ABSTRACT In recent years, there has been an increase in environmental catastrophes involving mining dam failures. This study assessed the potential risks of iron ore tailings in riparian soils to human health after the worst dam collapses recorded in Brazil: from Córrego do Feijão Mine-CFM and Fundão. Chemical monitoring data from the three-year time interval since the collapses were used to estimate human risk indexes for trace elements such as arsenic, cadmium, chromium, mercury, nickel, lead, and zinc. In both case studies, the adult group indicated a propensity for the development of non-carcinogenic diseases through ingestion, inhalation and dermal pathways for all contaminated areas. Overall, children showed an exacerbated sensitivity to possible cancerous and non-cancerous effects, especially in the areas surrounding the dams and in Barra Longa, São José do Goiabal, Córrego Novo, Veneza, Periquito, Governador Valadares, Tumiritinga, Conselheiro Pena, Honório Fraga and Linhares (from the Fundão dam) and in all study areas from the CFM dam. These assessments demonstrate that in regions with mining activities, the cumulative effects of trace elements over time are harmful and expected. Therefore, there is a need for greater supervision by competent government bodies of conservation practices that enable environmental recovery or mitigation of their impacts, ensuring appropriate health and well-being conditions for local residents and workers.