News
Health experts call for enhanced trauma network and data-driven solutions to tackle high accident fatalities
By Rathindra Kuruwita
Despite the easy availability of the 1990 ambulance service, most people who have met with an accident are brought to the hospital by personal vehicles, Dr. Sajith Ranathunga General Surgeon at the National Hospital of Sri Lanka, said.
“Out of those vehicles, most are three-wheelers. When an accident happens, most people don’t know what kind of hospital they should be taken to. Staff in the 1990 ambulances know, but the average man on the street does not. We must educate Sri Lankans and create a system where everyone knows where to take a person who has met with an accident, based on the nature of the injury.”
Dr. Ranathunga said that the 1990 ambulance service has done a lot to minimize fatalities. He added that Sri Lanka has several types of hospitals, and hospitals like the Colombo National Hospital are tertiary care hospitals. The next rung of hospitals are district general hospitals, and they, too, have surgeons and emergency care departments.
“Then there are the base hospitals. These hospitals, too, have surgeons who take care of emergency situations. There are also hospitals that only have a general practitioner, and they take steps to transfer patients that need emergency care to a hospital with better facilities,” he said.
Meanwhile, Dr. Kirthi Abayajeewa, Consultant Surgeon at the Colombo National Hospital said Sri Lankan hospitals receive about seven cases of serious accidents that result in death. About 10 times more people become differently abled due to accidents. About 10 times that number of people suffer from minor injuries that do not require hospital visits.
These are high numbers, and we have been in this high range for many years. “There was a drop in accidents during COVID. But it has returned to the usual high rates following the lifting of lockdowns,” he said.
As a country develops, the number of people who die or get permanently injured reduces. However, in a country like Sri Lanka, fatalities that occur during accidents are higher than in a developed country, he mentioned.
Dr. Abayajeewa said that when it comes to motor accidents, ignoring road rules, the quality of roads, and vehicles, are the main reasons why most accidents occur and why there are higher fatalities. He said that recently they held a convention on accidents to share their knowledge among all stakeholders.
“We need to establish a trauma network covering all hospitals. This might cost a lot but is essential as we go forward.”
Dr. Gayan Ekanayake, Plastic Surgeon at the Colombo National Hospital, said the use of data and the application of data science in the management of injuries are low. “Everything depends on data. We need to immediately start collecting, analysing and using data to make key decisions on accident prevention as well as the management of accidents.”
Dr. Ekanayake said road accidents caused by violating road rules, injuries caused by those who are depressed, burn wounds, and violence that occurs due to domestic disputes, can be reduced with a change in attitude.
“I especially see interpersonal violence as a serious burden to the healthcare system. For example, a lot of people come in with injuries caused by sword attacks, and we have to do several surgeries that take over 12 hours. These are resource-intensive operations. The most striking feature is that most of these sword attacks have been done, emulating what people see in films. Resorting to violence has become normalized. We need to change our attitudes,” he said.
Domestic violence is also a serious problem. About 10 years ago, there were campaigns to deter domestic violence, and these programmes must continue because people tend to forget, he said. “The other problem is road accidents. Some people become speed demons once they get behind the wheel. They completely forget the risks involved in excessive speeding and violating traffic laws,” he added.
News
Creditor receives USD 2.5 mn as Lankan public bears loss from theft of Treasury funds
Amidst ongoing accusations that the theft of USD 2.5 mn (nearly 1 bn Rupees) from the Treasury hadn’t been properly investigated, The Island learns that the relevant payments had been made to the actual creditor on the instructions of the Finance Ministry.
Confirming the inquiries made by us, authoritative sources said that payments had been made to several accounts through the US banks. Earlier, Sri Lanka released funds to fake foreign accounts in spite of warnings regarding the suspicions about the process.
The funds were part of a bilateral debt repayment to Australia with a settlement due in September 2025. The payment was part of a $ 22.9 million debt settlement.
The lapses occurred in the wake of far reaching changes regarding the debt management functions. In terms of a particular condition of the International Monetary Fund (IMF), Sri Lanka’s debt management functions that had been previously handled by the Central Bank were transferred to a new institution established under the General Treasury—the Public Debt Management Office (PDMO).
Sources said that regardless of the loss of USD 2.5 mn, Sri Lanka couldn’t have defaulted and therefore payments had been made.
Sources who closely followed the issue said that the government owed an explanation and public apology regarding the loss of USD 2.5 mn and how fresh payments were made.
Sources said that the USD 2.5 mn paid to fake accounts had been lost and could never be traced. CoPF Chairman Dr. Harsha de Silva has said that the NPP government has told the IMF that stolen USD 2.5 mn would be recovered from the public by introducing an amendment to the budget.
By Shamindra Ferdinando
News
Former Minister Nalin raises defence of double jeopardy
The Court of Appeal yesterday (18) postponed until June 25 the hearing of a petition filed by former Minister Nalin Fernando seeking the dismissal of an indictment brought against him by the Attorney General in connection with the controversial ‘Carrom Boards’ case.
The petition was taken up before a bench comprising Justices P. Kumararatnam and Pradeep Hettiarachchi.
Appearing for the petitioner, President’s Counsel Ali Sabry, instructed by Attorney-at-Law Ramzi Bacha, informed court that Fernando had already been convicted and sentenced to 30 years rigorous imprisonment in a case instituted by the Commission to Investigate Allegations of Bribery or Corruption (CIABOC) arising from the same incident.
Counsel argued that the Attorney General had subsequently filed a separate case based on the same set of charges and maintained that subjecting an accused person to a second prosecution for the same offence was contrary to law.
He submitted that preliminary objections on the issue had been raised before the Colombo High Court but were dismissed by the trial judge.
The petitioner has therefore sought a declaration from the Court of Appeal that the indictment filed by the Attorney General is unlawful and requested that the charges be set aside.
The court directed that the matter be called again on June 25, when the Attorney General is expected to present submissions on the petition.
The case stems from allegations that during the 2015 presidential election campaign, 14,000 carrom boards and 11,000 checkers boards were imported and distributed through Lanka Sathosa outlets for allocation to political offices of former President Mahinda Rajapaksa, resulting in an estimated loss of Rs. 39 million to the State.
Based on those allegations, the Attorney General has instituted proceedings against Fernando before the Colombo High Court under the Public Property Act.
News
UNP asks whether govt. obtained findings of FBI probe into 2019 Easter Sunday carnage
The UNP yesterday called on the government to clarify whether it had sought access to evidence and documents gathered during a United States investigation into the 2019 Easter Sunday terrorist attacks.
In a statement, the UNP has recalled that then Prime Minister Ranil Wickremesinghe requested the U.S. government to conduct a comprehensive investigation into the attacks immediately after they occurred, citing limitations in local investigative capacity. A similar request was also made during a telephone conversation with then U.S. President Donald Trump on April 22, 2019, the statement said.
According to the UNP, the Federal Bureau of Investigation (FBI) subsequently carried out an extensive investigation in collaboration with Sri Lankan agencies, including the Criminal Investigation Department (CID), Military Intelligence and the State Intelligence Service. The findings were later submitted to the Sri Lankan authorities and accepted by the relevant institutions.
The party noted that FBI Special Agent Merrilee R. Godwin had filed a 71-page affidavit before the U.S. District Court for the Central District of California in November 2020 following a two-year investigation. A criminal case was later instituted in Los Angeles naming suspects who had already been taken into custody in Sri Lanka.
Pointing out that material collected during the U.S. investigation remains in the possession of the FBI and the U.S. Department of Justice, the UNP has asked the government whether it formally requested access to those records after reopening investigations into the attacks.
The UNP has stressed the importance of making the documents available to Sri Lankan judicial authorities, arguing that they could assist efforts to establish the full circumstances surrounding the Easter Sunday attacks.
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