The corresponding figures for all India were 55 and 54 per 1,000, respectively as of 2005[update].[102]: 5 Kerala's 13.3% prevalence of low birth weight is higher than that of many first world nations.[86] Outbreaks of water-borne diseases such as diarrhoea, dysentery, hepatitis, and typhoid among the more than 50% of people who rely on 3 million water wells is an issue worsened by the lack of sewers.[105]: 5–7 As of 2017, the state has the highest number of diabetes patients and also the highest prevalence rate of the disease in India.[106]