The hazard index (HI) and carcinogenic risk due to the exposure of some potentially toxic elements to the Santiago Island (Cape Verde) population were calculated, considering soil ingestion, inhalation, and dermal contact as exposure pathways. The topsoil of Santiago Island, compared with that of the upper continental crust, is enriched with Co, Cr, Cu, Ni, V, Zn, Mn, and Cd. Hazard indices (HIs) for these metals and the As exposures to the Santiago Island population were calculated, and these calculations were performed for children and adults. For children, HIs were higher than 1 for Co, Cr, and Mn. Therefore, there is an indication of potential non-carcinogenic risk for children, due to the high Co (HI = 2.995), Cr (HI = 1.329), and Mn (HI = 1.126) values in these soils. For the other elements, in adults, there is no potential non-carcinogenic risk. Cancer risk for As, Cd, Cr, and Ni exposures, in adults and children, was calculated, and the results are mainly lower than the carcinogenic target risk of 1 × 10−6
for As, Cd, and Ni. However, in adults, cancer risk is higher than the carcinogenic target risk for Cr. Regarding As, for children, the fraction due to Riskingestion
represents 51.6%, while Riskinhalation
represents 48.0% and Riskdermalcontact
represents only 0.4% of the total risk. For adults, Riskinhalation
represents 81.3%, Riskingestion
represents 16.6%, and Riskdermal contact
represents 2.1%. These results reflect the higher daily ingestion dose for children and the higher inhalation rate and higher dermal contact surface for adults. For the other elements, the cancer risk due to Cr, Ni, and Cd inhalation is always higher for adults than it is for children, reflecting the higher inhalation rate for adults.