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Environmental Health

The Environmental Health policy objective measures how well countries are protecting their populations from environmental health risks. It comprises 25% of the total EPI score and is made up of four issue categories: Air Quality, Sanitation & Drinking Water, Heavy Metals, and Waste Management.

country rank Score 10y ∆
Iceland 1 90.2 3.3
Norway 2 86.7 3.8
Finland 3 86.6 6.3
Sweden 4 85.5 5.4
Australia 5 84.0 3.6
New Zealand 6 82.1 1.1
Ireland 7 81.6 6.0
United Kingdom 8 78.1 5.0
Canada 9 77.7 4.4
Barbados 10 77.6 0.9
Denmark 11 77.5 5.9
Trinidad and Tobago 12 77.2 2.1
Switzerland 13 76.3 3.0
Germany 14 76.1 6.6
Luxembourg 14 76.1 5.5
Netherlands 16 74.8 5.9
Malta 17 73.0 3.5
France 18 72.3 3.7
United States of America 18 72.3 3.2
Belgium 20 72.2 5.7
Seychelles 21 71.7 1.3
Austria 22 71.0 5.2
Brunei Darussalam 22 71.0 4.5
Mauritius 24 70.4 2.0
Bahamas 25 69.9 2.8
Antigua and Barbuda 26 69.6 0.7
Portugal 27 68.9 1.8
Japan 28 67.3 2.7
Grenada 29 66.0 2.0
Singapore 29 66.0 6.9
Estonia 31 65.8 7.0
Spain 32 65.6 0.5
Saint Lucia 33 65.0 2.1
Saint Vincent and the Grenadines 34 64.5 2.0
Israel 35 64.4 1.1
Italy 36 64.2 1.3
Greece 37 63.1 2.0
Cyprus 38 62.8 1.1
Slovakia 39 60.7 5.8
Lithuania 40 59.8 7.8
Slovenia 41 59.2 2.2
Suriname 42 59.0 1.8
Czech Republic 43 58.9 5.3
Tonga 44 58.4 1.2
South Korea 45 58.0 3.5
Samoa 46 57.8 0.7
Dominica 47 57.7 -1.0
Uruguay 48 57.6 2.3
Micronesia 49 56.8 1.6
Belarus 50 56.7 7.7
Guyana 51 56.0 2.8
Fiji 52 55.9 1.6
Marshall Islands 53 55.6 0.9
Russia 54 55.4 5.9
Panama 55 55.1 3.5
Cabo Verde 56 54.8 0.7
Latvia 57 54.6 6.8
Argentina 58 54.3 1.6
Turkmenistan 59 54.0 3.1
Costa Rica 60 53.7 2.2
Cuba 61 52.1 1.6
Croatia 62 51.8 2.8
Qatar 63 51.3 1.7
United Arab Emirates 63 51.3 0.9
Kazakhstan 65 51.0 3.8
Solomon Islands 66 50.8 1.1
Kuwait 67 50.4 -2.1
Oman 68 50.1 -0.7
Poland 68 50.1 5.9
Venezuela 68 50.1 -0.3
Taiwan 71 49.9 4.7
Vanuatu 72 49.5 0.9
Montenegro 73 48.7 2.9
Hungary 74 48.3 5.0
Algeria 75 48.2 0.4
Maldives 76 48.0 4.2
Ukraine 77 47.9 4.9
Jordan 78 47.2 1.7
Romania 79 46.6 4.0
Tunisia 79 46.6 0.5
Lebanon 81 46.5 1.1
Mauritania 81 46.5 0.7
Kiribati 83 46.4 0.8
Malaysia 84 45.8 4.7
Colombia 85 45.7 2.2
Chile 86 45.1 -0.1
Ecuador 87 44.7 1.5
Albania 88 44.1 3.3
Morocco 88 44.1 0.9
Serbia 90 43.6 4.1
Belize 91 43.4 2.1
Dominican Republic 91 43.4 3.0
Senegal 93 43.1 1.3
Georgia 94 42.9 4.9
Bulgaria 95 42.6 3.5
Brazil 96 42.4 1.2
Turkiye 97 41.9 3.8
Armenia 98 41.8 3.1
Iran 98 41.8 1.6
Moldova 98 41.8 5.4
Bahrain 101 41.6 -0.8
Comoros 102 41.4 -2.3
Saudi Arabia 103 40.5 0.4
Azerbaijan 104 40.4 3.6
Gambia 105 40.2 0.4
Sao Tome and Principe 106 39.8 -0.5
Jamaica 107 39.7 2.5
Paraguay 107 39.7 1.1
Nicaragua 109 39.3 1.6
North Macedonia 109 39.3 6.0
Uzbekistan 111 38.2 3.3
Mali 112 37.7 0.9
Papua New Guinea 113 37.2 0.6
Kyrgyzstan 114 37.1 4.9
Mexico 114 37.1 1.6
Liberia 116 36.4 0.0
Timor-Leste 116 36.4 1.6
Bosnia and Herzegovina 118 36.1 2.5
Peru 118 36.1 -1.3
Guinea-Bissau 120 35.6 0.9
Thailand 121 35.2 2.6
Sudan 122 34.7 0.9
Cote d'Ivoire 123 33.7 -0.8
Egypt 124 33.5 4.1
Equatorial Guinea 125 33.4 -2.7
Burkina Faso 126 33.3 -0.4
Sierra Leone 126 33.3 0.9
Iraq 128 32.9 0.7
Guinea 129 32.6 1.0
Gabon 130 32.3 0.0
Ghana 131 32.1 -1.7
Botswana 132 31.9 2.0
Sri Lanka 133 31.0 2.2
Niger 134 30.6 -1.3
El Salvador 135 30.1 2.0
Bolivia 136 29.7 -0.3
China 136 29.7 3.8
Djibouti 138 29.2 0.7
Philippines 139 28.7 2.3
Mongolia 140 28.5 3.5
Kenya 141 27.1 -0.2
Viet Nam 142 27.0 3.2
Namibia 143 26.8 0.3
Madagascar 144 26.7 0.3
Chad 145 26.5 0.6
Benin 146 26.0 -1.8
Indonesia 147 25.8 5.0
Togo 148 25.5 -1.5
Ethiopia 149 25.2 0.1
Mozambique 149 25.2 0.1
Tanzania 151 25.1 0.1
Eritrea 152 24.8 -0.6
South Africa 153 24.4 0.9
Cambodia 154 24.3 1.2
Guatemala 155 24.2 2.0
Honduras 156 23.0 1.8
Zimbabwe 156 23.0 -0.6
Bhutan 158 22.5 4.2
Haiti 159 22.4 1.7
Eswatini 160 22.1 1.2
Tajikistan 161 21.9 0.8
Angola 162 21.8 1.4
Malawi 163 21.0 -1.2
Nigeria 164 20.3 -1.5
Cameroon 165 19.7 0.7
Laos 166 19.4 4.1
Zambia 167 19.1 0.7
Uganda 168 18.5 0.8
Afghanistan 169 18.2 0.6
Republic of Congo 170 17.7 0.8
Myanmar 171 17.2 2.2
Bangladesh 172 15.2 1.4
Nepal 173 14.7 1.4
Central African Republic 174 14.6 0.9
Rwanda 175 14.4 0.8
Dem. Rep. Congo 176 14.0 1.9
India 177 13.5 2.3
Burundi 178 13.1 0.5
Pakistan 178 13.1 2.1
Lesotho 180 13.0 -1.2