Unsafe sanitation

This indicator measures the amount of deaths and disease resulting from exposure to unsafe sanitation. Estimates from the Institute for Health Metrics and Evaluation’s Global Burden of Disease study report the age-standardized disability-adjusted life-year lost per 100,000 persons (DALY rate). A score of 100 indicates the lowest observed DALY rates around the world, and a score of 0 indicates the highest.

EPI MeasureUnsafe sanitation DALY rate

Click on a country name to see that country's full results table

Table of EPI results for Unsafe sanitation DALY rate
Country	Rank	EPI Score	10-Year Change	Regional Rank	Regional Average
Finland	1	100.0	4.03	1	93.4
Netherlands	1	100.0	0.0	1	93.4
Switzerland	1	100.0	1.44	1	93.4
United Kingdom	1	100.0	2.8	1	93.4
Iceland	5	97.47	4.36	5	93.4
Sweden	6	97.02	3.54	6	93.4
Luxembourg	7	96.96	5.05	7	93.4
Italy	8	96.61	5.78	8	93.4
Singapore	9	96.16	2.47	1	54.21
Germany	10	94.75	7.81	9	93.4
Norway	11	94.59	3.04	10	93.4
Portugal	12	94.49	4.26	11	93.4
Malta	13	94.21	5.35	12	93.4
France	14	93.63	3.34	13	93.4
Greece	15	93.11	3.17	1	79.45
Denmark	16	93.0	3.5	14	93.4
Montenegro	17	92.41	7.16	2	79.45
Ireland	18	91.86	5.77	15	93.4
Slovenia	19	91.69	1.63	3	79.45
Belgium	20	91.67	5.52	16	93.4
South Korea	21	90.96	4.59	2	54.21
Spain	22	90.63	4.29	17	93.4
Slovakia	23	88.12	0.18	4	79.45
United States	24	88.03	5.44	18	93.4
Cyprus	25	87.99	3.94	5	79.45
Brunei Darussalam	26	87.79	3.72	3	54.21
Czechia	26	87.79	-0.87	6	79.45
Austria	28	87.4	7.09	19	93.4
Canada	29	86.74	6.07	20	93.4
Bulgaria	30	86.37	2.02	7	79.45
Croatia	31	85.5	-0.64	8	79.45
Israel	32	85.16	5.97	1	66.15
Japan	33	85.02	5.86	4	54.21
New Zealand	34	83.34	4.55	21	93.4
Kuwait	35	82.99	5.96	2	66.15
Australia	36	82.34	6.83	22	93.4
Poland	37	82.03	-4.88	9	79.45
Qatar	38	81.72	4.74	3	66.15
United Arab Emirates	39	80.42	2.8	4	66.15
Serbia	40	78.22	3.58	10	79.45
Uruguay	41	77.86	9.71	1	55.52
Albania	42	77.28	8.16	11	79.45
Oman	43	77.13	3.77	5	66.15
Costa Rica	44	76.93	8.59	2	55.52
Latvia	45	74.83	3.25	12	79.45
Chile	46	73.52	6.02	3	55.52
Argentina	47	72.76	10.37	4	55.52
Bosnia & Herzegovina	48	72.48	4.73	13	79.45
Bahrain	49	72.31	6.24	6	66.15
Hungary	50	72.0	-1.06	14	79.45
Estonia	51	71.45	2.05	15	79.45
Belarus	52	71.01	1.03	1	58.78
Ukraine	53	70.98	3.06	2	58.78
Bahamas	54	70.82	4.48	5	55.52
North Macedonia	55	70.65	5.65	16	79.45
Taiwan	56	69.84	-0.05	5	54.21
Lithuania	57	68.13	1.41	17	79.45
China	58	66.71	5.08	6	54.21
Mongolia	59	66.53	10.23	7	54.21
Russia	60	66.51	4.67	3	58.78
Armenia	61	66.45	2.61	4	58.78
Türkiye	62	66.37	9.95	18	79.45
Lebanon	63	66.22	2.75	7	66.15
Saudi Arabia	64	66.18	5.67	8	66.15
Algeria	65	65.69	6.49	9	66.15
Jordan	66	65.63	7.67	10	66.15
Tonga	67	65.6	4.87	8	54.21
Kazakhstan	68	64.35	2.37	5	58.78
Romania	69	63.17	3.07	19	79.45
Georgia	70	62.92	7.99	6	58.78
Barbados	71	62.33	1.76	6	55.52
Samoa	72	62.25	2.5	9	54.21
Trinidad & Tobago	73	62.1	3.54	7	55.52
Thailand	74	61.86	6.74	10	54.21
Colombia	75	61.63	3.43	8	55.52
Uzbekistan	76	60.88	1.91	7	58.78
Mauritius	77	60.44	4.71	1	22.76
Dominica	78	60.34	4.47	9	55.52
Maldives	79	59.88	10.85	1	37.02
Malaysia	80	59.41	4.08	11	54.21
Seychelles	81	58.51	7.13	2	22.76
Antigua & Barbuda	82	58.37	3.04	10	55.52
Moldova	83	58.22	1.96	8	58.78
Saint Kitts & Nevis	84	57.8	5.36	11	55.52
Mexico	85	57.66	6.95	12	55.52
Iran	86	57.32	6.07	11	66.15
Ecuador	87	57.05	5.05	13	55.52
Grenada	88	57.03	3.3	14	55.52
Iraq	89	56.89	10.9	12	66.15
Brazil	90	56.33	6.34	15	55.52
Saint Lucia	91	55.71	2.29	16	55.52
St. Vincent & the Gren.	92	55.29	6.91	17	55.52
Morocco	93	55.12	12.45	13	66.15
Sri Lanka	94	54.88	5.63	2	37.02
Paraguay	95	54.47	7.32	18	55.52
Turkmenistan	96	53.88	5.78	9	58.78
Belize	97	53.33	5.45	19	55.52
Viet Nam	98	53.03	5.49	12	54.21
Kyrgyzstan	99	52.69	4.95	10	58.78
Tunisia	100	52.45	4.48	14	66.15
Jamaica	101	52.23	0.84	20	55.52
Peru	102	51.2	4.18	21	55.52
Bolivia	103	50.81	9.29	22	55.52
Panama	104	50.68	7.41	23	55.52
Egypt	105	50.58	11.09	15	66.15
Dominican Republic	106	49.97	7.75	24	55.52
Palau	107	49.78	5.22	13	54.21
El Salvador	108	47.93	6.26	25	55.52
Guyana	109	47.89	10.18	26	55.52
Suriname	110	46.08	2.52	27	55.52
Philippines	111	45.91	7.62	14	54.21
Fiji	112	45.7	8.08	15	54.21
Nicaragua	113	43.67	4.55	28	55.52
Honduras	114	43.15	7.91	29	55.52
Sudan	115	42.57	11.21	16	66.15
Cambodia	116	40.96	8.42	16	54.21
Azerbaijan	117	39.85	-0.93	11	58.78
Timor-Leste	118	38.36	5.03	17	54.21
Indonesia	119	37.81	8.05	18	54.21
Nepal	120	37.76	9.5	3	37.02
Tajikistan	121	37.67	6.72	12	58.78
São Tomé & Príncipe	122	35.83	8.04	3	22.76
Equatorial Guinea	123	35.25	6.99	4	22.76
Solomon Islands	124	34.49	4.08	19	54.21
Cabo Verde	125	33.52	5.54	5	22.76
Myanmar	126	33.11	6.0	20	54.21
Bangladesh	127	32.91	4.61	4	37.02
Guatemala	128	32.33	3.12	30	55.52
Vanuatu	129	31.15	3.39	21	54.21
Afghanistan	130	30.52	6.13	5	37.02
Gabon	131	29.62	7.03	6	22.76
Kiribati	132	29.03	5.62	22	54.21
Namibia	133	28.71	5.9	7	22.76
Eswatini	134	28.37	7.03	8	22.76
Ghana	135	28.12	4.93	9	22.76
Gambia	136	27.86	6.22	10	22.76
Dem. Rep. Congo	137	27.84	9.92	11	22.76
Pakistan	138	27.26	9.13	6	37.02
India	139	27.05	9.25	7	37.02
Botswana	140	26.94	7.41	12	22.76
South Africa	141	26.28	5.9	13	22.76
Bhutan	142	25.88	6.07	8	37.02
Senegal	143	25.45	6.93	14	22.76
Papua New Guinea	144	25.03	2.87	23	54.21
Laos	145	24.59	7.44	24	54.21
Uganda	146	24.33	7.51	15	22.76
Tanzania	147	24.29	8.79	16	22.76
Haiti	148	23.79	6.3	31	55.52
Angola	149	23.31	9.85	17	22.76
Guinea	150	22.1	9.16	18	22.76
Burkina Faso	151	21.97	5.87	19	22.76
Kenya	152	21.7	7.79	20	22.76
Comoros	153	21.67	3.24	21	22.76
Zimbabwe	154	21.5	4.09	22	22.76
Côte d'Ivoire	155	21.25	7.02	23	22.76
Mauritania	156	21.04	7.02	24	22.76
Liberia	157	20.62	6.58	25	22.76
Republic of Congo	158	20.49	5.67	26	22.76
Zambia	159	20.3	7.17	27	22.76
Rwanda	160	20.0	5.0	28	22.76
Ethiopia	161	19.89	7.02	29	22.76
Lesotho	162	19.37	5.25	30	22.76
Nigeria	163	19.27	9.08	31	22.76
Mozambique	164	18.81	5.12	32	22.76
Benin	165	18.49	3.31	33	22.76
Mali	166	18.16	3.66	34	22.76
Djibouti	167	18.14	6.99	35	22.76
Guinea-Bissau	168	16.65	6.44	36	22.76
Malawi	169	16.25	3.85	37	22.76
Cameroon	170	15.78	7.49	38	22.76
Burundi	171	14.19	4.26	39	22.76
Togo	172	13.15	6.25	40	22.76
Madagascar	173	12.21	6.65	41	22.76
Sierra Leone	174	10.61	5.98	42	22.76
Niger	175	9.99	3.83	43	22.76
Central African Rep.	176	4.54	1.49	44	22.76
Chad	177	1.54	1.54	45	22.76
Environmental Performance Index 2026	EPI Measurement		Unsafe sanitation DALY rate