The City of Vancouver is the 93rd most expensive to live in, according to the 2009 Worldwide Cost of Living survey.

Vancouver dropped significantly — 23 places — from last year’s ranking at 64th.

At 93rd, we’re tied with Panama City.

Major ranking changes are a result of the fluctuating strength of the dollar, the survey said.

It covered 143 cities across six continents and the ranking system is determined by measuring the comparative cost of more than 200 items in each city, including housing, transportation, clothing, food, household goods and entertainment.

Japan has the two priciest cities with Tokyo and Osaka leading the world, followed by Moscow in third place. Geneva and Hong Kong round out the Top 5.

New York is the priciest North American city at No. 8.

The least expensive city is Johannesburg, followed by Asuncion in Paraguay.