Features
Covid may be back … but there is no need to panic
by Dr B. J. C. Perera
MBBS(Cey), DCH(Cey), DCH(Eng), MD(Paed), 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.
There is evidence from many parts of the world that COVID is probably rising its ugly head again. If we ever thought it had gone away forever, it is, of course, only wishful thinking. Different strains with somewhat different presentations have been reported from several countries. The World Health Organisation (WHO), in February this year, warned the world that the disease is resurgent in many areas of the world. Perhaps it has undergone some genetic change and come out in a different format, shrouded in a different skin, so to speak. This article is not written to look at the variegated scientific medical aspects of the problem, but to provide down-to-earth information on how to respond adequately to the current situation and possible future developments. It is certainly not written as a proclamation by a Prophet of Doom but as a doctor with wide experience.
The likely emerging situation should ring some alarm bells and initiate the necessary processes and activities to allow us to be prepared; perhaps quite a bit better than the last time when the dastardly bug hit us with all its guns firing. As for the local scenario, a Paediatrician colleague of mine, whose contribution has been acknowledged at the end of this article, had some interesting and thoughtful speculations. He believes that there is a distinct possibility that there might be quite a bit of COVID infections in Sri Lanka at present. He suggests that in at least the Western Province, where dengue, influenza and chikungunya are reasonably common, when patients with fever are tested negative for these viral infections, we have to seriously consider COVID infections. He further elucidates that a presumed viral fever that does not show a ‘settling trend’ by three to four days may well be due to COVID. He suggests that around five to 15 percent of suspected viral fevers that do not test positive for dengue, influenza and chikungunya when tested within the sensitive window, but who still have significant respiratory symptoms, even if they are mild, may be due to COVID. He further suggests that this percentage may be growing slowly and imperceptibly. We need to take all these considerations very seriously if we are to arm ourselves with the necessary ways and means of dealing with a possible tricky situation.
The brute may be back; disappointingly so, of course. BUT THERE IS NO NEED TO PANIC. It is essential to raise public awareness that IT MAY BE BACK. There is nothing to be gained by subtle denial or building it up like a catastrophe beyond all possible levels. The key to progress is to assume that there are cases of COVID around at present. More than anything else, we also need accurate estimates of the occurrence and spread of the disease. It is incumbent on health authorities to mount a concerted effort on very close surveillance of all aspects of the disease. This would involve increased testing using Rapid Antigen Tests (RATs) and Polymerase Chain Reaction (PCR) tests, as well as genetic sequencing procedures of isolated strains of the virus. It is also absolutely essential that adequate surveillance measures are employed at all ports of entry into the country, such as the harbours and airports.
We have to urge the public to undertake proper ‘RESPIRATORY ETIQUETTE’, especially in coughing. Steps need to be taken to cover the nose and mouth properly during coughing to minimise the forceful release of possibly contaminated projected breath into the open air. This step in taking adequate steps in coughing is not really a panic response, but a proven preventive measure which is beneficial to all around.
Wearing a mask when going about and generally avoiding crowds are proven measures of prevention that could be undertaken by all citizens. It is time to get back to these basic measures if we are to avoid getting back into the mire of a pandemic. These steps need to be taken by the people voluntarily and not through coercion. It should be a compelling gesture of social responsibility to do this. Healthcare workers, too, should receive explicit instructions on the clear need to undertake proven safety precautions, as well as adequate and proper behaviour while attending to patients. These are very well known but need to be reiterated continuously and their importance stressed repeatedly by the health authorities.
All of us know how irresponsible some of our citizens can be in situations like this, and public health information campaigns should be started now. We should not wait till the disease has got a vicious hold on the entire country to respond to the situation. It should be emphasised that it is the bounden duty of all citizens to put their common shoulder to the wheel in a rigorous effort to avoid another possible catastrophe.
We must also have a very clear and fool-proof plan for those who have the disease and are proven to be positive on testing. Facilities in healthcare institutions should be arranged in a way that would produce optimal results. It is not at all necessary to admit all positive cases to hospitals. As it developed through sheer necessity during the latter parts of the last epidemic, it was found that many patients could be successfully managed at home with rapid access to medical advice and services. Initiatives such as the Doc Call 247 mobile telephone service, handled by volunteer medical personnel, provided a magnificent service during the last epidemic. Some, particularly those with other concurrent medical issues, and the elderly with the disease, might need hospitalisation. It must be remembered that our deaths due to COVID during the last wave of the disease were much less than in many of the other countries in the world. Much of it was due to unmitigated efforts by all healthcare personnel, consisting of a cohort of our people who served humanity with dedicated compassion.
All of these suggested interventions involve a loud and strong media campaign. It should be stressed that the last thing we need, like a hole in the head, is another COVID outbreak. This is particularly so considering the dicey economic and financial status of our country. Many have probably forgotten the havoc that was caused by the last pandemic of COVID-19. It is imperative for those with very short memories to be further educated on all these aspects. All forms of media have a singular responsibility to provide up-to-date and correct information regarding the problem and constantly reiterate the necessity to undertake the preventive measures listed here.
N.B.
The author is most grateful to his colleague, Dr LakKumar Fernando MBBS, DCH, MD, MRCP, MRCPCH, FRCP, FSLCPaed, for providing some well-thought-out considerations that facilitated the writing of this article.
Features
Death of the Sperm Whale
REVIEWED BY Prof. Rajiva Wijesinha
Earlier this year, I sent her most recent book by an old friend, Kamala Wijeratne. Death of the Sperm Whale is her first book of poetry in four years, though in between she has published fiction, two books though both of them too were slim volumes. I am full of admiration for her in that she keeps going, the last of the poets whom I helped to a wider readership in the eighties, when I championed Sri Lankan writing in English, something hardly any academic was prepared to do in those conservative days.
Kamala’s subjects are those she has explored in the past, but the use of the plural indicates that her range is expansive. She dwells much on nature, but she deals also with political issues, and engages in social criticism. There are several poems about Gaza, the multiple horrors occurring there having clearly affected her deeply. She repeatedly draws attention to the slaughter of children, the infants sent by God only to be taken back. And she deals with the destruction of the life of a doctor, after his healing, a theme that has kept recurring in the ghastly world which is subject to the whims of the incredibly nasty Netanyahu.
The title poem is about a whale destroyed by ingesting plastic, a tragedy to which we all contribute, though those who ‘loll on the beach, their senses dulled by the burgers they eat’ could not care less. More immediate is the simple account of a friend whose infant had died in hospital, when they diagnosed pneumonia too late.
Contrasting with these urgent statements are Kamala’s gentle perceptions, as when she writes of her son supporting her as she walks, while she thinks back to the days she supported him; of a marigold growing in a crack in a shrine, offering obeisance with its golden flowers to the Noble One; of birds investigating her dining room and deciding not to build there, the male lingering ‘confused and irritated’ but eventually following the female through the window for ‘She was mistress after all.’
She is deeply interested in the passing of time, and its impact on our perceptions. The first poem in the book is called ‘First Poem of 2024’ when she ‘heard the weeping of the dying year’, and went on to meditate on how we have categorised the passing of time, while the universe moves on regardless.
She welcomes the return of the Avichchiya, the Indian Pitta, a bird that has figured previously in her poetry, after six months, but this time she spares a thought for his case against the peacock, which stole his plumes.
There are two personal poems, one about a former student who turned her back on her when she had achieved success, the other about being nominated for a literary award, but not getting it after the excitement of attending the Awards Ceremony. Swallowing her disappointment, she congratulates the winner, noting that she will not go into ecstasies the next time she is nominated.
Paraphrase cannot do justice to Kamala Wijeratne’s gentle touch, which has expanded its reach over the years. So,A I will end by quoting from her tribute to Punyakante Wijenaike, another of the distinguished ladies whose work I promoted, the one before the last to leave us. The tribute ends, recalling her most impressive work Giraya,
Like the nutcracker
That makes a clean cut
You cut the human psyche
To reveal its darkest depths
by Kamala Wijeratne
Features
Fertile soil basis of sound farming
On the occasion of World Earth Day, the conversation around sustainability often turns to forests, oceans, and climate. Yet, one of the most critical resources sustaining life remains largely unnoticed – soil. Beneath every thriving crop and every secure food system lies a complex, living ecosystem that quietly performs functions essential not just for agriculture, but for the health of the planet itself.
Soil is far more than a passive medium for plant growth. It is a dynamic and living system, teeming with microorganisms that drive nutrient cycling, regulate water movement, and support biodiversity at multiple levels. It acts as a natural reservoir, storing carbon and playing a crucial role in mitigating the impacts of climate change. The productivity, resilience, and long-term viability of agriculture are intrinsically tied to the health of this foundational resource.
However, decades of intensive agricultural practices have begun to take a visible toll. The increasing pressure to maximize yields has often led to excessive and imbalanced use of fertilisers, particularly nitrogen-heavy inputs. While these may provide short-term gains, their prolonged and unchecked use has resulted in significant nutrient imbalances within the soil. Essential micronutrients are depleted, soil organic carbon levels decline, and the rich microbial life that sustains soil fertility begins to diminish. The result is a gradual but steady erosion of soil health – one that ultimately reflects in reduced productivity and increased vulnerability of crops to stress.
Parallel to the challenge of soil degradation is the growing concern of water scarcity. Agriculture remains the largest consumer of freshwater resources, and inefficient irrigation practices continue to strain already depleting groundwater reserves. In an era marked by climate variability, erratic rainfall patterns, and increasing frequency of droughts, the need for efficient water management has never been more urgent.
Adopting scientifically sound and resource-efficient practices offers a clear pathway forward. Techniques such as rainwater harvesting and precision irrigation systems – like drip and sprinkler methods – enable farmers to optimize water use without compromising crop health. Complementary practices such as mulching and proper field levelling further enhance moisture retention and reduce water loss, ensuring that every drop contributes effectively to plant growth.
Equally important is the shift towards a more balanced and holistic approach to nutrient management. Soil testing must form the backbone of fertiliser application strategies, ensuring that crops receive nutrients in the right proportion and at the right time. Integrating organic sources – such as farmyard manure, compost, and green manure – helps replenish soil organic matter, improving both soil structure and its capacity to retain water and nutrients.
Sustainable soil management also extends to cultivation practices. Reduced or minimum tillage helps preserve soil structure, while crop rotation and intercropping promote biodiversity and break pest and disease cycles. The inclusion of cover crops protects the soil surface from erosion and contributes to organic matter buildup, reinforcing the soil’s natural resilience.
In recent years, there has also been growing recognition of the role played by biological and enzymatic inputs in enhancing soil health. These inputs stimulate beneficial microbial activity, improve nutrient availability, and increase nutrient use efficiency. By reducing dependence on excessive chemical fertilisers, they offer a pathway toward more sustainable and environmentally responsible farming systems. The transition to sustainable agriculture is not merely a technical shift – it is a collective responsibility.
Farmers, scientists, industry stakeholders, and policymakers must work in tandem to promote awareness and facilitate the adoption of practices that conserve soil and water resources. The long-term sustainability of agriculture depends on decisions made today, at both the field and policy level. As we mark World Earth Day, the message is clear: the future of agriculture is inseparable from the health of our soil and the stewardship of our water resources. A fertile, living soil is not just the foundation of productive farming – it is the cornerstone of ecological balance and food security. Protecting it is not an option; it is an obligation we owe to generations to come. (The Statesman)
(The writer is Chairman Emeritus, Dhanuka Agritech.)
Features
Silence of the majority keeps West Asian conflict raging
With no military quick-fix in sight to the ongoing, convoluted West Asian conflict it ought to be clear to the rationally inclined that there is no other way to a solution to the blood-letting other than through a negotiated one. Unfortunately, there are not many takers the world over for such an approach.
Consequently the war rages on incurring the gravest human costs to all relevant sides. Whereas it should be obvious to the Trump administration that Iran wouldn’t be backing down any time soon from its position of taking on the US frontally and with the required military competence in the Hormuz Strait and adjacent regions, the US demonstrates a stubbornness to persist with war strategies that are showing no quick, positive results on the ground.
Clearly, the virtual ‘lock down within a lock down’ situation in the Strait is not proving beneficial for either party. Instead, the spilling of civilian blood in particular continues with unsettling regularity along with an all-encompassing economic crisis that carries a staggering material toll for ordinary people all over the world.
From this viewpoint it is commendable for Pakistan to offer itself as a peace mediator and go ‘the extra mile’ to keep the principal parties engaged in some sort of negotiatory process. But its efforts need to win greater support from the world community. It is a time for peace-makers the world over to stand up and be counted.
It is also a time for straight-talking. To his glowing credit Pope Leo XIV is doing just that and he is the only religious head worldwide to do so. Very rightly he has called on President Trump to end the war through negotiations and described it as ‘unjust’ and ‘a scandal to humanity’.
May this crucial cause be taken up by more and more world leaders, is this columnist’s wish. Instead of speaking fatalistically about a ‘Third World War’, decision and policy makers and commentators, and these are found in plenty in Sri Lanka as well, would do better to help in drumming-up support for a peaceful solution and the latter is within the realms of the possible.
Incidentally, the commonplace definition of the phrase ‘World War’ is quite contentious and it would be premature to speak forebodingly about one right now. The fissures within the West on the Middle East conflict alone rule out the possibility of a ‘World War’ occurring any time soon.
Instead, it would be preferable for the international community, under the aegis of the UN, to take the ‘straight and narrow’ path to a peaceful solution. As implied, this path is no easy avenue; it is cluttered with obstacles that only doughty peace makers could take on and clear.
However, the path to a negotiated peace is worth taking and no less a power than the US should know this. After all, the US ‘bled white’ in Vietnam and had to bow out of the conflict, realizing the futility of pursuing a military solution. A similar lesson should have been learned by Russia which bled futilely in Afghanistan. It too is in an unwinnable situation in Ukraine.
The Pope’s observations to President Trump on negotiating peace have earned for him some snarls and growls of criticism but with time these critics would realize that peace could come only by peaceful means and not through ‘the barrel of a gun.’
For far too long the ‘silent majority’ of the world has allowed politicians to take the sole initiative on working towards peaceful solutions to conflicts and wars. As could be seen, the results have been disastrous. The majority of politicians speak the language of Realpolitik only and this tendency runs contrary to the ways of the selfless peace maker.
Power, which is the essence of Realpolitik, and peace are generally at loggerheads in the real world. Power and self-aggrandizement have to be shelved in the pursuit of durable peace anywhere and it is a pity that the likes of Donald Trump and his team are yet to realize this.
At this juncture the ‘peace constituency’ or the silent majority would need to take centre stage and play their rightful role as the ‘Conscience of the World’. If the latter begins to take on the cause of peace in earnest everywhere, the politicians would have no choice but to pay heed to their cause and take it up, since a contrary course would earn for them public displeasure and votes.
An immediate challenge would be for the ‘peace constituency’ to come together and act as one. Right now, such a coordinating role could be played effectively by only the UN and its agencies. Practical problems are likely to get in the way but these need to be managed insightfully and resourcefully by all stakeholders to peace.
In fact the time couldn’t be more appropriate for the backers of peace to come together and work as one. Right now, economic pressures are increasing worldwide and no less a public than that in the US is beginning to feel them in a major, crushing way.
Going ahead the US public, along with other polities, would find the economic consequences of war to be intolerable. There would be no choice but for governments and peoples to champion peace. Peace makers would need to ‘strike while the iron is hot.’
The success of the above endeavours hinges on the importance humans attach to their consciences. The danger about prolonged wars is that they deaden consciences; particularly those of politicians. The latter deaden their consciences to the extent that they prove impervious to the pain and suffering wars incur.
Thus, the ‘peace constituency’ has its work cut out; it cannot rest assured that politicians would prove sensitive to their demands. The latter would need to be constantly dinned into the hearts and minds of politicians and decision-makers if peaceful solutions to conflicts are to be arrived at.
Likewise, the publics of war-torn countries would need to demand the activation and sustaining of accountability processes with regard to those sections that are suspected of committing war crimes and like atrocities. Those publics that cease to demand accountability from powerful sections among them which are faced with war-time atrocity charges are as good as condemning themselves to lives of permanent dis-empowerment and enslavement.
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