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.

Nipah virus case detected in India's West Bengal, where two nurses are suspected of being infected by the virus. The case has come 24 kilometers away from West Bengal's capital, Kolkata, in North 24 Parganas' Barasat, where the patients are on a life support at a private hospital.

The blood samples collected from the nurses, one male and one female, were sent to the Virus Research and Diagnostic Laboratory, ICMR, at the All India Institute of Medical Sciences (AIIMS) in Kalyani, which is around 50 kilometers north of Kolkata in Nadia. Another report has been sent to Swasthya Bhawan, the state health department headquarters. The two nurses one from Nadia's Kalyani and another from East Burdwan's Katwa, work at the same hospital where the have been admitted.

Reports say that the nurses went home to Katwa around 10 days back, from where they may have caught the illness. The female nurse was initially admitted to a hospital in Katwa, later moved to Burdwan Medical College. Her condition kept worsening, this is when she was admitted in Barasat's private hospital, she is currently in the ICU. The male nurse is also on the ventilator support. Both patients are kept in isolation.

Update On The Nipah Virus Spread By West Bengal's Health Authorities

The sources from Swasthya Bhawan said that officials were handling the situation with extreme alarm as Nipah virus has a high rate of mortality and could spread rapidly. The Telegraph reported that top health officials form Union health ministry, including Union health secretary are in touch with Bengal chief secretary Nandini Chakravarty and state health secretary Narayan Swarup Nigam.

The health department has now begun contract tracing in Nadia, East Burdwan, and North 24 Parganas.

Chakravarty also asked people to not panic and remain alert, while avoiding to spread misinformation and follow hygiene practices. The State government has also launched three helpline numbers — 03323330180, 9874708858, 9836046212 — for public queries.

Union Health Minister JP Nadda also wrote to West Bengal's Chief Minister Mamata Banerjee, assuring full support from Centre. Banerjee too visited the hospital late on Sunday night.

What Is Nipah Virus?

As per the World Health Organization (WHO), Nipah virus infection is a zoonotic illness that is transmitted to people from animals, and can also be transmitted through contaminated food or directly from person to person.

In infected people, it causes a range of illnesses from asymptomatic (subclinical) infection to acute respiratory illness and fatal encephalitis. The virus can also cause severe disease in animals such as pigs, resulting in significant economic losses for farmers.

Although Nipah virus has caused only a few known outbreaks in Asia, it infects a wide range of animals and causes severe disease and death in people.

During the first recognized outbreak in Malaysia, which also affected Singapore, most human infections resulted from direct contact with sick pigs or their contaminated tissues. Transmission is thought to have occurred via unprotected exposure to secretions from the pigs, or unprotected contact with the tissue of a sick animal.

In subsequent outbreaks in Bangladesh and India, consumption of fruits or fruit products (such as raw date palm juice) contaminated with urine or saliva from infected fruit bats was the most likely source of infection.

Human-to-human transmission of Nipah virus has also been reported among family and care givers of infected patients.

Nipah Virus Symptoms

• Fever
• Headache
• Breathing difficulties
• Cough and sore throat
• Diarrhea
• Vomiting
• Muscle pain and severe weakness

Wondering when you are most at risk of having a heart attack?

Dr Srihari Naidu, a triple board-certified in internal medicine, cardiology and interventional cardiology and cardiology professor at New York Medical College says that the winter season is when we're most susceptible to attacks.

He told HealthandMe: "Major cardiovascular studies have shown a link between cold exposure, including the drop in temperature during the winter months, and risk of heart attack. While it’s hard to pin point the exact reason, it is clear that cold exposure does make the heart work harder."

Heart attacks are one of the leading causes of death in the country. Four Indians experience a heart attack every minute, with one in four dying of the cause.

Experts have also noticed a rising trend of nearly 50 percent of heart attack patients being under the age of 40, with half of all heart attacks in Indian men occurring under 50.

Why Are Your More Likely To Have Attack In Winters?

According to Dr Naidu, falling temperatures can cause arteries to narrow, reduce oxygen flow and force the heart to work harder. This can lead to the thickening of blood and with time, cause a heart attack.

"For one thing, cold causes all the arteries in the body to constrict, so that more blood flow is in the central parts of the body like the gut and less on the surface where heat can be lost through the air. While this prevents hypothermia, it makes the heart work harder and need more oxygen itself. In addition, cold causes blood to be thicker, a phenomenon that could increase the risk of blood clots.

"This combination of the heart working harder, needing more oxygen and the blood being more prone to clotting results in a higher rate of heart attacks. In addition to this, people who already have blockages will experience more chest pain (angina) in the cold due to the heart working harder, and if this is tied to extra exertion, that risk could skyrocket."

Additionally, Dr Tamil Selvan Muthusamy, Consultant Cardiologist at Cardiac Vascular Sentral Kuala Lumpur (CVSKL) told HealthandMe: "Extreme pollution, winter illnesses like the flu can cause inflammation that can trigger heart problems and holidays activities can put extra strain on the heart when it's already working overtime from the cold."

Apart from this, Dr Y. Vijayachandra Reddy, Senior Consultant Cardiologist, Apollo Hospitals, Greams Road Chennai, also noted that hypertension, chest infections and excessive holiday drinking as well as smoking can worsen the risk of heart attack during this season.

He shared with the publication: "Chest infections and throat infections are quite common in the winter season. Intercurrent flu or other chest infections can cause an inflammatory milieu, which can lead to more ruptures of the cholesterol or atherosclerotic plaques in the blood vessels of the heart, leading to sudden precipitation of heart attacks.

"The holiday syndrome, wherein in the winter season, many holidays, weekends and people can take recourse to excessive recreational use of alcohol or smoking, which can lead to trouble."

Who Is Most At Risk?

Dr Naidu warns people who have a history of heart disease and other chronic conditions may be most at risk of having a heart attack and should attempt to maintain their body temperature to keep their heart safe and functioning.

"Taken together, people should understand that their baseline risk of a heart attack goes up significantly in the cold weather, especially if they have risk factors for heart disease such as smoking, high cholesterol, diabetes or hypertension, and should take precautions or simply avoid exercise or exertion in the cold weather.

"If any exertion is needed, dressing warmly to make sure the heart doesn’t have to work so hard to maintain body temperature should reduce risk. Most importantly, though, listen to your body, especially in the cold weather, as just being in the cold is a significant stress especially as we get older," he explained to the publication.

To prevent infection-caused heart attacks, Dr Reddy advises: "One of the protective mechanisms is for the vulnerable population to take annual flu vaccine and a lifetime pneumococcal vaccine."

Coronary Artery Disease: The Silent Killer

Coronary artery disease (CAD) is one of the most common illnesses that can cause a heart attack in people. It develops over years and has no clear signs and symptoms apart from a heart attack.

The illness begins due to a buildup of fats, cholesterol and other substances known as plaque in and on the artery walls.

Over time, this can cause narrowing or blockage of the coronary arteries and block the supply of oxygen-rich blood to heart which can lead chest pain (angina), shortness of breath and ultimately, heart attacks.

Typically, those above the age of 45, having a biological family member with heart disease, lack of sleep, smoking, consuming saturated fats along with other autoimmune diseases such as lupus and rheumatoid arthritis can increase the risk of developing CAD.

Nearly one in 10 Indian adults suffer from CAD and about two million people die from the disease annually. Apart from this, about 18 to 20 million American adults aged 20 and older are also affected about the disease.

Simple changes to school lunches may help reduce junk food intake by at least 1,000 calories in children each day, a study shows.

Researchers from the Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, have discovered that reducing consumption of ultra-processed foods (UPFs) that are rich in salt and sugar among adolescents can prevent future lifestyle diseases.

Ultra-processed foods are defined in four categories, ranging from least to most processed:

• Unprocessed or minimally processed foods like fruit, vegetables, milk or fish.
• Processed culinary ingredients like salt, sugar, olive oil and butter.
• Processed foods, such as jam, pickles or canned fruit.
• Ultra-processed foods, like energy drinks, sodas, sugary cereals, packaged chips, cookies and instant noodles

What Did The Research Find?

In this study, the scientists conducted a controlled trial across 12 government schools in Chandigarh, focusing on students of Class 8 and their parents. Over a six-month period, adolescents attended 11 structured sessions on nutrition awareness, food choices and behavior change and parents were given one focused educational session to encourage healthier food environments at home.

Additionally, the researchers also assessed dietary patterns in children using two non-consecutive 24-hour food recalls at the beginning and end of the intervention.

The scientists found that students who completed the six month program were consuming over 1,000 calories merely from junk food such as packaged snacks, sugary beverages and fast food and only 270 calories from other processed foods, signaling a broader shift away from unhealthy diets.

They noted: "This suggests that reducing unhealthy consumption is easier than building healthy eating habits, and both require different strategies."

Does Parental Involvement Make Any Difference?

Researchers also found that despite parental intervention, eating patterns showed little change, highlighting the role schools can play as frontline institutions in preventing lifestyle-related diseases such as diabetes, hypertension and obesity.

“Low-cost, scalable education and behavior-change strategies in schools could have a long-term impact on public health,” the team said, adding that such programs are particularly relevant in countries where healthcare systems face increasing pressure from non-communicable diseases.

Moreover, the study showed that students did not significantly increase fruit or home-cooked food intake even when junk food consumption fell, indicating that cutting unhealthy food is easier than building healthy habits.

Why Are UPFs Bad For You?

Apart from being linked to higher risks of obesity, Type 2 diabetes and heart issues, UPFs have also been found to worsen cognitive function, attention issues, anxiety and depression in children as additives and inflammation may disrupt brain pathways.

Furthermore, additives, emulsifiers, and nanoparticles and low fiber content can disrupt the gut microbiome, affecting digestion and immunity as well as overall growth.

UPFs also reduce satiety, because industrial processing alters their structure, making them softer and easier to eat and digest. This leads to a faster rate of consumption, which can override natural fullness signals and cause people to overeat.

The scientists concluded that schools could become frontline institutions for preventing future lifestyle diseases, using low-cost education and behaviour strategies, the team said.