However, urbanized provinces come with an additional squalor hit. Hover over the building icon in province effects and you'll see an urban squalor modifier of +5 or some such. This is adding to over all sanitation. In addition you might have the effects of technology or govenors which can also influence overall sanitation.

引用自 robertewins：

However, urbanized provinces come with an additional squalor hit. Hover over the building icon in province effects and you'll see an urban squalor modifier of +5 or some such. This is adding to over all sanitation. In addition you might have the effects of technology or govenors which can also influence overall sanitation.

I did see that the urban building had +5 but I didnt see anything else to explain the 11 total squalor. I did forget about the governors though so I will check that when I look back in on it