We measure ozone exposure using the number of age-standardized disability-adjusted life-years lost per 100,000 persons (DALY rate) due to exposure to ground-level ozone pollution. 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 (≥99th-percentile). Data for this indicator come from the Institute for Health Metrics & Evaluation’s (IHME) Global Burden of Disease (GBD) study.
Ozone exposure
| Country | Rank | EPI Score | 10-Year Change |
|---|---|---|---|
| Marshall Islands | 1 | 100.00 | 0.80 |
| Saint Lucia | 1 | 100.00 | 14.20 |
| Papua New Guinea | 1 | 100.00 | 14.70 |
| Dominica | 1 | 100.00 | 16.40 |
| Micronesia | 1 | 100.00 | 17.70 |
| Antigua and Barbuda | 1 | 100.00 | NA |
| Barbados | 1 | 100.00 | NA |
| Guyana | 1 | 100.00 | NA |
| Mauritius | 1 | 100.00 | NA |
| Saint Vincent and the Grenadines | 1 | 100.00 | 0.20 |
| Trinidad and Tobago | 1 | 100.00 | 4.60 |
| Solomon Islands | 1 | 100.00 | 14.50 |
| Suriname | 1 | 100.00 | NA |
| Grenada | 14 | 84.30 | 5.50 |
| Ireland | 15 | 84.00 | 25.60 |
| Philippines | 16 | 79.70 | 20.00 |
| Finland | 17 | 79.60 | 13.30 |
| Fiji | 18 | 78.10 | -6.60 |
| Australia | 18 | 78.10 | -11.80 |
| Peru | 20 | 77.10 | -20.10 |
| Estonia | 21 | 76.20 | 6.00 |
| Lithuania | 22 | 74.60 | 12.80 |
| Latvia | 23 | 73.80 | 3.90 |
| New Zealand | 24 | 71.30 | -10.90 |
| Bahamas | 25 | 70.40 | 8.50 |
| Ecuador | 26 | 69.80 | -17.20 |
| Brunei Darussalam | 27 | 68.80 | -1.10 |
| Sweden | 28 | 68.50 | 7.60 |
| United Kingdom | 29 | 68.30 | 6.90 |
| Dominican Republic | 30 | 67.10 | 3.60 |
| Romania | 31 | 66.80 | 21.50 |
| Panama | 32 | 66.50 | -10.00 |
| Colombia | 33 | 66.20 | -5.10 |
| Seychelles | 34 | 66.10 | -32.40 |
| Iceland | 35 | 65.80 | 4.30 |
| Chile | 35 | 65.80 | 5.60 |
| Costa Rica | 37 | 64.60 | -12.20 |
| Japan | 38 | 63.80 | 6.10 |
| Albania | 39 | 63.70 | 16.40 |
| Comoros | 39 | 63.70 | -33.20 |
| Guatemala | 41 | 62.80 | -5.20 |
| Vanuatu | 42 | 62.70 | -1.90 |
| Norway | 43 | 62.20 | 8.50 |
| Belarus | 44 | 62.10 | 10.00 |
| France | 45 | 61.50 | 1.90 |
| Singapore | 46 | 60.90 | -19.90 |
| Cuba | 47 | 59.70 | 6.30 |
| Russia | 48 | 59.60 | 15.20 |
| Uruguay | 49 | 59.50 | -3.80 |
| Venezuela | 50 | 59.20 | -7.40 |
| Montenegro | 51 | 58.60 | -0.40 |
| North Macedonia | 52 | 56.90 | 22.00 |
| Moldova | 53 | 56.70 | 18.00 |
| Serbia | 53 | 56.70 | 20.30 |
| Canada | 55 | 56.30 | 1.90 |
| Portugal | 56 | 54.70 | 9.00 |
| Nicaragua | 57 | 54.50 | -8.10 |
| Cabo Verde | 58 | 54.00 | -17.80 |
| Ukraine | 59 | 53.80 | 10.60 |
| Tonga | 60 | 53.60 | 6.20 |
| Slovakia | 61 | 52.80 | 6.90 |
| El Salvador | 62 | 52.70 | -9.60 |
| Jamaica | 63 | 52.60 | 4.90 |
| Gabon | 63 | 52.60 | -23.40 |
| Argentina | 65 | 51.80 | -4.00 |
| Poland | 65 | 51.80 | 3.00 |
| Belize | 67 | 51.60 | -5.70 |
| Luxembourg | 68 | 51.20 | 1.90 |
| Tanzania | 69 | 50.80 | -20.50 |
| Mauritania | 70 | 50.70 | -19.40 |
| Netherlands | 71 | 50.50 | -3.80 |
| Taiwan | 72 | 50.20 | 11.00 |
| Mozambique | 73 | 50.10 | -13.20 |
| Paraguay | 74 | 49.80 | -17.40 |
| Germany | 75 | 49.30 | -0.80 |
| Switzerland | 75 | 49.30 | 0.50 |
| Belgium | 77 | 48.60 | -0.20 |
| Liberia | 77 | 48.60 | -27.60 |
| Bulgaria | 77 | 48.60 | 7.50 |
| Slovenia | 80 | 48.50 | -2.10 |
| Turkmenistan | 81 | 48.40 | 2.80 |
| Kuwait | 82 | 46.90 | 2.10 |
| Sri Lanka | 82 | 46.90 | -25.60 |
| Malawi | 84 | 46.30 | -6.10 |
| Greece | 85 | 46.20 | 8.40 |
| Samoa | 86 | 46.00 | 6.20 |
| Denmark | 87 | 45.80 | 3.60 |
| Malta | 88 | 45.20 | -3.50 |
| Austria | 89 | 44.90 | -1.10 |
| Mongolia | 90 | 44.80 | 11.90 |
| South Korea | 91 | 44.40 | -6.10 |
| Madagascar | 92 | 44.20 | -32.80 |
| Israel | 93 | 44.00 | 4.10 |
| Italy | 94 | 43.90 | -4.50 |
| Bosnia and Herzegovina | 95 | 43.50 | 0.40 |
| Zimbabwe | 95 | 43.50 | -4.40 |
| Czech Republic | 97 | 43.40 | -3.50 |
| Timor-Leste | 98 | 43.20 | -19.30 |
| Jordan | 99 | 43.00 | 7.20 |
| Iraq | 100 | 42.70 | 3.60 |
| Malaysia | 100 | 42.70 | -14.60 |
| Bolivia | 102 | 42.40 | -21.80 |
| Thailand | 102 | 42.40 | -6.80 |
| Kenya | 104 | 41.80 | -26.80 |
| Croatia | 105 | 41.60 | 0.10 |
| Lebanon | 106 | 41.30 | 6.50 |
| Viet Nam | 106 | 41.30 | 3.30 |
| Brazil | 108 | 41.20 | -15.70 |
| South Africa | 109 | 41.10 | -2.60 |
| Djibouti | 110 | 40.70 | -14.80 |
| Senegal | 110 | 40.70 | -14.70 |
| Spain | 112 | 40.20 | -0.60 |
| Georgia | 113 | 40.00 | -0.20 |
| Burkina Faso | 113 | 40.00 | -17.40 |
| Cambodia | 115 | 39.90 | -7.80 |
| Haiti | 116 | 39.70 | NA |
| Sierra Leone | 117 | 39.40 | -12.00 |
| Equatorial Guinea | 118 | 39.30 | -27.50 |
| Mexico | 119 | 38.80 | 4.80 |
| Tunisia | 119 | 38.80 | -3.30 |
| Cote d'Ivoire | 121 | 38.70 | -24.60 |
| Honduras | 122 | 38.10 | -10.00 |
| Uzbekistan | 123 | 36.90 | 3.60 |
| Angola | 124 | 36.80 | 8.90 |
| United States of America | 125 | 36.70 | 5.00 |
| Cyprus | 126 | 36.50 | -0.80 |
| Zambia | 127 | 36.40 | 1.20 |
| Indonesia | 128 | 36.30 | -10.60 |
| Uganda | 129 | 36.10 | -20.40 |
| Ethiopia | 130 | 35.90 | -12.60 |
| Hungary | 131 | 35.80 | 4.70 |
| Algeria | 132 | 35.60 | -0.40 |
| Gambia | 132 | 35.60 | -13.50 |
| Azerbaijan | 134 | 35.50 | -4.60 |
| Oman | 135 | 35.00 | 7.80 |
| Eswatini | 136 | 34.80 | -7.90 |
| Botswana | 137 | 33.60 | 0.80 |
| Nigeria | 138 | 33.10 | -6.80 |
| Eritrea | 139 | 32.80 | -1.20 |
| Sudan | 139 | 32.80 | -7.90 |
| Republic of Congo | 141 | 32.30 | -14.70 |
| Morocco | 142 | 32.20 | -7.60 |
| Guinea | 142 | 32.20 | -14.50 |
| Cameroon | 144 | 31.70 | -12.00 |
| Iran | 145 | 31.60 | -1.30 |
| Ghana | 146 | 31.40 | -19.70 |
| Guinea-Bissau | 147 | 31.30 | -12.30 |
| Saudi Arabia | 148 | 31.10 | 2.10 |
| Mali | 149 | 30.80 | -21.10 |
| Niger | 150 | 30.60 | -12.30 |
| Qatar | 150 | 30.60 | 2.10 |
| Chad | 152 | 30.50 | -7.10 |
| Benin | 153 | 29.10 | -12.60 |
| Togo | 154 | 28.80 | -14.70 |
| Namibia | 155 | 28.40 | 1.60 |
| Rwanda | 156 | 28.30 | -22.90 |
| Armenia | 157 | 28.10 | -0.60 |
| Laos | 158 | 28.00 | -4.20 |
| Sao Tome and Principe | 159 | 27.80 | -16.00 |
| Turkey | 160 | 27.70 | 3.40 |
| Egypt | 161 | 26.80 | 2.70 |
| Maldives | 162 | 26.30 | -15.30 |
| Kiribati | 163 | 26.10 | -16.40 |
| Burundi | 164 | 26.00 | -19.60 |
| Bahrain | 165 | 25.00 | 7.00 |
| Tajikistan | 166 | 24.00 | 5.20 |
| Kazakhstan | 167 | 23.90 | -3.00 |
| Dem. Rep. Congo | 168 | 23.50 | -9.20 |
| China | 169 | 22.10 | 16.80 |
| Kyrgyzstan | 170 | 20.70 | 8.90 |
| Lesotho | 171 | 20.60 | -5.20 |
| United Arab Emirates | 172 | 20.40 | 8.80 |
| Myanmar | 173 | 19.90 | -0.20 |
| Afghanistan | 174 | 18.40 | 4.40 |
| Central African Republic | 175 | 13.80 | -4.10 |
| Bangladesh | 176 | 10.30 | 1.50 |
| Bhutan | 177 | 2.90 | 1.00 |
| Pakistan | 178 | 2.10 | -0.40 |
| India | 179 | NA | -0.10 |
| Nepal | 179 | NA | NA |