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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 ∆
Montenegro 1 100.0 2.4
Singapore 1 100.0 3.0
Slovakia 1 100.0 0.0
United Kingdom 1 100.0 2.8
Switzerland 5 98.2 1.6
Germany 6 97.7 4.0
Norway 7 97.4 1.8
Sweden 8 96.0 1.5
Slovenia 9 95.7 -0.8
Italy 10 95.6 0.8
Iceland 11 93.7 2.7
Finland 12 93.5 2.6
Luxembourg 13 93.2 2.8
South Korea 14 92.7 2.7
Portugal 15 92.5 3.2
Australia 16 91.6 1.8
Croatia 17 91.1 -2.3
Denmark 17 91.1 2.1
United States of America 19 90.9 3.8
Czech Republic 20 89.6 -4.1
Malta 21 88.9 3.1
Spain 22 88.6 2.5
Brunei Darussalam 23 88.0 2.7
Canada 23 88.0 4.8
Bulgaria 25 87.8 -1.2
Austria 26 87.7 4.5
Netherlands 26 87.7 1.8
Cyprus 28 87.5 2.3
Belgium 29 87.4 2.8
France 30 86.7 2.4
New Zealand 31 85.6 3.3
Greece 32 85.3 1.5
Poland 33 83.9 -3.8
Serbia 33 83.9 3.9
Ireland 35 82.0 2.3
Kuwait 36 81.5 2.5
Qatar 37 80.6 3.0
United Arab Emirates 37 80.6 3.3
Japan 39 80.5 1.7
Oman 40 78.4 3.2
Bosnia and Herzegovina 41 77.9 4.0
Israel 41 77.9 2.2
Chile 43 77.6 5.7
Hungary 44 76.9 -2.6
Uruguay 45 75.6 4.1
Latvia 46 73.8 0.4
Costa Rica 47 73.3 4.0
Albania 48 73.2 4.1
Lebanon 48 73.2 4.2
Ukraine 50 72.2 1.3
Taiwan 51 72.1 2.2
Belarus 52 71.9 0.5
China 53 71.6 6.1
North Macedonia 54 71.0 5.8
Estonia 55 70.4 0.5
Lithuania 55 70.4 0.9
Argentina 57 70.2 5.3
Bahrain 58 69.9 2.7
Saudi Arabia 59 69.2 4.1
Algeria 60 68.8 4.8
Armenia 61 68.7 5.4
Bahamas 61 68.7 1.9
Kazakhstan 63 68.4 7.3
Russia 64 68.3 3.2
Turkiye 65 66.9 6.8
Georgia 66 66.6 4.5
Romania 67 65.9 -0.6
Jordan 68 65.6 2.8
Uzbekistan 69 65.4 5.8
Samoa 70 64.4 1.6
Tunisia 71 64.3 3.0
Trinidad and Tobago 72 63.0 2.6
Ecuador 73 62.7 9.2
Colombia 74 62.1 4.4
Iran 75 61.5 6.4
Maldives 76 61.3 8.5
Mauritius 77 61.2 4.1
Thailand 77 61.2 4.3
Barbados 79 61.1 1.5
Cuba 80 59.8 2.7
Mexico 81 59.6 5.0
Moldova 82 59.0 1.2
Mongolia 83 58.3 6.1
Iraq 84 58.2 7.5
Seychelles 85 58.0 4.0
Malaysia 86 57.7 1.8
Brazil 87 57.6 7.9
Antigua and Barbuda 88 56.0 1.9
Grenada 89 55.7 2.4
Sri Lanka 90 55.6 4.7
Paraguay 91 55.1 4.5
Kyrgyzstan 92 54.8 6.7
Saint Lucia 92 54.8 1.8
Turkmenistan 94 54.2 8.2
Jamaica 95 53.4 1.1
Dominica 96 53.0 1.0
Peru 97 52.9 5.1
Morocco 98 52.6 8.5
Viet Nam 99 52.2 3.4
Saint Vincent and the Grenadines 100 51.9 2.4
Belize 101 51.4 2.9
Tonga 102 50.9 1.2
Egypt 103 50.3 6.9
Venezuela 104 49.3 0.9
El Salvador 105 48.7 4.4
Panama 106 48.4 4.2
Suriname 107 46.5 3.4
Philippines 108 45.5 6.0
Azerbaijan 109 45.2 3.6
Bolivia 110 44.7 5.3
Nicaragua 110 44.7 5.2
Guyana 112 43.5 5.2
Dominican Republic 113 42.8 4.1
Micronesia 114 39.3 0.8
Cambodia 115 38.9 6.3
Fiji 116 37.5 2.9
Indonesia 117 36.6 6.1
Sudan 118 36.4 7.3
Equatorial Guinea 119 36.3 6.3
Marshall Islands 120 36.2 1.5
Honduras 121 36.1 4.3
Sao Tome and Principe 121 36.1 7.2
Cabo Verde 123 34.2 3.7
Myanmar 123 34.2 5.6
Nepal 125 33.0 6.7
Gabon 126 31.9 5.0
Guatemala 127 31.8 4.5
Solomon Islands 128 31.7 2.6
Timor-Leste 129 31.5 3.4
Vanuatu 130 31.2 2.0
Afghanistan 131 31.0 6.8
Bangladesh 132 30.9 3.8
Laos 132 30.9 7.1
Pakistan 134 28.2 6.8
Tajikistan 135 28.1 3.5
Bhutan 136 27.6 4.1
Ghana 137 26.6 4.4
Mauritania 138 25.7 4.8
Senegal 139 25.5 6.2
India 140 25.3 6.6
South Africa 141 24.9 4.3
Djibouti 142 24.4 5.3
Comoros 143 24.1 2.4
Dem. Rep. Congo 143 24.1 8.2
Gambia 145 23.6 4.0
Angola 146 23.4 8.2
Rwanda 147 23.2 4.5
Cote d'Ivoire 148 23.1 5.0
Republic of Congo 149 22.9 6.0
Uganda 150 22.1 3.5
Cameroon 151 21.8 6.1
Kiribati 152 21.0 2.5
Papua New Guinea 153 20.2 2.2
Kenya 154 20.1 5.0
Zambia 154 20.1 6.4
Tanzania 156 19.4 4.3
Mozambique 157 19.3 4.6
Namibia 158 19.2 3.7
Zimbabwe 158 19.2 2.9
Guinea 160 19.0 5.4
Guinea-Bissau 160 19.0 5.8
Benin 162 18.9 4.2
Botswana 163 18.4 2.2
Liberia 164 18.0 5.1
Haiti 165 17.4 4.1
Eswatini 166 17.3 4.5
Mali 166 17.3 4.6
Ethiopia 168 17.2 3.9
Togo 169 17.1 5.2
Sierra Leone 170 16.9 4.9
Malawi 171 16.0 4.0
Burundi 172 15.9 3.1
Eritrea 173 14.9 3.2
Burkina Faso 174 14.7 3.6
Nigeria 175 14.0 5.7
Madagascar 176 12.1 3.6
Niger 177 11.4 4.4
Lesotho 178 8.9 2.1
Central African Republic 179 8.4 2.8
Chad 180 4.0 2.7