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.

Millions of Americans hit the gym hoping the numbers on the scale will quickly drop. But if weeks of consistent workouts haven't translated into evident weight loss, a new scientific statement from the American Heart Association (AHA) can explain why.

Published in the journal Circulation recently, the review explains why exercise alone is not enough to achieve meaningful weight loss unless it is combined with dietary changes or very high levels of physical activity.

However, researchers stress that even when body weight barely changes, regular exercise delivers powerful benefits for heart health, metabolism, and overall well-being.

Exercise Alone May Not Lead To Major Weight Loss

The AHA study says that while physical activity burns calories, many people unknowingly compensate by eating more or moving less throughout the rest of the day. As a result, hitting the calorie deficit needed for significant weight loss is often missed.

The statement found that exercise by itself usually results in less than 5% body weight loss unless aerobic activity reaches approximately 225 to 420 minutes per week. Fewer than 15% of people achieve clinically significant weight loss through exercise alone.

Most individuals lose only around 3% of their body weight with exercise without making dietary changes. The health benefits begin long before the scale changes

Researchers emphasize that focusing only on body weight misses many of the most important effects of exercise.

Also read: ICMR Study Highlights India’s Silent Cholesterol Crisis: 9 In 10 Adults Have At Least One Abnormal Blood Lipid

Regular physical activity can:

• Lower blood pressure
• Improve cholesterol levels
• Enhance insulin sensitivity and blood sugar control
• Reduce inflammation
• Improve cardiovascular fitness
• Lower the risk of heart disease and premature death

These health improvements can occur even when there is little change in body weight.

Exercise Helps Preserve Muscle While Losing Fat

One of the biggest concerns during weight loss is losing muscle along with fat. According to the AHA, combining exercise, particularly resistance training, with calorie deficit helps preserve lean muscle mass.

Maintaining muscle is important because it supports metabolism, mobility, strength, and healthy blood sugar regulation.

Researchers also note that consuming adequate protein alongside resistance exercise further helps protect muscle during weight loss.

One of the researchers said, "For most people, cardio exercise without changing your diet is unlikely to result in a large amount of weight loss. Dietary changes remain the primary driver of weight loss. However, physical activity plays a powerful supporting role when combined with other treatments, including healthy eating, weight loss, medications, or surgery. Exercise can help people lose a little more weight, preserve important lean mass, especially with resistance exercise, and improve overall health."

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Dr. Danielle L. Swift, chair of the scientific statement writing group and professor at the University of Virginia, said in an American Heart Association news release, "Maintaining weight loss is often more difficult than achieving it."

The statement highlights that consistent physical activity is one of the strongest predictors of keeping lost weight off over the long term.

US Obesity Crisis

The findings come as obesity continues to affect more than four in 10 adults in the US, increasing the risk of type 2 diabetes, heart disease, stroke and several cancers. At the same time, the AHA reports that only one in four U.S. adults meets the recommended physical activity guidelines.

The authors say people should rethink what "success" looks like after starting an exercise routine. If blood pressure falls, cholesterol improves, energy increases, sleep improves, and fitness rises, meaningful health improvements are occurring even if the scale moves slowly.

Night shift workers often face the risks of poor sleep or sleep deprivation. They have long been advised to aim for one uninterrupted block of daytime sleep after work.

However, a new review suggests that splitting sleep into two separate periods, known as biphasic sleep, can help them avoid certain health risks.

Can Biphasic Sleep Help Night Shift Workers?

Night shifts have become an unavoidable part of our lives. Healthcare professionals, emergency responders, factory employees, and transportation workers often work overnight.

Night shifts can disrupt the body's internal clock, increasing the risk of obesity, diabetes, cardiovascular disease, depression, and cognitive decline.

Research also shows that night shift workers typically sleep one to four hours less than daytime workers, leading to chronic sleep debt over time.

The recent review, published in the journal Sleep Medicine Reviews, examined existing research on biphasic sleep among shift workers.

Researchers found that while evidence is still emerging, dividing sleep into two episodes can help workers get more sleep, improve alertness during night shifts, and potentially reduce a few long-term health risks associated with chronic sleep deprivation.

The researchers noted that although sleep recommendations traditionally focus on obtaining one long sleep period, many shift workers naturally divide their sleep into two episodes. They usually sleep for a few hours immediately after work and then take another longer sleep before returning for the next night shift.

Also read: Not Just Exhaustion, Sleep Disorders Can Alter Your Brain's Attention & Decision-Making Centres: Study

"Biphasic sleep may help mitigate sleep loss-related impairments," the authors wrote, while observing that its potential benefits have not been fully understood until now.

According to the review, this split-sleep pattern could help workers accumulate more total sleep over a 24-hour period while fitting better around their daytime commitments.

Evidence also suggests biphasic sleep may improve alertness, reduce fatigue, and enhance cognitive performance compared to one uninterrupted daytime sleep, which is often shortened and disrupted by noise, light, or social obligations.

The findings build on a growing body of research suggesting that sleep does not necessarily have to occur in one continuous block to provide health benefits.

A 2025 review also stated that biphasic sleep may be a natural and flexible sleep pattern for some people and could be particularly useful for shift workers, new parents, and others facing unavoidable sleep disruption.

Split Sleep Is Not A Permanent Fix

Experts do caution that split sleep is not a permanent solution. The latest review emphasizes that evidence is still limited as there are just a few reliable studies that directly compare biphasic and monophasic sleep among night workers.

Factors like shift schedules, chronotype, workplace demands, and individual health conditions can all influence whether the strategy is effective.

Sleep specialists also stress that the total amount of sleep remains the most important factor.

Adults should still aim for seven to nine hours of sleep within a 24-hour period whenever possible. Good sleep hygiene, including using blackout curtains, reducing noise, avoiding caffeine before bedtime, and maintaining a consistent sleep schedule, continues to play a key role in protecting long-term health.

A new study suggests that rising temperatures, floods and droughts could affect the predictability and frequency of waterborne disease outbreaks. Climate change can alter the traditional patterns of disease transmission in ways that are more complex than previously understood.

Researchers state that public health systems can no longer rely on existing weather-disease relationships, as global warming has significantly changed the environmental conditions and their influence how pathogens survive, spread and infect people.

Effect Of Climate Change On Waterborne Diseases

The review says that increasing temperatures, extreme rainfall, prolonged droughts and flooding do not simply increase disease risk. Instead, they can alter the timing, intensity and location of outbreaks, making them less predictable.

"Climate change is resetting many of the environmental conditions that determine when and where waterborne diseases emerge," the researchers noted, emphasizing that disease surveillance systems must evolve to keep pace with these changing dynamics.

According to the researchers, several climate-related factors work together to increase the likelihood of contaminated water and disease transmission.

Also read: Cholera Outbreak In Sudan: 117 Dead, 838 Suspected Cases, Says WHO

Higher Temperatures

Warmer water allows bacteria, viruses and parasites to multiply more rapidly. Pathogens such as Vibrio cholerae, which causes cholera, thrive in warmer aquatic environments.

Heavy Rainfall And Floods

Extreme rainfall can overwhelm sewage systems and contaminate drinking water with human and animal waste. Floodwaters also spread pathogens into rivers, lakes and groundwater supplies.

Drought

Although drought reduces water availability, it can also increase disease risk. Limited water supplies often become more concentrated with pathogens, while communities may be forced to use unsafe water sources.

Poor Sanitation After Climate Disasters

Storms, cyclones and floods frequently damage sanitation infrastructure, creating conditions where waterborne infections can spread rapidly.

These factors interact in different ways depending on geography, infrastructure and local climate, making future outbreaks increasingly difficult to forecast.

Also read: How To Spot Leptospirosis, Dengue, Malaria During Monsoons? Early Symptoms Not To Neglect

What Diseases Are Likely To Be Affected By Climate Change?

Researchers say climate-sensitive waterborne illnesses include:

• Cholera
• Acute diarrheal diseases
• Typhoid fever
• Hepatitis A
• Gastroenteritis
• Other bacterial and parasitic infections spread through contaminated water

Children, older adults and people living in regions with limited access to safe drinking water and sanitation are expected to face the greatest risks.

What Do Experts Recommend?

The researchers stress that instead of reacting to outbreaks the governments should strengthen climate-friendly public health systems. The key recommendations include:

• Expanding water quality monitoring
• Improving disease surveillance
• Investing in resilient water and sanitation infrastructure
• Developing climate-informed early warning systems
• Strengthening emergency preparedness for floods and droughts

Researchers say that understanding the evolving relationship between climate and infectious diseases will be essential to protecting communities across the world as global temperatures continue to rise.

Climate change is increasingly being recognized as a major public health threat, extending beyond heatwaves and air pollution to affecting patterns of infectious diseases.

The new review suggests that future waterborne disease outbreaks may not simply become more frequent but also less predictable, requiring health systems to adapt quickly to a changing climate.

As extreme weather events become more common worldwide, researchers warn that protecting safe water supplies and strengthening surveillance will be critical to reducing the growing burden of waterborne diseases.