09 Addis Ababa, Ethiopia
Addis Ababa, the capital of Ethiopia. Its Mercer Health and Sanitation Index Score is 37.9. Addis Ababa faces one of the worst sanitation problems on both the continent of Africa as well as in the world. The lack of adequate sanitation programs results in infant mortality, low life expectancy and the transmission of water-borne diseases. Most people don’t have access to a hygienic toilet. This is causing waste to be dispersed into the environment. This has ultimately resulted in, a spike in the infant mortality rate, infectious diseases, and a low life expectancy.