The 20 most unhealthy countries on earth, ranked

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=18. Samoa — 0.41. Blood glucose levels, obesity, and binge drinking put this Oceanic country into the top 10.

=18. Samoa — 0.41. Blood glucose levels, obesity, and binge drinking put this Oceanic country into the top 10.
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=18. Samoa — 0.41. Blood glucose levels, obesity, and binge drinking put this Oceanic country into the top 10.

=18. Samoa — 0.41. Blood glucose levels, obesity, and binge drinking put this Oceanic country into the top 10.
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=18. Dominican Republic — 0.41. High levels of depression, drinking, and blood pressure gave this Caribbean nation an identical score.

=18. Dominican Republic — 0.41. High levels of depression, drinking, and blood pressure gave this Caribbean nation an identical score.

=18. Egypt — 0.41. Less government spending on healthcare, higher diabetes risk, and obesity levels gave Egypt its spot tied for 18.

=18. Egypt — 0.41. Less government spending on healthcare, higher diabetes risk, and obesity levels gave Egypt its spot tied for 18.
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=16. Jamaica — 0.40. The Caribbean island of Jamaica scored poorly across a number of measures, including obesity, state spending, smoking, depression, and blood glucose.

=16. Jamaica — 0.40. The Caribbean island of Jamaica scored poorly across a number of measures, including obesity, state spending, smoking, depression, and blood glucose.

=16. Latvia — 0.40. Blood pressure and binge drinking were to blame for Latvia's place in the top 20.

=16. Latvia — 0.40. Blood pressure and binge drinking were to blame for Latvia's place in the top 20.
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=14. Trinidad and Tobago — 0.39. Depression, blood pressure, and blood glucose received poor scores for this dual-island Caribbean nation.

=14. Trinidad and Tobago — 0.39. Depression, blood pressure, and blood glucose received poor scores for this dual-island Caribbean nation.

=14. Serbia — 0.39. This Balkan country scored poorly due to lack of exercise and alarming blood pressure scores.

=14. Serbia — 0.39. This Balkan country scored poorly due to lack of exercise and alarming blood pressure scores.
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=12. Ukraine — 0.38. Depression and blood pressure were the categories that scored poorly here.

=12. Ukraine — 0.38. Depression and blood pressure were the categories that scored poorly here.

=12. Lithuania — 0.38. The same two categories — depression and blood pressure — also put this European country in the tied 12th spot.

=12. Lithuania — 0.38. The same two categories — depression and blood pressure — also put this European country in the tied 12th spot.
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=9. Georgia — 0.37. A number of categories stood out for Georgia, including diet (high levels of obesity and blood glucose), depression, and binge drinking.

=9. Georgia — 0.37. A number of categories stood out for Georgia, including diet (high levels of obesity and blood glucose), depression, and binge drinking.

=9. Iraq — 0.37. Inactivity, low life expectancy, lack of state spending, low levels of happiness, and high levels of obesity were the most concerning factors here.

=9. Iraq — 0.37. Inactivity, low life expectancy, lack of state spending, low levels of happiness, and high levels of obesity were the most concerning factors here.
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=9. Haiti — 0.37. Haiti scored poorly on happiness, state spending, and life expectancy.

=9. Haiti — 0.37. Haiti scored poorly on happiness, state spending, and life expectancy.

8. Central African Republic — 0.36. Life expectancy and state spending were the standout categories for this Central African country.

8. Central African Republic — 0.36. Life expectancy and state spending were the standout categories for this Central African country.
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7. Armenia – 0.35. This Asian country is the seventh most unhealthy due to its blood glucose, blood pressure, and depression scores.

7. Armenia – 0.35. This Asian country is the seventh most unhealthy due to its blood glucose, blood pressure, and depression scores.

=5. Barbados — 0.34. It may seem idyllic, but this Caribbean country had alarming scores across a wide range of categories, including blood pressure, depression, obesity, inactivity, and binge drinking.

=5. Barbados — 0.34. It may seem idyllic, but this Caribbean country had alarming scores across a wide range of categories, including blood pressure, depression, obesity, inactivity, and binge drinking.
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=5. Micronesia (Federated States of) — 0.34. Obesity, drinking, and low government spending on health put Micronesia in tied 5th place.

=5. Micronesia (Federated States of) — 0.34. Obesity, drinking, and low government spending on health put Micronesia in tied 5th place.

4. Bulgaria — 0.33. Sunny Beach may look like the perfect holiday spot, but its home of Bulgaria is the fourth most unhealthy in the world due to blood pressure, depression, and drinking.

4. Bulgaria — 0.33. Sunny Beach may look like the perfect holiday spot, but its home of Bulgaria is the fourth most unhealthy in the world due to blood pressure, depression, and drinking.
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3. Kiribati — 0.31. Obesity is the biggest concern here, putting the Oceanic country in third place.

3. Kiribati — 0.31. Obesity is the biggest concern here, putting the Oceanic country in third place.

2. Saint Lucia — 0.29. Binge drinking, blood pressure, and blood glucose scores made Saint Lucia the second most unhealthy country in the world.

2. Saint Lucia — 0.29. Binge drinking, blood pressure, and blood glucose scores made Saint Lucia the second most unhealthy country in the world.
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1. South Africa — 0.28. Scoring poorly on all measures, its scores on obesity, drinking, and life expectancy in particular that make South Africa the most unhealthy country in the world in 2019.

1. South Africa — 0.28. Scoring poorly on all measures, its scores on obesity, drinking, and life expectancy in particular that make South Africa the most unhealthy country in the world in 2019.