change 2006–16Percent change 1990–20161Environmental and occupational risks2Unsafe water, sanitation, and handwashing3Unsafe water source23·27 (15·57 to 26·55)21·27 (14·30 to 24·21)20·08 (13·47 to 22·83)–8·61 (−10·54 to −6·62)*–5·61 (−7·29 to −3·75)*–13·74 (−15·78 to −11·37)*22·94 (15·32 to 26·19)21·12 (14·19 to 24·03)20·04 (13·45 to 22·79)–7·96 (−9·87 to −6·01)*–5·08 (−6·76 to −3·25)*–12·64 (−14·67 to −10·28)*–13·14 (−15·18 to −10·78)*3Unsafe sanitation56·46 (53·29 to 60·79)42·29 (38·91 to 46·94)33·26 (29·47 to 38·52)–25·10 (−28·04 to −22·10)*–21·36 (−25·52 to −17·53)*–41·10 (−45·39 to −36·37)*55·13 (51·99 to 59·44)41·91 (38·53 to 46·70)33·34 (29·49 to 38·67)–23·97 (−27·05 to −20·77)*–20·45 (−24·51 to −16·63)*–39·51 (−44·05 to −34·59)*–40·28 (−44·73 to −35·47)*3No access to handwashing facility36·22 (35·56 to 36·95)34·57 (34·00 to 35·14)33·13 (32·66 to 33·62)–4·57 (−6·31 to −2·72)*–4·15 (−5·29 to −2·89)*–8·53 (−10·53 to −6·29)*35·82 (35·15 to 36·53)34·54 (33·98 to 35·11)33·34 (32·87 to 33·83)–3·57 (−5·34 to −1·69)*–3·46 (−4·64 to −2·22)*–6·91 (−8·94 to −4·61)*–7·67 (−9·69 to −5·40)*2Air pollution3Ambient particulate matter pollution44·42 (37·19 to 53·39)45·74 (38·10 to 54·89)49·56 (41·42 to 58·71)2·96 (1·88 to 3·97)*8·37 (6·79 to 9·43)*11·57 (9·47 to 13·51)*43·79 (36·57 to 52·71)45·00 (37·47 to 54·11)48·87 (40·79 to 58·02)2·76 (1·69 to 3·76)*8·58 (6·98 to 9·69)*11·58 (9·44 to 13·55)*11·60 (9·48 to 13·56)*3Household air pollution from solid fuels34·05 (27·33 to 41·50)25·65 (20·30 to 31·36)18·95 (14·97 to 23·48)–24·66 (−27·07 to −22·55)*–26·12 (−28·68 to −23·75)*–44·33 (−47·18 to