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COVID 19 and diabetes: a lethal partnership? How do we overcome this?

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By Dr. Kayathri Periasamy

With the latest wave of COVID-19 infections sweeping steadily across Sri Lanka, attention has been directed towards persons with uncontrolled, pre-existing conditions, particularly diabetes; as a sect most vulnerable to get severely ill or die because of complications caused by the virus. This has shed light on another growing concern among healthcare providers and patients, which is that patients suffering from diabetes or other chronic conditions are finding it increasingly difficult or are unable to access the medical care they require due to mandatory albeit essential curfew measures combined with a deep fear of contracting the virus in communal healthcare settings.

With a staggering 463 million adult diabetic patients present worldwide, World Diabetes Day 2020 – falling on the 14th of November- is a critical time for diabetes support communities and healthcare advocates to rally together to create awareness about this debilitating medical condition and push for progress in the standards of care and the better management of diabetic patients during a pandemic. In Sri Lanka alone, 1 in 10 adults are approximated to suffer from the disease. It is also then vital to look at ways to help stop more people from getting this disease, particularly at a time when ‘lockdown’ lifestyles are more often than not likely to be sedentary, unhealthy and stressful; an ideal background for a diabetes diagnosis.

Why is uncontrolled diabetes such a potent accelerant for COVID-19?

A recent study conducted by Lancet on Diabetes & Endocrinology screened over 61 million medical records in the U.K. to find that 30% of COVID-19 deaths can be attributed to people with diabetes. After accounting for factors such as demography and chronic medical conditions, the risk of succumbing to the virus was shown to be about three times higher for people with Type 1 diabetes and almost twice as high for Type 2, versus those without the disease. 

There appears to be two primary reasons driving this predicament. Over a lifetime, poor glucose control inflicts widespread damage in our systems which can lead to strokes, heart attacks, kidney failure, eye disease, and limb amputations. The linings of blood vessels throughout the body weaken to an extent where they can’t ferry necessary nutrients adequately. Inflammation is another byproduct of poor diabetes control, which makes the body ill-prepared for the onslaught of the viral disease. Secondly, the rich environment of elevated blood glucose present in diabetic patients, makes them prone to superadded bacterial complications during the viral infection. Many diabetics also tend to have other co-morbidities such as obesity, hypertension, and heart disease, which are all factors that aggravate complications during viral illneses. These problems are seen in any infections in the setting of diabetes and not only with COVID 19. The pandemic has just highlighted the difficulties of having diabetes

 

What precautions can diabetic patients take?

So during this pandemic, apart from strict adherence to general COVID-19 personal safety protocols such as strict social distancing and sanitization, it is important for patients to regularly monitor their glucose levels to avoid complications caused by fluctuating blood glucose. Proper hydration is essential for good health. It is also crucial to have access to a good supply of the prescribed diabetes medications and healthy food so that patients are able to correct the situation if blood glucose levels fluctuate. Finally, sticking to a comfortable daily routine, maintaining an exercise program even within the confines of your home, reducing excessive work and having a good night’s sleep can go a long way in keeping you strong. In essence, maintaining good blood sugar levels may be their best defense against severe COVID-19.

Disruption to continuity of care for diabetes patients

A rapid assessment survey conducted by WHO among Ministries of Health across many countries, focusing on the service delivery for NCDs during the COVID-19 pandemic, revealed deepening concerns that many people living with NCDs are no longer receiving appropriate treatment or access to medicines during the COVID-19 pandemic. The more severe the transmission phase of the COVID-19 pandemic, the more NCD care services were disrupted.

With our country currently in the cluster transmission phase and heading towards the community transmission phase due to the large and distant spread of the first-line contacts, the threat to NCD care and especially routine and emergency care of diabetes patients worries us physicians. As healthcare providers, we too are torn between the dilemma of not wanting to expose our patients to unnecessary hospital visits and the need to ensure that all our patients have continued access to their healthcare team along with a steady supply of medicines and other diabetes care products such as glucometer strips and insulin. Unfortunately, the delay in visiting their healthcare provider when they have symptoms of complications has caused many people to present late to the hospital with heart attacks or infections. A delayed presentation, weakens the patient further.

This disruption to healthcare services is foreseen to be a huge dilemma for patients and healthcare providers alike, especially when it comes to the care of patients with diabetes and other non-communicable diseases. In Sri Lanka, the Ministry of Health, is currently providing a number of telemedicine services and has opened avenues to deliver medicines to houses without diabetic persons having to visit crowded settings

 

How do we counter this?

At Healthy Life Clinic, we adhere strictly to COVID-19 safety operational health protocols established according to Ministry of Health (MOH), Epidemiology Unit. All incoming patients are screened by our nurses as soon as appointments are made over the phone, to understand the nature of their illness. If there is a worry that they could have contracted COVID-19 or have been in contact with such patients, they are given the opportunity to speak to the doctor first over the phone for a detailed history. Every patient will be consulted and no one is turned away from our care.

In order to help patients overcome barriers such as curfews or even the fear of entering communal healthcare settings, our experienced, highly-regarded team of consultants conducts telehealth consultations via established, trusted telemedicine partners such as oDoc and Mydoctor.lk to maintain continuity of care throughout this pandemic. We have also moved many of our long-standing diabetes care and weight management programs online, which have proven to be effective even in the absence of a physical meeting and examination. Additionally, our social media platforms and website are constantly updated to increase awareness about this condition, along with content that informs people about the proper management and prevention of diabetes – particularly when it is thus connected to COVID-19.

 

(Dr. Kayathri Periasamy is a consultant physician MBBS (UK), MRCP (UK), Board Certified in Int. Medicine (U.S.A). She is the founder of Healthy Life Clinic, Colombo 07.)



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Conservation now a business imperative, WNPS tells corporate sector

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The felicitation of speakers at the end of the WNPS event

Environmental crises in Sri Lanka are no longer merely conservation issues but constitute an economic and corporate survival challenge that directly threatens the country’s water security, agriculture, exports and long-term business sustainability, speakers at the latest monthly lecture of the Wildlife and Nature Protection Society of Sri Lanka (WNPS) warned on Thursday.

At a time when climate shocks, biodiversity collapse and environmental degradation are beginning to impact supply chains, tourism, food production and investor confidence, the lecture titled “Conservation in Action: Driving Impact – Hill Country to Courtrooms: Science, Community and the Next Generation in Action” highlighted how conservation is increasingly becoming intertwined with economics, corporate governance and national resilience.

Held at the Bandaranaike Memorial International Conference Hall with support from Nations Trust Bank, the event drew leading corporate executives, conservationists, lawyers, architects, researchers and youth leaders.

Corporate leader and conservation advocate Sriyan de Silva Wijeyeratne delivered one of the strongest messages of the evening, stressing that Sri Lanka’s montane ecosystems were effectively the economic backbone of the nation.

“You block up the montane region, we lose our water, our agriculture and our exports, he said.

His remarks reflected a growing global shift where environmental protection is increasingly viewed not as philanthropy, but as a strategic investment linked directly to economic continuity and climate resilience.

Wijeyeratne explained how the WNPS-led “Plant” initiative has rapidly evolved into one of Sri Lanka’s most ambitious privately supported ecological restoration programmes, demonstrating how businesses can move beyond traditional corporate social responsibility into measurable environmental investment.

Within just five years, the initiative has begun restoring around 200 acres of degraded landscapes while establishing approximately 30 kilometres of ecological corridors in the central highlands.

Importantly, he said, the programme was designed not to centralise conservation under a single organisation but to create a scalable model for wider private-sector adoption.

“We are not trying to become the answer. Plant is meant to prove that private-sector-led restoration is possible and that businesses can actively participate in rebuilding ecosystems, he said.

The initiative already involves partnerships with multiple private-sector stakeholders investing in ecological restoration in the hill country — an area critical to tea, hydropower, water resources and downstream agriculture.

One of the clearest examples discussed during the lecture was the growing collaboration between conservationists and Sri Lanka’s architectural and urban planning sectors.

Following discussions initiated at the Geoffrey Bawa Trust, the prestigious Geoffrey Bawa architectural awards were restructured into the “Monamal Award,” recognising projects that integrate biodiversity, ecosystem restoration and environmentally sensitive design.

“This is about redefining what good development means, Wijeyeratne said.

“The future gold standard of architecture must be buildings and landscapes that embrace ecosystems rather than destroy them.”

The lecture also explored how climate change is reshaping social vulnerability and labour resilience — key concerns for businesses operating in agriculture, plantations and rural economies.

Wildlife photographer and conservationist Riaz Cader highlighted another emerging business concern — the growing interaction between wildlife and human-dominated production landscapes.

Supported by LOLC Holdings, the WNPS leopard conservation initiative has established research stations in Belihuloya and Kotagala to study leopards living within tea plantation regions.

Using community-based data collection, camera trap technology and local informer networks, researchers are mapping leopard movement, conflict zones and habitat fragmentation across estate landscapes.

Cader noted that increasing human pressure had altered leopard behaviour significantly.

“We have effectively pushed many of these leopards into nocturnal behaviour because of constant human activity, he said.

The research has major implications for plantation management, land-use planning and biodiversity compliance standards increasingly demanded by global markets and sustainability certification bodies.

Cader also pointed to encouraging signs emerging from restored habitats such as Budunwala, where camera traps recorded a mother leopard and cub moving freely during daylight hours — behaviour rarely observed in heavily disturbed environments.

Researchers have additionally documented elusive rusty-spotted cats and pangolins at restoration sites, reinforcing the ecological value of reconnecting fragmented landscapes.

Beyond biodiversity outcomes, the restoration programmes are generating direct socio-economic benefits.

The lecture further revealed how conservation organisations are increasingly engaging with law enforcement and governance systems to combat environmental crime — another growing risk area with economic implications.

WNPS recently launched a specialised police training programme at the Rodella Hill Club aimed at strengthening enforcement against illegal wildlife trade, snaring and poaching in the hill country.

Speakers warned that organised wildlife crime, habitat destruction and illegal exploitation of natural resources continue to undermine both biodiversity and sustainable economic development.

Questions from the audience also broadened the discussion into marine ecosystems and blue economy concerns, including the lingering environmental and economic fallout from the X-Press Pearl Disaster.

WNPS officials said their marine subcommittee was actively engaged in mangrove restoration, blue carbon ecosystem protection and marine conservation initiatives.

They noted that Sri Lanka’s mangrove restoration efforts had already received international recognition through UN-backed environmental awards.

Throughout the evening, speakers repeatedly stressed that conservation is no longer the exclusive responsibility of scientists or environmental activists.

By Ifham Nizam

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JAAF reaffirms confidence in long-term strength of Sri Lanka’s apparel industry

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Sri Lanka’s apparel exports recorded a softer performance in April 2026, with total exports declining by 4.72% to US$ 328.15 million, compared to US$ 344.40 million in April 2025. The decline was mainly seen across key traditional markets, with exports to the UK down 16.91%, the EU down 8.78%, and the USA down 3.46%. However, the 12.61% growth in other markets during April shows that there is still room to build momentum through greater market diversification.

For the period from January to April 2026, total apparel exports declined by 7.47% to US$ 1.53 billion, reflecting continued pressure across major export destinations. While this performance reflects challenging global demand conditions, it also reinforces the need for Sri Lanka to sharpen its competitiveness, improve cost structures, strengthen market access, and move faster into higher-value opportunities.

JAAF believes the industry’s long-term strength remains intact, but the path forward requires a more focused national effort. To move beyond current export levels and work towards breaking the US$ 5 billion barrier, Sri Lanka must support the sector with policy consistency, energy cost reforms, trade facilitation, skills development, and stronger positioning in both traditional and emerging markets. The apparel industry continues to be one of Sri Lanka’s most important foreign exchange earners, and its ability to recover and grow will be critical to the country’s broader export economy.

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hSenidBiz delivers major FY2026 turnaround with USD 5.5M ARR

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Dinesh Saparamadu

Recurring revenues reach 74% of total; Normalized EBITDA margin expands 17 percentage points

hSenid Business Solutions PLC (hSenidBiz) announced its financial results for the fourth quarter and full year ended 31 March 2026, delivering a significant turnaround in operational profitability, materially improving earnings quality, and achieving a key strategic milestone.

In the fourth quarter, total revenue reached LKR 522.2 million, up 5 percent year-on-year (YoY). The PeoplesHR Cloud segment delivered LKR 380 million, representing 20 percent YoY growth in LKR terms and 12 percent growth in USD constant currency terms, with subscription revenues comprising 87 percent of segment revenue. New deal closures recovered strongly to USD 843,395. The Company sustained profitability at the Profit Before Tax (PBT) level with LKR 7 million and a normalized EBITDA margin of 11 percent, while continuing to generate positive free cash flow.

For the full year, the Company delivered a substantial financial turnaround. Revenue grew 13 percent YoY to LKR 2.1 billion. Normalized EBITDA turned positive at LKR 200 million, with the margin expanding 17 percentage points to 10 percent. Profit Before Tax improved by LKR 313 million year-on-year, significantly reducing the loss from LKR 321 million in FY2025 to LKR 8 million. The Company also generated positive free cash flow for the year, a sharp reversal from negative free cash flow in the prior year and an annual improvement of over LKR 350 million. Exit Annualized Recurring Revenue (ARR) reached USD 5.5 million, growing 32 percent YoY, while recurring revenues strengthened to 77 percent of total revenue in the fourth quarter, underscoring the quality and resilience of the Company’s SaaS-led business model.

Dinesh Saparamadu, Founder and Chairman of hSenidBiz, commented: “FY2026 marks a clear inflection point for hSenidBiz. We have materially strengthened the quality and predictability of our revenue base while delivering meaningful operating leverage. These outcomes validate the scalability of our SaaS-led model and position the Company well for the next phase of disciplined, high-quality growth.”

Sampath Jayasundara, Chief Executive Officer, added: “The operational momentum achieved in FY2026 provides a strong foundation as we enter the next phase of growth. Our priorities for FY2027 are to accelerate customer acquisition in key markets, drive execution excellence across the sales organisation, and rapidly advance our AI-driven capabilities, particularly through Lexi Insights to deliver even greater value to enterprise customers across our markets.”

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