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!

Every day, hospitals care for patients whose survival depends on a simple yet irreplaceable resource—donated blood. A mother experiencing severe bleeding after childbirth, a child with thalassemia requiring regular transfusions, a cancer patient undergoing chemotherapy, or a victim of a road traffic accident may all rely on timely access to safe blood.

Despite medical advances, blood remains unique. It cannot be manufactured or artificially replicated. It can only come from healthy individuals who choose to donate. This makes blood donation one of the most vital contributions a person can make to healthcare and society.

It is important to understand that the impact of a single donation extends far beyond what most people imagine.

One Donation, Multiple Patients

When a person donates whole blood, it is separated into components—red blood cells, platelets, and plasma. Each component serves a different purpose. Red blood cells carry oxygen and are essential in treating anemia and blood loss. Platelets help control bleeding and are critical for patients undergoing chemotherapy. Plasma contains proteins and clotting factors required for managing bleeding disorders.

Because these components can be used independently, a single donation has the potential to benefit multiple patients with different medical conditions. One act of donation can therefore support several lives.

Why Blood Supply Must Be Continuous

A common misconception is that blood is needed only during emergencies or disasters. In reality, the demand for blood is constant. Patients with chronic conditions such as thalassemia require regular transfusions throughout their lives. Cancer treatments, major surgeries, organ transplants, complicated pregnancies, and trauma care all depend on a steady and reliable blood supply.

Unlike many medical resources, blood components have limited shelf lives. Platelets can only be stored for a few days, and red blood cells have a defined storage period. This means blood stocks must be continuously replenished. A stable blood supply cannot be created overnight—it depends on regular and voluntary donations throughout the year.

The Importance Of Voluntary Donors

The safest and most reliable blood supply comes from voluntary donors who give blood without expectation of reward. However, maintaining this supply is an ongoing challenge. It requires not only recruiting new donors but also encouraging previous donors to return.

Many individuals who donate once do not return, often due to lack of awareness, time constraints, or fading motivation. Yet every regular donor begins as a first-time donor. A positive first donation experience plays a key role in building long-term commitment.

Hospitals, workplaces, and community organizations play a crucial role in promoting donation through awareness campaigns, outreach programs, and well-organized blood donation drives. Sustained engagement is essential to ensure that donors remain connected to this life-saving cause.

What Motivates People To Donate

Blood donation is not just a medical act—it is a powerful expression of social responsibility. Most donors never meet the individuals they help, yet they donate willingly to support someone in need. This anonymous act of giving reflects compassion, empathy, and a shared sense of humanity.

People are motivated to donate for many reasons. Some are driven by altruism and the desire to help others. Others are influenced by personal experiences, community values, or encouragement from family and peers. Awareness campaigns and social engagement can also play a significant role in shaping attitudes towards donation.

Understanding these motivations is important because it helps design more effective strategies to encourage both first-time and repeat donors.

Addressing Common Concerns

Despite its importance, many eligible individuals hesitate to donate due to fear or uncertainty. Concerns about pain, weakness, or safety are common. However, blood donation is a carefully regulated process conducted by trained healthcare professionals.

Donors undergo screening to ensure that the procedure is safe for both themselves and the recipient. The donation itself takes only a short time, and most people can resume normal activities soon afterward. Efforts to improve donor comfort and reduce anxiety have further enhanced the overall donation experience.

For many first-time donors, the greatest takeaway is a sense of satisfaction and pride in having contributed to saving lives.

Every First-Time Donor Matters

One of the greatest challenges in maintaining a stable blood supply is ensuring a continuous flow of new donors. As regular donors age or become ineligible, new volunteers are needed to sustain the system.

Encouraging first-time donors is therefore critical. With the right experience and awareness, a first-time donor can become a lifelong contributor, potentially helping dozens of patients over the years. Simple follow-up communication and continued engagement can significantly improve donor retention.

Families, educational institutions, workplaces, and healthcare providers all have a role to play in encouraging individuals to take this first step.

A Gift That Saves and Sustains Lives

Blood is more than a medical resource—it is a gift that cannot be bought, manufactured, or stored indefinitely. It represents hope, survival, and the generosity of one human being towards another.

Behind every successful surgery, every recovering patient, and every saved life, there is often an unseen donor whose contribution made that outcome possible.

A single donation may take only a few minutes, but its impact extends far beyond a single individual. It supports families, strengthens healthcare systems, and builds a culture of care and compassion within communities.

The message is simple: if you are eligible, consider donating. Your one unit of blood may help many—and could make the difference between life and loss for someone in need.

Extremes of heatwaves and ozone pollution are intensifying, increasing heart- and lung disease-related deaths in India, according to a new study.

Heatwaves are associated with heat stress, dehydration, heat exhaustion, heatstroke, and cardiovascular strain, while ground-level ozone is a harmful air pollutant linked to heart and lung diseases and increased mortality.

Researchers from the Indian Institute of Technology (IIT), Kharagpur, found that surface ozone levels reach 85–110 micrograms per cubic meter (μg/m³) in northern India during heatwaves—far exceeding the World Health Organization (WHO) guideline of 70 μg/m³.

The study found that heatwaves significantly intensify exposure to toxic ground-level ozone, a harmful air pollutant linked to heart and lung diseases and increased mortality.

“In 2024 alone, ozone exposure during heatwaves was associated with 15,615 deaths from ischemic heart disease and another 10,898 deaths from chronic obstructive pulmonary disease (COPD),” said researchers Parambat Sangeetha of Kerala University of Fisheries and Ocean Studies and Jayanarayanan Kuttippurath of IIT Kharagpur in the paper.

Overall, ozone exposure during heatwave conditions was associated with more than 26,500 deaths in 2024, according to the study published in npj Clean Air. Before heatwave conditions, ozone exposure was linked to 490 deaths from ischemic heart disease and 342 deaths from COPD.

Why Ozone Levels Rise During Heatwaves

Surface ozone is not released directly into the atmosphere. Instead, it forms when sunlight triggers chemical reactions among existing pollutants—a process that accelerates during periods of extreme heat.

“Ozone is very harmful, while NO₂ (nitrogen dioxide) and HCHO (formaldehyde) directly damage the respiratory system,” the authors said.

How the Study Was Conducted

For the study, researchers combined two decades of temperature records from the India Meteorological Department (IMD) with satellite observations and global weather datasets to track ozone levels and the gases responsible for its formation.

Heatwaves between 2004 and 2024 were identified using standard temperature thresholds. The team identified 188 heatwave events over the two-decade period, with the most severe years—2010, 2016, 2019, and 2024—occurring after strong El Niño episodes.

The Western Himalayas recorded the sharpest long-term increase in ozone levels, exceeding WHO guidelines by 115 percent in 2024.

The researchers concluded that “coupled heat–ozone extremes are intensifying, requiring urgent integrated climate–air quality policy action.”

Regions Most Affected

Severe heatwave conditions predominantly affect:

• Jammu
• Rajasthan
• Gujarat
• Madhya Pradesh
• Punjab
• Haryana
• Chandigarh
• Uttar Pradesh
• Delhi
• Himachal Pradesh
• Vidarbha
• Maharashtra

The heatwave belt often expands further into:

• Uttarakhand
• Odisha
• Chhattisgarh
• Bihar

Impact on Lung and Heart Health

The study noted that chronic obstructive pulmonary disease (COPD) is highly sensitive to changes in temperature, humidity, and air quality.

Dr. Amit Kumar Mandal, Senior Director of Pulmonology at Paras Health, explained that extreme heat combined with pollution places significant stress on multiple organs.

“People often think heatwaves only affect the skin or cause dehydration, but when extreme heat combines with high pollution levels, the body starts functioning as if it is constantly under attack,” he told HealthandMe.

“The lungs are forced to work harder to filter hot, polluted air, while the heart simultaneously struggles to regulate body temperature. This invisible overload can quietly trigger inflammation, breathing distress, sudden BP fluctuations, and cardiac strain, even in people who otherwise consider themselves healthy.”

Warning Signs to Watch For

The expert noted that early symptoms are often subtle and may go unnoticed. Common symptoms seen during heatwave and pollution episodes include:

• Persistent tiredness
• Irritability
• Disturbed sleep
• Headaches
• Chest heaviness
• Unusual breathlessness

How to Reduce Health Risks

Recommended precautions include:

• Staying hydrated
• Avoiding direct sunlight during peak afternoon hours
• Wearing light cotton clothing
• Using masks in polluted areas
• Maintaining proper indoor ventilation.

The ancient practice of yoga may help improve fertility and hormonal health in women with Polycystic Ovary Syndrome (PCOS), now renamed Polyendocrine Metabolic Ovarian Syndrome (PMOS), according to three studies led by researchers at the All India Institute of Medical Sciences (AIIMS), New Delhi.

PCOS is a multifactorial condition affecting millions of women and involves a complex interplay of reproductive, metabolic, and psychological factors that can significantly impact quality of life.

The condition can increase the risk of serious health complications, including heart disease, diabetes, hypertension, infertility, and, in some cases, cancer.

The studies, led by Dr. Rima Dada, Professor at the Laboratory for Molecular Reproduction and Genetics, Department of Anatomy, AIIMS Delhi, recommend lifestyle modifications, including yoga, as a primary approach to managing the condition.

“Yoga presents a comprehensive strategy for addressing PCOS, targeting hormonal imbalances, OS, mitochondrial function, metabolic syndrome, microRNA regulation, cellular longevity, and mental well‑being. It exemplifies the potential of mind‑body medicine in the treatment of complex disorders,” the researchers said, in the papers.

The papers were published in the Journal of Ayurveda and Integrative Medicine, The International Journal of Ayurveda Research and the International Journal of Yoga.

Yoga Led To Improvements In Hormonal Balance

The three studies involved more than 100 women and followed participants for up to 12 weeks. Participants practiced Asanas (physical postures), Pranayama (breathing techniques), and Dhyana (meditation) for 90 minutes a day, five days a week. The results showed significant improvements across multiple health parameters.

Women with PCOS who participated in the yoga intervention demonstrated significant reductions in:

• Anti-Müllerian Hormone (AMH)
• Luteinizing Hormone (LH)
• Testosterone levels

Also read: Yoga Shows Promise for Anxiety Relief And Seizure Control In Epilepsy, Claims AIIMS Study

“This hormonal balance has led to the restoration of menstrual cycles and improvements in hirsutism and acne, resulting in enhancements in physical appearance and psychological well-being,” the researchers stated.

Benefits Beyond Hormones

The studies also found that yoga helped regulate cellular oxidative stress, offering protection against DNA damage and epigenetic changes. Researchers also reported improvements in several metabolic markers, including reductions in:

• Glucose
• Fructose
• D-ribose
• Xanthine
• Cholesterol
• Triglycerides
• Body weight

These findings highlight yoga's potential to address key mechanisms underlying PCOS and support its use as a cost-effective, non-pharmacological, and sustainable therapy for managing the condition.

The studies also found that yoga helped alleviate symptoms of depression among women with PCOS, suggesting it may serve as an effective complementary therapy in managing the condition.

Researchers concluded that regular yoga practice could help prevent, delay, and manage PCOS symptoms.

Read More: India Launches New Yoga Protocols To Fight Diabetes, High BP, Asthma

What Is PCOS?

PCOS is a complex lifestyle disorder that appears to primarily affect the ovaries but is increasingly recognized as a systemic condition affecting multiple organs and body systems.

If not diagnosed and managed early, it can contribute to serious health complications, including non-alcoholic fatty liver disease (NAFLD), cardiovascular disease, hypertension, and Alzheimer's disease.

While treatments such as anti-androgen medications, insulin-sensitizing agents, and fertility therapies remain important, experts note that PCOS also has a strong psychosomatic component that can benefit from lifestyle and mind-body interventions.

From PCOS to PMOS

PCOS affects more than 170 million women worldwide. In May, it was officially renamed Polyendocrine Metabolic Ovarian Syndrome (PMOS).

The new name reflects a major shift in understanding the condition—from a predominantly gynecological disorder to a complex multisystem condition affecting several aspects of health. The term PMOS acknowledges that the condition affects:

• Endocrine health
• Metabolic health
• Reproductive health
• Dermatological health
• Psychological health