Features
COVID-19 vaccination: Chaos could have been averted
by Dr B. J. C. Perera
MBBS(Cey), DCH(Cey), DCH(Eng), MD(Paed), MRCP(UK), FRCP(Edin), FRCP(Lon), 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.
After much speculation and frantic waiting, the vaccine against the SARS-CoV-2 virus that causes COVID-19 is here. From the time it was decided by the government to get the vaccine for our population, it took a couple of months for the arrival of this precious vaccine. What we have in Sri Lanka now is the Oxford AstraZenica vaccine which is a World Health Organisation approved viral vector borne type of vaccine. So far, we have had it being administered over the last month or so but the doses were provided in two tranches. All in all, one million doses, hardly enough to cover even those who really needed it.
In the global scenario, there were significant problems regarding the vaccine, including the inappropriate paying for and hoarding of vaccines by rich Western countries, inadequate production, loads of misconceptions, vaccine hesitancy, anti-vax groups, inequality and inequity of provision of vaccines to developing countries, emergence of mutant variants of the virus, so on and so forth. Incidentally, hoarding vaccines is a crime against humanity, one that even the United Nations Human Rights Arm should take serious note of.
Here, in our resplendent isle, there were some discussions on the vaccine and a priority list was formulated well before the arrival of the vaccine. The frontline healthcare and frontline armed forces and police personnel came first, followed by those over 60 years with coexistent diseases that increase the risk of a fatal outcome, then those aged between 30 – 60 years, etc. Those under 18 years were to be excluded as there was no scientific evidence regarding that age group up to that time.
The healthcare workers and the frontline forces people got the vaccine first. However, it is interesting that some of the retired senior doctors, including retired Consultants, who were in active clinical practice, were refused the vaccine by the authorities of the Ministry of Health and they were asked to wait for the next batch of vaccine. Yet, for all that, when these doctors made inquiries from the hospitals, they were received with open arms, treated like royalty and given the vaccine pronto. For this, all credit should go to the administration of these hospitals who recognised the need to provide the vaccine for these retired personnel, who qualified for it anyway as they were all over 60 years of age. After much agitation, the larger Private Hospitals, too, were provided with the vaccine for their frontline staff but the smaller institutions were refused, although they too were in the frontline against the coronavirus.
Then all hell broke out. In their wisdom, the authorities suddenly, and without proper discussion, started an ad hoc campaign to vaccinate the 30 – 60 year age group in preference to those over 60 years. Very many of this latter group being refused the vaccine, even when they had significant comorbid diseases, like diabetes, high blood pressure, respiratory disorders, etc., which are well-recognised as those which would increase the mortality of the disease. Many of the elderly went from pillar to post and waited in queues for hours and several finally managed to get the vaccine from one place or another. This is information from the horse’s mouth itself, as related to this author by very many affected elderly themselves.
This short-sighted campaign to vaccinate the 30 – 60 year group lasted only a couple of days, mainly because of agitation by several medical academic organisations. Then the over 60-year-olds, too, were brought into the vaccine eligible circle but without any preferential administration of the vaccine to them. They had to jostle with the crowds, in very long queues, with no physical distancing or washing of hands. Mayhem reigned supreme. THERE WAS NO SEPARATE QUEUE FOR THE OVER 60 YEAR GROUP AT THE PLACES WHERE THE VACCINES WERE GIVEN. The general public rallied round and really made a special effort to get the vaccine and as a result there were mile-long queues with loads of elderly people, too, in the same queue. Some of these elderlies are diabetics with blood sugar lowering drugs who need to have regular meals, some others were high blood pressure sufferers who cannot wait in queues for hours on end. There were loads of the infirm and the frail who were not, given any consideration whatsoever.
All these problems, and the chaos that reigned, could have been avoided. All that was needed was a bit of common sense and a wholehearted dedication to the cause. There were a couple of months where things could have been planned even to the last of the finest details. The logistics could have been sorted out well in advance. The finalised priority list should have been implemented scrupulously and to the letter. There should have been separate queues for the over 60-year-old people. Henchmen, hangers-on, the rich, the influential and the powerful, as well as the politicians, should have been firmly told to keep away and not try to subvert the queues and the priority list. Discipline should have been maintained with the assistance of the tri forces and the police. In fact, many people told this author that there was not even a single policeman at the vaccination centres. If there was a shortage of forces personnel, they could have reined in the retired officers and the reservists. Very many of them would have obliged even on a volunteer status. The ages of the people could have been very rapidly checked with the National Identity Cards or Passports. The NICs give the year of birth in the first two digits in the old cards and the first four digits in the new cards. What was needed was custom-made planning and an iron hand of implementation. The desperate need of the hour was certainly not a weak-kneed and half-hearted whimper of a response nor an unabridged compliance with the dastardly whims and fancies of the rich, the powerful, the hangers-on and the politicians.
There was no proper communication between the stakeholders as well as a desperate lack of clear instructions being issued to the public as to who are eligible for the vaccine and where they should go to get the vaccine. It was mostly a free-for-all. The powers-that-be in the upper echelons of the government and the Ministry of Health reigned supreme in their air-conditioned offices while the poor general public, including the frail and the infirm, suffered on the ground. All in all, to say the very least, it was a disgrace. We have managed to vaccinate less than a million people so far. We need to vaccinate many more millions, right up to about 14 to 15 million, to get the maximum benefit from the entire immunisation process against COVID-19. When more tranches of the vaccine arrive and the jabs are to be given on a wider scale, God help us if these very same scenarios are going to be re-enacted. Proper planning and streamlining of the infrastructure and making good use of all available human resources, including the tri-forces and the police, would be essential to bring in some order and humaneness into the proceedings. Sanity must prevail and things should be so organised so that the only pain inflicted on our populace is just only the pain of the injection of the vaccine.
Yet for all this, even when a major proportion of our population has been vaccinated, there is no freedom of the ass for dumping the proven and by now time-honoured health guidelines, for prevention of COVID-19. WE MUST CONTINUE TO ABIDE BY THE CRUCIALLY IMPORTANT 3Ws… Wear a mask, Wash the hands and Watch the physical distance. There is no way in which the observance of these measures could be compromised.
Features
The challenge of keeping value-based politics alive
The current outbreak of anti-immigrant protests in Durban, South Africa is bound to have taken many a subscriber to value-based politics or political idealism quite by surprise. After all, this is evidence that despite the historic accomplishments of nation-builders of the stature of the late President Nelson Mandela it cannot be taken for granted that identity politics, including racism in its worst forms, is no more in South Africa.
At the time of this writing details are scarce on the substantive root causes of the protests but it could very well be that economic grievances, particularly on the part of the majority community in South Africa, are contributing considerably to the disaffection. Shrinking employment and material prospects are likely to figure majorly among the factors igniting the unrest.
Fortunately, the local authorities in Durban are losing no time in calling for peaceful co-existence among the relevant communities and are pointing to the vital importance of stepping-up national integration processes. Apparently, immigrants in sizable numbers from neighbouring countries are present in Durban. However, international TV footage of the protests quoted some local authorities as saying that the majority of the immigrants in some centres that housed them were not illegal migrants and had the documents that entitle them to be in Durban.
In the Durban protests the world has fresh proof of the socially divisive consequences of the gathering globe-wide economic disaffection, touched off particularly by the continuing crisis in West Asia. Going ahead, the world would need to brace for increasing identity-based unrest of the kind it is just witnessing in South Africa.
Considering that the material lot of ordinary people everywhere could only aggravate progressively, with the US and Iran showing no signs of negotiating an end to their confrontation any time soon, it will be left to the more democratic and progressive sections of the world community to initiate positive measures collectively to bring a measure of relief to the discontented.
The swiftness with which such relief will be provided would depend crucially on the importance those sections taking up these undertakings attach to value-based politics as opposed to Realpolitik of power politics.
Going by these yardsticks, Italy could be considered to be moving in the right direction. Recently Italy came to the fore in initiating the collective named, ‘Rome Coalition for Food Security and Access to Fertilizer’, which has as one of its aims the swift provision of fertilizer to economically weak African countries.
In a recent statement Italian Minister of Foreign Affairs and International Cooperation, Antonio Tajani, said that a principal aim of the project was to ensure that the farmers of Africa gained easy access to fertilizer, considering that food security is a growing concern among some of Africa’s economically vulnerable countries.
The statement went on to mention that some 30 countries hailing from the Mediterranean region, the Middle East, the Balkans as well as the FAO had been invited to join the coalition. The venture is far-seeing in that food security is main among the reasons for social discontent which in turn could degenerate into endemic political turmoil and bloodshed. Separatist violence and geographical fragmentation of countries wouldn’t be too far behind these developments, as Africa itself has often proved.
It is hoped that more G7 countries would take the cue from Italy and do what they could to ease the hardships of economically distressed countries, particularly of the global South. In these efforts they would need to break rank with the US, which is today brutally indifferent to the consequences of its policy of making ‘America First’, come what may.
Going by current developments, the Trump administration seems to be blithely oblivious to the wider, deleterious effects of its policy course in West Asia. Besides rendering Iran militarily and otherwise impotent nothing else seems to matter to Washington, as regards West Asia. This is policy short-sightedness of an extreme kind. After all, right now West Asia could be said to be sitting on the proverbial powder keg.
On the other hand, Iran is not giving the world the impression that it is doing anything constructive to get out of the policy straitjacket that it wove for itself decades ago. Rather than enter into a policy of ‘live and let live’ in relation to Israel in particular and initiate a process of reconciliation with the latter, it has chosen to operate within policy parameters that continue to damn Israel. This has put Israel always on the ‘defensive’ so to speak and prevented the opening up of space for meaningful dialogue.
That said, Israel is obliged to explore the possibilities of entering into a negotiatory process with the Arab-Islamic world that could lead to a de-escalation of tensions and bloodshed. It cannot continue to look at its neighbours through lenses that distort them as archetypal enemies who should be ‘wiped off completely from the face of the earth.’
In other words, the need is urgent for Realpolitik to give way to value-based politicks. Italy is beginning to prove that the latter approach could be pursued with some success. May be the EU and the UK could throw their weight behind these initiatives as well and establish that international politics could be refashioned on the basis of humane, civilized norms. The UN would need to be fully supportive of these moves and prove an organizational nucleus of the operations that follow.
In fact the time is ripe for people of conscience to collectively stand up on the side of peace and say ‘No’ to war and violence. Organizations such as the ICRC, the WHO and Medicines Sans Frontiers have already taken up this call. Referring to the widespread destruction of health facilities and their dehumanizing results these organizations have said, among other things, that ‘This is not a failure of the law. It is a failure of political will.’
True, ‘failure of political will’ among those powers that matter accounts for the runaway, uncontrollable nature of war and destruction in contemporary times, but more fundamentally it is a failure of the human conscience. It could very well be that the phenomenal levels to which violence and war have been unleashed today have had the effect of deadening consciences. This is a matter for urgent study and wide discussion.
Features
Vesak celebrations … with Cuteefly
I would describe Indunil Kaushalya Dissanayaka as innovative and creative, and she operates under the name of Cuteefly.
Indunil always comes up with something novel to celebrate special occasions, and she does it with candles … and that’s her profession.
She was in the spotlight when she created a happening scene, with candles, for Christmas, Sinhala and Tamil New Year, and Valentine’s Day.
As lanterns light up Sri Lanka for Vesak, the Colombo-based candle maker is quietly turning wax and wick into little pieces of the festival.

Candles reflecting Vesak themes
Her candles reflect Vesak themes – light, peace, remembrance, giving, etc., to enable you to fill your Vesak celebration with devotion and beauty.
Among her Vesak creations is a lotus-shaped soy candle, scented with sandalwood, lavender, etc., meant to burn during this Vesak Poya Day.

Indunil Kaushalya Dissanayaka: Customers
praise her for her creativity
These handcrafted Vesak candles are perfect for offering at the temple, she says.
What makes her creations so novel is that they come in different shapes, scents, themes, and all are handmade.
What’s more, her customers have heaped praise on her for her creativity.
According to Indunil, her creations are perfect as a thoughtful gift … to bring beauty, unity, and light into every moment.
Says Indunil: “Our beautifully handcrafted Unity candles are designed with premium detail and love, making them perfect for celebrations, gifts, and meaningful occasions.”
Cuteefly, says Indunil, is available online.
Readers could contact Indunil on 0778506066 for more details.
He Facebook Page is: Cuteefly.

Handmade with love
Features
Dark Spots …
Yes, dark spots do crop up on the skin, especially with sun exposure and, of course, as the skin ages.
However, these tips should be of immense benefit to those who are faced with dark spots.
* Lemon and Honey Glow Mask:
You will need 01 teaspoon lemon juice and 01 teaspoon honey.
Mix the lemon juice and honey well and then apply this mixture, only on the dark spots.
Leave for 10–15 minutes and then rinse with cool water.
Benefits:
Lemon helps brighten pigmentation.
Honey moisturises and heals skin.
Gives a natural glow.
* Aloe Vera Gel Treatment:
All you need is fresh aloe vera gel.
Apply the gel apply on dark spots, before going to bed.
Leave overnight and wash in the morning.
Benefits:
Reduces acne marks and pigmentation.
Soothes irritated skin.
Helps skin repair naturally.
* Turmeric and Yoghurt Paste:
You will need 01 teaspoon yoghurt and a pinch of turmeric
Mix the yoghurt and turmeric into a smooth paste and apply on affected areas.
Leave for 15 minutes and then wash gently with lukewarm water.
Benefits:
Turmeric brightens skin naturally.
Yoghurt removes dead skin cells.
Helps fade dark spots gradually.
Use these packs 02-03 times a week as results are generally seen over time.
You can also try this out: Mix a ripe papaya into a smooth paste and apply to the face, or directly on to the dark spots. Leave for 15-20 minutes and then wash with lukewarm water.
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