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The Bécancour River in southern Quebec (Canada) has evolved under the influence of the long asbestos mining history of the Thetford Mines region (1877–2011 Common Era; CE). This river originates at the outflow of Lake Bécancour, flows through the old mining sites, and then widens to successively form Stater Pond, Trout Lake, Lake William, and Lake Joseph (25 km from the closest mine). Our objective was to assess asbestos fiber contamination in dated sediment cores retrieved at these sites by means of transmission electron microscopy. Chrysotile was the most abundant form of asbestos identified in the samples. Asbestiform actinolite and tremolite were also found. Our results revealed that precolonial sediments deposited at 4 out of the 5 study sites naturally contained asbestos fibers (up to 3.5 wt%), with mass accumulation rates historically reaching up to 1.0 mg cm−2 yr−1. However, fiber concentrations were greatly enhanced in the anthropogenic horizon of all sediment cores. The highest concentrations (up to 6.9 wt%) were found in layers from Stater Pond and Trout Lake deposited during the maximum of regional mining activities (1945‒1980 CE). Likewise, reconstructed mass accumulation rates indicated that asbestos fiber influx peaked (up to 38.6 mg cm−2 yr−1) during this epoch in all water bodies located downstream from Thetford Mines at magnitudes consistent with their proximity to the mining sites. They decreased after 1980 EC (≤ 24.4 mg cm−2 yr−1) following the decline of regional mining activities and improvement of air quality. Modern sediments of all study sites (including upstream Lake Bécancour) were nevertheless still highly enriched in asbestos fibers (up to 4.4 wt%), which can be attributed to intensive mining waste erosion in the lake catchments. Our study highlights that asbestos fiber contamination is important and widespread in the Bécancour River basin, which raises human and ecosystem health concerns.