This document summarizes health data from Mumbai over several years. It shows increases in cases of diseases like malaria, diarrhea and hypertension between 2008-2009 and 2011-2012. A household survey found that over 75% of citizens use private healthcare, and over 30% of households spend more than 11% of annual income on medical costs. Only 20% of citizens have medical insurance. In 2011-2012, there were estimated cases of 274,957 for diabetes, 392,378 for malaria, and 63,227 for tuberculosis. The report identifies issues like a lack of public health surveillance and a focus on tertiary rather than primary healthcare.