The coupling effects of sandstorm and dust from coal bases themselves can have a major impact on the atmospheric environment as well as on human health. The typical coal resource city of Wuhai in Inner Mongolia was selected in order to study these impacts during a severe sandstorm event in March 2021. Particulate matter (PM1, PM2.5 and PM10) and total suspended particulate matter (TSP) samples were collected during the sandstorm event of 15–19 March 2021 and non-sandstorm weather (11–13 March 2021) and analyzed for their chemical composition. The concentrations of PM1, PM2.5, PM10 and TSP in Wuhai city during the sandstorm were 2.2, 2.6, 4.8 and 6.0 times higher than during non-sandstorm days, respectively. Trace metals concentrations in particles of different sizes generally increased during the sandstorm, while water-soluble ions decreased. Positive matrix fraction (PMF) results showed that the main sources of particles during both sandstorm and non-sandstorm days were industrial emissions, traffic emissions, combustion sources and dust. The proportion of industrial emissions and combustion sources increased compared with non-sandstorm days, while traffic emissions and dust decreased. The backward trajectory analysis results showed that airflows were mainly transported over short distances during non-sandstorm days, and high concentration contribution source areas were from southern Ningxia, southeast Gansu and western Shaanxi. The airflow was mainly transported over long distances during the sandstorm event, and high concentration contribution source areas were from northwestern Inner Mongolia, southern Russia, northern and southwestern Mongolia, and northern Xinjiang. A health risk analysis showed that the risk to human health during sandstorm days related to the chemical composition of particles was generally 1.2–13.1 times higher than during non-sandstorm days. Children were more susceptible to health risks, about 2–6.3 times more vulnerable than adults to the risks from heavy metals in the particles under both weather conditions.