News
Snakebite not a cause for Chronic Kidney Disease, study reveals
By Ifham Nizam
Snakebite is not a cause of the Chronic Kidney Disease of Unknown Aetiology (CKDu) in Sri Lanka, a latest study reveals.Lead researcher of the project Prof. Anjana Silva of the Rajarata Medical Faculty told The Island: “We have so far investigated in depth how snakebite causes paralysis in humans, the effectiveness of anti- venom for treating these patients as well as affordable tests to detect snakebite at the bedside and other long-term effects of snakebite.”
Prof. Silva says there are still many things that the team is not clear about, relating to snakebite so they need to continue the studies in the long run not only to understand more about snakebite but also to make a real improvement in the treatment and prevention of this unfortunate, preventable health hazard
Chronic Interstitial Nephritis of Agricultural Communities (CINAC), also known as Chronic Kidney Disease of Unknown Etiology (CKDu), has been a major health issue in Sri Lanka, and has claimed many lives, especially in the North Central Province, and other agricultural areas.
Although the exact cause of this ‘mysterious’ disease has not been elucidated, several hypothesis, including a mix of possible causes, such as water, agricultural activities, agrochemicals, heavy metals, snakebite and heat stress, have been previously attributed by scientists.
A recent research study, by a team of researchers from the Faculty of Medicine and Allied Sciences of Rajarata University, published in a leading medical journal, Clinical Toxicology, revealed that snakebite is unlike to be a cause of CINAC or CKDu in Sri Lanka. This study was conducted as a part of the PhD study of Dr. Subodha Waiddyanatha, where she followed up 199 snakebite patients, four years after the snakebite, and 168 patients, one year after the snakebite.
“At the time of snakebite, we have collected all the information of these patients, including the data on their kidney function. We compared this data with their kidney function, one and four years after the snakebite, and found no evidence of any association of venomous snakebite, with reduced kidney function. We found that those patients who had kidney failure after the snakebite, completely recovered when we studied them one and four years later,” Dr. Waiddyanatha said.
She said that a small number of patients, who had reduced kidney function, at the follow up, had clearly identifiable other causes of poor kidney function, such as diabetes and hypertension. This means that a snakebite is unlikely to be a cause of CINAC or CKDu in Sri Lanka. “However, we still need to closely monitor a large number of patients who develop severe kidney failure, after snakebite, to clearly understand how many of them could have reduced renal functions in the long run,” Dr. Waiddyanatha added.
“This study was conducted as a part of ‘Anuradhapura Snakebite Cohort’, probably the largest snakebite research study in the world, that was started in 2012 by a team of researchers from the Rajarata Medical Faculty that included Prof. Sisira Siribaddana, Dr. Senaka Pilapitya and myself, in collaboration with one of the foremost snakebite researchers in the world, Professor Geoffrey Isbister from Newcastle University, Australia. South Asian Clinical Toxicology Research Collaboration was instrumental in providing logistics for the study”, she said.
News
Easter Sunday Case: Ex-SIS Chief concealed intel, former Defence Secy tells court
Former Defence Secretary Hemasiri Fernando told court on Thursday that then State Intelligence Service (SIS) Director Nilantha Jayawardena was also aware of intelligence information and had acted to conceal it, while also testifying that he believed former President Maithripala Sirisena had prior knowledge of the Easter Sunday terror attacks.
Fernando made the statement while giving evidence before a Trial-at-Bar in the case filed against him over alleged negligence in failing to prevent the 2019 Easter Sunday suicide bombings.
He said he believed that Sirisena, who at the time also held the posts of Defence Minister and Commander-in-Chief of the Armed Forces, had been aware of intelligence inputs relating to the impending attacks.
The former Defence Secretary further alleged that Jayawardena, then Director of the SIS, was also privy to the information and had acted to suppress it.
Fernando is indicted on charges of criminal dereliction of duty for allegedly failing to act on prior intelligence warnings ahead of the coordinated attacks.
Defending his position in court, he maintained that responsibility for the failure lay elsewhere.
“The President, who was the Defence Minister and head of the armed forces, had left the country. As the most senior official, I have been dragged into this case. If the information I presented had been properly examined, this case would not have been filed against me. Those responsible are still at large,” he told court.
News
NCPA gets up to seven child violence complaints daily
The National Child Protection Authority has warned that corporal punishment continues to cause serious harm to children, revealing that it receives between 2,000 and 2,500 complaints of physical violence against children each year — averaging between five and seven complaints a day.
Issuing a statement to mark the International Day to End Corporal Punishment on April 30, the NCPA said both short-term and long-term physical and psychological punishment could severely affect a child’s personality development and emotional wellbeing.
NCPA Chairperson Preethi Inoka Ranasinghe said research had consistently demonstrated the damaging effects of corporal punishment used in disciplining children.
“For decades, parents, elders and teachers have used various forms of physical punishment to discipline children, making it a socially and culturally accepted practice both at home and in schools,” she said.
The Authority stressed that corporal punishment constitutes physical abuse and should not be used under any circumstances.
According to the NCPA, complaints relating to physical violence remain the second highest category of complaints received annually by the institution, with between 2,000 and 2,500 incidents reported each year.
Based on those figures, the Authority receives approximately 5.5 to 6.8 complaints of child physical violence every day.
The NCPA further noted that under Article 19 of the United Nations Convention on the Rights of the Child, children are entitled to protection from all forms of abuse and neglect, an obligation binding on Sri Lanka since 1990.
The Authority also pointed to Article 11 of the 1978 Constitution, which guarantees freedom from cruel, inhuman or degrading treatment, as well as provisions under Section 308(A) of the Penal Code and Education Ministry circulars prohibiting physical and psychological punishment in schools.
The NCPA urged parents, teachers and caregivers to adopt non-violent disciplinary methods and to prioritise the safety and mental wellbeing of children.
News
AKD’s May Day vow: Crackdown looms as corrupt face day of reckoning
President Anura Kumara Dissanayake said that all individuals accused of fraud, corruption and other offences will be brought before the law in the coming weeks, as investigations are being intensified under the NPP administration.
Addressing the Nuwara Eliya District May Day rally on Friday, the President said the government had already strengthened key investigative institutions, including the Criminal Investigation Department and the Bribery Commission, to expedite ongoing probes.
He said a large number of cases involving alleged wrongdoing were now progressing through the legal system, with ten cases scheduled to be taken up in court during May and one case already ordered for a verdict within the month following a directive issued on April 30.
President Dissanayake stressed that the government was acting on a public mandate to ensure accountability, warning that law enforcement action would continue in the months ahead.
He said the administration had taken steps to reverse what he described as a culture of privilege enjoyed by former rulers, while focusing instead on public welfare and governance reform.
“We are making decisions for the people and ensuring that privileges of the ruling class are reduced,” he said, adding that previous governments had worked to expand their own benefits while placing burdens on citizens.
The President claimed that the NPP government had secured the trust of people across all regions, describing it as a “people’s administration” committed to working-class interests.
He also outlined the government’s broader policy direction, including ensuring stable incomes, improved education, housing, the rule of law and national unity.
Warning of further legal action, he said a significant number of individuals accused of corruption would face imprisonment in 2026, adding that no one would be above the law regardless of position or family background.
“We do not distinguish between Presidents, Prime Ministers or their families. The law will apply equally to all offenders,” he said.
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