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Build the world we want: A healthy future for all

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Gongal rightly points out that climate change is a driver for emerging risks in food safety. “Its impact is more evident in food borne pathogens with low infective doses. The production of mycotoxins and bio toxins may be affected by temperature and moisture conditions. Extreme weather conditions also create stress in plants and pests. Thus, changes in plant pests are expected, leading to increasing use of pesticides. Indiscriminate use of veterinary medicines in farm animals is leading to antimicrobial resistance creating resistant pathogens.”

By SHOBHA SHUKLA – CNS

So goes the theme of this year’s (2022) Universal Health Coverage Day. Air to breathe, water to drink and food to eat are the three basic necessities to sustain life. But the poor quality of any of these can lead to unhealthy outcomes, which we are seeing in today’s world in the form of a plethora of air, water and food borne illnesses. Destruction of biodiversity by humans is also creating conditions that abet the spread of new diseases. Logging, mining, deforestation, road construction, all bring people into closer contact with animal species. Data show that an estimated 75% of the emerging infectious diseases in humans have an animal origin, triggered by viruses or bacteria.

Then again, processed or unprocessed plant-based foods like fruits, vegetables, etc., are also carriers of food borne illnesses caused by pathogens, pesticides, or harmful toxins. And let us not forget that air pollution, that is closely linked to the earth’s environment, is killing 6.7 million humans prematurely every year (due to ischaemic heart disease, stroke, chronic obstructive pulmonary disease and lung cancer).

All this points to the fact that the health of human beings is impacted by the health of animals and agricultural produce, while all three are impacted by the health of our environment. Many of us live in close proximity to animals – be they pets or farm animals- and we consume a variety of plant/animal-based foods, including seafood. No wonder, our health is bound to be affected by the microbes present in them and/or the toxins and chemicals that contaminate them.

Gyanendra Gongal, Senior Public Health Officer at The World Health Organization (WHO)’s regional office for Southeast Asia, rightly says that “There are increasing health risks from zoonotic diseases and pandemics, food safety hazards, antimicrobial resistance, and ecosystem degradation that jeopardise human, animal and environmental health and wellbeing, with lasting implications on health and food security.”

He was speaking at the online National media workshop on ‘Applying One Health Approach in Reporting on Health and Development Issues’ held recently in Bali, Indonesia, just prior to the 7th Asia Pacific Summit of Mayors (APCAT 2022 – hosted by the Asia Pacific Cities Alliance for Health and Development – APCAT along with partners).

The One Health strategy connects human, animal, plant and environment health. It is an integrated, unifying approach that aims to sustainably balance and optimize the health of people, animals and ecosystems. It recognizes that the health of humans, domestic and wild animals, plants, and the environment are closely linked and inter-dependent. It thus enables multi-sectoral and ??multidisciplinary collaborations between human health, animal husbandry, and agriculture and climate change mitigation sectors to provide effective interventions at local, sub-national, country and global level to achieve the best health outcomes for the people, plants, animals, and the environment.

Sharing his country’s response to One Health, Professor Dr Dante Saksono Harbuwono, Deputy Minister of Health of Indonesia said, “In Indonesia, the implementation of One Health Approach was strengthened by the issuance of a Presidential Instruction No.4/2019, which governs the national and sub-national institutions, including the cabinet ministers, governors, and mayors/sub-national leaders all over the country. The government has also set up the National Action Plan for Health Security for the period 2020-2024 to strengthen Communication, Coordination and Collaboration and Implementation of One Health Approach. One Health was also on the agenda of the recent G20 Summit that took place in Bali, Indonesia”.

He emphasised upon the important role of the mayors and other sub-national leaders/officials in planning for development of community health status and wellbeing.

“By strengthening communications, coordination and collaboration among human, animal and health experts we will be in a better position to put in place the preparedness, prevention, and response mechanism to deal with public health threats and crises and achieve better health resilience” he said.

While acknowledging that the risk of the animal-human interface is increasing due to environmental degradation, rapid urbanization and international travel and trade, Prof Tjandra Yoga Aditama, Senior Advisor at APCAT, was positive that all of us (humans, animals, plants, ecosystems) can coexist through the One Health approach.

Noting that “we already have the ‘One Health Joint Plan of Action’ developed by the 4 global agencies that have united to address antimicrobial resistance (these 4 agencies include: WHO, Food and Agriculture Organization of the United Nations (FAO), United Nations Environment Programme (UNEP), and World Organisation for Animal Health (WOAH).” The G20 Lombok One Health Policy Brief was recently delivered by the G20 Health Ministers, during a side event of the G20 meet held in Indonesia, he said: “These are grand concepts that must be translated into workable and implementable local policies. Local policies have significant and direct impacts on people. Media, civil society, academia, as well as the governments must work together to solve problems within the One Health Approach Framework.”

Impact of climate change

Gongal rightly points out that climate change is a driver for emerging risks in food safety. “Its impact is more evident in food borne pathogens with low infective doses. The production of mycotoxins and bio toxins may be affected by temperature and moisture conditions. Extreme weather conditions also create stress in plants and pests. Thus changes in plant pests are expected, leading to increasing use of pesticides. Indiscriminate use of veterinary medicines in farm animals is leading to antimicrobial resistance creating resistant pathogens.”

“Globalisation of food trade, changing food habits and intensification of food production is leading to the spread of human health conditions. Unhealthy agricultural practices, as well as vehicular emissions during transportation, contaminate the crops, livestock, and seafood. We need a holistic approach when we talk of from farm to fork. We cannot compromise on food safety in the name of food security”, says Gongal.

One Health approach to curb antimicrobial resistance

Adopting a One Health approach is critical to not only prevent outbreaks of zoonotic and emerging infectious diseases, but to also address other urgent environmental issues including antimicrobial resistance.

Antimicrobial resistance is a global health concern with 1.27 million deaths in 2019 directly attributed to antimicrobial resistance and it may become the leading cause of deaths globally by 2050. Antimicrobial resistance occurs when microbes like bacteria, viruses, fungi and parasites develop the ability to defeat the drugs used to kill them, thus rendering many diseases untreatable or difficult to treat. Although antimicrobial resistance occurs naturally, it is facilitated by the irresponsible and excessive use of antimicrobials in human health, food-animal production and agriculture, as well as poor waste management. As antimicrobial resistance depends greatly on the interaction between humans, animals and the environment, it is logical to adopt a One Health approach for developing appropriate inter-sectoral collaborative responses to combat antimicrobial resistance to achieve better public health outcomes.

“a healthy city is a resilient city”

“Healthy city is a resilient city,” said Dr Tara Singh Bam, Regional Director for Asia Pacific, International Union Against Tuberculosis and Lung Disease (The Union). “Along with stronger policies and effective implementation of tobacco control and disease-specific programmes for NCDs and TB, we need to transition towards One Health approach.”

The only way to prevent future epidemics and pandemics is to view human, animal, plant and environmental health as one unit, as is envisaged in the One Health concept. Then again, Global health security and universal health coverage are key to a healthier and safer world. Strengthening the health systems, empowering people and communities, providing universal access to quality health services, and implementing the “One Health” strategy through a multi-sectoral approach will help countries to realize both universal health coverage and global health security, to ‘Build the world we want: A healthy future for all’.



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Opinion

Beware of Yanks bearing gifts

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Helicopters from the US. (Pic courtesy SLAF)

The US Government has gifted 10 Bell 206, Sea Ranger Helicopters to the SLAF for Training and Humanitarian Assistance and Disaster Relief (HADR) purposes. The full specifications are as follows.

Contractor:

Bell Helicopter Textron
Date Deployed: First flight: 1961; Operational: 1968
Propulsion: One Allison 250-C20BJ turbofan engine
Length: Fuselage – 31 feet (9.44 meters); Rotors turning – 39 feet (11.9 meters)
Height: 10 feet (3.04 meters)
Rotor Diameter: 35 feet 4 inches (10.78 meters)
Weight: 1595 pounds (725kg) empty, 3200 pounds (1455 kg) maximum take-off
Airspeed: 138 miles (222 km) per hour maximum; 117 miles (188 km) per hour cruising
Ceiling: 18,900 feet (5,761 meters)
Range: 368 nautical miles (420 statute miles, 676 km)
Crew: One pilot, four students

While they are good for training, I have my serious doubts whether these helicopters are ideal for HADR. As they have only a single engine and They can’t even operate into high rise helipads in hospitals and hotels in Colombo. The law requires twin engine helicopters! What happens if there is an engine failure while operating over the sea or in a mountainous area? There will be hell to pay!

Three twin engine versions would have been better.

How many helicopter pilots does the SLAF require anyway?

Will we be stuck with junk? Like two Russian KA -26’s during the Sirimavo Government and French Aerospatiale Dauphins SLAF acquired. which were not ‘tropicalised’, during the JRJ Government.

Will the Sea Ranger Spares support be available, free of charge?

I doubt it.

There will also be other Geopolitical strings attached. There is no such thing as a free lunch.

Guwan Seeya

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Opinion

Will AI kill solar and wind energy?

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Global warming policies were expected to drive a rapid shift toward a renewables-based energy system dominated by wind and solar. While growth in these sources did occur, it has not matched the pace that was widely anticipated. In the United States, the rise of cheap and abundant shale natural gas significantly reshaped the energy mix, displacing coal and limiting the relative share of wind and solar in electricity generation. In China and India, the situation has been different.

Coal remains dominant because it is widely available domestically, while natural gas is more limited or expensive to secure at scale. As a result, coal has retained its central role in both countries’ power systems. Solar and wind always provide intermittent, variable power. It was widely assumed that a cost-effective, utility-scale electricity storage solution would emerge to solve this problem, but that has not yet happened at the scale originally expected. In the pre-AI era, solar and wind were typically integrated into power systems alongside more reliable sources such as coal, natural gas, and nuclear energy.

For example, if the sun was shining on a Monday, electricity demand could be met largely by solar power during the day. At night, coal, natural gas, or nuclear plants would supply the required electricity. If the following Tuesday was cloudy or gloomy, generation would shift back toward coal, gas, or nuclear to maintain supply. AI introduces a new and more demanding challenge. AI data centers require continuous, high-quality, always-on electricity, which solar and wind alone struggle to guarantee without large-scale storage or back-up systems. In addition, they require very large amounts of power.

As a result, the AI industry is now actively searching for new and expanded sources of reliable electricity. One of the major challenges in powering AI systems is electricity transmission. High-voltage transmission lines are expensive, slow to build, and often face regulatory and land-use constraints. As a result, some companies are exploring more localized power solutions, sometimes referred to as microgrids. These are self-contained energy systems that can operate independently from the main electricity grid. Technologies such as small modular nuclear reactors are an example of such microgrids.

In such isolated systems, the focus is on highly reliable, always available power generated close to the point of use. In this context, solar and wind are expected to play a limited role because their output is variable and depends on weather conditions, making them less suited as primary sources in fully self-contained AI-focused microgrids. The pace of AI infrastructure development is extremely rapid in both the United States and China. AI systems are widely seen as transformative technologies that promise significant new wealth creation, which is driving aggressive and sustained investment. As a result, development is moving quickly, without waiting for long-term solutions such as large-scale energy storage to mature alongside renewable energy systems.

In this environment, electricity demand is rising faster than new infrastructure can be built. In the United States, this reinforces the role of natural gas as the dominant source of reliable power. In China and India, where coal remains more established and readily available, it is likely to continue playing a central role in meeting growing demand. In India, AI data centers have not yet been built at the scale seen in the United States and China. When India does reach that stage, it will need to supply large amounts of reliable electricity. India has placed strong emphasis on solar energy in particular and has had some success in meeting the needs of ordinary consumers through renewable expansion. However, the key question is what choices will be made when large-scale AI data centers begin to arrive.

Will India rely more on coal generation, which is relatively cheap, widely available, and highly reliable, or on solar power, which is intermittent, variable, and often more expensive when reliability is taken into account? My view is that India is more likely to turn to coal to meet this demand, given its existing infrastructure and the need for dependable electricity supply. Then there is an overall question. Solar and wind were already struggling in the pre-AI days to displace coal and natural gas at the system level, despite strong expectations that they would become dominant sources of electricity. Now that AI is here and electricity demand is rising rapidly, will they push solar and wind further behind in the energy mix? (The Statesman)

(The writer is an expert on energy and contributes regularly to publications in India and overseas.)

by SUNIL SHARAN

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Opinion

An Adulation to a Titan of Humanity

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Dr. Neomal Gunaratna

Celebrating the Life and Legacy of Dr Naomal P. S. Gunaratna 10 January 1931 – 07 May 2026

When a colossus of human virtue departs this earthly theatre, the silence left in its wake is not merely the absence of sound, but a profound, resonant reverberation that echoes through the very corridors of our souls. On that most distressing 07 of May, 2026, the mortal final curtain fell upon the magnificent, multi-faceted tapestry of a life lived to its exquisite pinnacle. Dr Naomal P. S. Gunaratna, having completed a glorious earthly sojourn of ninety-five years, surrendered his gentle spirit to the infinite, leaving behind a world demonstrably poorer for his departure.

To speak of him is to speak of an absolute gem of humanity, a mortal who walked among us with the quiet majesty of a king, the tender heart of a saint, and the flawless grace of a true nobleman. He was a Consultant Paediatrician of peerless distinction. Yet for all that, well above and beyond the glittering accolades of his noble vocation, he was, in the truest and most sublime sense of the phrase, a human being par excellence.

In attempting to encapsulate the vast depth of Naomal’s character, even the richness of the English language feels frustratingly inadequate, compelling one to search for words forged in the fires of profoundest reverence. He was a grandee possessed of sterling qualities so rare in this modern transactional era that his presence felt like an exquisite anachronism; a beautiful remainder of an age when honour was a man’s sanctuary, and integrity was his unwavering Northern Star. His uniqueness did not stem from an assertive, ostentatious display of superiority. It blossomed from the quiet, luminous radiance of an authentic soul. To have been counted among his close friends is a privilege of such monumental proportions that it stands as one of the most radiant blessings of my own life. Our bond was not woven from the fragile threads of casual acquaintance, but forged in the durable crucible of mutual respect, shared ideals, and a deep, unspoken understanding of the beauty inherent in lives dedicated to the service of others.

In an age where the ethical landscape is all too often obscured by the shifting mists of compromise and moral ambivalence, Naomal stood like an unyielding granite cliff against the turbulent seas of opportunism. His rectitude was absolute, non-negotiable, and entirely independent of an audience. He did what was right, not for the fleeting warmth of public adulation, but because his internal moral compass was tuned to an otherworldly frequency. His word was a sacred covenant, an unbreakable bond that required no legal seal or written witness. In his professional life as a Consultant Paediatrician, this supreme integrity manifested as an unswerving commitment to the highest principles of Hippocratic devotion. He was a healer who could neither be bought nor swayed by the seductive allure of material gain or institutional politics. He wielded his stethoscope not as an instrument of commerce, but as a sacred conduit of compassion, bridging the divide between clinical expertise and the tender vulnerabilities of human suffering.

How can one adequately depict the soft, enveloping warmth of a heart that beats in perpetual symphony with the distress of others? Naomal’s benevolence was not a performative gesture, nor was it a duty executed with cold, clinical precision. It was an effusive, spontaneous overflow of pure, unadulterated love. It was a kindness that possessed its own unique atmosphere, a soothing gentleness that disarmed fear and banished despair. When he entered a room, the emotional temperature invariably rose, thawed by the genuine, sparkling warmth of his magnificent smile. His eyes, windows to a soul completely devoid of malice, mirrored a profound empathy that could diagnose a broken spirit as swiftly as a physical ailment.

He was brought up in his early days at De Mazenod College in Kandana, St Peter’s College Colombo, Royal College Colombo, and during the period of World War II, in Glendale College, Bandarawela. In a glittering career that followed specialisation in paediatrics, he has worked in the Government Hospital in Gampaha and Kuliyapitiya, the Department of Paediatrics of the University of Peradeniya, North Colombo Medical College in Ragama and then at the Department of Paediatrics of the University of Kelaniya. To the thousands of children who passed through his healing hands across the decades, he was not merely a doctor in a sterile white coat; he was a grand, benevolent guardian angel, a comforting presence whose very touch possessed an alchemy that turned terror into tranquillity and tears into triumphant laughter. To scores of his students, he was a father figure, a mentor and a brilliant teacher. In the years gone by, he was the President of the Sri Lanka Paediatric Association, which is now the Sri Lanka College of Paediatricians, President of the Vaccines and Infectious Diseases Forum of Sri Lanka and a much-valued Council Member of the Independent Medical Practitioners Association (IMPA). The unblemished finesse that he exhibited in these positions is indeed an abiding lesson to all and sundry.

As a Consultant Paediatrician, Naomal’s brilliance was legendary, a beacon of excellence that illuminated the medical fraternity. Yet, his profound intellect was beautifully balanced by an equal measure of humility. He possessed the rare ability to untangle the most knotty, complex medical conundrums with a swift, intuitive diagnostic precision, all while maintaining a bedside manner that was as gentle as a summer breeze. He understood, with a depth that bypassed mere textbook knowledge, that a sick child is a fragile ecosystem, intertwined with the agonising anxieties of distraught parents. Consequently, his consultations were masterclasses in holistic healing. He did not merely treat a disease; he cradled a family. He would spend hours patiently explaining clinical intricacies to frightened mothers, his voice a calm, reassuring anchor in the midst of their emotional storms. He treated the children of royalty and the children of peasants, with the same meticulous care, the same overflowing affection, and the same absolute dedication, recognising the identical, priceless spark of divinity within each innocent soul.

A personal anecdote goes to show the most admirable and true spirit of the man. I did not know Naomal from Adam till 1990. In January of 1990, following my tenure of office in General Hospital Badulla, General Hospital Ratnapura and General Hospital Kurunegala, I was posted as the Consultant Paediatrician to Kalubowila Hospital by the Ministry of Health. Both Naomal and I did our Private Consultations at Asiri Medical Hospital. We worked on the same floor and became really close friends. He had loads of patients, while I had extremely few, as I was totally unknown. Most of the time, I was seated in my Consulting Room, twiddling my thumbs and waiting for some tangible work with children.

Then one day, Naomal came to my room and said that he needed to go abroad for an extended period of about six to eight months and asked me whether I could look after his patients. I was very happy to do it as at that time, as it was like ‘manna from heaven’ for me. So, it went on, I looked after his little patients, and I was financially the richer for it.

Then, when Naomal came back after all those months, I told all his patients that I was only covering up his work and that they should go back to him. However, some of them wanted to stay with me. I told them that the only way in which I would continue to look after their children was for them to get a note to that effect from Dr Naomal Gunaratna. I was quite sure that it would not come to pass that way. They went to him and told him what I said, and Naomal, most nonchalantly, graciously and with the greatest pleasure, issued a little note to each of them in which he had written “My dear BJC, please be kind enough to take over the care of this child“. Need I say more? What a man? What a fantastic person who showed by his quiet deeds that his values transcended petty considerations and monetary reflections?

The longevity of ninety-five years is a milestone granted only to a few. For Naomal, these nine decades plus were not merely a passive accumulation of days but a grand, purposeful march through time. He aged with an unparalleled, majestic dignity, his wisdom deepening like a fine vintage, while his youthful enthusiasm for life remained entirely unextinguished by the passing years. Even as his physical frame grew frail under the inevitable weight of time, his mind remained a brilliant, caerulean laboratory of thought, and his spirit retained its effervescent, childlike joy. He never allowed the cynicism of an evolving world to pollute the pristine waters of his optimism. To sit with him in his twilight years was to drink from a fountain of pure, unvarnished wisdom. He looked back upon his long journey not with the wistful regrets of a man mourning, but with the serene, tranquil satisfaction of an accomplished master craftsman who looks upon a masterpiece and knows he has given it his all, in the finest sense of the phrase.

We must also celebrate the quiet, understated grandeur of his private universe. Naomal was a man of exquisite tastes, an intellectual who found solace in the harmony of great literature, the majesty of classical arts, and the quiet contemplation of nature’s wonders. Yet, his greatest joy was found in the warmth of human connections. He was a loyal, fiercely protective friend, a steadfast pillar of strength upon whom one could lean with absolute confidence, even during life’s most turbulent seasons. In an era dominated by superficial relationships and digital illusions, his friendship was a solid, tangible sanctuary. His conversations were never trivial; they were rich and multi-layered tapestries woven with historical anecdotes, medical philosophies, gentle humour, and profound spiritual insights. To converse with him was to be elevated, and to be challenged to think more deeply, love more expansively, and live more honourably.

On that day of his departure from this mortal world, the world lost an exceptional treasure. The medical profession lost one of its most venerable elder statesmen, humanity lost an exemplary ambassador, and I lost a cherished brother of the heart. The grief we feel is heavy, a dark and suffocating shroud that threatens to overwhelm us. Yet, as we stand in the shadow of this monumental loss, we must not weep as those who have no hope. Naomal’s demise is not an absolute end but a glorious transition. It is the triumphant homecoming of a soul that has magnificently fulfilled its earthly mandate. The physical vessel which carried his inner being may return to the dust from which it came, but the essence of who he was, the kindness he disseminated, the lives he saved, the love he kindled, and the pristine integrity he modelled remain forever immortalised in the fabric of our realities.

He has crossed the ultimate horizon, entering that everlasting realm where pain is obsolete, and peace reigns eternal. We can almost see him now, walking through fields of everlasting light, his countenance radiant, his step light and free, greeted by a chorus of godly beings and even the grateful souls of the children he mended but who preceded him into eternity. The man has fought the good fight, he has finished the race, he has kept the faith with absolute, unyielding fidelity. His life was a beautiful, symphonic ensemble dedicated to the upliftment of humans, and its final stanza, though hushed in death, is an abiding opus which leaves an eternal melody playing in our hearts.

Farewell, my dearly beloved friend; goodbye, Dr Naomal P. S. Gunaratna. You were an absolute gem of a person, a human being par excellence, and a star that burned with a brilliant, comforting light in our earthly sky. Though you have gone away from our sight, your luminescence will continue to guide our steps through the gathering shadows until that glorious dawn when we shall meet again on the farther shore.

May your most beautiful, noble soul rest in eternal, serene, and uninterrupted peace. May you attain eternal bliss!

I conclude with the immortal words, as depicted by the great bard William Shakespeare in Julius Caesar (Act V, Scene 5) “His life was gentle, and the elements so mixed in him that nature might stand up and say to all the world, This was a man.”

By Dr B. J. C. Perera
Specialist Consultant Paediatrician

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