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!

While you may have seen multiple women, who are not pregnant, taking prenatal vitamins to improve their skin, hair and nail quality, experts say you should steer clear and only stick to multivitamins to ensure your body stays healthy all-year round.

Prenatal vitamins are daily supplements for women who are pregnant or trying to get pregnant. These supplements contain the vitamins and minerals you need to support healthy fetal development, according to the Cleveland Clinic.

Dr Rohan Palshetkar, Consultant IVF Specialist, Bloom IVF tells Healthandme: ""Prenatal vitamin should be taken three months at least prior to the pregnancy or basically whenever you begin to start planning the pregnancy, ensure that all your micro nutrients as well as your folic acid levels are up to the normal mark so as to ensure that your baby has a healthy growth"

But when your body doesn't need it, taking supplements could put you at risk over time.

Which Vitamins And Minerals Are Prenatal Vitamins Rich In?

As per the American College of Obstetricians and Gynecologists (ACOG), here are the most important nutrients prenatal vitamins are packed with:

Folic Acid: One of the most important prenatal nutrients, this B vitamin is important as it creates your baby's neural tube. This is the structure that eventually forms brain. As per the US Preventive Services Task Force, folic acid supplements significantly increase the growth of healthy neural tube. The American Academy of Pediatrics also notes that it helps the neural tube to protect from defects by 50 percent.

Iron: It supplies blood and oxygen to the fetus and also helps build the placenta. It also gives the mother extra blood volume that you need throughout pregnancy. Pregnant people are prone to anemia, this is why iron supplementation is a must.

Calcium: The most time spend in uterus for a baby is invested in building their bones and teeth, this is a Herculean task, and requires the mother to have plenty of calcium. If you don't have enough calcium, then your baby will utilise the calcium from your body, which could lead to temporary bone loss.

Certain prenatal supplements also contain other additives such as omega-3 fatty acids.

Why Is It Dangerous To Take Prenatal Vitamins

The main difference between a prenatal vitamin and a multivitamin is the concentration of folic acid and iron.

Ingesting enough folate from food or folic acid from supplements at the start of a pregnancy lowers the risk of certain birth defects. Along with this, iron supplements help the body make the extra blood cells needed during pregnancy.

The amount of folic acid suggested for people who are planning a pregnancy is 400 to 800 micrograms (mcg) a day. The amount of iron needed in pregnancy is 27 milligrams (mg) a day.

The typical amount of folic acid for an non-pregnant adult is 400 mcg a day. For iron, the typical daily amount is 8 mg for males and 18 mg for females.

Taking iron and folic acid at levels higher than the suggested amounts may bump people closer to the upper limit for these nutrients which can raise the risk of health problems.

Taking too much folic acid, especially over 1,000 mcg daily without a doctor's advice, can mask a vitamin B12 deficiency, potentially causing irreversible nerve damage and may lead to side effects such as bitter taste, nausea or sleep problems, with potential links to increased risks in pregnancy like autism or insulin resistance.

Eating too much iron, especially from supplements, can cause acute iron poisoning, leading to severe nausea, vomiting, abdominal pain, diarrhea and bloody stools. Long-term excessive intake causes iron to deposit in tissues, causing iron overload (hemochromatosis) that damages the liver (cirrhosis), heart (failure), and pancreas (diabetes) and may cause a bronze skin color.

The Olympic Games are often seen as the ultimate celebration of human endurance, discipline and perfection. But behind the glittering medals, roaring crowds and emotional national anthems lies a quieter, more personal struggle many athletes carry with them, their mental health.

As the 2026 Winter Olympics in Milano Cortina draw closer, officials from the United States Olympic & Paralympic Committee (USOPC) are acknowledging a reality that has long remained in the shadows. According to the organization’s chief medical officer, Jonathan Finnoff, nearly half of U.S. Olympic athletes and 60 percent of Paralympic athletes are expected to experience symptoms linked to mental health concerns while preparing for or competing in the Games. These numbers highlight how elite sports, despite its glamour, can place enormous emotional and psychological pressure on athletes.

The Growing Recognition Of Mental Health In Elite Sports

Over the years, conversations around athlete well-being have shifted significantly. Earlier, the focus remained heavily on physical fitness and performance, while emotional struggles were often dismissed as signs of weakness. Today, sports bodies are beginning to understand that mental fitness is just as important as physical conditioning.

In response, the USOPC has introduced a wide range of support systems. These include hiring specialized professionals trained in both mental health care and performance psychology, creating virtual consultation services, and introducing structured screening programmes to identify athletes who may require additional support. Officials claim that the programme has grown into a comprehensive support network designed to assist athletes before, during and after competitions.

However, these initiatives have not emerged without criticism. Reports and athlete testimonies over the years have pointed towards gaps in earlier mental health care systems within competitive sports. The issue gained global attention when several high-profile athletes openly spoke about their struggles.

Simone Biles And The Turning Point

One of the most defining moments in this conversation occurred during the Tokyo Olympics in 2021, when American gymnast Simone Biles withdrew from the individual all-around final after experiencing what gymnasts refer to as “the twisties”, a dangerous mental block that disrupts spatial awareness mid-performance.

Her decision sparked global debate and encouraged many athletes to speak openly about psychological challenges. Prominent sportspersons from different disciplines followed suit, helping dismantle long-standing stigma around mental health in professional sports.

Following these developments, the USOPC significantly expanded its psychological services, increasing the number of licensed professionals and strengthening its support infrastructure. Additional funding from private foundations further helped expand mental health resources available to athletes.

Life After The Spotlight: The Emotional Void Athletes Face

For many athletes, the psychological strain does not end with the competition. Olympic freestyle skier Nick Goepper has spoken openly about his personal struggles with depression, substance abuse and feelings of purposelessness after major sporting events.

Athletes often dedicate their entire lives to reaching the Olympic stage. Once the event concludes, many find themselves grappling with identity crises and emotional emptiness. The sudden transition from global recognition to everyday routine can be deeply unsettling, especially when athletes begin questioning their purpose beyond sport.

Mental health professionals working with Olympic teams now recognize that athletes are not only dealing with performance pressure but also navigating personal life challenges, grief, injuries and major life transitions during their careers.

Balancing Performance And Well-being

While global sponsors and sporting organizations continue to prioritize medal tallies, there is growing acknowledgement that long-term athletic success cannot be separated from mental well-being. Psychological services within Olympic teams now focus not only on improving performance but also on helping athletes manage stress, trauma and life challenges.

Experts working with Olympic teams note that mental health support often extends beyond competition preparation. Athletes may seek counselling for personal losses, relationship struggles or major life changes, all of which can affect performance and overall well-being.

A Cultural Shift In Sports

The evolving approach toward athlete mental health reflects a broader cultural change in competitive sports. Open conversations, improved medical support and athlete-led advocacy are slowly transforming how mental health is perceived in elite sporting environments.

As the Milano Cortina Games approach, the spotlight will undoubtedly remain on record-breaking performances and medal counts. Yet, an equally important story will unfold behind the scenes — one where athletes, coaches and sports organizations work together to ensure that champions are supported not just physically, but emotionally as well.

Non-alcoholic fatty liver disease, often called fatty liver, occurs when excess fat builds up in the liver due to reasons unrelated to alcohol consumption. Multiple studies suggest that nearly 35 to 40 percent of Indian adults may already be living with fatty liver disease. Experts believe this figure could be a conservative estimate, making it a growing public health concern.

What is even more worrying is that Indians are significantly more prone to developing fatty liver disease compared to many other ethnic groups.

A Genetic Link Rooted in Survival

Dr Alok Chopra, a cardiologist and functional medicine expert with over four decades of experience, recently explained in an Instagram video why Indians are disproportionately affected.

“This is not just about junk food or sitting all day,” Dr Chopra said. “People from the Indian subcontinent developed a survival mechanism over generations of famine. Our bodies learned to store fat quickly, especially in the liver, to protect us during periods of starvation.”

According to him, this genetic adaptation has outlived its usefulness in modern times. “The famine disappeared, but the genetic switch never turned off,” he explained. “That is why today nearly one in three Indians is estimated to have fatty liver disease, and the real number may actually be closer to half the population.”

Why Fatty Liver Often Goes Unnoticed

Fatty liver disease is often called a silent condition because it may not cause obvious symptoms in its early stages. Many people discover it accidentally during routine blood tests or ultrasound scans. If left unchecked, it can progress to liver inflammation, fibrosis, or even cirrhosis.

Dr Chopra warns that ignoring early signs can be risky, but he also offers reassurance.

The Liver Can Heal If Given the Right Support

“The good news is that fatty liver is one of the most reversible conditions,” he said. “The liver is a remarkable organ. It detoxifies, regenerates, and supports metabolism, hormones, and energy. But it needs the right environment to heal.”

According to him, early action through lifestyle and nutrition changes can make a significant difference before the disease progresses.

Three Simple Steps to Reverse Fatty Liver

Dr Chopra outlines three key strategies to support liver health.

First, he advises aligning eating habits with the body’s natural rhythms. “Eat your dinner early, avoid late-night snacking, and include periods of intermittent fasting,” he said. “This is how our ancestors naturally lived.”

Second, he stresses the importance of cooking fats. “Your grandmom was right,” he noted. “Use ghee instead of refined seed oils. Bad oils, corn syrups, and highly processed foods push the liver towards inflammation and fat storage.”

Lastly, he highlights antioxidants. “Glutathione is the body’s master antioxidant,” Dr Chopra explained. “You can also support it with berries, dark leafy greens like spinach and kale, colorful vegetables, and even coffee, which research shows can lower the risk of fatty liver.”

With awareness and timely action, fatty liver disease does not have to be permanent.

Note: This is a user-generated content available publicly. It is not a substitute of medical consultation.