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!

Convenience foods have become the defining feature of urbanization. From ready-to-eat breakfasts to microwavable dinners and takeaway lunches, packaged food fits into all our lives.

But behind this convenience, what lies underneath are the tiny plastic particles, also referred to as microplastics, which are accentuating health concerns across the globe. Unknowingly, these microplastics are seeping through the plastic cutlery, food packaging, etc., potentially into our bodies. Plastics have been widely used for ages due to their higher affordability, durability, and extensive applications in various industries.

What Are Microplastics?

As per a recent literature quoted by Zhang et al. 2025, only about 20% of the plastic waste produced is recycled, whereas the rest is either abandoned in landfills or dispersed into the environment. Microplastics are the new emerging pollutant category in the modern era, raising prominent concerns in both health & environmental contexts. As per scientific literature, microplastics are plastic fragments with a diameter of less than 5mm.

Food Packaging Contributes to Microplastic Exposure

Plastic food packaging dominates the global food system, since it can be designed in any form (container, wrapper, pouch, etc) while keeping food fresh for longer periods.

Microplastics are released from food packaging(s), especially when they are exposed to prolonged heat, abrasive forces, and undue environmental stresses. Heating and/or reheating food in plastic containers or choosing to decant packaged food commodities in plastic containers and maintaining them under unfavorable circumstances can all increase the likelihood of microplastic release.

Bottled Water and Everyday Sources of Microplastics

Bottled water has also proven to release thousands of microplastic particles into the water they contain when exposed to sunlight/ heat. We never give a thought to such bottles being sold by the roadside vendors, wherein these plastic bottles are hung for indefinite days on that kiosk.

Those bottles are in constant light exposure all day without even pondering about the ill effects it may cause to the consumers. Similarly, single-use tea bags have also been shown to release billions of microplastics when steeped in hot water. These findings highlight a troubling paradox that products marketed for convenience and safety may be introducing new risks that consumers never thought about.

What Does Research Say About Health Risks?

The health implications of ingesting microplastics remain an active area of research, but early findings are enough to raise concerns. Studies have demonstrated microplastics in human blood, lungs, and even placental tissue. This suggests that upon ingestion, these particles may not simply pass through the body. Instead, they would accumulate in tissues or interact with biological systems in ways that are not yet fully explored.

One of the major health implications pertaining to microplastic ingestion is inflammation. These particles can trigger irritation in tissues, eventually impacting the immune responses.

Plastics often contain additives in the form of plasticizers, etc., which may disrupt hormone function and impair the normal cellular function.

Infants and children are more often vulnerable as their food is also packed in plastic packaging or containers (like plastic sippers, feeding bottles, baby food pouches, etc.), raising long-term exposure risk during critical stages of growth.

Steps to Reduce Microplastic Exposure

The issues relating to plastic usage also reflect a broader tension in the modern era, where convenience seems to intersect with health! For people or families juggling work and financial burdens, avoiding packaged foods mostly sounds unrealistic.

Still, some small and consistent actions can help us reduce the exposure to microplastics, like opting for glass or paper packaging wherever possible. Avoiding heating food in plastic containers or opting for biodegradable packaging options could prove to be beneficial in the future. Though microplastics are invisible to our naked eyes, what we do next to curb them would help us shape a healthy future.

Are you aware? Scientific insights are helping people of all ages understand heart health better and take the right steps at the right time. Heart health is no longer a concern only for older adults. So, people across all age groups are at risk of developing Heart Disease because of changing lifestyles, stress, and unhealthy habits.

So, here, science plays a pivotal role. With the help of improved research, advanced diagnostics, and increased awareness, science is helping individuals understand their risk factors early and take preventive steps before serious complications arise.

Heart Disease Can Begin Earlier Than You Think

Heart disease is commonly seen in people of all age groups. So, according to scientific research, heart disease develops gradually over time. Early markers such as high cholesterol, blood pressure, and poor lifestyle habits can begin affecting the body even in the 20s or 30s and lead to a poor quality of life.

Today, advanced screening tools and regular health check-ups make it possible to detect these risks early and initiate timely intervention.

Prevention Strategies

For youngsters, science tends to highlight the importance of prevention through healthy eating, regular exercise, quitting smoking, and alcohol. When it comes to middle-aged adults, monitoring conditions like diabetes, hypertension, and cholesterol can help save the heart.

In older adults, it will be necessary to manage existing conditions like diabetes and high blood pressure and prevent heart attacks or stroke.

How Technology Is Transforming Heart Care

Moreover, you will also have to understand that genetics also plays an important role. Scientific advancements help doctors identify individuals with a family history of heart disease and guide them with individualized treatment care plans for outcomes.

Currently, you will be surprised to know that modern science has also shed light on the importance of lifestyle in maintaining heart health. So, opting for wearable devices, health apps, and regular screenings helps track heart rate, physical activity, and prevent any concerning heart problems in people.

Robotic surgeries are now enabling heart patients to recover more quickly and provide benefits such as shorter hospital stays, minimal blood loss, and are extremely safe.

Hence, by understanding risk factors, adhering to healthy habits, and undergoing regular check-ups as advised by the doctor on a yearly basis, individuals can take control of their heart health.

Inflammatory Bowel Disease (IBD) is no longer a rare disease in India. Over the last decade, gastroenterologists across the country have seen a steady rise in patients suffering from ulcerative colitis and Crohn’s disease, the two main forms of IBD.

Yet despite increasing numbers, awareness about the disease remains surprisingly poor. Many patients continue to suffer silently for years because their symptoms are misunderstood, ignored, or mistaken for other common intestinal illnesses.

What Is IBD?

IBD is a chronic inflammatory condition of the digestive tract caused by an abnormal immune response. Unlike routine stomach infections, it is not simply a “bad stomach” or food-related issue.

Patients commonly experience persistent diarrhea, blood in stools, abdominal pain, weight loss, fatigue, and loss of appetite. In children and young adults, it may also affect growth, nutrition, and quality of life.

Why Diagnosis Is Often Delayed

Unfortunately, in India, these symptoms are often initially treated as recurrent food poisoning, piles, irritable bowel syndrome, or intestinal infections. Many patients repeatedly receive antibiotics without proper evaluation.

Some even undergo unnecessary treatments before finally reaching a specialist. This delay in diagnosis can lead to severe complications, including intestinal strictures, fistulas, malnutrition, hospitalization, and the need for surgery.

IBD vs Intestinal Tuberculosis

One major reason for underdiagnosis is the overlap of symptoms with intestinal tuberculosis, which remains common in India. Distinguishing Crohn’s disease from intestinal TB can sometimes be extremely challenging, even for experienced doctors.

As a result, some patients are unnecessarily started on anti-tubercular therapy while their actual disease continues to progress silently.

Another important issue is stigma. Many patients hesitate to discuss bowel-related symptoms openly due to embarrassment. Young individuals, especially, may ignore rectal bleeding or chronic diarrhea for months, assuming it is temporary or stress-related. Social media misinformation and self-medication further worsen the problem.

When Should You Seek Medical Attention?

The good news is that treatment options for IBD have improved tremendously. Modern therapies, including biologic medications, advanced endoscopy, nutritional therapy, and personalized treatment strategies, now allow many patients to live completely normal and productive lives. Early diagnosis is the key.

Persistent bowel symptoms lasting more than a few weeks should never be ignored, especially if associated with bleeding, weight loss, anemia, or nighttime symptoms.

India urgently needs greater public awareness about IBD. Equally important is timely referral to gastroenterologists and access to proper diagnostic facilities such as colonoscopy, imaging, and histopathology. IBD is not merely a stomach problem — it is a lifelong immune-mediated disease that requires understanding, long-term care, and compassionate management.