Features
A 20-year reflection on housing struggles of Tsunami survivors
Revisiting field research in Ampara
by Prof. Amarasiri de Silva
The 2004 Indian Ocean tsunami, also known as the Boxing Day tsunami, triggered by a magnitude 9.1 earthquake off the coast of Sumatra on 26 Dec., 2004, had a catastrophic impact on Sri Lanka. It is estimated to have released energy equivalent to 23,000 Hiroshima-type atomic bombs, wiping out hundreds of communities in minutes. The tsunami struck Sri Lanka’s eastern and southern coasts approximately two hours after the earthquake. The eastern shores, facing the earthquake’s epicenter, bore the brunt of the waves, affecting settlements on the east coast. The tsunami displaced many families and devastated villages and communities in the affected districts of Sri Lanka. Although Boxing Day is associated with exchanging gifts after Christmas and was a time to give to the less fortunate, it brought havoc in Sri Lanka to many communities. It resulted in approximately 31,229 deaths and 4,093 people missing. In terms of the dead and missing numbers, Sri Lanka’s toll was second only to Indonesia (126,804, missing 93,458, displaced 474,619). Twenty-five beach hotels were severely damaged, and another 6 were completely washed away. More than 240 schools were destroyed or sustained severe damage. Several hospitals, telecommunication networks, coastal railway networks, etc., were also damaged. In addition, one and a half million people were displaced from their homes.
Ampara district was a hard-hit district, where more than 10,000 people died. A Galle bound train from Colombo, carrying about 1,700 passengers visiting their ancestral homes and villages, on the Sunday after the Christmas holidays, was struck by the tsunami near Telwatta; most of them were killed.
About 8,000 people were killed in the northeast region, which the LTTE controlled at the time. The Ampara district was a hard-hit district, with more than 10,000 people dying and many more displaced. In sympathy with the victims, the Saudi Arabian government established a grant to construct houses to assist 500 displaced families in Ampara in 2009. The Saudi Envoy in Colombo presented the house keys to President Mahinda Rajapaksa in 2011 for distribution to tsunami victims in the Ampara district. However, due to the protests by local majoritarian ethnic groups, the government intervened, and a court ruling halted the housing distribution to the victims, mandating that houses be allocated according to the country’s population ratio. The project includes residential units and amenities such as a school, a supermarket complex, a hospital, and a mosque, making it unique for Muslim people. Saudi government ambassador Khalid Hamoud Alkahtani engaged in discussions with the Sri Lankan government to sort out the issues and agreed to give the houses to the respective victims.
Immediate Recovery
The immediate relief work was initiated just after the disaster, and the government had financial and moral support from local people and countries worldwide. As most displaced people were children and women, restoring at least basic education facilities for affected children was a high priority. By mid-year, 85 percent of the children in tsunami-affected areas were back in school, which showed that the relief programme in school education was a success.
Relief efforts for households included the provision of finances to meet immediate needs. Compensation of Rs.15,000 (US$150) was offered for victims towards funeral expenses; livelihood support schemes included Payment of Rs.375 (US$3.75) in cash and rations for each member of a family unit per week, a payment of Rs. 2,500 (US$25) towards kitchen utensils per family. These initial measures were largely successful, though there were some problems with a lack of coordination, as witnessed. (See Map 1)
The most considerable financing needs were in the housing sector. The destruction of private assets was substantial (US$700 million), in addition to public infrastructure and other assets. Loss of current output in the fisheries and tourism sectors—which were severely affected—was estimated at US$200 million and US$130 million, respectively.

2004 tsunami-impacted zone. (Image courtesy Reliefweb)
Strands of Hope: Progress Made for Tsunami-Affected Communities of Sri Lanka
By mid-June 2005, the number of displaced people was down to 516,000 from approximately 800,000 immediately after the tsunami, as people went home—even if the homes in question were destroyed or damaged—and were taken off the books then. At first, an estimated 169,000 people living in schools and tents were mainly transferred to transitional shelters/camps—designed to serve as a stopgap between emergency housing and permanent homes. This transitional shelter was only supplied to affected households in the buffer zone.
By late August 2005, The Task Force for Rebuilding the Nation (TAFREN) estimated that 52,383 transitional shelters, accommodating an estimated 250,000 tsunami-affected people, had been completed since February 2005 at 492 sites. Those transitional housing programme shelters were expected to be completed with 55,000 by the end of September 2005. This goal seems more than achievable. I did not find evidence to show that it has been achieved.
I did my field research in Ampara district with support from UNDP Colombo, the Department for Research Cooperation, and the Swedish International Development Cooperation.
My research shows that the tsunami affected families in Muslim settlements along the East Coast had a severe housing problem for two reasons.
• First, the GoSL has declared that land within 65 meters of the sea is unsafe for living due to possible seismic effects, and people are thus prohibited from engaging in any construction in that beach area. This land strip is the traditional living area of the Muslims, particularly the fisher folk. Families living along the narrow beach strip have not been offered alternative land or adequate compensation to buy land outside the 65-metre zone.
• Second, the LTTE has prohibited Muslims from building houses on land purchased for them by outside agencies on the pretext that it belongs to the Tamils.
The GoSL established several institutions as a response strategy for post-tsunami recovery after the failure of P-TOMS. The Task Force for Rebuilding the Nation (TAFREN), the Task Force for Relief (TAFOR), and the Tsunami Housing Reconstruction Unit (THRU) were the lead agencies created through processes involving private and public sector participation. In November 2005, following the election of President Mahinda Rajapaksa, the Reconstruction and Development Agency (RADA)was set up. This became an authority with executive powers following the parliamentary ratification of the RADA Act in 2006. RADA’s mandate was to accelerate reconstruction and development activities in the affected areas, functionally replacing all the tsunami organizations and a significant part of the former RRR Ministry. According to RADA, the total number of houses built so far (as of May 2006) in Ampara is 629, while the total housing units pledged is 6,169. At the time of the research (March to June 2006), no housing projects were completed in a predominantly Muslim area.
Compensation for damaged houses was not based on a consistent scheme. As a result, some families received large sums, while others did not get any money. In some instances, those who collected compensation were not the affected families. The Auditor General, S.C. Mayadunne, noted that Payment of an excessive amount, even for minor damages, is due to the payments being made without assessing the cost of restoring the houses to normal condition. (For example, Rs. 100,000 had been paid for minor damages of Rs. 10,000) … Payments made without identifying the value of the damaged houses, thus resulting in heavy expenditure by the government (For example, a sum of Rs. 250,000 had been paid for the destruction of a temporary house valued at Rs. 10,000) (Mayadunne, 2005, p. 8). That compensation was not paid according to an acceptable scheme, which led to agitation among the affected people and provided an opportunity for political manipulation. The LTTE and the TRO requested direct aid for reconstruction work in LTTE-controlled areas. The poor response of the GoSL to this demand was interpreted as indifference on its part towards ethnic minorities in Ampara. Meanwhile, the GoSL provided direct support for tsunami-affected communities in southern Sri Lanka, where the majority were Sinhalese, strengthening this allegation.
Land scarcity in tsunami-affected Ampara and disputes over landownership in the area were the main reasons for not completing the housing programmes. The LTTE contended that the land identified for building houses by the GoSL or purchased by civil society organisations for constructing such houses belongs to the Tamils, an ideology based on a myth of their own, a Tamil hereditary Homeland—paarampariyamaana taayakam’ (Peebles, 1990, p. 41). Consequently, housing programmes could not be implemented at that time.
The land question in the Eastern Province has a history that dates back to 1951 when the Gal Oya Colonisation scheme was established. According to the minority version of this history, in a report submitted by Dr. Hasbullah and his colleagues, it shows that the colonists were selected overwhelmingly from among the Sinhalese rather than the Muslims and Tamils, who were a majority in Ampara at that time, and, as a result, the ethnic balance of Ampara District was disrupted. However, conversely, B.H. Farmer reported in 1957 that Tamils, especially Jaffna Tamils, were ‘chary’ and did not have a ‘tradition of migration,’ which was the apparent reason for less Tamil representation among the colonists of Gal Oya. According to Farmer, up to December 31, 1953, between five and 16 percent of the colonists were chosen from the Districts of Batticaloa, Jaffna and Trincomalee, predominantly Tamil. Contradictory evidence (with a political coloring following the recent rise of ethnicity in this discourse) reports by Dr. Hasbullah that 100,000 acres of agricultural land in the East have been ‘illegally transferred from Muslims to the Tamils’ since the 1990s. The Tamils, however, believe that the land in the Eastern Province is part and parcel of the Tamil Homeland. This new political ideology of landownership that emerged at that time in the ethnopolitical context of the Eastern Province has intensified land (re)claiming in Ampara by Muslims and Tamils.
According to Tamil discourse, the increase in the value of land in Ampara over the past two decades has led to rich Muslims purchasing land belonging to poor Tamils, resulting in ethnic homogenization in the coastal areas of the District in favor of the Muslims. ‘Violence against Tamils was also used in some areas to push out the numerically small Tamil service caste communities’ as Hasbullah says. In a situation with an ideological history of land disputes, finding new land for the construction of houses for Muslim communities affected by the tsunami posed a challenge at that time.
In the face of this challenge, Muslims in Ampara sought assistance from Muslim politicians and organisations that willingly came forward to assist them. The efforts made by these politicians and civil society organisations to erect houses for tsunami-affected Muslim families were forcibly curtailed by the LTTE. Consequently, a proposed housing program for Muslims in Kinnayady Kiramam in Kaththankudi was abandoned in 2005. Development of the four acres of land bought by the Memon Sangam in Colombo for tsunami victims of Makbooliya in Marathamunai was prohibited in 2005. Similar occurrences have been reported in Marathamunai Medduvedday. Mrs. Ferial Ashraff, at that time Minister of Housing and Common Amenities, wanted to build houses in Marathamunai, Periyaneelavanai DS division (Addaippallam), the Pandirippu Muslim area, and in Oluvil–Palamunai, but the LTTE proscribed all such initiatives.
The Islamabad housing scheme in Kalmunai Muslim DS division and the construction of houses by Muslim individuals in Karaithivu were banned, and threats were issued by the LTTE and a Tamil military organisation called Ellai Padai (Boundary Forces). Because the GoSL and the intervening agencies could not resolve the housing problem, the affected communities became disillusioned and lost confidence in the GoSL departments, aid agencies, and international NGOs. Much effort and resources were wasted in finding land and designing housing programmes that have not materialised. Some funds pledged by external agencies failed to materialise, causing harm to low-income families. Efforts to provide housing for tsunami-affected people in the Ampara District at that time highlighted their vulnerability to LTTE threats and the power politics of participating agencies. Regarding housing and land issues, the Muslim people of Ampara adopted two approaches to address their challenges. First, in some cases, they reached a compromise with the LTTE, agreeing that upon completion of a housing project, a portion of the houses would be allocated to the Tamil community under LTTE supervision.
For instance, this approach proved successful in the Islamabad housing programme, which was halfway complete as of the time of the research (March–June 2006). Similarly, a housing scheme in Ninthavur followed a comparable compromise with the LTTE. According to Mohamed Mansoor, the then President of the Centre for East Lanka Social Service, 22 of the 100 houses were to be allocated to the Tamil community upon completion. This allocation was deemed reasonable because Muslims owned 80 percent of the land in the area, while Tamils owned 20 percent. At the time of the author’s fieldwork, approximately 30 houses had been completed at this site. I don’t know what happened afterward.
The second approach adopted by the people was to build houses in the areas they had lived in before the tsunami, despite construction being prohibited within 65 meters of the sea. Muslims in Marathamunai knew they would not be allocated any land for housing and sought funds from organisations such as the Eastern Human Economic Development to construct homes on their original plots. The affected individuals have made efforts to urge their leaders to engage with the TRO and the LTTE to reclaim the funds borrowed by Muslim people and organisations to purchase land. The four-acre plot that the Memon Society had acquired for housing development was sold to a Tamil organisation for Rs. 1,000,000 (roughly USD 10,000) and was one such land in question.
The national political forces operating in Ampara have deprived the poor (Muslim) fisher folk of their right to land and build houses in their villages. These communities have resorted to non-violent strategies involving accepting the status quo without questioning it and fighting for their rights. The passivity among the poor affected families is a result of them not having representation in the civil society organisations in the area. These bodies are run by elites who do not wish to contest the GoSL rule of a 65-metre buffer zone or LTTE land claims. The tsunami not only washed away the houses and took the land of the poor communities that lived by the sea, but it also made them even poorer, more marginalised, and more ethnically segregated.
Here, 20 years later, it is time that justice was done to the Muslim families in the Ampara district who were severely hit by the tsunami. It is also a significant and timely commitment made by President Dissanayake to offer 500 houses to the Muslim tsunami victims. Such a promise is overdue and essential, as these marginalised communities have desperately needed a voice and action in their favour for over 20 years. Delivery of such homes to the victims would be an important step in restoring social harmony and the dignity and livelihoods of those affected by the tragic incident.
Features
Who Owns the Clock? The Quiet Politics of Time in Sri Lanka
(This is the 100th column of the Out of the Box series, which began on 6 September, 2023, at the invitation of this newspaper – Ed.)
A new year is an appropriate moment to pause, not for celebration, but to interrogate what our politics, policies, and public institutions have chosen to remember, forget, and repeat. We celebrate the dawn of another brand-new year. But whose calendar defines this moment?
We hang calendars on our walls and carry them in our phones, trusting them to keep our lives in order, meetings, exams, weddings, tax deadlines, pilgrimages. Yet calendars are anything but neutral. They are among humanity’s oldest instruments of power: tools that turn celestial rhythms into social rules and convert culture into governance. In Sri Lanka, where multiple traditions of time coexist, the calendar is not just a convenience, it is a contested terrain of identity, authority, and fairness.
Time is never just time
Every calendar expresses a political philosophy. Solar systems prioritise agricultural predictability and administrative stability; lunar systems preserve religious ritual even when seasons drift; lunisolar systems stitch both together, with intercalary months added to keep festivals in season while respecting the moon’s phases. Ancient India and China perfected this balancing act, proving that precision and meaning can coexist. Sri Lanka’s own rhythms, Vesak and Poson, Avurudu in April, Ramadan, Deepavali, sit inside this wider tradition.
What looks “technical” is actually social. A calendar decides when courts sit, when budgets reset, when harvests are planned, when children sit exams, when debts are due, and when communities celebrate. It says who gets to define “normal time,” and whose rhythms must adapt.
The colonial clock still ticks
Like many postcolonial societies, Sri Lanka inherited the Gregorian calendar as the default language of administration. January 1 is our “New Year” for financial statements, annual reports, contracts, fiscal plans, school terms, and parliamentary sittings, an imported date shaped by European liturgical cycles and temperate seasons rather than our monsoons or zodiac transitions. The lived heartbeat of the island, however, is Avurudu: tied to the sun’s movement into Mesha Rāshi, agricultural renewal, and shared rituals of restraint and generosity. The result is a quiet tension: the calendar of governance versus the calendar of lived culture.
This is not mere inconvenience; it is a subtle form of epistemic dominance. The administrative clock frames Gregorian time as “real,” while Sinhala, Tamil, and Islamic calendars are relegated to “cultural” exceptions. That framing shapes everything, from office leave norms to the pace at which development programmes expect communities to “comply”.
When calendars enforce authority
History reminds us that calendar reforms are rarely innocent. Julius Caesar’s reshaping of Rome’s calendar consolidated imperial power. Pope Gregory XIII’s reform aligned Christian ritual with solar accuracy while entrenching ecclesiastical authority. When Britain finally adopted the Gregorian system in 1752, the change erased 11 days and was imposed across its empire; colonial assemblies had little or no say. In that moment, time itself became a technology for governing distant subjects.
Sri Lanka knows this logic. The administrative layers built under colonial rule taught us to treat Gregorian dates as “official” and indigenous rhythms as “traditional.” Our contemporary fiscal deadlines, debt restructurings, even election cycles, now march to that imported drumbeat, often without asking how this timing sits with the island’s ecological and cultural cycles.
Development, deadlines and temporal violence
Modern governance is obsessed with deadlines: quarters, annual budgets, five-year plans, review missions. The assumption is that time is linear, uniform, and compressible. But a farmer in Anuradhapura and a rideshare driver in Colombo do not live in the same temporal reality. Monsoons, harvests, pilgrimage seasons, fasting cycles, school term transitions, these shape when people can comply with policy, pay taxes, attend trainings, or repay loans. When programmes ignore these rhythms, failure is framed as “noncompliance,” when in fact the calendar itself has misread society. This mismatch is a form of temporal violence: harm produced not by bad intentions, but by insensitive timing.
Consider microcredit repayment windows that peak during lean agricultural months, or school examinations scheduled without regard to Avurudu obligations. Disaster relief often runs on the donor’s quarterly clock rather than the community’s recovery pace. In each case, governance time disciplines lived time, and the least powerful bend the most.
Religious time vs administrative time
Sri Lanka’s plural religious landscape intensifies the calendar question. Buddhism, Hinduism, Islam, and Christianity relate to time differently: lunar cycles, solar markers, sacred anniversaries. The state acknowledges these mainly as public holidays, rather than integrating their deeper temporal logic into planning. Vesak is a day off, not a rhythm of reflection and restraint; Ramadan is accommodated as schedule disruption, not as a month that reorganises energy, sleep, and work patterns; Avurudu is celebrated culturally but remains administratively marginal. The hidden assumption is that “real work” happens on the Gregorian clock; culture is decorative. That assumption deserves challenge.
The wisdom in complexity
Precolonial South and East Asian calendars were not confused compromises. They were sophisticated integrations of astronomy, agriculture, and ritual life, adding intercalary months precisely to keep festivals aligned with the seasons, and using lunar mansions (nakshatra) to mark auspicious thresholds. This plural logic admits that societies live on multiple cycles at once. Administrative convenience won with the Gregorian system, but at a cost: months that no longer relate to the moon (even though “month” comes from “moon”), and a yearstart with no intrinsic astronomical significance for our context.
Towards temporal pluralism
The solution is not to abandon the Gregorian calendar. Global coordination, trade, aviation, science, requires shared reference points. But ‘shared’ does not mean uncritical. Sri Lanka can lead by modelling temporal pluralism: a policy posture that recognises different ways of organising time as legitimate, and integrates them thoughtfully into governance.
Why timing is justice
In an age of economic adjustment and climate volatility, time becomes a question of justice: Whose rhythms does the state respect? Whose deadlines dominate? Whose festivals shape planning, and whose are treated as interruptions? The more governance assumes a single, imported tempo, the wider the gap between the citizens and the state. Conversely, when policy listens to local calendars, legitimacy grows, as does efficacy. People comply more when the schedule makes sense in their lives.
Reclaiming time without romanticism
This is not nostalgia. It is a pragmatic recognition that societies live on multiple cycles: ecological, economic, ritual, familial. Good policy stitches these cycles into a workable fabric. Poor policy flattens them into a grid and then blames citizens for falling through the squares.
Sri Lanka’s temporal landscape, Avurudu’s thresholds, lunar fasts, monsoon pulses, exam seasons, budget cycles, is rich, not chaotic. The task before us is translation: making administrative time converse respectfully with cultural time. We don’t need to slow down; we need to sync differently.
The last word
When British subjects woke to find 11 days erased in 1752, they learned that time could be rearranged by distant power. Our lesson, centuries later, is the opposite: time can be rearranged by near power, by a state that chooses to listen.
Calendars shape memory, expectation, discipline, and hope. If Sri Lanka can reimagine the governance of time, without abandoning global coordination, we might recover something profound: a calendar that measures not just hours but meaning. That would be a reform worthy of our island’s wisdom.
(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
Medicinal drugs for Sri Lanka:The science of safety beyond rhetoric
The recent wave of pharmaceutical tragedies in Sri Lanka, as well as some others that have occurred regularly in the past, has exposed a terrifying reality: our medicine cabinets have become a frontline of risk and potential danger. In recent months, the silent sanctuary of Sri Lanka’s healthcare system has been shattered by a series of tragic, preventable deaths. The common denominator in these tragedies has been a failure in the most basic promise of medicine: that it will heal, not harm. This issue is entirely contrary to the immortal writings of the Father of Medicine, Hippocrates of the island of Kos, who wrote, “Primum non nocere,” which translates classically from Latin as “First do no harm.” The question of the safety of medicinal drugs is, at present, a real dilemma for those of us who, by virtue of our vocation, need to use them to help our patients.
For a nation that imports the vast majority of its medicinal drugs, largely from regional hubs like India, Pakistan, and Bangladesh, the promise of healing is only as strong as the laboratory that verifies these very same medicinal drugs. To prevent further problems, and even loss of lives, we must demand a world-class laboratory infrastructure that operates on science, not just sentiment. We desperately need a total overhaul of our pharmaceutical quality assurance architecture.
The detailed anatomy of a national drug testing facility is not merely a government office. It is a high-precision fortress. To meet international standards like ISO/IEC 17025 and World Health Organisation (WHO) Good Practices for Pharmaceutical Quality Control Laboratories, such a high-quality laboratory must be zoned into specialised units, each designed to catch a different type of failure.
* The Physicochemical Unit: This is where the chemical identity of a drug is confirmed. Using High-Performance Liquid Chromatography (HPLC) and Gas Chromatography-Mass Spectrometry (GC-MS), scientists determine if a “500mg” tablet actually contains 500mg of the active ingredient or if it is filled with useless chalk.
* The Microbiology Suite: This is the most critical area for preventing “injection deaths.” It requires an ISO Class 5 Cleanroom: sterile environments where air is filtered to remove every microscopic particle. Here, technicians perform Sterility Testing to ensure no bacteria or fungi are present in medicines that have to be injected.
* The Instrumentation Wing: Modern testing requires Atomic Absorption Spectrometers to detect heavy metal contaminants (like lead or arsenic) and Stability Chambers to see how drugs react to Sri Lanka’s high humidity.
* The injectable drug contamination is a serious challenge. The most recent fatalities in our hospitals were linked to Intravenous (IV) preparations. When a drug is injected directly into the bloodstream, there is no margin for error. A proper national laboratory must conduct two non-negotiable tests:
* Bacterial Endotoxin Testing (BET): Even if a drug is “sterile” (all bacteria are dead), the dead bacteria leave behind toxic cell wall products called endotoxins. If injected, these residual compounds cause “Pyrogenic Reactions” with violent fevers, organ failure, and death. A functional lab must use the Limulus Amoebocyte Lysate (LAL) test to detect these toxins at the parts-per-billion level.
* Particulate Matter Analysis: Using laser obscuration, labs must verify that no microscopic shards of glass or plastic are floating in the vials. These can cause fatal blood clots or embolisms in the lungs.
It is absolutely vital to assess whether the medicine is available in the preparation in the prescribed amounts and whether it is active and is likely to work. This is Bioavailability. Sri Lanka’s heavy reliance on “generic” imports raises a critical question: Is the cheaper version from abroad as effective as the original, more expensive branded formulation? This is determined by Bioavailability (BA) and Bioequivalence (BE) studies.
A drug might have the right chemical formula, but if it does not dissolve properly in the stomach or reach the blood at the right speed, it is therapeutically useless. Bioavailability measures the rate and extent to which the active ingredient is absorbed into the bloodstream. If a cheaper generic drug is not “bioequivalent” to the original brand-named version, the patient is essentially taking a useless placebo. For patients with heart disease or epilepsy, even a 10% difference in bioavailability can lead to treatment failure. A proper national system must include a facility to conduct these studies, ensuring that every generic drug imported is a true “therapeutic equivalent” to the brand-named original.
As far as testing goes, the current testing philosophy is best described as Reactive, rather than Proactive. The current Sri Lankan system is “reactive”: we test a drug only after a patient has already suffered. This is a proven recipe for disaster. To protect the public, we must shift to a Proactive Surveillance Model of testing ALL drugs at many stages of their dispensing.
* Pre-Marketing Approval: No drug should reach a hospital shelf without “Batch Release” testing. Currently, we often accept the manufacturer’s own certificate of analysis, which is essentially like allowing students to grade their own examination answers.
* Random Post-Marketing Surveillance (PMS): Regulatory inspectors must have the power to walk into any rural pharmacy or state hospital, pick a box of medicine at random, and send it to the lab. This could even catch “substandard” drugs that may have degraded during shipping or storage in our tropical heat. PMS is the Final Safety Net. Even the best laboratories cannot catch every defect. Post-Marketing Surveillance is the ongoing monitoring of a drug’s safety after it has been released to the public. It clearly is the Gold Standard.
* Pharmacovigilance: A robust digital system where every “Adverse Drug Reaction” (ADR) is logged in a national database.
* Signal Detection: An example of this is if three hospitals in different provinces report a slight rash from the same batch of an antibiotic, the system should automatically “flag” that batch for immediate recall before a more severe, unfortunate event takes place.
* Testing for Contaminants: Beyond the active ingredients, we must test for excipient purity. In some global cases, cheaper “glycerin” used in syrups was contaminated with diethylene glycol, a deadly poison. A modern lab must have the technology to screen for these hidden killers.
When one considers the Human Element, Competence and Integrity, the very best equipment in the world is useless without the human capital to run it. A national lab would need the following:
* Highly Trained Pharmacologists and Microbiologists and all grades of staff who are compensated well enough to be immune to the “lobbying” of powerful external agencies.
* Digital Transparency: A database accessible to the public, where any citizen can enter a batch number from their medicine box and see the lab results.
Once a proper system is put in place, we need to assess as to how our facilities measure up against the WHO’s “Model Quality Assurance System.” That will ensure maintenance of internationally recognised standards. The confirmed unfavourable results of any testing procedure, if any, should lead to a very prompt “Blacklist” Initiative, which can be used to legally bar failing manufacturers from future tenders. Such an endeavour would help to keep all drug manufacturers and importers on their toes at all times.
This author believes that this article is based on the premise that the cost of silence by the medical profession would be catastrophic. Quality assurance of medicinal compounds is not an “extra” cost. It is a fundamental right of every Sri Lankan citizen, which is not at all subject to any kind of negotiation. Until our testing facilities match the sophistication of the manufacturers we buy from, we are not just importing medicine; we are importing potential risk.
The promises made by the powers-that-be to “update” the testing laboratories will remain as a rather familiar, unreliable, political theatre until we see a committed budget for mass spectrometry, cleanroom certifications, highly trained and committed staff and a fleet of independent inspectors. Quality control of therapeutic medicines is not a luxury; it is the price to be paid for a portal of entry into a civilised and intensively safe healthcare system. Every time we delay the construction of a comprehensive, proactive testing infrastructure, we are playing a game of Russian Roulette with the lives of our people.
The science is available, and the necessary technology exists. What is missing is the political will to put patient safety as the premier deciding criterion. The time for hollow rhetoric has passed, and the time for a scientifically fortified, transparent, and proactive regulatory mechanism is right now. The good health of all Sri Lankans, as well as even their lives, depend on it.
Dr B. J. C. Perera
MBBS(Cey), DCH(Cey), DCH(Eng), MD(Paediatrics), MRCP(UK), FRCP(Edin), FRCP(Lond), FRCPCH(UK), FSLCPaed, FCCP, Hony. FRCPCH(UK), Hony. FCGP(SL)
Specialist Consultant Paediatrician and Honorary Senior Fellow, Postgraduate Institute of Medicine, University of Colombo, Sri Lanka.
Joint Editor, Sri Lanka Journal of Child Health
Section Editor, Ceylon Medical Journal
Features
Rebuilding Sri Lanka Through Inclusive Governance
In the immediate aftermath of Cyclone Ditwah, the government has moved swiftly to establish a Presidential Task Force for Rebuilding Sri Lanka with a core committee to assess requirements, set priorities, allocate resources and raise and disburse funds. Public reaction, however, has focused on the committee’s problematic composition. All eleven committee members are men, and all non-government seats are held by business personalities with no known expertise in complex national development projects, disaster management and addressing the needs of vulnerable populations. They belong to the top echelon of Sri Lanka’s private sector which has been making extraordinary profits. The government has been urged by civil society groups to reconsider the role and purpose of this task force and reconstitute it to be more representative of the country and its multiple needs.
The group of high-powered businessmen initially appointed might greatly help mobilise funds from corporates and international donors, but this group may be ill equipped to determine priorities and oversee disbursement and spending. It would be necessary to separate fundraising, fund oversight and spending prioritisation, given the different capabilities and considerations required for each. International experience in post disaster recovery shows that inclusive and representative structures are more likely to produce outcomes that are equitable, efficient and publicly accepted. Civil society, for instance, brings knowledge rooted in communities, experience in working with vulnerable groups and a capacity to question assumptions that may otherwise go unchallenged.
A positive and important development is that the government has been responsive to these criticisms and has invited at least one civil society representative to join the Rebuilding Sri Lanka committee. This decision deserves to be taken seriously and responded to positively by civil society which needs to call for more representation rather than a single representative. Such a demand would reflect an understanding that rebuilding after a national disaster cannot be undertaken by the state and the business community alone. The inclusion of civil society will strengthen transparency and public confidence, particularly at a moment when trust in institutions remains fragile. While one appointment does not in itself ensure inclusive governance, it opens the door to a more participatory approach that needs to be expanded and institutionalised.
Costly Exclusions
Going down the road of history, the absence of inclusion in government policymaking has cost the country dearly. The exclusion of others, not of one’s own community or political party, started at the very dawn of Independence in 1948. The Father of the Nation, D S Senanayake, led his government to exclude the Malaiyaha Tamil community by depriving them of their citizenship rights. Eight years later, in 1956, the Oxford educated S W R D Bandaranaike effectively excluded the Tamil speaking people from the government by making Sinhala the sole official language. These early decisions normalised exclusion as a tool of governance rather than accommodation and paved the way for seven decades of political conflict and three decades of internal war.
Exclusion has also taken place virulently on a political party basis. Both of Sri Lanka’s post Independence constitutions were decided on by the government alone. The opposition political parties voted against the new constitutions of 1972 and 1977 because they had been excluded from participating in their design. The proposals they had made were not accepted. The basic law of the country was never forged by consensus. This legacy continues to shape adversarial politics and institutional fragility. The exclusion of other communities and political parties from decision making has led to frequent reversals of government policy. Whether in education or economic regulation or foreign policy, what one government has done the successor government has undone.
Sri Lanka’s poor performance in securing the foreign investment necessary for rapid economic growth can be attributed to this factor in the main. Policy instability is not simply an economic problem but a political one rooted in narrow ownership of power. In 2022, when the people went on to the streets to protest against the government and caused it to fall, they demanded system change in which their primary focus was corruption, which had reached very high levels both literally and figuratively. The focus on corruption, as being done by the government at present, has two beneficial impacts for the government. The first is that it ensures that a minimum of resources will be wasted so that the maximum may be used for the people’s welfare.
Second Benefit
The second benefit is that by focusing on the crime of corruption, the government can disable many leaders in the opposition. The more opposition leaders who are behind bars on charges of corruption, the less competition the government faces. Yet these gains do not substitute for the deeper requirement of inclusive governance. The present government seems to have identified corruption as the problem it will emphasise. However, reducing or eliminating corruption by itself is not going to lead to rapid economic development. Corruption is not the sole reason for the absence of economic growth. The most important factor in rapid economic growth is to have government policies that are not reversed every time a new government comes to power.
For Sri Lanka to make the transition to self-sustaining and rapid economic development, it is necessary that the economic policies followed today are not reversed tomorrow. The best way to ensure continuity of policy is to be inclusive in governance. Instead of excluding those in the opposition, the mainstream opposition in particular needs to be included. In terms of system change, the government has scored high with regard to corruption. There is a general feeling that corruption in the country is much reduced compared to the past. However, with regard to inclusion the government needs to demonstrate more commitment. This was evident in the initial choice of cabinet ministers, who were nearly all men from the majority ethnic community. Important committees it formed, including the Presidential Task Force for a Clean Sri Lanka and the Rebuilding Sri Lanka Task Force, also failed at first to reflect the diversity of the country.
In a multi ethnic and multi religious society like Sri Lanka, inclusivity is not merely symbolic. It is essential for addressing diverse perspectives and fostering mutual understanding. It is important to have members of the Tamil, Muslim and other minority communities, and women who are 52 percent of the population, appointed to important decision making bodies, especially those tasked with national recovery. Without such representation, the risk is that the very communities most affected by the crisis will remain unheard, and old grievances will be reproduced in new forms. The invitation extended to civil society to participate in the Rebuilding Sri Lanka Task Force is an important beginning. Whether it becomes a turning point will depend on whether the government chooses to make inclusion a principle of governance rather than treat it as a show of concession made under pressure.
by Jehan Perera
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