The aquatic ecosystem of the Meskiana Valley (wilaya of Oum El Bouaghi) covers a large area with a permanent flow and a semi-arid climate characterized by a strong evapotranspiration. In order to determine the Physico-chemical quality, pollution and salinity of the water of the river of Meskiana and more particularly in its downstream part which is exposed to wastewater discharges, analyses were carried out at the level of three sampling points: witness, the upstream (before spill), downstream (after spill)). In order to prevent the risk of alkalization and salinization of soil, the sodium absorption rate (SAR) and the percentage of sodium were determined and represented on the Wilcox and Riverside diagram. The high concentrations of polluting chemical elements and excessive salinity obtained at the downstream site show a high risk of pollution and salinization.