Spain just surpassed Italy to become the world’s healthiest country.

According to the 2019 edition of @Bloomberg's Healthiest Country Index which ranks 169 economies according to factors that contribute to overall health, Spain placed first as the world’s healthiest country. 

Spain has the highest life expectancy at birth among European Union nations, and trails only Japan and Switzerland globally. The country is forecasted to have the highest lifespan by 2040, at almost 86 years. Four additional European nations were among the top 10 in 2019: Iceland (third place), Switzerland (fifth), Sweden (sixth) and Norway (ninth).

Japan is the healthiest Asian nation. China, home to 1.4 billion people, came in at 52nd.

Meanwhile in North America, Canada ranked 16th-place, surpassing the U.S. and Mexico. 

The index grades nations based on variables including life expectancy while imposing penalties on risks such as tobacco use and obesity. It also takes into consideration environmental factors including access to clean water and sanitation.