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!

A 59-year-old woman came in for a follow-up visit for her shingles. During her appointment, she mentioned a small detail: she'd been feeling some skipped heartbeats, and her heart rate was a bit jumpy.

The woman had some preexisting health issues like being overweight, high blood pressure, high cholesterol, and prediabetes. Her comment about the jumpy heartbeat caught the attention of the doctor.

These small complaints led her doctor to do a more detailed check-up. An EKG, a test that checks the heart's electrical activity, revealed some key signs. The results showed that she had already suffered a heart attack, even though she hadn't felt it.

This was a 2023 case study published in the Cureus, doctors call this a "silent heart attack," or silent myocardial infarction (SMI). Unlike a typical heart attack, a silent one has no symptoms or only very mild ones, so people don't realize what's happening and don't get medical help. These cases are often discovered by chance during a routine check-up.

While you may not have heard of such cases before, they are not as uncommon as you may think they are. According to American Heart Association, of the estimated 805,000 heart attacks each year in US, 170,000 of them are silent heart attacks.

As the name suggests, these attacks are difficult to recognize but not impossible. We spoke to consultant interventional cardiologists Pankaj Vinod Jariwala of Yashoda Hospitals and Dr. P Praveen Kumar of Karpagam Hospital Dr. Krunal Tamakuwala KD Hospital, to understand more about it.

Who Is At Risk for Silent Heart Attacks?

Silent heart attacks are becoming more common, and they aren't just affecting older men. Doctors are now seeing them in people as young as their late 30s and early 40s, especially those with high-stress jobs. Dr Jariwala said, “They mistake early signs for lifestyle issues: acidity after a heavy dinner, shoulder pain from sitting at a laptop, or tiredness from long hours.”

As Dr. Krunal Tamakuwala points out, the real danger is not that these heart attacks are completely "symptomless," but that their symptoms are so common that they are easily ignored. By the time a person finally sees a doctor, their heart may already be seriously damaged. “Sometimes, it arrives silently, hidden behind complaints we consider minor. That is why doctors urge patients not to ignore symptoms that linger or feel unusual, even if they seem harmless at first.” explained Dr Tamakuwala

What Are The Symptoms Of Silent Heart Attacks?

Many people mistake the early signs of a silent heart attack for everyday issues. Symptoms like

• Acidity
• Shoulder pain
• Tiredness

These are often brushed off as normal problems from a busy lifestyle. In places like India, people tend to make the problem worse by self-medicating with antacids or painkillers, which only delays getting proper medical help.

The reason these heart attacks are so confusing is due to something called referred pain. According to Dr. P Praveen Kumar, the nerves that carry pain signals from the heart are the same ones that connect to the stomach, back, and shoulders. This means that a problem with your heart can cause discomfort in another part of your body.

For people with diabetes, the situation is even more complicated. They may not feel the classic chest pain at all because their nerve sensitivity is reduced. For them, a silent heart attack might feel like

• Simple bloating
• Indigestion
• A dull backache.

The key is to remember that not all heart attacks announce themselves with a dramatic crushing pain. Dr Praveen warns, “f these symptoms are joined by sweating, breathlessness, or dizziness, you should seek medical help immediately.”

Doctors emphasize that lifestyle choices are key to keeping your heart healthy. Regular exercise, a balanced diet, quitting smoking, and managing stress are no longer optional, especially in countries like India, where heart disease is affecting younger people. “Everyday aches may feel ordinary, but when it comes to the heart, they could be the difference between early intervention and irreversible damage.”

If you’re someone who loves walking fast and maybe even got teased for it, here’s some good news. A research team from the Department of Pharmacology and Pharmacy at the LKS Faculty of Medicine, University of Hong Kong (HKUMed), has found a strong link between walking speed and cancer risk. According to their study, people who walk at a faster pace have a significantly lower risk of developing cancer, especially lung cancer.

Cancer remains one of the leading causes of death worldwide, with nearly 20 million new cases each year. The American Cancer Society already recommends regular physical activity and strength training to help reduce cancer risk. Walking, being the most accessible form of exercise, has long been at the center of these efforts and now, speed may matter too.

How Walking Fast Can Reduce Cancer Risks

According to Professor Cheung Ching-lung, Associate Professor in the Department of Pharmacology and Pharmacy at HKUMed, walking speed is a quick and reliable measure of physical function. It has long been linked to age-related conditions such as cardiovascular disease, dementia, and even overall mortality.

Recent evidence suggests skeletal muscle may help regulate inflammatory and metabolic pathways, which could explain the biological connection between walking speed and cancer risk. To explore this further, researchers at HKUMed examined the relationship using two approaches: self-reported walking pace among participants in the U.K., and a timed six-meter walking test in Hong Kong.

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The results were striking. Fast walkers in the U.K. showed a 13% lower overall risk of cancer, while participants in Hong Kong recorded a 45% decrease. The most dramatic effect was seen in lung cancer, where the risk dropped by as much as 53%. This points to faster walking as a potential way to protect the respiratory system and lower cancer risk.

“Walking speed may be an important marker of physiological resilience linked to cancer risk,” said Professor Cheung. “The lower levels of inflammation and healthier lipid profiles observed among fast walkers support the idea that they are in better overall health. This makes walking speed a simple yet effective tool for assessing health status.”

Brisk Walking Health Benefits

Walking offers a wide range of health benefits, and it is not limited to improving lung function. It also plays a key role in supporting heart health. Contrary to the popular belief that 10,000 steps a day are essential, research shows you can gain significant health benefits with fewer steps. Studies suggest that even 7,000 steps per day can reduce health risks, while as few as 3,867 steps may lower the risk of death. The message is clear: every step counts. Adding even 1,000 more steps than your usual routine is a practical way to begin.

ALSO READ: 5 Heart Attack Warning Signs Women Often Overlook, Blaming Menopause

Other than that, as per Mayo Clinic, Brisk Walking also has other benefits:

Brisk walking supports heart health, uplifts mood, aids weight management, and lowers the risk of chronic diseases like diabetes, cancer, and stroke. It also strengthens bones and muscles, improves balance, boosts energy and immunity, and sharpens memory and focus.

In his new autobiography Heartbeats, Björn Borg strips away the icy façade that once defined him on court. The book, set for U.S. release on 23 September by Diversion Books, begins with a raw account of his 1990s hospitalization after overdosing on “alcohol, drugs, pills, my preferred ways of self-medication.” It ends with a prostate cancer diagnosis, which he now faces in remission.

“It’s good,” the 69-year-old told The Associated Press in a recent video interview from his Stockholm home, “to have a good beginning and a good ending.” The 292-page memoir is a departure from the silence he cultivated during and after his playing days, offering stories of love, regret, excess and survival.

Walking away from tennis at 25

Borg retired shockingly early, at just 25, after losing both the Wimbledon and U.S. Open finals in 1981 to his rival John McEnroe. While others saw a glittering career still ahead, Borg knew otherwise.

“My head was spinning,” he said. “And I knew I’m going to step away from tennis.”

That decision, he explains, left him unmoored. He returned briefly to the professional circuit in the early 1990s but never again at Grand Slam level. What followed was a long descent into substance abuse.

On court, Borg was famously known as “Ice-Borg”, a man of composure who never flinched. But he reveals that this restraint was a learned skill, born from shame as a 12-year-old banned by his local club for bad behavior.

Off court, that discipline dissolved. By his own account, panic attacks and depression pushed him into cocaine use starting in 1982. “The first time I tried cocaine,” Borg writes, “I got the same kind of rush I used to get from tennis.”

The rush quickly became reliance. “It really destroys you,” Borg said of drugs. “I was happy to get away from tennis, to get away from that life. But I had no plan what to do. I had no people behind me to guide me in the right direction.”

Also Read: “Day by day, year by year,” Is How Bjorn Borg Takes Life After His Prostate Cancer Diagnosis

Overdoses and shame

Borg details two overdoses that landed him in hospital, one in Holland in the early 1990s, and another in 1989 in Milan, which he insists was an accident rather than a suicide attempt. The darkest moment, he admits, came when he awoke in a hospital bed to see his father looking down at him.

“That was the worst shame of all,” he writes.

These incidents, combined with spiraling personal struggles, forced Borg to confront how far he had fallen from the grace of his early sporting stardom.

Name: drops and surreal encounters

Heartbeats is not a typical sports autobiography. Alongside harrowing stories of addiction and recovery, Borg mixes in extraordinary encounters: a water-skiing shoulder injury before the 1977 U.S. Open, receiving death threats during the 1981 U.S. Open, being robbed at gunpoint after accepting payment in cash, and facing coin-throwing spectators in Rome.

The book name-drops Donald Trump, Nelson Mandela, Tina Turner, Andy Warhol, Yasser Arafat, and even “my old friend Hugh Hefner.” These anecdotes place Borg not only in tennis history but within a swirl of 20th-century celebrity and politics.

“People will be very surprised what really happened,” Borg said. “For me to come out after all these years, all I went through, I went through some difficult times, it’s a relief for me to do this book. I feel so much better. No secrets anymore.”

A candid look at survival

The memoir also traces his strained relationships, with parents, with his children, and with his own sense of identity after leaving professional sport. By his account, retirement robbed him of purpose, and drugs filled the void.

Borg acknowledges that his descent was partly a reaction to the structure of his tennis life: “I was happy to get away from tennis … but I had no plan what to do.” Without the rhythm of tournaments and training, he spiraled.

Yet he insists he has rebuilt his life. Now, after cancer treatment, he says he is proud of where he stands: sober, reflective, and still connected to the sport he once dominated.

Looking ahead, without secrets

For Borg, writing Heartbeats is as much about catharsis as it is about record-keeping. He admits that his privacy once shielded him from scrutiny but also kept him trapped in silence about his struggles. Now, at 69, he frames his story differently: beginning with a near-death overdose, ending with cancer remission, and filling the middle with unvarnished honesty.

“I went through some difficult times,” he said, “but now I feel so much better.”

Björn Borg’s memoir offers not just the tale of a tennis great, but a portrait of a man forced to confront addiction, shame, and mortality, and who, at last, seems at peace.