The most environmentally disadvantaged African city is recognized as the capital of Madagascar - Antananarivo. Slightly cleaner is the capital of Ethiopia - Addis Ababa. There, one of the most serious sanitary situations on the continent, and indeed in the world, has developed.
The lack of environmental protection programs, unsanitary conditions and poor quality of drinking water in African cities lead to high child mortality and extremely low life expectancy.
According to ITAR-TASS, further down the list are Brazzaville (Republic of the Congo), N'Djamena (Chad), Dar es Salaam (Tanzania) and Bangui (Central African Republic). These cities are characterized by unacceptably high air pollution, undrinkable water, and contamination of water sources with sewage waste. The capital of Burkina Faso - Ouagadougou is notable for high levels of respiratory and oncological diseases due to severe air pollution.