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=== Health and sanitation === [[File:GH_Chennai.JPG|thumb|The [[Government General Hospital, Chennai|General Hospital]] in Chennai was established on 16 November 1664 and was the first major hospital in India]] The state is one of the [[Indian states ranking by prevalence of open defecation|leading states]] in terms of sanitation facilities with more than 99.96% of people having access to toilets.<ref>{{cite report|title=Swachh Bharat Mission dashboard|url=https://sbm.gov.in/sbmdashboard/Default.aspx|publisher=[[Government of India]]|access-date=1 December 2023|archive-date=7 February 2021|archive-url=https://web.archive.org/web/20210207003137/https://sbm.gov.in/sbmdashboard/Default.aspx|url-status=live}}</ref> The state has robust health facilities and ranks higher in all health related parameters such as high life expectancy of 74 years (sixth) and 98.4% [[Indian states ranking by institutional delivery|institutional delivery]] (second).<ref name="LE"/><ref>{{cite report|url=http://rchiips.org/NFHS/pdf/NFHS4/TN_FactSheet.pdf|title=TN fact sheet, National health survey|publisher=[[Government of India]]|access-date=1 December 2023|archive-date=1 April 2023|archive-url=https://web.archive.org/web/20230401205438/http://rchiips.org/nfhs/pdf/NFHS4/TN_FactSheet.pdf|url-status=live}}</ref> Of the three demographically related targets of the [[Millennium Development Goals]] set by the [[United Nations]] and expected to be achieved by 2015, Tamil Nadu achieved the goals related to improvement of maternal health and of reducing infant mortality and child mortality by 2009.<ref name="IMR">{{cite news|url=https://www.frontline.in/other/data-card/missing-targets/article5740024.ece|title=Missing targets|work=Frontline|date=12 March 2014|access-date=20 March 2016|archive-date=20 June 2014|archive-url=https://web.archive.org/web/20140620170437/http://www.frontline.in/other/data-card/missing-targets/article5740024.ece|url-status=live}}</ref><ref>{{cite report|url=https://mospi.gov.in/sites/default/files/publication_reports/mdg_2july15_1.pdf|title=Millennium Development Goals β Country report 2015|publisher=[[Government of India]]|access-date=1 January 2023|archive-date=16 March 2024|archive-url=https://web.archive.org/web/20240316170139/https://mospi.gov.in/sites/default/files/publication_reports/mdg_2july15_1.pdf|url-status=live}}</ref> The health infrastructure in the state includes both government-run and private hospitals. {{As of|2023}}, the state had 404 public hospitals, 1,776 public dispensaries, 11,030 health centres and 481 mobile units run by the government with a capacity of more than 94,700 beds.<ref>{{cite report|url=https://cms.tn.gov.in/sites/default/files/documents/hfw_e_pn_2023_24.pdf|title=Health department, policy note|publisher=[[Government of Tamil Nadu]]|access-date=1 December 2023|page=6|archive-date=5 January 2024|archive-url=https://web.archive.org/web/20240105031648/https://cms.tn.gov.in/sites/default/files/documents/hfw_e_pn_2023_24.pdf|url-status=live}}</ref><ref>{{cite report|url=https://www.tn.gov.in/deptst/medicalandhealth.pdf|title=Medical and health report|publisher=[[Government of Tamil Nadu]]|access-date=1 December 2023|archive-date=25 December 2023|archive-url=https://web.archive.org/web/20231225061648/https://www.tn.gov.in/deptst/medicalandhealth.pdf|url-status=live}}</ref> The [[Government General Hospital, Chennai|General Hospital]] in Chennai was established on 16 November 1664 and was the first major hospital in India.<ref>{{cite journal|title=History of Medicine: The origin and evolution of the first modern hospital in India|journal=The National Medical Journal of India|date=2020|volume=33|issue=3|pages=175β179|url=https://www.nmji.in/article.asp?issn=0970-258X;year=2020;volume=33;issue=3;spage=175;epage=179;aulast=Amarjothi#:~:text=In%201639%2C%20EIC%20officials%2C%20Andrew,hospital%20in%20India%20was%20started|doi=10.4103/0970-258X.314010|pmid=33904424|access-date=23 May 2021|doi-access=free|author1=Amarjothi JMV|last2=Jesudasan|first2=J.|last3=Ramasamy|first3=V.|last4=Jose|first4=L|archive-date=23 May 2021|archive-url=https://web.archive.org/web/20210523103919/https://www.nmji.in/article.asp?issn=0970-258X;year=2020;volume=33;issue=3;spage=175;epage=179;aulast=Amarjothi#:~:text=In%201639%2C%20EIC%20officials%2C%20Andrew,hospital%20in%20India%20was%20started|url-status=live}}</ref> The state government administers free [[polio vaccine]] for eligible age groups.<ref>{{cite news|url=https://timesofindia.indiatimes.com/city/chennai/5-67-lakh-kids-get-polio-vaccines-at-1647-camps-in-city/articleshow/89879771.cms|title=5.67 lakh kids get polio vaccines at 1,647 camps in Chennai|date=28 February 2022|access-date=1 December 2023|newspaper=[[Times of India]]|archive-date=8 December 2023|archive-url=https://web.archive.org/web/20231208182653/https://timesofindia.indiatimes.com/city/chennai/5-67-lakh-kids-get-polio-vaccines-at-1647-camps-in-city/articleshow/89879771.cms|url-status=live}}</ref> Tamil Nadu is a major centre for medical tourism and Chennai is termed as "India's health capital".<ref>{{cite news|url=https://www.thehindu.com/news/cities/chennai/the-medical-capitals-place-in-history/article3796305.ece|title=The medical capital's place in history|date=20 August 2012|newspaper=[[The Hindu]]|access-date=1 December 2023|archive-date=12 November 2020|archive-url=https://web.archive.org/web/20201112031054/https://www.thehindu.com/news/cities/chennai/the-medical-capitals-place-in-history/article3796305.ece|url-status=live}}</ref> [[Medical tourism]] forms an important part of the economy with more than 40% of total medical tourists visiting India making it to Tamil Nadu.<ref>{{cite book|title=Medical Tourism|url=https://books.google.com/books?id=Q1Un-gGsozMC&pg=PA71|page=71|last=Connell|first=John|isbn=978-1-845-93660-0|year=2011|access-date=25 December 2023|archive-date=28 March 2024|archive-url=https://web.archive.org/web/20240328173511/https://books.google.com/books?id=Q1Un-gGsozMC&pg=PA71#v=onepage&q&f=false|url-status=live}}</ref>
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