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The elemental contaminants in water and fish samples from Aba river were studied. The elements studied were Zn, Ni, As, Hg, Co and Mn. Three water samples and three samples of different fish species were collected from different locations in the river. The water and fish samples were analysed for elemental contaminants using Atomic Absorption Spectrophotometer (AAS). The elemental toxicants Zn and Mn were identified in appreciable amounts in fresh fish species namely, Lates niloticus and Oriochronis niloticus, of mean values 8.012 ppm and 0.861 ppm, respectively. The analysis also shows arsenic concentration of mean value 0.01 ppm in Lates niloticus. The analysis of frozen fish samples purchased from the Waterside market located near the river shows Ni and Hg levels of mean values 0.83 ppm and 0.02 ppm, respectively. The levels of elemental contaminants As, Zn, Hg and Mn from the water samples have mean values 0.082 ppm, 11.284 ppm, 0.201 ppm and 1.024 ppm, respectively. There are five industries that discharge waste products into Aba river. In view of this, there is a need to determine the level of pollution of the river, since the inhabitants depend on the river for their drinking water, fishing and other domestic uses. This study is aimed at determining the level of heavy metal toxicants in fish and water samples from the river. The effect of these elemental contaminants and the associated health hazards were examined.