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Direct Relief: Lanka heading for a humanitarian disaster
22mn Lankans lose access to medicine
Since Sri Lanka announced in April that it would default on its foreign debt, its 22 million residents have lost access to most medicine and medical supplies, setting them on course for a humanitarian disaster, according to a report published by the ReliefWeb, the humanitarian information project of the United Nations Office for the Coordination of Humanitarian Affairs.
It said: Unlike Russia’s invasion of Ukraine and the recent hurricane batterings of Puerto Rico and Florida, Sri Lanka’s crisis grew slowly and has garnered few international headlines. But Sri Lankans are suffering amid the harshest economic crisis the country has confronted since gaining independence from the British empire in 1948.
With the country’s foreign reserves depleted, the nationalized healthcare system cannot afford to import medicine and medical supplies in sufficient quantities. Sri Lanka relies on imports for about 85% of its pharmaceutical needs and about 80% of its medical supplies. The country imported $815 million in medicine in 2021, but by May had only about $25 million in foreign reserves to pay for imports of any kind.
Last week in Sri Lanka, Direct Relief staff participated in an extensive series of meetings with Prime Minister Dinesh Gunawardena and much of the country’s healthcare leadership while overseeing the arrival of what may be the largest donation of medicine to the country since the crisis began.
What they encountered was grim. “For the next six months, they’re expecting a catastrophic number of deaths,” said Chris Alleway, Direct Relief’s manager of emergency response and new initiatives, who led the Sri Lanka meetings.
The 3,500-bed National Hospital of Sri Lanka in Columbo, which usually has 1,300 medicines in stock, is now down to requesting only the 60 most essential medicines.
With anesthesia in short supply, most general surgeries in the country have ceased, including kidney transplants. Cancer patients have lost access to medications needed to fight the deadly disease. Diabetes patients must secure and bring their own glucose meters for blood sugar checkups.
Many hospitals are stocked out of basic items like bandages and cotton balls. The stockouts are forcing rural clinics to close their doors and refer patients to larger facilities in urban areas, which also are overwhelmed by the flow of patients.
Due to a severe fuel shortage, the country’s fishing fleets cannot go far out to sea, slashing the supply of fish that is a significant source of protein in the country, including at its largest children’s hospital.
In addition to Prime Minister and the Ministery of Health, Direct Relief staff met with the chairs of the country’s medical universities, including the colleges of oncology, psychiatry, nephrology, hematology, endocrinology, critical care medicine, anesthesiology, and maternal & child health.
Sri Lanka is also losing clinicians as they migrate to other countries with more opportunities, while its medical colleges see the number of applicants for medical education decline sharply.
“Every one of the medical college leaders informed us that they are in a dire situation, with major shortages across the board for everything,” Alleway said. “A lot of them were very emotional in our conversations. You could tell that they’re holding together the health care system to the best of their abilities with limited to no resources.”
Responding to the crisis spurred by Sri Lanka’s default in June of this year, Direct Relief has delivered eight humanitarian shipments totaling 27 tons and 16 million defined daily doses of donated medicine.
The largest shipment from Direct Relief to Sri Lanka—36,600 lbs. (18 tons) of medicine and medical supplies requested explicitly by Sri Lanka’s government—arrived in recent weeks.
“Direct Relief’s donation of $10 million worth of medicine will save many lives,” Prime Minister Gunawardena said in a statement.
The 18-ton shipment included medications to treat infections, wounds, seizures, mental health conditions, glaucoma, cardiovascular disease and respiratory issues.
These products were donated to Direct Relief by companies including Accord Healthcare, Apotex, Baxter International, Teva Pharmaceuticals and Viatris. One particularly considerable contribution from Accord included nearly 200,000 defined daily doses of IV furosemide, which is used to treat edema from heart failure and liver and kidney disease.
Other companies contributing donated medicine to Sri Lanka include AbbVie, Boehringer Ingelheim Cares Foundation, Eli Lilly & Co., Hikma Pharmaceuticals, Integra LifeSciences, Meitheal Pharmaceuticals, and Merck.
Partnering with Sri Lanka’s College of Endocrinologists and the Life for a Child program, Direct Relief has also donated and delivered two shipping containers of insulin that went to 25 health facilities for the benefit of patients under the age of 14 with diabetes.
Direct Relief works closely with Sri Lanka’s Ministry of Health, Ministry of Foreign Affairs, the Sri Lankan Embassy in the United States, the Medical Supply Division, and the National Medicines Regulatory Authority to deliver supplies and will continue to do so.
Direct Relief has also received invaluable assistance from Medical Help Sri Lanka, an organization formed by Sri Lankans in the United States.
“Direct Relief has established trusted relationships at all levels of the government and will continue to provide support as needed,” Alleway said.
In April, Sri Lanka suspended repayment of nearly $7 billion in foreign debt due this year out of a total foreign debt of more than $51 billion. On Sept. 1, the International Monetary Fund announced $2.9 billion in loans “to restore macroeconomic stability and debt sustainability while safeguarding financial stability, reducing corruption vulnerabilities and unlocking Sri Lanka’s growth potential.”
The loans, however, are not expected to restore Sri Lanka’s ability to import medicine quickly. In the meantime, Direct Relief will continue assisting the country to the fullest extent possible, with additional medical aid shipments already underway.
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Green Climate Fund (GCF) Regional Dialogue for East and South Asia will be held from 14 to 17 September 2026 at Cinnamon Life at City of Dreams Hotel, Colombo
The Green Climate Fund (GCF) Regional Dialogue for Eastern and Southern Asia is scheduled to be held from September 14 to 17, 2026, at Cinnamon Life at City of Dreams, Colombo.
The Dialogue is hosted by the Government of Sri Lanka. The Green Climate Fund is the world’s largest dedicated climate fund established under the United Nations Framework Convention on Climate Change to assist developing countries in responding to the challenges of climate change.
The Green Climate Fund aims to promote a paradigm shift towards low-emission and climate-resilient development
pathways by supporting developing countries in reducing their greenhouse gas emissions and adapting to the impacts of climate change.
The Ministry of Environment of Sri Lanka serves as the country’s National Designated Authority for the Green Climate Fund, playing a critical role in coordinating access to climate finance, nominating institutions for accreditation to the Green Climate Fund and approving funding proposals, and ensuring that activities supported by the Green Climate Fund are aligned with national development objectives.
More than 120 delegates from 10 countries are expected to participate. The participating countries are Bangladesh, Bhutan, China, India, the Maldives, Mongolia, Nepal, Pakistan, the Republic of Korea, and Sri Lanka.
Participants will include representatives of National Designated Authorities of the above countries, Direct Access Entities, Accredited Entities, civil society organizations, the private sector, development partners, and technical institutions across the region.
Sri Lanka’s delegation comprises Dr. Dammika Patabendi, Minister of Environment, Anton Jayakody, Deputy Minister of Environment, K.R. Uduwawala, Secretary, Ministry of Environment, and high-level government officials.
The Dialogue will provide a platform to:
Share challenges, experiences, and lessons learned from the implementation of climate change projects and programmes.
Strengthen regional cooperation and partnerships on climate finance.
Discuss the Green Climate Fund’s evolving strategies, policies, and approaches.
Identify opportunities to accelerate climate investments across East and South Asia.
Hosting the Regional Dialogue in Colombo will provide Sri Lanka with an important opportunity to engage with senior government officials, private-sector representatives, development partners, technical experts, and international climate finance institutions.
The event is expected to support Sri Lanka’s efforts to improve access to climate finance and international grants, showcase national climate action initiatives and achievements, and strengthen the country’s engagement with the global climate community.
The Dialogue will also offer a strategic platform for Sri Lankan institutions that have applied for direct accreditation to present their project concepts and engage directly with representatives of the Green Climate Fund. These engagements are expected to support the accreditation process and contribute to the expansion of Sri Lanka’s network of Direct Access Entities through stronger regional partnerships and increased cooperation on climate finance, the Regional Dialogue will
contribute to positioning Sri Lanka as a credible and reliable partner for climate investment.
Projects that Sri Lanka has received funding from this fund are:
• The main projects that Sri Lanka has received support from the Green Climate Fund at present include the Wevu Gam Pubuduwa Project (52.1 USD Million) and the GCF Knuckles Project (49 USD Million).
7.5 USD Million has been allocated from GCF for 5 National Designated Authority Readiness Projects (NDA Readiness Projects) and for the National Adaptation Plan Readiness Project (NAP Readiness Project).
Approval has also been obtained for 3 regional projects. (Cooling Facility Programme, Global Fund for Coral Reef Investment Window, PEEB COOL Programme)
Sri Lanka has also identified 5 project concepts as priority projects for the Green Climate Fund period 2024-2027 and has taken steps to submit those project concepts (Concept Notes) for
approval by the Green Climate Fund.
The “Climate-resilient Fisheries in Sri Lanka” project concept (USD 107.5 million) submitted by DFCC Bank has already received approval.
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Prof. Pieris says Buddha Dhamma recognised as source of law under Constitution
Former Minister and People’s Joint Opposition Convener Prof. G.L. Peiris has challenged the assertion that the Supreme Court’s determination on the 22nd Amendment to the Constitution would be based solely on law and not Buddhist teachings, arguing that such a position is inconsistent with Article 9 of the Constitution and established judicial precedent.
In a special statement, titled “Buddhist Doctrine as a Source of Law in Sri Lanka”, Prof. Peiris has said the issue had arisen during the 22nd Amendment determination proceedings when Ven. Balangoda Kassapa referred to the Buddha Dhamma in his submissions.
According to Prof. Peiris, the Chief Justice responded that the determination would be made on the basis of the law and not Buddhist teachings.
Describing this as a “cavalier dismissal” of the Buddha Dhamma. Prof. Peiris has said it is contrary to Article 9, which gives Buddhism the foremost place and requires the State to protect and foster the Buddha Sasana.
Full text of the statement: In the 22nd Amendment determination proceedings, Venerable Balangoda Kassapa, in his submissions, made reference to the Buddha Dhamma. His Lordship the Chief Justice, in reply, made the strong assertion that the determination would be made on the basis of the law and not Buddhist teachings. This cavalier dismissal of the Buddha Dhamma is totally inconsistent with Article 9 of the Constitution and its authoritative interpretation in judicial decisions.
I. Authoritative Sri Lankan Judicial Authority A few examples may be cited.
In the Antiquities Amendment Bill, the Supreme Court, in its determination, observed: “The expression Buddha Sasana is wider than Buddhism and includes the entire establishment, together with objects and places of religious practices and worship of Buddhists”.
In Re the Thirteenth Amendment to the Constitution and the Provincial Councils Bill, 1987 2 Sri Lanka LR 312, Wanasundera J, referring to the term Buddha Sasana, said that it was “a compendious term encompassing all ancient, historic and sacred objects and places which have from ancient times been associated with the religious practices and worship of Sinhala Buddhists”.
It is clear that the Buddha Sasana is not confined to matters of ritual or practice, but includes the substance of Buddhist teachings. This is borne out clearly in other judgments of the Supreme Court.
An explicit example is the determination of the Supreme Court in the Ayurveda Amendment Bill, SCSD, numbers 22-35/2023, where the Court declared: “We hold that Buddha Sasana in Article 9 of the Constitution includes the dhamma, principles and teachings of Buddhism, including in particular recognized and undisputed codifications of the teachings of Lord Buddha”.
There are several other passages in the judgment which offer strong authority on the point.
The Court declared: “We determine that the word Buddha Sasana in Article 9 is a compendious term and includes the entire establishment of Buddhism as defined above. We conclude that the Tripitaka, consisting of the Vinaya Pitaka, the Sutta Pitaka and the Abhidhamma Pitaka, falls within the word Buddha Sasana. Hence the State has a duty inter alia to protect and foster the Tripitaka”.
The Court was uncompromising in its declaration that “While retaining the word Buddhism to denote the religion to which foremost place has been accorded in the Republic, the word Buddha Sasana was used to impose a duty on the State to protect and foster the entire establishment of Buddhism”.
The Court’s approach is very clear from the following passage: “We must proceed to interpret Article 9 of the Constitution on the basis that this change was intentional on the part of the legislature. It was meant to cover an area wider than Buddhism”.
II. International Judicial Authority
There is valuable material in the jurisprudence of the International Court of Justice at The Hague.
Judge C. G. Weeramantry, in his dissenting opinion in the ICJ’s 1996 advisory opinion on the legality of the threat or use of nuclear weapons, said that Buddhism could provide an important humanitarian perspective when considering the legality of nuclear weapons. The judge cited as his source the work by Walpola Rahula, entitled What the Buddha Taught, 1959.
Similarly, Judge Weeramantry, in his separate opinion in the maritime delimitation in the area between Greenland and Jan Mayen case, 1993, commented on the international legal concept of equity. In this connection, he referred to “the elaborately researched concept of fairness and justice in Buddhism”.
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GR leaves FCID after making statement over MiG deal
Former President Gotabaya Rajapaksa left the Financial Crimes Investigation Division (FCID) last evening after making a statement for several hours in connection with the ongoing investigation into the controversial procurement of MiG fighter aircraft.
Rajapaksa arrived at the FCID Headquarters yesterday morning after being summoned by investigators to assist with the inquiry into the procurement and related financial transactions involving the aircraft acquired for the Sri Lanka Air Force.
He was questioned for several hours before leaving the premises later in the day.
Meanwhile, former Air Force Commander Air Chief Marshal Roshan Goonetileke also appeared before the FCID on Thursday to provide a statement in connection with the same investigation.Goonetileke left the FCID after being questioned for more than five hours.
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