Every year, World Toilet Day is observed to raise awareness about the global sanitation crisis and encourage action to solve it. The goal set by the United Nation is to achieve safe toilets for all by 2023, as a part of their Sustainable Development Goals.

The UN also states that 3.5 billion people live without proper sanitation and many children also lose their lives due to poor sanitation and unsafe water. This is why World Toilet Day is observed to raise awareness on this issue.

Theme

This year, the theme for World Toilet Day 2024 is "Toilets - A Place for Peace'. This focuses on the growing threat to sanitation that is caused by conflict, climate change, disaster and neglect. When there is a threat to using toilets, it can lead to many health risks.

Not using toilets for too long may lead to Urinary Tract Infection or UTI. For many who do not have access to clean toilets do not drink enough liquid or hold pee for too long. Doctors suggest that holding in pee for too long can cause bacteria to multiply and lead to UTI. By not drinking enough water, your bladder fails to tell the body to pee often, and can cause the bacteria to spread through the urinary tract, which can lead to infection.

Symptoms of UTI:

• Burning or stinging feeling while urinating
• Pain in pelvis or lower abdomen
• Constant urge to empty the bladder
• Strong or foul smelling urine
• Consistently dark urine
• Blood in urine

Holding in pee for too long can also cause your bladder to stretch, making it difficult or even impossible for the bladder to contract and release pee normally. It can also damage your pelvic floor muscles or could lead to kidney stones.

World Toilet Day History And Significance

To prevent such conditions, it is important that everyone has access to clean and safe toilets. In terms of history, the day was established in 2001, by the World Toilet Organization (WTO), which was founded by Jack Sim. However, it was officially recognised by the UN in 2013. The Government of Singapore worked with WTO to create the first UN resolution called Sanitation for All.

India too promotes safe and hygiene toilet through its Swachh Bharat Yojna.

The developing El Niño event could intensify heatwaves, droughts and extreme rainfall into 2027, increasing health risks worldwide, including heat-related illnesses and infectious diseases such as dengue, malaria and cholera, according to a new World Meteorological Organization (WMO) report.

The State of the Climate in 2026 report, released during COP31 in Türkiye, warned that El Niño will amplify the health impacts of climate change.

In view of this, the World Health Organization (WHO) has, for the first time, classified the anticipated health impacts as a health emergency.

The report warns of increased heat-related deaths, wildfire smoke exposure, poor air quality, malnutrition, injuries and changing risks of water- and vector-borne diseases.

"We have entered a new age of climate extremes. A supersized El Niño is colliding with a planet already superheated by manmade climate change," UN Secretary-General António Guterres said.

How Could El Niño Affect Health?

El Niño is a natural climate phenomenon involving warmer-than-average sea-surface temperatures in the central and eastern equatorial Pacific. It influences weather patterns worldwide and can raise global temperatures. The current event is expected to continue into early 2027.

According to the WMO, its health impacts could include:

• Extreme heat: More intense heatwaves, heat-related illnesses and deaths.
• Poor air quality: Increased wildfire smoke and pollution exposure.
• Infectious diseases: Changing risks of dengue, malaria and cholera.
• Food insecurity: Disrupted agriculture, malnutrition and water shortages.
• Extreme weather injuries: Greater risks from floods, storms and other disasters.

Vulnerable communities with limited healthcare access and high dependence on rain-fed agriculture could face the greatest risks.

2026 Among Four Warmest Years On Record

Further, the report noted that the past 12 years have individually been the warmest on record, with 2023–2026 ranking as the four warmest.

Global average temperatures from January to September 2026 were 1.47°C above the 1850–1900 pre-industrial average. The figure could rise further by year-end as El Niño strengthens. The event has been intensifying since August and is forecast to continue into early 2027.

WMO Secretary-General Celeste Saulo said El Niño was releasing heat from already warming oceans.

"El Niño doesn't add new heat to the planet. It releases heat from the ocean, which is the warmest ever measured. There is simply more heat available to release," she said.

Extreme Weather Is Already Taking A Toll

The report highlights the human cost of climate extremes across several regions.

• Europe: Heatwaves, droughts and wildfires contributed to more than 30,000 excess deaths, according to preliminary estimates.
• India: An estimated 146.5 million people were exposed to extreme heat during an April 2026 heatwave.
• Nepal: A glacier collapse and downstream flash floods in August killed more than 1,300 people and severely affected the country's economy.

Oceans Continue To Warm As Glaciers Melt

Earth's energy imbalance reached its highest level since monitoring began in 1960, as greenhouse gases trap more heat in the climate system.

The oceans absorb around 90% of this excess heat. Ocean heat content in the upper 2,000 metres reached a record high in 2025 and continued rising in 2026.

Global sea levels also reached a record high in 2026, driven by melting glaciers and ice sheets and the expansion of warming seawater.

Early Warning Systems Show Progress

The number of countries reporting multi-hazard early warning systems increased from 56 in 2015 to 136 in 2025.

These systems help communities prepare for extreme weather and reduce risks to lives and livelihoods.

The WMO stressed that sustained climate monitoring and reliable forecasts are increasingly important as extreme weather intensifies.

A new COVID-19 variant, PJ.2.1, is spreading across several countries, according to reports citing the World Health Organization (WHO).

The WHO said symptoms of the variant may resemble those of a common cold or flu.

"Symptoms of COVID-19, influenza and other respiratory infections can coincide. Thus, based on symptoms alone, it is impossible to determine with certainty which respiratory virus caused the infection," the WHO was quoted as saying by RIA Novosti.

The global health body said diagnostic testing may be important when identifying the virus could influence treatment decisions.

What Is The PJ.2.1 COVID-19 Variant?

PJ.2.1 belongs to the SARS-CoV-2 evolutionary lineage, the virus that causes COVID-19. It has a highly mutated spike protein, the structure the virus uses to attach to human cells.

According to an October preprint study, which has not yet undergone peer review, the first confirmed sample of PJ.2.1 was detected on May 2, 2026, in Ontario, Canada. The variant was subsequently identified in other parts of Canada and, on June 30, in New York. Cases were later reported in several US states.

Its spread has also been reported in other countries, including Spain, France, Israel, Singapore, Australia and New Zealand.

The researchers found that PJ.2.1 was less susceptible to inhibition by an antibody targeting the ACE2 receptor than other variants tested, suggesting increased ACE2 binding.

However, the variant did not show greater evasion of antibodies from people who had received an LP.8.1-adapted COVID-19 vaccine compared with most other variants analysed.

The findings suggest that increased ACE2 binding, rather than greater antibody evasion, could be contributing to PJ.2.1's rapid spread.

Older adults, people with weakened immune systems and those with underlying chronic conditions remain at higher risk of developing severe COVID-19.

What Are The Symptoms Of The PJ.2.1 Coronavirus?

According to the WHO, possible COVID-19 symptoms include:

• High fever
• Cough
• Sore throat
• Blocked or runny nose
• Headache
• Muscle aches
• Severe fatigue

Some people may also experience digestive problems, shortness of breath or changes in their sense of smell and taste. These symptoms are not unique to COVID-19. Seasonal influenza and other respiratory infections can cause similar symptoms.

The WHO emphasised that symptoms alone cannot reliably identify the virus responsible for an infection. Laboratory testing may be necessary when knowing the cause could affect treatment decisions.

Meanwhile, Russian infectious disease specialist and virologist Elena Malinnikova said PJ.2.1 may cause severe sore throat and more prolonged fatigue after recovery compared with some other variants.

Is PJ.2.1 More Dangerous Than Previous COVID-19 Variants?

A study published in the Journal of Infection examined the virological characteristics of PJ.2.1, including its ability to bind to the ACE2 receptor and evade antibodies.

Laboratory findings suggest that the variant may bind more effectively to ACE2, the receptor through which SARS-CoV-2 enters human cells. This could potentially contribute to its spread.

However, researchers did not find that PJ.2.1 was significantly better at evading antibodies from vaccinated individuals than most of the other variants tested.

Importantly, laboratory findings cannot establish whether a variant causes more severe disease in humans.

Currently, there is insufficient evidence to conclude that PJ.2.1 infections are more likely to result in hospitalisation, severe complications or death.

The WHO continues to monitor emerging SARS-CoV-2 variants. Although there is no vaccine specifically designed for PJ.2.1, COVID-19 vaccination remains an important measure for reducing the risk of severe illness, hospitalisation and death. Older adults, people with weakened immune systems and those with chronic health conditions should consult their healthcare providers about recommended COVID-19 vaccinations.

Climate change is already driving illness, disrupting essential services and putting health at risk, WHO Director-General Dr Tedros Adhanom Ghebreyesus warned at COP31 in Türkiye on Monday. Calling the climate crisis a health crisis, he urged governments to strengthen health systems, implement existing climate plans and increase funding for proven interventions.

Speaking at a news briefing alongside Turkish Health Minister Kemal Memişoğlu, Tedros said the health impacts of climate change were no longer a distant threat.

"They are here and now," he said, pointing to heat, floods, droughts, wildfires and air pollution that are increasingly affecting healthcare services.

"Health is also the most compelling reason for climate action," he said.

COP31: WHO Chief Lists Three Priorities For Health

Also read: COP31 Begins On Health Day: How Will Countries Measure The Health Impact Of Climate Change?

Tedros outlined three priorities to address the health impacts of climate change, saying the newly launched Antalya Initiative for Health Resilience (AIR) could help countries put them into practice.

1. Build climate-resilient health systems

Hospitals and clinics must be able to operate through heatwaves, floods and storms. This requires reliable electricity and water, early warning systems, resilient supply chains and trained healthcare workers.

2. Move from plans to implementation

Countries already know many of the measures that work, but financing, capacity and coordination remain major barriers to implementing them at scale, Tedros said.

He stressed that climate-related health risks cannot be addressed by health ministries alone. Ministries overseeing finance, environment, energy, transport, housing and urban planning must work together and integrate health into national adaptation plans and climate commitments.

3. Increase funding for proven interventions

Tedros called for greater investment in measures that can save lives, reduce emissions and strengthen economies.

"Climate action is not simply a cost. It's an investment in healthier people, more resilient communities and stronger economies," he said.

A WHO technical analysis published on November 4 found that six priority climate-health actions could save 1.6 million lives annually and generate US$24 in benefits for every dollar invested.

What Is The Antalya Initiative For Health Resilience?

Read More: Climate Crisis Is A Health Crisis: Just 6 Actions Could Save 1.6 Million Lives, Says WHO

Launched by the COP31 Presidency, the Antalya Initiative for Health Resilience (AIR) is a voluntary, non-binding initiative to help countries share practical experience and strengthen health systems against climate-related risks.

It will support the documentation of successful interventions, peer learning and the exchange of approaches that countries can adapt to their own settings.

AIR complements the WHO-led Alliance for Transformative Action on Climate and Health (ATACH), which brings countries and partners together to make, renew and report climate-health commitments. While

ATACH provides a platform for coordination, AIR focuses on sharing practical lessons from implementation.

The initiative will also build on the Belém Health Action Plan (BHAP), adopted at COP30, with lessons and resources carried forward through ATACH at future COPs.

"The focus now should be implementation, implementation and implementation," Tedros said, urging countries to learn from existing best practices rather than reinvent solutions. He called on governments to strengthen climate resilience across health systems and urged climate negotiators and funders to make health an explicit part of climate decisions and financing.

COP31 Health Day: What To Expect

Health Day, which opens COP31 on November 9, focuses on building dynamic and resilient health systems. It features four high-level panel discussions and a ministerial roundtable covering climate-resilient healthcare, digital health, climate-sensitive health technologies, humanitarian assistance and climate-health financing.

The scale of the health threat underscores the urgency. Around 3.5 billion people live in contexts highly vulnerable to climate change.

More than 90% of deaths from climate-related disasters over the past two decades occurred in developing countries. Air pollution, including pollution from fossil fuel combustion, causes around seven million deaths globally each year, according to WHO.