We measure unsafe sanitation using the number of age-standardized disability-adjusted life-years lost per 100,000 persons (DALY rate) due to their exposure to inadequate sanitation facilities. A score of 100 indicates a country has among the lowest DALY rates in the world (≤5th-percentile), while a score of 0 indicates a country is among the highest (≥95th-percentile). Data for this indicator come from the Institute for Health Metrics & Evaluation’s (IHME) Global Burden of Disease (GBD) study.
Unsafe sanitation
| Country | Rank | EPI Score | 10-Year Change |
|---|---|---|---|
| Finland | 1 | 100 | 0.7 |
| Iceland | 1 | 100 | 1.4 |
| Norway | 1 | 100 | - |
| South Korea | 1 | 100 | 2.9 |
| United Kingdom | 1 | 100 | - |
| Japan | 1 | 100 | - |
| Singapore | 1 | 100 | - |
| Germany | 1 | 100 | 0.3 |
| France | 1 | 100 | 5 |
| Switzerland | 1 | 100 | - |
| Denmark | 1 | 100 | 3.4 |
| Netherlands | 1 | 100 | - |
| Spain | 1 | 100 | - |
| Luxembourg | 1 | 100 | 1.6 |
| Sweden | 15 | 99.7 | 2.8 |
| Malta | 16 | 99.5 | 3.9 |
| Italy | 17 | 99.2 | 2.4 |
| Cyprus | 18 | 97.5 | 2.3 |
| Australia | 19 | 96 | 2.9 |
| Greece | 20 | 95.5 | 1.5 |
| Belgium | 21 | 94.6 | 4.8 |
| Brunei Darussalam | 22 | 94.3 | 3.3 |
| Czech Republic | 23 | 93.5 | 1.5 |
| Ireland | 23 | 93.5 | 4.2 |
| Israel | 25 | 91.5 | 3.1 |
| United Arab Emirates | 26 | 90.5 | 2.9 |
| New Zealand | 27 | 89.4 | 3.3 |
| Austria | 28 | 86.7 | 2.2 |
| Uruguay | 29 | 84.5 | 9 |
| Bulgaria | 30 | 84 | 4 |
| Canada | 31 | 83.9 | 2.9 |
| Kuwait | 32 | 82.9 | 4.9 |
| Slovakia | 33 | 82.8 | 3.1 |
| Costa Rica | 34 | 82.5 | 6 |
| United States of America | 35 | 81.4 | 1.9 |
| Slovenia | 35 | 81.4 | 1.6 |
| Qatar | 37 | 81 | 6.1 |
| Poland | 38 | 80.9 | 3.8 |
| Croatia | 39 | 80.8 | 3.3 |
| Taiwan | 40 | 80.3 | 3.7 |
| Portugal | 40 | 80.3 | 3.1 |
| Lebanon | 42 | 79.4 | 10 |
| Montenegro | 43 | 78.9 | 4.8 |
| Oman | 44 | 76.2 | 6.1 |
| Thailand | 45 | 75.8 | 8.3 |
| Jordan | 46 | 75.2 | 15.3 |
| Serbia | 47 | 73.3 | 3.7 |
| Argentina | 48 | 72.7 | 5.2 |
| Saudi Arabia | 49 | 71.9 | 9.8 |
| Malaysia | 50 | 71.8 | 5.8 |
| Chile | 51 | 70.1 | 4.3 |
| Mauritius | 52 | 68.5 | 6.3 |
| Bosnia and Herzegovina | 53 | 67.8 | 5 |
| Bahrain | 54 | 66.6 | 4.5 |
| Estonia | 55 | 66.1 | 2.2 |
| Bahamas | 56 | 65.8 | 1.5 |
| North Macedonia | 57 | 65.4 | 3.6 |
| Hungary | 58 | 64.7 | 1.9 |
| Colombia | 59 | 64.6 | 7.4 |
| Samoa | 60 | 62.5 | 3.9 |
| Turkey | 61 | 61.2 | 7.3 |
| Latvia | 62 | 61.1 | 2.1 |
| China | 62 | 61.1 | 5.6 |
| Iran | 64 | 60.9 | 6.5 |
| Trinidad and Tobago | 64 | 60.9 | 2.9 |
| Belarus | 66 | 60.3 | 1.9 |
| Seychelles | 67 | 60.1 | 5.1 |
| Lithuania | 68 | 59.9 | 2.1 |
| Albania | 69 | 59.7 | 4.4 |
| Algeria | 70 | 59.6 | 5.1 |
| Barbados | 71 | 58.3 | 1.3 |
| Tunisia | 72 | 58 | 3.6 |
| Antigua and Barbuda | 73 | 57.5 | 2.7 |
| Mexico | 74 | 57.2 | 4.7 |
| Romania | 75 | 56.8 | 4 |
| Ecuador | 76 | 55.7 | 8.3 |
| Viet Nam | 76 | 55.7 | 5.5 |
| Iraq | 78 | 55.5 | 14.4 |
| Ukraine | 79 | 55.2 | -0.2 |
| Cuba | 79 | 55.2 | 3.3 |
| Russia | 81 | 55.1 | 1.7 |
| Kazakhstan | 82 | 54 | 4.7 |
| Dominica | 83 | 53.7 | 2 |
| Maldives | 84 | 53.3 | 5.1 |
| Jamaica | 85 | 52.4 | 0.4 |
| Tonga | 86 | 52 | 2.5 |
| Venezuela | 87 | 51.7 | 2.5 |
| Grenada | 88 | 51.2 | 2.2 |
| Paraguay | 89 | 51.1 | 5.8 |
| Sri Lanka | 89 | 51.1 | 6 |
| Georgia | 91 | 50.9 | 3.2 |
| Armenia | 92 | 50.7 | -3.4 |
| Saint Lucia | 93 | 50.3 | 1.9 |
| Uzbekistan | 94 | 49.2 | 1.8 |
| Moldova | 95 | 48.9 | 1.7 |
| Brazil | 96 | 47.7 | 8.1 |
| Belize | 97 | 47.4 | 3.5 |
| Saint Vincent and the Grenadines | 97 | 47.4 | 2.8 |
| Morocco | 99 | 47.2 | 11.3 |
| Turkmenistan | 100 | 46.9 | 7.6 |
| Panama | 101 | 46.5 | 8.9 |
| Philippines | 102 | 45.9 | 10.3 |
| Suriname | 103 | 45.4 | 4.1 |
| Dominican Republic | 104 | 44.7 | 4.9 |
| Azerbaijan | 105 | 44.3 | 1.5 |
| Nicaragua | 106 | 43.9 | 7.2 |
| Peru | 107 | 43.7 | 2.2 |
| El Salvador | 108 | 43.1 | 4.1 |
| Kyrgyzstan | 109 | 42.9 | 4.2 |
| Bolivia | 110 | 42.5 | 6.9 |
| Mongolia | 111 | 42.3 | 3.2 |
| Guyana | 112 | 39.4 | 6.5 |
| Micronesia | 112 | 39.4 | 2.8 |
| Fiji | 114 | 38.8 | 4.5 |
| Equatorial Guinea | 115 | 38.6 | 11.9 |
| Cabo Verde | 116 | 37.2 | 4.8 |
| Sao Tome and Principe | 117 | 37.1 | 12.4 |
| Egypt | 118 | 36.7 | 11.2 |
| Cambodia | 119 | 35.8 | 8.5 |
| Marshall Islands | 120 | 35.3 | 5.6 |
| Indonesia | 121 | 33.9 | 9.2 |
| Honduras | 122 | 33.2 | 6.5 |
| Myanmar | 123 | 32.3 | 10 |
| Bhutan | 124 | 30.8 | 5.9 |
| Guatemala | 125 | 29.9 | 7.5 |
| Tajikistan | 126 | 29.8 | 5.6 |
| Nepal | 127 | 29 | 8.5 |
| Afghanistan | 128 | 28.5 | 7.5 |
| Gabon | 129 | 28.4 | 9.2 |
| Bangladesh | 130 | 28 | 5 |
| Laos | 131 | 27.3 | 9.6 |
| South Africa | 132 | 26.7 | 7.7 |
| Timor-Leste | 133 | 25.6 | 3.9 |
| Sudan | 134 | 22 | 9.9 |
| Botswana | 135 | 21.9 | 6.2 |
| Vanuatu | 136 | 21.7 | 3 |
| Ghana | 137 | 21.5 | 4.1 |
| India | 138 | 21.4 | 10.5 |
| Pakistan | 139 | 20.9 | 6.4 |
| Namibia | 140 | 20.8 | 6 |
| Gambia | 141 | 19.6 | 4.6 |
| Tanzania | 142 | 18.6 | 5.1 |
| Djibouti | 142 | 18.6 | 5.4 |
| Zimbabwe | 144 | 17.8 | 4.6 |
| Cote d'Ivoire | 145 | 17.7 | 5.5 |
| Kiribati | 146 | 17.5 | 4.4 |
| Uganda | 146 | 17.5 | 3.1 |
| Rwanda | 148 | 16.9 | 5.6 |
| Mozambique | 149 | 16.3 | 5.3 |
| Papua New Guinea | 150 | 15.4 | 3.7 |
| Comoros | 151 | 15 | 3.9 |
| Republic of Congo | 152 | 14.9 | 9.1 |
| Haiti | 153 | 14.4 | 6 |
| Angola | 154 | 14.1 | 9.5 |
| Zambia | 155 | 13.9 | 7.1 |
| Dem. Rep. Congo | 155 | 13.9 | 10 |
| Kenya | 157 | 13.7 | 6.6 |
| Mauritania | 157 | 13.7 | 7.3 |
| Solomon Islands | 159 | 13.6 | 4.4 |
| Senegal | 160 | 13.4 | 2.2 |
| Benin | 161 | 13.3 | 4.2 |
| Eswatini | 162 | 13.2 | 5.8 |
| Malawi | 163 | 12 | 4.6 |
| Guinea | 164 | 11.7 | 4.8 |
| Sierra Leone | 164 | 11.7 | 4.2 |
| Ethiopia | 166 | 10.6 | 4.8 |
| Liberia | 167 | 10.5 | 7 |
| Mali | 168 | 8.3 | 4.5 |
| Cameroon | 168 | 8.3 | 6.5 |
| Burkina Faso | 170 | 7.7 | 3 |
| Lesotho | 171 | 7.4 | 3.7 |
| Guinea-Bissau | 172 | 7 | 6.5 |
| Eritrea | 173 | 6.3 | 4.4 |
| Nigeria | 174 | 6 | 6 |
| Madagascar | 175 | 5.7 | 4.5 |
| Togo | 176 | 5.6 | 5.5 |
| Burundi | 177 | 5.4 | 3 |
| Niger | 178 | 1.3 | 1.3 |
| Chad | 179 | - | - |
| Central African Republic | 179 | - | - |