St. John, U.S. Virgin Islands
Score: 69

"Well-preserved nature, beautiful sites."

"National Park contributes to maintenance of environmental and ecological quality."

St. Thomas, U.S. Virgin Islands
Score: 45

"Massive overvisitation by massive cruise ships with poor waste management; high economic leakage."

"Intense development and government that refuses to embrace sustainable tourism. Coral reefs being lost at an enormous rate."