South Africa (SA) has a long history of goldmining and milling, and it has been estimated that as an unwanted side product 100 000 tons of uranium were contained in mine tailing deposits in the two goldfields in the Witwatersrand basin. [1] Locally high levels of environmental contamination from uranium and its decay products, clearly linked to mining activity, have consequently been reported in water, soil, sediment and dust, reaching between 50 and 100 times the background levels. [1,2] This situation has raised concern about long-term health risks, including cancer, associated with chronic environmental uranium exposure. [1] Uranium is a natural and dense metal widespread in the environment and consists of three isotopes (234U, 325U and 238U) that emit alpha-and beta-radiation. [3] Uranium decay products include radium-226 and radon-222, which are also radioactive elements. In 2009, the International Agency for Research on Cancer (IARC) classified alpha-and beta-particle emitters as carcinogenic to humans (group 1), in particular radium-226, with sufficient evidence for bone sarcoma and carcinoma of the paranasal sinus and mastoid process, and radon-222, with sufficient evidence for lung cancer. [3,4] Associations between uranium and its decay products and risk of haematological cancers have been hypothesised, although evidence is inconclusive. [5] Positive associations have been observed for cumulative radon exposure and risk of leukaemia in cohorts of uranium miners, [3,6] for radium-226 concentration in groundwater This open-access article is distributed under Creative Commons licence CC-BY-NC 4.0.