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Breast cancer a leading cause of death in Sri Lanka, experts warn

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By Rathindra Kuruwita

Around 70 percent of annual cancer-related deaths occur in lower-middle-income countries, with breast cancer being one of the leading causes, according to Dr. Buddhini Denuwara, Senior Registrar in Community Medicine (Department of Nutrition) at the Ministry of Health. Speaking in a recent televised interview, Dr. Denuwara highlighted the urgency of addressing the rising incidence of cancer in Sri Lanka.

“Each year, we identify approximately 37,000 cancer patients in the country, which equates to an average of 103 new cases per day. Among these, breast cancer is the most common form of cancer among women, accounting for about 5,000 cases annually. Prevention should be a priority,” she said.

Dr. Denuwara noted that the cancer incidence rate has increased significantly over the years. “In 2005, we recorded 18.4 cancer patients per 100,000 people. This number rose to 24.3 in 2014 and further increased to 34.9 in 2019.”

She emphasised that the risk of breast cancer grows as women age, with the majority of cases being detected between the ages of 50 and 54. “Only about one-third of breast cancer cases are diagnosed in women under 50 years old. Annually, breast cancer claims around 700 lives in Sri Lanka. We can reduce these deaths by improving early detection and increasing public understanding,” Dr. Denuwara added.

In addition to early detection, women with a family history of breast cancer should be particularly vigilant, advised Dr. Asanka Gamage, Consultant Oncologist at Hambantota District General Hospital.

“Women with a family history should follow screening guidelines closely and consider genetic testing. Several key genes, including BRCA1 and BRCA2, can increase the risk of breast cancer,” she explained.

BRCA1 and BRCA2 are known as tumour suppressor genes, which play a crucial role in repairing DNA damage that can lead to cancer. Although everyone has these genes, certain mutations can impair their ability to prevent cancer, leading to a heightened risk.

“A small percentage of the population, approximately one in 400 people, carry a mutation in one of these genes. Women with a BRCA1 mutation have a 55-65% chance of developing breast cancer before the age of 70, while those with a BRCA2 mutation have a 45% chance,” Dr. Gamage explained.

She also pointed out the hormonal factors that may contribute to breast cancer risk. “Women who have been exposed to high levels of hormones over long periods, such as those who started menstruation early or experienced menopause later than average, are at greater risk.”

Dr. Gamage noted that pregnancy can lower the risk of breast cancer as it halts the menstrual cycle for about 18 months, reducing exposure to hormonal fluctuations.

“Other risk factors include ageing, obesity, unhealthy eating habits, smoking, and lack of exercise,” she added, stressing the importance of lifestyle changes in reducing the risk of developing breast cancer.

The growing incidence of cancer, particularly breast cancer, underscores the need for greater public awareness, early screening, and preventive measures in Sri Lanka.



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Heat Index at Caution Level in the Western, Sabaragamuwa, Southern, Eastern, North-western, Northern and North-central provinces and in Monaragala district

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Warm Weather Advisory
Issued by the Natural Hazards Early Warning Centre
Issued at 3.30 p.m. on 31 March 2026, valid for 01 April 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, Eastern, North-western, Northern and North-central provinces and in Monaragala district.

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.

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Urea shortage threatens Yala harvest: Experts

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Prof. Marambe

Govt. rations stocks as imports falter

By Ifham Nizam

The government faces a looming fertiliser crisis ahead of the 2026 Yala season, with a sharp shortfall in urea threatening paddy yields and food security.

Experts have warned that the fertiliser shortage will take its toll on the yala harvest.

With just over 100,000 tonnes of fertiliser in stock by early March—barely enough for paddy cultivation alone—and more than half of expected imports either cancelled or delayed, the government has moved to ration supplies through Agrarian Service Centres, based on last year’s consumption.

Leading crop scientist Professor Buddhi Marambe has warned that while rationing is unavoidable, it will reduce productivity. “Even last season we applied below recommended levels. This year, the gap will be worse,” he said.

Authorities are prioritising paddy, followed by maize and tea, as limited stocks are stretched across crops.

However, experts estimate yields could fall by 15–20% if nutrient shortages persist—raising the risk of higher food prices in the months ahead.

The crisis has been worsened by global disruptions, including Gulf conflict affecting fertiliser shipments and precautionary export restrictions by key suppliers, such as China.

Although the Government is pursuing deals with countries like Russia, supplies remain uncertain.

With global urea prices surging and production costs rising, smallholder farmers are expected to be the hardest hit.

“This is a wake-up call,” Prof. Marambe said, urging urgent steps to build buffer stocks and strengthen Sri Lanka’s long-term food security strategy.

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2025 property grab: Court orders JVP to hand back Yakkala office to FSP

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FSP's Nuwan Bopage addressing the media

By Shamindra Ferdinando

Frontline Socialist Party (FSP) spokesman Pubudu Jayagoda says the Gampaha Magistrate’s Court order that the ruling JVP hand back the FSP’s Kirindiwela office, grabbed by a group of JVP politicians on 02 September, 2025, has shown that the government cannot undermine the law.

Jayagoda said that the FSP had been compelled to move the court against the JVP as the Gampaha police refused to intervene due to political pressure. “They probably thought we were going to give up that office. Perhaps, the ruling party felt they could forcibly occupy other FSP offices,” Jayagoda said.

FSP’s Administrative Secretary Chamira Koswatta and trade unions, which operated from the Salmal Garden office, sought the court intervention to confirm the ownership of that building in the FSP. The court initially transferred the building to the police and issued a directive to law enforcement authorities to remove the JVP/NPP from that building.

Among the 20 respondents was Tilvin Silva, General Secretary of the JVP. Those now identified themselves as FSP quit the JVP in 2011 and later formed their own party.

Gampaha Additional Magistrate Shilani Perera on Monday ruled that the legitimate owner was the FSP. The Magistrate ruled that the FSPers had been forced out of that office, illegally.

Jayagoda said that the FSP considered the court ruling a victory for democracy and a devastating blow to the increasingly authoritarian JVP/NPP rule.

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