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.

A recent report by the Comptroller and Auditor General of India (CAG) found E. coli bacteria in drinking water from water coolers at several major railway stations across the country.

The report also flagged unhygienic conditions in railway washrooms and other passenger amenities. The audit found that 458 of the 512 stations examined — more than 89 per cent — did not meet prescribed standards for minimum essential amenities.

"Bacteriological analysis of drinking water was not carried out at 59 stations over six zones," the CAG said in its report, Passenger Amenities and Sanitation at Non-Suburban Railway Stations in Indian Railways, tabled in Parliament on August 12.

Water samples from coolers tested positive for E. coli at two stations in Southern Railway, one in South Central Railway, four in Central Railway and one in Eastern Railway.

The report also found total coliform bacteria, including E. coli, in tap water samples collected from platforms at several stations during 2022-23 and 2023-24.

Following the findings, Railway Minister Ashwini Vaishnaw has directed immediate steps to improve the safety of drinking water at stations.

The Railway Ministry said a new "tank-to-tap" filtration system would be installed at around 20,000 locations, including water coolers. The measures include replacing water tanks, regular water-quality testing at source and outlet points, centralized monitoring, accountability, and scheduled cleaning and maintenance of storage tanks.

Also read: Does Sunscreen Really Raise Skin Cancer Risk? What The 470,000-Person Study Found

What Is E. Coli?

Escherichia coli, commonly known as E. coli, is a group of bacteria that normally lives in the intestines of humans and animals. Most strains are harmless, but some can cause illness by producing toxins and triggering infection and inflammation.

What Happens During an E. Coli Infection?

Harmful E. coli strains most commonly affect the digestive system, causing diarrhea, abdominal pain, and gastroenteritis. Some strains can also cause urinary tract infections.

Certain strains produce Shiga toxin, which can cause serious complications, including kidney damage, particularly in children and older adults.

Common Signs of E. Coli Infection

Symptoms can vary depending on the strain and the part of the body affected. Common gastrointestinal symptoms include:

• Watery, sometimes bloody, diarrhea
• Abdominal pain and cramps
• Reduced appetite
• Mild fever

Watery diarrhea is often one of the earliest symptoms of E. coli infection of the gastrointestinal tract.

Read More: Amid Cyclospora, Salmonella Outbreaks, US FDA Issues Guidance on Ready-to-Eat Produce

How To Protect Yourself From E. Coli

E. coli can spread through contaminated food, water and fecal matter. Basic hygiene and safe food practices can help reduce the risk.

Maintain Hand Hygiene: Wash your hands with soap and water for at least 20 seconds before eating or cooking and after using the toilet, changing diapers or handling animals.

Practice Safe Food Handling: Keep raw meat separate from ready-to-eat foods. Use separate utensils and cutting boards, and clean kitchen surfaces thoroughly after handling raw meat.

Cook Food Thoroughly: Cook ground meat to at least 160°F (71°C) and poultry to 165°F (74°C). A food thermometer can help ensure food reaches a safe temperature.

Wash Fruits and Vegetables: Wash produce under running water before eating, even if you plan to peel it.

Choose Safe Drinking Water: Drink pasteurized milk and juices and use boiled or treated water. Avoid unpasteurised products and untreated water, which can carry harmful E. coli strains.

Tennis legend Novak Djokovic has opened up about a longstanding health issue he has been dealing with for years.

At the Cincinnati Open, the Serbian, who holds the all-time men's record of 428 weeks as world No. 1 in singles, struggled physically throughout his second-round match.

The 39-year-old was seen crouching on all fours between points, required a medical timeout and appeared to vomit into towels as extreme heat and humidity took a toll.

The 24-time Grand Slam champion suffered a surprising second-round defeat, losing to Argentina's Thiago Agustín Tirante 2-6, 6-4, 6-4.

What Health Issue Does Novak Djokovic Have?

Following the defeat, Djokovic revealed that he has been dealing with a longstanding health condition that becomes particularly difficult to manage in hot and humid conditions.

"It's because of a health issue I have," Djokovic told reporters after the match. "I've been dealing with it for many years now. It causes me a lot of problems, especially when there's a lot of humidity and heat."

Djokovic said he had anticipated difficult conditions in Cincinnati, but the combination of heat, humidity, nerves and other factors ultimately made the situation worse during his match against Tirante.

His physical struggles also raised questions about his future at the Cincinnati Open. Asked whether he planned to return to the tournament in 2027, Djokovic gave an uncertain response.

"I certainly hope so, but unfortunately, at this point it seems more likely that I won't. However, we'll see what the future holds."

Novak Djokovic's Previous Health Issues and Injuries

Djokovic has dealt with several injuries and health challenges throughout his career.

• Respiratory issues: Before 2010, Djokovic faced heat exhaustion, breathing difficulties and physical collapses. He later changed his diet after identifying gluten and dairy intolerance.

• Elbow injury: Chronic right elbow problems led to surgery in 2018.

• Abdominal tear: He played through an abdominal tear to win the 2021 Australian Open.

• Hamstring injury: He battled a left hamstring injury during his 2023 Australian Open title run.

• Knee injury: A torn meniscus forced him to withdraw from the 2024 French Open.

Djokovic on the Physical Demands of Ageing

In 2023, Djokovic acknowledged that his body was beginning to feel the effects of a long career, although he still felt he had fuel left in the tank.

"I am being completely honest with you guys. I have asked this question also, but it's not like I think about it all the time.

The desire is still there, but things can change quickly – I am 36, I've been a pro for 20 years."

He said he did not view age as a decisive factor, instead focusing on his overall physical condition and whether he continued to enjoy playing.

Age can affect tennis performance through changes such as reduced muscle mass, slower recovery and lower aerobic capacity, which can also increase injury risk. However, modern sports science and tactics can help players remain competitive as they age.

Research suggests that people who regularly play tennis may add nearly 10 years to their lives, potentially outperforming the longevity gains associated with several other sports.

"Tennis is a sport that is unique because people of all ages play it, from age two to 92 or older, and that makes it accessible to a lot of people," Dr. Melissa Leber, director of emergency department sports medicine at Mount Sinai Health System, told the New York Post.

The Ebola outbreak in the Democratic Republic of Congo (DRC) has become the deadliest one in the country’s history, with the death toll reaching 2,325, according to the latest reports.

The number has now surpassed the 2,299 deaths recorded during the 2018–2020 Ebola outbreak, which had previously been the country’s worst. The current outbreak has also become the largest in the DRC by number of confirmed cases, with 4,945 infections recorded so far.

The latest figures indicate that the outbreak has reached another grim milestone just three months after it was officially declared on May 15.

Ebola Is Spreading Rapidly

The DRC’s National Public Health Institute reported 101 new confirmed cases in the 24 hours leading up to its latest update, highlighting how quickly transmission is continuing.

The outbreak was first detected in Ituri province, but the virus has since spread to six provinces, including North Kivu, South Kivu, Haut-Uele, Tshopo and Bas-Uele. More than 3,400 cases have been reported in Ituri alone.

The United Nations has described the outbreak as the fastest-growing Ebola epidemic on record.

“Ebola is winning in the Democratic Republic of the Congo. We cannot let the virus outrun our response,” UN humanitarian chief Tom Fletcher said, calling for “speed, scale, and solidarity” before the outbreak gets even further ahead of containment efforts.

Also read: Ebola Outbreak Is Claiming 1 Life Every 30 Minutes In DR Congo: UN Humanitarian Official

The Most Deadly Outbreak

One of the biggest reasons behind rapid transmission is that people are still being diagnosed too late. Thomas Parisch, a public health specialist with Médecins Sans Frontières, said that normally the proportion of people dying should fall as outbreaks progress because contact tracing improves and patients receive treatment earlier.

“Instead, we're still seeing many cases detected very late,” he said, with some infections only being identified after patients have died in their communities.

The case-fatality ratio has climbed from around 20% in early June to approximately 46%, according to Reuters.

That does not mean the virus itself has become more lethal. Rather, the increase is a warning that many patients are reaching healthcare facilities too late for treatment to be effective.

Also read: Ebola 2026 Outbreak Spreading Faster Than Any Before, On Track To Become Deadliest: WHO Chief

No Approved Vaccine

The current outbreak is being caused by the Bundibugyo species of Ebola, a relatively rare strain.

Unlike the Zaire species responsible for several previous major Ebola outbreaks, Bundibugyo currently has no approved vaccine or specific treatment. WHO says experimental vaccines and treatments are being investigated, but they remain under evaluation.

This makes early diagnosis, isolation, contact tracing and supportive medical care particularly important.

The outbreak is also unfolding in an extremely difficult environment. Conflict, population movement, weak healthcare infrastructure, misinformation and shortages of resources are making it harder for health teams to identify and isolate infections quickly. Health workers have also demonstrated strikes due to unpaid wages.

Also read: Amid Rapidly Expanding Ebola Outbreak, DR Congo Is Seeing An Alarming Increase In Maternal Deaths; Here's Why

Efforts Towards Containing The Outbreak

Despite the challenges, WHO chief Dr Tedros Adhanom Ghebreyesus said significant progress has been made towards containing and eradicating the virus. It includes:

• More than 21,000 community health workers have been trained.
• Treatment centres, safe burial teams, laboratories and community engagement teams are operating across the affected provinces, reaching hundreds of thousands of people.
• A total of 886 patients have recovered, even without specific therapeutics and vaccines, which are progressing through trials.
• For the first time, two vaccines specifically designed against Bundibugyo virus have entered Phase 1 safety trials in humans.
• Two new animal studies of a vaccine against Zaire ebolavirus — the more common species — have shown promising evidence of cross-protection in animals, Tedros said.