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Emeritus Professor of Paediatrics Priyani Elizabeth Soysa : AN ICON IS NO MORE

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Dr. Priyani Soysa

By Dr B. J. C. Perera
Specialist Consultant Paediatrician

That fantastic lady, a reputed persona grata of eminence, as well as teacher of repute who lit up the field of paediatric healthcare, Emeritus Professor of Paediatrics, Deshamanya Priyani Elizabeth Soysa MBBS(Cey), DCH(Eng), MD(Cey), DSc (Ruhuna) Honoris causa, FRCP(Edin), FRCP(Lond), FRCPCH(UK), FCCP(SL), FSLCPaed, and Fellow of the Sri Lanka Association for the Advancement of Science, most peacefully bid adieu to this mortal world on Good Friday (07 April).

The 97 years she spent on this planet earth, where she served Sri Lanka to her last breath, were of seminal significance for the services she provided in caring for children. As a student and mentee of hers, I am deeply saddened by her demise and am quite sure that many others in the medical profession, as well as those members of the general public who have come under her captivating influence, would share those very same sentiments. She will always be remembered as an unmatched change-maker in the paediatric scenario.

How does one start and where does one end in recounting the details of the lifetime of a person who lived a kind of life that defies even rational exposition? Needless to say, young Priyani Elizabeth De Mel excelled as the brightest of stars at her alma mater, Princess of Wales College, Moratuwa. Then her meteoric sojourn as a student in the Colombo Faculty of Medicine culminating in First Class Honours in the Final MBBS Examination was the forerunner to a dedicated career that saw her go higher and higher in her academic pursuits. An acclaimed clinician and a researcher of repute, she functioned as a paediatrician in various parts of the country including Jaffna and then became the first woman in Sri Lanka to be appointed to a Professorial Chair. That occurrence came about when she succeeded her guru and mentor, Professor C. C. de Silva, as the Professor of Paediatrics in the Faculty of Medicine, University of Ceylon and subsequently the University of Colombo. She held that exalted position as the Chair Professor of Paediatrics for 25 years before retiring in 1991. We share nostalgic memories of this fantastic personality, who in addition to all her sublime qualities, was also a most capable administrator and a policy maker; one who had a vision that she pursued through a resolute pathway of unbridled commitment.

Professor Priyani Soysa is well-known and supremely recognised for many a battle that she fought, very often in a single-handed dedication towards the welfare of little children in our country. When she assumed duties as the Chair Professor of Paediatrics, the subject of healthcare of children was just a part of Adult Medicine in the Faculty of Medicine. Professor Soysa managed to convert paediatrics into a subject in its own right that was tested in the Final MBBS Examination.

Professor Soysa had an abiding interest in childhood nutrition. Long before the current scientific evidence regarding the crucial importance of nutrition in the well-being of children emerged, she fought a valiant skirmish to ensure proper nutrition for children. Malnutrition was rampant in the country at the time she assumed the high office of the Chair of Paediatrics. Professor Soysa became an unwavering advocate of exclusive breastfeeding of all babies for the first six months of life. In that endeavour, she fought a lone but heroic battle against the might of the infant formula food manufacturers. Artificial cow milk-based formula foods were the fashion of the Western world and it was no mean task to fight against the Western manufacturers of these infant foods. Professor Soysa declared all-out war on them and their subtle efforts at jeopardising exclusively breastfeeding initiatives. She worked ever so hard to change the mindset of Sri Lankan mothers from bottle feeding to breastfeeding. This was such a great achievement as at that time breastfeeding was not considered ‘fashionable.’

As the undisputed champion of exclusive breastfeeding, Professor Soysa played a major role in securing maternity leave for working mothers and that effort tipped the balance against the infant milk food industry most decisively. The fact that today we have an over 90 per cent rate of exclusive breastfeeding in the first six months of life is the eternal testimonial to her work as the undisputed winner of that initiative. Her work in that respect has shown a pivotal influence, not only in Sri Lanka but globally as well.

Professor Priyani Soysa is a Past President of the Sri Lanka Paediatric Association (now known as the Sri Lanka College of Paediatricians), the Sri Lanka Medical Association and the Sri Lanka Association for the Advancement of Science. As a gesture of genuine appreciation, the Sri Lanka Medical Association, the oldest medical organisation in Asia and Australasia, awarded her the Honorary Life Membership during its 125th Anniversary celebrations in 2012. In grateful recognition of her services to the country, the government of Sri Lanka bestowed on her the coveted national honour of Deshamanya in a glittering investiture ceremony at Nelum Pokuna Theatre in 2017, attended and presided over by the Executive President of Sri Lanka.

In addition to being a splendid academic, Professor Soysa was a marvellous family person, devoted to her husband, the reputed ENT Surgeon Deshabandu Dr Ananda Soysa, who predeceased her in 2019. They have four daughters, Dharini, Chandini, Keshini and Thilina, to whom Madam Priyani was an exemplary mother. Those who have had the privilege to be at a meal in the Soysa household would vouch for the abilities of Professor Priyani Soysa as an accomplished chef as well.

The medical paediatric fraternity of Sri Lanka owes her a lot. Many of us have learnt the basics of paediatrics from her. But then, what we learnt from her goes even further than that. As a personal anecdote, I know for sure how she responded to a problem that myself and my allocated working partner had with a family that was assigned to us for the Social Paediatrics appointment when we were doing the Professorial Paediatric appointment in our final year in the Faculty of Medicine. That family was so poor that they lived a frugal hand-to-mouth existence. We noticed that they did not have a toilet. When the good professor was grilling us during discussions that involved the entire group of medical students, I was forced to tell the professor that the lack of a toilet was the least of their problems when they did not know where the next meal was coming from. The professor did not say anything but we found out later that she had used her own personal funds to build a toilet for that family. She had done it without telling anybody. It just went to show that beneath her professorial strict façade, there was a very kind heart that was capable of exhibiting the wonderful quality of empathy.

One could write reams about our guru Professor Priyani Soysa. But even then, we would not be able to get through all that we want to say. Her daughters and the members of the immediate families are sure to feel the intense pain of losing a loved one who was definitely like no other. We hasten to proclaim that their loss is our loss as well.

No doubt a company of angels would have escorted her to her heavenly abode on 07 April 2023. Today (10) is the day we see her for the last time when we take part in the final rites for her mortal remains. We are honoured and greatly privileged to join her in her last journey on earth.

Yet for all that dear Madam Soysa, you will stay in our hearts forever until we meet again, at some time in the future.



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Trump’s tariffs, AKD’s gazette and Sri Lanka’s diplomatic slumber

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“We are rather respectable in Colombo. We go to bed fairly early, and we remain there till morning. “

According to Sri Lanka’s diplomatic folklore, the late S.W. R. D. Bandaranaike uttered these words while explaining the reasons for Sri Lanka’s abstention on the UN resolution condemning the Soviet invasion of Hungary. Apparently, SWRD’s foreign ministry officials were asleep at home when the diplomatic cable seeking instructions was received from New York. In those days, there were no cell phones, Internet, or even fax or telex machines. The diplomatic cables were sent through post offices. Decoding them was a slow and time-consuming process. Thus, the government could not provide appropriate instructions to our mission in New York in time, and the Sri Lankan delegation abstained on that sensitive UN vote.

Sri Lanka’s Absence from Section 301 Consultations

But then, how does one explain Sri Lanka’s absence from the crucial bilateral consultation held in Washington by the Office of the United States Trade Representative (USTR) during March-April on “Forced Labour” under the Section 301 of the US Trade Act of 1974? Didn’t our foreign and trade ministries send appropriate instructions to Washington in time? Even if the instructions from the foreign ministry were transmitted to our embassy in Washington by pigeon carriers, there was enough time for Sri Lanka to participate in those meetings.

In March, the USTR initiated these 301 investigations on 60 trading partners, and invited all of them for confidential consultations. Out of the 60, 46 participated in these consultations. Sri Lanka was not one of them. Other countries that didn’t participate in these consultations included China, Russia, and Venezuela! In addition to that, the Section 301 Committee conducted a public hearing with interested parties on April 28 and 29. Washington-based diplomats, representatives from few trade ministries as well as representatives from many foreign trade associations and chambers participated in these hearings. Sri Lanka was once again conspicuously absent.

As a result, when the USTR published the proposed forced labour tariffs on June 2nd, Sri Lanka ended up with a 12.5% duty. Pakistani and Indonesian diplomats participated in these consultations and took appropriate follow-up measures, and managed to enter the 10% duty category. As even a threat of a modest tariff hike could disrupt supply chains and reduce competitiveness, particularly in an industry such as garments, I discussed this issue on 15 June and underscored the importance of Sri Lanka’s participation at the next hearing, which was scheduled to be held from July 7th .

Awakening from Diplomatic Slumber and AKD’s Gazette

Fortunately, Sri Lanka finally awoke from weeks of diplomatic slumber, and Ambassador Mahinda Samarasinghe participated in the public hearing on 9 July, and promised, “…. · We have agreed to the text in our negotiations with the USTR on forced labour, …. The gazette as we speak is being printed and I’m getting the gazette tomorrow morning, and the gazette will be shared with USTR as I get it“.

As promised, President Anura Kumara Dissanayake issued a gazette on 10 July banning the imports of goods produced by forced labour. These new regulations are very similar to what Pakistan and Indonesia enacted in April, after their consultations with USTR in March. Why couldn’t we do it in April? Why did we wait till the very last minute?

Challenges ahead

“War is too important to be left to generals alone,” is a famous saying attributed to former French Premier Georges Clemenceau. Similarly, monitoring our main markets is too important to be left to diplomats alone. The United States is the largest single-country market for Sri Lanka. Therefore, Sri Lankan trade chambers and associations should become more proactive in these markets and participate in these events. For example, the chairman of the Pakistani apparel exporters association participated in the April hearings. Similarly, representatives from the Indian Agricultural and Processed Food Products Export Development Authority, the Federation of Indian Chambers of Commerce and Industry, the Confederation of Indian Industry, and Reliance Industries also participated in July hearings. At an event where each speaker is given only five minutes (strictly enforced), having a number of speakers from a country is an advantage. The presence of industry representatives in these kinds of events also help them understand the market dynamics and the future challenges. This is important, particularly because there will be many more challenges with Trump’s tariffs.

With the gazette issued on 10 July, Sri Lanka has imposed a prohibition on the importation of goods produced with forced labour. Now, the challenge will be to effectively enforce the prohibition. And what are the goods produced with forced labour? The USTR list only focuses on aluminum, cotton, electronics, lithium-ion batteries, rice, and tobacco. However, according to the U.S. Department of Labour, the list is much longer. Hence, this list may change continuously during the next two years and tariffs may fluctuate once again.

So, this is definitely not the time to slumber.

(The writer, a retired public servant, can be reached at senadhiragomi@gmail.com)

by Gomi Senadhira ✍️

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Tales of Mystery and Suspense 10 Casino for Sale

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After the overwhelming grotesquerie of J K Rowling’s latest Cormoran Strike novel (written, I should have noted, as the others were, under the pseudonym Robert Galbraith), I thought I should return to the world of fun, and also a much shorter description since this thriller moves quickly without the layers of detail that Rowling engages in.

I then move to the second comic thriller by Caryl Brahms and S J Simon. This, their second story to feature Vladimir Stroganoff and Adam Quill, was Casino for Sale, as lunatic a romp as the first, though without the emphasis on the ballet that characterized A Bullet in the Ballet.

This one begins with the impresario Stroganoff buying a casino cheap from Baron Sam de Rabinovich, only to find that it was a rundown place, not the grand casino of La Bazouche, a resort on the Frenc+h Riviera, as he had initially thought. The grand one belonged to Lord Buttonhooke, and Stroganoff could  not compete, until he thought of bringing the Ballet Stroganoff to the casino – which of course leads to Buttonhooke deciding to have ballet performances in his Casino too.

Stroganoff invites Quill to visit him, which Quill decides to do since he has left Scotland Yard, having come into a legacy. No one believes this, and he has to face questions as to what he did to have been sacked, with sympathy for having been found out.

Caryl and Simon

The day he arrives in La Bazouche there is a murder, of a vitriolic critic called Citrolo, in Stroganoff’s office. He had been going to write a damning review of the opening night of the ballet and Stroganoff, when he realizes Citrolo cannot be swayed, drugs him and dictates the review himself to the papers. He leaves Citrolo sleeping and finds him shot the next morning, whereupon he decides to muddy the waters and leave a suicide note and lots of other murder weapons. So much overkill, as it were, of course ensures that he is arrested.

But the excitable French detective who makes the arrest follows up his suggestion that Buttonhooke was also involved, and so the two casino owners find themselves in cells next door to each other, with the detective Gustave quite happy to provide creature comforts for a fee.

Quill decides he must investigate, and finds Gustave most cooperative, since he has a laid back attitude to work. So it is Quill that finds a notebook which makes it clear Citrolo is an accomplished blackmailer, and that there are lots of possible murderers, including Stroganoff’s croupier, who was crooked, Rabinovich, who was now working for Buttonhooke, a confidence trickster called Kurt Kukumber, whose prospectus for a dud gold mine was found in the office and Prince Alexis Artishok who was engaged in a deal to buy diamonds from the ballerina Dyra Dyrakova.

Stroganoff had been trying to get Dyrakova to dance for him, but having done so previously she had refused. But then to Stroganoff’s chagrin she agreed to dance for Buttonhooke. The clearly crooked Artishok had told Buttonhooke’s mistress Sadie Souse, who was not very bright, that Dyrakova possessed diamonds she was willing to sell cheap, and Sadie was determined to have them.

Quill meanwhile finds out that there was a secret passage to Stroganoff’s office, the obvious solution to what had begun as a locked room mystery, and that this was known by almost everyone apart from Stroganoff himself. And then Rabinovich is murdered, just after Gustave had released his two original suspects, leading him to blame Quill for having insisted on that and thus allowing them to kill again.

Soon afterwards Dyrakova arrives, and the town is full of posters announcing that she will appear in the casinos, elaborate posters for either one, since Stroganoff is determined that she will dance for him, and if she does not come willingly, he has devised a scheme to make her do so unwillingly. So, though Buttonhooke has her taken off to his yacht immediately she arrives at the station, Quill along with Arenskaya gets her into a launch and to Stroganoff’s casino, where she performs to tumultuous applause, not knowing for whom she is dancing.

When Quill asked her about the diamonds, she said she had sold them long ago, and that gave Quill the solution to the mystery. Rabinovich had known about this, and Artishok had killed him to prevent Sadie learning it from him, he had killed Citrolo who had recognized him for an accomplished card sharper, not a Russian prince at all. But before he is arrested, he gets away in a boat, and the police launch that pursues him is on the point of catching him up when it runs out of petrol.

Again, lots of excitement, and entertaining references  – Gustave grows marrows – and if not quite as brilliant as its predecessor, Casino was certainly a delightful read.

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The challenge of being positive about SAARC

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The RCSS forum addressed by SAARC Secretary General Ambassador Md. Golam Sarwar in progress. (Pic courtesy RCSS)

It was a few years back that a former President of Sri Lanka took it on himself to pronounce SAARC ‘dead’. Since then there have been other sections of Sri Lankan opinion that have joined the critics of SAARC and taken the solemn stance that SAARC has indeed died what may be called a natural death.

Their fatalism is understandable. SAARC has failed to meet at heads of government or state level for the past several years to take the SAARC process notably forward. Regional cooperation has more or less been only an appealing idea. No substantive concrete projects have taken off to make the idea a hard reality. ‘Inner paralysis’ seems to be SAARC’s lot. Hence the fatalism in these circles.

However, being one of the worst cash-strapped regions of the world and a teemingly populated one with people virtually left to their devices, what choices do the ‘SAARC Eight’ have other than to try their best to band together and continue with their cooperation efforts, however small they may be?

There is no escaping the mounting debt trap for many of these countries and bankrupt Sri Lanka is a glaring example, but ‘throwing in the towel’ and abandoning themselves entirely to the diktats of the strongest economies and their agencies will prove a ‘living death’ for many countries in the SAARC fold.

The gains may be meagre but giving-up on SAARC cooperation in full would prove self-defeating for the organization and South Asia. Right now, the collective intention ought to be to salvage what the region could from the tenuous cooperative efforts. Moreover, such initiatives could go some distance to generate a degree of goodwill among the Eight and help in sustaining a dialogue process.

Given this backdrop it proved ‘a stich in time’ for the Regional Centre for Strategic Studies (RCSS), Colombo, to recently host the SAARC Secretary General Ambassador Md. Golam Sarwar to a round table discussion on the unifying potential of SAARC and its future possibilities, besides other related issue areas.

Held on June 24th and moderated by RCSS Executive Director and former ambassador Ravinatha Aryasinha, the forum brought together a vibrant, wide ranging audience comprising academicians, diplomats, senior public servants, civil society activists and many others. Following the presentation by Ambassador Golam Sarwar titled, ‘Reigniting SAARC: Achievements, Challenges and the Way Ahead’, a lively Q&A followed.

The above forum could be described as an act of lighting the proverbial ‘candle’ rather than ‘cursing the darkness.’ It surely is a ‘darkness’ that could be seen as daunting considering that the region’s pivotal powers, India and Pakistan, are failing to act in a spirit of accord but are engaged in bitter finger-pointing on a number of questions of vital importance to SAARC.

On the other hand, what is the rest of the region doing to bring the above sides together? It is disappointing that to date the rest of SAARC has failed to launch a major diplomatic drive to bring peace between the feuding regional heavyweights. It needs to act without delay and establish its earnestness and this effort would need to prove SAARC’s staying power in the unfolding months and even years.

In assessing SAARC’s seeming failure local opinion in particular has failed to factor in what could be described as weak leadership. Since Sheikh Mujibur Rahman of Bangladesh, the founding father of SAARC, the region has failed to produce a visionary leader who could advance the SAARC cause with charisma and drive.

Among other reasons, weak leadership accounts considerably for the faltering and stuttering status, as it were, of SAARC. Badly needed are leaders who could go the extra mile, think less of narrow national interests and work diligently towards the collective well being of the region but SAARC’s millions of ordinary people have been made to wait in vain for leaders of such stature. Instead, they have been burdened with politicians who seem to be relishing the apparently moribund state of SAARC.

Looking back, it could be said that it was the dynamic leadership factor that led to the launching of the Non-Aligned Movement and for its sustenance for a few decades. True, it could be seen in some quarters that NAM is no more, but as in the case of SAARC, the former too has been unfortunate to be burdened over the years with politicians who lack the vision and drive to unflaggingly advance the fortunes of the South. NAM and SAARC lack the dynamism and vision of leaders of the stature of Jawaharlal Nehru, for example, to give them the required guidance and intellectual depth.

The reasons are complex for there not being among us currently political leaders with the vision and the steadfast commitment to advance the legitimate interests of the South. However, it could be stated with conviction that the majority of Southern leaders have too easily caved in to the demands of the global North and its financial agencies.

These leaders have failed to see, for instance, that the largely market economy oriented Northern governments would not view with favour a centrist economic model that attaches priority to the interests of the dis-empowered publics of the South. This realization ought to have dawned on the current government in Sri Lanka, for instance, some while ago but it has no choice but to abide by IMF dictates since economic survival at present is unthinkable without the latter’s succour.

Accordingly for SAARC this should be the time for some soul-searching. Priority needs to be attached to ending the feuding between India and Pakistan since at present the material fortunes of the region hinge largely on these regional giants giving peaceful relations among them a try. This is no easy challenge to meet but some daring, visionary diplomacy needs to take hold among the rest of SAARC.

There is some sense in SAARC bringing the peoples of the region together through programs that address their best collective interests. A meeting of minds among SAARC nations could enable SAARC and its agencies to build a region-wide people’s movement for progressive political and economic change that could in turn lead to the region’s political leaders sensitizing themselves more to the neglected needs of their publics.

However, the time is ‘now’ for the initiation of these progressive changes and the voice of SAARC well wishers would need to drown out those of their critics.

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