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Background and Aim: In order to achieve improved global health, environmental health risks that could affect this goal have to be reduced as much as possible. This review thus aimed at determining the exposure levels, health risk assessments, and public health effects of polycyclic aromatic hydrocarbons (PAHs) in sub-Saharan Africa (SSA). This review was developed using guidelines provided for Preferred Reporting Items for Systematic Review and Meta-Analysis. Search was done on Google Scholar, Scopus, and PubMed databases. A study was included if it was carried out in SSA from 2000 to 2020 and written in English language. Fifty-two studies were finally retained and used for the review. Extracted data included the concentrations of 8 selected priority PAHs (including the PAHs prioritized for their carcinogenic potentials), their sources and reported outcomes. In SSA, PAHs exposure has been linked to the use of unprocessed biomass fuels for cooking, release of poorly treated petrochemical effluents into water bodies, and so on. Related public health effects included the occurrence of respiratory, cardiovascular abnormalities, and so on. Others included destruction of natural biodiversity in soil, water, and atmospheric environmental media. Health risk assessments also buttressed the occurrence of these public health effects of PAHs. In SSA, the region is exposed to a substantial amount of PAHs pollution which is associated with deleterious environmental and epidemiological effects. The adoption of healthier forms of energy, a change of attitude to one that favors environmental sustainability, and proper enforcement of environmental regulations are, however, necessary for attaining environmental sanity in SSA.