Abstract: Naturally occurring uranium geochemical anomalies, representative of the several thousand recognized in the Portuguese section of the Iberian Massif and outcropping in three target areas with a total of a few thousand square metres, were subjected to a detailed study (1:1000 scale) to evaluate the radiological health-risk on the basis of a dose assessment. To reach this goal some radioactive isotopes from the uranium, thorium and potassium radioactive series were measured in 52 samples taken from different environmental compartments: soils, stream sediments, water, foodstuff (vegetables) and air; external radiation was also measured through a square grid of 10×10m, with a total of 336 measurements. The results show that some radioisotopes have high activities in all the environmental compartments as well as a large variability, namely for those of the uranium decay chain, which is a common situation in the regional geological setting. Isotopic disequilibrium is also common and led to an enrichment of several isotopes in the different pathways, as is the case of 226Ra; maximum values of 1.76BqL−1 (water), 986Bqkg−1 (soils) and 18.9Bqkg−1 (in a turnip sample) were measured. On the basis of a realistic scenario combined with the experimental data, the effective dose from exposure to ionizing radiation for two groups of the population (rural and urban) was calculated; the effective dose is variable between 8.0 and 9.5mSvyear−1, which is 3–4 times higher than the world average. Thus, the radiological health-risk for these populations could be significant and the studied uranium anomalies must be taken into account in the assessment of the geochemical background. The estimated effective dose can also be used as typical of the background of the Beiras uranium metalogenetic province and therefore as a “benchmark” in the remediation of the old uranium mining sites.