The Environmental Health policy objective measures how well countries are protecting their populations from environmental health risks. It comprises 40% of the total EPI score and is made up of four issue categories: Air Quality, Sanitation & Drinking Water, Heavy Metals, and Waste Management.
Environmental Health
| Country | Rank | EPI Score | 10-Year Change |
|---|---|---|---|
| Finland | 1 | 99.3 | 3.5 |
| Norway | 2 | 98.5 | 4.1 |
| Sweden | 3 | 98.4 | 3 |
| Iceland | 4 | 98.1 | 1 |
| Switzerland | 5 | 95 | 4.3 |
| Ireland | 6 | 94.2 | 6.5 |
| Luxembourg | 7 | 92.6 | 5.8 |
| Denmark | 8 | 91.7 | 5.7 |
| Canada | 8 | 91.7 | 3.3 |
| United Kingdom | 8 | 91.7 | 3.4 |
| Australia | 11 | 91.6 | 2.3 |
| France | 12 | 91.5 | 6.3 |
| Netherlands | 13 | 91 | 3.6 |
| Japan | 14 | 90.3 | 0.4 |
| Germany | 15 | 89.6 | 3.9 |
| New Zealand | 16 | 88 | 2.1 |
| Austria | 16 | 88 | 5.2 |
| Spain | 18 | 86.8 | 4.7 |
| Malta | 19 | 86.1 | 6.1 |
| Belgium | 20 | 86 | 5.7 |
| Italy | 21 | 85.5 | 4.6 |
| Singapore | 22 | 85 | 2.8 |
| Israel | 23 | 83.6 | 4.5 |
| Portugal | 24 | 83.4 | 7.1 |
| United States of America | 25 | 82.8 | 4.8 |
| Cyprus | 26 | 81.5 | 5.2 |
| South Korea | 27 | 81.4 | 2.3 |
| Greece | 28 | 80.6 | 4.5 |
| Brunei Darussalam | 29 | 74 | 0.1 |
| Estonia | 30 | 73 | 9.6 |
| Slovenia | 31 | 68.9 | 3.6 |
| Czech Republic | 32 | 68.3 | 3.8 |
| Uruguay | 33 | 67.7 | 4.6 |
| Slovakia | 34 | 64.3 | 4.9 |
| Chile | 35 | 63.4 | 3.7 |
| Lithuania | 36 | 63.2 | 8 |
| Croatia | 37 | 61.2 | 4.6 |
| Barbados | 38 | 60.7 | 0.9 |
| Costa Rica | 39 | 60.5 | 3.3 |
| Argentina | 40 | 60.2 | 3.4 |
| Mauritius | 41 | 60 | 4.6 |
| Taiwan | 42 | 59.2 | 2.8 |
| Poland | 43 | 58.9 | 4.8 |
| Jordan | 44 | 58.6 | 7 |
| Latvia | 45 | 58 | 7.4 |
| Kuwait | 46 | 57.3 | 4.5 |
| Qatar | 47 | 56.9 | 3.7 |
| Belarus | 48 | 55.9 | 7.5 |
| Antigua and Barbuda | 49 | 55.5 | 2.2 |
| Malaysia | 50 | 55.4 | 3.8 |
| United Arab Emirates | 51 | 55.2 | 3.6 |
| Colombia | 52 | 55 | 5.9 |
| Trinidad and Tobago | 53 | 54.6 | 2.2 |
| Hungary | 54 | 54.1 | 4.1 |
| Bahamas | 55 | 53.1 | 1.7 |
| Lebanon | 55 | 53.1 | 6.6 |
| Russia | 57 | 53 | 8 |
| Turkey | 58 | 51.3 | 6.5 |
| Seychelles | 59 | 50.8 | 2.1 |
| Cuba | 60 | 50.5 | 2.8 |
| Panama | 61 | 50.4 | 5.8 |
| Algeria | 61 | 50.4 | 5.1 |
| Bulgaria | 63 | 50.3 | 3.8 |
| Ecuador | 64 | 50.2 | 5.1 |
| Romania | 65 | 50 | 5.5 |
| Brazil | 66 | 49.7 | 7 |
| Bahrain | 67 | 49.2 | 5.5 |
| Tunisia | 67 | 49.2 | 5.2 |
| Ukraine | 69 | 49 | 2.6 |
| Thailand | 70 | 48.4 | 4.9 |
| Iran | 71 | 48.3 | 6.4 |
| Maldives | 72 | 48 | 4.9 |
| Serbia | 73 | 47.8 | 5.1 |
| Saint Lucia | 73 | 47.8 | 1 |
| Mexico | 75 | 47.5 | 2.8 |
| Saudi Arabia | 76 | 47.2 | 7.8 |
| Dominica | 77 | 46.8 | 0.7 |
| Paraguay | 77 | 46.8 | 3.6 |
| Montenegro | 79 | 46.7 | 3.7 |
| Venezuela | 80 | 46.5 | 2.3 |
| Grenada | 81 | 46.3 | 1.9 |
| Moldova | 82 | 45.6 | 8.2 |
| Jamaica | 83 | 45.5 | -0.1 |
| Peru | 84 | 45.1 | 3.6 |
| Turkmenistan | 85 | 45 | 6.3 |
| Albania | 86 | 44.5 | 3.1 |
| Saint Vincent and the Grenadines | 87 | 44.1 | 1.2 |
| Bosnia and Herzegovina | 88 | 43.9 | 3.3 |
| North Macedonia | 89 | 43.6 | 4 |
| Tonga | 89 | 43.6 | 0.9 |
| Armenia | 91 | 43.5 | 4.1 |
| Oman | 92 | 43.4 | 7 |
| El Salvador | 93 | 42.5 | 2.1 |
| Samoa | 94 | 42.4 | 0.7 |
| Sri Lanka | 95 | 42.1 | 4.2 |
| China | 96 | 41.8 | 5.5 |
| Kazakhstan | 97 | 40.8 | 5.2 |
| Viet Nam | 98 | 40.6 | 4 |
| Belize | 99 | 40.3 | 1.1 |
| Nicaragua | 100 | 40.2 | 2.8 |
| Iraq | 101 | 39.5 | 11.2 |
| Georgia | 102 | 38.7 | 3.4 |
| Suriname | 103 | 36.6 | 2.7 |
| Dominican Republic | 104 | 36.1 | 0.7 |
| Bolivia | 105 | 35.9 | 3.8 |
| Fiji | 106 | 34.7 | 1.7 |
| Philippines | 107 | 34.1 | 4.9 |
| Egypt | 108 | 33.8 | 6.8 |
| Kyrgyzstan | 109 | 33.7 | 4.9 |
| Guyana | 110 | 33.5 | 4.7 |
| Honduras | 111 | 33.4 | 1.7 |
| Morocco | 112 | 33.3 | 5.6 |
| Azerbaijan | 113 | 32.7 | 3.3 |
| Marshall Islands | 114 | 32.6 | 2.7 |
| South Africa | 115 | 31.1 | 7.1 |
| Micronesia | 116 | 30.8 | 1.2 |
| Guatemala | 116 | 30.8 | 3.6 |
| Cambodia | 118 | 30.5 | 4.4 |
| Cabo Verde | 119 | 30.4 | -1.7 |
| Bhutan | 120 | 29.8 | 2.2 |
| Uzbekistan | 121 | 29.7 | 3 |
| Indonesia | 122 | 29 | 4.2 |
| Timor-Leste | 123 | 28.9 | -0.3 |
| Sao Tome and Principe | 124 | 28.7 | 3.2 |
| Papua New Guinea | 125 | 28.4 | 1.7 |
| Mozambique | 126 | 28.1 | 1.5 |
| Gabon | 127 | 27.9 | 6.5 |
| Mongolia | 128 | 27.6 | 3 |
| Equatorial Guinea | 128 | 27.6 | 4 |
| Tanzania | 130 | 27.4 | 1.8 |
| Comoros | 131 | 27.3 | 0.9 |
| Laos | 132 | 27.2 | 5.6 |
| Vanuatu | 133 | 26.7 | 0.4 |
| Malawi | 134 | 26.5 | 2.8 |
| Kenya | 135 | 25.7 | 4 |
| Uganda | 135 | 25.7 | 0.7 |
| Ethiopia | 137 | 25.2 | 1.4 |
| Myanmar | 138 | 24.6 | 5.9 |
| Rwanda | 139 | 24.4 | 1.6 |
| Kiribati | 140 | 22.9 | 1 |
| Namibia | 141 | 22.5 | 3.8 |
| Zimbabwe | 141 | 22.5 | 2.7 |
| Bangladesh | 143 | 22.4 | 2.7 |
| Dem. Rep. Congo | 143 | 22.4 | 2 |
| Madagascar | 145 | 22.1 | 1 |
| Burundi | 146 | 21.9 | 1.2 |
| Haiti | 147 | 21.8 | 1.7 |
| Gambia | 148 | 21.4 | 0.1 |
| Liberia | 149 | 21.3 | 1 |
| Nepal | 150 | 21 | 2.3 |
| Zambia | 150 | 21 | 2.8 |
| Sudan | 152 | 20.8 | 3.3 |
| Tajikistan | 153 | 20.7 | 2.6 |
| Senegal | 154 | 20.4 | 0.3 |
| Solomon Islands | 154 | 20.4 | -0.1 |
| Angola | 154 | 20.4 | 2.9 |
| Benin | 157 | 20.3 | 0.5 |
| Botswana | 158 | 20.2 | 4.2 |
| Djibouti | 159 | 20.1 | 2.9 |
| Ghana | 159 | 20.1 | 1.3 |
| Afghanistan | 161 | 20 | 1 |
| Mauritania | 161 | 20 | 3.2 |
| Burkina Faso | 163 | 19.6 | -0.4 |
| Mali | 164 | 19.5 | 0.9 |
| Cote d'Ivoire | 165 | 19.4 | 1.6 |
| Sierra Leone | 166 | 19.1 | 0.9 |
| Guinea | 167 | 18.6 | 1.3 |
| Republic of Congo | 168 | 18.1 | 3.4 |
| Eswatini | 169 | 17.6 | 3.9 |
| Niger | 170 | 17.1 | -0.6 |
| Togo | 171 | 16.4 | 1.3 |
| India | 172 | 16.3 | 3.9 |
| Eritrea | 173 | 15.5 | 1.5 |
| Guinea-Bissau | 174 | 15.1 | 2.5 |
| Chad | 175 | 14.9 | -1 |
| Pakistan | 176 | 14.6 | 1.8 |
| Nigeria | 177 | 13.9 | 1.1 |
| Cameroon | 178 | 13.6 | 2.2 |
| Central African Republic | 179 | 12.2 | -0.1 |
| Lesotho | 180 | 11.8 | 2.2 |