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!

People in the UK who take a commonly prescribed medication are being reminded to follow a strict cut-off time. Ignoring this guidance could lead to disrupted sleep.

What Is Bumetanide?

Bumetanide is a diuretic, a type of medicine that helps the kidneys remove excess salt and water by increasing urine production. In the UK, it is prescribed for heart failure, a condition that affects close to one million people. Bumetanide is only available with a prescription and comes in tablet form as well as a liquid that is taken by mouth.

Bumetanide: NHS Says Avoid Taking It After 4 PM

The NHS website lists several key points patients should be aware of when using bumetanide. One of the most important relates to timing. According to NHS advice, bumetanide should not be taken after 4pm, as doing so may cause frequent urination during the night.

The NHS states: “Do not take bumetanide after 4pm or you may have to wake up in the night to go to the toilet.” Alongside this warning, the guidance also includes recommendations on when to take the medicine and what foods to avoid.

“You'll usually take bumetanide once a day, in the morning or afternoon – or twice a day, in the morning and afternoon,” the NHS explains. “Most people need to pee about 30 minutes after taking bumetanide, and again within a few hours.” The NHS also advises avoiding foods high in salt, such as processed foods or ready meals, as well as salt substitutes like Lo Salt, as these can interfere with how the medicine works. However, it adds: “You can take bumetanide with or without food.”

Some people are advised to take extra care when using bumetanide. The NHS says it is important to inform your doctor if you have:

• Ever had an allergic reaction to bumetanide or other medicines
• Low blood pressure (hypotension)
• Signs of dehydration, including thirst, a dry mouth, or dark-coloured urine
• Liver disease
• Diabetes
• Difficulty passing urine
• Gout

If you are due to have a glucose test, you should also let your doctor know that you are taking bumetanide.

Bumetanide: Common Side Effects

There are several common side effects associated with bumetanide that occur in more than one in 100 people. The NHS says there are ways to manage these symptoms:

• Needing to urinate more often than usual
• Feeling thirsty
• Dry mouth
• Headaches
• Feeling dizzy or confused
• Muscle cramps or muscle weakness

Patients are advised to speak to a doctor or pharmacist if the suggested coping measures do not help, or if side effects continue or worsen after a few days.

Bumetanide: Serious Side Effects

Serious side effects are uncommon, according to the NHS. However, you should contact your doctor or call 111 immediately if you experience:

• Unexplained bruising or bleeding, a high temperature, sore throat, or mouth ulcers, which may indicate a blood disorder
• Ringing in the ears (tinnitus) or hearing loss

The NHS also notes: “In rare cases, it's possible to have a serious allergic reaction (anaphylaxis) to bumetanide.” In 2023, the UK faced a national shortage of bumetanide, which was expected to ease in 2025.

Because of this shortage, many patients were switched to furosemide, another diuretic that is also subject to the same 4pm timing advice.

Disclaimer: This article is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider regarding any questions about medications, health conditions, or before making changes to your treatment plan.

Scientists have found that a single dose of the shingles vaccine may do more than protect against the painful viral infection. It may also help slow biological ageing in older adults. Researchers from the University of Southern California say the vaccine, commonly given to seniors, could have benefits beyond shingles prevention. The findings come from a study involving over 3,800 people, which showed that vaccinated individuals had fewer signs of biological ageing and lower inflammation levels than those who had not received the shot.

What Is Shingles?

Shingles is a viral condition known for causing a painful, blistering rash. It can appear on different parts of the body but usually shows up as a band of blisters running along one side of the torso. The infection is caused by the varicella-zoster virus, the same virus responsible for chickenpox. Even after recovery from chickenpox, the virus remains dormant in the body and can reactivate years later as shingles, according to the Cleveland Clinic.

While shingles is not usually life-threatening, it can be extremely uncomfortable. Vaccination significantly reduces the risk of developing shingles. Starting treatment early can shorten the duration of the illness and lower the risk of complications. One of the most common complications is postherpetic neuralgia, a condition where nerve pain continues long after the rash has healed.

Shingles Vaccine May Slow Biological Aging In Older Adults

A recent study by the University of Southern California suggests that the shingles vaccine recommended for older adults may help slow down ageing at a biological level, in addition to preventing infection. “While more research is needed to confirm and expand on these results … our findings add to growing evidence that vaccines may support healthy ageing, not just prevent short-term illness,” said Eileen Crimmins, a co-author of the study, in a statement. To explore this further, Crimmins and her team focused on people who had received the shingles vaccine.

Shingles Virus Reactivates Later in Life

Although chickenpox is now uncommon in children, with cases dropping by over 97 percent since the vaccine became part of routine childhood immunisation in 1995, more than 95 percent of adults in the US were infected before that change, according to the CDC. At present, around one million Americans develop shingles every year.

Health authorities recommend that adults aged 50 and above receive two doses of the shingles vaccine. This not only lowers the risk of infection but also reduces the chances of postherpetic neuralgia, a lingering nerve pain that can persist for months or even years after the rash disappears.

Why Biological Age Matters More Than Your Actual Age

The researchers analysed data from more than 3,800 adults aged 70 and older, using information from the nationally representative US Health and Retirement Study. Blood samples were examined to assess seven different indicators of biological ageing.

Unlike chronological age, which simply counts years lived, biological ageing reflects how well the body’s organs and systems are functioning over time.

Shingles Vaccine: Lower Inflammation, Healthier Ageing

Results showed that vaccinated participants had noticeably lower levels of inflammation, a key factor linked to age-related conditions such as heart disease, frailty, and cognitive decline.

“By reducing this ongoing inflammation, possibly by stopping reactivation of the shingles virus, the vaccine may help support healthier ageing,” explained Jung Ki Kim, the study’s lead author.

“Although the exact biological processes are still unclear, the vaccine’s ability to lower inflammation makes it a promising tool in broader efforts to slow age-related decline and improve resilience,” she added.

Shingles Vaccine: What The Blood Markers Reveal About Ageing

The study also found that vaccinated individuals experienced slower changes in how genes are switched on and off, and in how genetic instructions are translated into proteins. These processes are known as epigenetic and transcriptomic ageing and are considered important markers of biological ageing.

When all seven ageing measures were combined into a single biological ageing score, those who had received the vaccine showed slower ageing overall compared with people who had not been vaccinated.

An image collage containing three visuals shows a gloved hand drawing blood into a tube, a longevity test kit with a swab and vial placed on an orange surface, and a screenshot of longevity test results displaying a bar chart of 117 biomarkers and a biological age of 29.3 years, which is 13.5 years younger than the actual age.

I gave lots of blood for six longevity tests — here’s how long I can expect to live

Can Vaccines Protect More Than Just Against Infection?

The findings build on earlier research that has linked adult vaccinations, including shingles and flu shots, to a lower risk of dementia and other neurodegenerative conditions such as Parkinson’s disease.

“This research strengthens the idea that vaccines may help promote healthy ageing by influencing biological systems beyond infection control,” said Kim, who is also a research associate professor of gerontology at USC.

Shingles Vaccine: Long-Term Benefits Seen Years After Vaccination

Importantly, the benefits appeared to last. Even participants who had received the shingles vaccine four or more years before their blood samples were taken still showed slower epigenetic, transcriptomic, and overall biological ageing compared to those who had not been vaccinated.

“These results suggest that shingles vaccination affects key processes associated with ageing,” said Crimmins, who is a USC University Professor and AARP Professor of Gerontology.

If future research confirms these findings, it could offer Americans another reason to get vaccinated and help improve vaccination rates, which remain low. Despite a rise during the pandemic period, only 30.1 percent of eligible Americans had received the shingles vaccine as of 2022.

The study highlights the potential for common vaccines to do more than prevent disease. They could play a significant role in promoting resilience, lowering inflammation, and supporting healthier ageing, especially in older adults.

Experts have urged people to keep an eye on their fingernails, as unusual changes might point to underlying health problems. According to specialists, certain nail colours could indicate the risk of severe illnesses. While some changes may be harmless, specific colour alterations could require medical attention. The American Academy of Dermatology Association (AAD) has outlined concerning nail symptoms on its website.

The organisation stated: "Have you noticed a change to any of your nails lately? A change in colour, texture, or shape can be harmless, but it can also be a sign of disease. If you notice any of the following changes to a fingernail or toenail, it's time to see a board-certified dermatologist."

Fingernails Colour Change: What Changes Could Signal Serious Health Conditions

Based on this advice, AAD specialists recommend watching for these nail colours:

• White
• Half pink, half white
• Yellow
• Dusky red half-moons
• A dark streak

They explained: "Nail colour changes can sometimes reflect conditions inside the body. Certain shades may serve as warning signs for specific diseases."

White Nails: Could Indicate Liver Problems or Diabetes

The AAD points out that nails turning white may be a sign of liver disease or diabetes. In liver disease, this is particularly likely in people with cirrhosis, the most advanced stage of the condition.

However, nails can naturally become whiter with age. Still, it is recommended to have any noticeable changes checked by a healthcare professional.

Half Pink, Half White Nails: Possible Sign of Kidney Disease

Nails that appear half pink and half white may indicate kidney problems. The AAD describes this pattern as “a white colour on the upper part of one or more nails and a normal to reddish-brown colour below.”

Yellow Nails: Could Signal Lung or Circulatory Issues

Yellowing of the nails may be linked to lung disease and could reflect problems in the circulatory or lymphatic systems.

"When these systems don’t function properly, fluid can accumulate in the soft tissues beneath the skin, causing nails to turn yellow," explains the Cleveland Clinic. That said, yellow nails can also result from fungal infections or smoking.

Dusky Red Half-Moons: Potential Early Sign of Cancer

The AAD warns that a new or changing dark streak under a nail could indicate cancer, particularly melanoma, which is the most dangerous form of skin cancer. The NHS also advises seeing a GP if “you have a dark area under a nail that has not been caused by an injury.”

Dark Patches Under the Nails: When to Seek Immediate Care

Noticing a dark patch beneath your nail may point to skin cancer. Experts recommend visiting a GP as soon as possible if this occurs.

Other Nail Colours To Watch

Additional nail colours that may indicate health issues, according to the AAD, include:

• Blue nails: Could indicate insufficient oxygen in the blood.
• Pale nails: Might point to anaemia.
• Blue half-moons: Could suggest exposure to toxins or poisoning.