This study focuses on determining the toxicological risks of urban waste from the city of Uvira, discharged into Lake Tanganyika, on the surrounding population. Volatile organic compounds were measured in a variety of solid waste matrices, including inorganic micropollutants in wastewater and fish. The concentrations of Hg and Pb in the lake were found to be 1.21 and 1.42 µg/L respectively and between 0.83 to 18.36 µg/L of Hg and 8.25 to 670 µg/L of Pb, at the collector outlet. The presence of trace metallic elements, such as Cr, Co, Ni, Cu, Zn, As, Sb, Hg and Pb, were detected at high concentrations compared to the WHO standard. An ecotoxicology experiment herein on wastewater samples showed lethal pollutant concentrations of the order of 0.0055 mL/mL which killed at least 50% of fish (LC50), confirming the toxicity of the wastewater. These potentially harmful effluents also contain volatile organic compounds originating in high concentration from the pharmaceutical discharges of the general Uvira hospital, in particular: toluene, ethylbenzene, mxylene/p-xylene, o-xylene and chloroform in higher concentrations compared