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Covid-19: Some long-term effects

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Many are quite familiar with the acute-stage phenomena in COVID-19. These include the features of any viral infection, together with specific involvement of the respiratory system, as well as other organs. Yet for all that, it was assumed during the initial stages of the pandemic that if one managed to survive an attack by the SARS-CoV-2 virus, one would bounce back into good health fairly soon. This was thought to apply to the entire spectrum of COVID-19, ranging from asymptomatic persons to those who were very severely affected.

However, with the continuous flow of research information during the last 18 months, we have had to change our perspectives. Early on in the pandemic, Chinese and Italian research delineated the prevalence of long-lasting symptoms following apparent recovery among patients admitted to hospital with COVID-19. Following that, a wide variety of sources have contributed to our understanding of persistent health problems experienced by some COVID-19 survivors. Even patients categorised as having mild COVID-19 and were not hospitalized, have had ongoing long-term health effects. They have even formed online groups, such as the Body Politic COVID-19 Support Group, and have also launched patient-led research ventures. These have undoubtedly facilitated scientific recognition of the phenomenon of persistent health problems among COVID-19 survivors and led to recognition of the newly-coined term ‘Long COVID’.

In fact, a plethora of health problems have been reported as sequelae of COVID-19. The specific health effects people experience and composite names for those effects are still being defined. In addition to “Long COVID”, other names given are “Post-COVID-19 Syndrome”, “Long-term COVID” and “Chronic COVID Syndrome”. Furthermore, people who experience ongoing health problems after COVID-19 have been referred to as “Long haulers”. The National Institutes of Health of the US has funded research on health effects that persist after COVID-19 and suggested that while these effects are still being defined, they may collectively be referred to as “Post-Acute Sequelae of SARS-CoV-2 infection” (PASC).

Before describing what PASC covers, it is useful to review the goings-on during acute infection with SARS-CoV-2 in COVID-19. At the onset, the virus vigorously replicates leading to increasing numbers of viral particles in the body. Then onwards and particularly during the latter stages of the infection, the immune system of the body clears the virus. Symptoms can be caused both by direct effects of the virus as well as an overactive immune response. The virus typically infects the respiratory tract and causes respiratory symptoms such as cough and difficulties in breathing. The term “Severe COVID-19” is used to delineate cases of acute infection when lung function has been compromised. However, many other organs too can be affected by the virus and the range of symptoms people with COVID-19 experience varies widely. Many of those who are infected may be asymptomatic, but now it is known that they too can develop PASC.

A very large percentage of people recover from acute COVID-19 within weeks. The time taken for recovery may be longer in more severe cases. There is no consensus, at least not as yet, on where to draw the line between when COVID-19 ends and PASC begins. Various time progressions have been proposed but none of them are finite and written in stone. Simply stated, many guidelines define “Acute COVID-19” as lasting up to four weeks after diagnosis; “On-going COVID-19” as lasting from 4 to 12 weeks after diagnosis, and “Post-COVID-19 Syndrome” as lasting for more than 12 weeks. However, there is increasing recognition that progression of PASC may be non-linear and new symptoms arise after acute illness has resolved or even when other symptoms dissipate. The variable timelines, together with the relatively shorter duration of many research studies have restricted our understanding of PASC.

Long-term symptoms in COVID-19 survivors may be similar or different to what was experienced during the acute illness. Symptoms affecting nearly every part of the body have been reported. One research endeavour identified as many as 55 long-term effects associated with COVID-19. The five most commonly reported symptoms were fatigue (58%), headache (44%), difficulty concentrating; sometimes called “brain fog” (27%), hair loss (25%), and shortness of breath (24%). The long-term effects reported use some medical terms such as “ageusia” (loss of taste), “dyspnoea” (shortness of breath) and “polypnoea” (rapid breathing). To compound matters further, reported symptoms are not just physical. In a study of more than 230,000 COVID-19 survivors, 13% received a new neurologic or psychiatric diagnosis within the first six months after diagnosis.

As doctors and scientists learn more, an early step taken to help better define PASC has been to group together the wide range of symptoms experienced by COVID-19 survivors into distinct syndromes; a syndrome being a collection of symptoms that tend to occur together. At least one definitive syndrome has been defined under the PASC umbrella.

Investigation into cases of children who were hospitalized with an overactive immune-inflammatory or hyperinflammatory syndrome which presented sometime later after the acute infection led to the recognition of what was named as the Multisystem Inflammatory Syndrome or MIS-C. People with this syndrome are under 21 years of age and have multiple organs affected and require hospitalization, some being critically ill. There is now recognition of a similar syndrome among adults; Multisystem Inflammatory Syndrome in Adults or MIS-A. The incidence of both MIS-C and MIS-A are very low. From March 1 through March 10, 2020, the incidence of MIS-C in New York State among people younger than 21 years was 2 per 100,000 individuals, whereas the incidence of COVID-19 was 322 per 100,000 individuals. As of 3rd May 2021, 3,742 cases of MIS-C had been reported in the United States.

While scientists and researchers are trying to define PASC better, they are also trying hard to understand what may be causing the symptoms. Many theories on causation have been put forward. The two leading hypotheses are that symptoms arise from direct tissue damage due to the SARS-CoV-2 virus or from the immune response during acute infection. Another one is that health effects are caused by an ongoing immune response that is practically going inappropriately berserk.

It is difficult to quantify and characterize risk factors for a condition that is not yet all that well defined. It is likely that the risk factors for specific sequelae under the PASC umbrella vary, especially if different sequelae have different causes. Studies conducted to date suggest that four groups of people may be more likely to experience PASC: people with more severe acute illness, those who have underlying unrelated diseases or comorbidities, older adults, and women.

In a nut-shell, most people with COVID-19 fully recover within weeks of the onset of their illness. But for some, the resolution of the acute infection is not the end of their COVID-19 voyage. Some COVID-19 survivors have experienced new, returning, or ongoing, health problems, that persist long after the acute illness. As of 1st of June 2021, there have been more than 170 million cases of COVID-19 reported worldwide. The true number of infections is much higher, possibly more than one billion. If even only a small proportion of those infected develop long-term sequelae, it would create a major public health challenge. We need to better understand how many people experience long-lasting symptoms in order to prepare for and address potential public health and societal impacts.

Currently, we are well aware of the fact that COVID-19 is a complex disease that can have profound effects on nearly every part of the body during acute infection as well as over the longer term. We know that even if a small proportion of those infected with SARS-CoV-2 globally, go on to experience PASC, the societal impacts could be profound. The importance of preventing the long-term health effects of COVID-19 cannot be overstated. Perhaps, the currently available vaccines may help in mitigating the effects of PASC. This is just one of many reasons why universal access to COVID-19 vaccines should be a global priority. There should be no argument whatsoever about it.



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Preserving Ruhuna’s legacy: Suriya Jayalath Perera’s vision for Sri Lanka’s wilderness

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Suriya with dignitaries at the book launch

By Ifham Nizam

Sri Lanka, a land teeming with biodiversity and historical significance, continues to captivate the global stage, thanks to individuals like Suriya Jayalath Perera. A celebrated wildlife photographer, researcher, and conservationist, Suriya’s work bridges the gap between Sri Lanka’s cultural history and its unparalleled natural beauty.

His book, Kingdom of Ruhuna, is a testament to his dedication. This masterpiece intricately documents the rich history of Ruhuna, one of Sri Lanka’s ancient kingdoms, while capturing its ecological splendour through vivid photography.

“The Kingdom of Ruhuna is more than just a historical region. It’s a living testament to how culture and nature coexist harmoniously. Through this book, I hope to inspire readers to cherish and protect this symbiosis,” Suriya remarked during an interview with The Island.

The book highlights the majestic landscapes of the Yala National Park, a key area of the Ruhuna Kingdom, showcasing iconic species such as leopards, elephants, and rare birds. Accompanying these visuals is a deep dive into the archaeological remnants of the kingdom, making Kingdom of Ruhuna a unique blend of natural and historical storytelling.

Global Recognition for Sri Lanka’s Wilderness

Suriya’s work has not only gained recognition locally but has also reached global audiences. His contributions to events such as In Focus USA, held at UCLA in 2024, emphasise the global importance of Sri Lanka’s wildlife. This exhibition featured Suriya’s photographs of Sri Lanka’s untamed wilderness, which stood out for their ability to bring the raw beauty of nature to life.

“Sri Lanka’s wilderness is a global treasure. Events like these help us connect with the world and highlight the urgent need for conservation,” Suriya noted.

A Family Legacy in Conservation

Behind Suriya’s success is a supportive family that shares his love for nature. “My family has always been my backbone, accompanying me on many journeys into the wild. Their encouragement motivates me to keep pushing boundaries,” he shared.

Suriya’s wife and children are frequently seen accompanying him during his explorations, learning about the intricacies of wildlife and the importance of preserving it for future generations. This close-knit family dynamic further adds to the personal charm of his professional journey.

A Call for Conservation

Pilgrims on a spiritual Pada Yatra

Despite the accolades and achievements, Suriya remains focused on his ultimate goal: conservation. His work goes beyond photography and books; he actively participates in initiatives aimed at educating local communities about the importance of preserving Sri Lanka’s natural heritage.

“The wilderness is not just for us—it belongs to the generations to come. If we don’t act now, we risk losing everything,” Suriya warned passionately.

Through his photographs, books, and global outreach, Suriya is creating a legacy that goes beyond aesthetics. His work serves as both a celebration of Sri Lanka’s biodiversity and a rallying cry for its preservation.

As readers turn the pages of Kingdom of Ruhuna, they are not just witnessing history and beauty—they are becoming part of a movement to protect one of the world’s most precious ecosystems.

Preserving Ruhuna’s Folklore: The timless echoes of Sri Lanka’s Past

Nestled in the heart of Sri Lanka’s southern plains, the Kingdom of Ruhuna is more than just a historical domain—it is a treasure trove of folklore. This ancient realm, steeped in myths and legends, serves as a window into the cultural and spiritual essence of the region. From the timeless tales of warrior kings to whispered stories of mystical beings, Ruhuna’s folklore is a vibrant tapestry that bridges the past and the present.

A Kingdom born of stories

Ancient statue at Minihagalkanda

Ruhuna’s history unfolds like an epic, its roots intertwined with the island’s Buddhist heritage and folklore. It is said that the legendary King Mahanaga, escaping palace intrigues in Anuradhapura, founded the Ruhunu Kingdom in Magama. Oral traditions passed through generations paint vivid pictures of his journey through jungles, rivers, and mountains, accompanied by tales of heroism and resilience.

The region’s lore extends further back, connecting with the mythological era of King Ravana, mentioned in the Ramayana. According to folklore, Ravana’s palaces once adorned the rugged hills of Ruhuna, their remnants lost to time and tide. Fishermen recount sightings of inscriptions on submerged rocks, visible during calm seas—a haunting reminder of this mythical past.

Suriya, reflected on the enduring significance of folklore. “Folklore is the soul of Ruhuna. It is how our ancestors preserved their wisdom, their fears, and their dreams. To lose these stories is to lose a part of who we are,” he explained.

His years of research brought him face-to-face with the oral traditions that animate Ruhuna’s cultural landscape. “Every rock, every tank, every temple tells a story. Even the Yala wilderness, with its leopards and elephants, is a living testament to the harmony our ancestors sought with nature,” he said.

One such story is that of the Nittaewo, a mysterious race believed to have inhabited Ruhuna’s forests. “The Nittaewo are more than just mythical creatures,” Suriya highlighted. “Their story reflects the deep connection our people had with the land, and the battles they fought to survive in a harsh but beautiful environment.”

Folklore as Cultural Currency

Folklore has long shaped Ruhuna’s socio-cultural identity, from its agricultural practices to its spiritual traditions. The region’s sacred sites, such as Kataragama, are steeped in stories that blend Buddhist, Hindu, and indigenous beliefs. “Kataragama isn’t just a temple—it’s a narrative crossroads where history and spirituality meet,” he noted.

However, the modern era poses challenges. “Urbanisation, globalisation, and even treasure hunters threaten the survival of these stories,” he warned. “Much of our folklore still exists only in oral form. If we don’t act now, we risk losing it forever.”

The Call to preserve

Suriya says the book is more than a historical account; it is a call for action. “I wrote Kingdom of Ruhuna to ensure that these stories are not buried in the sands of time,” he added. His work has inspired local efforts to document folklore through schools, community projects, and digital platforms.

For Suriya, preserving folklore is not merely an academic pursuit but a personal mission. “Every tale, whether of kings or villagers, holds a lesson for us today,” he said. “Folklore teaches us to respect our past and to live in harmony with the natural world.”

As Sri Lanka charts its future, Ruhuna’s folklore stands as a reminder of the island’s rich heritage. “Folklore is not just about the past,” he said adding “It’s a guide for the future, teaching us resilience, creativity, and the value of community.”

In conclusion, Suriya expressed his heartfelt gratitude to Prabath Sahabandu, the Editor of The Island newspaper , acknowledging him as the first to publish his research two decades ago.

President Emeritus of the International Institute of Space Law & Policy

The area surrounding the Ruhuna National Park is celebrated in Sinhalese history as a sacred place, steeped in meditation and spiritual significance, where Arahaths have sought refuge. As Nandasiri Jasentuliyana, President Emeritus of the International Institute of Space Law & Policy, observes, even today, the visitor cannot help but feel a sense of sanctity and tranquility in the region, as if stepping into a sacred land rich in history.

He highlights the legend of King Dutugemenu, who, in gratitude to God Skanda (Kataragama Deviyo) for helping him cross the Menik Ganga in his quest to defeat Elara, built a shrine to honour the deity. This shrine, which has remained a holy site for both Hindus and Buddhists, is one of many monuments that underscore the region’s spiritual importance. Tissamaharama and Kiri Wehera stupas are a further testament to the sacredness of the area, which is now home to a wealth of archaeological and religious relics.

Jasentuliyana also draws attention to the Mahavamsa, the ancient Buddhist text, whose final chapter dramatises these historical events, intertwining the sanctity of Ruhuna with the national consciousness of Sri Lanka. The Mahavamsa, written long after the events it narrates, captures the folklore that shapes the region’s history and geography, including that of the Ruhuna Kingdom and the surrounding area.

Despite these rich historical associations, the region is also renowned for its wildlife, particularly in Yala National Park, which boasts the world’s highest population density of leopards. The author, in his unique and insightful style, brings to life the serene beauty and historical richness of the Ruhuna Kingdom, offering readers a scholarly narration enriched by folklores, offering rare glimpses into archaeological sites often overlooked by even historians. As Jasentuliyana concludes, the Ruhuna Kingdom is not only a treasure trove of legendary stories but also a living testament to Sri Lanka’s rich cultural and natural heritage.

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Great pretenders

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by Dr Upul Wijayawardhana

“Great Pretender”, originally sung in 1955 by Los Angeles based vocal group, The Platters, was given a new life by Freddie Mercury 32 years later, as he felt the song conveyed the way he felt about his public image. Mercury, born Farrokh Bulsara in Zanzibar to Indian-Parsi parents, became an icon of rock music, as a solo artiste as well as the frontman of ‘Queen’, and was sometimes referred to as ‘The Great Pretender’. Perhaps, he confirmed this at his death. Though he suffered from HIV/AIDS, kept it away from even the closest of his friend till he issued a statement just a day prior to his premature death at the age of 45 years, on 24 November 1991.

Sri Lanka has been blessed with a number of ‘great pretenders’, perhaps more appropriately called charlatans, over the years. Though it was brought into focus by the fiasco involving the ex-speaker Asoka Ranwala it is not a new phenomenon. By the way, Ranwala is yet to locate his certificates! The fiasco has left an indelible blot on the new administration which was elected on the promise of integrity. President AKD demonstrated his lack of experience by not taking prompt action and some NPP MPs who audaciously claimed that they were not concerned about a vote of no-confidence against Ranwala as they had a steamroller majority in Parliament! They are the ones who clamoured for a system change, castigating the previous MPS who defeated the no-confidence motion against the disgraced minister of health?

Although the Covid-19 pandemic is a distant memory, can we forget the charlatans who made a quick buck? Even prominent politicians foolishly consumed the Dhammika Peniya. Not to be outdone, a lecturer at the Faculty of Medicine in Galle concocted a pill, which he was able to market as a supplement! Wonder whether the Sri Lanka Medical Council took any action against this cheat?

Even before the pandemic, ‘Dr’ Eliyantha White, sans any medical qualifications, was a much sought-after figure in Sri Lanka thanks to the advertising campaign led by no less of a person than the then President Mahinda Rajapaksa! During the pandemic, Dr White went a step further.

Sadly, even Dr Anton Chitral Jayasuriya, known to his friends and colleagues as Kara ruined his reputation. He was 10 years my senior, qualifying in 1954 and obtaining MRCP in 1959. He worked as a Consultant Physician in the Department of Physical Medicine in General Hospital, Colombo. In 1974, he was selected, if I remember right with Dr Sylvia Perera, Anaesthetist, and Dr Stanmore de Alwis, Cardio-Thoracic Surgeon, to go on a three-months WHO fellowship to study acupuncture in China. Although the other two incorporated acupuncture into their practice gradually, Anton became a specialist in acupuncture overnight! In fact, he has written a number of books on acupuncture which are selling even today.

Anton started an institute of his own and started awarding degrees. In 1981, having read a news item that President J R Jayewardene was to award degrees at the convocation of this institute, I, as the Secretary of the Sri Lanka Medical Association, brought that to the notice of Dr N J Wallooppillai, the President of SLMA. Awarding degrees in that manner was illegal as only universities accredited by the University Grants Commission could do so. We sought an urgent appointment with President Jayewardene and briefed him stressing that he was in a difficult situation as he was the Minister of Higher Education then, UGC being under his purview. JRJ attended the convocation but did not award the degrees! Anton sent a letter of demand to SLMA threatening to sue for damages. When I tabled that at the next council meeting there were a lot of worried faces but I was able to convince the council that the best course of action was to ‘bin’ the letter. Nothing further was heard from Anton!

Anton then became a specialist in homeopathy and started the Open International University for Complementary Medicines (OIUCM or OIUCMED) in 1987. He stopped practising the brand of medicine he was qualified in. The Internet is full of information about him.

A company marketing says on its website: “He [Anton] also served as homeopathy physician to Queen Elizabeth, free of charge. As patronization for his service, the Queen has gifted several exotic vehicles to him including a few Rolls-Royce cars.” The Queen, as generous as she is, is not known to have gifted any cars to any physician, not even Prof Sir Huw Thomas, the long-standing Physician to the Queen!

Writing on Anton’s 90th birth anniversary, the Chairman of Sir Anton Jayasuriya Memorial Committee, who holds a Ph. D. in Public Relations (Honoris Causa) from Medicina Alternativa Open International University (90th birth anniversary of late Prof. Pundit Dr. Sir Anton Chitral Jayasuriya, a Sri Lankan newspaper has said he treated over 3.5 million people from over 140 countries without ever charging doctors’ fees for consultation or treatment, both from local as well as foreign patients. In his 50 years of practice, even if he worked every day, Anton would have had to see 191 patients daily to achieve the figure of 3.5 million. Total impossibility! What is written should be plausible at least!!

It is also mentioned that he got knighthoods from many countries. However, the UK is not one of them!

The aforesaid newspaper article contains this paragraph:

“The late inimitable Emeritus Prof. Dr. Carlo Fonseka in his Commemoration Orations on Prof. Anton has said that “his Alternate Medicines took the best from all systems. He promises to cure only those that can be cured, but always gives hope, courage and consoles them. Prof. Anton was a trailblazer, a pathfinder and a model Doctor. To meet him, is to have half your ailments cured. This placebo effect is due to his combination of personality, humour, wit and ambiguous statements that cut both ways.”

Only Carlo could have said so!

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2024 – The Year of Elections & 2025 – The Year of Consequences

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by Rajan Philips

“Elections have consequences,” President Barak Obama triumphantly told congressional Republicans in 2009, as he began his historic first term as the first African-American President of the United States of America. Obama had campaigned on the theme of a “United States” of America as opposed to an America divided into Red (Republican) States and Blue (Democratic) States. But in the Congress in Washington, Obama ran into a red wall of opposition masterminded by Mitch McConnell, the Republican Senate leader, who effectively stymied almost all of Obama’s initiatives, save the Affordable Health Care Act, aka Obama Care, that has been the most significant achievement of the Obama presidency.

Although McConnell could not achieve his stated objective of limiting Obama to a single-term presidency, his Machiavellian schemes found their perfect enabler when Donald Trump narrowly won the 2016 presidential election in what has been called a ‘white lash’ rebuke to Obama’s two-term presidency. Trump himself was held to a single term presidency when he lost the 2020 presidential election, but he is now returning to the White House after a more convincing win than in 2016, in yet another repudiation of the Obama legacy. A taunting slogan of the twin Republican triumphs under Trump has been the throwback to Obama: “Elections have consequences!”

With due apologies for making the US the centre piece of this year ending column, I am inclined to suggest that the election-consequence dialectic is appropriate as we see off 2024 and look ahead to 2025. And that is because 2024 was a year of exceptionally large number of elections and the consequences of their results are bound to be processed through much of the year 2025. According to the National Democratic Institute that keeps a worldwide tab on elections, more than 100 countries had elections in 2024 including eight of the world’s ten most populous countries, viz., Bangladesh, Brazil, India, Indonesia, Mexico, Pakistan, Russia and the United States, as well as the European Union. Of the two outliers, China has its own system, and Nigeria will have its general election in 2025.

More tellingly, in more than 80 countries the incumbent governing parties saw a fall in their vote share from the previous election; in a good number of them governing parties were thrown out of office. Such a large volume of turnovers has never happened before according to election chroniclers, not since 1905 when elections data base was started and not since 1894 when universal franchise was first introduced. In Brazil, Indonesia, the US and the UK, the incumbent governments were defeated. In Japan, the governing Liberal Democratic Party (LDP) was reduced to a minority government. In India and South Africa, the governing BJP and ANC held on to power but had their parliamentary majorities significantly reduced.

There were six elections in South Asia alone – besides the three sub-continental biggies, Sri Lanka, Bhutan and Maldives held national elections in 2024. Bangladesh was the first to go with elections in January 2024 with the governing Awami League retaining power as expected, but against a handicapped opposition. What was not expected is that within eight months the Awami League government would be overthrown by a youth uprising and Prime Minister Sheikh Hasina would be forced to flee the country after being in office for 15 years.

But the interim government in Bangladesh that was set up to provide a bridge to new elections and a newly elected government is overwhelmed by the challenges of governing and restoring normalcy. And Bangladesh, 53 years after its fiery birth in 1971, is once again caught up in yet another phase of chaos and uncertainty. In Pakistan, the February elections were made inconclusive and the Pakistan Muslim League of the Sharifs managed to cobble together a coalition government that kept Imran Khan in jail and his PTI party in opposition. Economic stability is said to have been restored but the political instability over Imran Khan continues.

A new twist plot is apparently originating in Washington. President elect Trump is reported to have picked Richard Grenell, a Trump loyalist with deep Republican roots, as his envoy for special missions abroad. Mr. Grenell is the most noted American supporter of Imran Khan and soon after his appointment by Trump, Grenell has posted on X – “Free Imran Khan!” Grenell has also compared Imran Khan’s jail trouble to Trump’s indictments in the US. Grenell’s new appointment and his support of Imran Khan has triggered speculations and discussions in Washington and in Pakistan.

Sri Lankan Oasis

Relatively speaking, Sri Lanka has come out of the elections quite unscathed unlike many other countries. This is all the more remarkable because of the momentous transfer of power from a decadent bunch of political bandicoots to a new generation of leaders and parliamentarians who are also the legatees of an old movement that was notorious for its intolerance, violence and even chauvinism. The credit and kudos truly belong to the people who through the peaceful exercise of their voting rights brought about a sweeping change in the executive and the legislature.

Truth be told, Sri Lankans have had their travails for decades on end. The insurrection of 1971 and the riots of 1977 and 1981, not to mention the riots of 1958, were isolated occurrences and are now distant memories. But what began with the referendum of 1982 has been a steady and sequential unfolding of one crisis after another – the riots of 1983, the outbreak of Tamil political violence, the Indian intervention and second JVP uprising, long devastating periods of war between the LTTE and the Sri Lankan Army that ended in 2009, and the Rajapaksa era of the 21st century that followed and precipitated its own implosion by provoking the aragalaya protests. It has been a relentless four decades of crises and chaos aggravated by the tsunami disaster twenty years ago – on December 26, 2004.

The people deserve the political respite that they have got for themselves by exercising their vote in two national elections. Those elections must have consequences. And it is the responsibility of the new NPP government to use its executive and legislative powers to deliver sustainable political stability and economic growth. Last week, I suggested that President Dissanayake and his NPP government have made a solid, if not spectacular, start. One would hope that the solidity of governance will continue in 2025 and that there will be continuing indications throughout the year of the government’s positive intentions and initiatives.

Already, the President has indicated that local government and provincial council elections will be held in 2025 and there have also been statements that the government is planning to introduce new constitutional changes within three years. So, we can expect considerable movements on these fronts in 2025. Another test for the new government will be in dealing with UNHRC in Geneva and it will be interesting to see how this encounter will play out given the NPP government’s new approach to an old problem.

The elephant in the cabinet room will of course be the economy. And there are several aspects to it. The government has its work cut out in dealing with rice crisis and food security. On the external front, the government’s main concern should be about expanding Sri Lanka’s export base in a systematic manner. This has not happened in 47 years of economic liberalization and the sole exception has been the garment industry.

Even the garment sector is reportedly showing signs of stagnation along with the lack of development of supporting industries for producing capital goods, spare parts and tools which are still imported for the main garment production. In addition, the garment industry and manufacturing in general are hampered by high utility costs, infrastructure limitations and skilled labour shortages.

The government should also pay attention to the technical (not left-ideological) criticisms of Sri Lanka’s debt restructuring agreements that were entered into by former President Ranil Wickremesinghe. Analyzing the controversial Bond Deal in July 2024, Brad Setser an US Economist with the Council on Foreign Relations, has expressed concern that the agreement would, “rather than reducing the risk of future debt trouble, Sri Lanka’s macro-linked bonds set up the risk that Sri Lanka will fall back into debt trouble in 2029 or 2030.”

The NPP government has indicated that it could not repudiate the agreements entered into by Ranil Wickremesinghe. Even so, it is worthwhile taking a second look at the issue and even ask the former President for his opinion on the technical criticisms of the bond deal and to assess any potential risk that Sri Lanka might be facing in five or six years. The purpose here is not to assign political blame but to have a realistic assessment of potential future risks to the country that might be in the commitments that have been made for the modalities of debt repayment.

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