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100% Organic Agriculture:A costly experiment leading to National Disaster – II

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Farmers protest, demanding fertiliser (file photo)

by Professor W.A.J.M. De Costa
Senior Professor and Chair of Crop Science
University of Peradeniya
(continued from yesterday)

Measures that contravene the principles of organic agriculture

According to President Gotabaya Rajapaksa, one of the key advantages of converting Sri Lanka’s agriculture into 100% organic is the expectation of a higher price premium for its agricultural products in the global market. It was also argued that any reduction in yield would be off-set by the higher price premium for organic food products. However, with the realisation that crop requirements of potassium and phosphorus, two major plant nutrients which are essential for production of any crop on an economically viable scale, could not be supplied with organic fertilisers, the government decided to import Potassium Chloride (KCl) and to use Eppawala Rock Phosphate (ERP) as sources of potassium and phosphorus, respectively.

Similarly, it dawned upon the advocates of 100% organic agriculture that some of the key pests, diseases and weeds, in large scale agricultural crops, in Sri Lanka, cannot be controlled by exclusively organic means. Blights and soft rots in a range of vegetable crops caused by various bacteria (including Erwinia species) are a case in point. Consequently, the government has allowed the import of certain synthetic pesticides and herbicides.

These are rational moves that bring the initial idealism of 100% organic agriculture back to reality. However, the downside is that despite the rhetoric of 100% organic agriculture, Sri Lankan agricultural products will not receive international certification as ‘Organic’. Therefore, the expected higher price premiums will not materialise and farmer incomes will plummet because of the decreased crop yields.

Many soil scientists, who have expertise on fertiliser, have pointed out that the claimed concentrations of nitrogen, the foremost plant nutrient that is required for crop production, in the organic fertiliser that was to be imported from China, could not have come exclusively from its organic source, the seaweeds. They expressed the strong possibility of this organic fertiliser being fortified with an inorganic source of nitrogen, such as urea, to raise its nitrogen concentration to the levels that were claimed. Therefore, it is possible that this consignment was ‘organic fertiliser’ only by name.

A darker side of this issue emanates from reports of these agrochemicals being smuggled into the country, from India, via the Southern coast. It is reported that the government, and the relevant regulatory authorities and armed forces, are turning a blind eye to this activity. Such tacit approval by the government is akin to how it managed the COVID19-related restrictions during recent months. Therefore, while the government tells the whole world that it promotes 100% organic agriculture, agrochemicals are used on the ground. A similar situation prevailed when the ban on Glyphosate imports was in place, from 2015 to 2018, where smuggled Glyphosate, of dubious quality, was available in the blackmarket.

On 13 October, a government media release claimed commencement of the distribution of 30,000 tons of ‘organic potassium chloride’ imported from Lithuania. It is difficult to determine whether this is a demonstration of ignorance or an attempt to delude the farming community and the general public. There is nothing called ‘organic potassium chloride’. Potassium chloride (KCl) is an inorganic fertiliser obtained from the Earth’s mineral deposits. For well over 50 years, KCl has been the main form of potassium fertiliser for agricultural crops all over the world, including Sri Lanka. In organic agriculture, potassium is supplied in the form of crop residues (e.g. rice straw) which contain potassium as a component of their tissues.

Promised payment of compensation to farmers for loss of crop yield

In the immediate aftermath of the issuance of the Gazette notification, in May, when the strong possibility of plummeting crop yields was pointed out by several stakeholder groups, the Cabinet Minister said that farmers would be compensated for loss of yield due to the absence inorganic of fertiliser and synthetic agrochemicals. The advisors to the Minister, and the few hard-core organic agriculture advocates, claimed that these compensations could be paid from the substantial savings of foreign exchange that would become available because of the ban. However, to this date, this promise has not been fulfilled, despite a significant proportion of the national farmer population, growing a wide range of crops, including paddy, pulses, onions, potato, low-country and up-country vegetables, tea and various horticultural crops, including cutflower and pasture, already incurring substantial losses of production due to the ban of inorganic fertiliser and synthetic agrochemicals during the yala season of 2021.

Ministry officials, task forces and advisory panels

The dis-jointed management (or mis-management) of this vital national issue is exemplified by various personnel in-charge of the Ministry of Agriculture and in advisory panels to the President and the Minister. The Secretary to the Ministry of Agriculture, at the time of implementation of the ban, who showed enthusiasm and optimism for successfully implementing the conversion to 100% organic agriculture, resigned after three months in office, reportedly over a disagreement with a key proponent of the inorganic fertiliser and agrochemical ban who was functioning as the top advisor to the Minister, on importing organic fertiliser in contravention of the Plant Protection Act. Following this resignation, a senior academic, who is an agricultural economist by training, has been appointed as the Ministry Secretary to oversee implementation of the organic agriculture policy. Despite his brilliant academic record as an undergraduate in the Faculty of Agriculture of the University of Peradeniya, in the early 1990s, this official has so far demonstrated little understanding of the biological realities of meeting the national food production targets with the limited nutrients from organic fertiliser and in the absence of commonly-used synthetic agrochemicals to control pests, diseases and weeds of crops.

In the week following the issuance of the Gazette notification, in early May, a Presidential Task Force, consisting of 46 members, which included 20 politicians, several hard-core activists promoting organic agriculture and a miscellaneous collection of agriculture practitioners, academics, industrialists and businessmen, was appointed with the task of transforming Sri Lanka’s economy into a green socio-economy with sustainable solutions to climate change. Preparing a roadmap for the complete transition from ‘chemical farming’ to organic farming (as per the Media Release from the Presidential Secretariat on 10 May) was listed as one task of this Task Force. However, it is notable that the Gazette notification, banning the import of inorganic fertiliser and synthetic agrochemicals, had already been issued on 06 May, effectively transforming Sri Lankan agriculture from the so-called ‘chemical farming’ to organic farming overnight. On examining the track record of the personnel in this Task Force, it is clear that it lacked the balanced scientific expertise to analyse all aspects of a complex issue and plan a difficult operation and provide advice to the President. This deficiency has been borne out by the absence of meaningful action taken by the Task Force and the news of some its members expressing the impossibility of their task. Events of the last five months have shown that there certainly is no roadmap developed and put in place.

In September, the Cabinet Minister of Agriculture also appointed a 14-member Task Force for Sustainable Agriculture, consisting of academics and a few administrators and entrepreneurs. This Task Force also has the same weaknesses of the larger Presidential Task Force in terms of balance and competence in expertise. As expected, no tangible outcomes have emanated from this Ministerial Task Forc, as well.

Given the national importance of the plantation sector of agriculture, the Cabinet Minister of Plantation Agriculture has been conspicuous by his silence and inaction in the Cabinet, the Parliament and in public forums that address this critical national issue.

Visible impacts on different crop sectors and prognosis for next year

The yala cropping season, which immediately followed the implementation of the ban, was completed largely with inorganic fertiliser stocks that had been imported before the ban, but were sold to farmers at exorbitant prices by traders. Although the production statistics are not yet available, it is highly likely that, for a majority of crops, both yields per unit land area and total production in yala 2021 have been below-average. This is because of the yield reductions due to lower rates of fertiliser application and increased yield losses caused by pests, diseases and weeds, which are predominantly controlled by agrochemicals in large-scale crop cultivations. There are reports and images of vegetable crops, both in the up-country and low-country areas, shrunken in size by shortage of nutrition and decimated by diseases and pests in the absence of agrochemicals for their control.

The prognosis for the coming maha season is frightening. There are daily media reports of farmers, from almost all parts of the country, expressing either reluctance or point blank refusal at Pre-Seasonal Meetings (i.e. Kanne Rasweem) to start crop cultivation in the absence of an assured supply of fertiliser and agrochemicals. In a majority of these occasions, farmers specifically request inorganic fertiliser saying that organic fertiliser is simply not suitable for cultivation of paddy and some of the key other field crops such as maize. The government officials at these meetings are unable to provide the assurances that the farmers are seeking. If this situation prevails in the next month and a half, the area cultivated with paddy and maize during this major cropping season will decrease substantially. When coupled with the lower expected yields per unit land area because of the lower nutrition from organic fertilizers and non-chemical control of pests, diseases and weeds, a substantial decline in the total production of paddy, maize and almost all other crops is inevitable. Repercussions of this will be felt in many related food sectors. For example, reduced maize production and the resulting shortage of animal feed in which maize is a major component will cause a reduction in poultry products (eggs, chicken).

The potential social consequences of an overall shortage of essential food items are disturbing to the say the least. A population that has been inducted recently to queuing for rice, sugar, milk powder and gas will have to get used to queues for many essential food items. How disciplined the people will be in the face of this situation over a prolonged period is anybody’s guess.

How has the President and the government responded to this situation?

It is patently clear that the authority to make situation-changing decisions lies with the President. It is also clear that the President has been wrongly-advised by his advisors. More depressing is the observation that members of the Presidential and Ministerial Task Forces are either ignorant or incompetent to analyse the situation and recommend appropriate action or lack strength of character to tell the truth to the President and advise him about what should be done immediately without delay. The bottom line is that the current uncertainty in national food security undermines the national security, the very platform on which the President campaigned and got elected.

After towing the President’s line for a long time, a few government lawmakers have started to acknowledge the reality and have started making noises about being prepared to listen to the ‘peoples’ voice’ and ‘take a step back’. Last week, the immediate-past President went on record saying that Sri Lankan agriculture is at a historic low and that a day may come when he would not be able to go to his home town. Following these statements from those in his own ranks, there was expectation that the President would review his decision. However, his latest reference to the current fertiliser and agrochemical policy during his speech at the Sri Lanka Army’s 72nd Anniversary showed that nothing has changed. While acknowledging that it is difficult, he still wants the current policy to continue.

The President’s argument that he received a mandate from the people to embark on the current policy on fertiliser and agrochemicals because he had included it (even though not to be operationalised in this specific manner), in his manifesto, is a flawed argument. The people do not approve manifestos in their entirety. In an election, people make their choices based on a few key aspects (e.g. national security on the most recent occasion) without reading each and every statement in a manifesto. Therefore, it is nothing more than self-delusion to still take up the position that he has the peoples’ endorsement to continue the current policy.

What should be done immediately?

In view of the clear and present danger of a nationwide crop failure in the coming maha season and the possibility of food shortages, the President has no option but to reverse the ban on inorganic fertiliser and synthetic agrochemicals. Steps should be taken immediately to import, at least 50% of the requirement of inorganic nitrogen fertiliser (i.e. urea). This is assuming that at least a limited fraction of the nitrogen requirement will be supplied from the organic fertiliser that has been produced in-country. In view of the shortage of foreign exchange for importation of nitrogen and potassium fertiliser, crops in the current maha season will have to be managed with 50-60% of the recommendations of inorganic fertiliser, which will provide an economically-viable crop yield to the farmer and a level of food supply to the consumers to avert the impending food crisis and social unrest.

Distribution of this fertiliser among farmers, should be strictly regulated and should be done in phases during the cropping season. This is to prevent their over-application and encourage split-application (i.e. providing the requirement in several splits) and thereby minimise leaching and evaporation losses of urea. The same should be done for potassium chloride fertiliser (the so-called ‘organic potassium chloride’), which is equally vulnerable to leaching losses.

What should be done on medium- and long-term?

Continuation of recent initiatives to expand the share of organic agriculture in the local agricultural production

The drive to produce organic fertiliser, by a wide range of stakeholders and entrepreneurs, in both public and private sectors, is one positive outcome of the ban on inorganic fertiliser and synthetic agrochemicals. These initiatives should be continued. An important step in this regard will be to develop and implement quality standards for organic fertilisers that are locally-produced.

In parallel to the production of organic fertilisers, a drive to produce a variety of organic-based agrochemicals has been initiated. These initiatives should be incentivised and continued with a view to reduce the use of synthetic agrochemicals to expand the practicing of Integrated Pest Management (IPM).

Phased out reduction or complete withdrawal of the subsidies on inorganic fertiliser

The nearly 100% subsidy of inorganic fertiliser that was in place for nearly three decades in Sri Lanka contributed to their over-use and excessive farmer reliance on them while diminishing their interest in adding organic amendments for natural regeneration of soil fertility. While being a financial drain of public funds and foreign exchange, the fertiliser subsidy also inflated the true economic profitability of farming in Sri Lanka. Its gradual reduction (or complete withdrawal) will prompt farmers to seek ways of increasing the profitability of their farming by improving crop management with efficient cultivation practices (collectively called ‘Good Agricultural Practices’).

Promotion and support of research on an economically-viable mixture of conventional and organic agriculture

Excessive reliance of the farmers on subsidized inorganic fertiliser and widely-available, commercially-supported synthetic agrochemicals contributed indirectly to suppression of research on eco-friendly farming practices with less reliance on inorganic fertiliser and agrochemicals. This has contributed to the failure of the current drive to ‘go 100% organic overnight’ because the researchers in the Department of Agriculture had not developed sufficiently effective alternative cultivation technologies when the ban came into effect. However, researchers in the universities and other research institutions (e.g. National Institute of Fundamental Studies, Sri Lanka Institute of Nanotechnology) have carried out useful work over a prolonged period and developed useful technologies, which to a large extent, have been ignored by researchers in the Department of Agriculture and higher officials in the Ministry of Agriculture. Some of these technologies are: (a) biofertilisers and biopesticides developed from microorganisms isolated from local soils and plants; (b) chemicals which are generally regarded as safe to human health (called GRAS chemicals). These technologies and products that are already developed have to be up-scaled and commercialised with government support.

The level of inorganic fertiliser that needs to be used for viable crop production and the feasibility of organic agriculture depends on the soil fertility status of a land and the market needs for an organically-produced product. Therefore, a comprehensive survey of these aspects needs to be undertaken with a view to develop a rational mixture of conventional and organic agriculture in different regions of Sri Lanka.

The hard-core proponents of 100% organic agriculture should realise that it is just not biologically possible. It is turning out to be a costly experiment which is leading to a national disaster. (Concluded)



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Features

Social justice in suspense: Sri Lanka’s welfare legacy in an era of austerity

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by Prof. M.W. Amarasiri de Silva

The evolution of Sri Lanka’s social policy framework represents one of the most compelling, paradoxical, and debated case studies in the global political economy of development. Often celebrated as an exceptional model among developing nations, Sri Lanka achieved human development indicators, such as high adult literacy, elevated life expectancy, and low infant mortality, that rivaled those of industrialised Western societies, despite maintaining a low-to-middle per capita income. This distinct trajectory was fundamentally sculpted by the establishment of an extensive welfare state, characterised by universal healthcare, free education, and pervasive food subsidies.

However, the long-term impact of this historical welfarism on present-day Sri Lanka presents a complex matrix of social triumph, economic vulnerability, and systemic crisis. To fully comprehend how the historical welfare state has shaped contemporary Sri Lanka, one must trace the institutional genesis of these policies through the critical frameworks provided by eminent social theorists, notably Ralph Peiris in his analysis of Asian development styles and Laksiri Jayasuriya in his landmark work on Sri Lanka’s experience of social development directed toward equity and justice.

Foundation of welfare state

The structural foundation of Sri Lanka’s welfare state was not a post-colonial luxury, but rather a late-colonial construct deeply interwoven with the dynamics of democratization and constitutional reform. As Laksiri Jayasuriya meticulously argues in his historical and theoretical explorations of Sri Lankan social policy, the trajectory of the country’s social development was rooted in the state-building exercises of the late British colonial era. The introduction of universal adult suffrage under the Donoughmore Constitution of 1931 served as a pivotal catalyst. By enfranchising the local population decades before formal independence in 1948, the colonial state altered the political elite’s incentives.

Politicians were suddenly forced to seek electoral legitimacy from a vast, rural, and economically disadvantaged populace. This constitutional shift institutionalised what Jayasuriya terms a culture of ‘welfare politics,’ where competitive electoral democracy became intrinsically linked to the provision of social goods.

During the period spanning from the 1930s to the 1950s, the state laid down the three pillars of its social safety net: free state-provided healthcare, free universal education from primary to university levels (championed by C.W.W. Kannangara), and a heavily subsidised food rationing scheme, most notably the rice ‘polu’ (haal polla) system. In the popular Sri Lankan vernacular and historical memory, these restrictive barriers and checkpoints became closely associated with the rationing culture surrounding the rice distribution and cooperatives where state-allocated rice rations were obtained via coupon books.

Jayasuriya highlights that these measures were conceived not merely as safety nets for the destitute, but as fundamental rights of social citizenship modeled partly on the egalitarian principles of the British post-war welfare state yet adapted to a post-colonial environment seeking equity and social justice. This social democratic commitment was maintained across alternating political regimes, creating a broad cross-party consensus that state-funded welfare was an untouchable social contract between the state and its citizens.

Policy trajectory in perspective

To place this unique policy trajectory in a broader comparative perspective, Ralph Peiris’s conceptualisation of ‘Asian Development Styles’ offers a critical lens. Peiris examined how different Asian nations navigated the tensions between Western models of modernisation, economic growth, and indigenous social structures. Many East Asian economies—such as South Korea, Taiwan, and Singapore—adopted a development style centered on ‘growth-first’ imperatives, state-directed capitalism, and the deferral of widespread social expenditure until after rapid industrialisation was achieved. In contrast, Sri Lanka pioneered a distinct ‘social-led’ development style within South Asia. Peiris observed that Sri Lanka’s development style prioritized human capability, social redistribution, and basic needs over raw capital accumulation. This style reflected a socio-cultural ethos that viewed social harmony, equity, and state paternalism as integral to governance, resisting the purely utilitarian or market-driven metrics of economic progress.

The immediate consequences of Sri Lanka’s socio-centric development style were undeniably positive in terms of human wellbeing. By the late 20th century, Sri Lanka had achieved a physical quality of life index that far surpassed its South Asian neighbors. Maternal and infant mortality rates dropped precipitously due to widespread access to free public health facilities and midwife networks. Universal education fostered a highly literate electorate, dramatically closed the gender gap in basic and secondary education, and enabled significant upward social mobility for marginalized caste and rural communities. Jayasuriya emphasizes that this commitment to equity and justice transformed the social fabric, democratising access to public life and cultivating a politically conscious citizenry that viewed education and healthcare as non-negotiable entitlements.

However, the enduring legacy of this historical welfare state is dual-edged, carrying deep-seated economic contradictions that directly contributed to present-day Sri Lanka’s socio-economic landscape. The central paradox of the Sri Lankan welfare state lay in the disconnect between social expansion and economic productivity. While the state committed huge fractions of its national budget to social consumption, it failed to build a resilient, diversified industrial export base capable of generating the revenue necessary to sustain these expenditures over generations. The primary revenue source funding the early welfare state was the taxation of the colonial-era plantation export economy—primarily tea, rubber, and coconut. As global commodity prices fluctuated and deteriorating terms of trade eroded plantation revenues in the post-independence decades, the state faced severe fiscal deficits.

Macroeconomic imbalances

The fiscal strain of maintaining universal subsidies led to severe macroeconomic imbalances by the 1970s. The state attempted to manage these pressures through import-substitution policies, strict price controls, and state monopolies, culminating in the closed economy of 1970–1977. While this period sought to preserve the egalitarian principles articulated in Jayasuriya’s analysis of social justice, it resulted in severe shortages of essential goods, economic stagnation, and rising unemployment among the newly educated youth. The inability of the economy to absorb the expanding class of literate, ambitious young citizens created a structural mismatch between educational output and employment opportunities.

This socio-economic disjunction erupted into violent political crises. The educated yet economically disenfranchised rural youth became the primary base for insurgencies, such as the Janatha Vimukthi Peramuna (JVP) uprisings in 1971 and 1987–1989. Concurrently, the failure to extend equitable socio-economic and political opportunities to the Tamil minority—compounded by language policies that prioritized the Sinhala majority in public sector employment—fueled ethnic marginalization, eventually escalating into a devastating nearly three-decade-long civil war. Thus, as both Jayasuriya and Peiris observe in their respective analyses, while the welfare state was designed to promote social cohesion and equity, its economic unviability and politicization contributed to social frustration and structural conflicts when the economy failed to fulfill the aspirations created by universal social programs.

Janasaviya, Samurdhi and Aswesuma

A profound structural turning point occurred in 1977, when Sri Lanka became the first country in South Asia to abandon import-substitution and embrace neoliberal market-oriented economic reforms. The advent of the ‘Open Economy’ signaled a major shift in the state’s social policy regime. As Jayasuriya notes in his critique of the post-1977 retreat from the welfare state, universal welfare policies were systematically dismantled or reconfigured into targeted, means-tested poverty alleviation programs. The universal food subsidy was replaced by food stamp programs and later by targeted cash transfer schemes such as Janasaviya and Samurdhi, and eventually Aswesuma.

This transition from universal social citizenship to targeted safety nets marked a fundamental redefinition of the social contract. While the 1977 open market policies stimulated economic growth, foreign investment, and infrastructure development, they also led to rising income inequality, regional disparities, and the commercialization of public goods. The state’s fiscal commitment to public education and health gradually eroded as a percentage of GDP, leading to a dual-track system.

Underfunded state healthcare and education systems remained free but suffered from resource constraints, overcrowding, and quality decline, while a burgeoning private sector in health and tuition-based education emerged to cater to the affluent. Jayasuriya argues that this marketization of social services undermined the egalitarian ideals of social justice that had historically anchored the nation’s social policy.

The contemporary manifestation of this historical trajectory became starkly apparent during the unprecedented economic crisis that engulfed Sri Lanka in 2022 and its continuing aftermath. The crisis—characterized by sovereign debt default, hyperinflation, severe foreign exchange shortages, and acute shortages of fuel, medicines, and food—exposed the fragile structural foundations of the country’s political economy. The roots of this crisis are inextricably linked to the unresolved tension between public expectations built by historical welfarism and modern neoliberal fiscal mismanagement.

Welfare and populism

Over recent decades, successive governments continued to rely on populism to secure electoral victory, promising subsidies, tax cuts, and public sector employment without building a sustainable tax base or correcting structural economic deficits. When the state faced catastrophic revenue declines following ill-advised tax cuts in 2019, combined with the shock of the COVID-19 pandemic and debt-driven infrastructure spending, the fiscal apparatus collapsed. The resulting austerity measures, mandated under International Monetary Fund (IMF) stabilization programs, forced sharp reductions in energy subsidies, increased indirect taxation, and deep spending cuts that severely hit vulnerable populations.

In present-day Sri Lanka, the legacy of the welfare state manifests as both a vital buffer and a site of intense political contestation. On one hand, the historical infrastructure of universal health and basic education has prevented an even more catastrophic loss of human life during the peak of the recent economic collapse. The enduring social capital, public health institutions, and high literacy rates provided a baseline of societal resilience that assisted communities in coping with immense economic shock. The persistent popular memory of social entitlement has also fueled widespread civic mobilization, as demonstrated by the Aragalaya mass protest movement in 2022, which demanded accountability, social justice, and an end to political corruption—echoing the deeply ingrained political culture of democratic accountability that Jayasuriya identified as a byproduct of early welfarism.

Challenge of restructuring social policy

Contemporary Sri Lanka faces the immense challenge of restructuring its social policy framework in an era of stringent fiscal constraint. The rollback of state subsidies and the rising cost of living have pushed millions of citizens below the poverty line, threatening to reverse decades of hard-won human development gains. Malnutrition rates among children have spiked, access to essential imported life-saving medicines has been compromised, and the real value of state pensions and social assistance has been severely eroded by inflation. The targeted social safety nets, such as the Aswesuma welfare scheme introduced to replace Samurdhi, have faced significant administrative challenges, exclusion errors, and public resistance, reflecting the ongoing difficulty of transitioning from universal rights-based social protection to targeted relief mechanisms in a deeply distressed economy.

Furthermore, the contemporary economic crisis has intensified a major ‘brain drain,’ as highly educated medical professionals, engineers, university lecturers, and skilled workers migrate abroad in large numbers. This mass emigration directly exposes the present-day crisis of Sri Lanka’s historical social model: the state continues to invest significant public resources into providing free secondary and tertiary education, but the domestic economy fails to offer economic stability and professional opportunities to retain this human capital. Consequently, the social returns on the state’s educational investment are increasingly captured by developed nations, leaving domestic public institutions further depleted.

In evaluating the contemporary impact of Sri Lanka’s social policy through the theoretical insights of Ralph Peiris and Laksiri Jayasuriya, it becomes evident that Sri Lanka’s history is neither a pure success story nor an absolute policy failure. Ralph Peiris’s emphasis on Asian development styles reminds us that development cannot be reduced merely to economic output metrics; the deliberate choice to prioritize human capabilities and social equity established an enduring standard for human welfare in the global South. However, as Jayasuriya’s critical analysis reveals, a welfare state cannot exist in an economic vacuum. The failure to integrate social policy with a productive, sustainable, and equitable economic strategy created structural vulnerabilities that ultimately undermined the very social justice the state sought to achieve.

Socio-economic contradiction

This socio-economic contradiction has entered a critical new phase under the administration of President Anura Kumara Dissanayake and the National People’s Power (NPP) government, which assumed office with an explicit mandate focused on systemic corruption reform and equitable development. Facing the stringent structural constraints of post-default economic management, the administration has adopted a pragmatic, hybrid economic framework designed to reconcile Sri Lanka’s historic social protection legacy with strict international fiscal discipline. Rather than abandoning structural reforms, the government maintains continuity with the Extended Fund Facility agreement managed alongside the International Monetary Fund (IMF), adhering to primary budget surplus targets and progressive revenue-mobilisation goals. However, it attempts to reorient macroeconomic priorities away from elite-driven financialization toward a state-regulated, productive market economy centered on public sector transparency, digitalization, anti-corruption legislation, and the revitalisation of local agriculture and manufacturing.

Policy of rebalancing

This policy rebalancing directly reflects the enduring relevance of Peiris’s ‘Asian development style’ framework, as the state seeks to build export competitiveness while retaining public oversight of basic social safeguards. Yet, as Jayasuriya cautioned in his critiques of targeted safety nets, managing fiscal austerity within a political culture historically accustomed to universal state entitlement poses severe domestic challenges. High living costs, continuous pressure on public sector wages, structural poverty, and the persistent outflow of skilled human capital leave narrow margins for error. Contemporary Sri Lanka’s economic policy thus represents an ongoing attempt to construct a viable, modern economic model—one that generates sustained productivity and debt sustainability while preserving the foundational democratic imperative of equity and social justice that has defined the nation’s post-colonial identity.

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Cholesterol lowering statins: Scope for use widens

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by Dr Upul Wijayawardhana

In my medical practice of just under 57 years, divided almost equally between Sri Lanka and the UK, I have been fortunate enough to meet some remarkable patients who demonstrated indomitable fortitude. Not that there were no nasties, but, fortunately, they were extremely rare. Now well into my retirement, I can still vividly remember some remarkable cases as if they happened yesterday. One of them well illustrates what happens when prescription warnings are ignored; that can result in drug interactions producing nasty, sometimes lethal, side effects.

A man in his sixties was admitted under my care to Grantham Hospital with progressively increasing muscle pain and weakness, being almost bedbound by the time of admission. It was pretty obvious that there was extensive damage to muscles which was confirmed by huge elevation of markers of muscle damage. A careful history, one of the vital steps needed for diagnosis, revealed that he was on long-term statin therapy following a heart attack and his GP has recently prescribed an antifungal agent for an infection in the groin. This was before the computerised prescription era and is not likely to have happened now, as a red-alert would be displayed as antifungals are known to produce severe interactions with statins. Both drugs were stopped, and with supportive therapy, he recovered fast and walked out of the ward two weeks later. He was started on a different statin later with no problems.

Would this experience make me join the vast numbers of YouTubers who are harping on the dangers of statins? Definitely not. I say so because the benefits of statins far outweigh the rare side-effects. All drugs have side effects and, in some trials, placebos producing more side effects than the active drug itself! Drugs need to be prescribed by those with education and experience whilst prescribers need to be updated regularly. Statins, perhaps, are the most widely used class of drugs and the scope for use is widening with the reporting of new clinical trials, two significant trials being presented at the European Society of Cardiology Congress held last month in Munich.

It was known for a long time that elevated levels of cholesterol in blood leads to damage of arterial walls (atherosclerosis) which manifests as cardiovascular disease including heart attacks, cerebrovascular disease including strokes and peripheral vascular disease. Various attempts at lowering cholesterol effectively by diets, drugs and surgery were largely unsuccessful till statins were discovered and it was soon realised that cholesterol synthesis by the body is more important than ingestion of cholesterol rich foods and saturated fats. Statins inhibit cholesterol synthesis in the body and the first statin released for therapeutic use was Lovastatin in 1987, but wide use of statins started only after the release of results of the landmark 4S trial in 1994.

The Scandinavian Simvastatin Survival Study (4S) was a multicentre, randomised, double blind, placebo controlled clinical trial which used Simvastatin, the second statin released for use a year later in 1988. 4444 patients, who previously had a heart attack or were having angina with moderately elevated levels of cholesterol, in spite of rigorous dieting, were recruited from 94 centres in Scandinavia. After follow-up of 5.4 years, compared to the placebo group, it was shown that the group treated with Simvastatin showed lowering of LDL cholesterol (Bad Cholesterol whereas HDL cholesterol is protective) by 35% and, more importantly, lowering of death rate by 30%. A follow-up study of 10 years showed continuing benefits. More trials and more statins followed.

Though Simvastatin had widespread use initially, the more powerful Atorvastatin, launched in 1997, overtook producing more dramatic results in subsequent clinical trials. Till the introduction of monoclonal antibodies (mAbs), laboratory produced proteins that mimic the immune system and capable of targeting antigens in cells or pathogens (which can be identified as the drug names end with ‘mab’) Atorvastatin was the highest grossing drug of all time, in spite of prices dropping sharply. There had been a proliferation on mAbs as many are used in a number of cancers and auto-immune diseases, earning more money as they continue to be expensive.

I remember a meeting I attended, just after the results of the 4S trial was released, where fears were expressed whether the NHS would go bankrupt if all eligible patients were prescribed Simvastatin. Widespread use has brough prices tumbling down, a tablet of Atorvastatin now costing in UK only 3p!

Though the initial trials were for secondary prevention, reduce recurrence after the disease has manifested, subsequent trial were aimed at primary prevention, preventing or delaying disease occurrence in those with high risk factors. These too showed significant benefits and the scope for use of statins continue to expand. Two significant trials were presented at the ESC congress.

The first was the STAREE study, which enrolled 5000 persons, over the age of 70 in Australia, with no history of cardiovascular disease, diabetes or dementia and half got Atorvastatin 40mg daily, the other half getting a placebo. Results showed a significant 30% reduction of a composite end point of death from cardiovascular causes, nonfatal myocardial infarction, stroke or coronary revascularization. Interestingly, incidence of serious adverse effects was similar in both groups being 2.6%. There was no significant reduction of death rate by itself. Perhaps, this is explained by most deaths being due to non-cardiac causes in this age group.

The second was a Danish observational study, where researchers assessed whether early initiation of statins after the diagnosis of type 2 diabetes was associated with a lower risk of dementia. Over 10 years, early statin initiation was associated with a 15% lower relative risk of dementia than no statin treatment, while late initiation was associated with a 10% lower risk. Though they studied the records of 132,585 patients, as this is an observational study, not a double blinded clinical trial, results are not as convincing and may have to be reaffirmed by further studies.

How will the results of these two trials affect clinical practice?

To act on the results of these trials is not difficult in the UK. Those over 80 years are already offered a statin and it would not be difficult for GPs to extend use to those over 70. Most diabetics, unless relatively young, are likely to be on a statin already, as they are categorised as high risk. There are no cost implications to patients as diabetics and those over 65 years get all their drugs free from NHS.

Unfortunately, things are likely to be very different in Sri Lanka. Diabetes is rampant and dementia is on the rise. As life expectancy is increasing and those over 70 being an ever-increasing group. Diabetics may be able to get a statin from government hospitals. However, there is no provision for free supply of statins for over 70 group, as this is for primary prevention. With exponentially increasing cost of living, retirees may find it difficult to afford a statin.

Ideally, Atorvastatin 40mg daily, the dose used in the trials, should be taken though one can argue that other statins may be effective as benefits are likely to be a group effect. As many trials used the 40mg dose, Pfizer decided to price 10mg, 20mg and 40mg Atorvastatin tablets the same, but this is unlikely in Sri Lanka, what is available being generics; Atorvastatin went out of patent protection in 2011. If 40mg tablets are significantly more expensive, perhaps, a lower dose could be considered as the average body size of Sri Lankans is smaller than that of Australians.

It can be argued that even a small dose is better than taking no statin at all. Maybe there is a good opportunity for our scientists, perhaps together with their Indian counterparts to do clinical trials to establish appropriate doses of statins and other drugs, rather than follow Western guidelines. Until then, it may be sensible to give anyone over 70 years an affordable dose, with some patient education on adverse effects could be minimized.

Statins are a valuable tool for the prevention of vascular disease. They not only reduce deaths but also improve quality of life by preventing debilitating illnesses. Like any drug they too have adverse effects and should be used under proper medical supervision. Worst thing to do is to listen to fear-mongers!

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‘Mortal Causes’ Tales of Mystery and Suspense 20

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Tales of Mystery and Suspense 20

by Prof. Rajiva Wijesinha

After the elegance of Agatha Christie and Hercule Poirot, I revert to one of the least elegant detectives I have looked at. The first John Rebus novel by Ian Rankin I discussed here was Set in Darkness, though I think I failed to mention the title. That does not really matter for Rankin’s titles seem a bit interchangeable. Certainly, the title of the book I will explore today, Mortal Causes, could apply to most Rebus adventures.

But this too was a gripping tale, and also dealt with what used to be a disturbing social issue in the last quarter of the last century, namely violent clashes between Catholics and Protestants, which had their roots in the age-old question of Northern Ireland and its place in the United Kingdom. The root problem there was the influx, when Ireland was comprehensively taken over by the English, of Protestants from Scotland, who were so entrenched in the north of Ireland, the area known as Ulster, that they stopped Britain from granting independence to the whole of Ireland.

Ulster remained a part of the United Kingdom, but over the years the Catholics there, supported by the Irish Republican Army, the IRA, agitated for union with the Republic of Ireland. This was bitterly resented by the Protestants, and emotions ran high, as I found when I tried to bring together Catholic and Protestant friends when I was at Oxford.

Ian Rankin

The sixties saw the overthrow of three Prime Ministers of Northern Ireland, each succeeding one being more committed to the Protestants than his predecessor, for there was a preponderance of Protestant constituencies. But the Catholic numbers were proportionately increasing, and the IRA of course got support from the Irish Republic, with the border being porous and impossible to patrol. This led to vicious reprisals by British troops, and it was their failure to address excesses over the years that made clear their infinite hypocrisy in criticizing Sri Lanka for excesses during the civil war, demanding inquiries while signally failing to address the massacres of Catholics in Northern Ireland.

Mortal Causes

deals with the repercussions of this rivalry in Scotland, where the latent animosity between Catholics and Protestants was exacerbated by events in Ulster. Obviously Scottish groups were keen to help their fellow religionists, and the book is based on how money was collected and guns smuggled in to Ulster. But typically, Rankin also looks at how the proliferation of guns led to the strengthening of gangs, who engaged in extortion, with on occasion Catholic and Protestant guns maintaining a truce so that they could each exploit their own catchment areas.

A microcosm of what went on was seen in a youth club in a seedy housing estate in Edinburgh, to which a Catholic priest Rebus was friendly with sent a youngster who was supposed to bring the communities together. Though this resulted in a truce, it was in essence an arrangement that allowed both Catholics and Protestants to deal in intimidation of their different communities in the area. And the club was dominated by the protestants, led by a youth called David Soutar, who is endemically violent, and takes against Rebus on his very first visit, after he had promised Father Leary to look into the situation.

The youth club turned out of course to be connected with the murder that set off the investigation, though this only became clear because of Rebus’ painstaking investigation of that crime. It was a brutal killing, in an underground section of the city, usually only to be seen by arrangement with the city council. The bodies were discovered by some youngsters, one of whom had purloined a key from his great uncle who was one of the custodians, who provides important information in the course of the investigation to make up for that lapse.

Before that Rebus had realized something bigger was behind the gruesome murder, for while part of the team at his own station he was asked by a Chief Inspector with the Scottish Crime Squad, Kilpatrick, to work also with his team. He had come to the site of the crime with an Inspector from London, Abernethy, who went back almost immediately to London. And though Abernethy mentioned the possibility of the killing being because of drugs, Rebus stuck to his view that it was terrorism related.

The body was soon enough identified, that of a youngster who lived with a couple called Murdock and Millie, and had Protestant insignia on his walls. And painstakingly Rebus established connections with diehard Protestants, one of whom, called Bothwell now which was his parental name, had edited a magazine while stationed in the Orkneys but now ran a dance club in Edinburgh. And he also deduced that SaS tattooed on the arm of the dead body stood for Sword and Shield, an extreme Protestant organization to which it transpired that David Soutar also belonged.

Alarmingly, it turned out that the dead Billy was the illegitimate son of Rebus’ old antagonist Ger Cafferty, who was now serving time in prison. But when he hears that his son had been murdered, he escapes, and makes it clear, through several contacts with Rebus, that he expects the killers to be found, and that he will take revenge on them.

Rebus and Inspector Smylie from the Crime Squad have to fly to Ulster to collect information which the police there refuse to transmit, and find nothing special though they confirm the existence of an extreme group called Sword and Shield, and that it has branches in America. And it seems that one of its leaders in Ulster has just gone to Scotland, while the Americans confirm that another leader will be flying to England and then to Edinburgh. Rebus asked Kilbride to tail the latter, and he says he will set two of his officers, who have no affection for Rebus, on to him.

When Rebus and Smylie get back from Ulster, Rebus is taken aside by one of these officers who says that Smylie’s brother Calumn, who was also part of the Crime Squad, and had been working undercover on arms shipments, has been murdered. This makes it clear that the arms smuggling is the key to the deaths, and also that there has been a leak from the Crime Squad.

And then Millie, who had taken a disk which Billie had hidden in his wall and fled, is also found killed. She had sought shelter with a friend who worked at Bothwell’s club, and the friend had told Bothwell about this, which was doubtless why she had been killed.

When the American organizer of Sword and Shield comes to Edinburgh Rebus manoeuvers a meeting with him, though not without rousing his suspicions. But the reports he receives from Kilpatrick of the surveillance say that he has just been doing touristy things.

The book is set during the Edinburgh Festival, and the police have been getting several calls to say a bomb will go off at its height. And Rebus now realized that this is precisely what Soutar is planning to do, having creamed off some of the weaponry, including explosives, that he had been collecting for transmission to Ulster.

These were stored in a facility provided for him by a friend whose father ran the group, but knew nothing about what Soutar was planning. The son, terrified by what he had been involved in and what the police knew, took Rebus to the warehouse which was where, DNA tests of the floor revealed, Calumn had been killed. And when Rebus and Abernethy, whom he had called up from London, confront Bothwell, it seems he too did not know of Soutar’s little sideshow, though it was also clear that he had known of Millie’s death, as well as Billy’s.

Her murderers had got the compact disk but her flatmate, though he had destroyed the backup, had looked at it before and that was how Rebus found out about the warehouse that Soutar had used. But then he goes with Abernethy to the warehouse in which the Crime Office had kept the weapons they had found, and they both confront Kilbride there and tell him that they know he too had been a member of SaS – the granduncle having shared his research with Rebus – and had passed on parts of what was confiscated to Soutar, since he was in a position to change the invoices.

But he too evidently did not know what Soutar was planning, and when Rebus goes to the youth club it is to find that Soutar had nearly killed him, and had then set off for the festival. There is great drama then as Rebus tries to stop him setting off whatever bomb he has and, though he is nearly killed, as happens in so many Rankin books at the end, Abernethy shoots Soutar dead.

Then however, when Rebus goes to the dance club for what he thinks of as final business, he finds it on fire. Bothwell has been killed. But he finds the American inside and pulls him out. When he goes further and finds the man from Ulster in a chair, tied up so he would burn, he tries to free him and then is again nearly killed, though this time he is rescued by Cafferty – who tells him it was not to save him that he had come in but to make sure he did not save the other man, the American having slunk away after Rebus had taken him outside the burning building.

The American is apprehended when he was trying to leave the country. But Kilbride is smothered in his hospital bed when he was recovering, so Cafferty’s vengeance for his son was almost complete.

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