Unsafe sanitation

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 (≤1st-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.

country rank Score 10y ∆
Finland 1 100.0 4.1
Germany 1 100.0 6.2
Montenegro 1 100.0 3.5
Singapore 1 100.0 3.4
Slovakia 1 100.0 0.0
Switzerland 1 100.0 3.0
United Kingdom 1 100.0 0.0
Australia 8 99.9 5.7
Luxembourg 9 99.7 4.8
Norway 9 99.7 2.1
Iceland 11 97.1 5.8
Italy 12 96.4 1.8
Sweden 13 96.1 1.3
Slovenia 14 95.6 0.8
Portugal 15 94.6 4.1
Denmark 16 93.8 4.0
Belgium 17 92.5 4.1
Malta 17 92.5 6.1
South Korea 19 92.0 3.4
Greece 20 91.5 6.5
Austria 21 91.3 5.2
Spain 22 90.9 4.2
Croatia 23 90.7 1.9
Netherlands 23 90.7 4.5
United States of America 25 90.5 4.8
Cyprus 26 90.2 4.4
Israel 27 89.3 5.5
Canada 28 89.1 7.1
Czech Republic 28 89.1 -1.8
France 28 89.1 4.8
Ireland 28 89.1 12.0
Brunei Darussalam 32 87.6 3.7
Bulgaria 32 87.6 3.5
New Zealand 34 87.2 6.2
Serbia 35 83.6 4.6
Poland 36 83.5 -2.5
United Arab Emirates 37 82.4 5.2
Kuwait 38 82.3 5.1
Qatar 39 82.2 3.2
Latvia 40 81.0 5.2
Japan 41 80.1 2.0
Uruguay 42 79.6 5.5
Chile 43 78.5 7.4
Estonia 44 78.3 2.3
Bosnia and Herzegovina 45 77.7 4.2
Oman 45 77.7 2.8
Hungary 47 76.6 2.0
Argentina 48 75.2 10.7
Belarus 49 75.0 1.8
Lithuania 50 73.8 2.2
Albania 51 73.2 4.6
Lebanon 52 72.7 3.3
Bahrain 53 72.0 2.7
Costa Rica 53 72.0 4.7
China 55 71.1 5.1
North Macedonia 56 70.8 8.0
Russia 57 70.6 6.4
Saudi Arabia 57 70.6 3.8
Armenia 59 70.5 4.7
Taiwan 59 70.5 1.5
Bahamas 61 70.3 4.4
Ukraine 61 70.3 -1.1
Georgia 63 69.5 8.9
Kazakhstan 64 68.5 4.3
Algeria 65 68.4 4.6
Jordan 66 67.7 5.8
Uzbekistan 67 66.9 6.2
Turkiye 68 66.4 6.3
Romania 69 65.7 1.1
Samoa 70 64.0 1.7
Tunisia 71 63.7 2.6
Ecuador 72 63.5 7.2
Moldova 73 63.4 2.7
Mauritius 74 63.2 5.4
Colombia 75 63.1 1.9
Trinidad and Tobago 76 62.7 2.3
Thailand 77 61.3 3.2
Iran 78 61.0 5.9
Maldives 78 61.0 7.5
Barbados 80 60.5 0.8
Mexico 81 59.4 5.0
Cuba 82 59.1 2.7
Seychelles 83 58.9 5.5
Iraq 84 58.5 7.0
Mongolia 85 58.2 5.9
Brazil 86 57.5 7.0
Malaysia 87 57.3 1.5
Paraguay 88 55.9 4.1
Kyrgyzstan 89 55.3 7.8
Antigua and Barbuda 90 55.1 1.9
Sri Lanka 91 54.9 3.9
Grenada 92 54.2 1.8
Peru 92 54.2 4.8
Saint Lucia 92 54.2 1.7
Turkmenistan 95 54.1 3.0
Jamaica 96 53.1 2.1
Morocco 96 53.1 8.5
Viet Nam 98 53.0 4.0
Dominica 99 52.6 1.1
Saint Vincent and the Grenadines 100 51.6 3.6
Belize 101 51.2 3.0
Tonga 102 50.5 1.6
Egypt 103 50.1 6.4
El Salvador 104 48.9 4.1
Venezuela 105 48.8 -1.0
Panama 106 48.4 3.6
Suriname 107 46.4 2.8
Philippines 108 45.3 5.3
Azerbaijan 109 45.1 2.8
Nicaragua 109 45.1 5.0
Bolivia 111 45.0 5.6
Guyana 112 43.6 5.1
Dominican Republic 113 43.0 4.5
Micronesia 114 39.5 1.5
Cambodia 115 38.9 5.4
Fiji 116 37.6 3.1
Indonesia 117 36.5 5.4
Sudan 117 36.5 7.0
Marshall Islands 119 36.4 2.0
Sao Tome and Principe 119 36.4 6.5
Equatorial Guinea 121 36.2 4.3
Honduras 121 36.2 4.3
Myanmar 123 34.2 5.6
Cabo Verde 124 33.9 3.6
Nepal 125 33.6 6.3
Solomon Islands 126 31.9 2.7
Gabon 127 31.8 4.6
Guatemala 127 31.8 4.0
Timor-Leste 129 31.7 3.3
Vanuatu 130 31.3 1.7
Afghanistan 131 31.1 7.2
Bangladesh 131 31.1 3.4
Laos 133 30.9 6.7
Pakistan 134 28.1 7.2
Tajikistan 134 28.1 3.8
Bhutan 136 27.7 3.8
Ghana 137 26.7 4.2
Mauritania 138 25.7 4.3
Senegal 138 25.7 5.8
India 140 25.2 7.0
South Africa 141 24.8 4.0
Djibouti 142 24.4 5.0
Dem. Rep. Congo 143 24.2 8.2
Comoros 144 24.1 2.9
Gambia 145 23.7 3.0
Angola 146 23.5 7.6
Rwanda 147 23.4 4.3
Cote d'Ivoire 148 23.2 6.5
Republic of Congo 149 23.0 4.5
Uganda 150 22.3 4.4
Cameroon 151 21.9 5.9
Kiribati 152 21.1 3.2
Papua New Guinea 153 20.3 2.5
Zambia 154 20.2 5.7
Kenya 155 19.9 4.9
Tanzania 156 19.5 4.1
Mozambique 157 19.4 5.0
Namibia 158 19.3 3.5
Zimbabwe 158 19.3 2.6
Guinea 160 19.1 5.6
Guinea-Bissau 161 19.0 4.9
Benin 162 18.9 4.8
Botswana 163 18.5 2.0
Liberia 164 18.0 5.7
Eswatini 165 17.5 4.5
Haiti 165 17.5 3.5
Mali 167 17.4 4.3
Togo 168 17.2 4.7
Ethiopia 169 17.1 3.7
Sierra Leone 170 16.9 4.1
Malawi 171 16.1 3.6
Burundi 172 16.0 3.1
Eritrea 173 15.0 2.6
Burkina Faso 174 14.8 3.2
Nigeria 175 14.0 5.7
Madagascar 176 12.1 4.0
Niger 177 11.5 4.1
Lesotho 178 9.0 1.4
Central African Republic 179 8.5 2.8
Chad 180 4.1 2.6