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 |
|---|---|---|---|
| Switzerland | 1 | 100.00 | NA |
| Spain | 1 | 100.00 | 0.10 |
| Germany | 1 | 100.00 | 0.40 |
| Finland | 1 | 100.00 | 1.40 |
| Iceland | 1 | 100.00 | 2.00 |
| France | 1 | 100.00 | 5.80 |
| United Kingdom | 1 | 100.00 | NA |
| Japan | 1 | 100.00 | NA |
| Luxembourg | 1 | 100.00 | 1.90 |
| South Korea | 1 | 100.00 | 3.40 |
| Netherlands | 1 | 100.00 | NA |
| Norway | 1 | 100.00 | NA |
| Singapore | 1 | 100.00 | NA |
| Denmark | 14 | 99.90 | 3.50 |
| Sweden | 15 | 99.60 | 2.80 |
| Malta | 16 | 99.50 | 4.30 |
| Italy | 17 | 99.10 | 2.60 |
| Cyprus | 18 | 97.40 | 2.70 |
| Australia | 19 | 95.90 | 3.30 |
| Greece | 20 | 95.40 | 1.90 |
| Belgium | 21 | 94.50 | 5.30 |
| Brunei Darussalam | 22 | 94.30 | 3.40 |
| Czech Republic | 23 | 93.50 | 1.40 |
| Ireland | 23 | 93.50 | 4.70 |
| Israel | 25 | 91.50 | 3.10 |
| United Arab Emirates | 26 | 90.50 | 3.50 |
| New Zealand | 27 | 89.20 | 3.40 |
| Austria | 28 | 86.70 | 2.50 |
| Uruguay | 29 | 84.50 | 9.70 |
| Bulgaria | 30 | 84.00 | 4.70 |
| Canada | 31 | 83.90 | 3.40 |
| Kuwait | 32 | 82.90 | 5.80 |
| Slovakia | 33 | 82.80 | 3.70 |
| Costa Rica | 34 | 82.50 | 6.40 |
| Slovenia | 35 | 81.40 | 1.90 |
| United States of America | 35 | 81.40 | 2.50 |
| Qatar | 37 | 81.00 | 7.00 |
| Poland | 38 | 80.80 | 4.20 |
| Croatia | 39 | 80.70 | 3.70 |
| Portugal | 40 | 80.30 | 3.50 |
| Taiwan | 41 | 80.20 | 4.10 |
| Lebanon | 42 | 79.40 | 11.70 |
| Montenegro | 43 | 78.80 | 5.60 |
| Oman | 44 | 76.10 | 6.90 |
| Thailand | 45 | 75.80 | 9.40 |
| Jordan | 46 | 75.20 | 17.40 |
| Serbia | 47 | 73.30 | 4.60 |
| Argentina | 48 | 72.60 | 6.30 |
| Saudi Arabia | 49 | 71.80 | 11.20 |
| Malaysia | 50 | 71.70 | 5.80 |
| Chile | 51 | 70.10 | 4.90 |
| Mauritius | 52 | 68.50 | 7.20 |
| Bosnia and Herzegovina | 53 | 67.80 | 5.90 |
| Bahrain | 54 | 66.50 | 4.90 |
| Estonia | 55 | 66.10 | 2.40 |
| Bahamas | 56 | 65.80 | 2.30 |
| North Macedonia | 57 | 65.40 | 4.10 |
| Hungary | 58 | 64.70 | 2.00 |
| Colombia | 59 | 64.60 | 9.10 |
| Samoa | 60 | 62.50 | 3.50 |
| Turkey | 61 | 61.20 | 8.30 |
| Latvia | 62 | 61.10 | 2.30 |
| China | 63 | 61.00 | 7.00 |
| Iran | 64 | 60.90 | 7.40 |
| Trinidad and Tobago | 64 | 60.90 | 3.50 |
| Belarus | 66 | 60.20 | 2.10 |
| Seychelles | 67 | 60.00 | 5.50 |
| Lithuania | 68 | 59.90 | 2.30 |
| Albania | 69 | 59.60 | 4.60 |
| Algeria | 69 | 59.60 | 5.90 |
| Barbados | 71 | 58.30 | 1.60 |
| Tunisia | 72 | 58.00 | 3.40 |
| Antigua and Barbuda | 73 | 57.40 | 2.80 |
| Mexico | 74 | 57.20 | 5.10 |
| Romania | 75 | 56.80 | 4.80 |
| Viet Nam | 76 | 55.70 | 6.50 |
| Ecuador | 77 | 55.60 | 9.20 |
| Iraq | 78 | 55.50 | 15.40 |
| Ukraine | 79 | 55.20 | -0.20 |
| Cuba | 80 | 55.10 | 3.30 |
| Russia | 81 | 55.00 | 2.00 |
| Kazakhstan | 82 | 54.00 | 5.50 |
| Dominica | 83 | 53.70 | 2.50 |
| Maldives | 84 | 53.30 | 6.20 |
| Jamaica | 85 | 52.40 | 1.30 |
| Tonga | 86 | 51.90 | 2.80 |
| Venezuela | 87 | 51.60 | 3.10 |
| Grenada | 88 | 51.20 | 2.40 |
| Sri Lanka | 89 | 51.10 | 6.90 |
| Paraguay | 90 | 51.00 | 7.00 |
| Georgia | 91 | 50.80 | 3.30 |
| Armenia | 92 | 50.70 | -2.20 |
| Saint Lucia | 93 | 50.30 | 2.50 |
| Uzbekistan | 94 | 49.20 | 2.00 |
| Moldova | 95 | 48.90 | 2.00 |
| Brazil | 96 | 47.70 | 9.40 |
| Saint Vincent and the Grenadines | 97 | 47.40 | 3.20 |
| Belize | 98 | 47.30 | 4.00 |
| Morocco | 99 | 47.20 | 12.60 |
| Turkmenistan | 100 | 46.90 | 9.20 |
| Panama | 101 | 46.40 | 9.10 |
| Philippines | 102 | 45.90 | 11.50 |
| Suriname | 103 | 45.40 | 5.10 |
| Dominican Republic | 104 | 44.70 | 5.60 |
| Azerbaijan | 105 | 44.30 | 2.30 |
| Nicaragua | 106 | 43.90 | 8.40 |
| Peru | 107 | 43.70 | 2.50 |
| El Salvador | 108 | 43.10 | 5.00 |
| Kyrgyzstan | 109 | 42.90 | 5.30 |
| Bolivia | 110 | 42.50 | 7.80 |
| Mongolia | 111 | 42.30 | 3.80 |
| Micronesia | 112 | 39.40 | 3.40 |
| Guyana | 112 | 39.40 | 7.80 |
| Fiji | 114 | 38.80 | 4.60 |
| Equatorial Guinea | 115 | 38.60 | 13.80 |
| Cabo Verde | 116 | 37.10 | 5.60 |
| Sao Tome and Principe | 116 | 37.10 | 13.60 |
| Egypt | 118 | 36.70 | 12.10 |
| Cambodia | 119 | 35.80 | 9.70 |
| Marshall Islands | 120 | 35.30 | 6.50 |
| Indonesia | 121 | 33.90 | 10.50 |
| Honduras | 122 | 33.20 | 7.10 |
| Myanmar | 123 | 32.30 | 11.50 |
| Bhutan | 124 | 30.80 | 6.80 |
| Guatemala | 125 | 29.90 | 8.50 |
| Tajikistan | 126 | 29.80 | 6.40 |
| Nepal | 127 | 29.00 | 10.10 |
| Afghanistan | 128 | 28.40 | 8.60 |
| Gabon | 128 | 28.40 | 10.30 |
| Bangladesh | 130 | 28.00 | 5.80 |
| Laos | 131 | 27.20 | 10.50 |
| South Africa | 132 | 26.70 | 8.50 |
| Timor-Leste | 133 | 25.60 | 4.50 |
| Sudan | 134 | 22.00 | 11.10 |
| Botswana | 135 | 21.90 | 7.10 |
| Vanuatu | 136 | 21.70 | 3.50 |
| Ghana | 137 | 21.50 | 4.70 |
| India | 138 | 21.40 | 11.20 |
| Pakistan | 139 | 20.90 | 6.90 |
| Namibia | 140 | 20.80 | 6.30 |
| Gambia | 141 | 19.60 | 5.80 |
| Djibouti | 142 | 18.60 | 5.40 |
| Tanzania | 142 | 18.60 | 5.90 |
| Zimbabwe | 144 | 17.80 | 8.70 |
| Cote d'Ivoire | 145 | 17.70 | 6.30 |
| Kiribati | 146 | 17.50 | 4.50 |
| Uganda | 146 | 17.50 | 3.40 |
| Rwanda | 148 | 16.90 | 6.80 |
| Mozambique | 149 | 16.30 | 6.40 |
| Papua New Guinea | 150 | 15.40 | 4.10 |
| Comoros | 151 | 15.00 | 5.60 |
| Republic of Congo | 152 | 14.90 | 10.30 |
| Haiti | 153 | 14.40 | 3.50 |
| Angola | 154 | 14.10 | 10.10 |
| Dem. Rep. Congo | 155 | 13.90 | 10.60 |
| Zambia | 155 | 13.90 | 8.00 |
| Kenya | 157 | 13.70 | 6.80 |
| Mauritania | 157 | 13.70 | 8.70 |
| Solomon Islands | 159 | 13.60 | 4.80 |
| Senegal | 160 | 13.40 | 4.00 |
| Benin | 161 | 13.30 | 4.70 |
| Eswatini | 162 | 13.20 | 6.40 |
| Malawi | 163 | 12.00 | 5.30 |
| Guinea | 164 | 11.70 | 5.30 |
| Sierra Leone | 164 | 11.70 | 4.50 |
| Ethiopia | 166 | 10.60 | 5.70 |
| Liberia | 167 | 10.50 | 7.80 |
| Cameroon | 168 | 8.30 | 6.70 |
| Mali | 168 | 8.30 | 5.50 |
| Burkina Faso | 170 | 7.70 | 3.70 |
| Lesotho | 171 | 7.40 | 4.20 |
| Guinea-Bissau | 172 | 7.00 | 7.00 |
| Eritrea | 173 | 6.30 | 4.60 |
| Nigeria | 174 | 6.00 | 6.00 |
| Madagascar | 175 | 5.70 | 5.00 |
| Togo | 176 | 5.60 | 5.60 |
| Burundi | 177 | 5.40 | 2.90 |
| Niger | 178 | 1.30 | 1.30 |
| Central African Republic | 179 | NA | NA |
| Chad | 179 | NA | NA |