List of cities by health and sanitation

This is a list of cities by health and sanitation. Calgary in Canada is the highest-scoring city, with a score of 131.7. Meanwhile, the lowest-scoring city is Baku in Azerbaijan, with a score of 27.6.

Almost half of the 30 top-scoring cities surveyed are in Western Europe. Helsinki has the highest score for the region, at position 3 with a rating of 128.5.

Oslo, Stockholm and Zurich all rank 6th with a score of 125. London is ranked 63 with a score of 111.2. Most Eastern European cities have relatively low scores, except for Prague in the Czech Republic which scores highest, at position 75 with a score of 101.3. Russian cities have the poorest scores in this area.

Abu Dhabi and Dubai are the highest-ranking Middle Eastern cities and share position 58 with a score of 112.9. African cities typically rank in lower positions than their European and Middle Eastern counterparts, with many appearing in the 20 bottom-scoring cities.

The complete list

Rank (March 2007)

City

Score (March 2007)

1

Calgary, Canada

131.7

2

Honolulu, United States

130.3

3

Helsinki, Finland

128.5

4

Ottawa, Canada

127.2

5

Minneapolis, United States

125.7

6

Oslo, Norway

125

6

Stockholm, Sweden

125

6

Zürich, Switzerland

125

9

Katsuyama, Japan

123.8

10

Berne, Switzerland

123.7

10

Boston, United States

123.7

10

Geneva, Switzerland

123.7

10

Lexington, United States

123.7

10

Montreal, Canada

123.7

10

Nuremberg, Germany

123.7

10

Pittsburgh, United States

123.7

10

Vancouver, Canada

123.7

18

Auckland, New Zealand

123.1

18

Wellington, New Zealand

123.1

20

Dublin, Ireland

122.9

21

Toronto, Canada

122.4

21

Amsterdam, Netherlands

122.4

23

Lyon, France

122.3

24

Copenhagen, Denmark

122.2

25

Kobe, Japan

122

25

Omuta, Japan

122

27

Washington, D.C., United States

121

28

Düsseldorf, Germany

120.9

28

Frankfurt, Germany

120.9

28

Luxembourg, Luxembourg

120.9

28

Munich, Germany

120.9

28

Vienna, Austria

120.9

33

Tsukuba, Japan

120.4

34

Portland, United States

119.7

35

Adelaide, Australia

119.5

36

Brussels, Belgium

118.4

37

Cleveland, United States

118.3

37

Hamburg, Germany

118.3

37

San Francisco, United States

118.3

37

St. Louis, United States

118.3

37

Winston-Salem, United States

118.3

42

Yokohama, Japan

118.1

43

Melbourne, Australia

117.4

43

Perth, Australia

117.4

45

Berlin, Germany

117.1

46

Yokkaichi, Japan

116.5

47

Brisbane, Australia

116.2

48

Glasgow, United Kingdom

115.7

49

Seattle, United States

115.1

50

Singapore

114

51

Detroit, United States

113.7

51

Miami, United States

113.7

53

Nagoya, Japan

113.5

53

Osaka, Japan

113.5

53

Tokyo, Japan

113.5

56

Barcelona, Spain

113.2

56

Madrid, Spain

113.2

58

Abu Dhabi, United Arab Emirates

112.9

58

Dubai, United Arab Emirates

112.9

60

Paris, France

112.6

61

Leipzig, Germany

112.5

62

Sydney, Australia

111.3

63

London, United Kingdom

111.2

64

Cape Town, South Africa

110.9

65

Port Elizabeth, South Africa

110.5

66

Birmingham, United Kingdom

110.4

67

San Juan, Puerto Rico

108.9

68

Chicago, United States

107.3

69

Lisbon, Portugal

106.5

70

Johannesburg, South Africa

106.1

71

Rome, Italy

104.4

72

Milan, Italy

103.4

73

Jerusalem, Israel

103.2

74

Victoria, Seychelles

101.9

75

Prague, Czech Republic

101.3

76

Noumea, New Caledonia

101

77

New York City, United States

100

78

Belgrade, Serbia

99.9

79

Tunis, Tunisia

99.9

80

Buenos Aires, Argentina

99.6

81

Panama City, Panama

98.8

82

Limassol, Cyprus

98.6

83

Port Louis, Mauritius

98.3

84

Tel Aviv, Israel

97.5

85

Ljubljana, Slovenia

97.2

86

Budapest, Hungary

97.1

87

Manama, Bahrain

96.9

88

Papeete, French Polynesia

95.3

89

Los Angeles, United States

94.5

90

Kuwait City, Kuwait

94

91

Vilnius, Lithuania

93.7

92

Tallinn, Estonia

93.1

93

Amman, Jordan

93

93

Istanbul, Turkey

93

95

Seoul, South Korea

92.7

96

Atlanta, United States

92.3

97

Kuala Lumpur, Malaysia

91.8

98

Riga, Latvia

89.1

99

Zagreb, Croatia

87.6

100

Warsaw, Poland

86.3

101

Asunción, Paraguay

86

102

Nassau, Bahamas

85.6

103

Houston, United States

85.2

104

San José, Costa Rica

85.1

105

Sofia, Bulgaria

85

106

Bratislava, Slovakia

84.8

107

Kingston, Jamaica

84.3

108

Johor Bahru, Malaysia

84.1

109

Medellín, Colombia

84

110

Taipei, Republic of China

83.7

111

Riyadh, Saudi Arabia

83.1

112

Yeochun, South Korea

82.3

113

La Paz, Bolivia

81.8

114

Blantyre, Malawi

81.7

114

Jeddah, Saudi Arabia

81.7

116

Casablanca, Morocco

81.6

117

Hong Kong, People's Republic of China

80.8

118

Brasilia, Brazil

80.3

119

Sarajevo, Bosnia and Herzegovina

79.9

120

Kaohsiung, Republic of China

79.8

121

Bogotá, Colombia

78.8

122

Rio de Janeiro, Brazil

78.5

123

Damascus, Syria

78.4

124

Lima, Peru

77.8

125

Guayaquil, Ecuador

77.7

126

Guatemala City, Guatemala

76.9

126

Skopje, Republic of Macedonia

76.9

128

Islamabad, Pakistan

76.6

129

Manaus, Brazil

76

130

Lusaka, Zambia

75.4

131

Colombo, Sri Lanka

75.2

132

Harare, Zimbabwe

74.1

133

Santiago, Chile

74

134

Shanghai, People's Republic of China

73.8

135

Sao Paulo, Brazil

73.1

136

Tripoli, Libya

73

137

Tirana, Albania

72.9

138

Athens, Greece

72.7

138

Santa Cruz, Bolivia

72.7

140

Dakar, Senegal

72.3

141

Bucharest, Romania

69.9

142

Minsk, Belarus

69.3

143

Libreville, Gabon

69.1

144

Algiers, Algeria

68.5

144

Ulsan, South Korea

68.5

146

Monterrey, Mexico

67.5

147

Abidjan, Côte d'Ivoire

66.6

148

Accra, Ghana

66.5

148

Havana, Cuba

66.5

150

Montevideo, Uruguay

66.2

150

Vientiane, Laos

66.2

152

Santo Domingo, Dominican Republic

65.5

153

Lahore, Pakistan

65.3

154

Guangzhou, People's Republic of China

65.1

155

Manila, Philippines

64.8

156

Cairo, Egypt

64.1

157

Yangon, Myanmar

63.9

158

Beirut, Lebanon

63.3

159

Managua, Nicaragua

63.2

160

Nairobi, Kenya

62.3

161

Nanjing, People's Republic of China

61.6

161

Shenyang, People's Republic of China

61.6

163

Jilin, People's Republic of China

61.3

164

Karachi, Pakistan

61.2

165

Ho Chi Minh City, Vietnam

60.6

166

Beijing, People's Republic of China

60.3

167

Jakarta, Indonesia

59.4

168

Bangkok, Thailand

59

168

Hanoi, Vietnam

59

170

Tehran, Iran

58.4

171

Quito, Ecuador

58.2

172

Djibouti, Republic of Djibouti

56.2

173

San Pedro Sula, Honduras

54.6

174

Kazan, Russia

54

175

Tashkent, Uzbekistan

53.6

176

Rayong, Thailand

53

177

Chennai, India

52.8

178

Bangalore, India

52.5

179

Cotonou, Benin

51.3

179

Douala, Cameroon

51.3

179

Yaoundé, Cameroon

51.3

182

Novosibirsk, Russia

51.1

183

Caracas, Venezuela

51

184

St. Petersburg, Russia

50.5

185

San Salvador, El Salvador

50

186

Kiev, Ukraine

49.1

186

San‘a’, Yemen

49.1

188

Lagos, Nigeria

48

189

Khartoum, Sudan

47.4

190

Kinshasa, Democratic Republic of the Congo

46.9

191

Port Harcourt, Nigeria

46.8

192

New Delhi, India

46.6

193

Maputo, Mozambique

46.3

194

Luanda, Angola

45.2

195

Niamey, Niger

45

196

Nouakchott, Mauritania

44.7

197

Conakry, Guinea

44.2

198

Lomé, Togo

44.1

199

Pointe-Noire, Republic of the Congo

43.8

200

Bamako, Mali

43.7

201

Moscow, Russia

43.4

201

Ouagadougou, Burkina Faso

43.4

203

Bangui, Central African Republic

42.1

204

Dar es Salaam, Tanzania

40.4

205

N'Djamena, Chad

39.7

206

Almaty, Kazakhstan

39.1

206

Brazzaville, Republic of the Congo

39.1

208

Baghdad, Iraq

39

209

Mumbai, India

38.2

210

Addis Ababa, Ethiopia

37.9

211

Mexico City, Mexico

37.7

212

Port Au Prince, Haiti

34

213

Antananarivo, Madagascar

30.1

214

Dhaka, Bangladesh

29.6

215

Baku, Azerbaijan

27.6

Ten healthiest and most sanitary cities by continent

Africa

Rank
(in Africa)

Rank
(Worldwide)

City

Score

1

64

Cape Town, South Africa

110.9

2

65

Port Elizabeth, South Africa

110.5

3

70

Johannesburg, South Africa

106.1

4

74

Victoria, Seychelles

101.9

5

79

Tunis, Tunisia

99.9

6

83

Port Louis, Mauritius

98.3

7

114

Blantyre, Malawi

81.7

8

116

Casablanca, Morocco

81.6

9

130

Lusaka, Zambia

75.4

10

132

Harare, Zimbabwe

74.1

Asia

Rank
(in Asia)

Rank
(Worldwide)

City

Score

1

9

Katsuyama, Japan

123.8

2

25

Kobe, Japan

122

2

25

Omuta, Japan

122

4

33

Tsukuba, Japan

120.4

5

42

Yokohama, Japan

118.1

6

46

Yokkaichi, Japan

116.5

7

50

Singapore

114

8

53

Nagoya, Japan

113.5

8

53

Osaka, Japan

113.5

8

53

Tokyo, Japan

113.5

Europe

Rank
(in Europe)

Rank
(Worldwide)

City

Score

1

3

Helsinki, Finland

128.5

2

6

Oslo, Norway

125

2

6

Stockholm, Sweden

125

2

6

Zürich, Switzerland

125

5

10

Berne, Switzerland

123.7

5

10

Geneva, Switzerland

123.7

5

10

Nuremberg, Germany

123.7

8

20

Dublin, Ireland

122.9

9

21

Amsterdam, Netherlands

122.4

10

23

Lyon, France

122.3

North America

Rank
(in North America)

Rank
(Worldwide)

City

Score

1

1

Calgary, Canada

131.7

2

2

Honolulu, United States

130.3

3

4

Ottawa, Canada

127.2

4

5

Minneapolis, United States

125.7

5

10

Boston, United States

123.7

5

10

Lexington, United States

123.7

5

10

Montreal, Canada

123.7

5

10

Pittsburgh, United States

123.7

5

10

Vancouver, Canada

123.7

10

21

Toronto, Canada

122.4

Oceania

Rank
(in Oceania)

Rank
(Worldwide)

City

Score

1

18

Auckland, New Zealand

123.1

1

18

Wellington, New Zealand

123.1

3

35

Adelaide, Australia

119.5

4

43

Melbourne, Australia

117.4

4

43

Perth, Australia

117.4

6

47

Brisbane, Australia

116.2

7

62

Sydney, Australia

111.3

8

76

Nouméa, New Caledonia

101

9

88

Papeete, French Polynesia

95.3

South America

Rank
(in South America)

Rank
(Worldwide)

City

Score

1

67

San Juan, Puerto Rico

108.9

2

78

Buenos Aires, Argentina

99.9

3

80

Montevideo, Uruguay

99.6

4

101

Asunción, Paraguay

86

5

109

Medellín, Colombia

84

6

113

La Paz, Bolivia

81.8

7

118

Brasilia, Brazil

80.3

8

121

Bogotá, Colombia

78.8

9

122

Rio de Janeiro, Brazil

78.5

10

124

Lima, Peru

77.8

See also

  • List of Most Expensive cities for expatriate employees
  • List of cities by quality of living

References