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Alarming spike in new cancer patients in Sri Lanka amidst aflatoxin fears in foodstuffs

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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)



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PNB detect large haul of methamphetamine and heroin in local fishing trawler intercepted by Navy

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Acting on credible information, the Sri Lanka Navy launched a special operation on the high seas on 11 Apr 25, resulting in the apprehension of  06 suspects along with a local multi-day fishing trawler, believed to be involved in smuggling of narcotics.

Subsequently, the intercepted trawler was brought to the Dikkowita Harbour, where a thorough inspection was carried out with the assistance of the Police Narcotic Bureau (PNB) experts, leading to the detection of  approximately 77kg and 484g of heroin and 42kg and 334g of methamphetamine (Ice).

The consignment, which had been meticulously hidden in the trawler, was handed over to the PNB for onward legal action on 12 Apr.

 

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Government to initiate new projects to help rural communities to strengthen the national economy – Prime Minister

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Prime Minister Dr. Harini Amarasuriya stated that the government is currently working to initiate new projects across every area of Sri Lanka and to bring the necessary investments to rural areas in order to improve the participation of the communities in strengthening the national economy.

The Prime Minister made these remarks while addressing a public gathering held on Saturday (12th) in Nanattan, Mannar.

Prime Minister further stated:

“Our country has reached a decisive point. The government of the National People’s Power (NPP)  understands the expectations of the people. The general public came together despite the ethnic and religious barriers to exercise their voting right against  corruption in politics that existed in this country. Consequently, Anura Kumara Dissanayake was able to become the President in 2024. A month later, we formed a Parliament that will initiate in changing the history. Today, we have a government made up of 159 members. There is now a strong group in Parliament standing against corruption and a government that represents all ethnicities, religions, and regions. For the first time in history, we have formed a government made by a single party that represents everyone. The people are the ones who made this victory possible and they are the true victors in this cause.

We are committed to protecting the trust the people have placed in us and to fulfill their expectations.

You are well aware of how weak the economy was when we came to power. Officially, we had been declared a bankrupt nation before the world. For many years, Sri Lanka had no economic growth and was in a debt-ridden economy. The tourism sector had collapsed. Due to the corruption in political authority, investors were unwilling to invest the country. Today, we have changed all that.  We have managed to steer the economy towards growth leading to investments being restored while the confidence in Sri Lanka is increasing internationally.

We are working to start new projects in every area of Sri Lanka to bring the necessary investments to the rural sector, with the aim of improving the participation of rural communities in the national economy.

The first budget of the NPP government has passed. Even though the economy is not yet strong, we focused on two main priorities in the budget: one was to develop infrastructure necessary for economic growth, and the other was to provide relief to people burdened by economic hardships. That’s why we have increased and extended the period of Aswesuma benefits. Further, vouchers to buy schoolbooks was distributed at schools with less than 300 students.

Previous governments were a burden to the people. But today, we have a very small Cabinet of Ministers. The government is no longer a burden to the people. We have reduced expenses, minimized losses, and eliminated corruption.

Because the government  is not a burden to the people, it was able to provide relief to the people. Through this budget, the basic salaries of  the public service has been increased. They have been given the opportunity to work freely. Decisions are now made on statistical data and not based on political preferences. What we expect is an independent public service. We are in need of a people-centered government as well as a public service which should be an efficient, corruption-free and people-sensitive. We have already created the necessary environment for that.

In order to develop the rural economy, the government has allocated a large amount of funding through this year’s budget. But, to ensure that these allocations are used properly to serve the people, the local government institutions need to be cleaned up. If the leaders who represents the villages are corrupt, the funds allocated will become worthless. That is why the upcoming local government elections has become extremely significant and decisive.”

The event was attended by the Members of Parliament Jegadeeswaran and S .Thilakanadan, public representatives, and candidates of local government election representing the NPP.

[Prime Minister’s Media Division]

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Batalanda: Why only now and what about the others, asks Mujibur

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SJB Colombo District MP Mujibur Rahuman launched a fierce critique of the political hypocrisy surrounding the Batalanda Commission report during Thursday’s (10) parliamentary session.

Rahuman pointed to the violent actions of the JVP, which had devastating effects on politicians, police officers, and civilians, as detailed in the Commission’s final report.

He said that the violence had disrupted vital services and created a state of lawlessness, severely affecting the public.

The MP accused political opponents of exploiting the Batalanda issue for electoral advantage, noting that for 36 years, no proposals were made to investigate the assassination of JVP leader Rohana Wijeweera.

He criticized the JVP for forming “probationary” governments with Chandrika Kumaratunga and backing Ranil Wickremesinghe in the yahapalana effort, yet failing to address the Batalanda issue during their tenures.

Rahuman also questioned the current attacks on Wickremesinghe, highlighting that many of his critics had previously collaborated with him. He called attention to the JVP’s statements regarding Gotabaya Rajapaksa’s alleged involvement in a Matale mass grave and the distribution of pamphlets on the subject during the 2022 Galle Face protests.

The MP called for accountability, questioning why no proposals were put forward on these issues when the current government came into power. He also criticized the NPP for its leaders, who, despite being involved in suppressions during the 80s and 90s, now sought positions within the government. Rahuman accused them of hypocrisy, warning against dragging the Batalanda issue into the ongoing election.Rahuman said that the historical wrongs committed by JVP political leaders cannot be erased, regardless of attempts to downplay them.

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