> The world's most livable cities 2021 1. Auckland, New Zealand 2. Osaka, Japan 3. Adelaide, Australia 4. Wellington, New Zealand 4. Tokyo, Japan 6. Perth, Australia 7. Zurich, Switzerland 8. Geneva, Switzerland 8. Melbourne, Australia 10. Brisbane, Australia The world's least livable cities 2021 1. Damascus, Syria 2. Lagos, Nigeria 3. Port Moresby, Papua New Guinea 4. Dhaka, Bangladesh 5. Algiers, Algeria 6. Tripoli, Libya 7. Karachi, Pakistan 8. Harare, Zimbabwe 9. Douala, Cameroon 10. Caracas, Venezuela But while there have been many significant differences towards the top, very little has changed at the bottom of the list. While Damascus sits in last place once again "as the effects of the civil war in Syria continue to take their toll," it's closely followed by Nigeria's Lagos, Papua New Guinea's Port Moresby and Bangladesh's Dhaka, which were all in either similar or identical spots in 2019. These cities have consistently performed badly over the years due to the instability caused by ongoing civil unrest and military conflicts, amongst other issues. According to the report, conditions here have deteriorated even further in the past 12 months, especially when it comes to healthcare, due to Covid-19.