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India-gifted ambulance service in Sri Lanka in need of critical support
By Meera Sirinivasan
An India-gifted free ambulance service in Sri Lanka, providing vital pre-hospital emergency care across the island for eight years, appears to be in need of critical support, going by a recent social media post by a public health professional.
Yasuni Manikkage, a doctor working at a Colombo-based government hospital, on Tuesday took to ‘X’ to flag a 51-year-old man’s sudden death at his residence in Colombo. “Desperately called Suwaseriya, but they did not have any available ambulances nearby. We could not save him on time. Why is funding Suwaseriya 1990 & saving lives not a priority for Lankan government?” she asked in the post that has since drawn much attention.
The delay in response time — the nearest ambulance was 30 minutes away — is uncharacteristic of the ‘Suwaseriya 1990’ service. From the time it was launched in July 2016, with a $7.56-million Indian grant, and expanded in two years with an additional $15.09 million from India, it has made a mark with its promptness and efficiency. Arguably New Delhi’s most popular project in Sri Lanka, the ambulance network has attended to about 82 lakh calls and 19 lakh medical emergencies till date, including in remote areas.
After the initial Indian grant assistance to set up the service Sri Lanka took over and has since been running it with a team of professionals working in coordination with the Ministry of Health. Over 700 of the medical technicians were trained in India initially, but following the pandemic years Sri Lanka developed its own training programme at the University of Kelaniya.
Despite the service’s reach and wide acclaim — a World Bank report called it one of the world’s most digitally advanced and free ambulance services — sustaining it is proving a challenge after Sri Lanka’s crushing financial meltdown in 2022, according to Dumindra Ratnayaka, Chairman of the Suwaseriya Foundation.
The island nation’s unprecedented economic crisis brought with it hyperinflation and a drastic rise in living costs, pushing many Sri Lankans, including thousands of medical professionals and technicians, to seek opportunities abroad. Consequently, Sri Lanka’s public health system, and the ambulance service that is part of it, are impacted. “Of our nearly 1,500 staff, we have lost 400 since 2022,” Ratnayaka said, speaking of the difficulty in finding technicians and putting them through training before they can come on board. Staff salaries are currently in the range of LKR 50,000 (roughly ? 13,800), with which an individual, let alone a family, can hardly make ends meet in Sri Lanka.
The government cannot increase salaries for just one section of public service, and it cannot afford salary hikes across the board at the moment, Sri Lanka’s Health Minister Ramesh Pathirana said. “We have made the necessary budgetary allocation for the ambulance service. The country is stabilising, and things are improving in the health sector too,” he told The Hindu on Wednesday.
Despite the budgetary allocation, an apparent funding crunch prompted the ambulance service to seek adoption last year. Through private sector donations and corporate assistance, it has raised LKR 750 million since, but sustaining the service may need more than individual philanthropy, public health experts noted.
Of the ambulance service’s fleet of 322 vehicles, over 50 are currently offline owing to either staff shortages, or a delay in repairs. “Dimo, who are Tata’s agent here, have also lost many mechanics, they have migrated. That means the time taken to repair a vehicle has increased considerably,” Ratnayaka said, pointing to how the country’s enduring crisis manifests in many ways.
‘Suwaseriya’ is the “last thing” that should be underfunded, contended Colombo-based writer Andrew Fidel Fernando. He recalled how after an unexpected patellar dislocation last year, a call to 1990 brought swift and expert medical care to the spot. “It took barely 5 minutes for the ambulance to reach the park I was at, playing with my kids. The staff were very receptive, incredibly professional, and efficient. There aren’t too many things in Sri Lanka’s public service that I would call world class, but this ambulance service certainly is!” he said.
(The Hindu)
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Heat Index at Caution Level in the Western, Sabaragamuwa, Southern and North-western provinces and in Anuradhapura, Mannar and Vavuniya districts
Warm Weather Advisory
Issued by the Natural Hazards Early Warning Centre of the Department of Meteorology
at 3.30 p.m. on 22 March 2026, valid for 23 March 2026.
The Heat index, the temperature felt on human body is likely to increase up to ‘Caution level’ at some places in the Western, Sabaragamuwa, Southern and North-western provinces and in
Anuradhapura, Mannar and Vavuniya districts.
The Heat Index Forecast is calculated by using relative humidity and maximum temperature and this is the condition that is felt on your body. This is not the forecast of maximum temperature. It is generated by the Department of Meteorology for the next day period and prepared by using global numerical weather prediction model data.

Effect of the heat index on human body is mentioned in the above table and it is prepared on the advice of the Ministry of Health and Indigenous Medical Services.
ACTION REQUIRED
Job sites: Stay hydrated and takes breaks in the shade as often as possible.
Indoors: Check up on the elderly and the sick.
Vehicles: Never leave children unattended.
Outdoors: Limit strenuous outdoor activities, find shade and stay hydrated.
Dress: Wear lightweight and white or light-colored clothing.
Note:
In addition, please refer to advisories issued by the Disaster Preparedness & Response Division, Ministry of Health in this regard as well. For further clarifications please contact 011-7446491.
News
Fuel price hikes trigger transport disruptions and calls for fare increases
The latest fuel price increases have sparked widespread concern among transport operators and raised questions about the government’s supportive measures. Cabinet Spokesman and Minister Dr Nalinda Jayathissa told a media briefing yesterday that the government was incurring a monthly loss of Rs. 20 billion by maintaining subsidies on fuel. According to the Minister, the state loses Rs. 100 per litre of diesel and Rs. 20 per litre of petrol under the current pricing system, a burden that the Treasury continues to absorb as part of a “supportive mechanism.”
The Ceylon Petroleum Corporation (CPC) revised fuel prices from midnight on March 21, raising the price of a litre of Lanka Auto Diesel by Rs. 79 to Rs. 382, Super Diesel by Rs. 90 to Rs. 443, Octane 95 petrol by Rs. 90 to Rs. 455, and Octane 92 petrol by Rs. 81 to Rs. 398. Lanka Kerosene was increased by Rs. 60,bringing the price to Rs. 255 per litre. Other suppliers, including Sinopec and Lanka IOC, also implemented similar hikes, with Sinopec’s Super Diesel rising sharply by Rs. 219 to Rs. 572 per litre.
The surge in fuel prices has had an immediate impact on public transport. The Chairman of the Lanka Private Bus Owners’ Association, Gamunu Wijerathne, told The Island that 90% of private buses were off the road yesterday (22). He called for a 15% increase in bus fares, raising the minimum fare from Rs. 27 to Rs. 35, warning that services could be suspended if fare adjustments are not approved.
Three-wheeler operators have also pressed for immediate fare revisions. L. Rohana Perera, General Secretary of the National Joint Three-Wheeler and Industrialists’ Association, said the rising fuel costs have made it difficult for drivers to continue operating. The Association has proposed a Rs. 20 increase for the first kilometre fare for all meter-operated three-wheelers and plans to present its concerns to the Presidential Secretariat.
Fuel price monitoring has also intensified amid concerns over potential smuggling. A senior police officer told The Island that intelligence units have been deployed near fuel stations to prevent hoarding. The police suspect that certain fuel station employees and owners could be facilitating stockpiling.
Political leaders have warned that the hikes will ripple across the economy. SJB MP S.M. Marikkar said transport cost increases will drive up the prices of essential goods such as rice and fish, leaving consumers struggling under rising costs.
Import and export container transportation charges will be increased by 20% from midnight yesterday (22) due to the recent fuel price hike, according to the Container Transport Vehicle Owners’ Association.
The latest increases follow two rounds of price hikes since March 9, driven by surging global oil prices amid the Middle East conflict. Since then, Lanka Petrol 92 Octane has risen by Rs. 105 to Rs. 398, Petrol 95 Octane by Rs. 115 to Rs. 455, Auto Diesel by Rs. 101 to Rs. 382, and Super Diesel by Rs. 114 to Rs. 443 representing an overall increase of around 35% across key fuel categories.
by Norman Palihawadane and Pradeep Prasanna Samarakoon
News
Prof. Peiris honoured by International Institute of Rehabilitation
At the award presentation ceremony of the International Rehabilitation Institute last week, Professor G.L. Peiris, as Chief Guest, in his keynote address, dealt with the special relevance of rehabilitation at this time. The traditional criminal law makes provision for punishment after a crime has been committed, and punishment usually takes the form of a prison sentence. It is even more important, however, to explore practical means of prevention and also to have recourse to a custodial sentence as a last resort rather than as the typical response.
The modern approach is that punishment is seen not as retributive but as a means of rehabilitating the offender in society. Prison sentences, bringing a first offender into the prison environment and association with habitual offenders, carries the risk of recidivism, the available statistics indicating the likelihood of return to prison on repeated occasions.
He placed emphasis on the importance of informed social attitudes to ensure that an offender does not carry a permanent stigma, reducing his opportunities for employment and acceptance in society. The importance of religious instruction in early childhood, and the close connection between temple and village, was stressed.
Professor Peiris was honoured with an award of appreciation by academic colleagues.
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