Life style
Dengue alert: Dr. Shyama Subasinghe on the battle against growing threat
By Zanita Careem
As Sri Lanka continues to grapple with a surge in dengue cases, concerns are mounting over the growing epidemic affecting people of all ages. Public awareness, early diagnosis and timely treatment have become an important health issue. In an interview with Dr. Shyama Subasinghe, a Consultant Physician, Sri Jayewardenapura Hospital, she explains why dengue should never be dismissed as as just another viral fever, highlighting the warning signs, potentially life threatening complications, and the crucial importance of early diagnosis, proper hydration, and timely action. We discussed the factors driving the current surge, warning signs that require urgent medical attention, the influence of proper fluid management and the immediate steps people can take to protect themselves from this deadly fever. Dr Shyama Subasinghe said “While dengue cases place increasing pressure on the doctors and hospitals, we are focussing on early identification of dengue cases, and close monitoring. Dengue control is not only a medical challenge but a collective responsibility requiring continuous vigilance and cooperation from every sector of society”.
(Q) Dengue cases are rising again in Sri Lanka? What are the main reasons behind this increase?
(A) Poor environmental cleanness, clogged drains, construction sites, unused plastic containers are ideal breeding grounds for Dengue Mosquitos. The South West and North East monsoon rains further increase the number of mosquito breeding sites, while rising temperatures accelerate both mosquito reproduction and the development of the dengue virus, within the mosquito. Preventing dengue begins at home and every individual has a role to play in protecting their family and the wider community
(Q) What are the most common symptoms people should never ignore?
(A) The most common symptoms of dengue that people should never ignore include high fever, severe back-pain, bleeding from the gums, blood in vomiting, small bleeding patches on the skin are important sign of dengue that should never be ignored. Some patients may also experience easy bruising, heavier than normal menstrual bleeding. Those symptoms may indicate that the disease is becoming more severe. Anyone who develops those bleeding manifestations should seek immediate medical attention for prompt assessment and treatment. Bleeding from the nose, blood in vomit and extreme tiredness and a marked reduction in urine output are other symptoms that may indicate leakage, or the onset of dengue shock. This medical emergency requires urgent hospital treatment. Early recognition and prompt treatment can be life saving
(Q) What is fluid management in dengue?
(A) Fluid management is a crucial part of dengue treatment, especially when the patient enters the critical phase, because plasma (liquid part of the blood) begin to leak from blood vessels. It involves carefully maintaining the right balance of fluids in the body to prevent dehydration while also avoiding giving too much fluid which can also cause complications Patients with dengue can lose fluid from thier blood vessels into surrounding tissues during the crtical phase of the illness, leading to dehydration and a dangerous drop in blood pressure Giving too little fluid can lead to shock,while giving too much can result in fluid overload, in both cases making careful monitoring essential.The most serious complication is dengue shock syndrome which occurs when severe plasma leakage causes a critical fall in blood presuure, reducing blood flow to vital organs. Without urgent treatment, dengue shock syndrome can rapidly become life threatening.
(Q) What are the worst complications in dengue?
(A) The rare but the dangerous complications include encephalitis (inflamation of the brain) meningtis, myocarditis, inflammation of the heart muscle, severe disturbances of the heart rhythm, acute liver failure, acute pancreatitis, acute kidney injury, inflammation of the gall bladder, etc. In exceptional cases, dengue can also trigger multiple organ failure, where several vital organs stop functioning properly. Although these complications are rare, early diagnosis, close monitoring and prompt treatments are essential to reduce the risk of long term disability or death.
(Q) When do you recommend dengue antibody testing?
(A) Antibody test should be done after the fifth day of the illness. After about five to seven days when the body’s immunue system begins producing antibodies, dengue antbody tests become useful.
(Q) What is the value of dengue antigen test?
(A) The dengue antigen test plays an important role in the easily detection of the fewer. It can identify the presence of the dengue virus during the first few days of illness. Antigen test should be done between day day two and four. If positive diagnosis is confirmed, this tests can detect a specific protein produced by the dengue virus while it is actively circulating in the blood The main value of the antigen test is that it allows early and accurate diagnosis of dengue infection before antibodies develop. It has a high specifity, meaning a positive result strongly suggests an active dengue infection. This early detection is important because it enables us to start monitoring and supportive care promptly helping to reduce the risk of complications. Seeking medical attention early and getting tested at the right time can significantly improve outcomes and reduce the risk of life threatening complications.
(Q) Many people mistake dengue for a common viral fever. How can you tell the difference ?
(A) Many people mistake dengue for a common cold or a simple viral fewer because both can have body aches, high fever, headaches, fatigue and many people delay seeking medical attention. Both conditions can cause fever, body aches, headaches and fatigue. People should not rely on symptoms alone to distiguish dengue from other viral infection. Any one with high fever, lasting more than a day, should seek medical attention
Dengu is caused by the dengue virus tranmitted by the Aedes mosquito and may lead to complications, such as plasma leakage, a sharp drop in blood pressure, severe bleeding and organ involvement. This fever can rapidly progress to a life threatening illness if timely care is not taken. Dengue is also referred as bone break fever because of the intense muscle pain, joint and body pain. It causes in common viral fever the platelet count usually remains with the normal range or many show only a mild, temporary decrease. However, in some other viral infections, changes in platelet levels are not so low. Severe plasma leakage, where fluid levels from blood vessels leading to dengue shock syndrome, may cause dangerously low blood pressure and failure of vital organs.
In dengue, the platelet count many gradually decrease, especially between days three and seven of the illness. In uncomplicated cases, the patient can recover on supportive care, especially maintaining good hydration is one of the most important aspects of dengue management. In dengue, platelet levels often begin to fall during the critical phase of the illness. However, a low platelet count alone does not always mean a patient has dengue Plenty of fruit juices, Jeewani (herbal drink), soups and oral rehydration are necessity but warned hydration alone is not a substitute for medical care. While fluids are important in the early stages, patients entering the critical phase may require careful monitoring also. . Lots of liquids can help replace lost fluids but avoid red and coffee colour fluids For fever one should take only paracetamol. Avoid Asprin and other NSAID group medicines are mot recommended.
(Q) Are children, older adults or people with existing medical conditions at a greater risk of severe dengue fever?
(A) Children and older adults with existing medical conditions are among those at greater risk of developing severe dengue complications Older adults can face a higher risk because of age related changes and reduced ability to cope. People with heart diseases, kidney disease, diabetic, liver problems are more vulnerable. If they develop dengue, the fluid shift can be harmful to these patients.
We urge these high risk groups to seek medical advice early.
(Q) In the current rise in dengue cases more severe than expected and what factors are driving this surge?
(A) Health education remains of the most powerful tools in controlling the dengue surge. Public awareness most be encouraged. Minimise breeding grounds, mosquito repellents can provide an additional layer of protection against dengue carrying mosquitos. The most effective long term protection remains removing stagnant, community education, clean home environment are some of the keys to controlling the spread of dengue.
(Q) Are hospitals adequately equipped to cope with a sudden increase in dengue admissions?
(A) During a surge in dengue cases hospitals face increasing challenges, due to shortage of doctors, nurses, beds to provide care for a growing number of cases. One of the major challenge during the surge is the non availability of hospital beds, doctors, nurses and other healthcare facilities needed to closely monitor patients. but our commitment remains unchanged. We continue to do our utmost to ensure every patient recieves timely treatment,careful monitoring and the best possible care.
Life style
Meet the author rewriting the rules of children’s fiction
Representation matters:
By Ifham Nizam
“There are no books written about pirates with prosthetic limbs, sporting blades, or racing wheelchairs—that is, until now,” says award-winning international children’s author Jann Weeratunga, whose Polly’s Piralympics series is challenging conventional ideas about who gets to be the hero in children’s literature.
For Weeratunga, representation is not simply about placing a disabled character somewhere in a story. It is about putting that character at the centre—leading, competing, winning, making friends, overcoming challenges and, most importantly, having adventures on their own terms.
Her books are designed not merely to be read, but to be experienced. Through interactive pages, children can colour, draw, write and respond to the stories, leaving something of themselves behind as they explore themes, ranging from disability and bullying to friendship, resilience and family.
At the heart of her growing literary brand is Polly’s Piralympics, a series in which disability is not presented as a limitation, but as part of a character’s identity and adventure.
The inspiration came from an unexpected moment during the closing speech of the 2012 London Paralympic Games by Sir Philip Craven. He recalled a young boy looking at an illustration of a pirate with an eye patch, a hook, a parrot and a wooden leg.
When his mother asked who the figure was, the boy replied that because the man had only one leg, “he must be an Olympian.”
The story moved Weeratunga deeply.
That moment of innocent perception—where disability was associated with sporting achievement rather than limitation—sparked the idea of Polly and her extraordinary Piralympic world.
In the series, Polly, a bird-napped African parrot, finds herself bullied in a Scottish pet shop before being rescued by Captain Hake. Their shared one-eyed view of the world becomes the beginning of an unusual friendship. Captain Hake teaches Polly the ways of a pirate, while Polly creates the Fellowship of Pirates and the Pirates Paralympics.
Soon, pirates from around the world are competing in events ranging from three-legged races and climb-the-rigging gymnastics to walk-the-plank diving and even a MasterChef competition.
It is an imaginative world, but behind the humour and adventure lies a serious message about inclusion and leadership.
Weeratunga recalls one school visit that brought home to her exactly why the books mattered.
A student with a prosthetic leg embraced her and said: “Thank you for writing these books for me, Auntie.”
The words left her overwhelmed.
“That was why I had written these books,” Weeratunga reflects.
Her journey towards becoming an author, however, began long before Polly sailed into the world of children’s fiction.
Earlier in her life, Weeratunga was a Scout Leader in the UK, where volunteering became a way of life. She subsequently spent a decade in Sri Lanka, falling in love not only with a Sri Lankan, but with the country itself.
After her husband died just four years into their marriage, she joined five other women to establish a small school in Senarathwela to teach English to those who wanted to learn. Many of her pupils, subsequently, found employment at the newly opened Victoria Golf Course.
When she returned to Sri Lanka in 2025 and revisited the village and golf course, she found a landscape transformed by new roads, homes, shops and businesses. But the people she had taught remained.
“The village is unrecognisable, with new roads, homes, shops and businesses, but my dear pupils were still there as Caddies, Caddy Master and Golf Pro. I was so proud of them,” she says.
Her connection with Sri Lanka deepened further during one of the country’s darkest moments.
On Boxing Day 2005, while holidaying in the UK with her recently widowed mother, Weeratunga was woken by the words: “Something terrible has happened in Sri Lanka.”
She rushed to the television and witnessed the devastating aftermath of the Indian Ocean tsunami.
That very day, she established a non-profit organisation to raise funds and take relief to Sri Lanka. With support from local McDonald’s franchises, schools in Ferndown, the Mayor of Ferndown, freight companies and her friend Mr Wijekoon, a local Grama Niladhari, she helped rebuild lives in Arugam Bay.
The experience was hands-on and deeply personal. A family’s home had been swept away, and days were spent persuading surfers to help construct a future for her adopted family.
A Montessori was established on the hill, within the Buddhist temple grounds, while evenings were spent crafting, building and working with a small but effective generator.
Meals of rice and curry, prepared by the family’s sisters, using provisions donated from Senarathwela, brought the long days to a close.
When Weeratunga returned to the family, in 2025, she was able to see how far they had come.
Today, living in South Africa, she continues to draw inspiration from the landscape around her.
“Travelling—it leaves you speechless and then turns you into a storyteller,” she says, echoing the famous words attributed to Ibn Battuta.
And storytelling has become her way of opening conversations with a new generation.
While Polly’s Piralympics remains the flagship of her children’s publishing brand, Weeratunga’s wider collection explores a range of issues that matter to children and parents.
Terry and the Bully gives children practical and empowering ways to stand up for themselves, transforming a difficult subject into a story through which young readers can explore courage and self-confidence.
In Evie Visiting Grandma, children encounter the sensitive experience of visiting a loved one who now lives in a residential home. Rather than avoiding a potentially difficult subject, the story gently opens the door to conversations about ageing, family and change.
Terry the Toucane explores another universal childhood experience—the challenge and beauty of being different. Its central message is simple: being different should never prevent us from developing deep and lasting friendships.
Then there is Captain Bluebird, a resilient and entertaining adventure exploring what happens when Captain Bluebird receives a brand-new ship.
Across the collection, Weeratunga combines entertainment with meaningful life lessons, while her interactive approach gives children an opportunity to become participants rather than passive readers.
They can colour illustrations, draw pictures and respond to pages, making each reading experience personal.
That approach also gives the books an added value for parents and educators. They can become conversation starters—helping adults discuss subjects that children may find difficult to raise directly.
For Weeratunga, this is part of the larger purpose of her work.
Her books seek to fill a gap in children’s literature where diverse characters are not simply included for the sake of inclusion, but are given agency, personality and leadership.
In Polly’s Piralympics, disabled characters are not watching from the sidelines. They are the stars.
They lead.
They compete.
They win.
They champion their own adventures.
And that, ultimately, is the brand Weeratunga is building: children’s stories in which every child can find a place, a voice and perhaps even a little courage to become the hero of their own story.
Representation matters.
For young readers in Sri Lanka, Weeratunga’s books are now available through Sarasavi Bookshop, Vijitha Yapa Bookshop, M. D. Gunasena and Expo Graphics, Battaramulla.
Life style
An evening where hearts sang as one
By Zanita Careem
Music, laughter and a generous spirit filled Raflfles Hotel Colombo as Heart to Heart sing along brought together a vibrant gathering for an evening of melody, friendship and giving. The elegant ballroom reverberated with familiar lyrics as guests joined in, sang along and simply let their hair down. Adding to the infections atmosphere was the talented Rajiv and Clan, whose lively performance kept the energy soaring and had the gathering singing to some much loved favourites.
Keeping the evening moving with plenty of wit and warmth was the compere Mirzab Sherifdeen who ensured there was never a dull moment between the music, laughter and spontaneous sing-along moments, Guests were also treated to prizes galore adding an extra element of excitement to an already festive evening. There was cheers as winners stepped forward to collect their prizes, while friends and families aplauded and celebrated every winning moment.
Yet beneath all the sparkle was the meaningful purpose of Heart to Heart Trust Fund, founded by Dr. Rajitha Y de Silva and Dr. Ruwan Ekanayake, bringing people together in support of a cause built on compassion and care.
The dedications and the volunteering was evident throughout the evening with their commitment adding a special warmth to this special event.
Adding to the evening’s indulgence was a sumptous spread of cuisine by the Raffles, Hotel with an enticing selectiom that kept guests happily returning for more. From savoury favourites to tempting desserts, the food complemented the festive mood perfectly.
As the final song faded and the evening drew to a close, there was a quiet sense of gratitude. Behind the music, laughter, prizs and beautiful memories was a cause built as compassion, a cause that has continued to touch lives through the dedication of Dr. Rajitha de Silva and everyone who has stood beside him in the journey of Heart to Heart.
And as guests left Raffles Hotel with the last melodies still lingering in the air the most beautiful note of the evening remained – the sound of hearts earning for hearts. At the very heart of Hearts to Heart is Dr. Rajitha whose compassion has become the soul of the initiative. Dr. Rajitha’s work reminds us that medicine is not only about repairing what is broken. It is about giving people the courage to believe in tomorrow. And perhaps that is the greatest gift he offers. This spirit was beautifully reflected throughout the evening.It was a beautiful evening of music, friendship and generosity, with every contribution going towards a worthy cause- keeping alive a legacy built one one simple but powerful belief that every heart deserves a chance to beat on.
- Ramzi Rahaman with friends and family enjoying an evening of music
- Sarath Wimalaratne, Chandra and Bunny Bohoron
- Brigadier Bohoron
- Shanti Fernando shares a warm and happy moment with volunteers, adding to the camaraderie and cheerful spirit
- Shahana, Sherin and Shahareen
- Lakshmie with her graceful moves
- Onitha Gurugalle with Arujana Ranasinghe
- Cardiologist and Senior Consultant Dr. Ruwan Ekanayake
- Dr. Rajitha Y de Silva and Dr. Arunie
- Former Cricketer with spouse
- A guest takes centre stage
Life style
Taste of Ceylon leaves a lasting flavour
Taste of Ceylon opened its doors at Beira Kitchen, Courtyard by Marriott Colombo, on September 3rd; a festival of Southern, Central, Uva and Northern regional food, brought together on one table.
Four Regions, One Unforgettable Table
Each night, guests moved between four distinct culinary worlds. From the South came the deep, coconut-rich flavours of malu abulthiyal and Negombo pork curry with pineapple, alongside a lively fish polla roti action station. The Central province brought Kandalama lake fish, black octopus curry and carrot kalupol; dishes rooted in the region’s lakes and forests. Uva’s table leaned rustic and warming, with village chicken stew, prawn curry with murunga, and a coconut pittu drawing steady queues. And from the North came bold, unmistakable flavours of Jaffna crab curry, Jaffna mutton curry, and a dosai action station that quickly became one of the evening’s most talked-about corners.
Layered around the four regional stations was a spread that told its own story of Sri Lankan hospitality, from belimal herbal welcome drinks and a bread corner stretching from curry leaves rolls to kurakkan viyana rolls, to a dessert corner where watalappan, wood-apple coconut wandu and king coconut jelly sat alongside a full spread of traditional Sri Lankan sweets like kokis, athirasa and aluwa.
What the guests had to say
The feedback on opening night carried a common thread: guests were struck by just how different each region’s food tasted, side by side, on the same table. What could easily have blurred into “just Sri Lankan food” instead came through as four distinct culinary identities; the fire of the North, the coastal warmth of the South, the earthiness of the Central hills, and the rustic comfort of Uva, each unmistakably its own.
A Word from the team
Reflecting on the festival, the team at Courtyard by Marriott Colombo shared that Taste of Ceylon was designed from the start to be more than a menu. It was meant to be an experience guests could travel through, one region at a time, without leaving Beira Kitchen. Judging by the response over the four nights, that’s exactly how it landed.
There were many rave reviews and as the Taste of Ceylon experience at Beira Lake drew to a close, the flavours, aromas and vibrant spirit of Sri Lanka lingered on.
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