The industry of the Republic of North Ossetia – Alania is represented by metallurgy, Metalworking, fuel, electric power, woodworking and forestry, and has the production of building materials. Industrial dust and aerosols and vehicle emissions are important sources of soil contamination with metals. The degree of soil contamination with metals may present a hidden risk to human health, taking into account the routes of entry (by oral administration, by skin contact, and by inhalation). The purpose of this work was to study environmentally-related pathology and develop preventive measures aimed at its prevention. To achieve this goal, we used epidemiological and sanitary - statistical research methods based on data from official documents and reports containing information about the state of health of the population of the Republic of North Ossetia – Alania. The article presents the results of epidemiological and sanitary-statistical methods for studying the sanitary and chemical indicators of the soil of the Republic of North Ossetia – Alania, and their impact on the health of the population. When assessing the environmental situation of the territory of the Republic of North Ossetia – Alania, special attention is paid to the study of such sanitary and chemical indicators as lead, cadmium, zinc and copper, which are priority polluting microelements. For the city In Vladikavkaz 2017-2019, the proportion of samples taken for cadmium exceeded the MPC in 76.0 - 79.2% of cases, for lead - 88.0 – 90.5%, and for zinc-68.0 - 80.0 %. There is an increase in environmentally-related pathology, which is probably due to unfavorable environmental conditions for lead, cadmium, and zinc.