Jail time, like everyone knows, is of course not an ideal situation to be in. However, like all, even the inmates are to be granted their basic rights, which include medical facilities. However, as per the India Justice Report 2025, inmates in Indian jails cannot avail these facilities. Indian jails are overcrowded, and they lack medical and mental health professionals.

Why Are The Numbers Concerning?

The report reveals that the national average occupancy rate of Indian jails are more than 131%. This means that there is of course overcrowding, leading to hygiene concerns, which eventually puts health at risk. The report also noted that India's prison inmate population will reach 6.8 lakh by 2030, while the capacity is only likely to grow to accommodate 5.15 lakh inmates.

This does not stop at space, but to health staff too. For the entire nation's prisoners, there are only 25 psychologists. The report has clearly noted that mental illness cases have risen from 4,470 in 2012 to 9,084 in 2022. On the contrary, the vacancy for medical officers are at 43%.

The report titled the State of Public Health in India's Prison: India Justice Report 2025 - Finding on Gaps in Staffing & Medical Health Care also threw light on the model prison manual, 2016. This sets the benchmark for the prison to doctor ratio, which must be 300 prisoners to 1 doctor. However, the report notes, the national average "far exceeds that, standing at 775 prisoners per doctor."

There is also non-availability of health data on prisoners who enter jail with a disability or those who acquire disability during their time in the prison.

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How Are Inmates Health Impacted?

As aforementioned, overcrowding is also a source of communicable disease. Between 2012 to 2022, there has been a concerning upward shift in prison population. The report reads: "The total number of people incarcerated has gone up from 3.8 lakh to 5.7 lakh; national occupancy rates have spiked from 112% to 131%. Overall, the 27% increase in prison housing capacity between 2012 and 2022 (from 3.4 lakh to 4.3 lakh) has not kept pace with need. Levels of overcrowding have also escalated. For instance, in 2012, Maharashtra averaged a 99% occupancy rate but in 2022, this had increased to 161%,’’

As per the 2023 Lancet Public Health studies, incidence of TB in Indian prisons is 1,076 cases per 100,000 persons in prisons. One of the main reasons is overcrowding. Furthermore, another study published in the International Journal of Infectious Diseases in 2017, notes that diagnostic and treatment services for TB were available in 18% and 54% of prisons respectively. The study noted: "Only half of the prisons screened inmates for TB on entry, while nearly 60% practised periodic screening of inmates."

The study also noted: "Prisons are known to be a high risk environment for tuberculosis (TB) due to overcrowding, low levels of nutrition, poor infection control and lack of accessible healthcare services."

Another report from 2023, published in the Indian Journal of Psychological Medicine, titled Health Status of the Prisoners in a Central Jail of South India, noted "Health care in prisons is one of the neglected health areas in our country."

The study found that 9.6% of the inmates from that particular jail suffered from acute upper respiratory tract infections, 5% from acute lower respiratory tract infections and 18% had ascariasis. "Diseases of musculoskeletal system and connective tissue contributed to 26 (8.7%) of inmates. A total of 252 (84%) prisoners had anemia. In sociodemographic profile, it was found that rural people, unmarried, illiterates, lower socioeconomic status people were more likely to have committed the crime resulting in the conviction for life," the study read.

Another 2023 study published in the International Journal of Conflict and Violence, titled The State of Prisons in India During Covid-19: The Impact on Incarcerated Prisons, noted: "The Coronavirus created an alarming situation in Indian prisons, where overcrowding exacerbated the problems."

The study quoted The Commonwealth Human Rights Initiative (CHRI) report that in the second wave of the pandemic starting 1 March 2021, there were a total of 5,960 infected prisoners and 646 infected prison staff,

with 28 Covid-related deaths of prisoner and six deaths of prison staff. A total of 177,071 prisoners were vaccinated with the first dose and 85,443 had been given the second dose as on September 2021.

"Overcrowding and lack of sanitation and health facilities acted as catalysts in the spread of the virus in prisons," the study pointed out.

Mental Health Of Inmates Stay Ignored

The India Justice Report also pointed out that as of 2022, no State or Union Territory met the benchmark of one psychologist per 500 inmates. Only 69 sanctioned posts for psychologists and psychiatrists are there to cater across India's 1,330 prisons and 5.7 lakh inmates. Not even half of these positions were filled.

Valay Singh, who is the lead author of the India Justice Report said, "The data records the presence of only 25 or one for every 22,929 prisoners. Twenty-five States/ Union Territories make no provision for a psychologist or psychiatrist within their cohort of correctional staff."

Every year in April, IBS Awareness Month puts the spotlight on one of the world's most misunderstood and elusive gastrointestinal disorders—Irritable Bowel Syndrome (IBS). Affecting about 10% of the world's population, IBS has puzzled physicians and researchers for years. Though its chronic and interruptive symptoms—abdominal pain and bloating on one end, constipation and diarrhea on the other—there remains no agreement on what actually triggers it. A new, daring theory is disrupting conventional wisdom by posing an unusual question- Is gravity the hidden culprit behind IBS?

Dr. Brennan Spiegel, a Cedars-Sinai Medical Center physician and researcher in Los Angeles, is leading the way to a new perspective on IBS—one that looks at the constant pull of gravity on our bodies. In the American Journal of Gastroenterology, Spiegel's theory is that IBS could be the body's failure to successfully deal with gravity.

It's an interesting concept. "We spend our whole life in gravity, are formed by it, but barely appreciate its constant effect on our body," Spiegel explained in an interview. "Each strand of our body is touched by gravity every day, from the top of our head to our gastrointestinal tract."

From a scientific perspective, this hypothesis borrows from evolutionary biology and neurophysiology. The human body over millennia has evolved complex systems—musculoskeletal, gastrointestinal, neurological—to deal with the downward pull of gravity. When these systems fail, Spiegel argues, they can initiate not only gastrointestinal symptoms but also a cascade of other complaints—muscle pain, fatigue, changed mood, and more.

What is the Gut-Brain Axis and the Roller Coaster Effect?

At its core is the connection between the gut and the brain—a widely documented characteristic of IBS. Individuals with IBS tend to experience a knotted stomach upon stress or a sensation of "butterflies" in stressful situations. Such gut feeling, as Spiegel speculates, may be attributed to the nervous system's adaptation to threats from gravity, such as the free-falling experience on a roller coaster.

"Our nervous system has mechanisms for perceiving and reacting to changes in gravity," he added. "When it flakes out or overcompensates, it may show up as IBS symptoms." This is related to another fascinating twist: the difference between individuals' reactions to gravitational stress. There are those who love roller coasters; others get nauseated or frantic—implying a continuum of what Spiegel refers to as G-force vigilance.

This might explain why IBS tends to overlap with disorders such as anxiety, depression, fibromyalgia, and chronic fatigue syndrome—all of which could potentially have an underlying sensitivity to gravitational stress.

Link Between IBS and Gravity

Spiegel's theory also explores deeper into anatomy. The abdominal cavity houses heavy organs that need to be "suspended" effectively. Genetic predispositions—lax connective tissues, a weak diaphragm, or spinal misalignments in some—may lead to sagging or movement of organs, including the intestines. The downward movement could affect motility, lead to cramping, and result in bacterial overgrowth—all prevalent in IBS.

In addition, the hypothesis delves into serotonin's role. This mood-regulating neurotransmitter also facilitates balance, blood circulation, and the movement of intestinal contents. "Dysregulated serotonin," Spiegel explains, "could actually be a type of gravity failure," which may connect depression, IBS, and even dizziness in a common physiological cycle.

What It Means for Treatment and Prevention

If confirmed, the gravity hypothesis has the potential to transform how we conceptualize—and treat—IBS. "The beauty of it is that it's testable," said Dr. Shelly Lu, director of the Division of Digestive and Liver Diseases at Cedars-Sinai. Unlike so many vague IBS theories, this one invites us to the possibility of targeted interventions.

This hypothesis can also assist us in better comprehending the reason why exercise, posture correction, core strengthening, and physical therapy work for most IBS sufferers. By fortifying the structural support system of the body, these strategies might decrease gravity's effect on the gut.

Symptoms, Triggers, and the IBS Daily Struggle

IBS is an individualized disease. Symptoms range widely and may include:

• Abdominal bloating, pain, and cramping related to bowel movements
• Alterations in stool appearance or frequency
• A feeling of not fully emptying the bowels, gas, and mucus in stool

Its triggers are also multifactorial. Stress and some foods—dairy, citrus, beans, wheat, and carbonated beverages—may exacerbate symptoms. Although food intolerances are not the cause in every case, many individuals find significant symptom relief through diet, such as a low FODMAP diet.

IBS isn't only an intestinal affliction—it can also blow a person's life off track. Chronic patients usually suffer from complications such as hemorrhoids due to constant diarrhea or constipation, and generally decreased quality of life. Research indicates that individuals with moderate to severe IBS experience three times more work absences compared to others. The psychological price is high too—aún and depression often accompany one another in IBS, one worsening the other.

Could this be the long-lost piece to a hundred-year-old puzzle? Maybe. Although further research is necessary to establish the gravity connection, the theory is already creating new avenues for comprehension and healing.

If you have ongoing digestive problems, see a healthcare provider. IBS is a treatable condition, and treatment options can involve medication, counseling, physical therapy, or dietary changes depending on your individual symptoms.

US childhood vaccination rates have taken a disturbing decline, exacerbated by the disruption caused by the COVID-19 pandemic. It is not simply a statistic—but a warning sign of future health threats. The effects are already being seen, with measles rebounding and potentially the return of other diseases once brought under control, such as rubella and polio. A recent Stanford Medicine study, published in the Journal of the American Medical Association, paints a dire picture: a 10% decline in vaccination rates could result in millions of measles cases over the next 25 years.

The rising danger of preventable illness, and the reason why vaccination is key to protecting public health. From the emergence of vaccine hesitancy to the surging spread of measles.

The drop in childhood vaccinations in the U.S. has been a rising concern among health professionals. Although the disruptions brought about by the COVID-19 pandemic were a major factor, the trend of declining immunization rates is not new. For years, growing vaccine hesitancy, driven by misinformation, political controversy, and skepticism about health systems, has fueled a change in public perception, particularly among parents. Consequently, fewer kids are getting the necessary vaccines and diseases that previously were under control are now being a threat again.

The research done by a group of researchers from Stanford, together with other universities' experts, shows the risk of measles becoming endemic again in the U.S. It might occur in as little as two decades if the vaccination rate is sustained at current levels. Nevertheless, a 10 percent decline in the rate of vaccinations could make things even worse, and millions of individuals could become susceptible to infection, hospitalizations, and death.

Measles is the most infectious disease on Earth, with the potential to spread quickly through populations. Prior to the introduction of the measles vaccine in 1963, the illness was rampant throughout the U.S., affecting millions of individuals annually. Indeed, before the vaccine, an estimated 3 million to 4 million individuals were infected with the disease every year, with 400 to 500 deaths, 48,000 hospitalizations, and 1,000 instances of brain swelling (encephalitis).

As per the CDC, measles remains a lethal disease, primarily for children. It spreads via respiratory droplets when an infected person coughs or sneezes and symptoms may range from fever, cough, runny nose, and a characteristic red, blotchy rash. As the disease is vaccine-preventable with the MMR (measles, mumps, rubella) vaccine, unvaccinated individuals are at the greatest risk of being infected and infecting others.

The recent study by Stanford researchers utilized large-scale epidemiological modeling to simulate how infectious diseases like measles would spread across the United States based on different levels of childhood vaccination coverage. The results are concerning. Even at current vaccination rates, the study suggests that measles could re-emerge as an endemic disease in the U.S. within the next two decades. A mere 10 percentage point reduction in vaccination coverage would accelerate this process significantly, potentially resulting in millions of measles cases in the next 25 years.

Dr. Nathan Lo, a Stanford physician and the study's senior author, underscored the seriousness of the situation. "Our nation is at a tipping point for measles to become a routine household disease again," he said. "The declining routine childhood vaccinations, coupled with increasing vaccine hesitancy, may send us to a place we were working to avoid for decades."

Vaccine Hesitancy and Its Contribution to the Measles Outbreak

The problem of vaccine hesitancy has been a major contributor to the fall in immunization rates. The disinformation regarding the safety and effectiveness of vaccines has instilled fear and confusion, particularly among parents. A KFF survey published in 2025 found that more than half of adults were unsure about whether to believe assertions about the risks of the measles vaccine—assertions that have been magnified by anti-vaccine personalities, such as Robert F. Kennedy Jr.

This widespread misinformation has caused many to doubt the necessity of vaccines for diseases no longer perceived as a threat, like measles. But as recent outbreaks have shown, measles is hardly eradicated and still poses a lethal threat, especially to vulnerable groups like infants, immunocompromised individuals, and the unvaccinated.

Recent measles outbreaks in the U.S. are stark reminders of the risks of low vaccination levels. In 2025 alone, the nation has already seen some 800 cases of measles, the most in a single year since 2019. The largest outbreak took place in West Texas, which had over 620 cases, 64 hospitalizations, and two deaths. These outbreaks are a wake-up call that the U.S. is not immune to outbreaks of this extremely contagious disease.

According to Mathew Kiang, a study co-author, "The impact of waning vaccinations won't be sudden, but the aggregate effect could be devastating. If we do not take action now, we can expect millions of measles cases in the coming years."

What Can Be Done to Prevent a Measles Crisis?

Although the situation is grim, there is hope. Specialists such as Dr. Lo and Kiang propose that even slight increases in vaccination rates could make a significant difference in preventing the spread of measles and other preventable illnesses. A 5 percent boost in vaccination coverage could avert a sharp spike in cases, safeguard vulnerable populations, and ultimately save lives.

Health professionals remind parents to discuss with pediatricians the value of vaccinations and have faith in healthcare professionals' recommendations. Public health officials and policymakers also need to act to address vaccine misinformation and make sure vaccination mandates for school entry are intact.

This study's findings highlight the crucial role that vaccination plays in protecting public health. By potentially preventing millions of cases and countless fatalities, high vaccination coverage needs to be sustained. With the U.S. still struggling to deal with the consequences of declining vaccine coverage, it is vital that both the public and policymakers take proactive measures to ensure that such diseases as measles do not experience a resurgence.

The decision to vaccinate is such a simple choice, but the difference it makes can be gargantuan. It is incumbent on all of us—parents, medical practitioners, and members of society—to take our turn in safeguarding the next generation against the ruining effects of vaccine-preventable diseases. As Dr. Lo highlighted, "Increasing vaccination levels by just 5% can make a world of difference in keeping these diseases at bay."

Every year on 25 April, World Malaria Day is observed to raise awareness about one of the deadliest yet preventable diseases. As per the World Health Organization (WHO), there were 263 million malaria cases and 5,97,000 malaria deaths across 83 countries in 2023. The WHO African Region carries a disproportionately high share of the global malaria burden. As per the numbers, this Region was home to 94% of the malaria cases, accounting for 246 million and 95% of malaria deaths. Children under 5 accounted for about 75% of all malaria deaths in the Region.

Ahead of World Malaria Day, WHO also called for renewed efforts at all levels - from global policy to community action to accelerate progress towards eliminating malaria.

World Malaria Day 2025 Theme

This year, WHO has joined the RBM Partnership to End Malaria and other partners in promoting: "Malaria Ends With US: Reinvest, Reimagine, Reignite". This is a grassroot campaign that aims to re-energize efforts at all levels, from global policy to community action, to accelerate progress towards malaria elimination.

World Malaria Day History

World Malaria Day was first celebrated internationally in 2008, building upon the earlier "Africa Malaria Day", which had been observed b African countries since 2001. The date, April 25, was established by WHO in 2007 during the World Health Assembly. In 2007, it was the 60th session of the World Health Assembly where the proposal to rename Africa Malaria Day to World Malaria Day was made to acknowledge the global presence of malaria.

World Malaria Day Significance

The day has a strong significance in healthcare as it brings attention to the disease that still continues to take so many lives, especially in low-income and tropical regions. It also serves as an important reminder to continue spreading awareness about the disease as well as promoting its prevention, treatment and continuous international cooperation to fight against it.

What Is Malaria?

The WHO describes malaria as a life-threatening disease spread to humans by some types of mosquitoes, mostly found in tropical countries. However, they are preventable and curable.

WHO notes: "Malaria is spread to people through the bites of some infected anopheles mosquitoes. Blood transfusion and contaminated needles may also transmit malaria. The first symptoms may be mild, similar to many febrile illnesses, and difficult to recognize as malaria. Left untreated, P. falciparum malaria can progress to severe illness and death within 24 hours.

There are 5 Plasmodium parasite species that cause malaria in humans, and 2 of these species – P. falciparum and P. vivax – pose the greatest threat. P. falciparum is the deadliest malaria parasite and the most prevalent on the African continent. P. vivax is the dominant malaria parasite in most countries outside of sub-Saharan Africa. The other malaria species which can infect humans are P. malariae, P. ovale and P. knowlesi."

What Are The Symptoms?

The early symptoms are fever, headache and chills, which can usually start within 10 to 15 days of getting bitten by an infected mosquito.

Some types of malaria can cause severe illness and death. Infants, children under 5 years, pregnant women, travellers and people with HIV or AIDS are at higher risk. Severe symptoms include:

• extreme tiredness and fatigue
• impaired consciousness
• multiple convulsions
• difficulty breathing
• dark or bloody urine
• jaundice (yellowing of the eyes and skin)
• abnormal bleeding