accident, tailings material flooded the area downstream of the dump, and severely affected the local agriculture and population. Methods: Potentially toxic elements content, pollution indices and health indices were determined in soil samples from the flooded area, using referenced methodologies. The sources and routes of pollutants and risks were determined and quantified using statistical principal component analysis, positive matrix factorisation, and a Monte Carlo simulation. Results: The main source of As, Cd, Hg, Pb, Sb and Zn in the upper part of the study area was the tailing material. Based on the pollution indices, about 72% of the studied samples show a high risk of contamination and are mainly distributed immediately downstream of the tailings dump that was spilled due to heavy rainfall. Conclusions: Although the content of the PTEs is high, there is no non-carcinogenic risk for any PTEs except As, for which a threshold risk was determined. There is no carcinogenic risk in the study area.
