News
Alarming spike in new cancer patients in Sri Lanka amidst aflatoxin fears in foodstuffs
by Suresh Perera
In the backdrop of concerns expressed by medical experts over ingesting foodstuffs with carcinogenic aflatoxins, Sri Lanka has witnessed a disturbing spike in cancer with 33,226 fresh cases on the basis of 89 new patients per day reported in 2019.
The number of cancer-related mortalities during the year under review was 16,691 with 46 patients dying of the dreaded disease per day, according to new statistics.
“There were 75,909 prevalent cases of cancer in Sri Lanka’, the Health Ministry’s National Cancer Control Program (NCCP), said.
Non-Communicable Diseases (NCDs) account for almost 83% of total deaths in the country and the proportional mortality due to cancer is estimated to be 14%, it said.
“Newly detected cancer cases have shot up from a moderate 13,372 in 2005 to more than 30,000 in 2019”, says NCCP’s Acting Director, Dr. Janaki Vidanapathirana.
“There has been a steady surge in new cancer cases over the past 14 years”, she said.
Medical experts contend that aflatoxins (a family of toxins produced by certain fungi found on agricultural crops such as maize (corn), peanuts, cottonseed, and tree nuts) in the human system can cause a carcinogenic reaction over a period of time.
Director-General of the Sri Lanka Standards Institution (SLSI), Dr. Siddika Senaratne’s recent assertion that, apart from imported coconut oil, certain other consumables also contained aflatoxins, triggered a controversy over the safe consumption of certain foodstuffs.
Amidst public fears over products identified on social media platforms, rightly or wrongly, the critical question that emerged was for how long people had been consuming such foodstuffs and whether they continue to do so despite the claimed carcinogenic substances in them.
There was confusion in the public mind as Dr. Senaratne declined to identify the contaminated products saying that naming them will reflect adversely on the trade.
“They should be given time to remedy the shortcomings”, she said.
Asked whether the presence of aflatoxin in imported coconut oil, as discovered recently, and possibly other foodstuffs could have contributed towards the exponential increase in the incidence of cancer in the country, Dr. Vidanapathirana said that exposure to any aflatoxin will increase the risk of cancer, but it depends on the duration and the quantum ingested.
There are usually 800-850 new liver cancer cases per year caused mainly due to alcohol consumption, tobacco smoking, hepatitis b and c and aflatoxins. Cancer is of multifactorial origin. Tobacco causes 15 types of cancers in the human body, while alcohol accounts for five types, the Consultant Community Physician explained.
Leading the list of top 10 cancers in Sri Lanka amongst males was mouth, lip and tongue cancer at 14% in 2019 followed by trachea, bronchus and lung (9%), colorectal (8%) oesophagus (7%), prostate (7%), larynx (4%), bladder (4%), lymphoma (4%), thyroid (3%) and others (40%).
Amongst females, breast cancer topped the list at 26% followed by thyroid (13%), colorectal (7%), ovary (6%), oesophagus (5%), uterus (4%), ovary (6%) trachea, bronchus and lung (3%), lymphoma (3%), oral (3%) and others (25%).
Oral cancer in Sri Lanka remains the highest in the world, Dr. Vidanapathirana said, while stressing that a structured program of action to arrest the alarming trend is the need of the hour.
Cancer is the uncontrolled growth of abnormal cells in the body. Cancer develops when the body’s normal control mechanism stops working. Old cells do not die and instead grow out of control, forming new, abnormal cells. These extra cells may form a mass of tissue, called a tumor. Some cancers, such as leukemia, do not form tumors.
“Cancer can be prevented through early detection”, she noted, while warning that obesity, tobacco smoking, alcohol consumption and physical inactivity have been identified as some of the primary causes that lead to the dreaded disease.
Asked whether consumption of milk activates dormant cancer cells, she replied “I don’t know. There’s no such evidence”
However, the intake of dairy milk is associated with a greater risk of breast cancer in women, according to a new study conducted by researchers at Loma Linda University Health.
Dairy, soy and risk of breast cancer: Those confounded milks, published in the International Journal of Epidemiology, found that even relatively moderate amounts of dairy milk consumption can increase women’s risk of breast cancer — up to 80% depending on the amount consumed.
First author of the paper, Gary E. Fraser, MBChB, PhD, said the observational study gives “fairly strong evidence that either dairy milk or some other factor closely related to drinking dairy milk is a cause of breast cancer in women, the ScienceDaily reported in 2020. (https://www.sciencedaily.com/releases/2020/02/200225101323.htm)
Latest News
Heat Index at Caution Level in the Western, Sabaragamuwa, Southern and North-western provinces and in Anuradhapura, Mannar and Vavuniya districts
Warm Weather Advisory
Issued by the Natural Hazards Early Warning Centre of the Department of Meteorology
at 3.30 p.m. on 22 March 2026, valid for 23 March 2026.
The Heat index, the temperature felt on human body is likely to increase up to ‘Caution level’ at some places in the Western, Sabaragamuwa, Southern and North-western provinces and in
Anuradhapura, Mannar and Vavuniya districts.
The Heat Index Forecast is calculated by using relative humidity and maximum temperature and this is the condition that is felt on your body. This is not the forecast of maximum temperature. It is generated by the Department of Meteorology for the next day period and prepared by using global numerical weather prediction model data.

Effect of the heat index on human body is mentioned in the above table and it is prepared on the advice of the Ministry of Health and Indigenous Medical Services.
ACTION REQUIRED
Job sites: Stay hydrated and takes breaks in the shade as often as possible.
Indoors: Check up on the elderly and the sick.
Vehicles: Never leave children unattended.
Outdoors: Limit strenuous outdoor activities, find shade and stay hydrated.
Dress: Wear lightweight and white or light-colored clothing.
Note:
In addition, please refer to advisories issued by the Disaster Preparedness & Response Division, Ministry of Health in this regard as well. For further clarifications please contact 011-7446491.
News
Fuel price hikes trigger transport disruptions and calls for fare increases
The latest fuel price increases have sparked widespread concern among transport operators and raised questions about the government’s supportive measures. Cabinet Spokesman and Minister Dr Nalinda Jayathissa told a media briefing yesterday that the government was incurring a monthly loss of Rs. 20 billion by maintaining subsidies on fuel. According to the Minister, the state loses Rs. 100 per litre of diesel and Rs. 20 per litre of petrol under the current pricing system, a burden that the Treasury continues to absorb as part of a “supportive mechanism.”
The Ceylon Petroleum Corporation (CPC) revised fuel prices from midnight on March 21, raising the price of a litre of Lanka Auto Diesel by Rs. 79 to Rs. 382, Super Diesel by Rs. 90 to Rs. 443, Octane 95 petrol by Rs. 90 to Rs. 455, and Octane 92 petrol by Rs. 81 to Rs. 398. Lanka Kerosene was increased by Rs. 60,bringing the price to Rs. 255 per litre. Other suppliers, including Sinopec and Lanka IOC, also implemented similar hikes, with Sinopec’s Super Diesel rising sharply by Rs. 219 to Rs. 572 per litre.
The surge in fuel prices has had an immediate impact on public transport. The Chairman of the Lanka Private Bus Owners’ Association, Gamunu Wijerathne, told The Island that 90% of private buses were off the road yesterday (22). He called for a 15% increase in bus fares, raising the minimum fare from Rs. 27 to Rs. 35, warning that services could be suspended if fare adjustments are not approved.
Three-wheeler operators have also pressed for immediate fare revisions. L. Rohana Perera, General Secretary of the National Joint Three-Wheeler and Industrialists’ Association, said the rising fuel costs have made it difficult for drivers to continue operating. The Association has proposed a Rs. 20 increase for the first kilometre fare for all meter-operated three-wheelers and plans to present its concerns to the Presidential Secretariat.
Fuel price monitoring has also intensified amid concerns over potential smuggling. A senior police officer told The Island that intelligence units have been deployed near fuel stations to prevent hoarding. The police suspect that certain fuel station employees and owners could be facilitating stockpiling.
Political leaders have warned that the hikes will ripple across the economy. SJB MP S.M. Marikkar said transport cost increases will drive up the prices of essential goods such as rice and fish, leaving consumers struggling under rising costs.
Import and export container transportation charges will be increased by 20% from midnight yesterday (22) due to the recent fuel price hike, according to the Container Transport Vehicle Owners’ Association.
The latest increases follow two rounds of price hikes since March 9, driven by surging global oil prices amid the Middle East conflict. Since then, Lanka Petrol 92 Octane has risen by Rs. 105 to Rs. 398, Petrol 95 Octane by Rs. 115 to Rs. 455, Auto Diesel by Rs. 101 to Rs. 382, and Super Diesel by Rs. 114 to Rs. 443 representing an overall increase of around 35% across key fuel categories.
by Norman Palihawadane and Pradeep Prasanna Samarakoon
News
Prof. Peiris honoured by International Institute of Rehabilitation
At the award presentation ceremony of the International Rehabilitation Institute last week, Professor G.L. Peiris, as Chief Guest, in his keynote address, dealt with the special relevance of rehabilitation at this time. The traditional criminal law makes provision for punishment after a crime has been committed, and punishment usually takes the form of a prison sentence. It is even more important, however, to explore practical means of prevention and also to have recourse to a custodial sentence as a last resort rather than as the typical response.
The modern approach is that punishment is seen not as retributive but as a means of rehabilitating the offender in society. Prison sentences, bringing a first offender into the prison environment and association with habitual offenders, carries the risk of recidivism, the available statistics indicating the likelihood of return to prison on repeated occasions.
He placed emphasis on the importance of informed social attitudes to ensure that an offender does not carry a permanent stigma, reducing his opportunities for employment and acceptance in society. The importance of religious instruction in early childhood, and the close connection between temple and village, was stressed.
Professor Peiris was honoured with an award of appreciation by academic colleagues.
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