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Patient-centred care and CKDu

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Some observations on the occasion of World Kidney Day

By Prof. M.W. Amarasiri de Silva

(Inaugural Fellow, International Society of Nephrology 2018, Adjunct Professor at the University of Pittsburgh, USA, and Professor Emeritus, University of Peradeniya)

Today is World Kidney Day, and this year the principal focus is on patient-centred care for people living with kidney disease. This theme highlights the increasing recognition of the need to identify and address patients’ priorities, values, and goals in order to advance the research, practice, and policy designed to improve the quality of life of people suffering from chronic kidney disease. Regardless of the type of kidney disease or the approach to treatment adopted, patients want to live well, retain their social place, maintain some semblance of normality, and have a sense of control over their health and wellbeing. 

A patient-centred approach is one where the patients are treated as social individuals and enabled to take control of and improve their health. Thus, they become active participants in their care. Their biology becomes secondary in this process. Members of patients’ families and communities can continue to focus on them as people, rather than on their illness or disability. Support should concentrate on achieving the patients’ aspirations and be tailored to their needs and unique circumstances.

A patient-centred approach to health requires building public policy, creating supportive environments, facilitating community action, and developing and improving patients’ skills and knowledge of disease management. Overall, any such programme requires a complete reorientation of the treatment system. Those who work directly with patients at the District Secretariat (DS) Division level – the public health inspectors, public health nurses, nurses, hospital attendants, community workers, health educators, rural development officers, childcare officers, and others – should be directed towards a patient-centred approach, and trained in good communication skills and to address patient needs effectively. A patient-centred approach should address those with chronic disease of unknown aetiology (CKDu) within their family and community, and become an integral part of everyday life in the family and community. If CKDu sufferers are uprooted from their social setting and placed in a clinic-based environment, the treatment system becomes an artificial one with no link to the patient’s cultural milieu. Such treatment systems do not work satisfactorily.

In western societies, community health workers, working in communities, facilitate this process by assisting the medical specialists in hospitals. They visit the homes of patients and help their families to overcome problems through counselling. In Sri Lanka, such a link between the community/family and the hospital, focusing on the patient, is missing. Especially with regards to CKDu patients, establishing a connection between the community and the hospital is crucial. Such a link would help to alleviate the stigma attached to CKDu patients in the community and the neglect and isolation that many have to endure. Visits by hospital staff and paramedics to patients in their homes can improve the understanding of hospital staff about how patients live at home, what problems do they face at home and in the community. It would improve the commitment of patients towards their treatment. This would also improve their compliance with their medical regimen. A change in the treatment procedures from a hospital-based system to a patient-centred one is necessary, as the existing approach has had little impact in assisting CKDu patients in addressing their grievances and improving their quality of life, or in reducing the incidence of and death rates from the disease.

In a patient-centred approach to the treatment and care of CKDu patients, essential elements are community engagement and empowerment. Educating the patients and their families on disease risk factors and treatments is a prerequisite. In Sri Lanka, government programmes have invested in developing people’s understanding of the risk factors for CKDu but have not paid much attention to improving people’s knowledge of treatments and testing procedures. Therefore, most people in CKDu-affected areas have knowledge of the causes of CKDu, but have limited understanding of treatments. As a result, patients are not able to make an informed decision on the type of treatment that they should undergo or to discuss the subject with their medical professionals. They blindly accept (or reject) the type of treatment recommended by the doctors.  

In Sri Lanka, people’s knowledge of treatments for kidney disease is fragmentary. Their knowledge of things like blood transfusion is limited and is very hospital centred. Experience in other countries shows that patients on a home therapy or haemodialysis at home were more satisfied than those with in-centre haemodialysis. In Sri Lanka, haemodialysis at home has not been promoted.

Most CKDu patients undergo harrowing experiences in their communities and at home. They report a substantial drop in their quality of life. Their illness means that they cannot draw water from the dug well to wash or use the toilets with squatting pans. They are advised to install commodes in their toilets, but most CKDu patients cannot afford to do this. Many say that they cannot cultivate their rice paddy land, so they don’t get any income from agriculture. Although they are paid Rs. 5,000 by the government each month, that is not adequate for a family of five people to live an ordinary life. As CKDu patients find it difficult to use public transport, they have to hire a vehicle at a significant cost each time they visit the clinic. In many families, children have dropped out of school because their parents cannot afford to provide for their education. About 15% of CKDu patients in the villages live alone, with, in many cases, their wives having left them and gone to the Middle East for employment. Family members say that the CKDu patients have become demanding. Many CKDu patients and their family members display signs of depression and uneasiness.  

Those patients on dialysis need to attend the clinic once every three days. Many patients do not attend the clinics as required due to financial difficulties. Each visit to the clinic requires Rs. 2,000 to 3,000 for transportation, which is beyond many patients’ means, and therefore, after a few visits, they drop out of the dialysis programme. A patient told me, ‘the doctor told me that I have to get a kidney transplant. I am on the waiting list like many thousands of patients. I have no great hopes anyway. I undergo blood transfusion. I was asked to come to the clinic every third day, but I don’t have money to pay for a vehicle every time. I mortgaged my two acres of rice paddy two years ago, and the money has been spent on my treatment and food for the family’. 

A patient-centred approach should highlight how to improve the quality of life of CKDu patients and families. The quality of life for patients should become the dominant preoccupation in health promotion in CKDu communities. Essential health professionals, such as health educators, public health inspectors, and public health midwives, should take the lead in educating the CKDu-affected population about the management of patients at home and in their communities. They should discuss how behavioural changes could improve health, for example identifying the adverse effects of smoking and chewing tobacco. Referring to her husband, a CKDu patient, a woman said, ‘My husband smokes a lot. He smokes a bundle of beedi a day. One bundle of beedi is Rs. 100 and contains 25 beedis. He smokes them at night, early in the morning, and at work… However much I tell him to, he doesn’t stop’. Many patients do not regularly take the medication given by the clinic or attend their appointments as scheduled.

People surveyed during the course of my research were not very aware of the difference between CKD and CKDu. Most CKDu patients identified having diabetes and high blood pressure as risk factors for CKDu. They are risk factors for CKD, and CKDu develops due to other factors in the absence of diabetes and hypertension. Most end-stage patients did not know what treatment options were available for them, and preferred to stay and die at home. Compared to affluent families in the CKDu-affected communities, the paddy farmers who own less than two acres of rice paddy are less educated and lacking in CKDu-related health knowledge.

Any community empowerment programme, focusing on CKDu patients, should discuss the basics of kidney function, CKDu testing procedures, and the management of CKDu at home and in the community.

 

Recommendations:

A reorientation of the hospital-centred approach to a patient-centred one. This requires training local officers at the DS Division level. A programme for this has to be identified and discussed at ministerial level with the participation of Community Based Organisations in the area, patients, carers, medical and paramedical practitioners. A sociologist/anthropologist working in the area of community empowerment and participation would also be an asset.  

The introduction of home dialysis should be considered as a measure to enhance the community/family role in CKDu disease management. Home dialysis needs a cleanroom, which is hard to find in farmer households in CKDu-endemic areas. Therefore, for each Grama Niladhari Division, the government should consider building a spacious room in a central location and constructing all the facilities for patients to come and undergo dialysis. A community member should be trained to handle the procedures.  

To effectively address the increasing incidence of CKDu in the epidemic regions in Sri Lanka, a well-developed intervention and a community education programme, focusing on behavioural change, should be aimed at lower socioeconomic groups.

The government should strengthen the patient-centred approach to treatment and care. Although medical education programmes in the universities prioritize medical professionals’ role in treatment, patient-centred approaches are seldom discussed. The universities should focus on CKDu-affected districts when selecting villages for students’ intervention and training on a patient-centred approach. Departments of Community Medicine should take the lead in this direction. 

A programme to address depression among CKDu patients, needs to be established. DS Division level officers appointed for community work should be trained to handle the psychological issues afflicting CKDu patients. The education and counselling of end-stage kidney patients are essential as many such people have refused to undergo dialysis or kidney transplants.

The basics of kidney function and the risk factors for CKDu should be taught to school pupils in areas where CKDu is endemic.



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US-Iran war, global exchange rates and Sri Lankan Rupee

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When the strait shuts:

In the early hours of February 28, 2026, the world changed. Joint United States and Israeli airstrikes on Iran, meticulously planned, devastatingly executed, killed Supreme Leader Ali Khamenei, destroyed large swathes of Iran’s nuclear infrastructure, and triggered the most consequential military confrontation in the Middle East since the Iraq War. What followed was not merely a regional conflict. It was an economic earthquake felt from the trading floors of New York to the fuel queues of Colombo.

We are going to examine how a war fought in the Persian Gulf rewrote exchange rates across the global economy, and why a small island in the Indian Ocean, still recovering from its own financial near-death experience four years ago, found itself once again staring into an economic abyss.

From Maximum Pressure to Maximum Destruction

On February 28, the strikes began. The operation was vast and transformative. Iran’s air defences were systematically destroyed. Its missile production facilities were crippled. And its political leadership was decapitated. In response, Tehran did something it had always threatened but never done: it closed the Strait of Hormuz.

That decision, to block the 21-mile-wide waterway through which approximately 20% of global oil supplies flow, set off a chain of economic consequences that no government, central bank, or multilateral institution had fully stress-tested for.

The Oil Shock and What It Did to Currency Markets

The numbers tell the story with stark clarity. Brent crude, which had been trading at $71.32 per barrel on February 27, jumped 8% to $77.24 in the first two trading days of the conflict. Within a week, following the declaration that the Strait was “closed,” WTI crude surged more than 35%, the biggest weekly gain since the futures contract began in 1983, ending the week at $90.90. Brent climbed 28% to $92.69 in the same period. By early March, Brent had surged past $120 per barrel. The International Energy Agency characterised it as the “largest supply disruption in the history of the global oil market.”

This was not merely an oil price story. Oil is the world’s most foundational commodity, priced in US dollars, embedded in the cost of virtually every manufactured good, agricultural product, and service. When oil prices surge by 45%, as they did between February and April 2026, the consequences ripple through exchange rates with a logic that is both mechanical and unforgiving.

For oil-importing emerging market currencies, the mathematics were brutal. When oil prices rise in dollars and a country pays for oil in dollars, there are two simultaneous pressures on the exchange rate. First, the country must acquire more dollars to pay for the same volume of imports, increasing demand for the greenback and putting downward pressure on the domestic currency. Second, higher oil prices widen the current account deficit, removing the trade-balance support that usually anchors currencies. This double blow struck Asian, African, and Latin American currencies with particular force. Gasoline prices rose in 106 countries in the three weeks following the start of the conflict. The European Central Bank postponed planned interest rate cuts, raised its inflation forecast, and cut its growth projections.

Oil exporters told a different story. The Gulf states, Saudi Arabia, the UAE, Kuwait, saw windfall revenues at the very moment their physical infrastructure was under threat. Iran’s strikes on Saudi Arabian oil refineries and energy facilities injected volatility into the already fractured GCC calculus: higher oil revenues on one hand, higher security costs and diplomatic complexity on the other.

The Ceasefire and Its Limits

After five weeks of fighting, Pakistan and China delivered a joint peace initiative on March 31, 2026. On April 7–8, the United States and Iran agreed to a two-week ceasefire, with Iran committing to reopen the Strait of Hormuz. Markets reacted with violent relief. The S&P 500 and Nasdaq surged 3–4% in futures markets overnight. Oil prices fell nearly 25% from their peak. Equities that had slid 8–12% from pre-conflict highs began recovering.

But the ceasefire was “relief, not resolution.” The Strait of Hormuz remained at just 5% of pre-conflict shipping traffic five weeks after the ceasefire announcement. Supply chains do not unsnarl overnight. On May 7, the United States conducted further airstrikes on military sites in southern Iran and Tehran following Iranian targeting of US warships. A memorandum of understanding, intended to bring the conflict to a formal end within 60 days, was announced by mediators on June 14, with signing set for June 19. As of this writing, the conflict has not been formally resolved and nuclear negotiations are expected to begin under the framework.

Goldman Sachs projected that under an adverse scenario, 10 weeks of disruption and infrastructure damage, Brent could peak at $160 per barrel before settling at $115 in the fourth quarter of 2026. Even the base case of $105–115 per barrel through mid-year represents a sustained energy shock with no parallel in the post-2008 global economy.

Sri Lanka: The Compound Vulnerability

Sri Lanka has a particular relationship with oil price shocks that is unlike almost any other country of its size. It imports 100% of its oil. Its domestic energy infrastructure is built almost entirely around petroleum products. Its foreign exchange reserves, rebuilt painstakingly from near-zero during the 2022 crisis to $6.46 billion by the time the NPP government assumed office, have since grown sluggishly reaching only $6.87 billion by early 2026, a modest gain that offered little buffer against a shock of this magnitude, remain thin relative to the country’s import requirements. And it routes the overwhelming majority of its oil imports through the Strait of Hormuz.

When that strait closed in March, 2026, Sri Lanka’s exposure was immediate, structural, and arithmetically severe. The fuel import bill jumped 74.7% year-on-year to US$630 million in March, 2026, alone. Reserves fell 3.8% to approximately $6.7 billion after the country spent $1.5 billion on fuel imports in the first four months of the year. Sri Lanka’s monthly storage capacity covers only one month of consumption, making it acutely vulnerable to supply disruptions that persist beyond a few weeks.

The exchange rate impact was direct and rapid. The Sri Lankan rupee, which had traded at approximately Rs. 300 to the US dollar at the start of 2026, fell sharply from early March. The currency tumbled 8.7% from its pre-conflict level within weeks. By late May 2026, commercial bank selling rates stood at approximately Rs. 334 per dollar, a 5.4% year-to-date depreciation against the greenback.

Every rupee of depreciation compounds the damage: a dollar-priced barrel of oil that cost Rs. 21,300 at Rs. 300/$ costs Rs. 23,700 at Rs. 334/$, before accounting for the price rise in the barrel itself.

The compounding of the exchange rate depreciation on top of the oil price surge created a fuel price crisis that has no precedent in the post-2022 recovery period. Petrol 92 at CEYPETCO stations, which stood at Rs. 293 per litre 12 weeks before, had risen to Rs. 434 per litre by late May, a 48% increase in the space of three months. The true import and distribution cost of diesel was approximately Rs. 750 per litre, requiring a government subsidy of Rs. 57 billion over a three-month period to keep pump prices at Rs. 407.

The Central Bank’s Painful Choice

The Central Bank of Sri Lanka faced the classic emerging market dilemma that oil shocks create: a currency under pressure from capital outflows and import costs, combined with inflation driven by energy prices, in a context where raising interest rates to defend the currency would choke off the economic recovery that the country had barely begun.

On May 26, 2026, the CBSL made its call. It raised the overnight policy rate by 100 basis points to 8.75%, its first monetary tightening in three years, and the largest single hike since the depths of the financial crisis in March 2023. Seven out of twelve economists polled by Reuters had predicted only a 25-basis-point move. The shock was deliberate: the CBSL was signalling that price stability had been elevated over growth promotion.

The consequences were immediate. The Colombo Stock Exchange fell 0.8% on the day of the announcement. Growth forecasts were cut, from 4.2% to 3.0% by at least one major equity research firm. The Central Bank Governor acknowledged that the 4–5% growth projection for 2026 was now achievable only “at the lower band.” Capital Economics observed that the rate hike “highlights the country’s vulnerability to the crisis in the Middle East, and is unlikely to be the last unless the crisis subsides soon.

More encouragingly, BMI (a Fitch Solutions unit) projected that the rupee could recover to Rs. 320 per dollar by year-end, on the assumption that the Iran war concludes by June and oil prices ease. An IMF board meeting was scheduled to approve a $700 million tranche to Sri Lanka under the ongoing $2.9 billion programme, a lifeline that, if disbursed, would provide critical reserve support.

The Broader Lesson

What the 2026 Iran war has demonstrated, with a clarity that no academic model can replicate, is that geopolitical shocks are not symmetric in their exchange rate effects. The same event that provides a windfall for oil exporters imposes a compound penalty on oil importers, and the penalty is largest for countries whose currencies are weakest, whose reserves are thinnest, whose import dependence is highest, and whose recovery from previous crises is most recent.

Sri Lanka is, in 2026, the canonical case study. It has done almost everything right since 2022: restructured its debt, rebuilt reserves, maintained an IMF programme, restored exchange rate stability, and begun recovering economically. None of that inoculated it against an exogenous shock of this magnitude. The rupee’s 8.7% fall from pre-conflict levels, the $1.5 billion fuel import bill in four months, the 100-basis-point emergency rate hike, these are the costs a small, import-dependent, oil-importing island economy pays when the world’s energy arteries are severed by war.

There is a policy lesson embedded in these numbers. Sri Lanka’s energy vulnerability, its total dependence on imported fossil fuels routed through a single geopolitical chokepoint, is not merely an economic problem. It is a national security problem. The Strait of Hormuz is not a permanent fixture of reliable global trade. The 2026 war has proven, at enormous cost, that it can be closed. Any serious national energy strategy must treat that closure not as a tail risk but as a planning scenario.

The hard work of diversifying energy sources, accelerating renewable capacity, building strategic petroleum reserves, and reducing the share of petroleum in the import bill is not merely desirable. Since February 28, 2026, it has become existential.

(The writer, a senior Chartered Accountant and professional banker, is Professor at SLIIT, Malabe.
Views expressed in this article are personal.)

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Forest cover loss threatens rare freshwater fish in Sinharaja streams

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Washbasin

When discussions turn to Sri Lanka’s freshwater fish diversity and the urgent need to conserve it, attention is often focused on rivers, streams, reservoirs and water quality.

Yet scientists are increasingly finding that what happens on the land surrounding these waterways can be just as important as what happens in the water itself.

A recent study led by researcher Janamina Bandara of the Wildlife Conservation Society, Galle, together with researchers Sudath Nanayakkara and Sahan Randeniya, highlights how changes in forest cover caused by human activities can significantly influence freshwater fish populations in the hill streams surrounding the Sinharaja rainforest.

Their research sheds light on a relatively understudied aspect of tropical freshwater ecosystems—how alterations to vegetation cover, particularly through commercial cultivation such as tea and cardamom plantations, affect fish communities inhabiting headwater streams.

Hidden Riches of Tropical Streams

Forest plant saplings

Sri Lanka’s freshwater ecosystems are globally recognised for their remarkable biodiversity and high levels of endemism. However, despite their ecological significance, many ecological processes operating within these habitats remain poorly understood.

“Freshwater ecosystems in the tropics harbour extraordinary biodiversity, but many of the ecological relationships within these systems are still not fully documented,” researcher Janamina Bandara told The Island.

The study focused on sub-montane streams in the Sinharaja landscape, examining how varying levels of forest cover influence freshwater fish assemblages.

Researchers investigated whether fish communities differed between streams flowing through relatively undisturbed forests and those surrounded by modified vegetation resulting from agricultural activities.

Spotlight on a Critically Endangered Species

Leaf litter bay / Restoration activities

Particular attention was given to the critically endangered Rakwana loach (Schistura madhavai), a highly restricted endemic fish species first described from the Suriyakanda-Rakwana region.

Commonly referred to as a hill-stream loach, the species inhabits clear, fast-flowing streams and is considered highly sensitive to environmental disturbances.

According to Bandara, while broad community-level analyses did not reveal dramatic differences across all fish populations, species-specific responses painted a very different picture.

“Our findings show that Schistura madhavai exhibits a clear preference for streams flowing through intact forest habitats,” he explained. “The species becomes less common in areas where surrounding vegetation has been altered by human activities.”

Why Forests Matter to Fish

Forests bordering streams play multiple ecological roles. They regulate water temperature by providing shade, contribute organic matter that supports aquatic food webs, stabilise stream banks and help maintain water quality.

When these forests are removed or replaced with plantation crops, the resulting environmental changes can cascade through freshwater ecosystems.

Bandara noted that altered forest cover can influence water chemistry, microclimatic conditions, stream-bed composition and the availability of food resources.

“As riparian vegetation changes, a series of environmental conditions within the stream also change. Sensitive species such as Schistura madhavai appear particularly vulnerable to these shifts and may gradually disappear from modified habitats,” he said.

The research suggests that even subtle changes in habitat structure can have disproportionate impacts on species with narrow ecological requirements.

The Importance of Looking Beyond Numbers

Schistura madhavai

One of the most intriguing findings of the study is that ecosystem degradation may not always be apparent when scientists assess entire fish communities collectively.

In some instances, environmental variables appeared to have little effect on overall fish abundance or diversity. However, when individual species were examined separately, clear patterns emerged.

For example, variations in the amount of detritus—organic matter that accumulates on stream beds and serves as a vital food resource—did not significantly affect the overall fish assemblage. Yet for certain species, including habitat specialists, such changes proved critically important.

“This highlights a key conservation challenge,” Bandara said. “If we only look at total fish numbers or community-wide patterns, we may overlook serious declines occurring among environmentally sensitive species.”

Indicator Species as Ecological Sentinels

The findings underscore the importance of using so-called “indicator species” in environmental monitoring programmes.

Indicator species are organisms whose presence, absence or abundance reflects the health of an ecosystem. Because they respond rapidly to environmental change, they can provide early warnings of ecological degradation.

The Rakwana loach appears to fit this role exceptionally well.

“Species with narrow habitat requirements often act as ecological sentinels,” Bandara observed. “Monitoring them can provide a much clearer picture of ecosystem health than relying solely on broad biodiversity assessments.”

For conservation practitioners, this means that protecting sensitive endemic species may also help safeguard entire freshwater ecosystems.

Restoring Streamside Forests

Perhaps the study’s most important conservation message concerns the restoration of degraded riparian forests—the vegetation growing alongside streams and rivers.

Researchers argue that restoring these streamside habitats should be a priority in freshwater biodiversity conservation efforts.

Healthy riparian vegetation provides shade, reduces erosion, filters pollutants, enhances habitat complexity and supports the intricate ecological interactions upon which aquatic life depends.

“The restoration of degraded riparian forests is likely to be one of the most effective conservation measures for protecting freshwater biodiversity,” Bandara emphasised.

Such efforts could prove particularly valuable in landscapes where agricultural expansion has fragmented natural habitats.

Awareness sessions

A Broader Lesson for Conservation

The study offers a timely reminder that freshwater conservation cannot be achieved by focusing exclusively on water bodies themselves. The surrounding landscape matters immensely.

From the mist-laden streams flowing down the Sinharaja foothills to the countless rivulets nourishing Sri Lanka’s river systems, the fate of freshwater biodiversity is intimately linked to the health of adjacent forests.

As conservationists grapple with accelerating habitat loss and climate-related pressures, the research demonstrates that protecting and restoring forest cover may be just as important as safeguarding the streams themselves.

In the case of the elusive Rakwana loach, the message is clear: save the forest, and you may save the fish.

For Sri Lanka’s unique freshwater biodiversity, that lesson could not be more important.

By Ifham Nizam

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Turning Promises into Justice

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File photo of lawyers protesting against the Prevention of Terrorism Act in Colombo

Sri Lankans have reason to take satisfaction in their country’s latest international achievement. Sri Lanka has climbed 14 places in the 2026 Global Peace Index to rank 67 in the world out of 163 countries that were assessed. At a time when global peacefulness is reported to be at its lowest level since the inception of the Index, and when more countries are experiencing deterioration than improvement, Sri Lanka’s progress stands out. The ranking reflects the country’s recovery from nearly three decades of war, its efforts to strengthen political stability and public security, and its resilience in overcoming the economic and political crises of recent years. The Global Peace Index assesses the strength of institutions, societal safety and security, and the capacity of societies to manage conflict peacefully.

The challenge is to consolidate the gains that have been made and address those unresolved issues that continue to cast a shadow over the country’s future. It is in this context that two recent announcements by the government assume particular significance. Foreign Minister Vijitha Herath has announced that the Prevention of Terrorism Act (PTA), one of the most controversial laws in the country, will be repealed and replaced within two months. A report prepared by a committee appointed to make recommendations has already been handed over to him. According to the minister, the new legislation, to be known as the State Prevention of Terrorism Act, incorporates recommendations from civil society and is intended to comply with international standards on counter terrorism.

At the same time, Justice and National Integration Minister Harshana Nanayakkara has reaffirmed the government’s commitment to uncovering the truth about missing persons. During a visit to the Chemmani mass grave excavation site in Jaffna, he stated that the excavations should be completed expeditiously so that justice can be done and assured that the necessary resources have been allocated for the task. The excavations are taking place under judicial supervision with the participation of forensic experts, archaeologists, lawyers and representatives of the Office on Missing Persons. These commitments made by the government address two of the most contentious issues that have troubled Sri Lanka for decades. They also suggest that the government believes the country is now in a position to deal with difficult questions from its past rather than postpone them indefinitely.

After Breakthroughs

The timing of the pledge to repeal the PTA is particularly noteworthy. For many years successive governments promised to replace the law but failed to do so. Sri Lanka undertook to repeal it in 2017 as part of its commitments linked to retaining GSP Plus trade concessions by the European Union. Yet despite repeated assurances the law remained in force. The question therefore arises as to why the government now appears determined to act. One possible explanation is that the Easter Sunday investigations have reached a decisive stage. The investigation into the bombings that killed more than 260 people in 2019 appears to have made significant breakthroughs. If these investigations continue along their present course, it is possible that accountability will extend beyond those who directly carried out the attacks to those who may have facilitated, enabled or been part of a wider criminal conspiracy.

There is broad agreement within society that those who masterminded the dastardly Easter bombing must be held accountable and that the victims deserve the truth and justice. However, it is important that the process by which responsibility is determined is seen by the public to be fair, lawful and impartial. If those accused are convicted following a transparent judicial process that respects due process and the rule of law, the outcome is far more likely to gain acceptance across society. This is where the repeal of the PTA becomes important. A transition from a law associated with prolonged detention and exceptional powers to one that is more consistent with human rights standards would strengthen rather than weaken the legitimacy of the investigations. Accountability obtained through a process that is visibly fair will be more durable and less vulnerable to allegations of political motivation or selective justice.

The Chemmani excavations may also provide an example of how such credibility can be built. The process is taking place under judicial supervision and in full public view with the participation of independent experts. Whatever conclusions emerge, and follow up action is decided on, the process itself should command respect because it is transparent and accountable. The same principles can be applied to the Easter Sunday investigations. Public confidence is strengthened when investigations are conducted openly, when legal safeguards are respected and when the rights of both victims and accused persons are protected. The significance of these investigations may extend beyond the tragedy itself. There is likely to be an overlap between those who are eventually found responsible for the Easter Sunday conspiracy and elements of the state apparatus that exercised power during the final stages of the war.

Setting Precedent

For many years Sri Lanka has struggled to address allegations of wartime abuses. The issue has remained politically sensitive because it touches upon the conduct of those who were regarded by many as wartime heroes. Yet if the Easter Sunday investigations establish that senior officials can be investigated and held accountable when evidence warrants it, an important precedent will have been set. Once the deck is cleared through the Easter Sunday investigations and the judicial process that follows, it may become less difficult to address allegations relating to wartime abuses, including those connected to sites such as Chemmani where evidence is now being painstakingly uncovered. This would also strengthen Sri Lanka’s position internationally.

Since the end of the war in 2009, the country has remained under varying degrees of scrutiny by the United Nations Human Rights Council. In October 2025, the Council renewed the mandate of the Office of the High Commissioner for Human Rights to continue collecting and preserving evidence relating to past violations. The next review of Sri Lanka is due in September this year. The government now has an opportunity to demonstrate that Sri Lanka is capable of addressing difficult issues through its own institutions and according to its own democratic values. The commitments to repeal the PTA and to pursue investigations into missing persons can be seen in that light. Those who were victimized query as to what happened to their loved ones and to the information they know full well they entrusted to the government authorities and to the commissions of inquiry that were appointed. These are opportunities to show that accountability and national ownership can go hand in hand.

Reconciliation requires the difficult task of remembering truthfully. Too often Sri Lanka has sought stability by postponing difficult questions. Yet unresolved grievances do not disappear. They persist across generations and continue to shape political attitudes and communal relationships. Sri Lanka’s rise in the Global Peace Index is an achievement worth celebrating. But the true measure of peace is not only the absence of conflict. It is the presence of justice, trust and confidence in public institutions. The government’s commitments on PTA repeal, the Easter Sunday investigations and the search for truth regarding the disappeared suggest an awareness that old approaches have run their course. The government has an opportunity to break with the patterns of the past. The test now lies in implementation.

by Jehan Perera

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