Features
Eradicating CKDu From Sri Lanka is Straightforward—What is Preventing it?
by Drs. Sunil J. Wimalawansa and Chandra B. Dissanayake
(Prof. of Medicine and Prof. of Geology)
Since identifying chronic kidney disease of unknown etiology (CKDu) in Sri Lanka in the mid-1990s, little progress has been made in aetiology and prevention. Despite the numerous hypotheses and conjectures—with more than 35—none have been thoroughly studied or substantiated as the definitive cause of CKDu.
The development of CKDu necessitates simultaneous exposure to various factors and conditions over an extended period. Hence, it is also called chronic kidney disease of multifactorial origin (CKDmfo). A recent newspaper article suggested that Chinese researchers re-confirmed the lack of association of agrochemicals, heavy metals, or arsenic (common postulated factors) with CKDu, consistent with our and other scientists’ publications over 15 years.
Comparatively, on a per-hectare basis of arable land, New Zealand and numerous other countries employ more than ten-fold the amount of agrochemicals and fertilisers containing heavy metals. Similarly, in Sri Lanka, in hilly country like Nuwara Eliya, and wet zones, farmers extensively utilize inorganic fertilisers, especially phosphates and pesticides—significantly more than in the dry zones. Surprisingly, there is little to no reported incidence of CKDu in these regions.
Research studies on hypothesis-driven causation are needed
The lack of conclusive evidence on CKDu stems from inadequately designed studies that fail to assess causes and test specific hypotheses. No CKDu study has rigorously applied Hill’s criteria for disease causation to distinguish casual association from causation. To address CKDu causes effectively, detailed empirical studies, not just descriptive ones, are essential. [For more details, refer to Hill, A.B., 1965, “The Environment and Disease: Association or Causation?”]
(https://www.ncbi.nlm.nih.gov/pubmed/14283879].
No credible scientific evidence supports the role of any of the mentioned postulated factors in contributing to or causing CKDu. Definitive conclusions necessitate well-conducted, unbiased studies with proper design and sufficient statistical power to thoroughly assess or rule out the potential effects of heavy metals, algal toxins, and agrochemicals on CKDu.
Critical causative criteria for establishing a link between a factor and a disease include the Strength of the association, Consistency, Specificity, Temporality, Biological gradient, Plausibility, Coherence, and Empirical data (Experiments). The presence of the majority of these factors is necessary to attribute causation. However, most studies on CKDu are heterogeneous and descriptive, offering limited value. Therefore, conducting meta-analyses using such data is scientifically unsound and inappropriate, as they will likely yield misleading conclusions.
Because CKDu arises from forming nanocrystals and nanotubes in kidney tubules and tissues, a more fitting designation would be “CKD of crystal-tubular nephropathy” (CKD-CTN). The accompanying figure illustrates critical factors contributing to the CKD-CTN development (from Wimalwansa & Dissanayake, Euro. J. Med. Res., July 2023: https://rdcu.be/dgagf). (See Figure)
Poorly designed studies generated inconclusive data:
Compartmentalized research and poor study designs consistently fail to address research questions and test hypotheses related to CKDu. This lack of adherence to fundamental scientific principles, along with issues in improper sample collection and data integrity, has resulted in skewed and unreliable conclusions, muddling the progress and analyses of CKDu in the country.
Extrapolating such data to the overall status of CKDu in Sri Lanka and other tropical countries shifts attention away from identifying actual causative factors, proper fund allocation, and implementing essential remedies for CKDu prevention. Biased comments by Chinese scientists, such as ‘aristolochic acid,’ while relevant in rural China, are not pertinent to CKDu (CKD-CTN) in the dry zones of Sri Lanka.
Methodological and conceptual failures:
No conclusive evidence supports agrochemicals (glyphosate) or heavy metals causing CKDu. Claims linking slightly elevated magnesium in drinking water to CKDu lack reliability due to sampling and methodological errors. In contrast, over 750 international research articles establish magnesium as a “renal protector” in humans.
Detecting an isolated elevation of magnesium or extremely low levels of glyphosate in inconsistent studies is insufficient to establish even an association, let alone causation. Such findings meet only one of Hill’s Causation criteria. Inferences from random water samples and two rat studies lack reproducibility and conclusiveness. The flawed extrapolation of this data to assert that glyphosate or magnesium causes CKDu has diverted attention and national research funds to unproductive programmes. The crucial factor in drinking water is the “calcium to magnesium” ratio, not individual components alone.
Glyphosate or other chemicals used in intervention experiments, equivalent to body weight on a kg basis, are “astronomically” high—toxic. Such concentrations do not exist in water or soil under normal conditions. Such concentration exists when an individual ingests concentrated glyphosate. Therefore, conclusions from such experiments are misleading. Any toxicity dependent on the “dose and exposure” and real-world scenarios do not match the extreme concentrations used in intervention experiments.
Studies have consistently lacked rigorousness during sample collection, standardized methodology, and the use of controls. They also lack quality control during analyses and testing hypotheses. Methodological errors, such as smaller sample sizes and a lack of control experiments, introduce random- and Type-2 errors into the data. To obtain accurate insights, examining thousands of properly collected water samples across affected regions is crucial, as is comparing them with comparable but non-affected villages within the same region (e.g., subtractive analysis), even within ‘affected’ villages, pockets with good-quality drinking water (e.g., natural springs), thus clusters of unaffected families. Therefore, calling the entire area as CKDu affecting is a misnomer.
The neglect of already published data
Suppose one uses “CKD” as a keyword in the following URL: one can pull over a dozen research articles illustrating that CKDu is triggered by “natural” causes—hard water (Ca2+), excess phosphate in combination with fluoride” and chronic dehydration.
https://www.researchgate.net/profile/Sunil-Wimalawansa/publications
Peasants experiencing chronic dehydration due to daily exposure to hot climates and nightly alcohol intake, along with drinking water high in Calcium, Carbonate/ Phosphates, and Fluoride ions, etc., create a “conducive internal environment” for the formation of calcium phosphate (CaPO4) crystals within renal tissue. Additionally, hard water chelates glyphosate, eliminating its potential toxicity, if any, whereas fluoride has the opposite effect.
Chronic exposure to excess calcium, carbonate/phosphate (and other anions), and fluoride through the ingestion of hard water over a decade is necessary to induce CKD-CTN. Such extended exposure maintains the mentioned higher ionic concentrations in renal tissues. Chronic dehydration leads to consistently concentrated urine, enabling the precipitation of hydroxy- and oxalate-apatite nano-minerals in the kidneys. This process occurs with or without fluoride, but fluoride stabilizes these nano-mineral crystals, forming fluorapatite resistant to degradation, allowing crystals to grow. Fluorapatite nanocrystals are implicated in causing CKD-CTN, causing fatal renal failure. The detailed mechanism is illustrated in the following article: https://www.mdpi.com/2076-3298/7/1/2
The way to prevent and eradicate CKDu:
Consuming potable water and avoiding prolonged dehydration can prevent persistent dehydration-associated CKD-CTN. This concept offers highly cost-effective and straightforward solutions to safeguard peasants, particularly farm laborers. This eliminates silent, deadly disease, without needing expensive medications, interventions, or the construction of dialysis centers and hospitals, which is especially crucial in financially strained circumstances.
Research, including ours, has shown that increasing daily access to clean water significantly reduces CKD-CTN incidence and associated morbidities and premature deaths. Unfortunately, once the disease progresses beyond CKD stage IIIB, the damage becomes irreversible. It leads to hardening and shrinkage of the kidney due to fibrosis—resulting in permanent damage.
The following two published articles provide a detailed methodology and cost-benefit analysis of ways to eradicate CKDu from Sri Lanka:—CKD-CTN.Public health interventions for chronic diseases: cost-benefit modelizations for eradicating chronic kidney disease of multifactorial origin (CKDmfo/ CKDu) from tropical countries. Heliyon 2019;5(10):e02309. DOI: 10.1016/j.heliyon.2019.e02309.And Strategic framework for managing non-communicable diseases: Preventing chronic kidney disease of multifactorial origin (CKDmfo/CKDu) as an Example. Chronic Dis Int 2015;2(2 (1018)):1-9 (https://austinpublishinggroup.com/chronic-diseases/fulltext/chronicdiseases-v2-id1018.php).
The direct approaches outlined in the above articles offer ways to mitigate and eradicate CKDu/CKD-CTN in Sri Lanka and other affected countries. Unfortunately, there has been a lack of political will to address the issue. For some, it has become an unscrupulous business. The mentioned scientific papers provide details on how implementing a multi-pronged approach can prevent CKD-CTN, reduce premature deaths, and minimize the socio-economic impact on affected families. For more information. More information in:
Environmental health and preventive medicine 2014;19(6):375-394. DOI: 10.1007/s12199-014-0395-5 (https://pubmed.ncbi.nlm.nih.gov/25239006/).
Critical elements need to eradicate CKD-CTN from Sri Lanka
It is essential to systematically address peasants’ lifestyles and dietary habits, improve micro-nutrition, protect their renal and general health, and mitigate CKD-CTN. In addition to providing potable water, other interventions are also necessary to overcome this forgotten killer. Adhering to such would save the lives of people in CKD-CTN-affected tropical countries. They consume insufficient water due to the unpleasant taste of naturally contaminated hard water. Just because peasants do not have a voice is not an excuse to neglect them by the politicians and the government.
The key to eradicating CKD-CTN is prevention through education, lifestyle changes, and increased consumption of clean water—not in treating renal disease or expanding dialysis centers, hospitals, or transplantation services. To effectively prevent CKD-CTN, providing safe and affordable clean water in the affected and adjacent regions in the entire dry zone is essential rather than solely emphasizing aggressive treatment of end-stage renal diseases.
Historical evidence indicates that ancient Sri Lankan Kingdoms, like Anuradhapura, Polonnaruwa, Dambadeniys, Sigiriya, and Yapahuwa, were relocated, primarily within the dry zonal regions, now affected by CKD-CTN. The reasons for these relocations, whether protecting from invading armies, severe malarial epidemics, or deaths due to CKD-CTN, remain uncertain. Proposals to move the entire North Central Province (NCP) population elsewhere or replace the topsoil in the region are deemed impractical and absurd.
The current approach will continue to fail
The current strategy of expanding renal clinics, dialysis and transplantation services, coupled with reliance on aid from other countries, is an ineffective approach that falls short of “preventing and eradicating” CKD-CTN in Sri Lanka. This method is like holding a tail to tame a tiger. Even if the rates of deaths have somewhat slowed, it is likely because many of the most vulnerable individuals are already deceased. The focus should shift towards protecting the younger generation and families. Unfortunately, CKDu has become a business venture for many, akin to exploitation during the LTTE war.
In addressing CKD-CTN, vision, political will, and prioritization of programs that cost less than a few months of healthcare expenses for maintaining affected individuals and families are lacking. Sri Lanka possesses the necessary technology, know-how, and essential resources to implement a program for eradication without requiring international expertise. However, inherent conflicts of interest hinder the implementation of the right path and impede progress.
Our latest contribution on the subject [Title: Nanocrystal-induced Chronic Tubular-nephropathy in Tropical Countries: Diagnosis, Mitigation, and Eradication] published on July 2023 in a Nature Journal (EJMR)—PDF of the article available from the following links: https://rdcu.be/dgagf
https://doi.org/10.1186/s40001-023-01162-y
Features
We handed every child a screen and called it progress. Now what?
SERIES: THE GREAT DIGITAL RETHINK: PART I OF V
The Great Digital Bet
Cast your mind back to the late 1990s. Technology evangelists, in government, in schools, in Silicon Valley boardrooms, were making a very confident prediction: the classroom of the future would be digital, and that future was essentially already here. Wire the schools. Buy the computers. Train the teachers to press the right buttons. And stand back as a generation of turbo-charged, digitally-empowered learners leapfrogs every educational problem ever known to humanity.
It was, to be fair, an intoxicating idea. Who wouldn’t want to modernise education? Who could argue against progress? And so governments around the world, rich and poor, north and south, opened their wallets and signed their contracts. Phase One of the Great Digital Experiment had begun, and very few people were allowed to ask awkward questions.
From Computer Labs to Pocket Supercomputers
Through the 2000s, the experiment scaled up. We moved from shared computer labs to 1:1 device programmes, a laptop or tablet for every child, like some kind of annual prize-giving that never ended. Vendors introduced the irresistibly catchy notion of ‘digital natives,’ a generation supposedly born knowing how to swipe, and, therefore, desperately in need of classrooms that matched their wired-up lives. And, gradually, quietly, commercial platforms began mediating almost everything that happened between a teacher and a student.
The research, even then, was sending mixed signals. OECD data showed that more personal screen time was not automatically producing better learners. Students who used computers heavily in school were not streaking ahead in reading or maths. But these inconvenient findings were absorbed into a simple narrative: the problem was not the technology, it was how teachers were using it. More training. Better platforms. Upgraded hardware. The answer, invariably, was more.
‘The pen is mightier than the keyboard’,
a slogan that turned a psychology study into a revolution in educational policy.
Then the Pandemic Happened
And then came COVID-19, and suddenly every school in the world was forced to discover whether digital education actually worked when it had no analogue alternative. The answer, for most children, was: not very well. Schools closed, screens opened, and learning largely ground to a halt, not because the technology failed, but because education, it turned out, is stubbornly, irreducibly human. What worked was teachers who knew their students, relationships built over time, the unquantifiable texture of a real classroom. A Zoom rectangle, however crisp the resolution, is not a substitute.
The pandemic accelerated digitalisation to a degree nobody had planned for and exposed its limits simultaneously. UNESCO’s own global monitoring report, not exactly a hotbed of anti-technology radicalism, sounded the alarm in 2023, issuing what amounted to a polite institutional apology: technology in education must be a tool that serves learners, not an end in itself. Translation: we may have overdone it.
The Evidence Catches Up
The science, meanwhile, had been accumulating quietly. A widely cited study showed that students who take notes by hand retain and understand information better than those typing on laptops, not because handwriting is some mystical ancient craft, but because the physical slowness forces you to process, summarise and think, while typing tempts you into verbatim transcription. Your fingers race across the keyboard and your brain mostly stays home.
At the scale of entire school systems, OECD analysis of PISA 2022 results, which showed historic declines in reading and mathematics across member countries, drew a striking curve: moderate use of digital devices is associated with better outcomes, but heavy use, especially for leisure during school time, correlates with lower performance. Not a little lower. Substantially lower. And this held true even after accounting for students’ socioeconomic backgrounds. In other words, digital distraction is an equal-opportunity problem.
PISA 2022 also produced some of the most dismal reading and maths scores seen in decades across wealthy nations. Was technology entirely to blame? Almost certainly not. But policymakers looking for something tangible to point at, and something they could actually change before the next election, had found their answer.
The Revolt of the Sensible
Finland, long the world’s favourite education success story, passed legislation in 2025 restricting mobile phone use in schools. Phones are now generally prohibited during lessons unless a teacher grants specific permission. Sweden went further still, announcing a full national ban, phones collected at the start of the school day and returned at dismissal, to take effect in 2026. The Swedes had already begun quietly rolling back their earlier enthusiasm for digital devices in preschools, reintroducing books and handwriting after noticing that children’s reading comprehension was suffering. Australia’s Queensland state had already launched its ‘away for the day’ policy, extending the ban to break times as well as lessons. We do not yet know how other wealthy, technologically advanced countries will respond to this challenge, but they are undoubtedly watching the pioneers of de-digitalisation with close attention.
These are not technophobic, backwards-looking nations. Finland and Sweden sit at the very top of every global education ranking. They have the infrastructure, the teacher quality and the research capacity to make considered decisions. What they have decided, after three decades of enthusiastic investment in digital education, is that smartphones in the hands of children during school hours are doing more harm than good. That is a significant statement from people who know what they are talking about.
The Two-Speed World
Here is where things become genuinely uncomfortable for the international education community. While many rich countries like Finland, Sweden and Australia are scaling back, vast swathes of the world are still scaling up. Across parts of South Asia, Africa and Latin America, and in pockets of the Global North that never quite caught up, governments are signing major contracts for tablet programmes and AI tutoring tools. They are, in good faith, doing what wealthy countries told them to do 30 years ago: invest in technology and watch the learning happen.
The people selling them these systems are not pointing to the Nordic retreat.
The multilateral organisations and development banks financing their ed-tech purchases have been slow to update their models. And so the world is now running two parallel education experiments simultaneously:
some rich countries are de-digitalising, while everyone else is still trying to digitalise in the first place. The disparity is not merely ironic, it raises serious questions about who sets the agenda for global education reform, and whose children bear the cost of getting it wrong. While Finland retreats from the classroom screen, others are still signing the contracts that will fill theirs.
What This Series Is About
Over the next four articles, this column will trace this story across every level of education, from primary classrooms where six-year-olds are learning cursive again in Stockholm, to universities where academics are requiring handwritten examinations partly to outwit AI essay-generators. We will look at the evidence honestly, without either the breathless optimism that launched the digital revolution or the nostalgic panic now driving some of the backlash.
We will also ask the question that international education policy rarely pauses to ask: when the wealthy world discovers that an experiment has not gone quite as planned, who bears the cost of correction, and who is still being sold the original experiment at full price?
De-digitalisation is not a confession. It is, at best, a mid-course correction by systems with the luxury of one. The real question is what we owe the rest of the world, which hasn’t had that luxury yet.
SERIES ROADMAP
Part I: From Ed-Tech Enthusiasm to De-Digitalisation (this article) | Part II: Phones, Pens & Early Literacy in Primary Schools | Part III: Attention, Algorithms & Adolescents in Secondary Education | Part IV: Universities, AI & the Return of the Handwritten Exam | Part V: A Critical Theory of Educational De-Digitalisation
(The writer, a senior Chartered Accountant and professional banker, is Professor at SLIIT, Malabe. The views and opinions expressed in this article are personal.)
Features
Relief without recovery
The escalating conflict in the Middle East is of such magnitude, with loss of life, destruction of cities, and global energy shortages, that it is diverting attention worldwide and in Sri Lanka, from other serious problems. Barely four months ago Sri Lanka experienced a cyclone of epic proportions that caused torrential rains, accompanied by floods and landslides. The immediate displacement exceeded one million people, though the number of deaths was about 640, with around 200 others reported missing. The visual images of entire towns and villages being inundated, with some swept away by floodwaters, evoked an overwhelming humanitarian response from the general population.
When the crisis of displacement was at its height there was a concerted public response. People set up emergency kitchens and volunteer clean up teams fanned out to make flooded homes inhabitable again. Religious institutions, civil society organisations and local communities worked together to assist the displaced. For a brief period the country witnessed a powerful demonstration of social solidarity. The scale of the devastation prompted the government to offer generous aid packages. These included assistance for the rebuilding of damaged houses, support for building new houses, grants for clean up operations and rent payments to displaced families. Welfare centres were also set up for those unable to find temporary housing.
The government also appointed a Presidential Task Force to lead post-cyclone rebuilding efforts. The mandate of the Task Force is to coordinate post-disaster response mechanisms, streamline institutional efforts and ensure the effective implementation of rebuilding programmes in the aftermath of the cyclone. The body comprises a high-level team, led by the Prime Minister, and including cabinet ministers, deputy ministers, provincial-level officials, senior public servants, representing key state institutions, and civil society representatives. It was envisaged that the Task Force would function as the central coordinating authority, working with government agencies and other stakeholders to accelerate recovery initiatives and restore essential services in affected regions.
Demotivated Service
However, four months later a visit to one of the worst of the cyclone affected areas to meet with affected families from five villages revealed that they remained stranded and in a state of limbo. Most of these people had suffered terribly from the cyclone. Some had lost their homes. A few had lost family members. Many had been informed that the land on which they lived had become unsafe and that they would need to relocate. Most of them had received the promised money for clean up and some had received rent payments for two months. However, little had happened beyond this. The longer term process of rebuilding houses, securing land and restoring livelihoods has barely begun. As a result, families who had already endured the trauma of disaster, now face prolonged uncertainty about their future. It seems that once again the promises made by the political leadership has not reached the ground.
A government officer explained that the public service was highly demotivated. According to him, many officials felt that they had too much work piled upon them with too little resources to do much about it. They also believed that they were underpaid for the work they were expected to carry out. In fact, there had even been a call by public officials specially assigned to cyclone relief work to go on strike due to complaints about their conditions of work. This government official appreciated the government leadership’s commitment to non corruption. But he noted the irony that this had also contributed to a demotivation of the public service. This was on the unjustifiable basis that approving and implementing projects more quickly requires an incentive system.
Whether or not this explanation fully captures the situation, it points to an issue that the government needs to address. Disaster recovery requires a proactive public administration. Officials need to reach out to affected communities, provide clear information and help them navigate the complex procedures required to access assistance. At the consultation with cyclone victims this was precisely the concern that people raised. They said that government officers were not proactive in reaching out to them. Many felt they had little engagement with the state and that the government officers did not come to them. This suggests that the government system at the community level could be supported by non-governmental organisations that have the capacity and experience of working with communities at the grassroots.
In situations such as this the government needs to think about ways of motivating public officials to do more rather than less. It needs to identify legitimate incentives that reward initiative and performance. These could include special allowances for those working in disaster affected areas, recognition and promotion for officers who successfully complete relief and reconstruction work, and the provision of additional staff and logistical support so that the workload is manageable. Clear targets and deadlines, with support from the non-governmental sector, can also encourage officials to act more proactively. When government officers feel supported and recognised for the extra effort required, they are more likely to engage actively with affected communities and ensure that assistance reaches those who need it most.
Political Solutions
Under the prevailing circumstances, however, the cyclone victims do not know what to do. The government needs to act on this without further delay. Government policy states that families can receive financial assistance of up to Rs 5 million to build new houses if they have identified the land on which they wish to build. But there is little freehold land available in many of the affected areas. As a result, people cannot show government officials the land they plan to buy and, therefore, cannot access the government’s promised funds. The government needs to address this issue by providing a list of available places for resettlement, both within and outside the area they live in. However, another finding at the meeting was that many cyclone victims whose lands have been declared unsafe do not wish to leave them. Even those who have been told that their land is unstable feel more comfortable remaining where they have lived for many years. Relocating to an unfamiliar area is not an easy decision.
Another problem the victims face is the difficulty of obtaining the documents necessary to receive compensation. Families with missing members cannot prove that their loved ones are no longer alive. Without official confirmation they cannot access property rights or benefits that would normally pass to surviving family members. These are problems that Sri Lanka has faced before in the context of the three decade long internal war. It has set up new legal mechanisms such as the provision of certificates of absence validated by the Office on Missing Persons (OMP) in place of death certificates when individuals remain missing for long periods. The government also needs to be sensitive to the fact that people who are farmers cannot be settled anywhere. Farming is not possible in every location. Access to suitable land and water is essential if farmers are to rebuild their livelihoods. Relocation programmes that fail to take these realities into account risk creating new psychological and economic hardships.
The message from the consultation with cyclone victims is that the government needs to talk more and engage more directly with affected communities. At the same time the political leadership at the highest levels need to resolve the problems that government officers on the ground cannot solve. Issues relating to land availability, legal documentation and livelihood restoration require policy decisions at higher levels. The challenge to the government to address these issues in the context of the Iran war and possible global catastrophe will require a special commitment. Demonstrating that Sri Lanka is a society that considers the wellbeing of all its citizens to be a priority will require not only financial assistance but also a motivated public service and proactive political leadership that reaches out to those still waiting to rebuild their lives.
by Jehan Perera
Features
Supporting Victims: The missing link in combating ragging
A recent panel discussion at the University of Peradeniya examined the implications of the Supreme Court’s judgement on ragging, in which the Court recognised that preventing ragging requires not only criminal penalties imposed after an incident occurs but also systems and processes within universities that enable victims to speak up and receive support. Bringing together perspectives from law, university administration, psychology and students, the discussion sought to understand why ragging continues to persist in Sri Lankan universities despite the existence of legal prohibitions. While the discussion covered legal and institutional dimensions, one theme emerged clearly: addressing ragging requires more than laws and disciplinary rules. It requires institutions that are capable of supporting victims.
Sri Lanka enacted the Prohibition of Ragging and Other Forms of Violence in Educational Institutions Act No. 20 of 1998 following several tragic incidents in universities, during the 1990s. Among the most widely remembered is the death of engineering student S. Varapragash at the University of Peradeniya in 1997. Incidents such as this shocked the country and revealed the consequences of allowing violent forms of student hierarchy to persist. The 1998 Act marked an important legal intervention by recognising ragging as a criminal offence. The law introduced severe penalties for individuals found guilty of engaging in ragging or other forms of violence in educational institutions, including fines and imprisonment.
Despite the existence of this law for nearly three decades, prosecutions under the Act have been extremely rare. Incidents continue to surface across universities although most are not reported. The incidents that do reach university administrations are dealt with internally through disciplinary procedures rather than through the criminal justice system. This suggests that the problem does not lie solely in the absence of legal provisions but also in the ability of victims to come forward and pursue complaints.
The tragic reminders; the cases of Varapragash and Pasindu Hirushan
Varapragash, a first-year engineering student at the University of Peradeniya, was forced by senior students to perform extreme physical exercises as part of ragging, resulting in severe internal injuries and acute renal failure that ultimately led to his death. In 2022, the courts upheld the conviction of one of the perpetrators for abduction and murder. The case illustrates not only the brutality of ragging but also how long and difficult the path to justice can be for victims and their families. Even when victims speak about their experiences, they may not always disclose the full extent of what they have endured. In the case of Varapragash, the judgement records that the victim told his father that he was asked to do dips and sit-ups. Varapragash’s father had testified that it appeared his son was not revealing the exact details of what he had to endure due to shame.
More than two decades after the death of Varapragash, the tragedy of ragging continues. The 2025 Supreme Court judgement arose from the case of Pasindu Hirushan, a 21-year-old student of the University of Sri Jayewardenepura, who sustained devastating head injuries at a fresher’s party, in March 2020, after a tyre sent down the stairs by senior students struck him. He became immobile, was placed on life support, and returned home only months later. If the Varapragash case exposed the deadly consequences of ragging in the 1990s, the Pasindu Hirushan case demonstrates that universities are still failing to prevent serious violence, decades after the enactment of the 1998 Act. It was against this background of continuing institutional failure that the Supreme Court issued its Orders of Court in 2025. Among the key mechanisms emphasised by the judgement is the establishment of Victim Support Committees within universities.
Why do victims need support?
Ragging in universities can take many forms, including verbal humiliation, physical abuse, emotional intimidation and, in some instances, sexual harassment. While all forms of ragging can have serious consequences, incidents involving sexual harassment often present additional barriers for victims who wish to come forward. Victims may hesitate to complain due to weak institutional mechanisms, fear of retaliation, or uncertainty about whether their experiences will be taken seriously. In many cases, those who speak out are confronted with questions that shift attention away from the alleged misconduct and onto their own behaviour: why did s/he continue the conversation?; why did s/he not simply disengage, if the harassment occurred as claimed?; why did s/he remain in the environment?; or did his/her actions somehow encourage the accused’s behaviour? Such responses illustrate how easily victims can be subjected to a second layer of scrutiny when they attempt to report incidents. When individuals anticipate disbelief, minimisation or blame, silence may appear safer than disclosure. In such circumstances, the presence of a trusted institutional body, capable of providing guidance, protection and support, become critically important, highlighting the need for effective Victim Support Committees within universities.
What Victim Support Committees must do
As expected by the Supreme Court, an effective Victim Support Committee should function as a trusted institutional mechanism that places the safety and dignity of victims at the centre of its work. The committee must provide a safe and confidential point of contact through which victims can report incidents of ragging without fear of intimidation or retaliation. It should assist victims in understanding and pursuing available complaint procedures, while also ensuring their immediate protection where there is a risk of continued harassment. Recognising the psychological harm ragging may cause, the committee should facilitate access to counselling and emotional support services. At a practical level, it should also help victims document incidents, record statements, and preserve evidence that may be necessary for disciplinary or legal proceedings. The committee must coordinate with university authorities to ensure that complaints are addressed promptly and responsibly, while maintaining strict confidentiality to protect the identity and well-being of those who come forward. Beyond responding to individual cases, Victim Support Committees should also contribute to broader awareness and prevention efforts, within universities, helping to create an environment where ragging is actively discouraged and students feel safe to report incidents. Without such support, the process of pursuing justice can become overwhelming for individuals who are already dealing with the emotional impact of abuse.
Making Victim Support Committees work
According to the Orders of Court, these committees should include representatives from the academic and non-academic staff, a qualified counsellor and/or clinical psychologist, an independent person, from outside the institution, with experience in law enforcement, health, or social services, and not more than three final-year students, with unblemished academic and disciplinary records, appointed for fixed terms. Further, universities must ensure that committees consist of individuals who possess both expertise and genuine commitment in areas such as student welfare, psychology, gender studies, human rights and law enforcement, in line with the spirit of the Supreme Court’s directions, rather than consisting largely of ex officio positions. If treated as routine administrative positions, rather than responsibilities requiring specialised knowledge, sensitivity and empathy, these committees risk becoming symbolic rather than functional.
Greater transparency in the appointment process could strengthen the credibility of these committees. Universities could invite expressions of interest from individuals with relevant expertise and demonstrated commitment to supporting victims. Such an approach would help ensure that the committees benefit from the knowledge and dedication of those best equipped to fulfil this role.
The Supreme Court judgement also introduces an important safeguard by giving the University Grants Commission (UGC) the authority to appoint members to university-level Victim Support Committees. If exercised with integrity, this provision could help ensure that these committees operate with greater independence. It may also help address a challenge that sometimes arises within institutions, where individuals, with relevant expertise, or strong commitment to addressing issues, such as violence, harassment or student welfare, may not always be included in institutional mechanisms due to internal administrative preferences. External oversight by the UGC could, therefore, create opportunities for such individuals to contribute meaningfully to Victim Support Committees and strengthen their effectiveness.
Ultimately, the success of the recent judgement will depend not only on the directives it issued, the number of committees universities establish, or the number of meetings they convene, or other box-checking exercises, but on how sincerely those directives are implemented and the trust these committees inspire among students and staff. Laws can prohibit ragging, but they cannot by themselves create environments in which victims feel safe to speak. That responsibility lies with institutions. When universities create systems that listen to victims, support them and treat their experiences with seriousness, universities will become places where dignity and learning can coexist.
(Udari Abeyasinghe is attached to the Department of Oral Pathology at the University of Peradeniya)
Kuppi is a politics and pedagogy happening on the margins of the lecture hall that parodies, subverts, and simultaneously reaffirms social hierarchies.
by Udari Abeyasinghe
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