Connect with us

Features

Does man live by bread (or rice) alone?

Published

4 years ago

on

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’.


Related Topics:
Continue Reading
Click to comment

Leave a Reply

Your email address will not be published. Required fields are marked *

Features

The middle-class money trap: Why looking rich keeps Sri Lankans poor

Published

4 hours ago

on

2026/01/21

By

Source: https://www.instagram.com/p/DLmfO0mqGoL/

Every January, we make grand resolutions about our finances. We promise ourselves we’ll save more, spend less, and finally get serious about investments. By March, most of these promises were abandoned, alongside our unused gym memberships.

The problem isn’t our intentions, it’s our approach. We treat financial management as a personality flaw that needs fixing, rather than a skill that needs the right strategy. This year let’s try something different. Let’s put actual behavioural science behind how we handle our rupees.

Based on the article ‘Seven proven, realistic ways to improve your finances in 2026’ published on 1news.co.nz, I aim to adapt these recommended financial strategies to the Sri Lankan context.” Here are seven money habits that work because they’re grounded in how humans actually behave, not how we wish we would.

While these strategies offer useful direction for strengthening personal financial management, it is important to acknowledge that they may not be suitable for everyone. Many households face severe financial pressure and cannot realistically follow traditional income allocation frameworks, such as the well-known but outdated Singalovada Sutta guidelines, when even meeting daily food expenses has become a struggle. For individuals and families who are burdened by escalating costs of essentials, including electricity, water, mobile connectivity, transport, and other non-negotiable commitments, strict adherence to prescriptive models is neither practical nor fair to expect. Therefore, readers should remain mindful of their own financial realities and adapt these strategies in ways that align with their income levels, essential obligations, and broader personal circumstances.

1. Your Money Problems Aren’t Moral Failures, They’re Data Points

When every rupee misspent becomes evidence of personal failure, we stop looking for solutions. Shame is a terrible problem-solver. It makes us hide from our bank statements, avoid difficult conversations, and repeat the same mistakes because we’re too embarrassed to examine them.

Instead, try replacing judgment with curiosity. Transform “I’m terrible with money” into “That’s interesting, why did I make that choice?” Suddenly, mistakes become information rather than indictments. You might notice you overspend at Odel or high-end restaurant when stressed about work. Or that you commit to expensive plans when feeling socially pressured. Perhaps your online shopping peaks during power cuts when you’re bored and frustrated.

2. Forget the Year-Long Marathon, Focus on 90-Day Sprints

A Sri Lankan year is densely packed with financial obligations: Sinhala/Tamil Avurudu, Christmas, Vesak, and Poson celebrations; recurring school fees; seasonal festival shopping; wedding and almsgiving periods; yearend festivities; and an evergrowing list of marketing-driven occasions such as Valentine’s Day, Father’s Day, Mother’s Day, and many others. Each of these events carries its own financial weight, often placing additional pressure on already-stretched household budgets.

Research consistently shows that shorter time frames work better. Ninety days is long enough to create a meaningful change, but short enough to maintain focus and momentum. So instead of one overwhelming annual goal, give yourself four quarterly upgrades.

In the first quarter, the focus may be on organising your contributions toward key duties and responsibilities, while also ensuring that you are maximising the available benefits for your designated beneficiaries. Quarter two could be about building a small emergency fund, even Rs. 10,000 provides breathing room. Quarter three might involve auditing your bills and subscriptions to eliminate unnecessary expenses. Quarter four could be when you finally start that investment you’ve been postponing. You don’t need superhuman discipline or complicated spreadsheets, just focused attention, one quarter at a time.

3. Make One Decision That Eliminates Weekly Worry

The best money decisions are the ones you make once but benefit from repeatedly. These are decisions that permanently reduce what behavioural economists call “decision fatigue”, the mental exhaustion that comes from constantly managing money in your head. What’s one choice you could make today that would remove a recurring financial worry?

It might be setting up an automatic standing order to transfer Rs. 10,000 to savings the day your salary arrives, before you can spend it. Maybe it’s consolidating your scattered savings accounts into one that actually pays decent return.

These aren’t dramatic moves that require personality transplants. They’re structural decisions that work with your human tendency toward inertia rather than against it. Most banks now offer seamless digital automation. You can set it up once and benefit from that decision every single month without additional effort or willpower. You make the decision once. You benefit all year. That’s leveraging your energy intelligently.

4. Stop Spending on Who You Think You Should Be

Sri Lankan society comes with heavy expectations. The car you drive, the school your children attend, the hotels you patronise, the brands you wear, all communicate your worth, or so we’re told. Much of our spending isn’t about actual enjoyment. It’s about meeting unspoken expectations, keeping up appearances, or aspiring to a version of us that doesn’t actually exist.

We buy expensive saris we’ll wear once because everyone does. We maintain memberships to clubs we rarely visit because it looks good. We say yes to weekend plans at overpriced restaurants because declining feels like admitting we can’t afford it. We upgrade phones not because ours stopped working, but because others have.

Before your next purchase, ask yourself: do I actually want this, or do I want to want it? If it’s the second one, walk away. You won’t miss it. This isn’t about deprivation, it’s about precision. When you stop spending to perform and start spending to support the life you genuinely enjoy, money pressure eases dramatically. Your resources align with your actual values rather than imagined expectations.

Maybe you don’t care about fancy restaurants, but you love long drives along the southern coast. Maybe branded clothing leaves you cold, but you’d spend any amount on art supplies or books. That’s fine. Spend accordingly.

5. Break One Habit, See If You Actually Miss It

We’re creatures of routine, which serves us well until those routines outlive their usefulness. Sometimes we spend money on habits that started for good reasons but no longer serve us. Alpechchathava, in Buddha’s teaching, means living contentedly with few desires. It guides a person to manage money wisely by avoiding excess spending, unnecessary debt, and craving, and by focusing on essential needs and wholesome priorities. In this way, wealth supports mental cultivation, generosity, and spiritual progress.

The daily kottu roti that once felt like a convenient solution after working late may now have turned into an unnecessary routine. Similarly, frequent P&S or Caravan snack runs, and the habit of picking up sugary treats like cakes and sweets, are not only costly but also wellknown to be unhealthy, as nutritionists consistently point out. Beyond food, other expenses such as magazine subscriptions, the monthly coffee meetup, or weekend mall browsing often continue on autopilot without us realising how much they add up. These seemingly small, habitual expenses can quietly drain your budget while offering very little longterm value.

Try this experiment: keep a money diary for one week. Note every expense, no matter how small. Then identify one regular spend and eliminate it for the following week. If you don’t miss it? Excellent, keep it gone. If you genuinely miss it? Add it back without guilt. This isn’t about permanent sacrifice.

It’s about snapping yourself out of autopilot and checking whether your spending still reflects your current reality, priorities and purchasing power. You might discover you’re spending Rs. 15,000 monthly on things you barely notice.

6. Create Your Crisis Playbook on a Good Day

Many financial disasters don’t happen because we’re careless, they happen because we’re panicked. When crisis strikes, job loss, medical emergency, unexpected business downturn, fear hijacks our decision-making. Our rational brain exists while panic makes expensive choices: high-interest personal loans, selling investments at losses, making commitments we can’t sustain.

The solution? Make your crisis plan before the crisis arrives. On a calm day, sit down and document: If I lost my income tomorrow, what would I do first? Which expenses are truly essential? What’s the absolute minimum I need to function? Who could I call for advice? Which savings are untouchable, which could be accessed if necessary? What government support or loan restructuring options exist (Not in Sri Lanka)? This is a sort of preparation for sudden shocks.

7. Question the Money Stories You Inherited

Sometimes our biggest financial obstacles aren’t failed attempts, they’re the attempts we never make because we’ve internalised limiting stories. “Our family was never good with money.” “Investing is for rich people.” “I’m just not the type who earns more.” “Women don’t understand finance.” These narratives, absorbed from family, culture, or past experiences, become invisible fences.

Question them. Where did this belief originate? Is it actually true, or is it a story you’ve been telling yourself for so long, it feels like fact? What would happen if you tested it? Often, these stories protect us from the discomfort of trying and potentially failing. But they also protect us from the possibility of succeeding. And that’s a far costlier protection than most of us realise.

The Bottom Line

Improving your finances in 2026 doesn’t require becoming a different person. It requires understanding the person you already are, your patterns, triggers, and tendencies, and working with them rather than against them.

These aren’t magic solutions. They’re evidence-based approaches that acknowledge a simple truth: you’re not broken, and your money management doesn’t need fixing through willpower alone. It needs better systems, clearer thinking, and a lot less shame.

Continue Reading

Features

Public scepticism regarding paediatric preventive interventions

Published

4 hours ago

on

2026/01/21

By

A significant portion of the history of paediatrics is a triumph of prevention. From the simple act of washing hands to the miracle of vaccines, preventive strategies have been the unsung heroes, drastically lowering child mortality rates and setting the stage for healthier, longer lives across the globe. Simple measures like promoting personal hygiene, ensuring the proper use of toilets, and providing Vitamin K immediately after birth to prevent dangerous bleeding, have profound impacts. Advanced interventions like inhalers for asthma, robust trauma care systems, and even cutting-edge genetic manipulations are testament to the relentless and wonderful progress of paediatric science.

A shining beacon that has signified increased survival and marked reductions in mortality across the board in all paediatric age groups has been the development of various preventive strategies in the science of children’s health, from newborns to adolescents. The institution of such proven measures across the globe, has resulted in gains that are almost too good to be true. From a Sri Lankan perspective, these measures have contributed towards the unbelievable reduction of the under-5-year mortality rate from over 100 per 1000 live births in the 1960s to the seminal single-digit figure of 07 per 1000 live births in the 2020s.

Yet for all this, despite the overwhelming evidence of success, a most worrying trend is emerging. That is public scepticism and pessimism regarding these vital interventions. This doubt is not a benign phenomenon; it poses a real danger to the health of our children. At the heart of this challenge lies the potent, often insidious, spread of misinformation and disinformation.

The success of any preventive health strategy in paediatrics rests not just on its scientific efficacy, but on parental cooperation and commitment. When parents hesitate or refuse to follow recommended guidelines, the shield of prevention is compromised. Today, the most potent threat to this partnership is the flood of false information.

Misinformation is false information spread unintentionally. A well-meaning friend sharing a rumour about a vaccine side-effect they heard online is spreading misinformation.

Disinformation is false information deliberately created and disseminated to cause harm or sow doubt. This often comes from organised groups or individuals with vested interests; sometimes financial, sometimes ideological, who seek to undermine public trust in medical institutions and scientific consensus.

The digital age, particularly social media, has become the prime breeding ground for these falsehoods. Complex scientific data is reduced to emotionally charged, simplistic, and often sensationalist soundbites that travel faster and farther than the truth.

The most visible battleground is childhood vaccination. Decades of robust, high-quality research have confirmed vaccines as one of the most cost-effective and successful public health interventions ever conceived. Global vaccination efforts have saved an estimated 150 million lives in the past 50 years, eradicating or drastically controlling diseases like polio, measles, diphtheria, and tetanus.

However, a single, long-retracted, and scientifically debunked paper claiming a link between the Measles-Mumps-Rubella (MMR) vaccine and autism continues to be weaponised by disinformation campaigns. This persistent myth, despite being soundly disproven, taps into deep-seated fears about children’s development. Other common vaccine myths target ingredients such as trace amounts of aluminium or mercury, which are harmless in the quantities used and often less than what is naturally found in food or the idea that “natural immunity” from infection is superior, totally ignoring the fact that natural infection carries the devastating risk of severe complications, long-term disability, and even death. The tangible consequence of this doubt is the dropping of childhood vaccination rates in various communities, leading to the wholly unnecessary re-emergence of vaccine-preventable diseases like measles.

Scepticism is not limited to vaccines. It can touch any area of paediatric preventive care where an intervention might seem unnecessary, invasive, or have perceived risks. Routine screenings for speech disorders, motor skills, or mental health issues can sometimes be perceived as medicalising normal childhood variations or putting a “label” on a child. Parents may resist or delay screening, missing the critical window for early intervention of proven measures that are likely to help. Advice on managing childhood obesity, reducing screen time, or adopting a balanced diet can be viewed by some parents as intrusive or judgmental, leading to poor adherence to essential health-promoting behaviours.

The regular use of inhalers for asthma or other chronic conditions might be looked down upon due to the fear of “dependency”, “addiction”, or long-term side effects, despite medical consensus that these preventive measures keep conditions controlled and prevent life-threatening exacerbations.

The common thread is a lack of understanding of the risk-benefit ratio. Parents, bombarded by fear-mongering narratives, often overestimate the rare, mild risks of an intervention while catastrophically underestimating the severe and permanent risks of the disease or condition itself.

The power of paediatric preventive medicine is not in a single shot or pill, but in the consistent, committed partnership between healthcare providers and parents. Paediatric science, driven by rigorous evidence-based medicine, do continue to refine guidelines, conduct transparent research, and communicate its findings clearly. When guidelines are confusing or lack robust evidence, it naturally creates openings for doubt. The scientific community’s commitment to continuous quality improvement and accessibility is paramount.

Ultimately, the success of prevention rests with the parents. Parenting, as a vital form of preventive care, includes all activities that raise happy, healthy, and capable children. The simple, non-medical steps mentioned in the introduction, proper handwashing, good sanitation, and encouraging exercise, are all forms of parental preventive intervention.

For more complex interventions, parental commitment requires several actions. They need to seek and trust the guidance provided by qualified healthcare professionals over anonymous, unsubstantiated online claims. They need to engage in an open dialogue by asking relevant questions and expressing concerns to doctors in an open, non-confrontational manner. A good healthcare provider will use this as an opportunity to educate and build trust, and not a portal to simply dismiss concerns. Then, of course, there is the spectre of adherence to various protocols and actions by the parents. These include consistently following recommended schedules, whether for well-child checkups, vaccinations, or daily medication protocols.

Addressing public scepticism requires a multi-pronged, collaborative strategy. It is not just about correcting false facts (debunking), but about building resilience against future falsehoods (prebunking). The single most influential voice in a parent’s decision-making process is their paediatrician or primary care provider. Clinicians must move beyond simply reciting facts. They need to use empathetic communication techniques, like Motivational Interviewing (MI), which focuses on active listening, validating parental concerns, and then collaboratively guiding them toward evidence-based decisions. For example, responding with, “I hear you’re worried about the side-effects you read about. Can I share what we know from decades of safety monitoring?” Being open about common, minor side effects such as a short-lasting fever after a vaccine pre-empts the shock and distrust that occurs when an expected, yet unmentioned, reaction happens.

Public health campaigns must go on the offensive, not just a defensive fact-checking spree. Teaching the general public how disinformation works, the use of “fake experts”, selective cherry-picked data, and conspiracy theories all add up to a most powerful form of inoculation (prebunking) against future exposure. Health institutions must simplify their communications and make verified, high-quality information easily accessible on platforms where parents are already looking.

Parents often trust their peers as much as their doctors. Engaging local community leaders, faith leaders, and even trusted social media influencers to share accurate, positive messages about paediatric health can shift the public narrative at a grassroots level. While protecting privacy, sharing aggregate data and stories about the dramatic decline in childhood diseases thanks to prevention can re-emphasise the collective good.

The battle against child mortality and morbidity has been one of the great human achievements, a testament to scientific ingenuity and collective effort. Today, the greatest threat to maintaining these gains is not a new virus, but a breakdown of trust fuelled by unchecked falsehoods.

Paediatric preventive interventions, from a cake of soap and a proper toilet to the most sophisticated genetic therapies, are the foundation of a healthy future for every child. To secure this future, the scientific community must remain transparent, the healthcare system must lead with empathy, and the public must commit to informed, critical thinking. By rejecting the noise of disinformation and embracing the clear, evidence-based consensus of science, we can ensure that every child continues to benefit from the life-saving progress that defines modern paediatrics. The well-being of the next generation demands nothing less than this renewed commitment.

Little children are not in a position to make abiding decisions regarding their health, especially regarding preventive strategies in health. It is ultimately the crucial decisions made by responsible parents regarding the health of their children that really matter. As doctors, our commitment is never to leave any child behind.

by 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

Continue Reading

Features

Attacks on PM vulgar, misogynistic; education reforms welcome

Published

4 hours ago

on

2026/01/21

By

PM Amarasuriya

We express our profound concern and deep outrage at the vulgar, misogynistic, and defamatory attacks being directed at the Prime Minister and Minister of Education, Dr. Harini Amarasuriya.

Dr. Harini Amarasuriya is not merely a political leader; she is a scholar, public intellectual, and lifelong advocate of social justice, equality, and education. Attempts to discredit her through personal abuse rather than reasoned policy debate are not only an insult to her, but an assault on democratic values, women’s leadership, and intellectual integrity in public life.

Such attacks are unjust and unethical, and they corrode democratic discourse. We are deeply disappointed that certain political actors and their supporters continue to rely on misinformation, prejudice, and emotional manipulation, instead of engaging in rational, evidence-based, and constructive debate.

Sri Lanka has already paid a heavy price for decades of politics rooted in fear, communal division, and sentiment-driven populism. The country’s economic collapse and social breakdown are the direct consequences of these failed approaches. The people decisively rejected this style of politics through the Aragalaya, signaling a clear demand for change. Sri Lanka now stands at a historic turning point. After decades of corruption, ethnic manipulation, and policy paralysis, the people have given a clear mandate for systemic reform.

At this critical moment, Sri Lanka urgently needs structural reforms, particularly in education, which is the foundation of long-term national development, social mobility, and global competitiveness. Yet we observe that the very forces responsible for the country’s decline are once again attempting to block or derail reforms by exploiting religious, cultural, and emotional narratives.

We strongly affirm that no nation can be rebuilt through hatred, fear, or division. Education reform is not a political threat; it is a national necessity. Efforts to undermine reform through personal attacks and manufactured controversies serve only those who seek to return to power by keeping the country weak, divided, and intellectually impoverished.

Those who now attack Dr. Harini Amarasuriya are not defending culture or morality. They are defending privilege and political survival. Having failed the country for over seventy-five years through communalism, patronage, and anti-intellectualism, they now fear that an educated, critical, and empowered generation will render their outdated politics irrelevant.

This is why they target:

=a woman,

=an academic,

=and a reformer.

We therefore state clearly that we:

1. Condemn all forms of character assassination, gender-based attacks, and hate propaganda against the Prime Minister and Minister of Education.

2. Affirm our full support for Dr. Harini Amarasuriya’s leadership in advancing Sri Lanka’s education reforms.

3. Urge the government to proceed firmly and without retreat in implementing the proposed education reforms, in line with national policy and the public mandate.

4. Call upon academics, professionals, teachers, parents, and citizens to stand together against reactionary forces that seek to sabotage reform through fear mongering and disinformation.

A country cannot be rebuilt by those who destroyed it. A future cannot be created by those who fear education reforms.

Sri Lanka’s future must not be sacrificed for the ambitions of a few.Sri Lanka must move forward — with knowledge, dignity, and courage.

Signatories:

1. Markandu Thiruvathavooran, Attorney at law

2. S. Arivalzahan, University of Jaffna

3. Dr S.Ramesh, University of Jaffna

4. Dr. Mariadas Alfred, Former Dean, University of Peradeniya

5. Prof B.Nimalathasan, Senior Professor, University of Jaffna

6. S. Srivakeesan, Station Master, SriLankan Railways

7. A. T. Aravinthan, Branch Manager, Commercial Bank

8. Dr. S. Niththiyaruban, Paediatrician, Teaching Hospital, Jaffna

9. Dr. S. Selvaganesh, Plastic and Reconstructive Surgeon, Teaching Hospital, Jaffna

10. Dr. S. Mathievaanan, Consultant Surgeon, Teaching Hospital, Jaffna

11. Prof. P. Iyngaran, University of Jaffna

12. Eng. M. Sooriasegaram, President, Education Development Consortium

13. Dr. S. Raviraj, Senior Consultant Surgeon, Former Dean, Faculty of Medicine, University, Jaffna.

14. Mr. Saminadan Wimal, University of Jaffna

15. Dr. A. Antonyrajan, University of Jaffna

16. P. Regno, Attorney at Law

17. Prof. J. Prince Jeyadevan, University of Jaffna

18. Prof. S. Muhunthan, University of Jaffna

19. Prof. R. Kapilan, University of Jaffna

20. Dr. S. Jeevasuthan, University of Jaffna

21. J.S. Thevaruban, University of Jaffna

22. S. Balaputhiran, University of Jaffna

23. Dr. N. Sivapalan, Retired Senior lecturer, University of Jaffna

24. I. P. Dhanushiyan, University of Jaffna

25. Dr. K. Thabotharan, University of Jaffna

26. Dr. Bahirathy J. Rasanen, University of Jaffna

27. Perinpanayagam Ronibus, Vice Secretary, Change Charitable Trust, Jaffna

28. Dr. S. Maheswaran, University of Peradeniya

29. Mr. S. Laleesan, Principal, Kopay Teachers’ College

30. Victor Antany, Teacher, Kilinochchi

31. K. Shanthakumar, Principal, Technical College, Vavuniya

32. S. Thirikaran, Principal, J/ Puttur Srisomaskanda College

33. Dr. T. Vannarajan, Advanced Technical Institute, Jaffna.

34. X. Don Bosco, Resource person, Piliyandala Educational Zone

35. K. Ravikumar, Regional Manager, Powerhands Pvt Ltd

36. Sathiyapriya Jeyaseelan, DO, Economist

37. A. Kalaichelvan, Chief Accountant, Animal Productive & Health

38. C. Vathanakumar, Retired Project Director

39. P. Kirupakaran, Department of Buildings (NP)

40. A. Antony Pilinton, David Peris Company, Jaffna

41. A. Muralietharan, Social Activist

42. Sinthuja Sritharan, Independent Researcher

43. T. Sritharan, Social Activist

44. Ms. Gnasakthi Sritharan, Social Activist

45. P. Thevatharsan, Management Service Officer

46. . S. Mohan, Social Activist

47. K. Jeyakumaran, Social Activist

48. Dr. N. Nithianandan, Chairman, Ratnam Foundation

49. George Antony Cristy, Social Activist

50. S. Thangarasa, Social Activist

51. N. Bhavan, Retd. Deputy Principal, Mahajana College

52. P. Muthulingam, Executive Director, Institute of Social Development, Kandy

53. M.K. Sivarajah, Social Activist

54. Mr. V. Sivalingam, Human Rights Activist

55. S. Jeyaganeshan, Samuthi Development Officer

Continue Reading

Trending