Damoh (Madhya Pradesh) came at the bottom at 476th, preceded by Bhind (MP), Palwal and Bhiwani — both in Haryana, Chittaurgarh (Rajasthan), Bulandshahr (UP), Neemuch (MP), Rewari (Haryana), Hindaun (Rajasthan) and Sambalpur in Odisha at 467th rank.All the 476 Class-1 cities in 31 States and Union Territories, each with a population of above one lakh were surveyed for assessing total sanitation practices covering a set of parameters including the extent of open defecation, solid waste management, septage management, waste water treatment, drinking water quality, surface water quality of water bodies and mortality due to water born diseases.The survey, conducted during 2014-15, was commissioned bythe Ministry of Urban Development as required under the National Sanitation Policy of 2008.