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 89.3 2.4
Norway 2 86.3 3.7
Finland 3 85.6 6.3
Sweden 4 85.5 5.5
Australia 5 82.0 2.9
New Zealand 6 81.5 0.8
Ireland 7 79.8 4.0
Barbados 8 77.4 0.9
United Kingdom 8 77.4 5.0
Canada 10 77.3 4.1
Trinidad and Tobago 11 77.0 2.4
Denmark 12 76.9 5.5
Switzerland 13 75.6 2.3
Germany 14 75.4 5.9
Luxembourg 15 74.6 5.3
Netherlands 16 74.2 5.3
Malta 17 72.0 2.8
United States of America 17 72.0 2.9
France 19 71.5 3.2
Seychelles 20 71.4 0.3
Brunei Darussalam 21 70.9 3.6
Belgium 22 70.8 5.2
Austria 23 70.0 5.0
Mauritius 24 69.8 1.8
Antigua and Barbuda 25 69.6 0.6
Bahamas 26 69.4 2.2
Portugal 27 68.2 1.6
Japan 28 67.4 2.4
Grenada 29 66.1 2.1
Singapore 30 65.8 6.0
Saint Lucia 31 64.9 1.7
Spain 32 64.8 0.1
Saint Vincent and the Grenadines 33 64.5 1.7
Estonia 34 63.9 6.4
Italy 34 63.9 1.2
Cyprus 36 62.0 0.7
Israel 36 62.0 0.6
Greece 38 61.9 1.5
Slovakia 39 60.5 5.8
Slovenia 40 59.0 2.0
Czech Republic 41 58.8 4.7
Lithuania 41 58.8 7.3
Suriname 41 58.8 1.7
Tonga 44 58.2 0.7
South Korea 45 57.9 3.4
Samoa 46 57.7 0.5
Dominica 47 57.6 -1.3
Micronesia 48 56.5 0.8
Uruguay 48 56.5 2.5
Belarus 50 55.8 8.4
Guyana 50 55.8 2.4
Fiji 52 55.7 1.2
Marshall Islands 53 55.4 0.7
Panama 54 54.9 3.4
Cabo Verde 55 54.7 0.9
Russia 55 54.7 5.9
Turkmenistan 57 53.8 4.2
Costa Rica 58 53.7 2.1
Argentina 59 52.9 0.8
Latvia 60 52.8 5.5
Cuba 61 52.0 1.9
Croatia 62 51.7 1.8
Kazakhstan 63 50.8 5.3
Qatar 64 50.7 2.1
Solomon Islands 65 50.6 0.7
United Arab Emirates 65 50.6 0.1
Oman 67 50.1 -0.7
Kuwait 68 50.0 -2.5
Taiwan 68 50.0 4.5
Venezuela 68 50.0 0.6
Poland 71 49.9 5.5
Vanuatu 72 49.2 0.8
Montenegro 73 48.5 2.3
Algeria 74 48.1 0.5
Hungary 74 48.1 3.9
Ukraine 74 48.1 5.9
Maldives 77 48.0 4.4
Jordan 78 46.6 1.1
Tunisia 79 46.5 0.6
Romania 80 46.4 3.7
Lebanon 81 46.3 1.4
Mauritania 81 46.3 0.7
Kiribati 83 46.2 0.3
Malaysia 84 45.7 4.5
Colombia 85 45.2 2.6
Chile 86 44.7 0.0
Ecuador 87 44.3 1.9
Albania 88 43.8 2.7
Morocco 88 43.8 0.7
Serbia 90 43.4 3.9
Belize 91 43.3 2.2
Dominican Republic 92 43.2 2.7
Senegal 93 42.9 1.0
Bulgaria 94 42.5 2.5
Brazil 95 42.2 1.7
Georgia 96 42.0 3.9
Turkiye 97 41.8 3.8
Iran 98 41.6 1.6
Armenia 99 41.2 3.4
Comoros 99 41.2 -3.3
Bahrain 101 40.9 -0.2
Moldova 102 40.6 5.2
Azerbaijan 103 40.2 4.3
Gambia 104 40.0 0.5
Saudi Arabia 104 40.0 0.3
Jamaica 106 39.5 1.7
Sao Tome and Principe 106 39.5 -0.6
Paraguay 108 39.3 1.4
North Macedonia 109 39.1 5.3
Nicaragua 110 39.0 1.4
Uzbekistan 111 37.7 2.9
Mali 112 37.5 0.7
Papua New Guinea 113 37.0 0.1
Mexico 114 36.9 1.6
Kyrgyzstan 115 36.7 4.6
Liberia 116 36.3 -0.7
Timor-Leste 117 36.1 1.2
Bosnia and Herzegovina 118 36.0 2.4
Peru 119 35.6 -0.5
Guinea-Bissau 120 35.4 0.6
Thailand 121 34.9 2.9
Sudan 122 34.6 0.9
Cote d'Ivoire 123 33.5 -1.7
Egypt 124 33.3 3.9
Equatorial Guinea 124 33.3 -1.6
Burkina Faso 126 33.1 -0.7
Sierra Leone 126 33.1 0.7
Iraq 128 32.6 1.3
Guinea 129 32.4 0.7
Gabon 130 32.1 -0.2
Ghana 131 31.9 -1.8
Botswana 132 31.7 1.7
Sri Lanka 133 30.9 2.0
Niger 134 30.4 -1.6
El Salvador 135 29.8 1.5
China 136 29.5 4.2
Bolivia 137 29.4 -0.3
Djibouti 138 28.9 0.7
Philippines 139 28.5 2.0
Mongolia 140 28.3 4.0
Kenya 141 27.0 -0.4
Namibia 142 26.6 0.5
Viet Nam 142 26.6 3.1
Madagascar 144 26.5 -0.4
Chad 145 26.4 0.6
Benin 146 25.8 -2.3
Indonesia 147 25.7 4.8
Togo 148 25.3 -1.5
Ethiopia 149 25.1 0.3
Mozambique 150 25.0 -0.6
Tanzania 151 24.9 0.0
Eritrea 152 24.6 -0.3
South Africa 153 24.2 0.8
Cambodia 154 24.1 1.4
Guatemala 155 24.0 1.9
Zimbabwe 156 22.9 -0.3
Honduras 157 22.8 1.2
Bhutan 158 22.3 4.4
Haiti 159 22.1 1.7
Eswatini 160 21.9 0.6
Tajikistan 161 21.7 1.0
Angola 162 21.6 1.5
Malawi 163 20.8 -0.9
Nigeria 164 20.0 -1.5
Cameroon 165 19.5 0.5
Laos 166 19.2 4.1
Zambia 167 18.9 0.7
Uganda 168 18.3 0.4
Afghanistan 169 18.2 0.6
Republic of Congo 170 17.5 1.1
Myanmar 171 17.0 2.1
Bangladesh 172 15.0 1.9
Central African Republic 173 14.4 1.2
Nepal 173 14.4 1.5
Rwanda 175 14.2 0.9
Dem. Rep. Congo 176 13.8 1.7
India 177 13.3 2.1
Pakistan 178 13.0 2.0
Burundi 179 12.9 0.4
Lesotho 180 12.8 -1.4