Street dust is a primary source of metal pollution in urban environments, posing a significant threat to human health through chronic exposure via inhalation, ingestion, and skin contact. This study used deterministic and Monte Carlo simulation to assess the health risks of potential toxic elements (PTEs) in the street dust of Al-Hillah City. The average concentrations of elements in the samples followed the order: Al > Fe > S > K > Sr > Mn > Cr > Ba > Zn > Ni > Pb > Cu > Co > As > Sn > Sb > Cd. In the study area, all the measured elements exceeded UCC values except for Al, Ba, Fe, and K. The results for the enrichment factor (EF), geo accumulation index (Igeo), and contamination factor (CF) revealed that the most sampled locations were polluted with sulfur (S), arsenic (As), and chromium (Cr). The highest values of the pollution load index were not for a solely land use class; they were identified at different sampling stations. According to the potential ecological risk rating, As and Cd pose a medium risk, while Cr, Cu, Ni, Pb, and Zn have low risks. The probabilistic Monte Carlo simulation highlighted the significant health risks from PTEs in street dust, especially for children, with HI values of 2.01, 3.24, and 5.26 at the 5th, 50th, and 95th percentiles, respectively. In comparison, HI values for adults were much lower at 0.29, 0.41, and 0.58, remaining within safe limits. Lifetime Cancer Risk (LTCR) estimates showed that 99.7% of adults and 97% of children exposed to levels exceeding the safe threshold 1E-4. Sensitivity analysis revealed that chromium )Cr( and nickel (Ni) were the main PTEs contributing to health risks in children and adults’ groups.
