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Climate Change Karma: Who is to be blamed?

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BY Amarasiri de Silva
(Emeritus Professor,
University of Peradeniya)

We Sri Lankans are facing a spate of karma in climate change, and its consequences are not due to our faults but because of those committed by developed countries. Those developed countries exploit natural resources such as fossil fuels, gases, oil, and coal, in excess. Burning fossil fuels for energy production releases carbon dioxide, methane, fluorinated gases, and nitrous oxide into the atmosphere. These major greenhouse gases (GHG) contribute to trapping heat in Earth’s atmosphere. GHG allows sunlight but traps heat radiating from the Earth’s surface. This process, though natural and necessary as it makes the climate of Earth habitable, has been exaggerated through excessive greenhouse gas emissions from human activities, particularly the combustion of fossil fuels. The heightened concentration of greenhouse gases, especially the much-emitted ones from burning fossil, relates directly to the rise in global average temperatures that result in changes in climate through increased heat waves, melting of glaciers, rising sea levels leading to flooding, and strong storms.

Approximately 15 billion tons of fossil fuels are extracted annually worldwide; this includes coal, oil, and natural gas by the developed world in general. This comes to an average of about 41 million tons per day. Oil alone accounts for around 93 million barrels per day, and there are large additional volumes of natural gas and coal. The United States is among the largest extractors of fossil fuels worldwide. It is responsible for approximately 16% of total world production from fossil fuels and is the second largest producer, next to China. Fossil fuel extraction, refining, and combustion account for approximately 73% of all GHG emissions. For 2023, US energy use from fossil fuels was estimated at 79 quadrillion BTUs. These increased use of fossil fuels led to global warming. It has been recorded that global average surface temperatures have risen by about 1.1°C (2°F) since the late 19th century, while most of this warming occurred during the past 50 years.

China and Russia are major contributors to the global production of fossil fuels. China is the largest global producer and consumer of coal, accounting for about 47% of global coal production. Another major contributor is Russia, accounting for about 17% of global natural gas and 12% of global oil production. These two countries are the major contributors in the global energy landscape, and their production level contributes much to worldwide carbon emissions.

The most recent climate summit was held in Baku, Azerbaijan, which became a rich country due to fossil fuel extraction. Comparatively speaking, Azerbaijan accounts for around six or five percent of the global generation vis-à-vis key and major producers like the US, China, and Russia. But Azerbaijan is set to expand its production of natural gas massively. Currently, Azerbaijan produces about 37 billion cubic meters (bcm) of gas a year; this is scheduled to rise to 49 bcm by 2033, which means a more than 32-percent increase. During the next ten years, the total gas extraction in Azerbaijan will reach 411 bcm and significantly contribute to global greenhouse gas emissions, equivalent to about 781 million metric tons of CO₂. While these facts are actual and megalithic, the contribution of South Asian countries towards the extraction of fossil fuel is nil or not at all.

The sub-region of South Asia that contributes a small percentage to the total amount of global fuel extraction includes countries such as India, Pakistan, Bangladesh, and Sri Lanka. India is the central extractor in this region, followed by coal, which is considered a way to prevent energy shortages in the economic hubs of this country. The other countries of this sub-region extract a negligible share, and these countries are highly dependent on heavy imports to meet their ever-increasing energy needs. While exact percentages for the whole region’s contribution to the global extraction of fossil fuels are not available, the overall extraction of the area is minor compared to major producers like the USA, China, and Russia.

The region’s energy mix is dominated by fossil fuels and coal being an integral part of electricity generation. Moving away from fossil fuels is problematic for these economies, which face high energy demands, economic constraints, and limited funding for renewable energy development. These dynamics illustrate the global disparities in responsibility and action on climate change, as South Asia contributes very little to global fossil fuel extraction but bears enormous consequences of climate change.

Historically, developed nations, acting in concert with large extractors like China, Russia, and the United States, have been the primary contributors to greenhouse gas emissions through industrialisation, excessive fossil fuel consumption, and large-scale resource extraction. These activities have given rise to the current global warming crisis, rising sea levels, and extreme weather events, all impacting the Global South far more disproportionately than the developed world. The concept of karma in this context raises moral questions about whether this suffering is a consequence of past actions of individual countries in South Asia or a reflection of ongoing global inequalities in wealth and power.

Countries with geographical vulnerabilities, limited resources to adapt, and a minimal historical contribution to global emissions, such as Sri Lanka in South Asia, bear the brunt of these consequences. As the cases, there could be coastal flooding, stronger-than-normal monsoons, or cyclones that engender the consequences of economic losses, dislocations, or a risk to food security. While emitting negligible quantities, such countries have to bear all these financial and sociocultural costs of climatic alteration created by the carbon-based course of growth of more industrialized economies.

This inequality creates a climate justice concern. Treaties such as the Paris Accord use words like “common but differentiated responsibilities,” insinuating that countries that are more to blame for historical emissions [should] bear the brunt of mitigation and adaptation burdens. In practice, developing nations still consider many of these responsibilities to be short of satisfactory. The calls keep on coming for reparations, more financial aid, and technology transfers. And that, still, needs to go a whole lot faster”.

The “sins” of developed nations in driving climate change have made things particularly difficult for countries like Sri Lanka, calling for urgent international collaboration and accountability to address these inequities. As Naomi Klein, a prominent Canadian political and climate activist and writer says, “All of this is why any attempt to rise to the climate challenge will be fruitless unless it is understood as part of a much broader battle of worldviews, a process of rebuilding and reinventing the very idea of the collective, the communal, the commons, and the civil after so many decades of attack and neglect.” Klein’s overarching argument is that climate change isn’t purely an environmental crisis but more of a crisis in how society is organised. This calls for climate justice. As Klein puts it, the problems we solely have with our environment cannot and will not be fixed until we view them as justice issues and accept that it is time for us to rebuild. “Global capitalism has made the depletion of resources so rapid, convenient, and barrier-free that “earth-human systems” are becoming dangerously unstable in response.” According to Klein, real progress on such matters in developing countries like Sri Lanka, which faces disproportionate effects of climate change, can only be achieved by examining the underlying mindset of resource exploitation in developed countries.

Ingrained economic systems that prize profit over sustainability need reimagining in value to protect the environment and equity in resource use. For a country like Sri Lanka, issues related to climate change are multidimensional, from increased sea levels to frequent natural disasters, which would call for an integrated but transformational response. This movement needs to reposition the outlook worldwide, mainly for developed countries, de-link resources from profit-making motives like fracking, and focus on resilience, sustainability, and justice for vulnerable communities.

I found most pivotal to Klein’s argument to be, “So climate change does not need some shiny new movement that will magically succeed where others failed. Rather, as the farthest-reaching crisis created by the extractivist worldview and one that puts humanity on a firm deadline, climate change can be the grand push that will bring together all of these still-living movements. A river running from innumerable streams, collecting from their combination at last to the sea.” The passage includes a central argumentative idea- joining all the social justice movements under the key broadened factor of the struggle with climate change. She believes that the only way to address climate change and enact real difference effectively is not by having a multitude of isolated single-issue activist groups but rather by a broad yet unified association capable of fighting all the interconnected issues brought forth by climate change, such as environmental health, social and socioeconomic inequality, and systemic oppression. Klein argues that since climate change is the product of an extractive mentality, real progress can only occur through profound changes in our values and economic systems. Since all the issues concerning climate change are linked, this movement is the only practical way of fighting back, which shall change how the world looks at the world, separating resources from profit. We have to act fast as Southern countries to get the developed nations to adopt a more responsible mindset towards climate change.

We must unite together in some coalition and demand accountability and just compensation for the damages that we go through, such as the floods and cyclones, among other disasters caused mainly by irresponsible fracking, coal mining, and fossil fuel dependence on the developed nations. The United Nations should unite the Southern nations and form a strong international organisation to advocate for climate justice and just reparations. Together, we can ask for systemic changes that will benefit the well-being of our populations and ensure equitable global progress. In this respect, what is achieved by the Sri Lankan representatives attended the Baku conference is unknown.

A key passage from Patel and Moore’s -A History of the World in Seven Cheap Things- reveals that “World ecology has emerged in the past several years as a framework to think through human history within the web of life. Rather than start with a notion of human separation from the web of life, we ask: How do humans have power and violence and the work and inequality in which they are organised? Capitalism is not just part of ecology but is an ecology-a set of relationships integrating power, capital, and nature.” This quote shows the gravity of Patel and Moore’s argument because it frames capitalism as a complex and integrated system exploiting people and the environment. A “world-ecology” framing of capitalism places capitalism within the social and ecological. It illustrates that environmental and social injustices are intertwined. Such an understanding of capitalism would, therefore, mean that global environmental justice will be realised only when consideration is taken of the role of capitalism in forming these exploitative structures of power that take advantage of people and the Earth. By placing capitalism in the “web of life,” Patel and Moore argue for a unified response targeting the roots of ecological and social inequality- a more holistic approach than traditional environmentalism in and of itself, which only attacks one aspect of capitalism. This form of activism, they say, is called for in the quest for justice in times of global crisis.

Patel and Moore do not see the current system as broken but rather fundamentally flawed to the point where its removal, rather than traditional activism, is needed. They refer to the current period as the “Capitalocene” to emphasise capitalism’s leading role in driving environmental destruction, which suggests that simple reforms are insufficient to stop climate injustice. The idea of world-ecology allows us to see how the modern world’s violent and exploitative relationships are rooted in five centuries of capitalism.” To Naomi Klein, dystopia is a catastrophic state of the world created by unregulated climate change, abetted by an economic system that values profit and growth more than ecological and social well-being. Underpinning this is the global reliance on fossil fuels and extractive industries impelled by a neoliberal economic framework resistant to systemic change. She believes this accelerates environmental collapse and entrenches inequality in nations whose corporations continue their exploitation while less developed countries like Sri Lanka bear dire outcomes such as heavy floods, and extended droughts. There is nothing inevitable about Klein’s dystopia; it’s a call to action. Suppose humanity were to address the root causes of climate change and begin making systemic changes, such as transitioning to renewable energy, adopting sustainable practices, and engaging in collective action. In that case, she thinks it will be able to avoid further decline and build a just and sustainable future. (To be continued)



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Are we witnessing end of globalisation? What’s at stake for Sri Lanka?

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Globalisation can be understood as relations between countries, and it fosters a greater relationship between countries that involve the movement of goods, services, information, technology, money, and human beings between countries. These relationships transcend economic, cultural, political, and social contexts.

Globalisation in the modern world today is a significant shift from the past. Globalisation in the modern world today is a state in which the world becomes interconnected and interdependent. This change occurs due to better technology, transport, communication, and foreign trade.

Trade routes have joined areas for centuries. The Silk Road and colonial sea trade routes are the best examples. But today, nobody can match the speed and scope of globalization.

Globalisation began to modernise after World War II. During this time, countries came to understand that they had to work together. They wanted to have economic cooperation and peace so that they would not fight any more. These significant institutions united countries for political and economic purposes and advantages. They allow free movement of products, services, and capital between countries. It encourages cooperation all over the world.

The second half of the 20th century saw fabulous technological advances. These advances sped up globalisation. The internet changed everything. It changed the way people communicate, share information, and do business. Traveling became faster and more efficient. Products and humans travel from one continent to another in record time. Companies can now do business globally. They outsource jobs, get access to global markets, and use global supply chains. This was the dawn of multinational firms and a global economy.

Flow of information is one of the characteristic features of the current age of globalisation. The internet allows news, ideas, and culture to be shared in real-time. Societies are experiencing unprecedented cultural interconnectedness. This has led to controversy over cultural sameness and dissimilation of local cultures. For example, the same is observed within countries too. In countries such as Sri Lanka the language differences between districts have become a non-issue, and the western province’s language has paved the way for others to emulate. Globalisation has allowed millions of individuals to lift themselves out of poverty, especially in Asia and Latin America. It does this by creating new employment opportunities and expanding markets. It has also increased economic inequalities, though. Wealth flows to those who possess technology and capital. Poor workers and communities are unable to compete regionally or internationally. Some countries have seen political backlash. In these countries, some people feel left behind by the benefits of globalisation.

Modern globalisation has a lot to do with environmental concerns. More production, transportation, and consumption have destroyed the planet. These are pollution, deforestation, and climate change. Global issues need global solutions. That is why international cooperation is essential in solving environmental problems. The Paris Climate Agreement is one such international effort to cooperate. There are constant debates regarding justice and responsibility between poor and rich countries.

Modern-day globalisation deeply influences our daily lives in many ways. It has opened up possibilities for economic growth, innovation, and cultural exchange. However, it also carries with it dire consequences like inequality, environmental destruction, and displacement of culture. The future of globalisation will be determined by the way we handle its impact. We have to see to it that its benefits are distributed evenly across all societies.

Tariffs are globalising-era import taxes. Governments levy them to protect domestic firms from foreign competition. But employed ruthlessly and as retaliation like today, and they can trigger trade wars. Such battles, especially between big economies such as the U.S. and China, can skew trade. They can destabilise markets and challenge the new era of globalisation. Tariff wars will slow or shift globalisation but won’t bury it.

Globalisation is not just a product of dismantling trade barriers. It is the product of enormous forces like technology, communications, and economic integration in markets across the globe. Tariffs can limit trade between countries or markets. They cannot undo the fact that most economies in the world today are interdependent. Firms, consumers, and governments depend on coordination across borders. They collaborate on energy, finance, manufacturing, and information technologies.

However, the effects of tariff wars should not be downplayed. Excessive tariffs among dominant nations compromise international supply chains. This also raises the cost for consumers and creates uncertainty for investors. The 2018 U.S.–China trade war created billions of dollars’ worth of tariffs. It also lowered the two countries’ trade. Industries such as agriculture, electronics, and automotive manufacturing lost money. These wars can harm international trade confidence. They also discourage higher economic integration.

There are some nations that are facing challenges. They are, therefore, diversifying trade blocs. Others are creating domestic industries. Some are also shifting to regional economic blocks. This may result in more fragmented globalisation. Global supply chains can become short and local. The COVID-19 pandemic and tariff tensions forced countries to re-examine the use of foreign suppliers. They began to stress self-sufficiency in vital sectors. These are medicine, technology, and food production.

Despite these trends, globalisation is not robust. The global economy can withstand crises. It does so due to innovation, new trade relations, and digitalisation. E-commerce, teleworking, and online communication link people and businesses across the globe. Sometimes these links are even stronger than before. Countries need to come together in order to combat challenges like climate change, pandemics, and cybersecurity. This is happening even as economic tensions rise.

Tariff wars can disrupt trade and create tensions.

However, they will not be likely to end globalisation, but instead, they reshape it. They might change its structure, create new partnerships, and help countries find a balance between openness and security. The globalization forces are strong and complex. They can be slowed down or reorganized, but not readily undone. The future of globalisation will depend on how countries strike their economic interests. They must also recognise their interdependence on each other in our globalised world. The world economy has a tendency to change during crises.

It does this through innovating, policy reform, building strong institutions, and changing economic behavior. But they also stimulate innovative and pragmatic responses by governments, companies, and citizens. The world economy has shown that it can heal, change, and change after crises like financial downturns, pandemics, and geo-political conflicts. One of the more notable examples of economic adjustment occurred in the 2008 global financial crisis. The crisis started when the housing market in the U.S. collapsed. The big banks collapsed, and then the effects spilled over to the world. This led to recessions, very high unemployment levels, and a drop in consumer confidence. In response, central banks like the U.S. Federal Reserve and the European Central Bank acted very quickly. They cut interest rates to near zero. They also started large-scale quantitative easing. Governments spent stimulus money in their economies. They assisted in bailing out banks and introduced tax-tight financial regulations. These actions stabilised markets and ultimately restored economic growth. The crisis also led to new financial watchdog mechanisms. One example is the Financial Stability Board, which has the objective of avoiding such collapses in the future. The COVID-19 pandemic created a unique crisis.

It reached health systems and economies globally. In 2020, the world suddenly stopped. Lockdowns and supply chain disruptions followed. This led to a sharp fall in GDP in almost all countries. Sri Lanka experienced it acutely. However, the world economy has adapted at a breathtaking speed. Remote work and online shopping flourished, driven by digital technology. Firms transitioned to new formats like contactless offerings, delivery platforms, and remote platforms. Governments rolled out massive stimulus packages to businesses and employees. Central banks infused liquidity to support financial systems. International cooperation on vaccine development and distribution also helped accelerate economic recovery. By 2021 and 2022, various economies were quicker to recover than expected, though unevenly by region. Another outstanding one is the manner in which economies adapted to geostrategic struggles:

The war of 2022 between Ukraine and Russia ravaged across world markets of food and energy, with special impact on Europe and the Global South.

European nations moved swiftly to abandon Russian natural gas. European nations also looked around for other sources of energy and increased usage of renewables. While shock caused inflation as well as supply shortages to a peak first, markets began to shift ultimately. And world grain markets looked elsewhere and established new channels of commerce. Such changes show the ways that economies can change under stress, even if ancient structures are upended. Climate change is demanding long-term change in the world economy.

The climate crisis isn’t a sudden crisis, like war or pandemic. But it’s pushing nations and businesses to make big changes. Green technologies are on the rise. Electric vehicles, solar and wind power, and carbon capture are the best examples. These technologies are indicative of how economies address environment crises. Financial institutions and banks are now embracing sustainable investing guidelines. Countries are uniting in a low-carbon future under the terms of the Paris Climate Accord. Technology is leading economic resilience.

The digital economy is going stratospheric—AI, cloud computing, and e-commerce are the jetpack! These technologies enable companies to be agile and resilient. Consider the pandemic and the financial crisis, for instance. Technology businesses did not just survive; they flew like eagles. They gave us remote work tools, digital payments, and virtual conversations, allowing us to stay connected when it was most important. These innovations have irreversibly shifted the terrain of worldwide business and work. The global economy’s history is marked by crises and its capacity to adapt and transform in response. The global economy proves strong during financial crises, pandemics, conflicts, and climate issues. Resilience shines through innovation, teamwork, and strategic adjustments. Though challenges linger and vulnerabilities remain, we’re not without hope.

Learning from crises helps us fortify and adapt our systems. This adaptability signals a promising evolution for the global economy amid future uncertainties.

The current trade war, especially between the United States and China, is reshaping globalization. It may lead to a new form of it. These tensions do not terminate globalization. Instead, they push it to evolve into a more complex and regional form. The new model includes economic factors. It also includes political, technological, and security factors. This leads to a world that remains interconnected but in more cautious, selective, and fragmented ways.

Trade wars tend to begin when countries want to protect their industries.

They might want to lower trade deficits. They also respond to unfairness, including intellectual property theft or state subsidies. The ongoing trade war between China and the U.S. has seen massive tariffs, export quotas, and increasing geopolitical tensions. This is a sharp departure from the post-Cold War era, which saw more free and open trade. Now, companies and governments prepare for everything. Safety and national interests are their concerns. This change is reflective of a trend that some experts call “de-risking” or “strategic decoupling.” One of the most obvious signs of this new course is the reorganization of global supply chains.

Many global companies want to diversify away from relying on one country. They especially want to decouple from China for manufacturing and raw materials. They diversify production by investing in different regions. It is called “China plus one.” It means relocating operations to locations like Vietnam, India, and Mexico. This relocation takes global supply chains from centralized to more regionalized and redundant networks. These networks prepare for future shocks. Moreover, technology and digital infrastructure have an increasing role in this new globalization.

Trade tensions are an indication of the strategic value of semiconductors, telecommunications, and artificial intelligence. Nations are realizing that technology is a national security issue. Therefore, they have invested in their local capabilities and restricted foreign technologies’ access. The U.S., for example, has put export restrictions on high-end microchips and blocked some Chinese technology companies from accessing its market. China and other nations have increased efforts in developing independent ecosystems for technologies. This has given rise to parallel technology realms. This could result in a “bifurcated” global economy with different standards and systems. The current trade war is also strengthening the advent of regional trading blocs.

Global trade agencies like the World Trade Organization are getting weakened. This is owing to the fact that the world’s major nations are competing with one another. Hence, the nations are currently opting for regional agreements to develop economic cooperation. Discuss the Comprehensive and Progressive Agreement for Trans-Pacific Partnership (CPTPP) and the Regional Comprehensive Economic Partnership (RCEP) in Asia. And let’s not forget the United States–Mexico–Canada Agreement (USMCA). Collectively, these agreements represent a new era of globalization. It’s no longer a free-for-all; rather, it’s a strategic web spun with trusted partners and regional ambitions resulting in ‘islands’ or ‘regions’ of globalization. The new model of globalization creates greater independence and security for some but presents issues.

The countries that previously prospered from the exportation of goods and involvement in the global market may face greater challenges. As protectionism rises and competition becomes greater, customers may pay more. Economic inefficiencies are a likely reason. Additionally, the disintegration of international institutions may stop countries from agreeing on important issues. Problems like global warming, pandemics, and economic downturns can become harder to resolve. The current trade war will not end globalization, but it is reshaping it. We see a new type of globalization that is fragmented, regional, and strategic in character. Countries are still interdependent, but such economic dependency is underpinned by trust, security, and competition. Globalization is changing, so we must balance these changes with the imperatives of cooperation in our globalized world.

New types of globalization include regional trade blocs, reshaping supply chains, tech decoupling, and growing geopolitical tensions.

For Sri Lanka, the changes have far-reaching consequences.

Being a small nation strategically located, Sri Lanka relies on trade, tourism, and foreign investment. Globalization is, however, more fragmented and politicized and security-oriented. This offers opportunities and challenges for Sri Lanka. To survive, the country must reform its economic policies. It must diversify relationships and maneuver the rival interests of global powers with caution.

One of the most immediate effects of the new globalization is realigning global supply chains.

Multinationals want to wean themselves from China. They want to shift production elsewhere. Sri Lanka can be a new hub for light manufacturing, logistics, and services. Being located on key shipping routes in the Indian Ocean means that it is a vital node in global ocean trade. Sri Lanka can lure more foreign investment by improving its infrastructure, bolstering digital strength, and upgrading the regulations. This would help firms to open up business. This would create employment as well as improve export-led growth. But the shift towards regionalism in global trade also poses danger.

The rest of the countries outside these alignments might be left out as major economies create closed trading blocs. Examples include the Regional Comprehensive Economic Partnership (RCEP) and bilateral agreements like the Indo-Pacific Economic Framework. Sri Lanka is not part of most of the world’s biggest trade blocs, limiting its access to large markets and preferential trade conditions. Exclusion could make exports less competitive. It could also reduce the nation’s appeal as an international production base. To fulfill this, Sri Lanka must pursue trade agreements with regional powers like India and ASEAN nations in order to keep up with shifting trade networks. One key feature of the new era of globalization is a focus on ‘technological sovereignty’.

This includes the rise of alternative digital ecosystems, especially between China and the US. Sri Lanka must manage the tech divide wisely. Countries are closing doors to other people’s technologies and creating their own networks. Cyber security, digital infrastructure, and data governance require investments. Sri Lanka also needs to balance embracing new technology while preserving its digital sovereignty. Dependence on technology from a single country could yield dangers, as digital tools will be the main movers in the realms of governance, finance, and communication. Geopolitical competition, especially in the Indo-Pacific, also affects Sri Lanka’s economic and strategic location.

The island’s location has drawn China and India and Western nations. China’s involvement in Sri Lankan infrastructure projects, such as the Hambantota Port and the Colombo Port City, has yielded economic advantage as well as concerns regarding debt dependence and strategic control. Meanwhile, India and its allies have expressed interest in balancing Chinese power in the region. This is a sensitive balance that Sri Lanka has to exercise strategic diplomacy to reap foreign investment without being entangled in great power rivalry or compromising sovereignty. In addition, economic resilience in the face of global shocks—such as the COVID-19 pandemic, energy shocks, and food crises—has emerged as a top priority in the new era of globalization.

The recent economic slump in Sri Lanka, marked by a sovereign default, foreign exchange crises, and inflation, underscored the country’s vulnerability to global shocks. These events underscore the need for greater economic diversification, sound fiscal management, and long-term development. Sri Lanka must build stronger domestic industries, shift to clean energies, and transform regional supply systems that are less vulnerable to shocks from the outside. Generally speaking, therefore, the new patterns of globalization present Sri Lanka with a risk-laden world of possibility too.

While transforming global patterns of trade and investments creates new doors to economic growth, it steers the country towards more aggressive competition, geopolitical tensions, and internal vulnerabilities. To thrive in this fast-evolving world, Sri Lanka must adopt an assertive strategy of regional integration, technological resilience, strategic diplomacy, and inclusive economic reform. On the way, it can transform foreign uncertainty into a platform for sustainable and sovereign development.

by Professor Amarasiri de Silva

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Fever in children

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by Dr B.J.C.Perera 
MBBS(Cey), DCH(Cey),
DCH(Eng), MD(Paed), MRCP(UK), FRCP(Edin), FRCP(Lond), FRCPCH(UK),
FSLCPaed, FCCP, Hony. FRCPCH(UK), Hony. FCGP(SL)
 

Specialist Consultant Paediatrician and Honorary Senior Fellow, Postgraduate Institute of Medicine, University of Colombo, Sri Lanka.
Joint Editor, Sri Lanka Journal of Child Health Section Editor, Ceylon Medical Journal

Fever is a common symptom of a variety of diseases in children. At the outset, it is very important to clearly understand that it is only a symptom and not a disease in its own right. When the body temperature is elevated above the normal level of around 98.6 degrees Fahrenheit (F) or 37 degrees Celsius (C), the condition is referred to as fever. It is a significant accompanying symptom of a plethora of childhood diseases. All children would get a fever at some time or another in their lives, and in the vast majority of cases, this is due to rather mild illnesses, and they are completely back to normal within a few days. Some may have a rather low-grade fever, while others may have quite a high fever. However, in certain situations, fever may be an important indication of an underlying serious problem. The significance depends entirely on the circumstances under which this occurrence is seen.

 Irrespective of the actual underlying reason for the fever, the basic mechanism of causation of fever is the temporary resetting of the temperature-regulating thermostat of the brain to a higher level. The consequences are that the heat generated within the body is not effectively dissipated. It is merely a body response to a harmful agent and is a very important defence mechanism. Turning up the core temperature is the body’s way of fighting the germs that cause infections and making the body a less comfortable place for them. However, less commonly, it is also a manifestation of other inflammatory disorders in children. The significance of fever in such situations is a little bit different to that which is seen as a response to an infection.

The part of the human brain that controls body temperature is not fully developed in young children. This means that a child’s temperature may rise and fall very quickly and the child is also more sensitive to the temperature of his or her surroundings. Although parents often worry and get terribly scared with the child developing fever, it does not cause any harm by itself. It is a good thing in the sense that it is often the body’s way of fighting off infection.

It is quite important to note that the actual level of the temperature is not always a good guide to how ill the child is. A simple cold or other viral infection can sometimes cause a high fever in the region of 102 to 104 degrees Fahrenheit or 39 to 40 degrees Celsius. However, this does not always indicate a serious problem. It is also true to say that some more sinister infections could sometimes cause a much lower rise in the body temperature. Because fevers may rise and fall, a child with a fever might experience chills and shivering as the body tries to generate additional heat as the body temperature begins to rise. This may be followed by sweating as the body releases extra heat when the temperature starts to drop. Children with fever often breathe faster than usual and generally have a higher heart rate. However, fever accompanied by obvious difficulties in breathing, especially if the breathing problems persist even at times the temperature is normal is of significance and requires urgent medical evaluation of the situation. Generally, in the case of children, the way they act is far more important than the reading on the thermometer, and most of the time, the exact level of a child’s temperature is not particularly important, unless it is persistently very high.

Although many fevers need just simple remedies, under certain conditions the symptom of fever needs rather urgent medical attention. This is the case in babies younger than three months. Same is true even in a bigger child if the fever is accompanied by uncontrollable crying or pain in the neck with a severe headache. Marked coughing and or difficulty in breathing coupled with fever needs to be medically sorted out. Fever combined with pain and difficulty in passing urine, significant tummy pains or marked vomiting and diarrhoea too would need medical attention. Reddish rashes and bluish spots on the skin with fever also need to be seen by a doctor. The illness is probably not serious if a child with a history of fever is still interested in playing, is eating and drinking well, is alert and smiling, has a normal skin colour and looks well when his or her temperature comes down. However, even with rather low levels of fever, under certain conditions, medical attention should be sought. In situations such as when the child seems to be too ill to eat and drink, has persistent vomiting or diarrhoea, has signs of dehydration, has specific complaints like a sore throat or an earache or when fever is complicated by some other chronic illness, it is prudent for him or her to be seen by a qualified doctor.

One could take several steps to bring down a fever. It is very useful to remove most of the clothes and keep under a fan to facilitate heat loss from the body. If there is no fan available, one could try fanning with a newspaper. A very effective way of bringing down a temperature is to sponge the body with a towel soaked in water. The water must be at room temperature or a bit higher. One should not use ice or iced water on the body. Ice will lead to contraction of the blood vessels of the skin and the purpose would be lost as more heat will be conserved within the body. There is no evidence that ice on the head helps to bring down the fever or to prevent a convulsion. If a medicine is to be used, paracetamol is probably as good as any other drug, but the correct dosage according to the instructions on the container should be used for optimal benefit. The best way of calculating the appropriate dose is by using the body weight. It is very important to stress that aspirin and aspirin-containing medications should not be used in children, merely to bring down a fever.

A child with fever loses a considerable amount of fluid from the body, particularly due to sweating. It is beneficial to ensure that the child drinks plenty of fluids. A good index of the adequacy of fluid intake is the passing of normal amounts of urine. A reduced solid food intake would not matter that much just for a couple of days of fever, but in prolonged fevers adequate nutrition too becomes quite important. A child with a high temperature also needs rest and sleep. They do not have to be in bed all day if they feel like playing, but they must have the opportunity to lie down. Sick children are often tired and bad-tempered. They sleep a lot, and when they are awake, they want their parents around all the time. Perhaps it is quite useful to spoil them a little bit when they are ill and to read to them, play with them or just spend time with them. It is best to keep a child with a fever home and not send him or her to school or child care. Most doctors would agree that in simple fevers, it is quite satisfactory for the child to return to school or child care when the temperature has been normal for over 24 hours.

Trying to get the temperature down would make the child more comfortable. However, it is not essential to get it down to normal and to keep it there scrupulously. Parents often worry that either the fever simply refuses to abate or springs up again after a couple of hours. It must be realised that certain fevers have to run their course and will not come down to normal in a hurry, despite whatever measures that are undertaken. This is particularly true of viral fevers. Some parents are terribly worried at the slightest elevation of the temperature and go running to doctors looking for a “magic cure” for the fever. Many fevers do not need urgent medical attention and one could watch it for a few days and see how it progresses. Yet for all that, if there are some worrying signs then it is advisable to seek advice from a qualified doctor.

It is a familiar occurrence that many people believe that a high fever is quite dangerous. Fever by itself has no major long-lasting effects. If one appreciates that high fever is just a symptom and that it is only a reaction of the body to something untoward going on, then it is easy to consider it to be just like any other symptom of a disease. Some are also under the misconception that a high fever could cause a convulsion. This is not always the case, and a convulsion would occur only in those children who have the constitutional tendency to get them. Convulsions are not always related to high fever, and in those who are susceptible, even moderate and sometimes mild fever could trigger a convulsion. High fever does not lead to lasting brain damage in its own right either. Fever is sometimes an indication of a significant infection, but in those circumstances, the primary disease itself is the real problem. In situations where medical help is desirable, what is most important is the way a fever is sorted out and some kind of a diagnosis being made as to the real cause of the fever. The crucial component of the treatment of a fever caused by an underlying problem is the treatment of the root cause.

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Robbers and Wreckers

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To quarrel with them is a loss of face

To have their friendship is a sad disgrace

Those lines by Bharavi were written after the fourth century A.D. when Sanskrit was already a purely literary language.

 We have had the spectacle of a reporter in DC asking Donald Trump whether he regrets his lying all the time every day of his life. And, Trump responded “What did you say?” and one could see that such a possibility had never occurred to him: he was genuinely baffled.

The question here and now is whether such a thought has ever come to Anura Kumara Dissanayake and Harini Amarasuriya, both obedient servants of the US and India. For example, the prathigna given by Amarasuriya as she was sworn in by AKD as Prime Minister in a Cabinet of three. That their doings are in line with the desires of Ranil Wickremesinghe (and maybe the “aspirations” of their buddies) would translate also to the cover up of his bringing in Arjuna Mahendran, the son of a Chairman of the UNP, to trash the Central Bank and execute Ranil’s bond scam.

In the matters of managing our economy and respecting our age-old culture this lot have shown us glimpses of the lunatic self-applause that define Trump’s doings. As phrased by a commentator in the U K Guardian a few days ago Trump’s endeavours “weren’t about Making America Wealthy Again. This was much more primal. Sticking it to all the people who had laughed at him over the years. His bankruptcies. His hair. His orangeness. His stupidity. Sticking it to all those who had taken him to court and won. Now he was the most powerful person in the world. He had the whole world watching as he messed it up. He could do what he liked.”. It’s quite obvious that the last is how AKD, HA, Yapa and the top tier of those most culpable have read their horoscopes: they do not expect to be held accountable

“The U.S.’s new tariff policy reflects a broader shift away from globalisation and towards economic nationalism and national balance sheet economic model approach”. So wrote a self-styled Business Cycle Economist last week. That is the kind of delusion that ‘growth-friendly’ market theory such ‘economists’ are trained to shove down the throats of politicians possessed of just about the bit of wit required to enrich themselves in tandem with the IMF and those entrepreneurs it supports.

At this point we should note also that Trump’s new wave of tariffs was harshest on Cambodia, Myanmar, Thailand, Vietnam and Sri Lanka––all, coincidentally, in addition to their strategic importance for war-mongers, Buddhist countries.

How closely those who call the shots among the power-wielders here follow Trump is seen in their response or lack of one to the earthquake that has devastated Myanmar and Thailand a week ago. The USA has been salivating over the riches of Myanmar for a long time, confident that Aung Suu Kyi would deliver them on a platter. That no doubt was the object of the aragalaya here and seems within reach for India now.

For months now, from 2022 at least, there have been markers that showed who was running the Janatha Vimukthi Peramuna (so calling themselves) and what their agenda was with respect to our country and her people. An early eruption that showed their hand was that aragalaya‘. It was designed to ensure a regime change that would place, let us for convenience say, Adani in charge. It involved, as a first step, getting Gotabhaya out of the presidency. That it was so was also shown two years ago in the London Review of Books by Pankaj Misra in an essay titled “The BIG CON” on Modi’s India. In which Gotabhaya and Adani are mentioned and the above object specified.

Misra’s latest work has been on “The World After Gaza” – a reference not without its applications not only to Modi’s support for Adani in Haifa, but to the ridiculous and altogether culpable gestures of friendship towards the US-Israeli led coalition of criminals shown by Ranil Wickremasinghe and associated Colombians who succeeded him. Haifa is the largest port in that segment of occupied Palestine and the Trump group also has had a stake in it.

I shall pause here with the concluding lines of Bharavi’s quatrain.

 One of sterling judgment realizes

What fools are worth and foolish ones despises.

by Gamini Seneviratne

 

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