The Environmental Health policy objective measures how well countries are protecting their populations from environmental health risks. It comprises 20% 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 |
|---|---|---|---|
| Iceland | 1 | 94.70 | 2.70 |
| Finland | 2 | 93.40 | 5.30 |
| Sweden | 3 | 93.10 | 4.60 |
| Norway | 4 | 92.20 | 6.30 |
| Switzerland | 5 | 88.40 | 5.60 |
| Ireland | 6 | 88.30 | 8.80 |
| Luxembourg | 7 | 86.70 | 7.30 |
| Australia | 8 | 86.40 | 4.10 |
| Canada | 9 | 85.90 | 4.60 |
| Denmark | 10 | 85.50 | 7.10 |
| New Zealand | 11 | 84.90 | 3.60 |
| United Kingdom | 12 | 83.90 | 5.20 |
| France | 12 | 83.90 | 7.70 |
| Netherlands | 14 | 83.30 | 5.30 |
| Japan | 15 | 82.50 | 1.20 |
| Germany | 16 | 82.00 | 4.90 |
| Austria | 17 | 81.70 | 6.40 |
| Spain | 18 | 78.10 | 6.50 |
| Belgium | 19 | 77.90 | 7.20 |
| Singapore | 20 | 77.00 | 4.50 |
| Italy | 21 | 76.90 | 6.10 |
| United States of America | 22 | 76.80 | 6.60 |
| Portugal | 23 | 76.60 | 9.10 |
| Malta | 24 | 76.50 | 7.60 |
| Israel | 25 | 76.00 | 5.40 |
| Cyprus | 26 | 73.80 | 6.90 |
| South Korea | 27 | 73.30 | 3.80 |
| Estonia | 28 | 71.80 | 11.80 |
| Greece | 29 | 71.50 | 6.10 |
| Brunei Darussalam | 30 | 68.10 | 0.90 |
| Slovenia | 31 | 64.40 | 5.00 |
| Czech Republic | 32 | 63.50 | 5.00 |
| Uruguay | 33 | 62.70 | 4.30 |
| Barbados | 34 | 61.80 | 1.80 |
| Lithuania | 34 | 61.80 | 9.40 |
| Slovakia | 36 | 59.00 | 6.60 |
| Chile | 37 | 58.00 | 3.90 |
| Mauritius | 38 | 57.60 | 6.30 |
| Latvia | 39 | 56.90 | 8.60 |
| Taiwan | 40 | 56.70 | 3.80 |
| Argentina | 41 | 56.30 | 3.70 |
| Antigua and Barbuda | 42 | 55.80 | 2.90 |
| Croatia | 43 | 55.70 | 6.10 |
| Costa Rica | 44 | 55.40 | 2.20 |
| Seychelles | 45 | 54.20 | 2.90 |
| Bahamas | 46 | 54.00 | 2.80 |
| Poland | 47 | 53.00 | 6.50 |
| Trinidad and Tobago | 48 | 52.70 | 3.20 |
| Jordan | 49 | 52.20 | 7.40 |
| Qatar | 50 | 51.70 | 2.30 |
| Kuwait | 51 | 51.50 | 6.30 |
| Belarus | 52 | 51.10 | 8.40 |
| Russia | 53 | 50.60 | 9.10 |
| Colombia | 54 | 50.30 | 6.70 |
| United Arab Emirates | 55 | 49.40 | 2.60 |
| Panama | 56 | 49.00 | 5.60 |
| Maldives | 57 | 48.50 | 5.50 |
| Malaysia | 58 | 48.00 | 4.30 |
| Cuba | 59 | 47.90 | 3.10 |
| Turkey | 60 | 47.80 | 7.10 |
| Hungary | 61 | 47.60 | 5.20 |
| Saint Lucia | 62 | 47.30 | 2.20 |
| Ecuador | 63 | 46.90 | 5.10 |
| Lebanon | 64 | 46.30 | 7.00 |
| Dominica | 65 | 46.20 | 1.40 |
| Brazil | 66 | 46.00 | 7.20 |
| Tonga | 67 | 45.60 | 1.40 |
| Bahrain | 68 | 45.30 | 6.10 |
| Romania | 69 | 45.20 | 6.30 |
| Grenada | 70 | 45.00 | 2.40 |
| Paraguay | 71 | 44.90 | 3.70 |
| Samoa | 72 | 44.00 | 1.20 |
| Thailand | 73 | 43.80 | 5.10 |
| Ukraine | 74 | 43.60 | 4.00 |
| Bulgaria | 75 | 43.20 | 4.60 |
| Tunisia | 75 | 43.20 | 5.70 |
| Peru | 77 | 43.10 | 3.20 |
| Venezuela | 78 | 42.90 | 3.30 |
| Saint Vincent and the Grenadines | 79 | 42.50 | 1.40 |
| Saudi Arabia | 80 | 42.40 | 6.70 |
| Turkmenistan | 81 | 42.30 | 6.10 |
| Algeria | 82 | 42.00 | 5.40 |
| Moldova | 82 | 42.00 | 9.10 |
| Iran | 84 | 41.90 | 6.80 |
| Jamaica | 85 | 41.80 | 2.20 |
| Serbia | 86 | 41.60 | 6.20 |
| Montenegro | 87 | 41.30 | 4.40 |
| Mexico | 88 | 40.90 | 2.80 |
| Armenia | 89 | 40.70 | 5.20 |
| Albania | 90 | 40.00 | 3.80 |
| El Salvador | 91 | 39.30 | 3.00 |
| Belize | 92 | 39.00 | 1.20 |
| Sri Lanka | 92 | 39.00 | 4.10 |
| Oman | 92 | 39.00 | 5.60 |
| Bosnia and Herzegovina | 95 | 38.00 | 3.90 |
| Georgia | 96 | 37.50 | 4.10 |
| Kazakhstan | 96 | 37.50 | 5.90 |
| Nicaragua | 98 | 37.10 | 2.80 |
| North Macedonia | 99 | 36.50 | 5.00 |
| Fiji | 100 | 36.30 | 1.80 |
| Suriname | 101 | 36.00 | 2.90 |
| Marshall Islands | 102 | 35.80 | 2.70 |
| Bolivia | 102 | 35.80 | 3.50 |
| Viet Nam | 104 | 35.10 | 4.10 |
| Iraq | 105 | 35.00 | 9.00 |
| Dominican Republic | 106 | 33.00 | 0.60 |
| China | 107 | 32.80 | 5.80 |
| Cabo Verde | 108 | 32.60 | -1.60 |
| Guyana | 109 | 32.30 | 4.80 |
| Micronesia | 110 | 31.90 | 1.00 |
| Egypt | 111 | 31.50 | 6.20 |
| Comoros | 112 | 31.10 | 1.30 |
| Philippines | 112 | 31.10 | 4.60 |
| Azerbaijan | 114 | 30.70 | 3.70 |
| Vanuatu | 115 | 30.40 | 0.20 |
| Sao Tome and Principe | 116 | 30.10 | 1.70 |
| Honduras | 117 | 30.00 | 0.70 |
| Papua New Guinea | 118 | 29.90 | 1.40 |
| Timor-Leste | 119 | 29.60 | -1.20 |
| Equatorial Guinea | 120 | 29.50 | 2.90 |
| Gabon | 121 | 29.40 | 6.00 |
| Kyrgyzstan | 122 | 29.10 | 5.50 |
| Morocco | 123 | 28.60 | 4.70 |
| Mozambique | 124 | 28.30 | 0.70 |
| Tanzania | 125 | 28.20 | 1.30 |
| Guatemala | 126 | 28.10 | 2.60 |
| South Africa | 126 | 28.10 | 6.90 |
| Cambodia | 128 | 27.60 | 3.50 |
| Kiribati | 129 | 27.20 | 0.70 |
| Bhutan | 129 | 27.20 | 1.70 |
| Malawi | 131 | 26.70 | 2.30 |
| Uzbekistan | 132 | 26.50 | 3.20 |
| Kenya | 133 | 26.20 | 2.70 |
| Ethiopia | 134 | 25.30 | 1.20 |
| Indonesia | 134 | 25.30 | 4.00 |
| Uganda | 136 | 24.90 | 0.10 |
| Madagascar | 137 | 24.40 | 0.80 |
| Namibia | 138 | 24.20 | 3.30 |
| Laos | 138 | 24.20 | 5.00 |
| Mauritania | 140 | 24.00 | 3.00 |
| Mongolia | 141 | 23.80 | 3.30 |
| Liberia | 142 | 22.90 | 0.60 |
| Solomon Islands | 143 | 22.80 | -0.70 |
| Rwanda | 144 | 22.70 | 1.20 |
| Benin | 145 | 22.20 | -0.60 |
| Burundi | 146 | 22.00 | 0.60 |
| Zimbabwe | 147 | 21.90 | 3.60 |
| Djibouti | 148 | 21.60 | 2.20 |
| Myanmar | 148 | 21.60 | 5.70 |
| Gambia | 150 | 21.30 | -0.30 |
| Senegal | 150 | 21.30 | 1.10 |
| Botswana | 150 | 21.30 | 4.00 |
| Zambia | 153 | 21.20 | 2.10 |
| Haiti | 154 | 21.10 | 0.30 |
| Dem. Rep. Congo | 154 | 21.10 | 0.70 |
| Burkina Faso | 156 | 20.90 | -1.00 |
| Ghana | 157 | 20.50 | 1.10 |
| Angola | 157 | 20.50 | 1.60 |
| Mali | 159 | 20.40 | 0.40 |
| Cote d'Ivoire | 160 | 19.80 | 1.10 |
| Sierra Leone | 161 | 19.70 | 1.10 |
| Republic of Congo | 161 | 19.70 | 2.40 |
| Guinea | 163 | 19.50 | 0.80 |
| Niger | 164 | 18.80 | -0.70 |
| Togo | 165 | 18.20 | 0.50 |
| Bangladesh | 166 | 18.10 | 2.60 |
| Eswatini | 167 | 17.90 | 3.90 |
| Sudan | 168 | 17.60 | 1.30 |
| Eritrea | 169 | 17.50 | 1.10 |
| Nepal | 170 | 17.10 | 1.30 |
| Chad | 171 | 16.70 | -0.90 |
| Guinea-Bissau | 172 | 16.60 | 1.90 |
| Tajikistan | 172 | 16.60 | 1.90 |
| Afghanistan | 174 | 16.00 | -0.20 |
| Nigeria | 175 | 15.20 | 0.20 |
| Cameroon | 176 | 14.30 | 0.80 |
| Central African Republic | 177 | 13.10 | -0.10 |
| India | 178 | 12.50 | 2.90 |
| Pakistan | 179 | 11.40 | 1.50 |
| Lesotho | 180 | 10.90 | 1.60 |