4. Addis Ababa, Ethiopia
Our Index Score: 30.0
If you visited Addis Ababa today, you’ll find it difficult believing that there is sanitation. The people responsible for cleaning up this city do shoddy jobs. Testimonials from TripAdvisor travelers indicate that you could find dirt and dust almost in all places within the city.
With a population of about four million people, many of them lack access to hygienic waste. Also, waste is haphazardly disposed, this resulting in the development of infectious diseases and high mortality rates. Globally, Addis Ababa faces one of the worst sanitation menaces.
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