The Sanitation & Drinking Water issue category measures how well countries protect human health from environmental risks on two indicators: unsafe drinking water and unsafe sanitation.
Sanitation and Drinking Water
| Country | Rank | EPI Score | 10-Year Change |
|---|---|---|---|
| Norway | 1 | 100.00 | 0.90 |
| Switzerland | 1 | 100.00 | NA |
| Netherlands | 1 | 100.00 | NA |
| Finland | 1 | 100.00 | 0.60 |
| United Kingdom | 1 | 100.00 | 1.00 |
| Iceland | 1 | 100.00 | 1.10 |
| Malta | 7 | 99.80 | 1.70 |
| Germany | 8 | 99.10 | 0.90 |
| Luxembourg | 9 | 98.70 | 2.20 |
| Sweden | 10 | 98.60 | 1.80 |
| Italy | 11 | 98.30 | 1.60 |
| Greece | 12 | 98.20 | 0.80 |
| Denmark | 13 | 97.50 | 2.50 |
| Ireland | 14 | 97.40 | 1.90 |
| Spain | 15 | 96.90 | 1.10 |
| France | 16 | 96.30 | 4.80 |
| Japan | 17 | 95.10 | 1.00 |
| Austria | 18 | 94.70 | 1.00 |
| Cyprus | 19 | 94.00 | 1.60 |
| Belgium | 20 | 93.60 | 3.80 |
| Singapore | 21 | 93.30 | 0.70 |
| Israel | 22 | 92.90 | 2.20 |
| South Korea | 23 | 90.80 | 2.40 |
| Canada | 24 | 88.10 | 2.90 |
| Australia | 25 | 87.10 | 1.70 |
| United States of America | 26 | 86.10 | 2.30 |
| Brunei Darussalam | 27 | 85.70 | 1.60 |
| Portugal | 28 | 83.50 | 3.00 |
| New Zealand | 29 | 80.40 | 2.00 |
| Czech Republic | 30 | 76.50 | 0.40 |
| Slovenia | 31 | 74.70 | 0.60 |
| Taiwan | 32 | 72.40 | 2.30 |
| Slovakia | 33 | 71.90 | 2.20 |
| Poland | 34 | 71.80 | 2.50 |
| Uruguay | 35 | 70.80 | 5.90 |
| Croatia | 36 | 70.30 | 2.20 |
| Bulgaria | 37 | 68.40 | 3.30 |
| Chile | 38 | 68.10 | 3.60 |
| Kuwait | 39 | 67.50 | 2.70 |
| United Arab Emirates | 40 | 67.20 | 1.90 |
| Qatar | 41 | 66.60 | 3.30 |
| Costa Rica | 42 | 66.20 | 4.10 |
| Montenegro | 43 | 65.60 | 3.40 |
| Serbia | 43 | 65.60 | 3.30 |
| Mauritius | 45 | 65.50 | 3.90 |
| Argentina | 46 | 64.80 | 4.40 |
| Jordan | 47 | 62.70 | 8.40 |
| Hungary | 48 | 62.20 | 0.70 |
| Estonia | 49 | 61.90 | 1.30 |
| Bosnia and Herzegovina | 50 | 61.50 | 3.90 |
| North Macedonia | 51 | 61.10 | 2.90 |
| Belarus | 52 | 60.50 | 1.70 |
| Lebanon | 53 | 59.80 | 5.90 |
| China | 54 | 59.50 | 6.00 |
| Saudi Arabia | 55 | 59.30 | 6.80 |
| Latvia | 56 | 59.10 | 1.50 |
| Lithuania | 57 | 58.40 | 1.20 |
| Oman | 58 | 58.30 | 3.70 |
| Malaysia | 59 | 57.60 | 2.70 |
| Armenia | 60 | 57.30 | 1.50 |
| Bahrain | 61 | 56.60 | 2.50 |
| Romania | 62 | 56.00 | 3.30 |
| Colombia | 63 | 55.90 | 6.80 |
| Thailand | 63 | 55.90 | 5.20 |
| Russia | 65 | 55.50 | 1.30 |
| Ukraine | 66 | 55.20 | -0.50 |
| Kazakhstan | 66 | 55.20 | 4.20 |
| Bahamas | 68 | 55.00 | 0.70 |
| Albania | 69 | 54.10 | 2.80 |
| Iran | 70 | 53.70 | 4.40 |
| Trinidad and Tobago | 71 | 53.40 | 1.80 |
| Algeria | 72 | 53.30 | 3.90 |
| Mexico | 73 | 52.90 | 4.90 |
| Viet Nam | 74 | 52.80 | 4.40 |
| Turkey | 75 | 52.70 | 4.50 |
| Tunisia | 76 | 52.60 | 1.70 |
| Uzbekistan | 77 | 52.10 | 2.10 |
| Barbados | 78 | 52.00 | 0.20 |
| Georgia | 79 | 51.70 | 2.30 |
| Seychelles | 80 | 51.50 | 3.00 |
| Ecuador | 81 | 50.30 | 7.10 |
| Antigua and Barbuda | 82 | 50.10 | 1.10 |
| Moldova | 83 | 50.00 | 1.80 |
| Cuba | 84 | 49.70 | 1.60 |
| Iraq | 84 | 49.70 | 12.10 |
| Jamaica | 86 | 49.40 | 0.30 |
| Samoa | 87 | 49.30 | 1.60 |
| Sri Lanka | 88 | 48.50 | 5.20 |
| Maldives | 89 | 47.80 | 4.00 |
| Dominica | 90 | 47.60 | 0.90 |
| Paraguay | 90 | 47.60 | 5.70 |
| Turkmenistan | 92 | 47.40 | 9.10 |
| Grenada | 93 | 47.10 | 1.00 |
| Venezuela | 94 | 46.80 | 2.60 |
| Tonga | 95 | 46.50 | 1.00 |
| Brazil | 96 | 46.20 | 8.50 |
| Azerbaijan | 97 | 45.60 | 2.40 |
| Kyrgyzstan | 97 | 45.60 | 5.60 |
| Saint Lucia | 99 | 45.40 | 0.80 |
| Panama | 100 | 43.60 | 7.10 |
| Saint Vincent and the Grenadines | 100 | 43.60 | 1.80 |
| Mongolia | 102 | 43.20 | 3.60 |
| Peru | 103 | 43.10 | 2.20 |
| Nicaragua | 104 | 42.90 | 7.60 |
| Belize | 105 | 42.70 | 2.80 |
| El Salvador | 106 | 41.70 | 4.10 |
| Morocco | 107 | 40.90 | 10.00 |
| Bolivia | 108 | 40.10 | 6.50 |
| Suriname | 109 | 39.40 | 3.70 |
| Philippines | 110 | 39.00 | 8.00 |
| Dominican Republic | 110 | 39.00 | 3.50 |
| Egypt | 112 | 36.70 | 9.30 |
| Cabo Verde | 113 | 35.60 | 4.90 |
| Micronesia | 114 | 35.50 | 2.30 |
| Guyana | 115 | 35.30 | 6.00 |
| Sao Tome and Principe | 115 | 35.30 | 12.00 |
| Fiji | 117 | 34.70 | 3.40 |
| Cambodia | 118 | 34.30 | 8.30 |
| Equatorial Guinea | 119 | 33.20 | 10.50 |
| Marshall Islands | 120 | 32.30 | 5.20 |
| Honduras | 121 | 31.80 | 6.40 |
| Bhutan | 122 | 31.20 | 5.60 |
| Myanmar | 123 | 30.90 | 10.50 |
| Tajikistan | 123 | 30.90 | 6.70 |
| Indonesia | 125 | 28.50 | 7.70 |
| Guatemala | 126 | 28.30 | 8.00 |
| Afghanistan | 127 | 28.10 | 8.30 |
| Gabon | 128 | 27.70 | 9.80 |
| Bangladesh | 129 | 27.40 | 5.70 |
| Nepal | 130 | 27.10 | 8.90 |
| Laos | 131 | 26.60 | 9.90 |
| Timor-Leste | 132 | 26.00 | 4.40 |
| South Africa | 133 | 24.70 | 7.80 |
| Sudan | 134 | 22.40 | 11.10 |
| Vanuatu | 135 | 21.50 | 3.30 |
| Botswana | 136 | 20.90 | 6.50 |
| Ghana | 136 | 20.90 | 4.30 |
| Namibia | 138 | 19.70 | 5.60 |
| India | 139 | 19.50 | 9.60 |
| Gambia | 140 | 19.20 | 5.70 |
| Tanzania | 141 | 18.50 | 5.80 |
| Djibouti | 142 | 18.30 | 5.10 |
| Uganda | 143 | 17.60 | 3.40 |
| Pakistan | 144 | 17.50 | 5.70 |
| Cote d'Ivoire | 145 | 17.30 | 6.10 |
| Rwanda | 146 | 16.90 | 6.90 |
| Zimbabwe | 146 | 16.90 | 8.50 |
| Mozambique | 148 | 16.40 | 6.40 |
| Kiribati | 149 | 16.30 | 4.20 |
| Papua New Guinea | 150 | 15.60 | 4.00 |
| Comoros | 151 | 15.20 | 5.60 |
| Republic of Congo | 152 | 14.60 | 10.10 |
| Haiti | 153 | 14.10 | 3.30 |
| Solomon Islands | 153 | 14.10 | 4.80 |
| Kenya | 155 | 13.70 | 6.80 |
| Mauritania | 156 | 13.60 | 8.50 |
| Dem. Rep. Congo | 156 | 13.60 | 10.30 |
| Benin | 158 | 13.50 | 4.60 |
| Zambia | 158 | 13.50 | 7.60 |
| Senegal | 160 | 13.10 | 4.30 |
| Angola | 161 | 12.80 | 9.50 |
| Eswatini | 162 | 12.60 | 6.10 |
| Malawi | 163 | 12.10 | 5.30 |
| Sierra Leone | 164 | 11.60 | 4.40 |
| Guinea | 165 | 11.30 | 5.10 |
| Ethiopia | 166 | 11.00 | 5.80 |
| Liberia | 167 | 9.90 | 7.50 |
| Mali | 168 | 8.30 | 5.60 |
| Burkina Faso | 169 | 7.80 | 3.70 |
| Cameroon | 169 | 7.80 | 6.50 |
| Lesotho | 171 | 7.30 | 4.10 |
| Guinea-Bissau | 172 | 6.80 | 6.80 |
| Eritrea | 173 | 6.40 | 4.60 |
| Madagascar | 174 | 6.00 | 5.10 |
| Burundi | 175 | 5.40 | 2.90 |
| Togo | 176 | 5.20 | 5.20 |
| Nigeria | 177 | 5.00 | 5.00 |
| Niger | 178 | 1.50 | 1.50 |
| Central African Republic | 179 | NA | NA |
| Chad | 179 | NA | NA |