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Oxford AZ vaccine: Clots or plots?

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By Dr Upul Wijayawardhana

I chose to delay taking the Covid-19 vaccine as I preferred to have a vaccine with a whole virus in it rather than a tiny part. Perhaps, it reflects my conservatism; having faith in a vaccine made in the traditional manner. The vaccine developed by the researchers at Oxford University, marketed by the Anglo-Swedish drug giant AstraZeneca (AZ), fitted the bill and there was an added bonus––the Oxford group collaborating with AZ on the express understanding that it would be a no-profit venture. In the biggest health emergency facing us, such a noble gesture deserved recognition and I should play my little part, I thought.

Trapped in the UK, where the severity of the epidemic is far more serious than in Sri Lanka, with deaths exceeding thousand a day being the norm, most of the time, anything to protect should have been welcome. However, when I got the appointment for my jab, I requested a postponement. At the time of my first appointment, only the Pfizer jab was in use. The moment I learned that the AZ jab was being widely used in our area, I requested an appointment and had mine after a delay of about six weeks. However, the present furore over the AZ jab in the European Union (EU) raised doubts in my mind whether I had taken the wrong vaccine! I am sure many in Sri Lanka, too, would think the same as the only vaccine used, so far, is the Oxford AZ vaccine manufactured by the Serum Institute of India, one of the biggest vaccine manufacturers in the world.

In my article ‘Playing politics with science’ (The Island, 5 March 2021) I referred to how the European Union started playing politics with the AZ vaccine by withholding it from those over 65, blaming AZ for not supplying adequate stocks and trying to impose a barrier between Ireland and Northern Ireland, which is a part of the UK. With the real-world data confirming what clinical trials and antibody studies suggested, one would have expected things to settle down, with EU accelerating its vaccination programme, which was trailing behind that of the UK. It did not happen that way, as EU politicians seem determined, for whatever reason, to stigmatise the Oxford AZ vaccine!

The latest battle is about the formation of blood clots, and that has resulted in many EU countries, 13 at the last count, starting with Germany, stopping the use of the Oxford AZ vaccine, in spite of many countries including Germany, Italy and France, declaring that they were experiencing a third wave of the epidemic. This has resulted in further slowing down of vaccinations in the EU, and this could have a disastrous effect. Even before this happened, BBC Europe Editor, Katya Adler had this to say about lagging vaccination rates, in her article “EU closes ranks over Covid surge and vaccine delays” (BBC website, 13 March 2021):

“This was certainly not what the European Commission had in mind, back in June, when it announced a “European strategy to accelerate the development, manufacturing and deployment of effective and safe vaccines against Covid-19. At the time, the UK was derided by many, at home and abroad for not accepting an invitation from Brussels – even as a departing member state – to jump aboard the EU vaccine procurement scheme. Boris Johnson’s Brexit-focused government prefers to go it alone? More fool them,” was the sentiment of many in the EU.

“But fast forward to late February, and take a look at the front-page headline of Germany’s popular Bild newspaper. In a mixture of German and English and with the union flag as a backdrop, it reads in bold print: Liebe Britain, We Beneiden You (Dear Britain, we envy you). This was from a country with the famously level-headed scientist Angela Merkel at its helm and which, at the start of the pandemic, seemed to lead the way in how to deal with the virus effectively.”

Blood clots form in leg veins for many reasons including severe illness and prolonged bed rest. The danger is that they grow, if untreated, with parts getting detached and blocking the arteries that take blood to the lungs from the right side of the heart––pulmonary embolism, which can kill. Rarely other veins like those in the brain also can get affected. During clinical trials none of the vaccines showed any evidence of blood clots and there is no underlying process to explain blood clot formation. Interestingly, Covid-19 infection causes blood to be more coagulable. Most patients who die of Covid-19, do so due to severe pneumonia, and one of the features of lung damage is the development of blood clots. If any vaccine leads to the increase of blood clots it would certainly be a paradoxical reaction.

How big is the problem for some EU countries to have taken this drastic action and what about the Pfizer vaccine? The UK has already vaccinated almost 25 million, and up to the end of February, around 30 cases of blood clots were detected among 9.7 million people given the Oxford AZ vaccine. Interestingly, in comparison, the figure was slightly higher for the Pfizer jab; there were 38 cases among the first 10.7 million recipients. Most experts opine these figures are lower than what would be expected in the general population, suggesting neither one ‘causes’ blood clots. It probably is an association needing further investigation.

Echoing what the WHO and the British Authorities have stated, at a press briefing on 16 March, the head of the European Medicines Agency (EMA) Emer Cooke said she was still “firmly convinced” of the benefits of the AstraZeneca drug and pointed out that blood clots highlighted by some countries were relatively common in the general population. “I want to stress at present there is no indication that vaccination has caused these conditions,” she added. Asked about reports of blood clots in relation to the Pfizer and Moderna vaccines she said: “We are looking at adverse effects associated with all vaccines.”

The EU seems to be in total disarray. Whilst the EMA recommends continuation of the Oxford AZ vaccines, political interventions seem to have divided the EU. Is it bitterness over Brexit that is driving this agenda? Perhaps, there is another more sinister explanation. To quote from Katya Adler’s article, previously referred to:

“But EU insiders say a number of countries originally favoured AstraZeneca as a cheaper option. The Pfizer vaccine was seen as pricey and I’m told a number of member states were suspicious that Germany had an agenda: to make money for the German business BioNtech behind the vaccine.”

Is capitalism attempting to thrive on the woes of the masses?



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Features

Political violence stalking Trump administration

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A scene that unfolded during the shooting incident at the recent White House Correspondents’ Dinner in Washington. (BBC)

It would not be particularly revelatory to say that the US is plagued by ‘gun violence’. It is a deeply entrenched and widespread malaise that has come in tandem with the relative ease with which firearms could be acquired and owned by sections of the US public, besides other causes.

However, a third apparent attempt on the life of US President Donald Trump in around two and a half years is both thought-provoking and unsettling for the defenders of democracy. After all, whatever its short comings the US remains the world’s most vibrant democracy and in fact the ‘mightiest’ one. And the US must remain a foremost democracy for the purpose of balancing and offsetting the growing power of authoritarian states in the global power system, who are no friends of genuine representational governance.

Therefore, the recent breaching of the security cordon surrounding the White House Correspondents’ Dinner in Washington at which President Trump and his inner Cabinet were present, by an apparently ‘Lone Wolf’ gunman, besides raising issues relating to the reliability of the security measures deployed for the President, indicates a notable spike in anti-VVIP political violence in particular in the US. It is a pointer to a strong and widespread emergence of anti-democratic forces which seem to be gaining in virulence and destructiveness.

The issues raised by the attack are in the main for the US’ political Right and its supporters. They have smugly and complacently stood by while the extremists in their midst have taken centre stage and begun to dictate the course of Right wing politics. It is the political culture bred by them that leads to ‘Lone Wolf’ gunmen, for instance, who see themselves as being repressed or victimized, taking the law into their own hands, so to speak, and perpetrating ‘revenge attacks’ on the state and society.

A disproportionate degree of attention has been paid particularly internationally to Donald Trump’s personality and his eccentricities but such political persons cannot be divorced from the political culture in which they originate and have their being. That is, “structural” questions matter. Put simply, Donald Trump is a ‘true son’ of the Far Right, his principal support base. The issues raised are therefore for the President as well as his supporters of the Right.

We are obliged to respect the choices of the voting public but in the case of Trump’s election to the highest public position in the US, this columnist is inclined to see in those sections that voted for Trump blind followers of the latter who cared not for their candidate’s suitability, in every relevant respect, and therefore acted irrationally. It would seem that the Right in the US wanted their candidate to win by ‘hook or by crook’ and exercise power on their behalf.

By making the above observations this columnist does not intend to imply that voting publics everywhere in the world of democracy cast their vote sensibly. In the case of Sri Lanka, for example, the question could be raised whether the voters of the country used their vote sensibly when voting into office the majority of Executive Presidents and other persons holding high public office. The obvious answer is ‘no’ and this should lead to a wider public discussion on the dire need for thoroughgoing voter education. The issue is a ‘huge’ one that needs to be addressed in the appropriate forums and is beyond the scope of this column.

Looking back it could be said that the actions of Trump and his die-hard support base led to the Rule of Law in the US being undermined as perhaps never before in modern times. A shaming moment in this connection was the protest march, virtually motivated by Trump, of his supporters to the US Capitol on January 6th, 2021, with the aim of scuttling the presidential poll result of that year. Much violence and unruly behaviour, as known, was let loose. This amounted to denigrating the democratic process and encouraging the violent take over of the state.

In a public address, prior to the unruly conduct of his supporters, Trump is on record as blaring forth the following: ‘We won this election and we won by a landslide’, ‘We will stop the steal’, ‘We will never give up. We will never concede. It doesn’t happen’, ‘If you don’t fight like hell, you’re not going to have a country anymore.’

It is plain to see that such inflammatory utterances could lead impressionable minds in particular to revolt violently. Besides, they should have led the more rationally inclined to wonder whether their candidate was the most suitable person to hold the office of President.

Unfortunately, the latter process was not to be and the question could be raised whether the US is in the ‘safest pair of hands’. Needless to say, as events have revealed, Donald Trump is proving to be one of the most erratic heads of state the US has ever had.

However, the latest attempt on the life of President Trump suggests that considerable damage has been done to the democratic integrity of the US and none other than the President himself has to take on himself a considerable proportion of the blame for such degeneration, besides the US’ Far Right. They could be said to be ‘reaping the whirlwind.’

It is a time for soul-searching by the US Right. The political Right has the right to exist, so the speak, in a functional democracy but it needs to take cognizance of how its political culture is affecting the democratic integrity or health of the US. Ironically, the repressive and chauvinistic politics advocated by it is having the effect of activating counter-violence of the most murderous kind, as was witnessed at the White House Correspondents’ Dinner. Continued repressive politics could only produce more such incidents that could be self-defeating for the US.

Some past US Presidents were assassinated but the present political violence in the country brings into focus as perhaps never before the role that an anti-democratic political culture could play in unraveling the gains that the US has made over the decades. A duty is cast on pro-democracy forces to work collectively towards protecting the democratic integrity and strength of the US.

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22nd Anniversary Gala …action-packed event

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The Skyliners: Shanaka Viswakula (bass), Mario Ranasuriya (lead guitar), Daryl D'Souza (keyboards) and Kushmin Balasuriya (drums)

The Editor-in-Chief of The Sri Lankan Anchorman, a Toronto-based monthly, celebrating Sri Lankan community life in Canada, is none other than veteran Sri Lankan journalist Dirk Tissera, who moved to Canada in 1997. His wife, Michelle, whom he calls his “tower of strength”, is the Design Editor.

According to reports coming my way, the paper has turned out to be extremely popular in Toronto.

In fact, The Sri Lankan Anchorman won a press award in Toronto for excellence in editorial content and visual presentation.

However, the buzz in the air in Canada, right now, is The Sri Lankan Anchorman’s 22nd Anniversary Gala, to be held on Friday, 12 June, 2026, at the J&J Swagat Banquet Convention Centre, in Toronto.

An action-packed programme has been put together for the night, featuring some of the very best artistes in the Toronto scene.

The Skylines, who are classified as ‘the local musical band in Toronto’, will headline the event.

Dirk Tissera and wife Michelle: Supporting Sri Lanka-Canada community events, in Toronto, since launching The Anchorman
in 2002

They have performed and backed many legendary Sri Lanka singers.

According to Dirk, The Skylines can belt out a rhythm with gusto … be it Western, Sinhala or Tamil hits.

Also adding sparkle to the evening will be the legendary Fahmy Nazick, who, with his smooth and velvety vocals, will have the crowd on the floor.

Fahmy who was a household name, back in Sri Lanka, will be flying down from Virginia, USA.

He has captivated audiences in Sri Lanka, the Middle East and North America, and this will be his fourth visit to Toronto – back by popular demand,

Cherry DeLuna, who is described by Dirk as a powerhouse, also makes her appearance on stage and is all set to stir up the tempo with her cool and easy delivery.

“She’s got a great voice and vocal range that has captivated audiences out here”, says Dirk.

Chamil Welikala, said to be one of the hottest DJs in town, will be spinning his magic … in English, Sinhala, Tamil and Latin.


Both Jive and Baila competitions are on the cards among many other surprises on the night of 12 June.

This is The Anchorman’s fifth annual dance in a row – starting from 2022, 2023, 2024 and 2025 – and both Dirk and Michelle, and The Anchorman, have always produced elegant social events in Toronto.

“We intend to knock this one out of the park,” the duo says, adding that Western music and Sinhala and Tamil songs is something they’ve always delivered and the crowd loves it.

“We have always supported Sri Lanka-Canada community events, in Toronto, since launching The Anchorman, in 2002, and we intend to keep it that way.”

No doubt, there will be a large crowd of Sri Lankans, from all communities, turning up, on 12 June, to support Dirk, Michelle and The Anchorman.

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Face Pack for Radiant Skin

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* Apple and Orange:

Blend a few apple and orange pieces together. Add to it a pinch of turmeric and one tablespoon of honey. Apply it to the face and neck and rinse off after 30 minutes. This face pack is suitable for all skin types.

According to experts, apple is one of the best fruits for your skin health with Vitamin A, B complex and Vitamin C and minerals, while, with the orange peel, excessive oil secretion can be easily balanced.

* Mango and Curd:

Ripe mango pulp, mixed with curd, can be rubbed directly onto the skin to remove dirt and cleanse clogged pores. Rinse off after a few minutes.

Yes, of course, mango is a tasty and delicious fruit and this is the mango season in our part of the world, and it has extra-ordinary benefits to skin health. Vitamins C and E in mangoes protect the skin from the UV rays of the sun and promotes cell regeneration. It also promotes skin elasticity and fights skin dullness and acne, while curd, in combination, further adds to it.

*  Grapes and Kiwi:

Take a handful of grapes and make a pulp of it. Simultaneously, take one kiwi fruit and mash it after peeling its skin. Now mix them and add some yoghurt to it. Apply it on your face for few minutes and wash it off.

Here again experts say that kiwi is the best nutrient-rich fruit with high vitamin C, minerals, Omega-3 fatty acids and vitamin E, while grapes contain flavonoids, which is an antioxidant that protects the skin from free radical damage. This homemade face pack acts as a natural cleanser and slows down the ageing process.

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