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Direct Relief: Lanka heading for a humanitarian disaster
22mn Lankans lose access to medicine
Since Sri Lanka announced in April that it would default on its foreign debt, its 22 million residents have lost access to most medicine and medical supplies, setting them on course for a humanitarian disaster, according to a report published by the ReliefWeb, the humanitarian information project of the United Nations Office for the Coordination of Humanitarian Affairs.
It said: Unlike Russia’s invasion of Ukraine and the recent hurricane batterings of Puerto Rico and Florida, Sri Lanka’s crisis grew slowly and has garnered few international headlines. But Sri Lankans are suffering amid the harshest economic crisis the country has confronted since gaining independence from the British empire in 1948.
With the country’s foreign reserves depleted, the nationalized healthcare system cannot afford to import medicine and medical supplies in sufficient quantities. Sri Lanka relies on imports for about 85% of its pharmaceutical needs and about 80% of its medical supplies. The country imported $815 million in medicine in 2021, but by May had only about $25 million in foreign reserves to pay for imports of any kind.
Last week in Sri Lanka, Direct Relief staff participated in an extensive series of meetings with Prime Minister Dinesh Gunawardena and much of the country’s healthcare leadership while overseeing the arrival of what may be the largest donation of medicine to the country since the crisis began.
What they encountered was grim. “For the next six months, they’re expecting a catastrophic number of deaths,” said Chris Alleway, Direct Relief’s manager of emergency response and new initiatives, who led the Sri Lanka meetings.
The 3,500-bed National Hospital of Sri Lanka in Columbo, which usually has 1,300 medicines in stock, is now down to requesting only the 60 most essential medicines.
With anesthesia in short supply, most general surgeries in the country have ceased, including kidney transplants. Cancer patients have lost access to medications needed to fight the deadly disease. Diabetes patients must secure and bring their own glucose meters for blood sugar checkups.
Many hospitals are stocked out of basic items like bandages and cotton balls. The stockouts are forcing rural clinics to close their doors and refer patients to larger facilities in urban areas, which also are overwhelmed by the flow of patients.
Due to a severe fuel shortage, the country’s fishing fleets cannot go far out to sea, slashing the supply of fish that is a significant source of protein in the country, including at its largest children’s hospital.
In addition to Prime Minister and the Ministery of Health, Direct Relief staff met with the chairs of the country’s medical universities, including the colleges of oncology, psychiatry, nephrology, hematology, endocrinology, critical care medicine, anesthesiology, and maternal & child health.
Sri Lanka is also losing clinicians as they migrate to other countries with more opportunities, while its medical colleges see the number of applicants for medical education decline sharply.
“Every one of the medical college leaders informed us that they are in a dire situation, with major shortages across the board for everything,” Alleway said. “A lot of them were very emotional in our conversations. You could tell that they’re holding together the health care system to the best of their abilities with limited to no resources.”
Responding to the crisis spurred by Sri Lanka’s default in June of this year, Direct Relief has delivered eight humanitarian shipments totaling 27 tons and 16 million defined daily doses of donated medicine.
The largest shipment from Direct Relief to Sri Lanka—36,600 lbs. (18 tons) of medicine and medical supplies requested explicitly by Sri Lanka’s government—arrived in recent weeks.
“Direct Relief’s donation of $10 million worth of medicine will save many lives,” Prime Minister Gunawardena said in a statement.
The 18-ton shipment included medications to treat infections, wounds, seizures, mental health conditions, glaucoma, cardiovascular disease and respiratory issues.
These products were donated to Direct Relief by companies including Accord Healthcare, Apotex, Baxter International, Teva Pharmaceuticals and Viatris. One particularly considerable contribution from Accord included nearly 200,000 defined daily doses of IV furosemide, which is used to treat edema from heart failure and liver and kidney disease.
Other companies contributing donated medicine to Sri Lanka include AbbVie, Boehringer Ingelheim Cares Foundation, Eli Lilly & Co., Hikma Pharmaceuticals, Integra LifeSciences, Meitheal Pharmaceuticals, and Merck.
Partnering with Sri Lanka’s College of Endocrinologists and the Life for a Child program, Direct Relief has also donated and delivered two shipping containers of insulin that went to 25 health facilities for the benefit of patients under the age of 14 with diabetes.
Direct Relief works closely with Sri Lanka’s Ministry of Health, Ministry of Foreign Affairs, the Sri Lankan Embassy in the United States, the Medical Supply Division, and the National Medicines Regulatory Authority to deliver supplies and will continue to do so.
Direct Relief has also received invaluable assistance from Medical Help Sri Lanka, an organization formed by Sri Lankans in the United States.
“Direct Relief has established trusted relationships at all levels of the government and will continue to provide support as needed,” Alleway said.
In April, Sri Lanka suspended repayment of nearly $7 billion in foreign debt due this year out of a total foreign debt of more than $51 billion. On Sept. 1, the International Monetary Fund announced $2.9 billion in loans “to restore macroeconomic stability and debt sustainability while safeguarding financial stability, reducing corruption vulnerabilities and unlocking Sri Lanka’s growth potential.”
The loans, however, are not expected to restore Sri Lanka’s ability to import medicine quickly. In the meantime, Direct Relief will continue assisting the country to the fullest extent possible, with additional medical aid shipments already underway.
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Bambalapitiya Railway Station renovated under the “Dream Destination” project opened to the public
Prime Minister Dr. Harini Amarasuriya stated that Sri Lanka is now creating a common dream as a nation and that the Government’s objective is to make public transport the convenient choice for the people. The Prime Minister made these remarks while participating in the ceremony held to open the renovated Bambalapitiya Railway Station under the “Dream Destination” project.
The renovated Bambalapitiya Railway Station was opened to the public on 10 September under the “Dream Destination” project, jointly implemented by the Ministry of Transport, Highways and Urban Development and the Sri Lanka Railways Department in line with the Clean Sri Lanka national programme. Prime Minister Dr. Harini Amarasuriya participated in the occasion.
The Prime Minister also inspected the renovated railway station, as well as the new pedestrian overpass providing access to the railway station, constructed by the Road Development Authority for which the Dawoodi Bohra community in Sri Lanka contributed Rs. 60 million.
Addressing the gathering, the Prime Minister expressed her special appreciation to the Bohra community for taking the initiative to renovate and provide the people with improved facilities at the Bambalapitiya Railway Station, a busy and well-known location in the Colombo District.
She stated that the renovation of public spaces and the provision of improved facilities have contributed to generating greater interest and a more positive perception of public transport among the people.
The Prime Minister also expressed her appreciation to the Minister of Transport, Highways and Urban Development, the Deputy Ministers and the staff for their contribution towards improving public transport services and attracting greater public interest towards these services.
The development of a country is not determined by the number of private vehicles it has. It is determined by the manner in which people use public transport. The Government’s objective is to improve the public transport service, which has disappointed the people for many years, and create a situation where people feel that public transport is more convenient and safer than using a private vehicle. The Government’s commitment to public transport is clearly demonstrated by the increased allocation of funds for the sector. The ’Dream Destination’ programme is another significant initiative under this effort, bringing together State institutions and the private sector to contribute to national development,” the Prime Minister stated.
“A country does not belong only to the Government. A country is the home for everyone who lives in it. It is the responsibility of all of us to contribute to that home through our knowledge, labour or resources. For a long time, we did not have a common dream as a country. Today, we feel that such a dream is beginning to emerge.
“We have a collective dream. The journey towards that dream is the collective journey we have begun together to build our country, which is our common home.
“What we witness here today is the active participation of our people, our diverse communities and the private sector in this journey. Such collective participation is essential to moving a country forward. Therefore, we deeply appreciate this contribution.
“The Bohra community reminds us today of the importance of this collective spirit. We have now embarked on a collective journey. We share a common dream of what our country should be, what the future of our country should look like and what kind of experience life in our country should offer. The Clean Sri Lanka national programme further strengthens these objectives,” the Prime Minister further stated.
Addressing the gathering, Deputy Minister of Urban Development Eranga Gunasekara stated that increased funding would be allocated to the Sri Lanka Railways Department for development activities next year. He noted that public transport and railway services had not previously received sufficient attention from the Government, but that this would change moving forward.
“Our transport services are progressing step by step, and the railway system is a key component of this development. Accordingly, on the instructions of the President, we will commence the electric railway system, which has long been a dream for our country, next year. We expect to introduce electric railway services from Maradana to Makumbura, from Maradana to Panadura and from Maradana to Ragama. We will also commence work to extend the Kelani Valley railway line from Avissawella to Ratnapura.
He also appreciated the contribution made by private institutions towards the “Dream Destination” project without seeking any promotional benefits in return.
Speaking on behalf of the Dawoodi Bohra community, Khuzaimah Jefferjee stated that the Dawoodi Bohra community, which has been part of Sri Lanka’s social, cultural and economic landscape for more than 150 years, believes that being a citizen of the country means more than simply living in the country. It means contributing to the country, caring for it and leaving behind a better country for future generations.
He said that, as part of this responsibility, the community had taken steps to renovate, modernise and beautify the Bambalapitiya Railway Station. He added that the community hopes these efforts will make the daily journeys of passengers a cleaner, safer, more convenient and dignified experience.
The occasion was attended by the Deputy Speaker of the Parliament of Sri Lanka Dr. Rizvie Sally, Deputy Minister of Religious and Cultural Affairs Muneer Mulaffer, Mayor of the Colombo Municipal Council Vraie Cally Balthazar, Secretary to the President Dr. Nandika Sanath Kumanayake, Secretary to the Prime Minister Pradeep Saputhanthri, General Manager of Sri Lanka Railways Padmapriya, Janab Amil Saheb Ibrahim and representatives of the Dawoodi Bohra community, officials of the Clean Sri Lanka programme and several others.


[Prime Minister’s Media Division]
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Steps being taken to reduce paper usage in parliament and the public sector through digitalisation – PM
Prime Minister Dr. Harini Amarasuriya stated that steps are being taken to reduce the use of paper in Parliament and the public sector through digitalisation.
The Prime Minister made these remarks in Parliament on Thursday (10 September) in response to a question raised regarding digitalisation and the use of paper.
The Prime Minister further stated:
“The total expenditure incurred in 2023, 2024 and 2025 for the provision of Hansard reports, Order Books, Agendas and other parliamentary printed materials provided to Members of Parliament and Ministers for use within the Chamber is Rs. 45.3 million in 2023, Rs. 58.7 million in 2024 and Rs. 73.1 million in 2025.
All these printed materials have been produced based on requests made by Parliament. At the same time, a programme is currently being developed to reduce the use of paper.
In accordance with a request made by the Secretary to the Treasury to the Secretary-General of Parliament, the Committee on Parliamentary Business considered the possibility of submitting reports to Parliament solely in digital format in the future. It was decided to conduct a survey to ascertain the preference of each Member of Parliament. Based on the results of the survey, arrangements will be made to provide relevant documents digitally to Members who prefer digital copies, while printed copies will be provided to those who prefer printed versions.
Following the completion of this survey, arrangements will be made to implement the programme on a date to be determined by the Committee on Parliamentary Business.
Similarly, all ministries and government institutions are currently taking steps towards digitalisation while reducing their use of paper. However, this process will take some time. In this manner, particularly the exchange of files and many other such processes can be facilitated through digital systems in the future.
For example, in the Ministry of Education, applications for leave submitted by university lecturers for overseas travel were previously submitted to the Ministry in printed form. The entire process has now been digitalised. The Ministry, through the University Grants Commission, provides approval for such leave applications through a digital process. Ministries across the government are taking similar measures. We believe that once digital systems are fully established, we will be able to significantly reduce the use of paper.
Responding to a question regarding measures to reduce the weight of schoolchildren’s bags, the Prime Minister stated:
The weight of students’ books will be reduced through the activity-based learning process introduced under the new education reforms. Since the books will be kept in the classroom, students will no longer need to carry them back and forth. They will only need to take the books home at the end of the term after completing their work.
From 2027, a module-based learning process will be introduced for Grade 6. Modules will not consist of large textbooks; instead, students will be provided with modules relevant to each subject for the particular term. Therefore, this system will significantly reduce the weight of schoolchildren’s bags.
[Prime Minister’s Media Division]
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INS Udaygiri departs Colombo concluding formal visit
The Indian Naval Ship (INS) Udaygiri departed the Port of Colombo today, 11 September 2026, following the successful completion of a four day official visit.
On her departure, the Sri Lanka Navy bade farewell to the ship in accordance with time-honoured naval traditions.
During the visit, naval personnel from both navies engaged in joint initiatives to strengthen bilateral ties. These included a friendly volleyball match, a beach cleanup along the Galle Face
promenade, and a training exercise on Visit, Board, Search, and Seizure (VBSS) conducted by the Sri Lanka Navy Special Boat Squadron (SBS).
As part of the visit, the Indian Navy handed over a consignment of spares and supplies to the Sri Lanka Navy. Visiting crew members also toured key tourist attractions in and around Colombo.
Official interactions of this nature aim to enhance cooperation and knowledge-sharing between the two maritime forces, supporting joint responses to evolving regional maritime challenges.
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