A report by Swachh Bharat Mission says that 74.5 per cent of public places are equipped with toilets. Another report by the Ministry of Jal Shakti states that there are 2.23 lakh Community Sanitary Complexes built across all States and UTs under the Swachh Bharat Mission (SBM) since October 2014. Over 92 lakh toilets have been constructed since the launch of SBM Gramin (SBM (G)) in April 2020.

While toilets are there, are they accessible? This is the question one should ask. The National Family Health Survey (NFHS) focuses on 131 health indicators, but not until the NFHS 5 survey did they include the question of accessibility of toilets in the survey. This happened after the inputs from the Department of Drinking Water and Sanitation (DDWS) and the Ministry of Health & Family Welfare questioned the accessibility.

One might ask, why is the question of accessibility so important? The answer is quite simple. Access to water, sanitation and hygiene is the most basic human need and is also included under the Sustainable Development Goals by the UN.

Are These Numbers Real?

This thought crossed my mind because back in 2021, I went on a solo trip, on a bus to Udaipur from Delhi. There, the bus made two stoppages. This was done so people could get a quick dinner and freshen up, relieve themselves and be prepared for the rest of the journey. This was a nightmare. The bus only stopped for 10 minutes. While some men used the washroom, others went to the bushes.

For the women, there were three cubicles. One of them was broken, and the other one did not have a light bulb, which meant only one was usable. There was a long queue for that cubicle, and time was short. There was no point in trying to find an isolated corner, because it was past midnight, in an unknown area.

I waited anxiously. When finally, my turn came, I saw an overused, dirty washroom. The toilet seat is in a horrible condition. I wanted to touch nothing there. But I had to pee. So, I used my mask to cover my nose from the odour, folded my pants so they did not touch the floor and squatted. It was quite a task to balance.

On my way back to Delhi, I made sure to not drink any water for over a 13-hour bus journey. I dehydrated myself so I did not have to use the washroom. When I did reach, I was severely dehydrated and was sick for three days.

I shared my experience with my friends only to realise that many women have faced the same. There are no washrooms for women.

A friend of mine told me that it is because these roads and dhabas are mainly designed to serve men. They are the ones who travel at night or are on the roads most of the time. As a result, the few women who do travel or are on the road suffer.

Health Risks Women Are Prone To

Well, it is true, but partially. While holding your pee for too long can lead to health risks, peeing on a dirty toilet seat cannot lead to infections unless your urethra is in contact with the bacteria present on that toilet seat. However, nobody wants to sit on a dirty toilet seat, even if you do not get an infection. A safe and hygienic toilet is a basic need.

One of the regular saleswomen, Usha, who visits my house shared her experience with me. “Being on the road constantly means I must use the dirty public washrooms. But I do not want to use them. So, sometimes I ask my regular customers to let me use their washrooms. Some say yes, and some say no. I understand they are also concerned about their safety and privacy,” she says. As a result, Usha spends most of her day not drinking enough water and holding her pee when she is at work. Due to this, she also suffered from a Urinary Tract Infection (UTI).

Her friend, Halima too faced similar problems and due to increased levels of uric acid in her body, she suffered from Hyperuricemia.

Other health risks are kidney stones and other kidney problems, headaches, dull skin, xerostomia or dry mouth, fatigue, and urinary incontinence, which means losing control over your pelvic floor muscles leading to uncontrolled leakage of urine, seizures and weakness.

What Can You Do?

Wear comfortable clothes and capris. Capri pants are comfortable and are short in length, which means this won’t touch the toilet floor when you squat or sit.

Carry Essentials

Even though you cannot get a UTI alone from sitting on a toilet seat, it is always safe to carry a toilet seat sanitiser. If nothing, it can help you get rid of the bad odour so you can use your stand and pee device inside the toilet. You can also use disposable toilet seat covers if your knees are weak, and you cannot squat. Always flush with your seat down.

Always keep disposable gloves, a portable bidet (fill it with water before use), a pocket liquid handwash, wet wipes, tissues and sanitiser handy. Do not forget to keep extra sanitary pads. It might sound a lot, but I promise that it all fits in one pouch. Use this travel-friendly pouch every time you are on the road, or using a public washroom.

What Can We Learn From Others?

However, in case we do not get these technologically advanced toilets here, you can always pack a travel-friendly toilet kit!

A viral TikTok has been telling women to toss their underwear every six to nine months, warning that anything older could be unhealthy. The internet reacted exactly how you would expect. Some people were shocked. Others admitted they still own pairs from years ago. Many simply wondered if they had been doing hygiene wrong all along. In fact, a report by The Asian News Hub also echoes the same claim that underwear must be changed in every six to nine months.

Health and Me ran a fact check to see whether there is a mandate on when to change your underwear and here is what we found:

Also Read: US FDA's New Framework Calls For Speeding Up Approvals For Rare Disease Therapies

Speaking to Today.com, Dr. Jen Gunter, OB-GYN and author of The Vagina Bible, pushed back strongly against the claim on social media. She explained that underwear does not suddenly become dangerous after a specific time period.

The idea, she said, reflects cultural anxiety around the vulva rather than science. Many people grow up hearing the vagina is fragile, dirty, or constantly at risk of infection, which fuels rigid hygiene rules that are not medically necessary.

Doctors agree there is no expiration date.

“There is no rule that says after six months you must replace your underwear,” Dr. Chavone Momon-Nelson, an OB-GYN at UPMC in Pennsylvania, told Today.com. She added that social media often turns suggestions into hard rules, even when evidence does not support them.

However, Dr Shirin Lakhani of Elite Aesthetics told Independent that underwear is in close contact with skin and intimate areas and could take in a lot of dead skin and bacteria, including naturally occurring ones and the harmful ones, which could lead to infection. She said that even regularly washing your underwear in a washing machine "won't always rid it completely of bacteria such as E.coli."

Another gynecologist Narendra Pisal at London Gynaecology suggests a 50-wash rule for discarding underwear.

What Actually Matters For Vaginal Health

Instead of the age of underwear, doctors say cleanliness and dryness are what really affect health.

Dr. Christine Greves, who practices at the Center of Obstetrics and Gynecology in Orlando, explained that clean underwear made from breathable fabric is usually sufficient. Cotton is commonly recommended because it allows airflow and reduces moisture buildup.

Damp or sweaty underwear can irritate skin and increase the chance of infection, but that problem has nothing to do with how long you have owned the garment. It has to do with whether it is clean and dry.

Momon-Nelson, DO, who specializes in obstetrics and gynecology and is board-certified in obstetrics and gynecology by the American Osteopathic Board of Obstetrics & Gynecology, added that normal washing removes bacteria effectively, especially in warm or hot water. Regular laundry habits are enough for hygiene in most cases.

The Yeast Infection Fear

One persistent fear behind the viral claim is yeast infections. Some believe old underwear stores fungus even after washing.

Greves pointed to an older study examining whether candida could survive laundering. The research found that routine washing removed the organism and did not transmit infections when the underwear was reused.

Read: Where You Get Your Rabies Shot Matters: Doctor Explains Why Rabies Vaccines Should Not Be Given In Buttocks

In other words, properly washed underwear does not act as a hidden infection source. However, constant washing, body oils, residual detergent, and dried sweat could make the underwear stiff, which could ruin its soft texture and cause chaffing. Pisal says, "If your underwear is causing chaffing, skin irritation or is torn", you may need to replace your underwear sooner.

Why The Myth Keeps Spreading

Experts say the rule survives because of long-standing stigma around female anatomy. Many products and trends market special cleansers, wipes, sprays and frequent replacement routines as necessary maintenance.

But medically, the vulva is simply skin. Gentle washing with soap and water externally is usually enough.

That does not mean buying new underwear is bad. Comfort, fit, and personal preference matter. Replacing worn-out elastic or damaged fabric makes sense. What doctors reject is the idea of a strict timeline.

As Momon-Nelson told Today.com, there is nothing wrong with enjoying new underwear. The problem begins when people feel forced by fear rather than choice.

Dementia impacts many people worldwide, as per the World Health Organization (WHO) data, 57 million people in 2021 were living with dementia. It is expected that dementia will impact 152 million by 2050, with nearly 10 million new cases added annually. Subtle personality shifts are often brushed off as stress, burnout, or simply aging; however, experts speaking to The Telegraph UK said that, in many families, behavior changes appeared years before dementia was diagnosed and memory problems ever showed up. Long before forgetting names or misplacing keys, the brain sometimes reveals distress through temperament.

Here are the personality patterns specialists consider early warning signs of dementia.

Early Signs of Dementia: Loss Of Confidence

One of the earliest changes families notice is a sudden drop in self belief. A person who once handled responsibilities with ease may start doubting routine decisions. Tasks they previously mastered begin to feel overwhelming.

This does not look like ordinary ageing. It feels abrupt and out of character. People may avoid activities they enjoyed, stop fixing things around the house, or repeatedly seek reassurance.

The reason lies in declining brain flexibility. When brain networks struggle to process information efficiently, the individual senses something is wrong even before memory fails. Many withdraw socially, which further increases cognitive decline risk because isolation deprives the brain of stimulation.

Early Signs of Dementia: Becoming Less Curious Or Open

Everyone becomes slightly set in their ways with age. But a marked shift toward rigid thinking can be significant.

Someone once eager to try new foods, travel, hobbies, or conversations may now resist anything unfamiliar. They prefer repetitive routines and become uncomfortable with change.

This matters because curiosity acts like exercise for the brain. Reduced openness means fewer new neural connections being formed. Over years, that lack of stimulation weakens resilience against degeneration.

Families often interpret this as stubbornness. In reality, the brain may be losing its ability to adapt.

Early Signs of Dementia: Difficulty Handling Problems

A striking early sign is emotional collapse over manageable situations. People who previously handled pressure calmly may suddenly panic over bills, schedules, or minor setbacks.

They might abandon responsibilities, become overwhelmed quickly, or react with distress disproportionate to the problem.

This happens because the brain’s coping reserve shrinks slowly over time. The person is not overreacting intentionally. They genuinely cannot process the situation the way they once could.

Often, this stage appears many years before diagnosis.

Early Signs of Dementia: Rising Impulsivity

Uncharacteristic impulsive behavior can be a strong warning sign. This may include reckless spending, gambling, inappropriate jokes, blunt comments, or risky decisions.

The change is especially noticeable when the person was previously cautious.

This reflects weakening control centres in the brain that regulate inhibition. The desire may always have existed, but the filter disappears. Families sometimes mistake this for a personality crisis or rebellion rather than a neurological change.

Early Signs of Dementia: Reduced Conscientiousness

Another overlooked sign is declining organization. Bills go unpaid, appointments are missed, and routines fall apart.

The person may appear lazy, careless, or uninterested in hygiene or planning. In truth, the brain’s planning circuits are struggling.

Interestingly, people who maintain structured habits tend to have lower dementia risk. When those habits suddenly erode, it may indicate underlying biological changes rather than attitude.

Early Signs of Dementia: Increased Anxiety And Emotional Fragility

Heightened nervousness often emerges early. Individuals become unusually worried, tense, or easily rattled. Minor uncertainties feel threatening.

Chronic stress affects inflammation levels in the body and brain, which accelerates damage to nerve cells. The emotional change can therefore be both a symptom and a driver of decline.

Families frequently interpret this as midlife stress, but persistence and personality mismatch are key clues.

Early Signs of Dementia: Loss Of Warmth And Empathy

Perhaps the most distressing shift is emotional distancing. Someone affectionate may grow indifferent, withdrawn, or blunt. They may stop comforting loved ones or show little reaction to emotional events.

This does not mean they care less. The brain regions responsible for social understanding and emotional recognition are weakening.

Such changes are often mistaken for depression or relationship problems, delaying evaluation.

Early Signs of Dementia: When Should You Be Concerned

A single change alone rarely means dementia. What matters is a consistent shift from lifelong behavior. If reactions feel unfamiliar compared to how the person handled situations for decades, it deserves attention.

In many cases, personality changes appear years before memory loss. Recognizing them early allows families to seek assessment, improve lifestyle factors, and prepare support systems while independence remains intact.

The brain often whispers before it forgets. Listening to behavior can be the first step toward protecting it.

Heart attack is the world's number one killer, yet its symptoms differ for both men and women, leading to varied outcomes.

A heart attack typically occurs when cholesterol plaque builds inside the walls of arteries and causes damage to the major blood vessels.

While men typically develop plaque in the largest arteries that supply blood to the heart, in women, it accumulates in the heart’s smallest blood vessels, known as the microvasculature.

A study published today in Circulation: Cardiovascular Imaging, an American Heart Association journal, showed that women report less artery-clogging plaque. Yet, it did not protect them from heart disease compared to men.

The study showed that women faced increased heart risk at lower levels of plaque compared to men. For total plaque burden, women’s risk began to rise at 20 percent plaque burden, while men’s risk started at 28 percent.

The increasing plaque levels led to a sharper risk for women than for men.

How Heart Attack Symptoms Differ Between Men And Women

According to global studies, women are more likely than men to die from a heart attack. The major reason is the late onset of symptoms of a heart attack in women.

During a heart attack, men are likely to experience sweating, pain in the chest, arms, and legs, and shortness of breath.

While the experiences are common among women, they also tend to suffer a combination of less-recognized symptoms such as nausea, indigestion, fatigue, dizziness, and pain in the neck, jaw, throat, abdomen, or back.

The obvious chest discomfort is also sometimes absent during heart attacks in women.

Other common reasons for heart attacks in women include:

• High testosterone levels before menopause
• Hypertension during menopause
• Autoimmune diseases such as rheumatoid arthritis
• Stress and depression

Can Heart Attacks Be Prevented?

Cardiovascular diseases are mostly preventable by targeting traditional risk factors common to both women and men, which include obesity, smoking, diabetes, high blood pressure, family history and metabolic syndrome -- the co-existence of high blood pressure, obesity, and high glucose and triglyceride levels.

The American Heart Association also advises at least 150 minutes a week of moderate-intensity aerobic activity (such as brisk walking) or 75 minutes of vigorous activity (such as jogging), or a combination of both.

Include fruits, vegetables, lean proteins, whole grains, low-fat or fat-free dairy, nuts, and seeds in your diet.

Limit processed foods, added sugars, sodium, and alcohol.