The landslide of 1894 killed 4 people, upset 8 properties, uprooted bridges and docks, slowed down the transport of wood by floating, affected sawmills and put an end to commercial navigation upstream of Sainte-Anne-de-la-Pérade.

Saint-Marc-des-Carrières, Saint-Alban, Saint-Casimir, Grondines and Saint-Thuribe are the main municipalities of Portneuf RCM bathed by the Sainte-Anne River.

In the northern part, sparsely populated and largely dominated by forest, the water of the river and its tributaries is of very good quality.

In St. Lawrence Lowlands,[13] the southern part of the watershed is used for agricultural purposes and is more densely populated, the waters are of poor quality.

Agricultural activities are responsible for a large part of the phosphorus loads measured in the sub-basins of the Blanche, Charest, Niagarette rivers and the Gendron Creek.

[5] The forest environment and its lakes cover 79% of the territory of the Sainte-Anne River region, mainly in the southern Laurentians Mountains.

[23] In Sainte-Anne-de-la-Pérade, in 1938, Eugène Mailhot, busy cutting blocks of ice for the family cooler, discovered that fish were spawning in the Sainte-Anne River.

Having become a tradition, as soon as the ice permits, in December, the mouth of the Sainte-Anne comes alive to create what will become the world capital of Tommy Cod fishing.

[16][22][24] The fishing cabins are rented day from 08:00 to 18:00 and night 20:00 to 06:00, they are heated by wood or electricity, a table, benches, chairs, sometimes a couch, a radio and even a television set constitute the furniture.

This temporary village, crisscrossed by a few roads, is lively day and night with outdoor activities, fishing, ice skating, tobogganing, little train rides, snowmobile, restaurants and others.