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Mithuruwela’s Latest Initiative: Establishing Molecular Testing for Breast Cancer at Anuradhapura Teaching Hospital

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Some of those behind the Mithuruwela effort: (Left to Right) Surangani Ratwatte, Treasurer,Mithuruwela, Dr V Sahabandu, Dr Nuradh Joseph, Mala Thalayasingam, Chairperson, Mithuruwela, Shaorna Naizer, Secretary, Naresh Ratwatte, Committee Member.

In June 2022, Mithuruwela the Cancer Support Network moved away from its customary activities which included awareness- raising and caregiver support, a news release from the organzation said.

“Inspired by an appeal from Dr Nuradh Joseph, Oncologist, the organization helped to support the establishment of molecular testing at the Anuradhapura Teaching Hospital. This initiative marks the first time molecular testing for breast cancer has been instituted in a state hospital and Mithuruwela is proud to be part of this endeavor,” it said.

Breast Cancer and Molecular Testing Of all the cancers affecting females in Sri Lanka, Breast Cancer is the commonest. Records of cancer in the island are maintained annually and according to data from the National Cancer Registry nearly 4,000 new cases are diagnosed each year.

The diagnosis of breast cancer is a complex process which includes findings from clinical examination and imaging such as ultrasound and CT scanning. If cancer is suspected, oncologists then seek confirmation. This confirmation requires a biopsy whereby a core of tissue from a suspicious lump is analysed in the laboratory by histopathologists.

Explaining the process of diagnosis and treatment, Dr Joseph comments that if the diagnosis of cancer is confirmed, histopathologists then perform additional tests called immunohistochemistry which look to see if the cancer cells express certain proteins (called receptors) that may influence treatment.

Routinely immunohistochemistry is performed for hormone receptors (Oestrogen and Progesterone) as well as another protein called HER2/neu. If the hormone receptors are expressed oncologists will offer anti-oestrogen hormonal treatment while if the HER2/neu protein is over-expressed, patients will be treated with novel agents which specially target cancer cells. These drugs reduce the risk of cancer recurrence by 50% in tumours over-expressing the HER2/neu protein.

However, in some instances (approximately 10%) it is not possible to confirm whether the HER2/neu protein is abnormally expressed or not based on immunohistochemistry alone. When this happens the histopathologist reports it as an “equivocal” expression of the HER2/neu protein. It is uncertain if these patients will benefit from the novel targeted drugs mentioned previously and further molecular testing is needed for confirmation.

For these patients, one needs to check if the HER2/neu gene is present in abnormal amounts in the cancer cells. This is known as gene amplification. Testing for gene amplification is done by special techniques called in situ hybridization (ISH). About 50% of patients with equivocal expression of HER2/neu on immunohistochemistry will have gene amplification confirmed by molecular testing thus making them suitable for treatment with the novel targeted drugs.

Currently these molecular tests are available at a few private hospitals but not in the histopathology laboratories of government hospitals. As many patients cannot afford funding for these tests in the private sector, they miss out on potentially life- saving treatment.Molecular testing for HER2/Neu at the Teaching Hospital , Anuradhapura In recent times, molecular testing for HER2/neu gene amplification using available equipment has been established in certain government sector hospitals in the country.

The histopathology department of the Teaching Hospital of Anuradhapura is one such department which has the equipment and also staff that has been trained to perform the required tests. The problem however is the cost of the consumables that are required. According to Dr Joseph, to commence testing at Anuradhapura, the hospital would require a sum of US dollars 5,839 just to purchase the minimum quantities of reagents needed. It was this consideration that led Dr Joseph to reach out to Mithuruwela to request help in getting these funds.

In spite of the current challenging climate, Mithuruwela together with Dr Joseph and his contacts were able to collect the required funds, thanks to the generosity of donors such as the Tissa De Silva Trust, the Students Association of Edith Cowan University in Australia, well-wishers in Australia and New Zealand and a number of generous individuals in Sri Lanka. JL Morisons, the agents for the reagents also supported the cause by ensuring that the reagents reached Anuradhapura safely under refrigerated conditions.

The Anuradhapura Teaching Hospital is now in a position to commence molecular testing for HER2/neu. The tests will be carried out by Dr Jayanjana Ashanthi and Dr Sanjeewanie Jayawardena, Consultants to the histopathology laboratory at the Anuradhapura hospital.

Establishing testing for HER2/neu gene amplification at the Teaching Hospital of Anuradhapura will not only benefit patients with breast cancer, but will blaze a new trail for cancer diagnostics in Sri Lanka as it would be the first time ever that any form of molecular testing is performed in a laboratory attached to the Ministry of Health. Mithuruwela expressed its gratitude to all those who made this initiative a reality.



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Steps are being taken to provide accommodation facilities for 16,000 university students – Prime Minister

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Prime Minister Dr. Harini Amarasuriya stated that accommodation facilities will be provided for 16,000 university students through the new university hostel construction programme, and that steps have also been initiated to formulate a comprehensive policy on university student accommodation.

The Prime Minister made these remarks  on Wednesday (09 September) in Parliament while responding to questions raised in Parliament.

The Prime Minister stated:

“The University Grants Commission allocated Rs. 376 million in 2025 and Rs. 453 million in 2026 for the renovation of university hostels. The Ministry of Education, Higher Education and Vocational Education allocated Rs. 400 million in 2026 for hostel renovations and Rs. 1,500 million for the construction of new hostels in 2026. All these funds are from domestic allocations. We are implementing these hostel projects without resorting to borrowing. At the same time, allocations have been made through the 2025 and 2026 Budget Estimates for the construction of new hostels under foreign loan financing. These include Rs. 321 million allocated in 2026 for hostels under the Wayamba Urban Development Project, funded through the Saudi Development Loan.

Under the project to establish the Faculty of Medicine at Sabaragamuwa University of Sri Lanka, Rs. 331 million has been allocated under the Saudi Development Loan for the construction of a hostel.

A further Rs. 10.46 million has been allocated for the renovation of hostels under the Wayamba Urban Development Project. Accordingly, Rs. 466 million was allocated for 2025 and Rs. 662.46 million for 2026.

A total of 55 new hostels are scheduled to be constructed during 2025 and 2026 and in the period ahead.

The number of students expected to benefit from these accommodation facilities is 16,000. The University Grants Commission is currently formulating an overall policy on accommodation facilities for students of Sri Lankas state universities. The policy also includes guidelines relating to private student accommodation.

There are instances where university students obtain accommodation in privately operated hostels or rented houses. However, there have been no guidelines governing such accommodation. Until now, there have been no established guidelines regarding charges or minimum standards that should be maintained. We are now in the process of developing guidelines to ensure the safety of students and to prevent them from being subjected to economic exploitation.

The proposed policy is currently being reviewed by the state universities under the purview of the University Grants Commission. The programme will be implemented by the University Grants Commission in direct collaboration with state universities, and there are currently no plans to involve local authorities.

The objective of this policy is to ensure fair, transparent, safe, affordable, accessible and inclusive accommodation facilities for students. In particular, we intend to address the accommodation requirements of university students with disabilities through this programme.

The policy also recognises that students who are unable to obtain university hostel accommodation may obtain accommodation in registered private hostels.

Under the proposed provisions relating to private hostels, minimum standards are expected to be introduced covering accommodation facilities, sanitation, safety, accessibility, affordability and student welfare. The provisions also include arrangements for the fair allocation of accommodation, with particular priority given to students with disabilities; the establishment of a committee to oversee private student hostels; regular inspections; and necessary action against hostels that fail to comply with the required standards. Following consideration of observations and recommendations received from the universities, the draft policy will be revised and subsequently submitted for the process of finalisation.

Of the 55 hostels, priority has been given to universities located away from urban areas. We commenced this project with two hostels at the University of Vavuniya. Accordingly, priority has so far been given to universities such as the University of Vavuniya, the University of Jaffna – Kilinochchi Campus, the South Eastern University, the Uva Wellassa University and the Sabaragamuwa University, where the accommodation issue is particularly acute. Another aspect being considered under the accommodation policy is the limited availability of private accommodation in all parts of the country. Therefore, we are also considering the possibility of constructing additional hostels through a public-private partnership arrangement. For example, the Government could provide land under an agreed arrangement to facilitate the construction of additional accommodation facilities. Discussions are currently being held with the universities regarding this matter”.

Prime Minister Dr. Harini Amarasuriya further stated that steps are also being taken to look into hostel facilities and student welfare activities at vocational training centres, as well as at the Ocean University of Sri Lanka and the University of Vocational Technology.

[Prime Minister’s Media Division]

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Opp. lashes out at Justice Minister for disparaging remarks about CLA

By Shamindra Ferdinando

The Joint Opposition yesterday (09) tore into Justice and National Integration Minister Harsha Nanayakkara over some disparaging remarks about the Commonwealth Lawyers Association (CLA) in Parliament on Tuesday (08).

The Convenor of the Opposition grouping, former Law Professor Peiris questioned Minister Nanayakkara’s declaration that the CLA was a private club that granted membership on payments received. Emphasising that the CLA consisted of those in the legal profession in Commonwealth countries, Prof. Peiris told the weekly media briefing at the Flower Road Office of former President Ranil Wickremesinghe that the views expressed by the organisation couldn’t be discarded under any circumstances.

Prof. Peiris dealt with Nanayakkara’s response to the CLA’S concerns about several issues, including the composition of the five-member panel of judges. “How could Minister Nanayakkara dismiss concerns raised by CLA on the basis of the paid-membership of the organisation?” Prof. Peiris asked. If membership became an issue, the government would have to reconsider Sri Lanka’s UN membership, the ex-External Affairs Minister said, pointing out that the country had to make regular payments to retain membership of other UN agencies, as well.

Prof. Peiris said that indefensible attacks on international organisations could cause irreparable damage to the country. Appreciating the CLA’s report on the Supreme Court proceedings on the 01 and 02 September, Prof. Peiris stressed the importance of what he called total transparency in the judicial process. He said that whatever the outcome of a particular legal process, it couldn’t be done behind the backs of the public.

Referring to legal processes regarding the 6th Amendment and 13th Amendment, in 1983 and 1987, respectively, Prof. Peiris said, on both occasions the then Chief Justices Neville Samarakoon and S. Sharvananda constituted benches consisting of all Supreme Court judges.

But, the incumbent CJ Preethi Padman Surasena, in spite of the majority of petitioners demanding all available 13 justices to hear the case, decided to leave out those on the seniority list from second position to fourth position.

The government got offended because the CLA pointed that out for the whole world to take notice, Prof. Peiris said. The former parliamentarian noted that the CJ hadn’t even give a reason for declining the widespread call to involve all available 13 judges. According to him, there had been instances where CJ’s appointed seven justices to hear a particular case. Prof. Peiris cited the 2018 bench of seven judges that heard the petitions against President Maithripala Sirisena over the dissolution of Parliament and a panel constituted in 2023 to hear the 2019 Easter Sunday carnage that claimed the lives of 270 people.

The issue at hand is that the five-member panel of judges hadn’t been selected on the basis of seniority, Prof. Peiris said, once the SC determination was sent and released through the Speaker, they would meticulously examine that to make their position known to the people. Prof. Peiris said that what they really wanted to know was that if seniority hadn’t been the basis for selection what the criterion was.

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Sri Lanka reiterates its territory won’t be used against India

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Indian Defence Minister Rajnath Singh listening attentively to President Dissanayake (pic courtesy PMD)

The Indian Defence Ministry in a statement issued yesterday (09) quoted President Anura Kumara Dissanayake as having assured visiting Defence Minister Rajnath Singh that Sri Lanka would never allow its territory to be used for activities inimical to India’s security interests.

The text of the Indian press release: “Visiting Indian Defence Minister Rajnath Singh called on President Anura Kumara Dissanayake in Colombo on September 09, 2026. The two leaders held substantive discussions on issues covering the entire spectrum of the multi-faceted partnership between the two nations, characterised by traditionally warm relations and mutual trust.

The two sides reaffirmed that as civilisational twins, close neighbours and maritime partners, India and Sri Lanka would continue to work together for their development and welfare of the people while working jointly to ensure the safety, security, peace and prosperity of the region. The senior Indian Minister conveyed greetings on behalf of Prime Minister Narendra Modi and underlined that the citizens of the two countries share deep friendship based on strong historical & civilisational links and people-to-people exchanges.

Extending a warm welcome to Mr. Singh, President Dissanayake recalled his interactions with PM Modi and reiterated that Sri Lanka would never allow its territory to be used for any activities inimical to India’s security interests.

President Dissanayake expressed his gratitude for the relief assistance provided by India as part of Operation Sagar Bandhu during Cyclone Ditwah and the comprehensive rehabilitation package extended by New Delhi to facilitate reconstruction and rehabilitation work across different parts of the island. The powerful Indian Defence Minister emphasised that as a closest friend and neighbour of Sri Lanka, India considered it not a favour, but a responsibility to provide assistance as the first responder and would continue to do so in the future as well.

Both leaders virtually inaugurated three Bailey Bridges constructed by the Indian Defence Forces. The two sides also exchanged MoUs on upgradation of L70 Guns for the Sri Lankan Air Force, and cooperation between National Cadet Corps (NCC) & National Defence Colleges (NDC) of both the countries. The MoU on Upgradation of six L70 guns for the Sri Lankan Air Force falls under a Government of India grant. The upgradation of these air defence guns will significantly strengthen the air defence architecture of critical assets in Sri Lanka. These air defence guns were earlier provided to the Sri Lanka Air Force by India.

The MoU on academic cooperation between NDC, India and NDC, Sri Lanka will facilitate knowledge sharing which will be a significant step in further strengthening the academic bonds between both the sister institutes. The MoU on NCC cooperation will formalise the NCC youth exchange programme between India and Sri Lanka. This exchange programme provides a valuable opportunity for NCC cadets from multiple countries across the world to come to New Delhi every year and participate in NCC events.”

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