In many parts of rural India, women are facing a grim choice: keep their uterus and lose wages every month due to painful, heavy periods—or undergo a hysterectomy, a permanent surgery to remove the uterus, sometimes even in their early 30s. This quiet but serious epidemic has been unfolding for years.

According to the National Family Health Survey (NFHS-5, 2019-21), nearly 10% of Indian women aged 40–49 years had already undergone a hysterectomy. In states like Andhra Pradesh (22.5%), Telangana (21.2%), Bihar (17.2%) and Gujarat (11.7%), the numbers were far higher. More worrying is the median age, just 34 in rural India, more than a decade before natural menopause.

The Link Between Periods, Wages, and Surgery

For many rural women, particularly agricultural workers, menstruation is not just a health event but an economic setback. Migrant sugarcane workers in Maharashtra’s Beed district provide a stark example: here, hysterectomy prevalence was found to be as high as 56% in 2024, with women opting for the surgery at an average age of 35.

The reason is brutally pragmatic. Agricultural contractors often penalize women who take time off for menstruation. Period pain, excessive bleeding, and taboos around hygiene in the fields make working conditions even harder. In such an environment, hysterectomy is sold as a “permanent solution”, a way to eliminate menstrual problems and keep working without interruption.

A recent study published in Social Science & Medicine also notes that this pattern is echoed in Telangana and Bihar, where women agricultural workers also show higher hysterectomy prevalence. Studies reveal that many women are advised surgery by private doctors even for common issues like abdominal pain or white discharge, often without being informed of alternatives.

The Price of Early Hysterectomy

While hysterectomy can be medically necessary in certain cases, such as large fibroids, severe prolapse, or cancer, it is far from harmless when performed at a young age. The removal of the uterus, especially when combined with ovary removal, induces early menopause, triggering a cascade of health risks.

Research has linked early hysterectomy to:

• Cardiovascular diseases and metabolic disorders
• Bone density loss, raising fracture risk
• Pelvic organ prolapse and urinary tract issues
• Thyroid and urinary tract cancers
• Mental health concerns, including depression and anxiety

In essence, what appears to be a short-term fix to save wages ends up cutting into a woman’s long-term working life and overall quality of life.

A System That Encourages Surgery

Part of the problem lies in India’s healthcare structure. As per NFHS-5, about 70% of hysterectomies were carried out in private clinics. Research in Andhra Pradesh found that women as young as 20 were recommended hysterectomy for routine gynecological complaints, reflecting both a profit motive and lack of awareness.

Insurance schemes also play a role. Data shows that women with health insurance were more likely to undergo hysterectomy. Reports suggest that some private hospitals encourage the surgery because insurance covers it, making it financially attractive for providers.

The National Health Authority has flagged suspiciously high hysterectomy claims under Ayushman Bharat, which at one point accounted for nearly 2% of all female claims. In response, stricter pre-authorization rules were introduced, including mandatory second opinions for women under 40.

Why Women Agree: Pragmatic Agency, Not Just Victimhood

While it is easy to frame rural women as victims of predatory healthcare, research tells a more nuanced story. A 2015 study in Social Science & Medicine highlighted how women often exercised “pragmatic agency.” They weighed their options, continued monthly suffering, missed wages, social stigma of menstrual restrictions, against the perceived relief of hysterectomy. With limited non-surgical options offered by doctors and little awareness of long-term side effects, many saw it as their best way forward.

In interviews, women described themselves not just as patients but as workers and caretakers. Their health decisions were shaped less by medical advice and more by economic necessity, gendered expectations, and the absence of supportive healthcare alternatives.

Cancer deaths in the United Kingdom have dropped to their lowest recorded levels, according to new data from the charity Cancer Research UK. The figures show that cancer death rates have fallen by 11 per cent in the past decade, reflecting progress in early detection, screening, treatment and prevention.

Researchers estimate that around 247 people in every 100,000 in the UK now die from cancer each year. This is a significant decline from the peak recorded in 1989, when about 355 people per 100,000 died annually from the disease. Overall, that represents a 29 per cent reduction over the past few decades.

Experts say this steady improvement is the result of sustained scientific progress, improved healthcare systems and public health measures that target risk factors such as smoking.

Major Declines In Several Common Cancers

The new data highlights falling death rates across several major cancers. Ovarian cancer deaths have dropped by 19 per cent over the past ten years, up to 2024. Lung cancer deaths have fallen by 22 per cent during the same period, reflecting the long-term impact of reduced smoking rates and better treatment options.

Deaths from stomach cancer have seen one of the most dramatic improvements, dropping by 34 per cent in the past decade. Bowel cancer deaths have decreased by six per cent, while breast cancer deaths have fallen by 14 per cent.

Other cancers have also seen notable declines. Cervical and prostate cancer deaths have both dropped by 11 per cent. Deaths from leukemia are down by nine per cent, while esophageal cancer deaths have fallen by 12 per cent.

Experts say improved diagnosis, new therapies and better awareness are playing a key role in these trends.

Screening And Vaccination Making A Difference

One of the biggest public health successes has been the decline in cervical cancer deaths. Since the 1970s, deaths from cervical cancer have fallen by around 75 per cent in the UK. Health experts attribute much of this progress to the national cervical screening programme run by the NHS.

Screening helps detect abnormal cells early, allowing treatment before cancer develops or spreads.

Another major contributor is the human papillomavirus vaccine, commonly known as the HPV vaccine. The vaccine protects against the virus responsible for most cervical cancer cases. It is routinely offered to schoolchildren in the UK, and since its introduction in 2008, at least 6.5 million young people have received it.

Public health experts believe the vaccine will continue to reduce cervical cancer rates in the coming decades.

Some Cancer Death Rates Still Rising

Despite the overall progress, the data also shows worrying increases in deaths from certain cancers. Gallbladder cancer deaths have risen by 29 per cent, while deaths from eye cancer have increased by 26 per cent.

Liver cancer deaths are up by 14 per cent, and kidney cancer deaths have risen by five per cent. Meanwhile, death rates for thyroid cancer, pancreatic cancer and melanoma have remained largely unchanged.

Another important trend is that the total number of people dying from cancer continues to rise. This is largely due to population growth and an ageing population, as cancer risk increases with age.

Calls For More Research And Clinical Trials

Experts say the long-term decline in cancer deaths reflects decades of medical research and innovation. However, they stress that continued investment is necessary to sustain progress.

Cancer Research UK researcher Dr Sam Godfrey said the figures show the impact of scientific breakthroughs over many years. He has called on the government to support more clinical trials and ensure that NHS staff have enough time and resources to take part in life saving research.

Public health policies such as smoking bans, along with screening programmes and vaccines, are also credited with helping drive down cancer deaths across the country.

Are you in the habit of catching up on social media or news updates while sitting on the pot? A new study shows you may be "unintentionally" spending extra time and increasing your risk of developing painful hemorrhoids by 46 percent.

The study, published in the open-access journal PLOS One, explained that getting distracted by news or social media can increase pressure on sensitive anal tissues, which leads to hemorrhoids.

Hemorrhoids, also called piles, are swollen and inflamed veins around your anus or in your lower rectum.

"Using a smartphone while on the toilet was linked to a 46 percent increased chance of having hemorrhoids. We're still uncovering the many ways smartphones and our modern way of life impact our health,” Trisha Pasricha, from the Beth Israel Deaconess Medical Center in the US.

“It's possible that how and where we use them -- such as while in the bathroom -- can have unintended consequences," she added.

For the study, the researchers examined data from colonoscopies of 125 adults in America, and conducted an online survey to understand their lifestyle habits and behavior while using the toilet.

Two-thirds of the participants reported using their smartphones while on

the toilet. Compared with those who did not, endoscopists found that they had a 46 percent higher risk of hemorrhoids.

Longer Toilet Time And Mobile Scrolling

More than a third of bathroom smartphone users reported spending more than five minutes there during a single visit -- reading news (54.3 percent), or browsing social media (44.4 percent).

In comparison, just 7.1 percent of non-users reported staying that long.

"Smartphone use may unintentionally extend the time people spend sitting on the toilet. Sitting for longer periods could increase pressure on tissues in the anal region, which may contribute to the development of hemorrhoids,” the researchers said.

Pasricha suggested individuals leave smartphones outside the bathroom to understand the actual time it takes for a bowel movement.

"If it's taking longer, ask yourself why. Was it because having a bowel movement was really so difficult, or was it because my focus was elsewhere?" she said, calling for more studies.

Hemorrhoids: The Symptoms, Risk Factors

Studies estimate that hemorrhoidal disease affects 40% of people all over the world, and it is one of the most common diseases in the anorectal region.

The two types of hemorrhoids are:

• external hemorrhoids -- under the skin around the anus
• internal hemorrhoids -- in the lining of the anus and lower rectum

• bright red rectal bleeding during bowel movements,
• anal itching or irritation, pain or discomfort (especially while sitting),
• swelling or hard, tender lumps around the anus

• straining during bowel movements
• sitting on the toilet for too long
• chronic constipation or diarrhea
• eating low fiber foods
• older age >50
• pregnancy
• lifting heavy objects

• consume 25-35g of fiber daily,
• drink 6-8 glasses of water,
• avoid straining,
• limit toilet time to under five minutes
• do not delay bowel movements,
• maintain hygiene.

Iran's capital Tehran was engulfed in a black cloud of toxic smoke. This also unleashed a black rainfall on Sunday after overnight Israeli strikes on several fuel depots caused fires to burn for hours. Images have come from across the city of Tehran. These images show thick black smoke from the fires hanging over it. Residents have also reported difficulty breathing and oil-tainted rainfall staining everything around them.

As per a TIME report, Iran's Red Crescent Society warned the residents of Tehran and the surrounding region that the rainfall after the strikes could be "highly dangerous and acidic", and could cause "chemical burns of the skin and serious damage to the lungs".

Many have complained about breathing problems, along with headache, feeling dry and sore lips, and feeling like burn in the eyes and constant itch in the throat.

What Does The Toxic Rain Fall Contain?

Iran's Red Crescent Society issued statements on Telegram that the rain could be contaminated with "toxic hydrocarbon compounds" as well as "sulfur and nitrogen oxides".

What Are The Health Risks?

As per a report by The Conversation, people exposed to the black smoke in Iran could experience headaches or difficulty in breathing, especially if they have asthma or a lung disease.

People who are more prone to health issues are older people, young children, anyone with disabilities and pregnant women. This could also lead to lower birth weights.

Since the thick black cloud from all the burning could increase the PM2.5 or the ultrafine particles, known as particulate matter, it could also increase cancer risks, along with neurological conditions and cardiovascular conditions.

The toxic rain could further pollute the natural waterways and drinking water sources. A photo shared by Iran's Red Crescent shows a healthcare worker's uniform covered in black droplets from the rain.

The "rain drops" are tainted with oily residue and could lead to skin problems, and if inhaled, it could also lead to serious medical crisis, noted Jim NR Dale, a senior meteorologist at British Weather Services.

It may also carry carcinogenic polycyclic aromatic hydrocarbons (PAHs) along with heavy metals that are released when construction materials burn and then remain suspended in the air.

As acidity increases, natural water bodies such as rivers and lakes can become too hostile to support life. When the pH of water drops below 5, most fish cannot survive, and at pH 4, a lake is often described as a “dead water body” because almost no living organisms remain.

Acid rain also harms the soil. It reduces calcium levels, an important nutrient for plants, and makes it easier for toxic aluminium to leach into water sources, further threatening ecosystems.