waste daily, which is transported from collection units in Imlibun, Yousufguda and Lower Tank Bund to the dumpsite in Jawaharnagar. Disposal is managed by the Integrated Solid Waste Management project which was started by the GHMC in 2010. Rapid urbanisation and increased economic activity has led to increased industrial waste, air, noise and water pollution, which is regulated by the Telangana Pollution Control Board (TPCB). The contribution of different sources to air pollution in 2006 was: 20–50% from vehicles, 40–70% from a combination of vehicle discharge and road dust, 10–30% from industrial discharges and 3–10% from the burning of household rubbish. Deaths resulting from atmospheric particulate matter are estimated at 1,700–3,000 each year. The city's "VIP areas", the Assembly building, Secretariat, and Telangana chief minister's office, have particularly low air quality index ratings, suffering from high levels of PM2.5's. Ground water around Hyderabad, which has a hardness of up to 1000 ppm, around three times higher than is desirable, is the main source of drinking water but the increasing population and consequent increase in demand has led to a decline in not only ground water but also river and lake levels. This shortage is further exacerbated by inadequately treated effluent discharged from industrial treatment plants polluting the water sources of the city. Healthcare The Commissionerate of Health and Family Welfare is responsible for planning, implementation and monitoring of all facilities related to health and preventive services. –11, the city had 50 government hospitals, 300 private and charity hospitals and 194 nursing homes providing around 12,000 hospital beds, fewer than half the required 25,000. For every 10,000 people in the city, there are 17.6 hospital beds, 9 specialist doctors, 14 nurses and 6 physicians. The city has about 4,000 individual clinics. Private clinics are preferred by many residents because of the distance to, poor quality of care at and long waiting times in government facilities, despite the high proportion of the city's residents being covered by government health insurance: 24% according to a National Family Health Survey in 2005. , many new private hospitals of various sizes were opened or being built. Hyderabad has outpatient and inpatient facilities that use Unani, homoeopathic and Ayurvedic treatments. In the 2005 National Family Health Survey, it was reported that the city's total fertility rate is 1.8, which is below the replacement rate. Only 61% of children had been provided with all basic vaccines (BCG,