Most people living in Haiti are at high risk for major infectious diseases. Food or water-borne diseases include bacterial and protozoal diarrhea, typhoid fever and hepatitis A and E; common vector-borne diseases are dengue fever and malaria; water-contact diseases include leptospirosis. Roughly 75% of Haitian households lack running water. Unsafe water, along with inadequate housing and unsanitary living conditions, contributes to the high incidence of infectious diseases. There is a chronic shortage of health care personnel and hospitals lack resources, a situation that became readily apparent after the January 2010 earthquake. The infant mortality rate in Haiti in 2019 was 48.2 deaths per 1,000 live births, compared to 5.6 per 1,000 in the United States.