Myanmar continues to perform badly in the global Environmental Performance Index (EPI) with an overall ranking of 153 out of 180 countries in 2016; among the worst in the South Asian region, only ahead of Bangladesh and Afghanistan. The EPI was established in 2001 by the World Economic Forum as a global gauge to measure how well individual countries perform in implementing the United Nations' Sustainable Development Goals. The environmental areas where Myanmar performs worst (i.e. highest ranking) are air quality (174), health impacts of environmental issues (143) and biodiversity and habitat (142). Myanmar performs best (i.e. lowest ranking) in environmental impacts of fisheries (21) but with declining fish stocks. Despite several issues, Myanmar also ranks 64 and scores very good (i.e. a high percentage of 93.73%) in environmental effects of the agricultural industry because of an excellent management of the nitrogen cycle. Myanmar is one of the most highly vulnerable countries to climate change; this poses a number of social, political, economic and foreign policy challenges to the country. The country had a 2019 Forest Landscape Integrity Index mean score of 7.18/10, ranking it 49th globally out of 172 countries.