The Infant Mortality Rate (IMR) in India has come down to 50 (deaths per 1,000 live births) from 53, showing a reduction of three points as compared to 2008, and eight points since 2005, when the national average was 58. The latest data released by the Registrar-General of India (RGI) in its Sample Registration System for the calendar year of 2009 shows a nine-point decline in rural IMR during 2005-2009 compared to six points in cities and towns. The IMR is the lowest in Goa at 11, though it was 10 in 2008, followed by Kerala at 12. The worst performers are Madhya Pradesh at 67, Orissa at 65, Uttar Pradesh at 63, and Assam at 61. In Tamil Nadu, the IMR has come down from 31 in 2008 to 28 in 2009.