An assessment was conducted of drinking water quality in four communities in Zamfara State, Nigeria affected by lead poisoning from gold mining and processing activities. Water samples from 18 sources were tested for 22 parameters. Results showed high levels of lead, turbidity, and bacteria in many sources, likely due to mining waste contamination. A geochemical analysis found lead and other heavy metals in rocks from mining sites. Community members process mining materials within households, exposing adults and children to dust. Recommendations included providing new water sources, sensitization on hygiene, and monitoring to address contamination issues.