The media, telecommunications, broadcasting and cable services are regulated by the Telecom Regulatory Authority of India (TRAI).[123] The National Family Health Survey – 4, conducted in 2015–16, ranked Kerala as the state with the highest media exposure in India.[124] Dozens of newspapers are published in Kerala, in nine major languages,[125] but principally Malayalam and English.[126] Kerala has the highest media exposure in India.[127][128] The most widely circulated Malayalam-language newspapers are Malayala Manorama, Mathrubhumi, Deshabhimani, Madhyamam, Kerala Kaumudi, Mangalam, Chandrika, Deepika, Janayugam, Janmabhumi, Siraj Daily and Suprabhaatham.