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!

Sleep takes up nearly one-third of a person’s life, yet many still wonder what really happens while we rest. Until the mid-20th century, scientists believed sleep was simply a time when the body and brain shut down.

Research now shows that sleep is far from passive, it’s an active, restorative process essential for mental and physical health. As Johns Hopkins neurologist and sleep expert Dr. Mark Wu explains, the brain remains deeply engaged during sleep, performing vital tasks that influence memory, mood, and overall well-being.

The Stages of Sleep

Experts say the human sleep cycle has four main stages that repeat throughout the night. The first three make up non-rapid eye movement (non-REM) sleep, while the fourth is REM sleep, the stage most closely linked with dreaming.

In the first stage of non-REM sleep, the brain and body begin to shift from wakefulness to rest. Brain activity slows, muscles relax, and it is common to experience small, sudden twitches.

During the second stage, the body’s temperature drops slightly, and breathing and heart rate slow. Brainwaves continue to decelerate, though quick bursts of activity may still appear as the brain processes and stores information.

The third stage marks deep sleep, which is the most restorative phase. Here, the body fully relaxes, and the heart rate, breathing, and brain activity reach their lowest levels. This stage is crucial for waking up feeling refreshed and for healing and repair processes throughout the body.

The final stage is REM sleep, which begins about 90 minutes after you fall asleep. It starts short, roughly 10 minutes, but lasts longer with each cycle. During REM, the eyes move rapidly beneath the eyelids, breathing quickens, and heart rate and blood pressure rise to near waking levels. This is when most dreaming occurs. Interestingly, as people age, the amount of REM sleep they experience gradually decreases.

How The Body Regulates Sleep

According to Dr. Wu, two main forces govern sleep: the circadian rhythm and the body’s sleep drive.

The circadian rhythm acts as the body’s internal clock, controlled by a cluster of brain cells that respond to light and darkness. This rhythm triggers the release of melatonin at night and halts it when morning light appears. People who are completely blind often struggle with sleep because their brains can’t register these light cues properly, as per the John Hopkins Study.

The sleep drive works much like hunger. The longer you stay awake, the stronger your urge to sleep becomes. Unlike hunger, though, your body can override your willpower, if exhaustion sets in, it can force sleep to happen, even during daily activities or while driving. In extreme fatigue, brief “microsleep” moments lasting just a few seconds can occur without a person realizing it. However, taking long naps later in the day can reduce this natural sleep pressure, making it harder to fall asleep at night.

Why Sleep Matters For Your Brain

Anyone who has felt mentally sluggish after a sleepless night knows how strongly rest affects the brain. Adequate sleep is key to brain plasticity—the ability to learn, adapt, and form memories. Without it, the brain struggles to retain new information and perform cognitive tasks. Scientists also believe that deep sleep allows the brain to clear out toxins that build up during waking hours, improving long-term brain health.

Sleep impacts far more than the mind. Poor sleep can worsen conditions like depression, high blood pressure, migraines, and even seizures. It weakens the immune system, leaving the body more vulnerable to infection. Metabolism also suffers, as just one night without enough rest can temporarily throw the body into a prediabetic state.

As Dr. Wu explains, “There are countless ways sleep supports health.” From mental clarity to physical repair, the hours we spend asleep are some of the most important for keeping the body and brain functioning at their best.

When COVID-19 first emerged, it was largely seen as a respiratory illness. Over time, doctors discovered that the virus can affect nearly every major organ, including the heart, kidneys, liver, and skin. While cough, fever, and fatigue remain common signs, some people also develop unusual skin reactions. So, can COVID-19 actually lead to rashes? Here’s what experts have found.

Can COVID-19 Really Cause Rashes?

When COVID-19 first emerged, it was largely seen as a respiratory illness. Over time, doctors discovered that the virus can affect nearly every major organ, including the heart, kidneys, liver, and skin. While cough, fever, and fatigue remain common signs, some people also develop unusual skin reactions. So, can COVID-19 actually lead to rashes? Here’s what experts have found.

What Do COVID-19 Rashes Look Like?

Skin changes linked to COVID-19 are not among the most common symptoms, but they do occur. These rashes may appear on the neck, mouth, or toes and are often caused by inflammation in the body, as per Health website. They can look like flat or raised patches, small round spots, or itchy bumps. In some people, these rashes appear while they’re infected; in others, they show up weeks later.

Why Do These Rashes Occur?

Researchers believe COVID-related rashes are connected to how the virus interacts with the body’s ACE2 receptors, which are found in the skin. When the virus attaches to these receptors, it can trigger the release of inflammatory proteins called cytokines. This inflammation may lead to skin irritation, itchiness, or lesions.

Common Types of COVID-19 Rashes

1. COVID Toes

One of the most recognized skin signs of the virus, “COVID toes,” resembles chilblains, which are cold-weather sores. They appear as pink, red, or purple patches, sometimes with swelling or blistering. This condition is seen more often in younger people and may occur even after other symptoms fade.

2. Hives (Urticaria)

Hives tend to appear suddenly and can spread across any part of the body. They’re itchy, raised, and may come and go within hours or days.

3. Neck Eczema

Some people develop eczema-like rashes on the neck, chest, or trunk during or after COVID-19. The patches can be itchy and vary in color depending on skin tone—pink on lighter skin and brown, gray, or purple on darker skin.

4. Oral Rash

COVID can also cause soreness or peeling inside the mouth or on the lips. The area may feel dry, irritated, or scaly as it heals.

5. Vesicular and Papular Rash

These small, itchy bumps can be filled with fluid (vesicular) or solid (papular). They may appear anywhere on the body and are often linked with ongoing inflammation.

6. Pityriasis Rosea

This condition begins with a single large patch on the chest, back, or abdomen, followed by smaller spots that form a tree-like pattern. Though harmless, it can take several weeks or months to fade.

7. Purpuric or Vasculitic Rash

These rashes appear as dark, bruise-like spots caused by small blood vessel damage under the skin. The color may range from red and purple to brown or black, depending on skin tone.

How Long Do COVID Rashes Last?

The duration depends on the type of rash and the person’s immune response. Most clear up within 2 to 12 days, but some, especially in long COVID cases, may persist for weeks.

How Are COVID Rashes Treated?

Many rashes resolve without any special treatment. To relieve itching or pain, applying mild hydrocortisone cream can help. For more severe or persistent cases, doctors may recommend:

• Antihistamines to reduce itching
• Corticosteroids to lower inflammation
• Blood thinners if the rash is linked to blood vessel irritation

Your doctor will determine the safest treatment depending on the type of rash and overall health.

Disclaimer: This article is for general informational purposes only and should not be considered medical advice. Always consult a qualified healthcare professional before starting, stopping, or changing any medication, or if you experience any unusual symptoms or side effects.

It is a common theme for people to feel down and sad in winter. However, why do shorter, colder days often bring on feelings of loneliness and gloom? There is a biological reason behind it. As the days get shorter, many people feel a dip in energy or mood, but for millions, this signals Seasonal Affective Disorder (SAD), which is a serious form of depression that shouldn't be ignored. Experts from West Virginia University (WVU) caution that SAD symptoms are very similar to major depressive disorder and must be taken seriously.

What Causes SAD?

SAD is much more than just feeling down when it gets dark. It's a genuine type of depression most often seen during the winter months, especially in places far north where daylight is scarce. The basic problem is simple: less natural light hits your eyes. This drop in sunlight confuses your brain's chemistry.

It messes with two vital brain chemicals: serotonin, which helps stabilize your mood, and melatonin, which controls when you sleep and wake up. This lack of light also throws off your body's internal clock, called the circadian rhythm. When all these elements get disrupted, it triggers feelings of low energy and depression.

What Are The Symptoms Of SAD?

SAD involves a cluster of symptoms that persist and significantly interfere with your daily life. The pattern is usually predictable: symptoms begin in the fall, peak in the winter, and disappear by spring. Symptoms often include:

• Feelings of hopelessness.
• Loss of interest in activities you once enjoyed.
• Significant changes in sleep (often sleeping more, or having disrupted sleep).
• Changes in appetite or increased food cravings.
• Difficulty concentrating and persistent fatigue.

The risk of SAD is higher among younger people, women, and those with a family history of mood disorders.

Can You Treat/Prevent Seasonal Affective Disorder?

Because Seasonal Affective Disorder is highly predictable, experts advise starting preventative treatments early in the fall. Seeing a healthcare provider is essential to determine the best plan and timing for treatment, rather than waiting for severe symptoms to appear later in winter.

Light Therapy

This involves sitting daily before a special light box emitting 10,000 lux of bright white light. Doing this for 30 to 60 minutes each morning is the most common and effective treatment for SAD, as it helps correct the imbalance caused by reduced sunlight exposure.

Cognitive-Behavioral Therapy (CBT)

This form of talk therapy teaches you practical skills to manage negative thinking patterns and behaviors linked to depression. CBT helps individuals reframe their outlook on winter and build effective coping mechanisms to reduce the impact of SAD symptoms.

Medication

In certain situations, a healthcare provider may prescribe antidepressant medication to help regulate mood-affecting brain chemicals like serotonin. This is often considered alongside light therapy or counseling, especially if symptoms of depression are severe or persistent.

Lifestyle Changes

Simple daily habits are powerful tools. Regular exercise boosts mood and energy, while maintaining a consistent sleep schedule keeps your body's internal clock stable. These practical steps offer significant support alongside clinical treatments.