Life style
Dr. Shama inspires hope in battle against breast cancer
Breast cancer is the most common cancer among women in Sri Lanka. Annually, out of approximately 37,000 newly diagnosed cancer patients nearly 27% are attributed to female breast cancer. In contrast male breast cancer is significantly rarer, observed at a ratio of about 1:100 compared to female cases.
On a daily basis, the statistics translate to approximately 15 new female breast cancer patients being detected with sadly three fatalities due to this disease. An excerpt from an interview with Dr Shama
Goonatilleke, Consultant Oncologist at Asiri Surgical Hospital
Breast cancer remains one of the most common cancers among women. What trends are you seeing locally in terms of age, risk and incidence?
Breast cancer is the most common cancer among women in Sri Lanka. Annually, out of approximately 37 000 newly diagnosed cancer patients, nearly 27% are attributed to female breast cancer. In contrast, male breast cancer is significantly rarer, observed at a ratio of about 1:100 compared to female cases.
On a daily basis, the statistics translate to approximately 15 new breast cancer patients being detected, with sadly, three fatalities due to this disease.
In Sri Lanka, the key trends for breast cancer show a significant increase in incidence, particularly affecting older, post-menopausal women, and a growing prevalence of lifestyle-related risk factors.
The age-standardized incidence rate for female breast cancer in Sri Lanka has shown a steady and significant increase over the years, rising from 18.4 per 100,000 in 2005 to 34.4 per 100,000 in 2019. A gradual increase of approximately 4% per year was observed between 2001 and 2010, with the trend expected to continue.
The highest incidence of breast cancer is observed in women aged 50 to 59 years, with the mean age of diagnosis around 56 years. The increase in incidence has been substantially greater among women older than 50 years compared to younger women. While the incidence is lower in younger age groups, cases are reported from the 20-24 age group onwards, and nearly one-third of cases are reported before the age of 50. A significant proportion of patients are diagnosed at advanced stages (Stage III and IV), which contributes to lower survival rates compared to developed countries.
Why are we witnessing more breast cancer cases in younger women today?
Unfortunately, breast cancer is not a preventable cancer. The rise in breast cancer cases among younger women today is attributed to a complex interplay of lifestyle changes, environmental exposures, hormonal/reproductive shifts, and genetic factors. No single cause fully explains the trend, and research is ongoing.
Lifestyle and Hormonal Factors: Reproductive Changes:
Women are having their first child later in life or not having children at all, and are less likely to breastfeed. Pregnancy and breastfeeding, especially at a younger age, have a protective effect against breast cancer later in life, and the loss of this protection increases risk.
Increased Lifetime Estrogen Exposure:
Girls are starting menstruation earlier and women are entering menopause later, increasing the number of menstrual cycles and the body’s lifetime exposure to estrogen and progesterone, which can fuel the growth of hormone-receptor-positive breast cancers.
Obesity and Weight Gain:
Higher rates of obesity and weight gain during childhood and adulthood are associated with increased inflammation and hormonal imbalances, raising the risk of breast cancer in premenopausal young women.
Alcohol Consumption:
Alcohol intake is clearly linked to an increased risk of breast cancer, and the risk increases with the amount consumed. Alcohol consumption among young Sri Lankan females have increased during recent past.
Physical Inactivity and Diet:
A lack of physical activity and diets high in red meat and processed foods, which are common in “Western-style” diets, are linked to an increased cancer risk.
Environmental Exposures:
Endocrine-Disrupting Chemicals:
The current generation of young women has grown up exposed to a wider array of chemicals than ever before, including endocrine disruptors in plastics (like BPA and phthalates), cosmetics, pesticides, and food packaging. These chemicals can mimic hormones and interfere with hormonal regulation, increasing susceptibility to cancer.
Air Pollution:
Exposure to air pollutants can be absorbed into breast tissue and contribute to cancer development.
Other Potential Factors:
Genetics: Younger women getting breast cancer are more likely to have a genetic predisposition, such as BRCA1 and BRCA2 gene mutations, some may be direcDr. Shama inspires hope in
battle against breast cancertly getting from their parents,are associated with higher cancer risk and more aggressive forms of the disease.
Increased Awareness and Screening:
While not a cause of the disease itself, recent changes to screening guidelines (such as the recommendation to start mammograms at age 40) lead to earlier detection of existing cancers, which may contribute to the uptick in reported cases in this age group.
Researchers emphasize that these factors likely interact with one another, and exposures during critical windows of susceptibility, such as puberty and pregnancy, may be particularly impactful.
What early warning signs should women be paying attention to?
Women should pay attention to any new or unusual changes in the look or feel of their breasts, chest, or armpit areas. The most common early warning sign of breast cancer is a new lump or thickening, but other symptoms can occur even without a lump.
A new lump or thickening in the breast or armpit area, which may be painless and have irregular edges (though some can be soft, round, or tender).
Changes in the size or shape of one or both breasts.
Skin changes on the breast, such as dimpling, puckering, redness, scaling, or irritation (sometimes described as resembling an orange peel texture).
Nipple changes, including a nipple that pulls inward (inverts), changes direction, or has a rash or scaling.
Nipple discharge (other than breast milk), especially if it is clear or bloody and happens spontaneously (without squeezing).
Persistent pain in the breast or nipple area that is new and does not go away after a menstrual cycle.
Swelling or a lump in the armpit or around the collarbone, as cancer can spread to nearby lymph nodes.
It is important to become familiar with the normal look and feel of your breasts through regular self-exams so that any changes can be spotted promptly. While many of these symptoms can be caused by benign (non-cancerous) conditions, any new and persistent changes should be evaluated by a healthcare professional as soon as possible for an accurate diagnosis. Early detection significantly improves the chances for effective treatment and positive outcomes.
Many women are still hesitant about breast screening. What misconceptions prevent early detection?
Misconceptions and fears that prevent women from attending breast screening and receiving an early diagnosis include false beliefs about personal risk, the screening procedure’s safety and comfort, and the outcomes of a cancer diagnosis
Key misconceptions preventing early detection are:
“I am not at risk because I am healthy/have no family history.” This is a very common myth. The truth is that most breast cancers occur in women with no family history, and healthy habits only reduce the risk, not eliminate it. A woman’s primary risk factors are simply being a woman and getting older.
“Mammograms are painful or dangerous.” Many women avoid screening due to fear of pain or concerns about radiation exposure. In reality, the procedure may cause brief, manageable discomfort, and the radiation dose is very low and considered safe by medical guidelines. The benefits of early detection far outweigh the minimal risks.
“Only women with symptoms or lumps need screening.” Mammograms are designed to find cancer years before physical symptoms, such as a lump, can be felt. Waiting for symptoms often means the cancer is more advanced and potentially less treatable.
“A painless lump is harmless.” Most breast cancers do not cause pain. Any new lump or unusual change should be checked by a healthcare provider regardless of whether it is painful.
“Breast cancer is a death sentence.” This fatalistic view can lead women to avoid screening or delay treatment. With early detection, the 5-year relative survival rate for localized breast cancer is an impressive 99%.
“Breast self-exams are enough.” While self-awareness of breast changes is important, self-exams alone are not a substitute for regular professional screenings like mammograms, which can detect much smaller cancers.
“Newer tests make mammograms obsolete.” While other tools like ultrasound and MRI are used for high-risk cases, mammography remains the gold standard and most effective tool for average-risk screening and early detection.
Other Barriers:
Fear and Anxiety:
Many women avoid screening due to fear of the results (receiving a cancer diagnosis) or the procedure itself.
Socio-cultural factors:
Taboos, stigma, or a preference for traditional medicine can lead to significant delays in seeking conventional care.
Logistical and financial issues
: Cost, lack of health insurance, difficulty accessing healthcare facilities (e.g., transportation issues), or an inability to take time off work or find childcare can all prevent women from attending appointments.
Lack of knowledge:
Low awareness of the benefits of screening, the risk factors, and the signs and symptoms of breast cancer contributes to hesitation and delay
Addressing these misconceptions through better education and communication from healthcare providers is essential to encouraging regular screening and improving outcomes.
How has modern technology improved breast cancer treatment outcome at Asiri AOI (American Oncology Centre) cancer centre?
Modern technology has improved breast cancer treatment outcomes at Asiri AOI Cancer Centre by enabling more accurate, personalized, and less invasive care, which enhances efficacy while minimizing side effects and recovery times.
Key technological advancements and their impact include:
Diagnosis and Staging
Advanced Imaging (PET-CT, MRI, 3D Mammography): These technologies allow for the detection of tumors at earlier stages and provide detailed information on their location, size, and extent. This precision in staging is crucial for developing the most effective treatment plans, which directly improves survival rates.
Genetic and Histopathology Labs: Asiri AOI uses advanced labs for genetic testing and biomarker analysis to understand cancer at a molecular level. This allows for the classification of breast cancer into specific subtypes (e.g., hormone receptor-positive, HER2-positive) and the development of personalized treatment plans tailored to the patient’s unique cancer profile, improving treatment efficacy and reducing unnecessary therapies.
Treatment Modalities Surgical Techniques
Sentinel Lymph Node Biopsy (SLNB): This minimally invasive procedure has largely replaced the traditional, more extensive axillary lymph node dissection. SLNB accurately stages the cancer while significantly reducing the risk of lymphedema and other post-surgical complications, leading to better recovery and quality of life.
Intraoperative Guidance:
Techniques such as image-guided surgery and the potential future use of cancer-targeted dyes or molecular probes during operations help surgeons ensure complete tumor removal while preserving maximum normal breast tissue, reducing the need for re-operations and improving cosmetic results.
Systemic Therapies
Targeted Therapy and Immunotherapy:
By using insights from advanced diagnostics, in addition to traditional chemotherapy clinicians can employ targeted therapies and immunotherapies that focus on specific cancer-driving molecules or leverage the body’s own immune system to fight cancer. These treatments are often more effective and have fewer side effects than traditional chemotherapy.
Precision Radiotherapy (TrueBeam STx)
Asiri AOI utilizes the TrueBeam STx radiotherapy system, which delivers high doses of radiation with sub-millimeter accuracy.
Improved outcomes:
This system targets cancer cells while sparing healthy surrounding tissues and organs (like the heart and lungs), which reduces side effects and long-term complications.
Efficiency:
It allows for faster treatment sessions and fewer visits (e.g., reducing multi-week radiation courses to a few sessions or even intraoperative radiotherapy options), which improves patient comfort and quality of life.
Overall, the integration of these modern technologies, combined with a multidisciplinary approach and adherence to international protocols (via collaboration with UPMC), enables Asiri AOI Cancer Centre to provide world-class, individualized care that has significantly improved breast cancer treatment outcomes.
Is radiotherapy recommended for every breast cancer patient? When is it more beneficial?
No, radiotherapy is not recommended for every breast cancer patient. The decision to use radiotherapy is personalized and based on a variety of factors related to the cancer’s characteristics, the type of surgery performed, and the patient’s overall health.
Radiotherapy is primarily used to destroy any remaining cancer cells after surgery and reduce the risk of the cancer coming back in the breast area or nearby lymph nodes. It is generally more beneficial, and often standard, in the following situations:
After Breast-Conserving Surgery (Lumpectomy): Radiotherapy to the remaining breast tissue is a standard part of treatment to lower the risk of local recurrence. Some very low-risk, older patients (e.g., age 70 or older with a small, hormone receptor-positive tumor) who are receiving hormone therapy may be able to skip it, but this is an exception.
After a Mastectomy:
It is often recommended if there is a high risk of the cancer returning to the chest wall or nearby lymph nodes. This includes cases where:
The tumor was large (larger than 5 cm).
Cancer has spread to the lymph nodes (especially four or more, but potentially even one to three).
Surgical margins have cancer cells (positive or very close margins).
The cancer has grown into the skin or muscles.
For Certain Aggressive Cancers: Radiotherapy is a key part of the treatment plan for inflammatory breast cancer.
For Advanced or Metastatic Cancer: It can be used as a palliative treatment to shrink tumors, relieve pain, and control symptoms when cancer has spread to other parts of the body, such as the bones or brain.
Before Surgery (Neoadjuvant therapy): In some cases, it can be used to shrink a large tumor to make it easier to remove with surgery.
A patient may not be an ideal candidate for radiotherapy in certain situations:
Very Early Stage, Low-Risk Breast Cancer: Some patients with early-stage, small, hormone receptor-positive tumors that have not spread to the lymph nodes may not require radiotherapy, especially if they are older and receiving hormone therapy.
Prior Radiation Exposure: Patients who have previously had radiation therapy to the same area (chest/breast) cannot typically receive a second course due to the risk of damage to healthy tissues.
Certain Medical Conditions:
Individuals with connective tissue diseases (like lupus or scleroderma) or severe heart/lung problems may face higher risks of complications.
Genetic Predisposition:
Patients with certain genetic mutations, such as Li-Fraumeni syndrome or some ATM mutations, may be advised against radiotherapy due to a higher risk of developing a second cancer later.
Pregnancy:
Radiotherapy is generally avoided during pregnancy.
Ultimately, the decision to use radiotherapy is made through a discussion between the patient and their healthcare team (including a radiation oncologist), weighing the benefits of reducing recurrence risk against potential side effects and the individual’s specific health factors.
Many patients initially fear diagnosis more than the disease. How do you help them cope emotionally?
Helping patients cope with the fear of a potential diagnosis involves compassionate communication, providing clear information, offering emotional support, and empowering them with a sense of control.
Compassionate and Empathetic Communication
Active Listening: Give the patient your undivided attention and allow them to express their fears, worries, and anxieties without interruption. Acknowledging their feelings with phrases like, “I understand why you’re feeling this way” or “It’s okay to feel scared,” helps them feel heard and validated.
Acknowledge and Normalize Feelings: Reassure patients that denial, fear, anxiety, and anger are normal responses to the stress and uncertainty of a potential serious diagnosis.
Be Aware of Non-Verbal Cues:
Use calm body language, maintain appropriate eye contact, and use a warm, comforting tone of voice to convey support and sincerity. A reassuring touch on the arm, when appropriate and consensual, can also make a difference.
Honesty and Transparency:
Be honest about what is known and what is unknown, as this builds trust. Avoid giving false reassurance or minimizing their concerns, as this can break trust and make them feel misunderstood.
Information and Education
Provide Clear, Simple Information: Explain medical conditions, tests, and procedures in clear, non-medical language to reduce the “fear of the unknown”. Use visual aids if helpful.
Encourage Questions: Create an open, non-judgmental environment where patients feel comfortable asking questions. Offer your contact details or a specific point of contact for follow-up questions they may have later.
Guide Information Seeking: Advise patients on reliable sources for information and gently discourage unhelpful internet searches, which can increase anxiety with misinformation.
Empowerment and Control
Involve Patients in Decision-Making: Discuss options and allow patients to be active participants in their care plans. This gives them a sense of control, which is often lost during a health crisis.
Focus on the Next Steps: Collaboratively formulate a plan for immediate next steps and contingencies. A clear action plan helps shift focus from worry to proactive management.
Set Realistic Goals: Help patients focus on manageable, day-to-day goals and activities, rather than overwhelming long-term expectations, to prevent feelings of frustration and failure.
Support Networks and Coping Strategies
Involve Family and Friends: With patient consent, involve loved ones in the conversation. They can offer emotional support and help remember information and instructions.
Suggest Coping Techniques: Introduce relaxation strategies such as deep breathing exercises, mindfulness, meditation, music therapy, art therapy, aroma therapy, or guided imagery.
Recommend Support Groups: Connect patients with peer support groups or online communities where they can talk to others who have similar diagnoses and experiences. Hearing personal stories can provide valuable perspective and coping strategies.
Refer to Mental Health Professionals: Encourage patients to seek professional help from a counselor or psychologist who specializes in health anxiety if their feelings become overwhelming or interfere with daily life and treatment adherence.
What lifestyle factors contribute to increased breast cancer risk – especially in urban areas?
Can diet exercise or hormone regulation reduce risk?
How can survivors, ensure long term health and reduce recurrence risk?
Breast cancer survivors can ensure long-term health and reduce recurrence risk through a combination of consistent medical follow-up, healthy lifestyle choices (diet, exercise, weight management), avoiding harmful habits, and managing emotional well-being.
Medical Follow-Up and Adherence to Treatment
Regular Check-ups and Screenings: Adhere strictly to your follow-up schedule with your oncology team or primary care physician. These visits, typically every few months initially and then annually after five years, are crucial for monitoring signs of recurrence or new cancers.
Annual Mammograms: Continue annual mammograms on the remaining breast tissue (or both if you had breast-conserving surgery).
Adherence to Therapies: If prescribed, complete the full course of hormone therapy (e.g., tamoxifen, aromatase inhibitors) or other maintenance therapies, as early discontinuation increases the risk of recurrence.
Discuss Advanced Therapies: Talk to your doctor about advanced therapy options, as modern targeted treatments can significantly reduce long-term risk for specific cancer types.
Know Your Body and Report Changes: Be vigilant for new or persistent symptoms, such as new lumps, unexplained pain, chronic cough, or sudden weight loss, and report them to your doctor immediately.
Healthy Lifestyle Choices
Maintain a Healthy Weight: Obesity is a significant risk factor for recurrence. Aim to achieve and maintain a healthy weight through diet and exercise.
Be Physically Active: Regular physical activity can reduce breast cancer mortality and recurrence risk by a significant percentage (up to 40%). Aim for at least 150-300 minutes of moderate-intensity aerobic exercise (like brisk walking) or 75-150 minutes of vigorous activity per week, plus two strength-training sessions per week.
Eat a Balanced Diet: Focus on a diet rich in a variety of colorful fruits, vegetables, whole grains, and lean proteins (fish, chicken, legumes). Limit red and processed meats, highly processed foods, and sugary drinks.
Avoid Alcohol: Avoid alcohol, as alcohol intake is linked to an increased risk of a second primary breast cancer.
Quit Smoking: Smoking increases the risk of recurrence and overall mortality. Seek support to quit immediately.
Consider Vitamin D: Low levels of vitamin D may be associated with a higher risk of recurrence. Discuss monitoring your levels and appropriate supplementation with your healthcare team, especially for bone health.
Emotional and Mental Well-Being
Manage Stress: Chronic stress can impact immune function. Utilize stress-reduction activities like yoga, meditation, gardening, or counseling to manage anxiety and the fear of recurrence.
Seek Support: Connect with friends, family, or support groups of other survivors. Sharing experiences and building a strong support network can improve quality of life and emotional health.
Prioritize Sleep: Aim for at least seven hours of quality sleep per night to aid physical and mental recovery.
By Zanita Careem
Life style
A cycle of life from golf courses to bulldozers to books for children
…Priath Fernando’s passion to create a legacy of learning, kindness and giving
By Ifham Nizam
Born into a world of Bulldozers and Golf Courses, but brought up reading children’s books, Priath Fernando considers himself fortunate to have been brought up by parents from diverse cultures. He had plenty of choices but somehow his path seemed to unfold in different directions as he journeyed through life seeking to find and achieve his purpose.
Fernando comes from one of Sri Lanka’s most accomplished golfing families. His father, Pin Fernando, was an amateur golf legend whose name still graces the trophy sponsored annually by the family business. His mother, Pam, entered the Guinness Book of Records as the oldest woman to win a national golf championship. His sister Tiru became Sri Lanka’s first professional lady golfer, going on to play on the European Professional Circuit for over a decade. He himself won championships before turning his attention to the family enterprise — United Tractor & Equipment (UTE), the company his grandfather founded in 1947 and which Fernando would later lead as Chairman and CEO.
Some business ventures begin with a spreadsheet. Priath Fernando’s latest one began with a round of golf, a long friendship, and a conviction that a good product will fail without the right ecosystem around it.
That lens — the understanding that a product’s value is realised only through the support system built around it — is now being applied to an unlikely new venture: children’s books.
A Life of Unfolding Directions
Fernando joined UTE in 1974 as a trainee, at a time when the company was operating under strict import controls. Following the liberalization of the economy in 1977 and the rapid development that followed, UTE came under increasing pressure to meet the demanding quality and service standards expected by foreign contractors. His father passed away in 1981, and Fernando was “literally thrown into the deep end of the business without having much experience”. Having survived and grown the business, despite many new competitors entering the market with very low prices, Fernando’s experience in competitive golf meant never to give up and do the best you can with what you have.
From the Deep End to New Directions
By the time he retired as Chairman of United Tractors and Equipment, after handing over to his son in 2017, Priath had developed his passion to develop golf in Sri Lanka. He saw what his cousin Ana Punchihewa had done to put Sri Lanka on the world map for cricket, and sensed that Sri Lanka has the potential to also become World Class in Golf.
In 2001, he got involved with the Victoria Golf Resort Project, initiated by the late Mark Bostock. He met and connected with Jannine Weeratunga, who was helping with Public Relations and facilitating the sale of property around the Victoria Golf Course.
It was this experience that rekindled his love for golf and although he was past his prime as a golfer, he saw the opportunity to use his business experience and developed a strategic plan for the Victoria Golf Resort. Subsequently, he served as Captain and President of the Royal Colombo Golf Club whilst also contributing to develop golf in Sri Lanka through the Sri Lanka Golf Union. As President Sri Lanka Golf, he convinced HSBC to sponsor a Junior Golf Development programme, called “Future Lions”.
He also formed a separate company to promote golf tourism but due to various unforeseen external factors has not been able to reach the target markets in the UK and Europe. However, his sister Tiru who was the first Asian Lady to play in the European Women’s Pro Circuit in 1980 decided to get back in the game after a lapse of over 30 years and envisioned an International Golf Course in Jaffna. This vision fell perfectly in line with Priath’s strategy for Sri Lanka Golf and they have now developed a Masterplan for approval by the Board of Investment of Sri Lanka.
As part of the marketing plan for golf tourism and the sale of real estate development, Priath reconnected with Jannine, who was residing in South Africa, to seek her expertise and experience in promoting golf tours, and to also find real estate developers for the proposed Jaffna Golf Resort.
It was this reconnection that sparked yet another venture by Priath when he discovered that Jannine had become an award-winning author of children’s books.
A Passion for Golf, A Pivot to Publishing
Reading the books changed the direction of the relationship. He saw an opportunity to bring selected titles into the Sri Lankan market, attracted particularly by their educational dimension and their message of empathy, kindness, and inclusion.
Fernando remembers his own childhood, when his mother introduced him to books such as Tintin — stories that gave pleasure while quietly building language skills. He believes Weeratunga’s books can do the same for a new generation.
A Reconnection That Changed Everything
The pilot is deliberately modest: five titles from Weeratunga’s catalogue, themed as the “Voices of Hope” series, which deals with understanding children who are differently abled. The series particularly resonated with Fernando. It was launched recently at the Royal Colombo Golf Club, where the author gave an entertaining reading and Fernando delivered the welcome address as Chairman of Vibhava Academy. Early sales have been encouraging, but Fernando knows that retail shelves alone will not give relatively unknown titles the visibility they need.
So, the strategy reaches further. Rather than relying solely on individual customers, the venture is exploring partnerships with institutions capable of purchasing in volume — banks with children’s savings programmes, service organisations with community networks, schools seeking engaging English-language material, and corporates looking for meaningful CSR initiatives. The logic is straightforward: a bank or a service club that buys hundreds of books at once can achieve what thousands of individual retail sales might not.
For Fernando, this is not merely a sales tactic. It is a way of embedding the books in the lives of children through the institutions they already trust.
The Author as The Brand
If the books are to succeed, the author herself must become part of the story. Central to the venture is the belief that Weeratunga is an asset in her own right.
Her stories are not positioned as mere entertainment. They are designed to draw young readers into English through activities woven into the narrative — a subtle educational dimension that gives the books a dual appeal.
That dual appeal matters commercially. Positioned purely as entertainment, the books compete with a vast array of children’s titles. Positioned as educational tools — and as vehicles for teaching empathy and understanding of disability — they open doors to schools, literacy programmes and institutional buyers who might otherwise never consider a trade publisher.
A Philanthropic Venture
What began as a promotional idea has evolved into something closer to a mission: to place well-crafted, educationally enriching children’s books into the hands of Sri Lankan children, and to build a sustainable market around them.
Fernando is candid that the venture is, at heart, philanthropic. But he is equally clear that philanthropy without a viable business model rarely lasts. His answer is not to depend on charity, but to create a distribution and marketing structure that can stand on its own — one that treats the books not as isolated products but as part of a larger ecosystem of literacy, education and corporate engagement.
The goal is not simply to sell books. It is to ensure that parents, schools and institutions recognise their value — and that children who might otherwise never encounter them are given the opportunity to read, learn and imagine.
A Consistent Philosophy
The connection between heavy machinery, golf, and publishing may seem tenuous, but Fernando sees a consistent principle running through all three.
The lesson he learned at UTE, was that the sale of a machine was never the end of the relationship but the beginning of a decades-long partnership.
Through his extensive involvement in golf development, he learned that a golf course cannot survive as a stand-alone commercial proposition; success depends entirely on the surrounding property, tourism infrastructure, and overall destination experience.
This critical insight defined his tenure as president of the Sri Lanka Golf Union, where he aggressively pushed to expand the sport beyond Colombo, upgrade local practice facilities, and market the island as a premier golf destination.
This vision directly guided his initiative to establish a golf tourism company catering to international visitors. Crucially, it also fuelled his passion to democratize the sport at home, bringing golf into schools and communities across Trincomalee, Killinochchi, Anuradhapura, Nuwara Eliya, Kandy, and Hambantota—giving talented young players in underserved regions the access to facilities and coaching they had long been denied.
Those initiatives did not all succeed. The Easter Sunday attacks; political uncertainty and the COVID-19 pandemic effectively halted the tourism venture. But the lesson stayed with him: an asset creates value only when the right ecosystem is built around it.
He is applying that lesson now to books.
Building the Market Around the Product
The immediate task is to establish the brand and demonstrate that a sustainable market exists. The team is rebuilding its marketing capacity after an earlier setback, with a renewed focus on social media, author branding, school outreach and institutional partnerships.
If the five-title pilot succeeds, Weeratunga’s larger catalogue offers scope for expansion — potentially transforming a limited publishing exercise into a broader children’s-content business.
For Fernando, the commercial question is ultimately one of scale. Printing books is relatively straightforward. Getting them into the hands of children — and ensuring that parents, schools and institutions recognise their value — is the harder part.
His answer is to build the market around the books, rather than waiting for the market to find them.
It is a strategy shaped by decades in business, sport, tourism and destination development. From the fairways of Victoria to the boardroom of United Tractor & Equipment and now to the bookshelves of Sri Lanka, his career has repeatedly returned to the same proposition: an asset creates value only when the right ecosystem is built around it.
The latest experiment is considerably smaller than a golf resort or a heavy machinery dealership. The commercial challenge is strikingly similar.
The five books are the product. The real business is finding the market — and, in doing so, opening a new chapter for Sri Lankan children.
“From reading children’s books as a kid, to operating bulldozers, to guiding golf balls, the bigger cycle has now come around!”
Life style
Unlocking tourism potential of the East
Arshad Refai on World Tourism Day
By Zanita Careem
As the world marks World Tourism Day, attention is turning not only to the numbers that define tourism, but to the people, communities, cultures and destinations that give travel its meaning. For Arshad Refai, General Manager of Sun Siyam Pasikudah and President of the East Coast Hotels, it is an opportunity to highlight a region, he believes, has far more to offer.
From the tranquil shores of Pasikudah to the heritage of Batticaloa and internationally recognised surf of Arugam Bay, Sri Lanka’s East Coast brings together beaches, history, culture, cuisine and nature. Refai has consistently called for greater visibility, for the region organising that stronger tourism in the East can spread the benefits of the industry more widely across the country. In this interview Refai discusses the untapped potential of the East responsible tourism, community participation and his vision for making the region a stronger part of Sri Lanka’s international tourism
Ahead of World Tourism Day on 27 September, (today) we sat down with Arshad Refai, General Manager of Sun Siyam Pasikudah, to talk about what the day means for the resort, how it fits into the wider philosophy of the Sun Siyam Privé Collection, and why sustainability at Pasikudah runs a good deal deeper than a single certification.
(Q) World Tourism Day is today 27th. What does the day mean for Sun Siyam Pasikudah?
(A) For us it is a chance to put a spotlight on things we care about all year, not just for one day. We have a full programme planned, a special buffet built around authentic Sri Lankan cuisine, a street food festival with regional snacks and traditional sweets, and a mocktail and cocktail we created specifically for the occasion. There will be traditional Sri Lankan cultural dance performances, too. Alongside the celebrations, we are doing a tree planting activity with guests and a beach or park clean up campaign. Those last two matter most to me, honestly. World Tourism Day is meant to be a reminder that tourism carries a responsibility, and we wanted guests to take part in that rather than just read about it on a menu card. It is also just a nice excuse to bring the whole team together around something outside their usual roles, from the kitchen to housekeeping to the gardeners who will be leading the tree planting.
(Q) Sun Siyam Pasikudah sits within the Sun Siyam Privé Collection. What does that mean in practice, day to day?
(A) The Privé Collection is our tier of properties built around the idea of curated luxury with purpose. In practice, that means we do not think of luxury as something separate from responsibility. It shows up in small decisions as much as big ones, a menu built around what a local fisherman brought in that morning, an excursion that takes guests through a village rather than around it, a turndown that uses ingredients grown nearby. None of that is a marketing layer on top of the stay. It is the stay.
(Q)
How would you describe Pasikudah as a destination to someone who has never been?
(A) I would tell them to expect something quieter than what they might picture when they think of Sri Lanka’s beaches. We sit on the east coast, along one of the island’s most untouched stretches of coastline, a real alternative to the busier beaches further south. The bay here has a calm, reef sheltered lagoon, which is genuinely rare along our coastline, and the marine life draws snorkellers and divers throughout the season. We also get whale and dolphin watching excursions further offshore. Guests come here for space more than spectacle, long stretches of empty sand, slower mornings, and a coastline that still feels undiscovered. It is a different kind of holiday to the south of the island, less about ticking off sights and more about slowing down enough to notice where you actually are.
(Q) Tell us about the resort itself. What should guests expect from their stay?
(A) We keep things intentionally small, just 34 villas, pavilions and suites in total. Guests can choose from Garden Pavilions, Ocean Pavilions, Private Pool Pavilions, and our Two Bedroom Pool Beach Villas, depending on what they need, whether that is a couple’s escape or a family stay. Every one of them is built for privacy and space rather than scale. On the dining side, we have six venues across the property, The Cellar, The Kitchen, The Tea House, The Bar, The Slice and Grill, and The Beach Shack, so there is real variety even within one resort. We also have a 30 metre infinity pool and a spa built around Ayurveda and other wellness traditions.
(Q) Beyond the rooms and the restaurants, what kind of experiences do you offer guests?
(A) We try to make sure a stay here connects guests to the destination, not just the property. We arrange excursions to nearby national parks, UNESCO heritage sites, and local villages, and we run Sri Lankan cooking classes for guests who want to take something home with them beyond photographs. There are cycling routes through the surrounding countryside as well. The idea is that guests leave with a sense of the east coast itself, not just the resort.
(Q) Sustainability comes up a lot when you talk about Pasikudah. Why is that such a central part of how you run things?
(A) Because I do not think you can call yourself a luxury resort in a place like this without taking responsibility for it. We hold a Travelife Gold Certification, which is one of the more rigorous sustainability standards in hospitality. It requires an independent audit across environmental and social practices, energy and water use, employee welfare, community support, all of it. But I always say the certification does not create the commitment, it confirms one that was already there. The audit is useful because it holds us to an external standard, but the work itself predates it and will outlast it. Recertifying is not a box ticking exercise for us, it is a chance to have someone from outside the resort tell us honestly where we are falling short.
(Q) You also support the Kalo Project. Can you tell us about that?
(A) Kalo is a young elephant calf being cared for at the Udawalawe Elephant Transit Home, on the other side of the island from us. She was found without her herd, and her recovery is being supported through the Sun Siyam Cares Fund, which covers the day-to-day costs of raising an orphaned calf, milk formula, veterinary care, and the upkeep required until she is strong enough to be reintroduced to a wild herd. That process usually takes several years. It is a long way from Pasikudah geographically, but I do not see it as separate from what we do here. Protecting Sri Lanka’s wildlife and protecting its coastline come from the same instinct for us.
(Q) How does the local community factor into how you run the resort?
(A) Every member of our team at Sun Siyam Pasikudah is Sri Lankan, and that is a deliberate choice, not a coincidence. We prioritise local suppliers wherever we can, the fishermen who supply our kitchens, the craftspeople behind our architecture and our cultural programming. Employment and income from the resort should stay in this community as much as possible. That is not something we put in a brochure, it is how the place actually runs.
(Q) What do you hope guests take away from a stay at Pasikudah?
(A) I hope they leave feeling like they experienced something real, not staged. Responsible luxury should not be a marketing line, it should be something you feel in the food, the setting, and the stories the resort chooses to tell. If a guest leaves remembering the fisherman who caught their dinner, or the village they cycled through, or even Kalo’s story, more than they remember the thread count on the sheets, then we have done our job properly.
(Q) What’s next for Sun Siyam Pasikudah once World Tourism Day has passed?
(A) It is a busy back half of the year for us. We move fairly quickly into the International Day of Generations Together at the start of October, then International Chefs Day later in the month, which our kitchen team always treats as a bit of a showcase. After that we are into Diwali, and then the run into Christmas and New Year, which includes a Sri Lankan Heritage Day celebration in between. It is a lot of programming, but each one gives us a slightly different reason to tell a story about this coast and this island, which I enjoy.
(Q) Any final thoughts on World Tourism Day this year?
(A) Just that I hope it is not treated as a one day event, by us or by anyone else in the industry. The tree planting and the clean up are small gestures on their own, but they only mean something if they sit alongside a much bigger commitment, to our team, to our suppliers, and to the island itself. That is what we want guests to feel here, not just on the 27th of September, but every day they choose to stay with us.
Life style
Age gracefully; Christell celebrates the art of longevity
Ageing is not counting the years, but about embracing life with confidence, vitality and purpose. Dr. Shanika Arsecularatne, CEO of Luxury Wellness Clinic, had a discussion on Age Gracefully Christell. The conversation centred on longevity, highlighting the importance of looking after oneself, making healthy choices and celebrating every stage of life with grace and confidence Growing older need not mean slowing down, it can be an invitation to live more consciously, confidentially and beautifully. At this discussion on ‘Age Gracefully,” Christell shines a spotlight on longevity celebrating the act of ageing with vitality, elegance and purpose. This a refreshing remainder that true beauty is not defined by the number of candles on a birthday cake by how we continue to live, learn flourish and embrace every chapter of life.
Last week Christell Luxury Wellness hosted ‘Age Gracefully’, an exclusive evening bringing longevity, preventive health, regenerative medicine, beauty and wellness into the spotlight. Held at The Shoppes at City of Dreams, the event brought together distinguished guests, industry leaders and luxury wellness partners around a critical question. How can we live longer, healthier and better?
At the heart of the evening was an overview of longevity and preventive health, led by Dr. Shanika Arsecularatne, CEO Anti-Ageing and Regenerative Medicine Specialist of Christell Luxury Wellness. The event focused on the concept of longevity through a luxury wellness experience, encouraging people to focus on their long-term health through awareness, preventive measures, health optimisation and a proactive mindset to ageing.
While the global conversation around longevity is rapidly growing, Christell’s emphasis on longevity and preventive health has been built for over 30 years. As a trusted name and trendsetter in Sri Lanka’s beauty and wellness industry, Christell has continuously evolved with advances in science, technology and regenerative medicine. Age Gracefully represents the next chapter of that journey — advancing beyond looking good to living healthier and ageing better.
Guests experienced this philosophy through interactive health and wellness experiences, including a “Check Your Health Status” quiz, Vitamin Level Test demonstration and Hair Scan demonstration, alongside luxury beauty, fragrance and wellness experiences by Exclusive Lines, Zam Gems and Dilmah.
The evening highlighted an important shift in modern lifestyle that has become prevalent around the world – prevention begins long before illness strikes, and good health and longevity are closely intertwined, As Sri Lanka begins to embrace this new conversation, Christell continues to champion a future where beauty, science, preventive health, regenerative medicine and longevity come together. The measure of a healthy life is no longer simply to live longer – it is to live better, for longer.
(Zanita)
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