Features
Does man live by bread (or rice) alone?
What is missing from our dinner menu is not the fault of the kitchen keepers!
By B. Nimal Veerasingham
There was this gentleman who lived on the lane behind our house. Let’s call him ‘Chella’, and unrelated to his acquired name, he was a tall and burly strapper. Chella was the chef or chief cook at the local Teachers’ Training College, where, obviously, meals must be prepared for a larger crowd. The legend is that ‘Chella’ uses his bare hands to crush large quantities of garlic, ginger, curry leaves and green chillies to be put in boiling cooking vessels. His curries were graded ‘A’ by the future educators and that possibly enhanced their ability to enlighten students and in turn helped in an indirect manner to build a country with greater resolution and mission. While Chella’s role at the college kitchen was not widely realised, there was another side which became a legacy of his. On pay day, Chella, became another beast, howling, singing, swearing, kicking fences over—a driverless bulldozer in motion. The booze takes complete dominance over him, so much so his family members had to take refuge in neighbouring houses.
There was another gentleman—let’s call him ‘Nada’—who worked with us many moons ago. Unlike Chella, Nada was at the helm of finance with many professional acronyms adorning his name. Tall with well-oiled hair, combed back, his forehead always had light holy-ash markings. People have noticed that his posture, while standing, in relation to the ground, is not 90 degrees, unlike that of other fellow Homo sapiens; he stood at more or less an obtuse angle. When he was under the influence of liquor, which became a daily evening ritual, his angle became pronouncedly more obtuse, perhaps qualifying as a new Yoga posture. Friends swear that once he ended up in the hospital mortuary because he lacked vital signs. In the middle of the night the mortuary attendants heard heavy banging from inside and ran for their dear lives to fetch a ‘kattadiya’. His friends further swore that Nada was finally rescued from ‘death’, fully sober and the news appeared in the local newspaper, though nobody believed it.
My paternal grandfather was a man of few words, literally. During our childhood, other than the warnings he yelled at our climbing the many tall guava trees in his garden and during our ‘hide and seek’ episodes, fleeing down his low roof and side verandah, he hardly spoke. I attributed this to his habit of chewing betel. He was a jack-of-all-trades, a handy person who could fix anything, be it our broken leather soccer ball or a stuck bicycle axle. On his ‘pension day’ he would go to the local grocery store to settle the monthly grocery bill and would get us the best sweet chewy muscat in town. On his way home, he would stop at the ‘corner bar’ to have his quick dram, and the man would become even quieter afterwards.
Legend
Alcohol, or rather the escapades resulting from the effects of the ethanol is the foremost conversational topic in the vast majority of gatherings, at times beating the banter on a recently held cricket series. Of course, alcohol has a complicated history. Traces of alcohol has been detected in archaeological evidence unearthed from Chinese pottery as old as 7,000 to 6,000 BC, and further evidence proves that a part of the wages of Great Pyramids of Giza workers were paid in beer. The distillation of wine is alluded to in Arabic works, attributed to Al-Kindi (c.801-873CE) and Al-Farabi (c.872-950 CE), and in the 28th book of Al-Zahrawi. Southern Europe developed a taste, (pun intended), for the distillation methods introduced by Middle Eastern Muslim chemists by the early 14th Century. During the same period the methods were introduced and widely used in India, during the Delhi Sultanate rule.
The four main reasons for raising glasses and toasting, then and now are, to create a positive mood, to be social, to ‘cope and to confirm’. ‘Coping’ and ‘confirming’ usually considered as negative motives while to cope will likely lead to alcohol use disorders depending on the identity, social norms, and self-image of the drinker.
Chemistry
In 2018, the Global alcohol industry was valued at a trillion dollars. And no matter what the marketing tools of the industry tout as joyous in flowery melodies, the liquid in the bottle is simply disguised ethanol or ethyl alcohol, colourless, odourless and flammable in its pure form. A formula born out of fermentation, which could slow the blood flow to the brain, resulting in slow response of the body’s systems. It also triggers the release of dopamine, a neurotransmitter that is associated with pleasure and satisfaction, and what’s more, stress relief is also associated with another neurotransmitter released under the influence of alcohol, Gamma aminobutyric acid (GABA).
The overwhelming human tendency to associate the experience of getting drunk with pleasure, draws them into a mirage, plunging them into disease, disaster, and worse, death. The rush is like the stock market, does not let you remain high forever, and the gravitational pull would not guarantee a soft landing. Driving after two drinks (assuming one drink equals 12 ounces of beer or five ounces of wine or 1.5 ounces of spirits), when the blood alcohol concentration (BAC) exceeds 0.08 percent, is a punishable criminal offence that entails many penalties in many jurisdictions around the world. In 2010, 31 percent of all driving fatalities in the US were alcohol related.
Consequence
The body absorbs alcohol relatively quickly, but it takes longer to get the alcohol to flush out of the body. The liver needs about one hour to process one drink, where enzymes break ethanol into acetaldehyde and acetate. Consuming several within a short span causes the body to saturate with alcohol yet to leave the body, resulting in longer hangovers. Muscles absorb alcohol faster than fat, as a result people with muscles and less body fat have higher tolerance. Dark liquors, such as red wine or whiskey are more likely to result in severe hangovers, while white or clear ones much less. The abuse contributes to well over 200 diseases, injury related health conditions and unintentional injuries such as motor vehicle accidents, falls, burns, assaults and drownings. In 2016, three million deaths or 5.3 percent of all global deaths (7.7 percent men and 2.6 percent women) were attributed to alcohol consumption.
While the negative impact of alcohol abuse is very much tabulated with numerical data, the positive side of alcohol consumption in moderation, for example, the many indirect economic, health and collective societal asset building advantages of alcohol induced socialising, is not readily available.
Magic of red wine
In market studies on all spirits, there is a huge following for red wine and it tempts the novice with a reason to drink. The amount of sugar usually added to red wine should be taken into consideration, as studies conducted by King’s College London shows that brands with excess sugar could lead to irritability of the bowels and inflammation. It could also lead to bacterial overgrowth leading to bloating, pain and other discomforts.
Wine, depending on the culinary pairing at the dining table, has become a part of the standard European diet. Both as a ubiquitous social lubricant and a digestive enhancer, wine’s role in typical European backgrounds enhances societal binding and togetherness. Grapes, which grow well in Mediterranean and Southern European climatic conditions, have taken firm root in their diet. It is evident that most Italian, Greek, Portuguese and Spanish households, wherever they live, have grapevines in their back garden. Though 71 percent of the world’s grape production is used for wine production commercially, individual households take pride in producing their own.
European influence
The influence of wine was felt in Asia by way of European imperialism, in the name of trade expansion, through the sequential spread of religion. Christianity, notably Catholicism celebrates Eucharist, wherein the Last Supper, when
Christ requested his followers to remember him through bread and wine, is commemorated. As a result, wine, which is a part of the European diet, has now entered the lives of the followers at least on Sundays. The jury is still out on whether the wine served at the Last Supper or, for that matter, the wine mentioned in the very first miracle Jesus performed, in turning water into wine at a wedding, is indeed alcohol or just grape juice. I had friends at school who were alter-boys, whose ability to siphon off left-over wine after the mass, was legendary.
Most of the Protestant Churches do not serve wine during ‘communion’ as the occasion calls for coming together in remembering the death of Christ, the wine being only a symbol. The Salvation Army does not have communion or consume alcoholic beverages as per the calling of William Booth outside the ‘Blind Beggar’, a tavern in the infamous East End of London. Most of the converts of the early days were alcoholics and the denomination does not want to tempt them once again into poverty, disease, and dependence.
As part of their attempt to Europeanize the Asian culinary scene, the Colonial capitalists tried to pair the curries with wine, resulting in a disastrous outcome. Washington Post columnist Greg Kitsock describes it as, “Spices distort wine flavours, turning white wines hot and red wines bitter.” Rather than living on negative results, the capitalists discovered beer to match the fiery curries. “Curry’s main ingredients, garlic, chillies, coriander, lemon grass, turmeric, ginger…. All those warming spices meld wonderfully with the toasty flavours of malted barley. The richness of coconut milk and palm oil can’t knock out the crisp texture of carbonation …. Plus, a beer is often served chilled, which is a refreshing contrast,” says Lucy Saunders, writer contributing to many Asian magazines.
But the irony is that barley and hops, the main ingredients in beer, are not native or produced en masse in Asia but must be imported from Europe.
Ceylon arrack
Irrespective of whether the word ‘arrack’ is derived from the Arabic word ‘Arak’ (distillate) or the arecanut tree, being the base for many varieties of arrack, ‘Ceylon arrack’ made from coconut sap is the most popular among Sri Lankans.
Collecting sap from coconut and Palmyra trees is physically exhausting and left to experienced climbers and tappers who venture to climb countless trees to collect relatively small volumes of syrup from each tree. Arrack is one of few liquors that has a distillate of a 100 percent natural fermentation and, unlike whisky, distilled at high strength. Unfortunately, it is said that half of all Asians lack the active enzyme which breaks down acetaldehyde within ethanol found in most forms of alcohol. Most Westerners have this enzyme and as a result should drink more than Asians to have an equal buzz.
According to the World Health Organization’s data repository, in terms of alcohol consumption, South Koreans (over age 15) lead the pack, with 10.9 litres a year on average, while Vietnam follows with 8.7 litres. Although Sri Lanka and India scores closer with 4.5 and 4.6 litres, the numbers collected from legitimate and regulated bodies sometimes do not convey the real story.
There is a greater distribution of locally and illicitly brewed, cheap varieties that do not make it into the national statistics. A 1997 study in eight Sri Lankan villages revealed that 71 percent drink on a regular basis and 93 percent of the respondents consumed locally brewed alcohol. Another study on the urban poor showed that in families wherein members consumed alcohol, more than 30 percent of the total income was spent on alcohol.
Though rice, sugar cane and coconut sap, the three main locally available commercial agents, could be used in mass production, the local illicit brews do not source them due to high cost. Consequently, in many cases, cheap jaggery, coconut water, rotten greens and fruits are used.
Sovereigns of our nourishment
The business of feeding the household, for many generations, was entrusted to women, mostly the grandmothers of the family. It is their domain and they assumed the responsibility of keeping everyone cared for and nourished, through the act of feeding. One may call it a maternal hierarchy, but victors and successes always had their origins in kitchens that are shaped and sustained by women. ‘Masculinity’, in the historical context or current, is shaped by the mundane activities and experiences of the kitchenettes that played the role of second womb.
Both my grandmothers had kitchens, narrowly separated from the main house and almost the size or bigger than the living room. That was their territory and their friends visited them there directly to have tea, chat and to exchange home grown vegetables, seated on a mat, or low stools. The place was spotless-clean and neatly kept, and we hardly knew what was kept where, and even the pets, cat and dog, would never dare cross the kitchen entrance. I have overheard from my grandmothers that, long before childbirth was considered an ‘illness’ that required hospital admission, people always gave birth in their kitchens.
Under this regime of established womanhood in our part of the world, it is not difficult to understand the underpinnings of a family meal. What is approved and served by the matriarch at the dinner table becomes the benchmark of decency.
Women from our part of the world did not have control over the production of any variety of alcohol, and therefore were denied the ability to regulate or to add to the menu, unlike their European counterparts. The main ingredients, sugar cane, coconut sap and rice were beyond the boundaries of individual home gardens. The prime objective of rice cultivation is feeding the hungry rather than quenching the recreational thirst, which would require large volumes for alcohol production. The working class that taps toddy was kept at the lower rungs by a hypocritical society that had no qualms about consuming their laboriously made toddy.
The culture that influences how people consume alcohol is not determined arbitrarily but rather by the circumstances under which ingredients are made available for the women to regulate or to determine the form it needs to be presented in the family menu. My grandmother made awesome ‘hoppers’, with toddy replacing yeast, but it had to be procured through a neighbour who was a regular at the toddy tavern.
What if, as in Italy, our home gardens also produced grape wine? Would wine have become part of our menu? If that was the case, I doubt that ‘Chella’ would have kicked over fences, or ‘Nada’ got a cold reception at the mortuary, not to mention, my grandfather, who would not have had to wait in line for his quick dram on pension day at the ‘corner bar’.
Features
Who Owns the Clock? The Quiet Politics of Time in Sri Lanka
(This is the 100th column of the Out of the Box series, which began on 6 September, 2023, at the invitation of this newspaper – Ed.)
A new year is an appropriate moment to pause, not for celebration, but to interrogate what our politics, policies, and public institutions have chosen to remember, forget, and repeat. We celebrate the dawn of another brand-new year. But whose calendar defines this moment?
We hang calendars on our walls and carry them in our phones, trusting them to keep our lives in order, meetings, exams, weddings, tax deadlines, pilgrimages. Yet calendars are anything but neutral. They are among humanity’s oldest instruments of power: tools that turn celestial rhythms into social rules and convert culture into governance. In Sri Lanka, where multiple traditions of time coexist, the calendar is not just a convenience, it is a contested terrain of identity, authority, and fairness.
Time is never just time
Every calendar expresses a political philosophy. Solar systems prioritise agricultural predictability and administrative stability; lunar systems preserve religious ritual even when seasons drift; lunisolar systems stitch both together, with intercalary months added to keep festivals in season while respecting the moon’s phases. Ancient India and China perfected this balancing act, proving that precision and meaning can coexist. Sri Lanka’s own rhythms, Vesak and Poson, Avurudu in April, Ramadan, Deepavali, sit inside this wider tradition.
What looks “technical” is actually social. A calendar decides when courts sit, when budgets reset, when harvests are planned, when children sit exams, when debts are due, and when communities celebrate. It says who gets to define “normal time,” and whose rhythms must adapt.
The colonial clock still ticks
Like many postcolonial societies, Sri Lanka inherited the Gregorian calendar as the default language of administration. January 1 is our “New Year” for financial statements, annual reports, contracts, fiscal plans, school terms, and parliamentary sittings, an imported date shaped by European liturgical cycles and temperate seasons rather than our monsoons or zodiac transitions. The lived heartbeat of the island, however, is Avurudu: tied to the sun’s movement into Mesha Rāshi, agricultural renewal, and shared rituals of restraint and generosity. The result is a quiet tension: the calendar of governance versus the calendar of lived culture.
This is not mere inconvenience; it is a subtle form of epistemic dominance. The administrative clock frames Gregorian time as “real,” while Sinhala, Tamil, and Islamic calendars are relegated to “cultural” exceptions. That framing shapes everything, from office leave norms to the pace at which development programmes expect communities to “comply”.
When calendars enforce authority
History reminds us that calendar reforms are rarely innocent. Julius Caesar’s reshaping of Rome’s calendar consolidated imperial power. Pope Gregory XIII’s reform aligned Christian ritual with solar accuracy while entrenching ecclesiastical authority. When Britain finally adopted the Gregorian system in 1752, the change erased 11 days and was imposed across its empire; colonial assemblies had little or no say. In that moment, time itself became a technology for governing distant subjects.
Sri Lanka knows this logic. The administrative layers built under colonial rule taught us to treat Gregorian dates as “official” and indigenous rhythms as “traditional.” Our contemporary fiscal deadlines, debt restructurings, even election cycles, now march to that imported drumbeat, often without asking how this timing sits with the island’s ecological and cultural cycles.
Development, deadlines and temporal violence
Modern governance is obsessed with deadlines: quarters, annual budgets, five-year plans, review missions. The assumption is that time is linear, uniform, and compressible. But a farmer in Anuradhapura and a rideshare driver in Colombo do not live in the same temporal reality. Monsoons, harvests, pilgrimage seasons, fasting cycles, school term transitions, these shape when people can comply with policy, pay taxes, attend trainings, or repay loans. When programmes ignore these rhythms, failure is framed as “noncompliance,” when in fact the calendar itself has misread society. This mismatch is a form of temporal violence: harm produced not by bad intentions, but by insensitive timing.
Consider microcredit repayment windows that peak during lean agricultural months, or school examinations scheduled without regard to Avurudu obligations. Disaster relief often runs on the donor’s quarterly clock rather than the community’s recovery pace. In each case, governance time disciplines lived time, and the least powerful bend the most.
Religious time vs administrative time
Sri Lanka’s plural religious landscape intensifies the calendar question. Buddhism, Hinduism, Islam, and Christianity relate to time differently: lunar cycles, solar markers, sacred anniversaries. The state acknowledges these mainly as public holidays, rather than integrating their deeper temporal logic into planning. Vesak is a day off, not a rhythm of reflection and restraint; Ramadan is accommodated as schedule disruption, not as a month that reorganises energy, sleep, and work patterns; Avurudu is celebrated culturally but remains administratively marginal. The hidden assumption is that “real work” happens on the Gregorian clock; culture is decorative. That assumption deserves challenge.
The wisdom in complexity
Precolonial South and East Asian calendars were not confused compromises. They were sophisticated integrations of astronomy, agriculture, and ritual life, adding intercalary months precisely to keep festivals aligned with the seasons, and using lunar mansions (nakshatra) to mark auspicious thresholds. This plural logic admits that societies live on multiple cycles at once. Administrative convenience won with the Gregorian system, but at a cost: months that no longer relate to the moon (even though “month” comes from “moon”), and a yearstart with no intrinsic astronomical significance for our context.
Towards temporal pluralism
The solution is not to abandon the Gregorian calendar. Global coordination, trade, aviation, science, requires shared reference points. But ‘shared’ does not mean uncritical. Sri Lanka can lead by modelling temporal pluralism: a policy posture that recognises different ways of organising time as legitimate, and integrates them thoughtfully into governance.
Why timing is justice
In an age of economic adjustment and climate volatility, time becomes a question of justice: Whose rhythms does the state respect? Whose deadlines dominate? Whose festivals shape planning, and whose are treated as interruptions? The more governance assumes a single, imported tempo, the wider the gap between the citizens and the state. Conversely, when policy listens to local calendars, legitimacy grows, as does efficacy. People comply more when the schedule makes sense in their lives.
Reclaiming time without romanticism
This is not nostalgia. It is a pragmatic recognition that societies live on multiple cycles: ecological, economic, ritual, familial. Good policy stitches these cycles into a workable fabric. Poor policy flattens them into a grid and then blames citizens for falling through the squares.
Sri Lanka’s temporal landscape, Avurudu’s thresholds, lunar fasts, monsoon pulses, exam seasons, budget cycles, is rich, not chaotic. The task before us is translation: making administrative time converse respectfully with cultural time. We don’t need to slow down; we need to sync differently.
The last word
When British subjects woke to find 11 days erased in 1752, they learned that time could be rearranged by distant power. Our lesson, centuries later, is the opposite: time can be rearranged by near power, by a state that chooses to listen.
Calendars shape memory, expectation, discipline, and hope. If Sri Lanka can reimagine the governance of time, without abandoning global coordination, we might recover something profound: a calendar that measures not just hours but meaning. That would be a reform worthy of our island’s wisdom.
(The writer, a senior Chartered Accountant and professional banker, is Professor at SLIIT, Malabe. The views and opinions expressed in this article are personal.)
Features
Medicinal drugs for Sri Lanka:The science of safety beyond rhetoric
The recent wave of pharmaceutical tragedies in Sri Lanka, as well as some others that have occurred regularly in the past, has exposed a terrifying reality: our medicine cabinets have become a frontline of risk and potential danger. In recent months, the silent sanctuary of Sri Lanka’s healthcare system has been shattered by a series of tragic, preventable deaths. The common denominator in these tragedies has been a failure in the most basic promise of medicine: that it will heal, not harm. This issue is entirely contrary to the immortal writings of the Father of Medicine, Hippocrates of the island of Kos, who wrote, “Primum non nocere,” which translates classically from Latin as “First do no harm.” The question of the safety of medicinal drugs is, at present, a real dilemma for those of us who, by virtue of our vocation, need to use them to help our patients.
For a nation that imports the vast majority of its medicinal drugs, largely from regional hubs like India, Pakistan, and Bangladesh, the promise of healing is only as strong as the laboratory that verifies these very same medicinal drugs. To prevent further problems, and even loss of lives, we must demand a world-class laboratory infrastructure that operates on science, not just sentiment. We desperately need a total overhaul of our pharmaceutical quality assurance architecture.
The detailed anatomy of a national drug testing facility is not merely a government office. It is a high-precision fortress. To meet international standards like ISO/IEC 17025 and World Health Organisation (WHO) Good Practices for Pharmaceutical Quality Control Laboratories, such a high-quality laboratory must be zoned into specialised units, each designed to catch a different type of failure.
* The Physicochemical Unit: This is where the chemical identity of a drug is confirmed. Using High-Performance Liquid Chromatography (HPLC) and Gas Chromatography-Mass Spectrometry (GC-MS), scientists determine if a “500mg” tablet actually contains 500mg of the active ingredient or if it is filled with useless chalk.
* The Microbiology Suite: This is the most critical area for preventing “injection deaths.” It requires an ISO Class 5 Cleanroom: sterile environments where air is filtered to remove every microscopic particle. Here, technicians perform Sterility Testing to ensure no bacteria or fungi are present in medicines that have to be injected.
* The Instrumentation Wing: Modern testing requires Atomic Absorption Spectrometers to detect heavy metal contaminants (like lead or arsenic) and Stability Chambers to see how drugs react to Sri Lanka’s high humidity.
* The injectable drug contamination is a serious challenge. The most recent fatalities in our hospitals were linked to Intravenous (IV) preparations. When a drug is injected directly into the bloodstream, there is no margin for error. A proper national laboratory must conduct two non-negotiable tests:
* Bacterial Endotoxin Testing (BET): Even if a drug is “sterile” (all bacteria are dead), the dead bacteria leave behind toxic cell wall products called endotoxins. If injected, these residual compounds cause “Pyrogenic Reactions” with violent fevers, organ failure, and death. A functional lab must use the Limulus Amoebocyte Lysate (LAL) test to detect these toxins at the parts-per-billion level.
* Particulate Matter Analysis: Using laser obscuration, labs must verify that no microscopic shards of glass or plastic are floating in the vials. These can cause fatal blood clots or embolisms in the lungs.
It is absolutely vital to assess whether the medicine is available in the preparation in the prescribed amounts and whether it is active and is likely to work. This is Bioavailability. Sri Lanka’s heavy reliance on “generic” imports raises a critical question: Is the cheaper version from abroad as effective as the original, more expensive branded formulation? This is determined by Bioavailability (BA) and Bioequivalence (BE) studies.
A drug might have the right chemical formula, but if it does not dissolve properly in the stomach or reach the blood at the right speed, it is therapeutically useless. Bioavailability measures the rate and extent to which the active ingredient is absorbed into the bloodstream. If a cheaper generic drug is not “bioequivalent” to the original brand-named version, the patient is essentially taking a useless placebo. For patients with heart disease or epilepsy, even a 10% difference in bioavailability can lead to treatment failure. A proper national system must include a facility to conduct these studies, ensuring that every generic drug imported is a true “therapeutic equivalent” to the brand-named original.
As far as testing goes, the current testing philosophy is best described as Reactive, rather than Proactive. The current Sri Lankan system is “reactive”: we test a drug only after a patient has already suffered. This is a proven recipe for disaster. To protect the public, we must shift to a Proactive Surveillance Model of testing ALL drugs at many stages of their dispensing.
* Pre-Marketing Approval: No drug should reach a hospital shelf without “Batch Release” testing. Currently, we often accept the manufacturer’s own certificate of analysis, which is essentially like allowing students to grade their own examination answers.
* Random Post-Marketing Surveillance (PMS): Regulatory inspectors must have the power to walk into any rural pharmacy or state hospital, pick a box of medicine at random, and send it to the lab. This could even catch “substandard” drugs that may have degraded during shipping or storage in our tropical heat. PMS is the Final Safety Net. Even the best laboratories cannot catch every defect. Post-Marketing Surveillance is the ongoing monitoring of a drug’s safety after it has been released to the public. It clearly is the Gold Standard.
* Pharmacovigilance: A robust digital system where every “Adverse Drug Reaction” (ADR) is logged in a national database.
* Signal Detection: An example of this is if three hospitals in different provinces report a slight rash from the same batch of an antibiotic, the system should automatically “flag” that batch for immediate recall before a more severe, unfortunate event takes place.
* Testing for Contaminants: Beyond the active ingredients, we must test for excipient purity. In some global cases, cheaper “glycerin” used in syrups was contaminated with diethylene glycol, a deadly poison. A modern lab must have the technology to screen for these hidden killers.
When one considers the Human Element, Competence and Integrity, the very best equipment in the world is useless without the human capital to run it. A national lab would need the following:
* Highly Trained Pharmacologists and Microbiologists and all grades of staff who are compensated well enough to be immune to the “lobbying” of powerful external agencies.
* Digital Transparency: A database accessible to the public, where any citizen can enter a batch number from their medicine box and see the lab results.
Once a proper system is put in place, we need to assess as to how our facilities measure up against the WHO’s “Model Quality Assurance System.” That will ensure maintenance of internationally recognised standards. The confirmed unfavourable results of any testing procedure, if any, should lead to a very prompt “Blacklist” Initiative, which can be used to legally bar failing manufacturers from future tenders. Such an endeavour would help to keep all drug manufacturers and importers on their toes at all times.
This author believes that this article is based on the premise that the cost of silence by the medical profession would be catastrophic. Quality assurance of medicinal compounds is not an “extra” cost. It is a fundamental right of every Sri Lankan citizen, which is not at all subject to any kind of negotiation. Until our testing facilities match the sophistication of the manufacturers we buy from, we are not just importing medicine; we are importing potential risk.
The promises made by the powers-that-be to “update” the testing laboratories will remain as a rather familiar, unreliable, political theatre until we see a committed budget for mass spectrometry, cleanroom certifications, highly trained and committed staff and a fleet of independent inspectors. Quality control of therapeutic medicines is not a luxury; it is the price to be paid for a portal of entry into a civilised and intensively safe healthcare system. Every time we delay the construction of a comprehensive, proactive testing infrastructure, we are playing a game of Russian Roulette with the lives of our people.
The science is available, and the necessary technology exists. What is missing is the political will to put patient safety as the premier deciding criterion. The time for hollow rhetoric has passed, and the time for a scientifically fortified, transparent, and proactive regulatory mechanism is right now. The good health of all Sri Lankans, as well as even their lives, depend on it.
Dr B. J. C. Perera
MBBS(Cey), DCH(Cey), DCH(Eng), MD(Paediatrics), MRCP(UK), FRCP(Edin), FRCP(Lond), 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.
Joint Editor, Sri Lanka Journal of Child Health
Section Editor, Ceylon Medical Journal
Features
Rebuilding Sri Lanka Through Inclusive Governance
In the immediate aftermath of Cyclone Ditwah, the government has moved swiftly to establish a Presidential Task Force for Rebuilding Sri Lanka with a core committee to assess requirements, set priorities, allocate resources and raise and disburse funds. Public reaction, however, has focused on the committee’s problematic composition. All eleven committee members are men, and all non-government seats are held by business personalities with no known expertise in complex national development projects, disaster management and addressing the needs of vulnerable populations. They belong to the top echelon of Sri Lanka’s private sector which has been making extraordinary profits. The government has been urged by civil society groups to reconsider the role and purpose of this task force and reconstitute it to be more representative of the country and its multiple needs.
The group of high-powered businessmen initially appointed might greatly help mobilise funds from corporates and international donors, but this group may be ill equipped to determine priorities and oversee disbursement and spending. It would be necessary to separate fundraising, fund oversight and spending prioritisation, given the different capabilities and considerations required for each. International experience in post disaster recovery shows that inclusive and representative structures are more likely to produce outcomes that are equitable, efficient and publicly accepted. Civil society, for instance, brings knowledge rooted in communities, experience in working with vulnerable groups and a capacity to question assumptions that may otherwise go unchallenged.
A positive and important development is that the government has been responsive to these criticisms and has invited at least one civil society representative to join the Rebuilding Sri Lanka committee. This decision deserves to be taken seriously and responded to positively by civil society which needs to call for more representation rather than a single representative. Such a demand would reflect an understanding that rebuilding after a national disaster cannot be undertaken by the state and the business community alone. The inclusion of civil society will strengthen transparency and public confidence, particularly at a moment when trust in institutions remains fragile. While one appointment does not in itself ensure inclusive governance, it opens the door to a more participatory approach that needs to be expanded and institutionalised.
Costly Exclusions
Going down the road of history, the absence of inclusion in government policymaking has cost the country dearly. The exclusion of others, not of one’s own community or political party, started at the very dawn of Independence in 1948. The Father of the Nation, D S Senanayake, led his government to exclude the Malaiyaha Tamil community by depriving them of their citizenship rights. Eight years later, in 1956, the Oxford educated S W R D Bandaranaike effectively excluded the Tamil speaking people from the government by making Sinhala the sole official language. These early decisions normalised exclusion as a tool of governance rather than accommodation and paved the way for seven decades of political conflict and three decades of internal war.
Exclusion has also taken place virulently on a political party basis. Both of Sri Lanka’s post Independence constitutions were decided on by the government alone. The opposition political parties voted against the new constitutions of 1972 and 1977 because they had been excluded from participating in their design. The proposals they had made were not accepted. The basic law of the country was never forged by consensus. This legacy continues to shape adversarial politics and institutional fragility. The exclusion of other communities and political parties from decision making has led to frequent reversals of government policy. Whether in education or economic regulation or foreign policy, what one government has done the successor government has undone.
Sri Lanka’s poor performance in securing the foreign investment necessary for rapid economic growth can be attributed to this factor in the main. Policy instability is not simply an economic problem but a political one rooted in narrow ownership of power. In 2022, when the people went on to the streets to protest against the government and caused it to fall, they demanded system change in which their primary focus was corruption, which had reached very high levels both literally and figuratively. The focus on corruption, as being done by the government at present, has two beneficial impacts for the government. The first is that it ensures that a minimum of resources will be wasted so that the maximum may be used for the people’s welfare.
Second Benefit
The second benefit is that by focusing on the crime of corruption, the government can disable many leaders in the opposition. The more opposition leaders who are behind bars on charges of corruption, the less competition the government faces. Yet these gains do not substitute for the deeper requirement of inclusive governance. The present government seems to have identified corruption as the problem it will emphasise. However, reducing or eliminating corruption by itself is not going to lead to rapid economic development. Corruption is not the sole reason for the absence of economic growth. The most important factor in rapid economic growth is to have government policies that are not reversed every time a new government comes to power.
For Sri Lanka to make the transition to self-sustaining and rapid economic development, it is necessary that the economic policies followed today are not reversed tomorrow. The best way to ensure continuity of policy is to be inclusive in governance. Instead of excluding those in the opposition, the mainstream opposition in particular needs to be included. In terms of system change, the government has scored high with regard to corruption. There is a general feeling that corruption in the country is much reduced compared to the past. However, with regard to inclusion the government needs to demonstrate more commitment. This was evident in the initial choice of cabinet ministers, who were nearly all men from the majority ethnic community. Important committees it formed, including the Presidential Task Force for a Clean Sri Lanka and the Rebuilding Sri Lanka Task Force, also failed at first to reflect the diversity of the country.
In a multi ethnic and multi religious society like Sri Lanka, inclusivity is not merely symbolic. It is essential for addressing diverse perspectives and fostering mutual understanding. It is important to have members of the Tamil, Muslim and other minority communities, and women who are 52 percent of the population, appointed to important decision making bodies, especially those tasked with national recovery. Without such representation, the risk is that the very communities most affected by the crisis will remain unheard, and old grievances will be reproduced in new forms. The invitation extended to civil society to participate in the Rebuilding Sri Lanka Task Force is an important beginning. Whether it becomes a turning point will depend on whether the government chooses to make inclusion a principle of governance rather than treat it as a show of concession made under pressure.
by Jehan Perera
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