ABSTRACT The present study investigated the environmental impacts of cement production on surface water quality and vegetation in the vicinity of the industry. A 2-year study was conducted, covering both wet and dry seasons. Water samples were collected from the Akinbo River, where the cement industry discharges its liquid waste and effluents, and analysed for physical and chemical parameters using standard procedures. The vegetation around the factory was analysed for chlorophyll, plant density, basal areas, and heights of woody species. The study also assessed the health impacts of cement production on the factory employees and the residents living in the vicinity of the factory. The health assessment was based on hospital information obtained from two clinics in the villages near the factory. The water quality results revealed elevated concentrations of Ca and Fe. All the trees sampled around the study area had small basal areas and short heights. There was also a significant reduction in the chlorophyll contents of the vegetation. The health study showed a high incidence of upper-respiratory tract infections, cardiovascular diseases, arthritis, and dermatitis among factory workers. This study suggests a review of the existing dust-suppressing system put in place by the industry, to protect public health.