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!

Vaccination has been the most powerful and effective tool in modern medicine that improves the body's immune system and fights off diseases, saving millions of lives annually.

Vaccines reduce the risk of getting a disease by working with your body’s natural defenses to build protection. Vaccines are available to prevent more than 30 life-threatening diseases and infections, helping people of all ages live longer, healthier lives.

According to the World Health Organization (WHO), immunization currently prevents 3.5 million to 5 million deaths every year from diseases like diphtheria, tetanus, pertussis (whooping cough), influenza, and measles.

While vaccines are available for both young and old, former director of AIIMS New Delhi, Dr Randeep Guleria, in a post on social media platform Instagram, urged doctors to recommend these based on people's age and the presence of comorbidities.

“Two very important factors one has to consider when recommending a vaccine for the adult population. One is the age, and if you have a patient over the age of 60 years, vaccination is definitely something you should recommend, or if a patient has associated comorbidities which increase the chance of vaccine-preventable diseases,” said the noted pulmonologist from Medanta Hospitals, Gurugram, in a Doctor's Special Series.

He recommended doctors to prescribe six types of vaccines for adults, namely:

• Influenza Vaccine

“It can be given as a pre-winter vaccine, which is a northern hemisphere vaccine, or it can be given in May or June when it is a southern hemisphere vaccine,” he added.

A flu vaccine typically reduces the risk of influenza infection, prevents severe illness, and complications.

Also read: This Common Vaccine At Higher Dose Can More Than Halve Alzheimer’s Risk In Older Adults

• Pneumococcal Vaccine

“For the pneumococcal vaccine, we now have a conjugate vaccine, which is available as PCV20, which is once in a lifetime, and that has made things much more easier,” Dr. Guleria said.

The PCV20 vaccine guards against 20 strains of pneumococcal bacteria. It also prevents serious pneumonia, invasive infections, and related complications. It is recommended for adults aged over 65 and those with weakened immune systems.

• Shingles Vaccine

The vaccine against shingles prevents the risk of viral infection that causes a painful rash and nerve damage. It also helps prevent long-term nerve pain and prevents serious complications from shingles. The vaccine is safe for adults 50 and older.

• Tdap vaccine

The Tdap vaccine protects against pertussis infection, also known as whooping cough. It guards against tetanus infections and reduces the risk of diphtheria and related complications.

• HPV vaccine

Beyond cervical cancer, the HPV vaccine also protects against anal and throat cancer. It prevents 90 percent of HPV-related cancers, is safe, and effective. It also prevents genital warts.

Also read: Health Tests Every Woman Should Do Once A Year

• Region-specific vaccination

Also read: How Vaccinations Help Build Immunity? List Of Vaccines You Should Get

The southern Indian state of Karnataka, currently reeling under intense summer heat, has been experiencing an outbreak of viral gastroenteritis over the past few weeks, according to media reports.

Due to the scorching heat, doctors in Mysuru flagged a 15-20 per cent rise in patients with gastrointestinal complaints, Deccan Herald reported.

According to Dr A. K. Satheesh Rao, senior consultant in medical gastroenterology and hepatology, the early arrival of summer with higher intensity across Mysuru and surrounding regions is driving the cases.

“The prolonged spells of heat and rising temperatures are impacting stomach and digestive health. Over the past few weeks, we have seen about a 15-20 per cent increase in patients with gastrointestinal complaints like frequent episodes of vomiting, abdominal discomfort, rapid dehydration, and diarrhea. Another major concern is a rise in dehydration,” he said.

“Although such seasonal spikes are expected, this year the intensity and frequency of symptoms are concerning, as a majority of the cases are being diagnosed as viral gastroenteritis. Just like any other viral infection, viral gastroenteritis is transmissible through contaminated food and water,” Dr. Rao added.

Meanwhile, the India Meteorological Department (IMD) has issued a warning of rising heat and humidity across Coastal Karnataka until April 12.

Districts like Dakshina Kannada, Udupi, and Uttara Kannada are expected to experience hot weather with high atmospheric moisture. Such weather can lead to fatigue and discomfort, particularly among the elderly, children, and those with existing health conditions.

The IMD has advised people to stay well hydrated and take precautions while stepping outdoors. Residents are also urged to avoid prolonged exposure to the sun during peak hours.

What Is Gastroenteritis?

Commonly referred to as the stomach flu, gastroenteritis is another illness that tends to spike in the fall.

Caused by viruses like norovirus, this condition leads to inflammation of the stomach and intestines. While gastroenteritis is typically short-lived, it can be particularly uncomfortable and disruptive.

Common symptoms include:

• Nausea and vomiting – More common in children than adults.
• Watery diarrhea – May cause dehydration if not well taken care of.
• Stomach cramps and pain – Usually intense and sudden.
• Mild fever and body aches – May be confused with flu.
• Sudden development of illness – Symptoms develop 24-48 hours after exposure and persist 1-3 days.

Gastroenteritis can affect children more intensely. Dehydration is the most immediate threat posed by stomach flu, particularly among infants and young children. As children quickly lose fluids from diarrhea and vomiting, parents must observe warning symptoms of severe dehydration, such as:

• Dry mouth and tongue
• Decreased urine output (fewer wet diapers in an infant)
• Not crying tears
• Sunken soft spot on the top of a baby's head (fontanelle)
• Irritability, drowsiness, or lethargy.

How To Prevent

Hydrating oneself with portable water, eating healthy food, and maintaining hand hygiene are important.

“Simple practices like proper water storage, drinking filtered or boiled and cooled water, opting for home-cooked and freshly prepared meals, and basic hand hygiene serve as powerful safeguards,” Dr Rao said.

Further, one should also follow essential hygiene practices, including:

1. Practice frequent handwashing

2. Clean high-touch surfaces

3. Safe food handling

4. Keep sick children at home.

A Cancer-hit US couple in North Dakota has shared their ‘nightmare’ experience with dual diagnosis of the deadly disease and parenting their three children.

Spencer Eddy, a 39-year-old father of three, suffered from dizzy spells for years. While doctors dismissed the condition as vertigo, it turned out to be a brain tumor, People reported.

MRI scans in April 2024 revealed that he had a tumor the size of a lime in his brain. Further scans and tests at Mayo Clinic in October confirmed medulloblastoma -- a malignant tumor that is located on the part of the brain that controls coordination and movement.

According to the Mayo Clinic, it is most common in children, but can occur in adults.

“When we found out that Spencer had a brain tumor, we were terrified,” said Jolene, his wife. “They said the cancer was blocking the fluid that flows from your vein to your spinal cord. They said they didn't know how he was still walking and talking, and how he hadn't had a stroke."

A week later, Spencer underwent a 10-hour surgery, and doctors were able to remove 85 percent of the tumor. Along with radiation and chemotherapy, he also needed speech and physical therapy to relearn how to walk and talk, People reported.

What came as a double blow to the couple was Jolene’s breast cancer diagnosis in April 2025.

“Whilst we were in the hospital, I noticed a small pea-sized lump under my armpit, but I put it to the back of my mind, because of everything that was going on with Spencer,” she recalled. “Doctors said it was probably just a cyst, but I asked for it to be removed anyway, and when it came back from testing, I found out it was breast cancer. I was absolutely floored.”

The doting parents “were so devastated and scared about what would happen to their kids”, if both of them die.

Following her diagnosis, Jolene was given hormone blockers and underwent a double mastectomy while Spencer was still undergoing chemotherapy.

Jolene struggled after the surgery and was vomiting and passing out frequently. She ultimately needed a blood transfusion and was able to recover.

It was hard for Jolene to take care of the family as Spencer could not walk well or drive.

"We're living most people's nightmare, but we're feeling optimistic about the future,” she said. “We have a long life, and we're going to fight for it; we're not going to give up.”

Spencer completed treatment in April 2025 and now has no evidence of cancer. Jolene also has no evidence of cancer. The couple now goes to appointments with their oncologists together as they hope to ensure their tumors don't grow back, the report said

Can A Brain Tumor Cause Dizziness?

While dizziness by itself is not a common symptom of a brain tumor, some tumors can trigger headaches and bouts of nausea and vomiting that may be associated with a dizzy feeling.

Dizziness, also called vertigo, is however, associated with tumors that develop in the cerebellum—the part of the brain that controls movement.

Medulloblastoma, a type of brain tumor, forms when cells in the cerebellum develop changes in their DNA. These changes cause the cells to grow and multiply quickly, as per the Mayo Clinic.

Common signs and symptoms of medulloblastoma may include:

• Dizziness.
• Double vision or other vision changes.
• Headaches, which are often worse in the morning.
• Nausea or vomiting.
• Poor coordination.
• Tiredness.
• Difficulty with balance or an unsteady walk.