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India is among the bottom five countries on the Environmental Performance Index (EPI) 2018, plummeting 36 points from 141 in 2016, according to a biennial report by Yale and Columbia Universities along with the World Economic Forum (WEF). While India is at the bottom of the list in the environmental health category, it ranks 178 out of 180 as far as air quality is concerned. Its overall low ranking 177 among 180 countries was linked to poor performance in the environment health policy and deaths due to air pollution categories. The report was released on the side-lines of WEF in Davos, Switzerland. It said deaths attributed to ultra-fine PM2.5 pollutants have risen over the past decade and are estimated at 1,640,113 annually in India. Switzerland leads the world in sustainability, followed by France, Denmark, Malta and Sweden in the EPI, which found that air quality is the leading environmental threat to public health.