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Present and future trends in global student mobility seeking medical education and training: Opportunities and threats for Sri Lanka

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(An evidence-based analysis)

This script presents a critical analysis of the current status of medical education in Sri Lanka, opportunities and threats posed by Transnational Medical Education, and examines the growing imbalance between the availability and demand for medical education in the island. It also analyses the issues such as perceived future unemployment of doctors in Sri Lanka.

The text provides objective evidence of the global reality that no country trains doctors exclusively for employment in the state sector hospitals in that country.

It calls for the need of a clear-cut policy directive for private medical education in Sri Lanka to align with national healthcare needs, global trends and local student demands to create a new paradigm for Sri Lanka to compete for Transnational Medical Education in the region and beyond.

Understanding the evolution of medical education in Sri Lanka is useful for such an analysis.

District Quota system: Current Relevance

Sri Lanka has long provided free medical education. To address the disparities in education prevailing between different districts, District Quotas were introduced for university admissions in 1972.

According to the District Quotas, 40 % seats are allocated on all island merit, 55% for a district based on the population of that district and further five percent to 16 districts, identified as ‘educationally disadvantaged.’

Today, education standards in all districts have vastly improved. Private tuition classes, both face-to-face and online are available in all districts. On-line classes are conducted not only by local but also by foreign teachers from the USA and UK, and Canada for local AL and London AL students diminishing the original rationale for district quotas. However, this basis of admission is still given priority over merit undermining fairness and meritocracy. The District Quota System has not been revised for more than five decades.

Z-Score and Admission Criteria

Current admissions to state medical schools are based on the Z-score—a statistical formula using marks scored in Chemistry, Physics, and Biology to improve the fairness of selection. For example, if average results for the physics paper for that year is poor, a good score for physics will increase that student’s Z score. However, as selection to medicine is from three uniform subjects, Z score will not have a major impact on other students in different districts.

Z score is extremely useful for entry to Arts or Commerce degree programmes where different subject combinations can be used. So, if a student has obtained good marks by selecting three ‘easy to score’ subjects, Z score will ‘standardize’ the results to be fair to students who has done ‘not so easy’ subjects.

Based on the Z score, the University Grants Commission (UGC) releases ‘District Cut off’ using the 40%, 55%, 5% formula to allocate seats for districts.

For the 2024 intake the lowest cut off used to enter a state medical school was 1,476. But there were 72 candidates who could not enter a state medical school, who had better Z score than 1,476 in the island.

Inconsistency in regulations

London A/L results of local students are not considered for entry to a state medical school. However, foreign students with London AL are eligible, to a number of places up to five percent of the annual intake for a state medical school in Sri Lanka.

In 2024, 29 fee-paying foreign students were admitted to state medical schools, each paying USD 12,500 annually. These students receive training, together with local medical students using Sri Lankan patients in state hospitals.

It is ironic that foreign students with London AL qualifications are allowed entry on a fee-paying basis but local students are denied. A Sri Lankan student with even excellent London AL results – three A Stars, is not considered for admission to a state medical school. This violates fundamental rights of Sri Lankan students.

Some state medical students who gained entry to state medical schools using the district basis advantage protest against establishing regulated private medical schools for their own local colleagues who are deprived of admission to a state medical school due to the district basis of admission. However, foreign students are accepted to the same medical school on a fee levying basis. This double standard is difficult to comprehend.

It is ironic that such students, who are denied places to study medicine due to the district basis issue and those who sat for the London AL exam are forced to leave Sri Lanka taking away valuable foreign exchange to get enrolled in foreign medical schools while private education is available locally for all other professional degree programmes – engineering, law, accountancy – on a fee-paying basis.

Mismatch between capacity and demand: Medical and Non-Medical degree programmes

UGC data for 2024 reveals that only 7.4% of qualified applicants were admitted to state medical schools, leaving 92.6% with no opportunity to study medicine.

This highlights the significant gap between the availability and demand and the urgent need to revisit the present policy regarding medical education and training in Sri Lanka.

Sri Lanka currently operates 12 State Medical Schools. Four were established during past eight years. In the last intake (2024), a total of 2,049 students obtained entry to state medical schools. This is only 7.4% of those eligible. Government has no plans to increase medical schools in the foreseeable future, understandable given existing financial constraints.

Every year, on an average, 800 to 1,000 students leave Sri Lanka seeking foreign medical education. Some return after five years to serve the nation. Apart from high tuition fees, accommodation and living costs as well as international transport are all paid in dollars with Sri Lanka continuing to lose hard earned foreign exchange.

As the president has stated, to address the financial challenges Sri Lanka is currently facing, the country must find ways to reduce foreign exchange outflows and create opportunities to increase the foreign exchange inflows.

The present status with regards to the availability and demand regarding non-medical higher education in Sri Lanka is equally alarming.

Transnational Education in Sri Lanka (TNE): An Operational and Quality Assurance Landscape report published by the British Council in 2024 reveals that of the countries sending students to UK for higher education, Sri Lanka accounts for 10 per cent of all UK TNE enrolments and is ranked second only to China with a 1.3 billion population. It also highlights that Sri Lanka is the fastest growing country in the top ten countries seeking UK TNE. From 2020-2021 to 2022-2023, the number of Sri Lankan enrolments increased significantly by 50 per cent. With 53,915 TNE enrolments in 2022-23, Sri Lanka is one of the most significant sources of students for British universities.

This indisputable data amply highlight the discrepancy between the availability and demand for higher education in Sri Lanka.

Global trends in medical education

Most countries restrict access to free medical education due to financial constraints. Even countries like China, Cuba and Vietnam which practice leftist ideology, compete for Transnational Medical Education by establishing regulated private medical schools. But Sri Lanka currently has no private medical schools and has no active strategy to establish them.

Furthermore, the country does not seek service from those who benefit from free medical education, a policy that was discontinued in 1979. Introduction of the Compulsory Public Service (Amendment) Act. No.11 of 1979 removed the mandatory service obligations for doctors.

Therefore, unlike in many other countries, a doctor who enjoyed free medical education in Sri Lanka can leave the island the day after receiving full registration from the SLMC. The same applies to Medical Specialists.

Consequences of policy gaps

Many local students with excellent London A/L results, are made ineligible for entry to state medical schools. They are citizens of Sri Lanka, often from international schools. Historically international schools served the affluent society. However today most students are in ‘international schools’ not by choice but by necessity due to unavailability of places in urban government schools. They are all Sri Lankan citizen with legitimate expectations.

Meanwhile, foreign students with similar qualifications are accepted in our universities for a fee. This inconsistency forces local students to seek opportunities abroad. Their parents have to pay for their medical training in US dollars. Hard earned foreign exchange from foreign remittances flow out to other countries to fund such students. Parents often lose their children to foreign countries and Sri Lanka loses intelligent citizen.

In 2023/2024, nearly 800 to 1,000 students sat for the ERPM (Examination for Registration to Practice Medicine) examination conducted by the SLMC to obtain registration

. SLMC conducts two ERPM examinations per year.

The data reflects the growing demand for medical education locally and the substantial foreign exchange loss in funding Lankan students abroad. These students pursue foreign medical education do so not by choice but due to the absence of private medical schools in Sri Lanka.

Brain drain and workforce attrition issue: some solutions

Access to medical education if desired is a fundamental right of any citizen. Restrictive policies infringe on this right and contribute to the emigration of professionals. Many Sri Lankan professionals, particularly doctors, emigrate for better educational opportunities for children. Expanding access to quality medical education within Sri Lanka could reduce the brain drain, retain skilled professionals, and help stabilize the healthcare workforce.

Establishing regulated private medical schools could reverse this trend and redirect Transnational Education towards Sri Lanka, an island globally renowned as a popular tourist destination.

ghboring countries, India, Pakistan, Bangladesh, Malaysia, Thailand, Singapore, and Nepal, have well-established private medical schools to meet local demand and to attract international students. Lack of such a policy places Sri Lanka at a competitive disadvantage in the region. These regional countries attract Sri Lankan students, resulting in significant foreign exchange losses. Developing local private medical education could retain these students and stop dollar outflows funding them.

Sri Lanka is the only country in the region that has no private medical school.

In the 2024 budget speech, India’s Minister of Finance Nirmala Sitharaman, outlined a plan to train 75,000 doctors over the next decade to work abroad, to generate foreign income. Sri Lanka could adopt a similar strategy to boost our economy.

Attrition of doctors from Sri Lanka

Many doctors leave Sri Lanka after completing their state-funded education. Claims that Sri Lanka will soon face a surplus of doctors are unfounded as medical graduates and medical specialists are needed to serve not only in state hospitals but also the private sector, university academia, and significant numbers go abroad. An accredited medical degree has global employment opportunities. Expanding medical education would align with these diverse employment opportunities. This supports the case for increasing capacity for medical training in Sri Lanka.

There is a lack of comprehensive data on the attrition rates of doctors and their professional trajectories, particularly those trained through free state education. Such data is critical for understanding and addressing the brain drain in the medical sector.

Delivering a keynote address at the recently held World Health Forum in Switzerland, the Minister of Health emphasized doctors’ brain-drain, underscoring the need for expanded medical education to meet both local and global demand for healthcare professionals and future use of heath care professionals to earn foreign exchange.

Prevailing misconceptions

Some medical students believe that in a few years the government may not be able to employ them in state hospitals. Appointments are given on the basis of a merit list. Priority is given to local students, followed by KDU students, then local students who have obtained state scholarships to study medicine abroad. Students with foreign MBBS are placed last. If the Ministry of Health cannot employ doctors to serve in the state hospitals in the future, it will not affect the state medical students.

As stated, there are no mandatory service obligations for doctors. An accredited medical degree has global employment opportunities. After obtaining full registration doctors are posted to peripheral stations to serve. Some pass PGIM (Postgraduate Institute of Medicine) exams, enter postgraduate training programmes and become consultants. Some join private hospitals for a good salary or start their own private practices while some go abroad.

Global opportunities for medical graduates; – changing trends

Due to economic challenges, a growing number of young doctors prioritize international registration exams, such as the UK’s PLAB, the US ECFMG, and Australian exams, over Sri Lanka’s PGIM exams, indicating a trend towards emigration. Countries like Australia and Denmark offer visas to Sri Lankan doctors to serve in remote regions, facilitating emigration.

Present status of the Quality Assurance and Accreditation systems for Medical Training in Sri Lanka

Historically, the Sri Lankan Medical Council (SLMC) was responsible for Registration of Medical Degrees. In line with global trends two major developments took place in SLMC. First was the publication of Gazette Extraordinary No.2055/54 (Jan 26, 2018) titled the Medical (Maintenance of Minimum Standards for Medical Education) Regulations No. 01 of 2018, a comprehensive set of regulations applicable to both state and private medical schools. Such a legal regulation was not available when establishing the South Asian Institute of Technology and Medicine (SAITAM) medical school.

Second was the establishment of a new Accreditation Unit within SLMC (AU-SLMC), in 2023 when SLMC obtained recognition from the World Federation for Medical Education (WFME). WFME is an affiliate of WHO, a global organization for certification of Quality Assurance and accreditation for medical education. Any new state or private medical school in Sri Lanka needs to be established under supervision of AU-SLMC.

The other regulatory body to obtain approval to award medical degree programmes is the Ministry of Education. Under the Section 25A of the Universities Act No.16 of 1978, the Ministry of Higher Education is cited as the Degree Awarding Authority and the Secretary Higher Education is cited as the Specified Authority. Establishing a new State Medical School is done under the supervision of the University Grants Commission. For Private Medical Schools, the responsible authority is the Ministry of Higher Education and not the UGC.

For this purpose, the Ministry of Higher Education (MOHE) has a specialized unit, Standing Committee for Accreditation and Quality Assurance (SCAQA). After completion of a successful Program Review by SCAQA, the ‘Specified authority’ shall recommend to the Minster of Higher Education; ‘Degree Awarding Authority’, to publish the Gazette granting permission to award the MBBS degree.

The way forward

To address the discrepancy between the availability and demand, two well-established local regulatory systems – SLMC’s Accreditation Unit (AU-SLMC) and the Ministry of Higher Education’s Standing Committee on Accreditation and Quality Assurance (SCAQA) and SLMC Gazette No. 2055/54 – is now available to develop accredited private medical schools.

No country trains doctors exclusively for state hospital employment

. Sri Lanka should align its medical education policies with this global reality by opening up medical training. Implementing a policy to establish private medical education, while maintaining strict quality standards, will redirect Transnational Medical Education towards Sri Lanka.

Sri Lanka possesses ample high-quality locally and globally recognized medical academics and clinicians to support such initiatives without compromising the academic human resources of state medical schools.

(The writer, Prof. Mohan de Silva MBBS, MS, FRCS Edin, FCSSL
Consultant Surgeon is former Chairman, University Grants Commission, Sri Lanka
former Dean, Faculty of Medical Sciences, University of Sri Jayewardenepura, former President – The College of Surgeons of Sri Lanka. Email: thathya.ds@gmail.com)

by Prof. Mohan de Silva ✍️
(Former Chairman, University Grants Commission
and former Dean, Faculty of Medical Sciences, Sri Jayewardenepura University)



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Indian Ocean zone of peace torpedoed!

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The US Navy’s torpedo attack on the Iranian frigate, IRIS Dena, on 4th March 2026, just outside Sri Lanka’s territorial waters, killed over 80 Iranian sailors. The Sri Lanka Navy rescued over 30 sailors and provided medical assistance for them in Galle while also recovering the floating corpses of the victims. Thereafter, a second Iranian naval vessel, the IRIS Bushehr, which also requested permission to dock, was permitted into Trincomalee by the Sri Lanka Navy, after separating its crew from the ship and bringing them to Colombo. A third ship, the IRIS Lavan, an amphibious landing vessel, requested to dock in the Southern Indian port of Cochin, with 183 crew, on the same day the Dena was attacked, and has been there since.

There are many aspects of these three incidents that have not been dealt with by the mainstream media, with any degree of seriousness, and warrants deeper analysis.

While the US and Iran are at war, the destruction of the frigate happened within Sri Lanka’s Exclusive Economic Zone, but outside its territorial waters within which other countries, too, have rights of navigation. That is, this was far away from the main theatre of war in West Asia. But with this unprovoked attack in the Indian Ocean, the war and its consequences have come to Sri Lanka and India’s home-turf. The Dena was taking part in the MILAN 2026 naval exercise, organised by the Indian Navy, from 15th – 25th February, 2026, in which the US was also scheduled to take part, but, interestingly, withdrew from at the eleventh hour. One of the requirements of this exercise was for participating vessels to not carry ammunition. The Dena would have ordinarily been armed with various missiles and guns, including anti-ship missiles. Since the US was also supposed to take part in the exercise, this crucial information would also have been part of the US’s knowledge.

In this sense, it was an unprovoked attack against a ship that the US Navy knew well could not have defended itself. In real terms, this is no different from the US-Israeli alliance’s bombing of the girls’ school, ‘Shajareh Tayyebeh,’ in the town of Minab, in southern Iran, on 28th February, killing 165 people who were mostly children. Again, unprovoked and even worse, defenseless. In more recent times, President Trump has blamed this attack on the Iranians themselves, and as usual, without evidence.

The US attack changes the rules of the game. This establishes that any unarmed ship – military or otherwise – is fair game to any state which has the wherewithal to attack and get away with it. The US’s usual bravado, hero-centric narratives and talk of being fair in military contexts has been typified by countless Hollywood war movies, from Rambo to Sniper. However, US Secretary of Defence Pete Hegseth has clearly indicated the present reality and precedent when he noted the US would now ignore “stupid rules of engagement” and “[punch] them while they’re down.” Hegseth and the US war machine have now given Iran and anybody else who wishes to engage with the US, the same set of rules of engagement governed under the Law of the Jungle.

The sinking of the Iranian frigate, Colombo’s rescue of the victims and providing protection to the Bushehr and its crew, and India offering refuge to the IRIS Lavan and its crew but remaining silent about it until after the news on the Sri Lankan action broke out, open many questions for reflection.

All three ships had been invited by the Indian Navy to take part in an international exercise involving over 70 countries. The crew of the Dena had even paraded in the presence of the Indian President not too long before their untimely end. Having invited them to the exercise and given the hostile environment the unarmed Iranian vessels would have to face in the prevailing conditions of war, why did the Indian Navy or the country’s government not invite the Iranian ships to anchor in the relative safety of one of its harbors or even in Visakhapatnam itself where the exercise took place? This would have been a matter of political courtesy. On the other hand, did the Iranians even request such help from India except for the Lavan in the same way they asked the Sri Lankans? At the time of writing, we do not have clear answers to these crucial questions which have not been, by and large, raided in any serious way.

It is ironic that the attacks took place in a ‘zone of peace’. The resolution declaring the ‘Indian Ocean as a Zone of Peace’ was initially proposed by then Prime Minister of Ceylon Sirimavo Bandaranaike at the 1964 Non-Aligned Conference and was later adopted by the UN General Assembly as Resolution 2832 (XXVI) on 16th December 1971. Although the declaration was never taken seriously by the usual bandwagon of chronically belligerent states, particularly the US and the likes of China, France, Russia, UK, etc., violence as significant as the sinking of the Dena with its death toll and environmental consequences to the countries in the region, particularly to Sri Lanka, has not happened since the declaration.

The incident also took place within an area recent Indian foreign policy regards as its ‘neighbourhood’ under its ‘Neighbourhood First’ strategy, officially introduced in 2014. It is aimed at strengthening India’s ties with Afghanistan, Bangladesh, Bhutan, the Maldives, Myanmar, Nepal, Pakistan, and Sri Lanka guided by five basic principles which include Respect, Dialogue, Peace, Prosperity and Culture. Is it not surprising that India, with its unquestionable leadership in the region, could not prevent something this destructive in its own neighbourhood, or even offer help or protection after the naval exercise, to the beleaguered Iranians with whose country India has traditionally had a strong and long association? It is in this context that one can understand former Indian Foreign Minister Kanwal Sibal’s observation on X that “the US has ignored India’s sensitivities as the ship was in these waters because of India’s invitation.” It is disrespectful towards India, to say the least, when the country’s government has, in recent times, made herculean efforts to be included in the country club to which the US, Israel and other such nations belong.

Things look much worse against the backdrop of India’s deafening silence. For all its rhetoric, India comes off as small, insignificant and afraid in this situation which does not help if it still wishes to be taken seriously as an undisputed leader in the Global South. On the other hand, if the Indian government has completed its move in the direction of the Global North (obviously not geographically but politically) and wishes to be included within the rich, the powerful and the belligerent in the prevailing world order, then this positioning is correct. Perhaps, taken in India’s national interest, this is fair enough.

Unfortunately, however, the big boys in the ‘west’ do not still seem to consider India as an equal despite all it has to offer economically and all its efforts to be included in the big boys’ club. After all, Trump’s demand that India stop buying petroleum products from Russia, despite its cost-effectiveness, and only from US-declared sources, was accepted by India, without much resistance. Now, the US has declared that India has a window of 30 days to buy Russian oil, given the developing situation in the Strait of Hormuz because of the US-Israeli war. Unfortunately, this is not the way equals treat each other.

In this context, the following observation in the 8th March editorial of The Morning becomes pertinent and throws light on the instability and opaqueness of the region and its taken-for-granted positions of leadership in the global scheme of things: “India has, in the past, demonstrated a willingness to intervene diplomatically when foreign naval vessels, particularly those belonging to China, attempted to enter Sri Lankan ports. On several occasions, New Delhi has openly objected to Chinese research ships docking in Sri Lanka, arguing that such visits could have security implications for India.” This is not simply a reality but now standard diplomatic practice for India when dealing with Sri Lanka. As The Morning editorial further pointed out, “given that precedent, many observers are now asking a different question: why was there such silence when an American submarine was operating in close proximity to Sri Lanka and ultimately launched an attack that has transformed the region into a perceived conflict zone?

If India possesses the strategic awareness and diplomatic leverage to monitor the movements of Chinese vessels near Sri Lanka, surely it must also have been aware of the growing tensions involving the Iranian ship.”

It is into this situation that Sri Lanka has been reluctantly drawn in. Before the destruction of the Dena, the Sri Lankan government had been in contact with the frigate and Iranian officials in Colombo for 11 hours to work out how the Iranian ship could be given refuge in the country’s waters. Sri Lanka’s political Opposition in Parliament has blamed the government for the seemingly inordinate time taken to make this decision. It is during this time that the Dena was destroyed, causing mass casualties. While it would have been good if Sri Lanka acted earlier and saved more lives, things are not that simple. Sri Lanka found itself in a very difficult situation and without much local experience, or precedence, on how to deal with such conditions. After all, with a Navy, that is the smallest in the region, next to the Maldives, the country’s political leaders might have been rightly concerned that a country as belligerent as the US, with its naval assets in the ocean nearby, including the facilities in Diego Garcia merely 1776 km away might bomb Sri Lankan facilities, too.

After all, it is the belligerent and the powerful that call the shots in the existing world order, as they have done for centuries. If so, there is no way the country’s combined military could defend itself. And as has been made painfully apparent in recent years, there are no friends when push comes to shove. So, the time taken is understandable as a matter of caution, particularly when considering that Sri Lanka does not have standard operational procedures to deal with maritime emergencies of this kind. Besides, the Iranians were not invited to the area by the Sri Lankans but by Indians. The hosts by then had gone completely silent.

Dealing with the situation of the second ship, the Bushehr has also not been easy. As the Sri Lankan President noted in his press conference on 5th March, the docking request for the Bushehr was “described as a visit to enhance cooperation.” Further as he noted, “as everyone knows, a cooperation visit does not take place in such a manner; it requires extensive formal procedures. Therefore, we were studying those procedures.” Obviously, the Iranians were attempting to minimise the military nature of their ships and gain access to Sri Lankan ports on a pretext such as technical difficulties rather than directly making it clear that they needed protection in a situation of war. But this pretext is to fulfill a technical legal requirement. It is very likely that the Iranians were trying to use the practices of customary international law and 1907 Hague Convention (XIII) based upon the principle of force majeure (unavoidable accident or superior force), providing for humanitarian exceptions to the strict prohibition against using the waters of neutral countries.

It is to the credit of the Sri Lankan government that it acted decisively, soon after the Dena was destroyed, by rapidly dispatching its Navy to conduct rescue and recovery operations and also by separating the crew of 208 from the Bushehr and dispatching them to two different harbours. By doing so, Sri Lanka, perhaps unknowingly, has come up with operational procedures that can be used in situations like this in the future. That is, ensuring that the crew and the ship were no longer militarily engaged and under direct Sri Lankan control rather than the Iranians and, therefore, hopefully not a target of yet another US attack. While the Dena rescue was ongoing, the Indian Navy had issued a list of actions it had taken, including naming the types of vessels and aircraft it had dispatched to aid in the search but never mentioning the US attack. If the intention was to show that they were not sitting idly by, this was too little and too late. The Lankan Navy, despite its size, is perfectly capable of running a rescue operation of this kind in its own backyard after years of experience throughout the civil war. Besides, there is no indication that the Sri Lankan Navy had asked for outside help.

Intriguingly, all this while there was no news from the Indian Navy or its government of the Lavan requesting to dock in Cochin as early as 28th February or that it had in fact reached that harbour on 5th March and its crew accommodated in Indian naval facilities which was the right thing to do. All this information literally trickled out only after the destruction of the Dena, the rescue of its survivors and safeguarding of the Bushehr and its crew by the Sri Lankans had hit international headlines with considerable positivity. It almost seems as if the Indian Navy and its government were waiting to see the potential consequences of the Sri Lankan action, prior to making their own action known, despite already having done what was right.

The Sri Lankan President was also at pains to reiterate the neutrality of the country for obvious reasons. After all, if the current war situation is to be considered even superficially, the clearest point it makes is that the world’s most powerful countries are led by mad men with no sense of ethics or empathy. As he noted, “our position has been to safeguard our neutrality while demonstrating our humanitarian values.” He further noted, “amidst all this, as a government, we have intervened in a manner that safeguards the reputation and dignity of our country, protects human lives and demonstrates our commitment to international conventions. That intervention is currently ongoing … We do not act in a biased manner towards any state, nor do we submit to any state … we firmly believe that this is the most courageous and humanitarian course of action that a state can take.” The government also has been cautious to be guided by customary international law, the 1907 Hague Convention (XIII) as well as the United Nations Convention on the Law of the Sea as subsequent declarations have indicated. After a long time, Sri Lankan action with global consequences sounds both statesmanlike and very Buddhist.

Here, I agree with the President without reservation. This is the only way Sri Lanka could have acted in this situation in a world of relative inaction and a regional context marked by uncomfortable silence.

This is a good illustration of independence and statesmanship by a small state even under very difficult conditions. Hopefully, the government will continue on this path in other instances, too, that is, not to “submit to any state” despite pressure and provocation. It must become a necessary part of Sri Lanka’s international and national policy framework governing all actions.

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Humanitarian leadership in a time of war

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Sri Lanka Navy rescuing survivors of the US torpedo attack on IRIS Dena last week

There has been a rare consensus of opinion in the country that the government’s humanitarian response to the sinking of Iran’s naval ship IRIS Dena was the correct one. The support has spanned the party political spectrum and different sections of society. Social media commentary, statements by political parties and discussion in mainstream media have all largely taken the position that Sri Lanka acted in accordance with humanitarian principles and international law. In a period when public debate in Sri Lanka is often sharply divided, the sense of agreement on this issue is noteworthy and reflects positively on the ethos and culture of a society that cares for those in distress. A similar phenomenon was to be witnessed in the rallying of people of all ethnicities and backgrounds to help those affected by the Ditwah Cyclone in December last year.

The events that led to this situation unfolded with dramatic speed. In the early hours before sunrise the Dina made a distress call. The ship was one of three Iranian naval vessels that had taken part in a naval gathering organised by India in which more than 70 countries had participated, including Sri Lanka. Naval gatherings of this nature are intended to foster professional exchange, confidence building and goodwill between navies. They are also governed by strict protocols regarding armaments and conduct.

When the exhibition ended open war between the United States and Iran had not yet broken out. The three Iranian ships that participated in the exhibition left the Indian port and headed into international waters on their journey back home. Under the protocol governing such gatherings ships may not be equipped with offensive armaments. This left them particularly vulnerable once the regional situation changed dramatically, though the US Indo-Pacific Command insists the ship was armed. The sudden outbreak of war between the United States and Iran would have alerted the Iranian ships that they were sailing into danger. According to reports, they sought safe harbour and requested docking in Sri Lanka’s ports but before the Sri Lankan government could respond the Dena was fatally hit by a torpedo.

International Law

The sinking of the Dena occurred just outside Sri Lanka’s territorial waters. Whatever decision the Sri Lankan government made at this time was bound to be fraught with consequence. The war that is currently being fought in the Middle East is a no-holds-barred one in which more than 15 countries have come under attack. Now the sinking of the Dena so close to Sri Lanka’s maritime boundary has meant that the war has come to the very shores of the country. In times of war emotions run high on all sides and perceptions of friend and enemy can easily become distorted. Parties involved in the conflict tend to gravitate to the position that “those who are not with us are against us.” Such a mindset leaves little room for neutrality or humanitarian discretion.

In such situations countries that are not directly involved in the conflict may wish to remain outside it by avoiding engagement. Foreign Minister Vijitha Herath informed the international media that Sri Lanka’s response to the present crisis was rooted in humanitarian principles, international law and the United Nations. The Convention on the Law of the Sea (UNCLOS) which was adopted 1982 provides the legal framework governing maritime conduct and obliges states to render assistance to persons in distress at sea. In terms of UNCLOS, countries are required to render help to anyone facing danger in maritime waters regardless of nationality or the circumstances that led to the emergency. Sri Lanka’s response to the distress call therefore reflects both humanitarianism and adherence to international law.

Within a short period of receiving the distress message from the stricken Iranian warship the Sri Lankan government sent its navy to the rescue. They rescued more than thirty Iranian sailors who had survived the attack and were struggling in the water. The rescue operation also brought to Sri Lanka the bodies of those who had perished when their ship sank. The scale of the humanitarian challenge is significant. Sri Lanka now has custody of more than eighty bodies of sailors who lost their lives in the sinking of the Dena. In addition, a second Iranian naval ship IRINS Bushehr with more than two hundred sailors has come under Sri Lanka’s protection. The government therefore finds itself responsible for survivors but also for the dignified treatment of the bodies of the dead Iranian sailors.

Sri Lanka’s decision to render aid based on humanitarian principles, not political allegiance, reinforces the importance of a rules-based international order for all countries. Reliance on international law is particularly important for small countries like Sri Lanka that lack the power to defend themselves against larger actors. For such countries a rules-based international order provides at least a measure of protection by ensuring that all states operate within a framework of agreed norms. Sri Lanka itself has played a notable role in promoting such norms. In 1971 the United Nations General Assembly adopted a resolution declaring the Indian Ocean a Zone of Peace. The initiative for this proposal came from Sri Lanka, which argued that the Indian Ocean should be protected from great power rivalry and militarisation.

Moral Beacon

Unfortunately, the current global climate suggests that the rules-based order is barely operative. Conflicts in different parts of the world have increasingly shown disregard for the norms and institutions that were created in the aftermath of the Second World War to regulate international behaviour. In such circumstances it becomes even more important for smaller countries to demonstrate their commitment to international law and to convert the bigger countries to adopt more humane and universal thinking. The humanitarian response to the Iranian sailors therefore needs to be seen in this wider context. By acting swiftly to rescue those in distress and by affirming that its actions are guided by international law, Sri Lanka has enhanced its reputation as a small country that values peace, humane values, cooperation and the rule of law. It would be a relief to the Sri Lankan government that earlier communications that the US government was urging Sri Lanka not to repatriate the Iranian sailors has been modified to the US publicly acknowledging the applicability of international law to what Sri Lanka does.

The country’s own experience of internal conflict has shaped public consciousness in important ways. Sri Lanka endured a violent internal war that lasted nearly three decades. During that period questions relating to the treatment of combatants, the protection of civilians, missing persons and accountability became central issues. As a result, Sri Lankans today are familiar with the provisions of international law that deal with war crimes, the treatment of wounded or disabled combatants and the fate of those who go missing in conflict. The country continues to host an international presence in the form of UN agencies and the ICRC that work with the government on humanitarian and post conflict issues. The government needs to apply the same principled commitment of humanitarianism and the rule of law to the unresolved issues from Sri Lanka’s own civil war, including accountability and reconciliation.

By affirming humanitarian principles and acting accordingly towards the Iranian sailors and their ship Sri Lanka has become a moral beacon for peace and goodwill in a world that often appears to be moving in the opposite direction. At a time when geopolitical rivalries are intensifying and humanitarian norms are frequently ignored, such actions carry symbolic significance. The credibility of Sri Lanka’s moral stance abroad will be further enhanced by its ability to uphold similar principles at home. Sri Lanka continues to grapple with unresolved issues arising from its own internal conflict including questions of accountability, justice, reparations and reconciliation. It has a duty not only to its own citizens, but also to suffering humanity everywhere. Addressing its own internal issues sincerely will strengthen Sri Lanka’s moral standing in the international community and help it to be a force for a new and better world.

BY Jehan Perera

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Language: The symbolic expression of thought

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It was Henry Sweet, the English phonetician and language scholar, who said, “Language may be defined as the expression of thought by means of speech sounds“. In today’s context, where language extends beyond spoken sounds to written text, and even into signs, it is best to generalise more and express that language is the “symbolic expression of thought“. The opposite is also true: without the ability to think, there will not be a proper development of the ability to express in a language, as seen in individuals with intellectual disability.

Viewing language as the symbolic expression of thought is a philosophical way to look at early childhood education. It suggests that language is not just about learning words; it is about a child learning that one thing, be it a sound, a scribble, or a gesture, can represent something else, such as an object, a feeling, or an idea. It facilitates the ever-so-important understanding of the given occurrence rather than committing it purely to memory. In the world of a 0–5-year-old, this “symbolic leap” of understanding is the single most important cognitive milestone.

Of course, learning a language or even more than one language is absolutely crucial for education. Here is how that viewpoint fits into early life education:

1. From Concrete to Abstract

Infants live in a “concrete” world: if they cannot see it or touch it, it does not exist. Early education helps them to move toward symbolic thought. When a toddler realises that the sound “ball” stands for that round, bouncy thing in the corner, they have decoded a symbol. Teachers and parents need to facilitate this by connecting physical objects to labels constantly. This is why “Show and Tell” is a staple of early education, as it gently compels the child to use symbols, words or actions to describe a tangible object to others, who might not even see it clearly.

2. The Multi-Modal Nature of Symbols

Because language is “symbolic,” it does not matter how exactly it is expressed. The human brain treats spoken words, written text, and sign language with similar neural machinery.

Many educators advocate the use of “Baby Signs” (simple gestures) before a child can speak. This is powerful because it proves the child has the thought (e.g., “I am hungry”) and can use a symbol like putting the hand to the mouth, before their vocal cords are physically ready to produce the word denoting hunger.

Writing is the most abstract symbol of all: it is a squiggle written on a page, representing a sound, which represents an idea or a thought. Early childhood education prepares children for this by encouraging “emergent writing” (scribbling), even where a child proudly points to a messy circle that the child has drawn and says, “This says ‘I love Mommy’.”

3. Symbolic Play (The Dress Rehearsal)

As recognised in many quarters, play is where this theory comes to life. Between ages 2 and 3, children enter the Symbolic Play stage. Often, there is object substitution, as when a child picks up a banana and holds it to his or her ear like a telephone. In effect, this is a massive intellectual achievement. The child is mentally “decoupling” the object from its physical reality and assigning it a symbolic meaning. In early education, we need to encourage this because if a child can use a block as a “car,” they are developing the mental flexibility required to later understand that the letter “C” stands for the sound of “K” as well.

4. Language as a Tool for “Internal Thought”

Perhaps the most fascinating fit is the work of psychologist Lev Vygotsky, who argued that language eventually turns inward to become private speech. Have you ever seen a 4-year-old talking to himself or herself while building a toy tower? “No, the big one goes here….. the red one goes here…. steady… there.” That is a form of self-regulation. Educators encourage this “thinking out loudly.” It is the way children use the symbol system of language to organise their own thoughts and solve problems. Eventually, this speech becomes silent as “inner thought.”

Finally, there is the charming thought of the feasibility of conversing with very young children in two or even three or more languages. In Sri Lanka, the three main languages are Sinhala, Tamil and English. There are questions asked as to whether it is OK to talk to little ones in all three languages or even in two, so that they would learn?

According to scientific authorities, the short, clear and unequivocal answer to that query is that not only is it “OK”, it is also a significant cognitive gift to a child.

In a trilingual environment like Sri Lanka, many parents worry that multiple languages will “confuse” a child or cause a “speech delay.” However, modern neuroscience has debunked these myths. The infant brain is perfectly capable of building three or even more separate “lexicons” (vocabularies) simultaneously.

Here is how the “symbolic expression of thought” works in a multilingual brain and how we can manage it effectively.

a). The “Multiple Labels” Phenomenon

In a monolingual home, a child learns one symbol for an object. For example, take the word “Apple.” In a Sri Lankan trilingual home, the child learns three symbols for that same thought:

* Apple (English)

* Apal

(Sinhala – ඇපල්)

* Appil

(Tamil – ஆப்பிள்)

Because the trilingual child learns that one “thought” can be expressed by multiple “symbols,” the child’s brain becomes more flexible. This is why bilingual and trilingual children often score higher on tasks involving “executive function”, meaning the ability to switch focus and solve complex problems.

b). Is there a “Delay”?

(The Common Myth)

One might notice that a child in a trilingual home may start to speak slightly later than a monolingual peer, or they might have a smaller vocabulary in each language at age two.

However, if one adds up the total number of words they know across all three languages, they are usually ahead of monolingual children. By age five, they typically catch up in all languages and possess a much more “plastic” and adaptable brain.

c). Strategies for Success: How to Do It?

To help the child’s brain organise these three symbol systems, it helps to have some “consistency.” Here are the two most effective methods:

* One Person, One Language (OPOL), the so-called “gold standard” for multilingual families.

Amma

speaks only Sinhala, while the Father speaks only English, and the Grandparents or Nanny speak only Tamil. The child learns to associate a specific language with a specific person. Their brain creates a “map”: “When I talk to Amma, I use these sounds; when I talk to Thaththa, I use those,” etc.

*

Situational/Contextual Learning. If the parents speak all three, one could divide languages by “environment”: English at the dinner table, Sinhala during play and bath time and Tamil when visiting relatives or at the market.

These, of course, need NOT be very rigid rules, but general guidance, applied judiciously and ever-so-kindly.

d). “Code-Mixing” is Normal

We need not be alarmed if a 3-year-old says something like: “Ammi, I want that palam (fruit).” This is called Code-Mixing. It is NOT a sign of confusion; it is a sign of efficiency. The child’s brain is searching for the quickest way to express a thought and grabs the most “available” word from their three language cupboards. As they get older, perhaps around age 4 or 5, they will naturally learn to separate them perfectly.

e). The “Sri Lankan Advantage”

Growing up trilingual in Sri Lanka provides a massive social and cognitive advantage.

For a start, there will be Cultural Empathy. Language actually carries culture. A child who speaks Sinhala, Tamil, and English can navigate all social spheres of the country quite effortlessly.

In addition, there are the benefits of a Phonetic Range. Sinhala and Tamil have many sounds that do not exist in English (and even vice versa). Learning these as a child wires the ears to hear and reproduce almost any human sound, making it much easier to learn more languages (like French or Japanese) later in life.

As an abiding thought, it is the considered opinion of the author that a trilingual Sri Lanka will go a long way towards the goals and display of racial harmony, respect for different ethnic groups, and unrivalled national coordination in our beautiful Motherland. Then it would become a utopian heaven, where all people, as just Sri Lankans, can live in admirable concordant synchrony, rather than as splintered clusters divided by ethnicity, language and culture.

A Helpful Summary Checklist for Parents

* Do Not Drop a Language:

If you stop speaking Tamil because you are worried about English, the child loses that “neural real estate.” Keep all three languages going.

* High-Quality Input:

Do not just use “commands” (Eat! Sleep!). Use the Parentese and Serve and Return methods (mentioned in an earlier article) in all the languages.

* Employ Patience:

If the little one mixes up some words, just model the right words and gently correct the sentence and present it to the child like a suggestion, without scolding or finding fault with him or her. The child will then learn effortlessly and without resentment or shame.

by 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

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