Table 21.
Country ranking in the protection of public health
| Country | 2010 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 |
|---|---|---|---|---|---|---|---|---|---|
| United States of America | 11 | 12 | 9 | 9 | 2 | 1 | 1 | 1 | 1 |
| Norway | 1 | 1 | 1 | 1 | 1 | 2 | 2 | 2 | 2 |
| Germany | 4 | 7 | 7 | 5 | 6 | 6 | 6 | 6 | 3 |
| Iceland | 17 | 19 | 19 | 16 | 14 | 10 | 9 | 7 | 4 |
| France | 5 | 6 | 6 | 6 | 7 | 8 | 8 | 9 | 5 |
| Luxembourg | 2 | 2 | 2 | 3 | 3 | 3 | 3 | 3 | 6 |
| Sweden | 10 | 3 | 4 | 2 | 4 | 4 | 4 | 4 | 7 |
| Denmark | 3 | 5 | 5 | 4 | 5 | 5 | 5 | 5 | 8 |
| Japan | 6 | 4 | 3 | 7 | 8 | 7 | 7 | 8 | 9 |
| Belgium | 14 | 13 | 14 | 13 | 11 | 12 | 12 | 10 | 10 |
| United Kingdom of Great Britain and Northern Ireland | 7 | 9 | 8 | 8 | 9 | 9 | 10 | 11 | 11 |
| Ireland | 12 | 17 | 17 | 19 | 18 | 17 | 15 | 12 | 12 |
| Australia | 19 | 16 | 16 | 18 | 20 | 18 | 16 | 15 | 13 |
| Finland | 16 | 15 | 15 | 15 | 12 | 13 | 13 | 14 | 14 |
| Netherlands | 8 | 10 | 10 | 10 | 10 | 11 | 11 | 13 | 15 |
| Canada | 15 | 14 | 13 | 14 | 16 | 14 | 17 | 16 | 16 |
| Austria | 18 | 18 | 18 | 17 | 17 | 15 | 14 | 18 | 17 |
| New Zealand | 21 | 20 | 20 | 20 | 19 | 20 | 20 | 19 | 18 |
| Italy | 9 | 11 | 12 | 12 | 15 | 16 | 18 | 17 | 19 |
| Switzerland | 26 | 22 | 22 | 23 | 24 | 22 | 24 | 22 | 20 |
| China | 34 | 27 | 23 | 22 | 21 | 19 | 19 | 20 | 21 |
| Brunei Darussalam | 25 | 24 | 26 | 28 | 26 | 25 | 22 | 21 | 22 |
| Nauru | 24 | 25 | 25 | 27 | 27 | 24 | 21 | 23 | 23 |
| Kuwait | 33 | 30 | 28 | 32 | 29 | 30 | 34 | 25 | 24 |
| Tuvalu | 22 | 21 | 21 | 24 | 23 | 23 | 23 | 24 | 25 |
| Spain | 23 | 26 | 32 | 35 | 35 | 33 | 28 | 28 | 26 |
| Cuba | 28 | 33 | 33 | 34 | 28 | 26 | 26 | 26 | 27 |
| Qatar | 55 | 49 | 34 | 25 | 22 | 21 | 25 | 31 | 28 |
| Czechia | 30 | 31 | 30 | 31 | 33 | 31 | 33 | 32 | 29 |
| Oman | 41 | 40 | 39 | 37 | 32 | 28 | 32 | 30 | 30 |
| Micronesia (Federated States of) | 29 | 29 | 27 | 30 | 31 | 27 | 29 | 27 | 31 |
| Israel | 54 | 55 | 56 | 52 | 48 | 42 | 37 | 41 | 32 |
| Kiribati | 27 | 28 | 29 | 29 | 30 | 29 | 30 | 29 | 33 |
| Argentina | 73 | 64 | 50 | 45 | 41 | 34 | 49 | 40 | 34 |
| Estonia | 46 | 46 | 47 | 48 | 46 | 44 | 45 | 42 | 35 |
| Solomon Islands | 32 | 32 | 31 | 33 | 34 | 32 | 31 | 33 | 36 |
| Botswana | 94 | 84 | 79 | 71 | 63 | 67 | 71 | 35 | 37 |
| Croatia | 35 | 34 | 35 | 36 | 37 | 35 | 36 | 39 | 38 |
| Papua New Guinea | 43 | 41 | 38 | 38 | 36 | 45 | 42 | 34 | 39 |
| Vanuatu | 38 | 36 | 37 | 40 | 40 | 37 | 41 | 37 | 40 |
| Slovakia | 50 | 48 | 52 | 46 | 38 | 36 | 35 | 43 | 41 |
| Slovenia | 36 | 38 | 45 | 44 | 44 | 41 | 39 | 36 | 42 |
| Marshall Islands | 45 | 45 | 44 | 42 | 47 | 39 | 38 | 38 | 43 |
| Costa Rica | 57 | 63 | 62 | 65 | 64 | 55 | 54 | 49 | 44 |
| United Arab Emirates | 53 | 52 | 51 | 54 | 56 | 50 | 55 | 48 | 45 |
| Sao Tome and Principe | 62 | 59 | 58 | 53 | 54 | 53 | 52 | 45 | 46 |
| Uruguay | 86 | 83 | 74 | 67 | 62 | 58 | 58 | 56 | 47 |
| Maldives | 109 | 129 | 119 | 115 | 91 | 60 | 59 | 57 | 48 |
| Malta | 59 | 60 | 61 | 55 | 66 | 65 | 60 | 60 | 49 |
| Samoa | 40 | 39 | 40 | 41 | 39 | 38 | 40 | 44 | 50 |
| Lesotho | 65 | 53 | 53 | 56 | 51 | 49 | 56 | 50 | 51 |
| Rwanda | 64 | 61 | 57 | 66 | 57 | 54 | 51 | 46 | 52 |
| Timor-Leste | 39 | 35 | 36 | 39 | 43 | 40 | 43 | 47 | 53 |
| Palau | 60 | 65 | 55 | 58 | 53 | 52 | 44 | 58 | 54 |
| Portugal | 37 | 47 | 59 | 59 | 58 | 57 | 57 | 62 | 55 |
| Andorra | 87 | 87 | 91 | 84 | 82 | 79 | 78 | 69 | 56 |
| Romania | 44 | 56 | 54 | 49 | 49 | 51 | 53 | 55 | 57 |
| Thailand | 52 | 42 | 49 | 47 | 50 | 47 | 48 | 54 | 58 |
| Mozambique | 42 | 43 | 42 | 43 | 42 | 43 | 47 | 52 | 59 |
| Poland | 56 | 57 | 64 | 63 | 61 | 62 | 66 | 59 | 60 |
| Republic of Korea | 66 | 70 | 75 | 75 | 69 | 66 | 64 | 66 | 61 |
| Bhutan | 49 | 51 | 60 | 62 | 65 | 59 | 63 | 53 | 62 |
| Tonga | 48 | 54 | 43 | 57 | 45 | 46 | 46 | 51 | 63 |
| Hungary | 67 | 68 | 80 | 77 | 75 | 70 | 69 | 63 | 64 |
| Turkey | 47 | 44 | 46 | 50 | 52 | 48 | 50 | 61 | 65 |
| Greece | 31 | 37 | 41 | 60 | 73 | 73 | 67 | 68 | 66 |
| Seychelles | 82 | 72 | 65 | 64 | 72 | 68 | 61 | 64 | 67 |
| Eswatini | 63 | 66 | 68 | 70 | 70 | 71 | 72 | 67 | 68 |
| Malawi | 51 | 50 | 48 | 51 | 55 | 61 | 62 | 65 | 69 |
| Colombia | 61 | 58 | 63 | 68 | 67 | 69 | 74 | 72 | 70 |
| Zambia | 88 | 82 | 67 | 61 | 59 | 56 | 65 | 70 | 71 |
| Bosnia and Herzegovina | 69 | 71 | 72 | 74 | 74 | 72 | 75 | 71 | 72 |
| Saudi Arabia | 93 | 78 | 73 | 69 | 60 | 64 | 70 | 75 | 73 |
| Djibouti | 79 | 67 | 66 | 72 | 68 | 63 | 68 | 73 | 74 |
| Chile | 98 | 98 | 96 | 96 | 97 | 91 | 97 | 80 | 75 |
| Lithuania | 58 | 62 | 76 | 81 | 76 | 75 | 79 | 77 | 76 |
| Singapore | 138 | 137 | 129 | 117 | 110 | 94 | 93 | 92 | 77 |
| Bolivia (Plurinational State of) | 100 | 100 | 103 | 101 | 93 | 80 | 83 | 81 | 78 |
| Fiji | 77 | 94 | 93 | 100 | 95 | 90 | 90 | 78 | 79 |
| Saint Vincent and the Grenadines | 91 | 97 | 77 | 82 | 86 | 84 | 91 | 76 | 80 |
| Belarus | 75 | 91 | 84 | 94 | 94 | 98 | 77 | 79 | 81 |
| Panama | 72 | 81 | 97 | 91 | 87 | 82 | 73 | 84 | 82 |
| Dominica | 85 | 89 | 86 | 89 | 85 | 77 | 76 | 83 | 83 |
| Belize | 74 | 79 | 83 | 83 | 83 | 76 | 81 | 85 | 84 |
| Peru | 124 | 126 | 117 | 111 | 101 | 97 | 100 | 86 | 85 |
| Republic of North Macedonia | 101 | 95 | 95 | 88 | 92 | 87 | 96 | 87 | 86 |
| Cabo Verde | 81 | 76 | 71 | 76 | 78 | 81 | 87 | 89 | 87 |
| Zimbabwe | 131 | 146 | 144 | 135 | 108 | 115 | 107 | 90 | 88 |
| Jamaica | 96 | 96 | 104 | 99 | 106 | 93 | 94 | 82 | 89 |
| Suriname | 135 | 147 | 148 | 149 | 151 | 88 | 80 | 93 | 90 |
| Algeria | 76 | 74 | 69 | 78 | 71 | 78 | 85 | 95 | 91 |
| Gambia | 89 | 93 | 87 | 73 | 84 | 103 | 103 | 94 | 92 |
| Bahrain | 84 | 86 | 81 | 80 | 79 | 74 | 86 | 102 | 93 |
| United Republic of Tanzania | 105 | 102 | 94 | 90 | 90 | 95 | 82 | 91 | 94 |
| Guyana | 107 | 111 | 110 | 109 | 111 | 114 | 89 | 88 | 95 |
| Russian Federation | 78 | 75 | 70 | 79 | 77 | 83 | 92 | 99 | 96 |
| Libya | 71 | 99 | 88 | 87 | 89 | 89 | 99 | 100 | 97 |
| El Salvador | 97 | 88 | 99 | 86 | 88 | 85 | 88 | 101 | 98 |
| Kazakhstan | 80 | 77 | 82 | 92 | 81 | 96 | 102 | 105 | 99 |
| Mali | 155 | 150 | 136 | 103 | 105 | 102 | 108 | 103 | 100 |
| Nicaragua | 119 | 107 | 105 | 106 | 103 | 101 | 95 | 96 | 101 |
| Latvia | 95 | 85 | 98 | 97 | 98 | 99 | 104 | 107 | 102 |
| Mongolia | 83 | 92 | 90 | 102 | 100 | 106 | 101 | 104 | 103 |
| Trinidad and Tobago | 127 | 127 | 128 | 116 | 121 | 112 | 112 | 108 | 104 |
| Madagascar | 125 | 104 | 114 | 126 | 102 | 92 | 84 | 97 | 105 |
| Bahamas | 118 | 120 | 118 | 120 | 132 | 105 | 105 | 121 | 106 |
| Ecuador | 143 | 140 | 133 | 131 | 123 | 130 | 119 | 109 | 107 |
| Gabon | 92 | 101 | 101 | 95 | 107 | 107 | 98 | 106 | 108 |
| Serbia | 90 | 90 | 92 | 98 | 104 | 104 | 106 | 110 | 109 |
| South Africa | 128 | 124 | 120 | 127 | 125 | 122 | 123 | 113 | 110 |
| Republic of Moldova | 113 | 125 | 111 | 114 | 109 | 126 | 130 | 111 | 111 |
| Malaysia | 123 | 122 | 115 | 118 | 116 | 117 | 128 | 119 | 112 |
| Tunisia | 115 | 110 | 108 | 105 | 112 | 111 | 113 | 112 | 113 |
| Brazil | 121 | 123 | 127 | 122 | 119 | 124 | 127 | 120 | 114 |
| Mexico | 129 | 121 | 116 | 113 | 113 | 110 | 111 | 118 | 115 |
| Saint Kitts and Nevis | 147 | 154 | 149 | 138 | 135 | 137 | 117 | 114 | 116 |
| Central African Republic | 134 | 131 | 125 | 139 | 118 | 86 | 122 | 98 | 117 |
| Burkina Faso | 99 | 109 | 107 | 119 | 128 | 135 | 109 | 116 | 118 |
| Namibia | 116 | 128 | 137 | 133 | 133 | 139 | 126 | 123 | 119 |
| Bulgaria | 114 | 116 | 126 | 125 | 117 | 123 | 125 | 124 | 120 |
| Jordan | 68 | 73 | 78 | 85 | 80 | 119 | 120 | 126 | 121 |
| Lebanon | 148 | 142 | 124 | 130 | 124 | 121 | 121 | 115 | 122 |
| Iran (Islamic Republic of) | 160 | 161 | 158 | 154 | 127 | 118 | 118 | 127 | 123 |
| Barbados | 102 | 113 | 102 | 112 | 126 | 120 | 115 | 129 | 124 |
| Kenya | 126 | 130 | 132 | 134 | 130 | 125 | 124 | 125 | 125 |
| Uganda | 111 | 117 | 138 | 140 | 122 | 127 | 129 | 122 | 126 |
| Cyprus | 110 | 114 | 123 | 121 | 131 | 132 | 132 | 132 | 127 |
| Burundi | 108 | 106 | 106 | 104 | 138 | 140 | 116 | 128 | 128 |
| Dominican Republic | 142 | 138 | 139 | 137 | 136 | 133 | 142 | 131 | 129 |
| Haiti | 103 | 80 | 89 | 110 | 99 | 108 | 110 | 130 | 130 |
| Saint Lucia | 154 | 156 | 152 | 152 | 145 | 138 | 143 | 133 | 131 |
| Viet Nam | 133 | 139 | 131 | 123 | 134 | 134 | 114 | 117 | 132 |
| Antigua and Barbuda | 106 | 108 | 109 | 108 | 114 | 109 | 131 | 135 | 133 |
| Congo | 122 | 115 | 85 | 93 | 96 | 100 | 134 | 139 | 134 |
| Grenada | 139 | 144 | 150 | 151 | 140 | 145 | 137 | 141 | 135 |
| Niger | 159 | 165 | 165 | 157 | 158 | 150 | 162 | 136 | 136 |
| Honduras | 136 | 134 | 145 | 144 | 141 | 143 | 139 | 144 | 137 |
| Uzbekistan | 132 | 133 | 130 | 128 | 120 | 129 | 141 | 140 | 138 |
| Benin | 137 | 136 | 112 | 136 | 139 | 128 | 136 | 137 | 139 |
| Paraguay | 140 | 135 | 141 | 146 | 137 | 136 | 138 | 138 | 140 |
| Mauritius | 141 | 145 | 142 | 147 | 143 | 142 | 144 | 142 | 141 |
| Ukraine | 120 | 132 | 121 | 132 | 147 | 148 | 146 | 143 | 142 |
| Ghana | 112 | 112 | 122 | 124 | 142 | 113 | 140 | 147 | 143 |
| Sri Lanka | 151 | 152 | 151 | 143 | 144 | 141 | 145 | 146 | 144 |
| Kyrgyzstan | 117 | 119 | 113 | 129 | 152 | 146 | 150 | 151 | 145 |
| Lao People's Democratic Republic | 158 | 149 | 143 | 141 | 146 | 131 | 135 | 134 | 146 |
| Mauritania | 163 | 164 | 156 | 145 | 148 | 144 | 152 | 150 | 147 |
| Liberia | 146 | 141 | 135 | 142 | 149 | 149 | 147 | 149 | 148 |
| Indonesia | 176 | 177 | 171 | 167 | 165 | 159 | 149 | 145 | 149 |
| Angola | 104 | 103 | 100 | 107 | 129 | 147 | 148 | 148 | 150 |
| Eritrea | 144 | 105 | 146 | 148 | 150 | 153 | 153 | 157 | 151 |
| Morocco | 156 | 155 | 153 | 150 | 155 | 155 | 151 | 152 | 152 |
| Georgia | 173 | 185 | 181 | 172 | 168 | 158 | 156 | 156 | 153 |
| Senegal | 153 | 157 | 161 | 165 | 153 | 154 | 154 | 160 | 154 |
| Guatemala | 157 | 159 | 157 | 158 | 154 | 157 | 159 | 155 | 155 |
| Democratic Republic of the Congo | 149 | 153 | 154 | 156 | 157 | 152 | 155 | 159 | 156 |
| Tajikistan | 172 | 160 | 164 | 160 | 160 | 160 | 166 | 158 | 157 |
| Iraq | 70 | 69 | 160 | 155 | 163 | 176 | 178 | 154 | 158 |
| Cote d'Ivoire | 180 | 181 | 168 | 174 | 166 | 163 | 160 | 153 | 159 |
| Ethiopia | 152 | 163 | 155 | 159 | 171 | 164 | 164 | 162 | 160 |
| Cambodia | 165 | 176 | 159 | 162 | 156 | 156 | 158 | 161 | 161 |
| Nepal | 167 | 171 | 169 | 171 | 169 | 166 | 167 | 163 | 162 |
| Sierra Leone | 161 | 170 | 177 | 163 | 115 | 116 | 133 | 167 | 163 |
| Philippines | 162 | 173 | 173 | 170 | 172 | 165 | 165 | 164 | 164 |
| Chad | 174 | 166 | 166 | 166 | 161 | 161 | 163 | 165 | 165 |
| Egypt | 171 | 169 | 176 | 175 | 173 | 171 | 168 | 166 | 166 |
| Togo | 168 | 167 | 162 | 161 | 162 | 162 | 157 | 168 | 167 |
| Equatorial Guinea | 170 | 162 | 134 | 178 | 179 | 178 | 174 | 171 | 168 |
| Guinea | 164 | 158 | 163 | 164 | 170 | 168 | 161 | 169 | 169 |
| Turkmenistan | 175 | 175 | 172 | 168 | 174 | 173 | 180 | 170 | 170 |
| Guinea-Bissau | 130 | 118 | 167 | 173 | 164 | 170 | 171 | 174 | 171 |
| Pakistan | 183 | 180 | 175 | 177 | 177 | 175 | 173 | 172 | 172 |
| Cameroon | 182 | 151 | 186 | 184 | 184 | 180 | 179 | 178 | 173 |
| Comoros | 184 | 172 | 185 | 182 | 178 | 174 | 170 | 173 | 174 |
| Bangladesh | 169 | 168 | 170 | 169 | 175 | 172 | 172 | 175 | 175 |
| Sudan | 166 | 174 | 174 | 185 | 176 | 167 | 175 | 179 | 176 |
| Myanmar | 185 | 186 | 182 | 176 | 167 | 169 | 176 | 177 | 177 |
| Albania | 177 | 178 | 180 | 183 | 183 | 177 | 177 | 176 | 178 |
| Azerbaijan | 181 | 182 | 179 | 181 | 180 | 179 | 183 | 181 | 179 |
| Afghanistan | 186 | 183 | 183 | 179 | 181 | 182 | 181 | 180 | 180 |
| Armenia | 179 | 184 | 184 | 186 | 185 | 181 | 182 | 183 | 181 |
| Venezuela (Bolivarian Republic of) | 150 | 143 | 140 | 153 | 159 | 151 | 169 | 182 | 182 |
| Yemen | 178 | 179 | 178 | 180 | 182 | 183 | 184 | 184 | 183 |
| Nigeria | 187 | 187 | 187 | 187 | 186 | 184 | 185 | 185 | 184 |
| India | 188 | 188 | 188 | 188 | 187 | 185 | 186 | 186 | 185 |
| South Sudan | NA | NA | NA | NA | NA | NA | NA | 74 | NA |
| Cook Islands | 20 | 23 | 24 | 26 | 25 | NA | 27 | NA | NA |
| Niue | 13 | 8 | 11 | 11 | 13 | NA | NA | NA | NA |
| Monaco | NA | NA | NA | 21 | NA | NA | NA | NA | NA |
| Syrian Arab Republic | 145 | 148 | 147 | NA | NA | NA | NA | NA | NA |