Illegal small-scale gold mining is negatively impacting the water quality of the Birim River in Ghana. Samples taken from downstream and middle sections of the river showed higher levels of turbidity, color, mercury and other parameters compared to upstream sections without mining. This suggests that mining activities are contaminating the river water. Continued use of the polluted water poses health risks and could hurt crop yields for communities that rely on the river. Stricter enforcement is needed to stop mining in the river and provide alternative livelihoods, while further studies will monitor the long term effects.