Opinion
Two-thirds majority and responsibility
It was widely believed that under a proportional representation system, it was difficult, if not impossible, to get a simple majority. A 2/3rd majority under the circumstances would be an extraordinary victory. Therefore, this phenomenon has to be carefully discussed because it reflects a total loss of confidence and trust in a party that had been a major political force since Independence.
People have watched its decline in the last five years, particularly the UNP’s servility to foreign powers at the expense of the country’s sovereignty and the treachery of cosponsoring a UNHRC Resolution against the country, and twice cleaning up the Central Bank. People were determined to teach it a good lesson and, if possible, relegate it to the political dustbin. The author of the above betrayal had capitulated and withdrawn from the contest knowing well the fate that would befall him. This is a good lesson for all politicians who think the masses are asses and take their political party loyalty for granted. It is also a lesson for small communal parties who hold the major parties to ransom and ask for the impossible.
The main reason for this victory, however, was confidence and trust that the new President has earned, first as Defence Secretary and then, in these few months, as the President of the country, with his no-nonsense approach to governance and the efficiency he demands, as shown in the way the Corona pandemic has been controlled. The Prime Minister’s personal charisma and proven ability and leadership has also contributed quite significantly. Their team consisting of several talented Rajapaksas, each with different expertise, had helped to create history in the political arena, and in this sense it is unparalleled anywhere in the world. They must, however, remember they cannot afford to fail; people have placed so much faith and trust in them. Serving the people would be their holy vow and they must remember the mistakes they did in the 2010 – 2014 period that brought about their downfall and avoid repeating them. They could fall again, however big their victory may be.
What is of importance now is to consider what the voters want from a government with a 2/3rd majority. First, what they don’t want to happen, yet which has always happened, has to be remembered. This aspect of the problem assumes greater importance as most of the old faces known for various evil deeds, misdemeanor, ill decorum, and even serious crime are back. They have to be kept on a short leash, if the new President is to steer the country away from the precipice that has opened up in its path, due to the ills of the previous government and the coronavirus pandemic.
Corruption and waste
It is well known that poverty in this country could not be alleviated mainly due to the rampant corruption and waste. The country is blessed with a clement climate, fertile soil, rain in good time, ample sunshine, good literacy and an intelligent workforce. What we lack for development is honest, capable, decent politicians, who are not in politics to make money, but for the satisfaction of developing the country. If corruption and waste in government institutions, beginning from the Parliament could be controlled, the present leadership would have won half the battle. It is the top that must show the way. If there is corruption and waste at the top there is no one who could stop it at the bottom. Cannot they spend less on Parliament sessions to begin with. Cannot they do away with the commission racket at the top before they pick on lesser rogues. Cannot they punish the Central Bank robbers to begin with. Cannot bribery, drug dealing, and crime be stopped at the top so that the police can look after the bottom.
People have hope in the new President, the present political leadership and the government that the miscreants who may have been swept in with the political tsunami would be kept in check. Some new faces also have come in and the voters expect them to contribute meaningfully in the Parliament to keep things under order and control. They owe it to the people and the youth to save this country from the corrupt, the criminal, the drug dealer and the commission crook. They must form themselves into a group who would stand up for fairness and justice, integrity and honesty, decorum and behaviour. Decency in dress, beard and hair style. They must not allow the thick-skinned seniors to have their way and bungle and bumble for five years and go down yet again. These young new faces have their entire political career in front of them. They must not squander this opportunity by living it up, having a good time, nightclubbing and running around in fast cars, while their brothers and sisters, who voted for them, suffer without education and employment. They must make an effort to educate themselves on good governance, parliamentary procedure, basic economics and also develop patriotism and a love for the country so that they will develop into good leaders and statesmen.
The responsibility of the 2/3rd majority would be to change the political culture in this country, which has become so dirty that there are people, including the former Prime Minister who would like to throw politicians into the Diyawanna Oya. Fortunately, he would be spared of the watery inconvenience, courtesy the Colombo voters. Another responsibility is to see that politicians, rejected by the people, are not brought into the Parliament, via the national list.
Constitution
The two-third majority provides an opportunity to reform the constitution which has been badly mutilated by the 19th A, and which was introduced mainly to clip the wings of the then President and strengthen the hands of the then Prime Minister. It was not meant to improve the rights of the people, strengthen democracy, and attain balance between the three arms of the government. Further it has brought in confusion into the constitution when what is needed is clarity.
While the 19th A has to be gotten rid of, the presidential powers, which perhaps may be excessive, as the former President, the late JRJ famously claimed, may have to be appropriately changed taking care not to render the executive presidency meaningless, which the 19 A does. The electoral system, which has been muddled up by the previous government, also has to be revamped, to enable the voters to elect a stable government while reflecting the will of the people. Due to this muddling, the last local government elections produced almost double the number of members it was meant to elect. The independent commissions, which the 19th A introduced, may have to be retained, but a mechanism to restrict political appointments into these commissions may have to be worked out, as experience shows these units are full of LTTE sympathisers, which may have been one of the reasons for the defeat of political leaders responsible for it.
The 2/3rd majority is a clear endorsement of the need to preserve the unitary state and single sovereignty of the country. Communal politics, which unfortunately form the basis of existence for ethnic based political parties, have held the mainstream parties to ransom and taken the country to the threshold of ethnic federalism and secession. Those mainstream political leaders who colluded with these minority parties, hopefully have been relegated to history. Hence it is time the minority parties realized their mistake of overestimating themselves and believing that no major party could win without their support. They have found that if they push too hard the majority community will close rank. It is this myth that had all along prevented them from participating more actively in the governance, and also denied their people the opportunity to contribute more towards the country’s development.
The 13th A, with the threat of its full implementation in relation to land and police powers, is the Sword of Damocles that great India hung over the tiny head of Sri Lanka. This sword could cut the neck of Sri Lanka given the right conditions. The conditions were right, during the last four years, and they almost succeeded. The 13A is an incongruity in a unitary constitution. If fully implemented – there is no reason why it should not – it would give more powers to the periphery than the states of federal India have. It was forced on Sri Lanka as a solution to the ethnic problem of the Tamils, but their leaders did not make use of it to develop the North. The Tamils seem to be in a state of transition, if the results of the 2020 election is an indication. The North, East and the Central hills are showing signs of change and a disillusion with the parochialism of their leaders. Moreover, the Tamils seem to be getting on fine without any devolution, the Provincial Councils were non-existent for the last two years, yet the Tamils were not complaining.
The Provincial Councils do not serve any useful purpose other than being another obstacle that people have to overcome to solve their problems. All the communities are called upon to carry this burden for the sake of devolution of power, which in a poor tiny country is unnecessary and ill-affordable. Sri Lanka has four tiers of political administration; president, parliament, provincial councils and local government councils with thousands of members whose emoluments, perks, and corruption would be a huge burden on the poor people. Such a huge system of political administration, and representation is superfluous and unnecessary for a country of Sri Lanka’s size and population, leaving alone the cost. The aspirations of the Tamils, for political power sharing, should be addressed by more realistic means, and with opportunity for greater integration and participation both at grass-root level and the centre. The failure of Tamil leaders to realize this need has been the bane of the Tamil community and the country too.
Reconciliation
Reconciliation cannot be forced on people. It must come naturally. It had existed in early times and had been destroyed by politicians in the pursuit for power. It cannot be achieved by foreign intervention or UNHRC Resolutions that seek to investigate and punish one community. It cannot be achieved by the establishment of the Office for Missing Persons, Commission for Truth and Justice, and Commission for Reparation, etc., which are packed with supporters of terrorists and separatists. It can only be achieved by allowing people to forget the past and come together in a natural process. Tamil politicians, western powers, and their local stooges do not want people to forget the past for which one side only could not be blamed. The new President did the right thing in withdrawing from the co-sponsorship of the treacherous UNHRC Resolution 30/1. He has also said he will not hesitate to withdraw from any other world body that engages in activity detrimental to Sri Lankan interests.
The 2/3rd majority gives all communities the opportunity to work together to overcome the problems caused by Covid-19 and develop their country. Such an attitude would help them to forget the past.
In Lord Naseby’s words: “This is a new dawn for Sri Lanka, a fresh era creating the opportunity for the country to come together and finally put to bed the idea of any Tamil Eelam independence movement.
“Now is the time for the West to understand the new mood in Sri Lanka; the desire on all sides for reconciliation to become realistic without any interference from the West or the UN Rights Council”.
N.A.de S.AMARATUNGA
Opinion
M. D. Banda: Memories of our Appachchi
(The 112th Birth Anniversary M. D. Banda fell on March 09.)
My memories of Appachchi when I was very little are nebulous. Whilst this may be the case with all little children, even ones with fathers who have regular 9-5 jobs, in my case, this was due to two additional reasons: our Appachchi lived mostly at “Shravasthi” the special residence for Lankan parliamentarians and not at our ancestral home home, in our village, Panaliya.
Additionally, we were all at boarding schools and spent nine months of the year in our respective school hostels. Thus, it was just during the holidays that the seven of us (my four sisters, two brothers and I) were at home, in Panaliya.
Looking back on this time, I realise that during most of my childhood my father was a Cabinet Minister, and one who was completely dedicated to his duties. He was conscientious to a fault, attending to ministerial duties, attending parliamentary sittings and cabinet meetings diligently. Appachchi first entered Parliament in 1947 when he was just 29 years old, and
was almost immediately appointed to the post of Parliamentary Secretary (Junior Minister) to the Minister of Labour and Social Services in May 1948. He was Minister of Labour and Social Services in February in 1950 and was again appointed to the same post by Hon Dudley Senanayake in March 1952. He became Minister of Education in June 1952 so that by the time I was born in December 1952, he was a senior member of the Dudley Senanayake Cabinet. I only fully realised how busy he must have been much later in life. As young children, it is our mother who gave us love and a sense of security by being fully present in our lives and seeing to all our needs, even when we were in school hostels.
Pivotal points
Our mother informed us one day, when I was around 3 or 4 years old , that Appachchi would be coming home that evening. Although my memories of this period are quite hazy, I recall very clearly the keen enthusiasm with which we awaited his arrival. Evening moved into night and his arrival was pushed back late and further late into the night. The moment I woke up the next morning I remember asking Amma where Appachchi was. “He came home very late last night but had to leave early this morning. He was a little annoyed with you, Lokka (everyone in the family calls me ‘Lokka’ even now), because you had parked your little car near the stairway, and Appachchi nearly tripped over it’ (this was before we had electricity in our home). My little heart was overwhelmed with sorrow for not only had I not seen Appachchi but I had inadvertently caused him injury with my careless parking of my miniature car.
This incident is indelibly etched in my mind because I believe that this was the first time in my life, that I experienced the agony of shattered expectations. Why I felt such intense pain then as a little child was perhaps because of how much I loved my father.
I was admitted to Hillwood College, Kandy at the age of three and a half and lived in the school hostel for three years. I clearly remember Amma visiting us at least once or twice a month with goodies and treats for us and our friends. I do not however have any clear memory of Appachchi visiting us during this time. At the time I didn’t realise that this was due to the busy life he led. At Hillwood, I had all the love and attention I needed from my four older sisters and my four older cousin sisters (our Lokuamma’s daughters).
My younger brother Senaka and I then entered Dharmaraja College, Kandy in 1961 . We were hostelers and attended school from the hostel. I clearly remember Amma visiting us regularly during this period too. I had my first real and meaningful conversation with Appachchi during this time: One day, our warden Mr Wimalachandra informed me that appachchi had come to take Senaka mallie and me out. We visited a relative of ours in Harispattuwa, had lunch with them and on our return journey to the school hostel, I told appachchi that I was playing cricket for the under 12 team at Dharmaraja College, and therefore needed a bat.
“Are you playing hardball?”
(I didn’t understand the question so I was silent)
“Is it the red ball?”
“Ah, yes.”
“Is it that kind of bat that you need?”
“Yes.”
“What is your position in the team?”
(I was once again silent)
“Are you an opening batsman? Or are you number 3, 4 or 5?”
“I can bat and bowl. I do both”
“Ah! Then you are an all-rounder. Number 6,7 – I will buy you this kind of bat. Play well till then.”
And the conversation continued in the vein but no bat has come to date!!!
Little did I know at the time that Appachchi was himself an outstanding cricketer, who represented the St Anthony’s College.Katugastota team and, later, for the Ceylon University College team, as an opening batsman. This is why he was so well versed with the game and was highly interested in my own cricketing capabilities. His passion for cricket was clear to us later on too because we all recall how he and his nephews, Bertie and Nimal, would listen to cricket commentaries and were glued to the radio when England and Australia played biennially for the famous Ashes trophy.
On the day of this momentous conversation, Bertie aiya (appachchi’s long-time Private Secretary, and his sister’s son; a lawyer by profession) had also come with Appachchi. It is from Bertie aiya that I learnt that day that the car they had driven up to Kandy in (an Austin A 70) belonged to Appachchi. I later learnt that Appachchi had not one but two cars (a Fiat 1400 too). Both cars were driven by Ranbanda, the chauffer, and were in Colombo because there was no one who could drive them at Panaliya. Amma always hired a car for her personal use at Panaliya, and would visit us in school in these hired cars, until her youngest brother Tissa came to live in our home at Panaliya. Tissa maama then drove amma around and would very often drive us to our school hostels. Another rather amusing memory from this same time goes like this: during a school holiday when I was in grade 6 at Dharmaraja College, Appachchi asked for my report card. I was 6 th
in class and therefore promptly and proudly took it to him. Appachchi scrutinised my report card carefully and said, not unkindly, ‘If you are 6 th in class with marks like this, all the other children in your class must be buffaloes’.
A shift in gears
I think I really got to know Appachchi well when Senaka malli and I entered Ananda College in Colombo. Although we first went to school from the school hostel, we would go to Appachchi’s official residence at Wijerama Mawatha every weekend. By this time, Amma too had moved to Colombo. Thus, between 1965 – 1970 , our home was at Wijerama Mawatha, with them. So, that is when I got the chance to interact closely with Appachchi. It was only at this time that it dawned on me that Appachchi was a powerful Cabinet Minister who was loved and respected by his constituents and the people of our country.
During this time, when I needed anything, I would go to his room early in the morning to remind him of what I needed. These requests were for the most part fulfilled.
Once I remember that I asked for track shoes (spikes) and Appachchi bought me a pair from abroad. When I needed money to buy a Tennis racket, he told me to go to the sports-ware store, ‘Chands’ at Chatham Street and select a racket. I received top treatment there and was even offered orange barley!
Then again I urgently needed ‘longs’ (trousers) to wear to school. “How many do you need?” he asked. Without thinking I said, “six”. “Why six?” he demanded. “There are only 5 days in the school week, no? Three would do.” Then he directed me to the ‘West End’ tailors’ shop in Pettah and asked me to get them stitched there.
It was Appachchi’s habit to take us to the Lake House Book shop every year and allow us to buy whatever we wanted. Considering that there were 7 of us, Senaka Malli and I chose just three or four books and took them to the counter, while our Chuti Malli Senerath, would bring a pile of books! “Do you want all these books?” Appachchi asked. Chuti Malli nodded “yes” and Appachchi bought all of them for him! This was probably because Appachchi himself loved books and wished to encourage the reading habit in his children.
When apachchi passed away in 1974, Senerath Malli was only 14 years old and I believe that the loss was greatest for him.
(To be concluded)
Loku Putha,
Gamini Leeniyagolla
Opinion
Social and Biological Landscape of Kidney Disease in Sri Lanka
World Kidney Day falls today
The Chronic Kidney Disease (CKD) crisis in Sri Lanka represents one of the most formidable public health challenges of the twenty-first century, manifesting as a complex tapestry of environmental, social, and physiological factors. Unlike the traditional forms of kidney disease seen in urban centres—which typically stem from well-understood comorbidities like long-term diabetes and hypertension—the situation in the Sri Lankan ‘Dry Zone’ is defined by a mysterious and aggressive variant known as Chronic Kidney Disease of unknown aetiology (CKDu). This specific form of the disease has devastated the agricultural heartlands, particularly the North Central Province, for over three decades, yet it continues to evolve in its geographic reach and its socio-economic impact as of 2026. The persistence of this epidemic despite extensive international research highlights a profound gap in our understanding of how tropical environments and traditional occupational hazards intersect to damage human renal systems.
Historically, the emergence of CKDu was first noted in the late 1990s around the Anuradhapura and Polonnaruwa districts. What began as sporadic cases in rural hospitals quickly transformed into a localized epidemic, catching the medical community off guard because the patients did not present with the usual risk factors. These were not the sedentary, elderly populations usually associated with renal failure; rather, they were lean, active, middle-aged rice farmers.
The demographic specificity of the disease remains a chilling hallmark of the crisis today. It predominantly strikes men during their peak productive years, which triggers a catastrophic ripple effect through the family unit. When a primary breadwinner in a subsistence farming household falls ill, the family is thrust into a ‘poverty trap’ where limited resources are redirected toward transport to distant clinics, expensive nutritional supplements, and eventually, the gruelling routine of dialysis. This economic erosion often forces children out of school and into labour, perpetuating a cycle of systemic vulnerability that lasts for generations.
Intense scientific debate
The aetiology of the disease remains a subject of intense scientific debate and is currently viewed through a multifactorial lens. Researchers have moved away from the search for a single ‘smoking gun’ and are instead examining a lethal synergy of environmental triggers. Groundwater quality remains at the forefront of this investigation. The dry zone of Sri Lanka is characterized by high levels of fluoride and groundwater hardness, and it is theorized that the interaction between these natural minerals and anthropogenic pollutants—such as heavy metals from agrochemicals—creates a nephrotoxic cocktail.
The historical reliance on chemical fertilizers and pesticides in the ‘Green Revolution’ era of Sri Lankan agriculture is often cited as a major contributing factor. While direct links to specific brands of pesticides have been difficult to prove definitively, the accumulation of cadmium, arsenic, and lead in the soil and food chain continues to be monitored as a primary catalyst for the slow, progressive scarring of the kidney tubules.
In recent years, the discourse around CKDu has expanded to include the role of heat stress and chronic dehydration, exacerbated by the changing climate. Farmers in the North Central and Eastern provinces work long hours under an unforgiving sun, often without access to adequate quantities of clean drinking water.
There is growing evidence that repeated episodes of acute kidney injury caused by dehydration can lead to the permanent interstitial fibrosis characteristic of CKDu. This theory connects the Sri Lankan experience with similar ‘Mesoamerican Nephropathy’ seen among sugarcane workers in Central America, suggesting that CKDu may be a global phenomenon tied to the physical realities of manual labour in warming tropical climates. As global temperatures rise, the ‘heat stress’ hypothesis gains more urgency, positioning the Sri Lankan crisis not just as a local medical mystery, but as an early warning sign of how climate change impacts the health of the global agrarian workforce.
Geographical expansion of disease
The geographic expansion of the disease is a significant concern for the Ministry of Health in 2026. While Anuradhapura remains the epicentre, new ‘hotspots’ have been identified in the Uva and Northwestern provinces, as well as parts of the Southern hinterlands. This spread suggests that the environmental or behavioural triggers are more widespread than previously thought or that the migration of labour and changing agricultural practices are carrying the risk factors into new territories. The government has responded by shifting its strategy toward a more decentralized model of care. The establishment of the Specialized Nephrology Hospital in Polonnaruwa was a landmark achievement, providing state-of-the-art facilities for transplantation and dialysis. However, the sheer volume of patients means that the burden on tertiary care centres remains unsustainable. Consequently, the focus has shifted toward early detection through mobile screening units and the empowerment of primary healthcare centres to manage the early stages of the disease through aggressive blood pressure control and dietary management.
Water Security
Water security has become the primary defensive strategy in the national fight against CKDu. The widespread installation of Reverse Osmosis (RO) plants across high-risk villages has been a transformative community-led intervention. These plants provide filtered water that is significantly lower in mineral content and potential toxins compared to traditional shallow wells. While the long-term efficacy of RO water in preventing new cases is still being evaluated through longitudinal studies, there is strong anecdotal and preliminary evidence suggesting a decline in the rate of new diagnoses in villages that have had consistent access to filtered water for over a decade.
However, the maintenance of these plants remains a challenge, as rural communities often lack the technical expertise or the consistent funding required to replace membranes and ensure the water remains safe for consumption over the long term.
Beyond the biological and environmental dimensions, the CKD situation in Sri Lanka is deeply tied to the social fabric and the psychological well-being of the rural population. There is a profound stigma attached to the disease; in some areas, families hide a diagnosis for fear that it will affect the marriage prospects of their children or lead to social isolation.
This fear often drives patients toward traditional healers or unregulated ‘cures,’ which can sometimes exacerbate kidney damage through the use of heavy-metal-rich herbal preparations. Addressing the ‘fear factor’ through community education and the normalization of regular screening is as essential as any medical treatment. Furthermore, the mental health of caregivers—often women who must balance farming, household duties, and the intensive care of a bedridden relative—is a neglected aspect of the crisis that requires urgent policy attention.
Need for paradigm shift
As we look toward the future, the resolution of the CKD crisis in Sri Lanka will require a paradigm shift in how the state manages its agricultural and environmental resources. The transition toward organic or ‘low input’ farming is being discussed not just as an ecological goal, but as a public health necessity to reduce the chemical load on the soil and water. Simultaneously, the push for universal access to pipe-borne water is the only permanent solution to the groundwater problem. The current situation in 2026 is one of cautious optimism tempered by the reality of a massive existing patient load. While the ‘mystery’ of CKDu may never be reduced to a single cause, the integrated approach of clean water, early detection, and social support offers a roadmap for mitigating the impact of this devastating epidemic.
The resilience of the Sri Lankan farming communities, supported by robust scientific research and empathetic governance, remains the greatest asset in overcoming a disease that has for too long defined the landscape of the Dry Zone.
The Northwestern Province of Sri Lanka, particularly within the districts of Kurunegala and Puttalam, has emerged as a critical front in the national battle against chronic kidney disease. Unlike the early epicentre in the North Central Province, the Northwestern region faced a delayed but rapid surge in cases, largely attributed to its unique hydro-geochemical profile.
The groundwater in areas such as Polpithigama and Nikaweratiya is characterized by high levels of calcium and magnesium, leading to extreme water hardness that, when coupled with fluoride, has been statistically linked to accelerated renal damage. As of 2026, the strategy for this province has shifted from reactive medical treatment to a massive expansion of safe drinking water infrastructure, reflecting a policy acknowledgment that the quality of the ‘input’ into the human body is the single most controllable variable in the CKD epidemic.
Clean water projects
Central to this effort is the National Water Supply and Drainage Board’s Regional Support Centre for the North-Western Province, which has accelerated its goal of achieving near-universal pipe-borne water coverage. A primary focus has been the Anamaduwa Integrated Water Supply Project, a multi-billion-rupee initiative designed to serve over 80,000 residents across the most vulnerable divisions. By transitioning communities away from shallow, untreated agricultural wells and toward centralized, treated surface water systems, the project aims to bypass the nephrotoxic minerals inherent in the local bedrock. This shift is not merely a matter of convenience; it is a life-saving intervention. Early longitudinal data from 2024 and 2025 suggests that in villages where pipe-borne water has replaced groundwater as the primary source for over five years, the rate of new Stage 1 CKDu diagnoses has begun to plateau, providing the first tangible evidence that infrastructure development can decouple agricultural livelihoods from the risk of kidney failure.

Reverse Osmosis Water Supply Wells and The Reduction of Incidence of CKDu in the North central Province (Source: Kidney disease, health, and commodification of drinking water: An anthropological inquiry into the introduction of reverse osmosis water in the North Central Province of Sri Lanka by de Silva and Albert 2021)
Indispensability of RO plants
While large-scale projects provide a long-term solution, the ‘interim’ role of community-based Reverse Osmosis (RO) plants remains indispensable in the Northwestern hinterlands. These plants, often managed by local community-based organizations (CBOs) with technical oversight from the government, serve as the primary defence for remote settlements that the pipe-borne network has yet to reach. The operational success of these RO plants is increasingly tied to a new model of ‘Water Safety Trust.’
Surveys conducted in 2025 indicate that the reduction of CKD in these areas depends heavily on consistent maintenance; when filters are changed regularly and brine disposal is managed correctly, the resulting ‘soft’ water significantly reduces the metabolic stress on the kidneys of the local farming population. However, the province still faces the challenge of ‘water commodification,’ where the cost of filtered water can occasionally burden the poorest families, highlighting the need for continued state subsidies to ensure that clean water remains a universal right rather than a luxury.
The reduction of CKD in the Northwestern Province is also being driven by a more sophisticated integration of water management and occupational health. Recent initiatives have begun to combine the provision of clean water with ‘cool zones’ and hydration advocacy for farmers working in the intensive heat of the dry zone. There is an increasing understanding that it is not just the quality of water that matters, but the quantity and timing of consumption to prevent the sub-clinical acute kidney injuries that precede chronic failure. By 2026, the regional health authorities have integrated water quality testing with mobile renal screening,
creating a data-driven approach where water projects are prioritized for ‘red-zone’ villages showing the highest incidence of early-stage disease. This holistic strategy marks a transition from viewing CKD as a medical mystery to treating it as a manageable environmental health hazard, with the Northwestern Province serving as a vital testing ground for these integrated interventions.
Biochemical landscape
The biochemical landscape of the Northwestern Province’s water crisis is defined by a sophisticated and lethal interaction between naturally occurring minerals and the human renal system. At the molecular level, the primary concern is the synergistic effect of fluoride ions and water hardness, which is predominantly caused by high concentrations of calcium and magnesium cations. While fluoride is often discussed in isolation, recent research in 2025 and 2026 emphasizes that its toxicity is profoundly amplified when it enters the body through ‘very hard’ water (typically exceeding 180 mg/L of calcium carbonate). When these ions meet in the slightly alkaline environment of the kidney’s proximal tubules, they can form insoluble nanocrystals of calcium fluoride or fluorapatite. These microscopic precipitates act as physical irritants, causing mechanical clogging and chronic inflammation of the delicate tubular basement membranes, eventually leading to the interstitial fibrosis that characterizes CKDu.
Furthermore, the ‘Northwestern profile’ of groundwater often includes the presence of glyphosate—a common herbicide—which scientists now believe acts as a carrier or ‘chelating agent.’ Glyphosate has the chemical ability to bind with calcium and magnesium ions in hard water, forming stable complexes that may protect the toxic elements from being filtered out by the body’s natural defences, allowing them to reach the kidneys in higher concentrations. This ‘Trojan Horse’ mechanism suggests that the disease is not caused by a single pollutant, but by a geochemical cocktail where the hardness of the water essentially ‘primes’ the body to be more susceptible to other environmental toxins. Interestingly, some studies have noted that magnesium-rich water may actually offer a slight protective effect compared to calcium-dominant water, suggesting that the specific ratio of minerals in a village’s well could determine its status as a ‘hotspot’ or a safe zone.
To combat these complex interactions, the maintenance of Reverse Osmosis (RO) plants has become a cornerstone of rural health policy, though it remains fraught with logistical challenges. As of 2026, the Ministry of Health has moved toward a ‘Uniform Regulation and Training’ model to address the high variability in water quality produced by community-managed plants. Without precise maintenance, RO membranes can become ‘fouled’ by the very minerals they are designed to remove, leading to a precipitous drop in filtration efficiency. Policy experts now advocate for a ‘Public-Private-Community Partnership’ where the government provides the technical sensors and remote monitoring technology, while local organizations handle day-to-day operations. This ensures that the Total Dissolved Solids (TDS) levels remain consistently below the 30-ppm threshold required to effectively ‘reset’ the mineral balance for residents who have spent decades consuming the region’s hazardous groundwater.
Fruitful environmental intervention
Ultimately, the reduction of CKD in the Northwestern Province is a testament to the power of targeted environmental intervention. By treating the water supply as a biological variable rather than just a utility, Sri Lanka is creating a global blueprint for managing ‘geogenic’ diseases. The transition from the ‘shallow regolith aquifers’—which are highly susceptible to both natural mineral leaching and agricultural runoff—to deeper, treated surface water sources represents the most significant shift in the province’s public health history. As these infrastructure projects reach completion, the hope is that the next generation of farmers in Kurunegala and Puttalam will be the first in decades to work their land without the looming shadow of a silent, water-borne epidemic.
Opinion
U.S. foreign policy double standards and Iran’s Iron theocracy
The world’s most theatrical stage
Welcome to the Grand Circus
If global geopolitics were a TV show, it would be cancelled after the first season for being too unbelievable. Consider the plot: the world’s largest arms exporter lectures others about peace; a government that executed over 500 people in a single year tells its citizens it governs by divine law; and international bodies created to enforce rules seem to apply those rules with remarkable … flexibility. Welcome to the real world of international relations, where the rules are made up and the principles don’t matter.
This analysis examines two of the most consequential actors shaping global instability today: the United States of America, a democracy that can’t quite decide whether it believes in democracy, and the Islamic Republic of Iran, a theocracy that has perfected the art of punishing its own people for simply existing.
Episode I: The United States, ‘Do as I Say, Not as I Do’
The Democracy Export Business
The United States has, for decades, positioned itself as the global guardian of democracy, freedom, and human rights. It is a noble brand. The marketing budget alone, in the form of military expenditure at $886 billion in 2023, is staggering. And yet, the product being sold and the product being delivered have often been … different things.
The CIA-backed coup of 1953, codenamed Operation Ajax, removed Iran’s democratically elected Prime Minister Mohammad Mosaddegh and reinstated the autocratic Shah Mohammad Reza Pahlavi, primarily to protect Anglo-American oil interests.
Nuclear Exceptionalism: The World’s Worst-Kept Secret
The United States currently holds approximately 5,044–5,177 nuclear warheads (depending on the source and year), while Russia being the largest with a stockpile estimated at approximately 5,580 warheads. yet it leads international campaigns demanding that other nations not develop nuclear weapons. This is a bit like the world’s most heavily armed person standing at the door of a gun shop, telling customers they cannot purchase firearms.
Furthermore, Israel is widely believed to possess 80–90 nuclear warheads. The United States has never imposed sanctions on Israel for this. India and Pakistan, both outside the NPT, were rewarded with nuclear cooperation deals after the tested nuclear weapons.
The Saudi Arabia Paradox
Perhaps, no relationship illustrates U.S. foreign policy hypocrisy more vividly than Washington’s alliance with Saudi Arabia. The Kingdom is an absolute monarchy with no elections, no free press, where women were legally barred from driving until 2018, and where the murder of journalist Jamal Khashoggi, carried out, according to U.S. intelligence, on orders from Crown Prince Mohammed bin Salman, resulted in … arms sales continuing and diplomatic ties intact.
The United States sold Saudi Arabia over $37 billion in arms between 2015 and 2020, weapons used in a Yemen war that the United Nations described as one of the world’s worst humanitarian catastrophes. Yet the U.S. simultaneously held press conferences about human rights. The cognitive dissonance is not a bug. It is the feature.
Iraq: The Weapons of Mass Distraction
In 2003, the United States invaded Iraq on the basis of alleged weapons of mass destruction (WMD) that did not exist. The invasion resulted in an estimated 150,000–1,000,000 Iraqi civilian deaths depending on methodology, the displacement of millions, the destabilization of an entire region, and the rise of the Islamic State, none of which appeared in the original brochure. The officials responsible for this foreign policy catastrophe faced no international tribunal. No sanctions were imposed on the United States. Several architects of the war are today respected media commentators.
Meanwhile, the International Criminal Court (ICC), an institution the United States has never ratified, is expected to hold others to account for far lesser offenses. As of 2024, the U.S. has actively sanctioned ICC officials who attempted to investigate American personnel for potential war crimes in Afghanistan.
Episode II: Iran, The People’s Nightmare
Iran’s political system is built on the concept of Velayat-e Faqih, the Guardianship of the Islamic Jurist, a political-theological doctrine holding that a senior Islamic cleric should govern society. In practice, this means that Supreme Leader Ali Khamenei, unelected by the general public, holds veto power over all branches of government, controls the military, the judiciary, state media, and the powerful Islamic Revolutionary Guard Corps (IRGC).
The elected president, whether ‘moderate’ or ‘hardliner’, operates within a system where real power resides with the Supreme Leader and an unelected Guardian Council that vets all candidates and can disqualify anyone it deems insufficiently Islamic. In the 2021 presidential election, the Guardian Council disqualified over 590 candidates out of 592 who applied. The word ‘election’ is being used loosely here.
Women’s Rights: A Systematic Dismantling
Since the 1979 Islamic Revolution, Iranian women have endured one of the most comprehensive rollbacks of rights in modern history. Within weeks of the revolution, mandatory hijab laws were imposed, women were barred from serving as judges, and the minimum marriage age for girls was reduced to 9 years (later revised to 13 in 1982). This was not incidental policy; it was ideological architecture.
Today, Iranian women face legal discrimination across virtually every domain. Under the Iranian Civil Code, a woman’s testimony in court counts as half that of a man’s. Women cannot travel abroad without the written permission of their husband or male guardian. Married women cannot work without spousal consent in many circumstances. The diyeh (blood money) for a woman’s life is legally valued at half that of a man.
In September 2022, 22-year-old Mahsa (Zhina) Amini died in the custody of Iran’s Morality Police, after being arrested for allegedly wearing her hijab improperly. Her death triggered the Woman, Life, Freedom uprising, one of the largest protest movements in Iranian history. The government’s response was to kill over 500 protesters, arrest more than 19,000, and execute at least four people in connection with the protests by early 2023.
The IRGC and State-Sponsored Repression
The Islamic Revolutionary Guard Corps is a military-economic-political entity unlike any other in the region. It controls an estimated 20–40% of Iran’s economy through businesses, construction contracts, and import monopolies. It commands proxy militias across Iraq, Syria, Lebanon, and Yemen. And it suppresses domestic dissent with a ruthlessness that has drawn consistent condemnation from United Nations human rights bodies.
Amnesty International’s 2022-2023 annual report documented the IRGC and security forces using live ammunition, birdshot, and metal pellets against protesters, deliberately targeting eyes, resulting in hundreds being blinded. The UN Special Rapporteur on Iran documented ‘serious, widespread and systematic human rights violations’ constituting potential crimes against humanity.
Episode III: Where the Two Hypocrisies Meet
The relationship between the United States and Iran is, in many ways, a story of two entities who deserve each other in the sense that the behavUior of each government has fed the domestic narrative of the other for decades.
Washington uses Iran as justification for its military presence in the Gulf, its arms sales to autocratic Gulf states, and its general posture as indispensable regional hegemon. Tehran uses American hostility and sanctions as justification for economic failure, political repression, and nuclear advancement. Both governments’ hard-liners need each other to remain in power.
The Iranian people, 85 million of them, majority under 35, highly educated, and overwhelmingly wanting engagement with the world, are trapped between a government that treats them as subjects and an international sanctions regime that punishes them for their government’s choices. The American people, meanwhile, continue paying for a foreign policy architecture that serves arms manufacturers, defense contractors, and geopolitical abstractions more than it serves democratic values or human security.
Some Uncomfortable Truths
The United States is not the villain of every story, nor is Iran irredeemably authoritarian in the hearts of its people. What is consistent, and what this analysis has documented, is that both governments operate by standards they refuse to apply to themselves.
Tehran’s theocratic governance has failed its population economically, politically, and most visibly in its treatment of women and dissidents. The Woman, Life, Freedom movement showed the world what Iranian society wants. The government’s violent response showed the world what the Islamic Republic fears.
The lesson, uncomfortable as it is, is that powerful states, whether wielding aircraft carriers or theology, tend to exempt themselves from the rules they want others to follow. The only antidote is an informed public that refuses to accept these double standards as the natural order of things. Read critically. Follow the money. And remember: when a government tells you it acts in the name of God or democracy.
(The writer, a senior Chartered Accountant and professional banker, is Professor at SLIIT, Malabe. The views and opinions expressed in this article are personal.)
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