Business
COVID 19 and diabetes: a lethal partnership? How do we overcome this?
By Dr. Kayathri Periasamy
With the latest wave of COVID-19 infections sweeping steadily across Sri Lanka, attention has been directed towards persons with uncontrolled, pre-existing conditions, particularly diabetes; as a sect most vulnerable to get severely ill or die because of complications caused by the virus. This has shed light on another growing concern among healthcare providers and patients, which is that patients suffering from diabetes or other chronic conditions are finding it increasingly difficult or are unable to access the medical care they require due to mandatory albeit essential curfew measures combined with a deep fear of contracting the virus in communal healthcare settings.
With a staggering 463 million adult diabetic patients present worldwide, World Diabetes Day 2020 – falling on the 14th of November- is a critical time for diabetes support communities and healthcare advocates to rally together to create awareness about this debilitating medical condition and push for progress in the standards of care and the better management of diabetic patients during a pandemic. In Sri Lanka alone, 1 in 10 adults are approximated to suffer from the disease. It is also then vital to look at ways to help stop more people from getting this disease, particularly at a time when ‘lockdown’ lifestyles are more often than not likely to be sedentary, unhealthy and stressful; an ideal background for a diabetes diagnosis.
Why is uncontrolled diabetes such a potent accelerant for COVID-19?
A recent study conducted by Lancet on Diabetes & Endocrinology screened over 61 million medical records in the U.K. to find that 30% of COVID-19 deaths can be attributed to people with diabetes. After accounting for factors such as demography and chronic medical conditions, the risk of succumbing to the virus was shown to be about three times higher for people with Type 1 diabetes and almost twice as high for Type 2, versus those without the disease.
There appears to be two primary reasons driving this predicament. Over a lifetime, poor glucose control inflicts widespread damage in our systems which can lead to strokes, heart attacks, kidney failure, eye disease, and limb amputations. The linings of blood vessels throughout the body weaken to an extent where they can’t ferry necessary nutrients adequately. Inflammation is another byproduct of poor diabetes control, which makes the body ill-prepared for the onslaught of the viral disease. Secondly, the rich environment of elevated blood glucose present in diabetic patients, makes them prone to superadded bacterial complications during the viral infection. Many diabetics also tend to have other co-morbidities such as obesity, hypertension, and heart disease, which are all factors that aggravate complications during viral illneses. These problems are seen in any infections in the setting of diabetes and not only with COVID 19. The pandemic has just highlighted the difficulties of having diabetes
What precautions can diabetic patients take?
So during this pandemic, apart from strict adherence to general COVID-19 personal safety protocols such as strict social distancing and sanitization, it is important for patients to regularly monitor their glucose levels to avoid complications caused by fluctuating blood glucose. Proper hydration is essential for good health. It is also crucial to have access to a good supply of the prescribed diabetes medications and healthy food so that patients are able to correct the situation if blood glucose levels fluctuate. Finally, sticking to a comfortable daily routine, maintaining an exercise program even within the confines of your home, reducing excessive work and having a good night’s sleep can go a long way in keeping you strong. In essence, maintaining good blood sugar levels may be their best defense against severe COVID-19.
Disruption to continuity of care for diabetes patients
A rapid assessment survey conducted by WHO among Ministries of Health across many countries, focusing on the service delivery for NCDs during the COVID-19 pandemic, revealed deepening concerns that many people living with NCDs are no longer receiving appropriate treatment or access to medicines during the COVID-19 pandemic. The more severe the transmission phase of the COVID-19 pandemic, the more NCD care services were disrupted.
With our country currently in the cluster transmission phase and heading towards the community transmission phase due to the large and distant spread of the first-line contacts, the threat to NCD care and especially routine and emergency care of diabetes patients worries us physicians. As healthcare providers, we too are torn between the dilemma of not wanting to expose our patients to unnecessary hospital visits and the need to ensure that all our patients have continued access to their healthcare team along with a steady supply of medicines and other diabetes care products such as glucometer strips and insulin. Unfortunately, the delay in visiting their healthcare provider when they have symptoms of complications has caused many people to present late to the hospital with heart attacks or infections. A delayed presentation, weakens the patient further.
This disruption to healthcare services is foreseen to be a huge dilemma for patients and healthcare providers alike, especially when it comes to the care of patients with diabetes and other non-communicable diseases. In Sri Lanka, the Ministry of Health, is currently providing a number of telemedicine services and has opened avenues to deliver medicines to houses without diabetic persons having to visit crowded settings
How do we counter this?
At Healthy Life Clinic, we adhere strictly to COVID-19 safety operational health protocols established according to Ministry of Health (MOH), Epidemiology Unit. All incoming patients are screened by our nurses as soon as appointments are made over the phone, to understand the nature of their illness. If there is a worry that they could have contracted COVID-19 or have been in contact with such patients, they are given the opportunity to speak to the doctor first over the phone for a detailed history. Every patient will be consulted and no one is turned away from our care.
In order to help patients overcome barriers such as curfews or even the fear of entering communal healthcare settings, our experienced, highly-regarded team of consultants conducts telehealth consultations via established, trusted telemedicine partners such as oDoc and Mydoctor.lk to maintain continuity of care throughout this pandemic. We have also moved many of our long-standing diabetes care and weight management programs online, which have proven to be effective even in the absence of a physical meeting and examination. Additionally, our social media platforms and website are constantly updated to increase awareness about this condition, along with content that informs people about the proper management and prevention of diabetes – particularly when it is thus connected to COVID-19.
(Dr. Kayathri Periasamy is a consultant physician MBBS (UK), MRCP (UK), Board Certified in Int. Medicine (U.S.A). She is the founder of Healthy Life Clinic, Colombo 07.)
Business
Sri Lanka’s recovery reveals a ‘numerical puzzle’ in employment stats
Factory output rises, but many remain outside the labour market
Sri Lanka’s latest economic indicators point to a curious numerical puzzle as industrial production is rising while labour force participation has not moved in tandem.Data for January 2026 show that the Index of Industrial Production (IIP) rose 4.4% year-on-year to 99.3, signalling a modest improvement in manufacturing activity compared with January 2025. The expansion was led mainly by food products, which grew 10.6%, wearing apparel which increased 12.5%, and other non-metallic mineral products, which recorded 3.6% growth.
Ordinarily, such growth in factory output would be expected to draw more people into the workforce. Yet Sri Lanka’s labour market statistics tell a slightly different story.
The labour force participation rate has been in the high 40% range in recent years. Latest estimates show it at around 46.9%, compared with about 49.9% in an earlier period, suggesting that a noticeable segment of the working-age population has remained outside the labour market even as production has begun to pick up.
In other words, factories appear to be producing more, but the pool of workers actively participating in the labour market has not expanded at the same pace.
Meanwhile, the unemployment rate has remained relatively low, just above 4%, indicating that those who are actively seeking employment are generally able to find work.
Business sentiment indicators also point to continued momentum in the real economy. The Purchasing Managers’ Index (PMI) for manufacturing has remained above the 50 point threshold, signalling expansion in factory activity, though slightly less than the stronger readings recorded toward the end of last year. The services sector PMI, meanwhile, continues to reflect steady business activity.
An economic analyst told The Island that taken together, the numbers suggest that Sri Lanka’s productive sectors are slowly regaining their footing after the severe economic stresses of recent years, but the gap between rising industrial output and subdued labour force participation would raise a question for economists and policymakers if they put their mind to the matter,
“If factories are producing more, where are the workers? Where is more hiring?”, he asked.
“One could argue that workers who exited the labour market during the economic crisis through migration or shifts to informal activity may not yet have fully returned. And the gap is unlikely to be explained by automation in factories. If that is the case, a sustained revival in export-oriented industries such as apparel and food processing should gradually draw more people back into the workforce,” he explained.
“So, the numbers underline a simple but important challenge for policymakers to ensure that improvements in industrial production are matched by broader participation in the labour market. Until more people return to the workforce, Sri Lanka’s recovery may continue to show this curious numerical puzzle of factories producing more, but fewer people showing up in the labour statistics,” he argued.
By Sanath Nanayakkare
Business
Plant-based tourism could be Sri Lanka’s overlooked growth opportunity: Andrea Diaz
As Sri Lanka searches for new sources of foreign exchange and sustainable economic reform, an unexpected opportunity may lie in something as simple as the food on its plate. According to Andrea Diaz, Executive Director of Dharma Voices for Animals (DVA), Sri Lanka could strengthen tourism revenue, improve public health and advance environmental resilience by positioning itself as a vegetarian- and vegan-friendly destination rooted in its Buddhist heritage.
“Compassion is not only a moral value,” Diaz says. “It can also be an economic strategy.”
Sri Lanka occupies a unique place in the global Buddhist world, having preserved the Theravada tradition for more than two millennia. Diaz believes this heritage gives the island a distinctive moral authority to demonstrate how Buddhist principles such as non-harming and compassion can shape modern policy and everyday life. Dharma Voices for Animals promotes plant-based food systems that protect animals, safeguard the environment and support human health. In Sri Lanka, the organisation frames its work as an effort to reconnect contemporary lifestyles with longstanding cultural values.
Historically, many Sri Lankan communities relied heavily on plant-based diets before colonial influences altered food systems. Even today, much of the island’s traditional cuisine – dhal curry, mallung, jackfruit dishes and coconut-based preparations – remains naturally vegetarian or easily adaptable. Diaz argues that this culinary foundation gives Sri Lanka an advantage that many countries struggle to build.
Rather than reinventing its food culture, she says, Sri Lanka could highlight its existing culinary traditions and present them to the world as part of a compassionate and sustainable national identity.
DVA’s work on the ground focuses on translating these ideas into practical change. A network of volunteer regional coordinators conducts educational programmes at temples, Sunday schools, community centres, women’s groups, medical clinics and even army facilities, encouraging people to reflect on how daily food choices align with Buddhist ethics. According to Diaz, the organisation’s outreach in 2025 alone reached more than 146,000 individuals through lectures, discussions and community events.
Education is paired with practical tools aimed at making plant-based eating accessible. The organisation has published Sri Lanka’s first vegan cookbook using locally available ingredients, while cooking classes broadcast on cable television and community cooking competitions demonstrate that plant-based meals can be affordable, nutritious and culturally familiar.
By highlighting that many rice-and-curry combinations already meet nutritional needs, advocates hope to dispel the perception that dietary change requires dramatic lifestyle adjustments.
The economic implications extend beyond cuisine. Diaz notes that global tourism trends are shifting toward values-driven travel. Visitors from Europe, North America and Australia increasingly seek destinations where vegetarian and vegan food is readily available and clearly labelled. Countries that accommodate this demand often benefit from longer stays and strong word-of-mouth promotion among conscious travel communities.
Sri Lanka, she suggests, could tap into this market with relatively modest policy steps – clearer menu labelling, plant-based certifications for hotels and targeted marketing highlighting the island’s naturally vegetarian culinary traditions.
Positioning Sri Lanka as a compassionate culinary destination could also strengthen its broader tourism brand. Modern travellers increasingly consider sustainability, ethics and wellness when choosing destinations. A national identity linking Buddhist values with environmentally responsible food culture could help differentiate Sri Lanka from competing tropical tourism destinations while supporting farmers who produce rice, lentils, vegetables, spices and coconuts.
Beyond tourism, Diaz believes dietary shifts could contribute to climate resilience and food security. Animal agriculture requires significant land, water and grain while producing comparatively high greenhouse gas emissions. Redirecting more crops directly to human consumption improves efficiency and allows more people to be fed from the same land base.
For a country already rich in plant-based staples, strengthening these agricultural systems could reduce reliance on imported animal feed while supporting smallholder farmers and protecting natural resources.
Public health represents another potential benefit. Many of the world’s most costly diseases including cardiovascular disease, diabetes and hypertension are strongly linked to diet. Diets rich in legumes, vegetables, fruits and whole grains are associated with lower rates of these conditions. Encouraging plant-forward diets, Diaz argues, could help governments reduce long-term healthcare costs while improving workforce productivity.
Dietary change, she emphasises, does not require universal adoption to produce meaningful social impact. Research on social movements suggests that when roughly 3.5 percent of a population actively supports a cause, broader cultural and political change can begin. In Sri Lanka’s case, that would mean about 800,000 people visibly committing to compassionate food choices and discussing the values behind them.
Yet while discussions about compassion and sustainability are gaining attention, Sri Lanka’s legal framework for animal protection remains outdated. The country still operates under a law dating back to 1907, a colonial-era statute widely viewed as inadequate for modern welfare standards. A proposed Animal Welfare Bill – developed through years of consultation and legal drafting – has twice received Cabinet approval but has never been presented to Parliament.
If enacted, the legislation would replace the colonial-era statute with modern welfare standards, establishing clearer definitions of cruelty and neglect, stronger penalties and improved investigative powers. It would also formalise internationally recognised welfare principles such as adequate food, shelter, medical care and humane handling of animals.
Advocates also emphasise that the growth of plant-based industries need not threaten farmers currently involved in livestock production. Instead, they see opportunities for gradual diversification. With appropriate training and policy support, farmers could transition toward crops central to plant-based diets or participate in value-added food production, strengthening rural livelihoods while reducing environmental strain.
For Sri Lanka, the broader message is that compassion, sustainability and economic development need not be competing priorities. A food system that emphasises plant-based traditions already embedded in local culture could simultaneously strengthen tourism, improve public health, enhance climate resilience and support rural agriculture.
Seen through that lens, the humble rice-and-curry meal may represent more than a culinary tradition. In a world searching for more sustainable ways to live and travel, Sri Lanka’s oldest food traditions may yet become one of its most modern economic opportunities.
by Sanath Nanayakkare
Business
City of Dreams partners with FitsAir for direct Ahmedabad-Colombo flights
City of Dreams Sri Lanka has partnered with FitsAir and Cinnamon Hotels & Resorts to launch direct scheduled passenger flights connecting Ahmedabad and Colombo, enhancing connectivity for Indian travellers to South Asia’s first integrated resort.
Sri Lanka’s first private international airline, FitsAir, will operate the service three times weekly from May 15, catering to Gujarat’s growing outbound travel market. The route positions Colombo as an attractive luxury getaway for Indian travellers while strengthening ties between the regions.
Guests can stay at Cinnamon Life at City of Dreams or explore other Cinnamon properties in Colombo, with curated holiday packages combining the resort experience with multi-destination itineraries across the island, including cultural experiences in Kandy and beach stays.
Kamal Munasinghe, Senior Vice President at Cinnamon Hotels & Resorts, noted India remains one of their most important markets, with Gujarat showing strong interest in Colombo as a leisure destination.
FitsAir Director Ammar Kassim added that the overnight departure from Colombo arrives early morning in Ahmedabad, giving travellers a full day ahead and opening smooth onward connections through Colombo across their growing international network.
Packages start from INR 55,555, including return airfare, two nights’ accommodation with breakfast at Cinnamon Life, and private airport transfers.
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