14 Lome, Togo
Lomé is the capital city of Togo that sits in the southwest near the country’s border with Ghana. Its Mercer Health and Sanitation Index Score is 44.1. They have been undergoing a serious sanitation and health risk. Many residents are suffering from water-borne infectious diseases because they are living without access to clean water, and the water they are drinking is coming from polluted areas. Ongoing issues with waste management have also been contributing to serious health hazards.