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!

Asthma is often thought of as an "outdoor" problem, with triggers such as smog, pollen, or car exhaust. But for many, the real danger may be sitting right there on the sofa or hiding under the sink.

The chronic condition affects over 260 million people. It is also responsible for over 450,000 deaths each year worldwide.

If you're doing everything right with your inhaler but still feel that tightness in your chest, it’s time to look at silent indoor triggers.

1. The Bedding "Dynasty"

“It’s a bit unsettling, but your mattress is likely home to millions of microscopic dust mites. They love the warmth and humidity of a bed. You won't see them, but you’ll feel them,” Dr. Sandeep Nayar, Principal Director & HOD - Chest & Respiratory Diseases, BLK Max Super Speciality Hospital, told HealthandMe.

The Fix: Don’t just wash your sheets; use hot water (60°C). If you haven't encased your pillows in allergen-proof covers yet, make that your priority this weekend.

2. Moisture is the Enemy

Dr Nayar said mold isn't always a giant green patch. It hides in the "sweat" behind your wallpaper or the damp corners of a bathroom that doesn't vent well. If a room smells even slightly musty, mold spores are likely in the air.

The Tip: Keep your home's humidity below 50 per cent. A simple dehumidifier can sometimes do more for your lungs than an extra dose of medicine.

3. It’s Not Just the Fur

Many people think "hypoallergenic" pets are the cure. It’s actually a protein in pet saliva and skin flakes (dander) that causes the flare-up.

The Reality: Even if you keep the dog off the bed, dander travels on your clothes. HEPA air purifiers are a must-have if you share your home with a furry friend.

4. The "Clean" Smell Myth

That "fresh lemon" scent or your favorite scented candle? Those are Volatile Organic Compounds (VOCs). To a sensitive lung, those chemicals are irritants, not cleaners.

The Switch: Move toward fragrance-free products. If a cleaning spray makes you cough, your body is telling you everything you need to know.

5. Urban Uninvited Guests

In cities, cockroach droppings are a massive, often ignored asthma trigger. Their proteins mix with household dust and get kicked up every time you walk across the floor.

The Strategy: Seal the cracks in your walls and keep the kitchen bone-dry.

Other asthma triggers include dust mites, pet dander, indoor smoke, and strong cleaning agents that can worsen symptoms over time

How To Prevent Indoor Asthma Triggers

Dr. Manisha Mendiratta, Director & Head - Pulmonology, Sarvodaya Hospital, Faridabad, told HealthandMe that the key is prevention through simple, consistent habits. To make a meaningful difference, the expert urged people to

• ensure good ventilation,
• reduce indoor humidity,
• clean soft furnishings regularly,
• avoid aerosol-based products.
• ise air purifiers,
• keep windows open when possible,
• creating a smoke-free space.

“Most importantly, patients should identify their personal triggers and act early, because managing their indoor environment is just as critical as managing their medication,” added Dr. Mendiratta.

Cancer is a complex disease, and its diagnosis often involves multiple tests, procedures, and high costs. Patients frequently undergo several blood draws and investigations before a clear result is reached.

Now, a revolutionary new low-cost test has shown promise in detecting multiple cancers using just a single blood sample.

Beyond cancer detection, the test may also help identify various liver conditions and organ abnormalities by analyzing DNA fragments circulating in the bloodstream.

The test, developed by scientists at the University of California, Los Angeles, is known as MethylScan. The novel test works by analyzing cell-free DNA, tiny fragments of genetic material released into the blood when cells die.

In early tests, MethylScan detected about 63 per cent of cancers across all stages and roughly 55 per cent of early-stage cancers.

The test, described in the journal Proceedings of the National Academy of Sciences, could offer a powerful and more affordable approach to early disease detection and comprehensive health monitoring.

“Early detection is crucial,” said Dr. Jasmine Zhou, Professor of Pathology at UCLA Health.

“Survival rates are far higher when cancers are caught before they spread. If you detect cancer at stage one, outcomes are dramatically better than at stage four,” Dr Zhou added.

How Does The New Cancer Test Work?

MethylScan studies DNA methylation—chemical tags on DNA that reflect tissue health and can change when disease develops.

Since most circulating DNA comes from healthy cells, advanced machine learning is used to identify subtle disease signals.

The New Cancer Test Is A Health Radar

In the study, MethylScan analyzed blood samples from 1,061 people, including patients with liver, lung, ovarian, and stomach cancers.

For multi-cancer detection, the test achieved a high level of overall accuracy. At a specificity of 98 per cent, meaning few false positives, it detected about 63 per cent of cancers across all stages and roughly 55 per cent of early-stage cancers.

The test also performed well in liver cancer surveillance among high-risk individuals, including those with liver cirrhosis or HBV. It detected nearly 80 per cent of cases at a specificity of just over 90 per cent, meaning a less than 10 per cent false positive rate.

The blood test could also distinguish between different types of liver disease, including viral hepatitis and metabolic-associated liver disease. It correctly classified about 85 per cent of patients, suggesting blood-based DNA testing could reduce the need for invasive liver biopsies.

In addition, the researchers noted that MethylScan can work like a health radar for the body. By reading DNA signals in the blood, it can tell when specific organs, such as the liver or lungs, are under stress or damaged, even without knowing the disease in advance.

“This study demonstrates that blood-based methylation profiling can deliver clinically meaningful information across multiple diseases,” said Zhou. “It’s an exciting advancement that brings us closer to realizing the dream of a single assay for universal disease detection.”

Most people assume dandruff simply means white flakes. In clinical practice, however, we commonly see two different patterns—oily dandruff and dry dandruff. Both can cause flaking and itching, but the scalp environment, type of flakes, and recurrence pattern can differ significantly. Understanding which type you have helps in choosing the right scalp care. Using random shampoos without understanding your scalp often provides only temporary relief, and the flakes keep returning.

Dr Ankur Sarin, Dermatologist at Sarin Wellness and Co-founder, sarinskin.com, in an interview with Health and Me, explained the differences and management approaches.

What Causes Dandruff?

Dandruff is a common scalp condition linked to an imbalance involving a naturally occurring yeast called Malassezia. This organism lives on most human scalps and feeds on sebum, the natural oil produced by the scalp.

In some individuals, the scalp becomes sensitive to the by-products produced when this yeast breaks down sebum. This irritation can lead to inflammation and faster turnover of skin cells.

Normally, scalp skin sheds invisibly. However, when cell turnover speeds up, these cells accumulate and appear as visible flakes. Mild itching, irritation, and redness can also occur. The amount of oil present on the scalp often influences how dandruff appears, which is why the condition can show up as either oily or dry flaking.

Oily Dandruff: When Excess Oil Drives the Flaking

What It Looks Like: Oily dandruff usually appears as yellowish or off-white flakes that look slightly sticky or clumped together. These flakes often stick to the scalp or nails rather than falling freely on clothing.

What It Feels Like: The scalp may feel greasy within one or two days after washing. Itching is usually persistent but moderate. Some people may also notice mild redness.

What’s Happening on the Scalp

Excess sebum creates a favourable environment for Malassezia yeast to grow more actively. Factors that can worsen oily dandruff include:

1. Humid weather
2. Sweating
3. Helmet use
4. Heavy styling products
5. Infrequent scalp cleansing

Simply washing more often or using cosmetic shampoos may remove surface oil temporarily, but they do not control yeast growth, so flakes tend to return quickly.

Dry Dandruff: Fine Flakes That Fall Like Snow

1. What It Looks Like: Dry dandruff appears as fine, powdery white flakes that easily fall onto the shoulders, especially visible on dark clothes.
2. What It Feels Like: The scalp may feel slightly tight or dry. Itching is usually mild to moderate rather than intense.

What’s Happening on the Scalp

Dry dandruff is often confused with simple scalp dryness caused by cold weather, harsh shampoos, or over-washing. However, recurrent fine flaking is still frequently associated with Malassezia-related irritation, even if the scalp does not feel very oily. This means that simply increasing oiling or switching to moisturising shampoos may improve comfort but may not completely resolve the flaking.

Why Each Type Needs Slightly Different Care

The key difference between oily and dry dandruff lies in scalp oil levels and flake texture.

1. Oily dandruff requires controlling excess oil along with antifungal action.
2. Dry dandruff requires maintaining scalp balance without excessive stripping while still addressing yeast activity.

Many regular shampoos simply cleanse the hair. They may wash away flakes temporarily but do not treat the underlying microbial imbalance. For better control, it helps to look for clinically studied antifungal ingredients. One such ingredient is piroctone olamine, which helps reduce the growth of dandruff-associated yeast.

Benefits of Piroctone Olamine in Scalp Care

1. Effective antifungal activity
2. Gentle on the scalp barrier
3. Suitable for regular use
4. Works across different climates and scalp types

Consistent use helps maintain scalp balance and reduce recurrence.

How to Identify Your Dandruff Type

A few simple observations can help:

1. Does your scalp become greasy quickly after washing?
2. Are the flakes sticky and clumped?
3. Or are they fine and powdery?
4. Do flakes persist even when you moisturise the scalp?

A simple home check is to press a small strip of butter paper on the scalp parting. If it quickly shows oil marks, your scalp may lean towards the oily side.

The Takeaway

Checking the ingredient list and using shampoos with proven antifungal ingredients regularly can help maintain long-term scalp health. Consistency matters — because dandruff is a recurring condition that needs ongoing scalp care, not a one-time fix.