Features
Gotabaya Autocracy: Inducements and Impediments
by Kumar David
It has been a constant if annoying refrain of this column that there are powerful class, political, military, cultural and racial-religious forces pushing Lanka in the direction of an autocratic state. Up to now I have taken pains to delineate the factors encouraging autocracy while neglecting those impeding it. This was for reasons of electoral exigency – the country has had two elections on its hands and theoretical nuances needed to be set aside so as not to cloud practical urgencies. I will now depart from this constraint and discuss both push and pull pressures. This essay is going to be controversial but if it evokes healthy debate and provokes constructive comment it is worth the risk.
Let us not fool ourselves, the call for discipline, strong government and a no-nonsense autocrat at the helm has been widespread and gained further ground during the Gota presidency. Regarding COVID-19, confronted with the choice between biological survival and economic benefit Gota made the right choice. Hence his popularity is not limited to power hungry military-brass, slavish media, crooked and obnoxious SLPP politicos who spotted a messiah to pull their nuts out of the fire, and Viythmaga-Yukthiya upstart professionals seeking sinecures. No, it is more widespread. Autocracy-philia spread like a pandemic and penetrated the public mind as a Gota love-in; the abstract concept found personal incarnation. Over 70% of Sinhala-Buddhists and more than a usual number of Eastern Province and Vanni Tamils and Muslims voted for pro-Gota tickets.
A critical feature of this process that I will comment on anon is the emerging relationship between the Buddhist clergy and the hardening autocratic process. I am by no means convinced that the monks will one and all adapt to it. The history of the Buddhist clergy in Sri Lanka has been rebellious. It did not get on well with Kasyapa and has a record of obstinate opposition to all colonial rulers. The conflict between the Abhayagiriya and the Maha Vihara in the 12th century is not at all similar to the current imbroglio but it does show that transformative political events profoundly disrupt the clergy. More on this anon.
Sleaze has been widely commented on so I can keep my harangue brief and pithy. The elections have proved that the public has no interest, absolutely none, in choosing parliamentarians of financial integrity with a proven work ethic. Please let this sink in! It is criminals, rogues and buffoons that are the squad of choice. Twenty to thirty such MPs are government, a few are SJB. All meet at least one, often more than one of the following criteria: murderer on death row; alleged murder; arrested, remanded and/or indicted for theft in some cases of tens of millions of rupees; criminal breach of trust; passport forgery; abuse of state property and vehicles; unlawful use of firearms; assault, making false statements to the authorities (police or courts), and on and on. Write-ups and a rogues-gallery of some photos is in Sunday Times 9 August in a piece by Namini Wijedasa; a fuller list can fill a page. Gota’s Cabinet includes about ten clean and competent choices but also ten others are publicly named and freely identified as “hora, jathivadhaya or buruwa”. The inclusion of so much muck in the Cabinet undermines Gota’s “I will set up a clean and competent administration” message.
On the obverse side of this ugly story is the tragedy that among the defeated MPs were those ranked among the best by Vertite Research an independent agency, say Sunil Handunetti and Nalinda Jayatissa. Other upright ones too were voted out to make room for scoundrels. I need to make it clear that I am not here discussing the moral debasement of the voting public, though that is horrific. My concern relates to the topic of this essay, the swing to autocracy. Why do people have so little concern for the quality of their MPs? Because their greatest desire is that the Rajapaksas wield supreme power. There is empathy between the cultural character of the people (mainly but not only the Sinhalese) and Rajapaksa mystique. What the Rajapaksas evoke is what Lanka is. It is simplistic to reckon that war victory still enamours Gota to the masses. No, it’s a deeper psyche than that; the Sinhala masses gel with what the Rajapaksas symbolise; what the Rajapaksa phenomenon emanates is what our polity breathes. This will not reverse until the economy collapses; at least till then Rajapaksa state power stands secure.
The UNP was wiped out and Sajith defeated not because of yahapalana’s ineptitude or the bond-scam. There are far bigger and bolder rogues per square centimetre in the SLPP than the UNP or Sajith’s outfit. Nor can the defeat be explained by the split, hugely biased media coverage, campaign restrictions due to the pandemic or the larger turn out of saffron for the Rajapaksas than for Sajith or Ranil. These things mattered but they were not decisive. Even if Sajith and Ranil did not tear out each other’s jugulars, even without the bond-scam, with better media coverage and more saffron robes on stage, still there would have been a huge swing to MR-GR because Sri Lanka psychologically wanted it. Pissu-Sira, had he been on an SJB or UNP ticket would have lost his deposit, shirt and underpants, but on the Rajapaksa bandwagon he romped home with more than 100,000 votes. This proves my message better than words. This is the truth; it is an ugly truth and we are stuck with this ugly truth.
The seamless blending of Gotabhaya mystique into Sinhala consciousness, this symbiosis of the personal with political culture, this choreography of the drama, is what brings the masses into line with an experiment in autocracy. He is the strong man who Asgiriya hailed as an Asian Hitler. The motto of the government going forward will be Gotabhaya adoration more than Sinhala-Buddhism. Hold it! What was that, what did I say? No, no, I don’t think it will be that simple because if Gotaism seeks to supplant Buddhism as the nation’s hegemonic faith much of the clergy will revolt. But you see the point is that autocracy needs an autocrat and an autocrat is built by a paraphernalia of mythologies about the Great Leader, the Helmsman, the Saviour. It is not possible to create an autocratic state without a great autocrat at the helm and that is not possible without an “overdetermining” ideological creed to prop up the Great One. Stop for a moment and consider – Tiberius was deified, Napoleon crowned, Mussolini glorified, Peron hyped and Stalin mummified!
A Gotabaya autocracy too will need the mythology of an overweening nation-wide Gota cult, but precisely this will be in tension with the “leading role of Buddhism.”. Signals of alarm at Gota glory’s overreach can already be detected in the saffron-set. Maybe instead of provoking an indomitable foe the proponents of autocracy may reduce the scope of their project and tone down their cult. For this and other reasons – this is one of the controversial hypotheses in this essay – there is a possibility that Gota and his inner coterie may think it tactically wise to retreat a little on their authoritarian mission.
On the political side an agent that may stall the project is class opposition, especially the working class in the state sector. Take the East Container Terminal slated for joint development with India. Assume for argument’s sake that it is a good joint-venture and assume also that far-reaching commitments have already been made to India. On the other side trade union hostility is implacable – the deal the unions struck with Mahinda only bought time. A second example: While in opposition and during the runup to this election the SLPP hyped the notion that the MCC was a sell-out to imperialism; the usual crap at the hustings. Now by hook or by crook GR-MR salivate for the $480 million. But the dogs they unleashed will turn around to bite. There are other examples of how a GR-MR autocratic project may come in conflict with radicals and unions. What will the state do; take the guns out of the armoury? No one can be sure. That’s why you call these scenarios “Known Unknowns”. The point is this, while a non-autocratic state can climb down, autocracy cannot without eroding its own credibility.
Everybody says “The economy will be the government’s and a would-be autocrat’s undoing” so I can be as brief semi-quaver. Using a broad-brush approach there are three crises; foreign debt servicing, fiscal deficit and third employment. I look at each in relation to what it has in store for the GR-MR outfit over the next one or two years. Dollar debt servicing over the next 12 months (not six, that’s the first course) threatens the very existence of the government, but it is also what it may be able to get around. Yes, we have to find some $4 billion before the end of the year and a like amount next year. If we default the rupee will crash, in that event the Sri Lanka foreign bond yield (effective dollar interest rate) will rocket to .20%, 30% . . . I dread. But the Rajapaksa siblings (all four) will beg, bow, plead and weep for a moratorium on repayments, new loans, enter into SWAP deals, IMF grants and throw themselves at the mercy of Father Confucius, Uncle Sam and Mother India. These gentle worthies will not let us sink; each for his own reasons does not want bedlam in this island. The conditions imposed may be tough, the belt tightened, but in the words of the hymn “We shall be Saved” before we drown in helpless hopeless default.
On the other two concerns – fiscal deficit and employment – I am not whistling so happily in this dark night. I can’t see a way out that does not provoke mass unrest and chaos on the streets. I predict that the deficit will stay for years. Expenditure will exceed revenue by10% of GDP in 2020; countries reaching 15 to 20% are called basket-cases. Lowering expenditure means reducing welfare (Samurdi etc), cutting wages, “labour market reforms” (euphemism for easy firing, reducing wages and employer friendly labour laws), and cutting spending on health, education and subsidies. Forget it, it can’t be done unless Gota’s Brigades are prepared to spray grape-shot in the streets. Raising revenue implies enhanced economic activity, steeper taxes on the rich and higher sales taxes – on all counts, dream on!
Economists are those queer chaps who sonorously, and in all seriousness, tell you that if your lovely old aunty had balls she could become your respected uncle. Their chorus right now is “Export, export, sadhu, sadhu, export”. How the devil to dramatically raise exports within a year or two in the midst of a global downturn, a turning inward to the domestic economy in the US and even Europe and when some 60% of the value of our manufactured exports are imported raw materials and machinery? Yes we must look outwards and integrate more, not less, with global partners but since the focus of this essay is short-term political prospects, I conclude with the comment that prospects are bleak. Furthermore. the deficit in the balance of payments will exceed $3 billion in 2020 and 2021 – everyone knows why; I don’t need to elaborate. So it will be hard going for any guns and thunder regime.
To dwell at similar length on the bleak employment outlook would need several more paragraphs. Autocracy and constitutional reform is a topic all of itself. This essay has been an analysis of “What Is” it has not touched on “What Is to be Done”, another huge topic. Editors like imams are frugal about column inches so I have to cut it short and stop the flow midstream despite my enlarged prostate.
Features
Wishes, Resolutions and Climate Change
Exchanging greetings and resolving to do something positive in the coming year certainly create an uplifting atmosphere. Unfortunately, their effects wear off within the first couple of weeks, and most of the resolutions are forgotten for good. However, this time around, we must be different, because the nation is coming out of the most devastating natural disaster ever faced, the results of which will impact everyone for many years to come. Let us wish that we as a nation will have the courage and wisdom to resolve to do the right things that will make a difference in our lives now and prepare for the future. The truth is that future is going to be challenging for tropical islands like ours.
We must not have any doubts about global warming phenomenon and its impact on local weather patterns. Over its 4.5-billion-year history, the earth has experienced drastic climate changes, but it has settled into a somewhat moderate condition characterised by periods of glaciation and retreat over the last million years. Note that anatomically modern Homo sapiens have been around only for two to three hundred thousand years, and it is reasoned that this stable climate may have helped their civilisation. There have been five glaciation periods over the last five hundred thousand years, and these roughly hundred-thousand-year cycles are explained by the astronomical phenomenon known as the Milankovitch Cycle (the lows marked with stars in Figure 1). At present, the earth is in an inter glacial period and the next glaciation period will be in about eighty thousand years.
(See Figure 1. Glaciation Cycles)
During these cycles, the global mean temperature has changed by about 7-8 degrees Centigrade. In contrast to this natural variation, earth has been experiencing a rapid temperature increase over the past hundred years. There is ample scientific evidence from multiple sources that this is caused by the increase in carbon dioxide gas in the atmosphere, which has seen a 50% increase over the historical levels in just hundred years (Figure 2). Carbon dioxide is one of the greenhouse gases which traps heat from the sun and slows the natural cooling process of the earth. This increase of carbon dioxide is due to human activities: fossil fuel burning, industrial processes, deforestation, and agricultural practices. Ironically, those who suffer from the consequences did not contribute to these changes; those who did contribute are trying their best to convince the world that the temperature changes we see are natural, and nothing should be done. We must have no illusions that global warming is a human-caused phenomenon, and it has serious repercussions.

(See Figure 2. Global Temperature and Carbon Dioxide Levels)
Why should we care about global warming? Well, there are many reasons, but let us focus on earth’s water cycle. Middle schoolers know that water evaporates from the oceans, rises into the atmosphere where it cools, condenses, and falls back onto earth as rain or snow. When the oceans warm, the evaporation increases, and the warmer atmosphere can hold more water vapour. Water laden atmosphere results in severe and erratic weather. Ironically, water vapour is also a greenhouse gas, and this has a snowballing effect. The increased ocean temperature also disrupts ocean currents that influence the weather on land. The combined result is extreme and severe weather: violent storms and droughts depending on the geographic location. What is happening on the West coast of the USA is an example. The net result will be major departures from what is considered normal weather over millennia.
International organisations have been talking for 30 years about limiting global temperature increase to 1.5oC above pre-industrial levels by curtailing greenhouse gas emissions. But not much has been done and the temperature has risen by 1.2oC already. The challenge is that even if we can stop greenhouse gas emissions completely, right now, we have the problem of removing already existing 2,500 billion tons of carbon from the atmosphere, for which there are no practical solutions yet. Scientists worry about the consequences of runaway temperature increase and its effect on human life, which are many. It is not a doomsday prediction of life disappearing from earth, but a warning that life will be quite different from what humans are used to. All small tropical nations like ours are burdened with mitigating the consequences; in other words, get ready for more Ditwahs, do not wait for the twelve-day forecast.
Some opined that not enough warning was given regarding Ditwah; the truth is that the tools available for long-term prediction of the path or severity of a weather event (cyclone, typhoon, hurricane, tornado) are not perfect. There are multitude of rapidly changing factors contributing to the behavior of weather events. Meteorologists feed most up to date data to different computer models and try to identify the prediction with the highest probability. The multiple predictions for the same weather event are represented by what is known as spaghetti plots. Figure 3 shows the forecasted paths of a 2019 Atlantic hurricane five days ahead on the right and the actual path it followed on the left. While the long-term prediction of the path of a cyclone remains less accurate, its strength can vary within hours. There are several Indian ocean cyclones tracking sites online accessible to the public.

Figure 3. Forecasting vs Reality
There is no argument that short-term forecasts of this nature are valuable in saving lives and movable assets, but having long term plans in place to mitigate the effects of natural disasters is much more important than that. If a sizable section of the population must start over their lives from ground zero after every storm, how can a country economically develop?
The degree of our unpreparedness came to light during Ditwah disaster. It is not for lack of awareness; judging by the deluge of newspaper articles, blogs, vlogs, and speeches made, there is no shortage of knowledge and technical expertise to meet the challenge. The government has assured the necessary resources, and there is good reason to trust that the funds will be spent properly and not to line the pockets as happened during previous disasters. However, history tells us that despite the right conditions and good intentions, we could miss the opportunity again. Reasons for such skepticisms emerged during the few meetings the President held with the bureaucrats while visiting effected areas. Also, the COPE committee meetings plainly display the inherent inefficiencies and irregularities of our system and the absence of work ethics among all levels of the bureaucracy.
What it tells us is that we as a nation have an attitude problem. There are ample scholarly analyses by local as well as international researchers on this aspect of Sri Lankan psyche, and they label it as either island or colonial mentality. The first refers to the notion of isolated communities perceiving themselves as exceptional or superior to the rest of the world, and that the world is hell-bent on destroying or acquiring what they have. This attitude is exacerbated by the colonial mentality that promoted the divide and conquer rules and applied it to every societal characteristic imaginable; and plundered natural resources. As a result, now we are divided along ethnic, linguistic, religious, political, class, caste, geography, wealth, and many more real and imagined lines. Sadly, politicians, some religious leaders, and other opportunists keep inflaming these sentiments for their benefit when most of the population is willing to move on.
The first wish, therefore, is to get the strength, courage, and wisdom to think rationally, and discard outdated and outmoded belief systems that hinder our progress as a nation. May we get the courage to stop venerating elite who got there by exploiting the masses and the country’s wealth. More importantly, may we get the wisdom to educate the next generation to be free thinkers, give them the power and freedom to reject fabrications, myths, and beliefs that are not based on objective facts.
This necessitates altering our attitude towards many aspects of life. There is no doubt that free thinking does not come easily, it involves the proverbial ‘exterminating the consecrated bull.’ We are rightfully proud about our resplendent past. It is true that hydraulic engineering, art, and architecture flourished during the Anuradhapura period.
However, for one reason or another, we have lost those skills. Nowadays, all irrigation projects are done with foreign aid and assistance. The numerous replicas of the Avukana statue made with the help of modern technology, for example, cannot hold a candle to the real one. The fabled flying machine of Ravana is a figment of marvelous imagination of a skilled poet. Reality is that today we are a nation struggling with both natural and human-caused disasters, and dependent on the generosity of other nations, especially our gracious neighbor. Past glory is of little help in solving today’s problems.
Next comes national unity. Our society is so fragmented that no matter how beneficial a policy or an idea for the nation could be, some factions will oppose it, not based on facts, but by giving into propaganda created for selfish purposes. The island mentality is so pervasive, we fail to trust and respect fellow citizens, not to mention the government. The result is absence of long-term planning and stability. May we get the insight to separate policy from politics; to put nation first instead of our own little clan, or personal gains.
With increasing population and decreasing livable and arable land area, a national land management system becomes crucial. We must have an intelligent zoning system to prevent uncontrolled development. Should we allow building along waterways, on wetlands, and road easements? Should we not put the burden of risk on the risk takers using an insurance system instead of perpetual public aid programs? We have lost over 95% of the forest cover we had before European occupation. Forests function as water reservoirs that release rainwater gradually while reducing soil erosion and stabilizing land, unlike monocultures covering the hill country, the catchments of many rivers. Should we continue to allow uncontrolled encroachment of forests for tourism, religious, or industrial purposes, not to mention personal enjoyment of the elite? Is our use of land for agricultural purposes in keeping with changing global markets and local labor demands? Is haphazard subsistence farming viable? What would be the impact of sea level rising on waterways in low lying areas?
These are only a few aspects that future generations will have to grapple with in mitigating the consequences of worsening climate conditions. We cannot ignore the fact that weather patterns will be erratic and severe, and that will be the new normal. Survival under such conditions involves rational thinking, objective fact based planning, and systematic execution with long term nation interests in mind. That cannot be achieved with hanging onto outdated and outmoded beliefs, rituals, and traditions. Weather changes are not caused by divine interventions or planetary alignments as claimed by astrologers. Let us resolve to lay the foundation for bringing up the next generation that is capable of rational thinking and be different from their predecessors, in a better way.
by Geewananda Gunawardana
Features
From Diyabariya to Duberria: Lanka’s Forgotten Footprint in Global Science
For centuries, Sri Lanka’s biological knowledge travelled the world — anonymously. Embedded deep within the pages of European natural history books, Sinhala words were copied, distorted and repurposed, eventually fossilising into Latinised scientific names of snakes, bats and crops found thousands of kilometres away.
Africa’s reptiles, Europe’s taxonomic catalogues and global field guides still carry those echoes, largely unnoticed and uncredited.
Now, a Sri Lankan herpetologist is tracing those forgotten linguistic footprints back to their source.
Through painstaking archival research into 17th- and 18th-century zoological texts, herpetologist and taxonomic researcher Sanjaya Bandara has uncovered compelling evidence that several globally recognised scientific names — long assumed to be derived from Greek or Latin — are in fact rooted in Sinhala vernacular terms used by villagers, farmers and hunters in pre-colonial Sri Lanka.
“Scientific names are not just labels. They are stories,” Bandara told The Island. “And in many cases, those stories begin right here in Sri Lanka.”

Sanjaya Bandara
At the heart of Bandara’s work is etymology — the study of word origins — a field that plays a crucial role in zoology and taxonomy.
While classical languages dominate scientific nomenclature, his findings reveal that Sinhala words were quietly embedded in the foundations of modern biological classification as early as the 1700s.
One of the most striking examples is Ahaetulla, the genus name for Asian vine snakes. “The word Ahaetulla is not Greek or Latin at all,” Bandara explained. “It comes directly from the Sinhala vernacular used by locals for the Green Vine Snake.” Remarkably, the term was adopted by Carl Linnaeus himself, the father of modern taxonomy.
Another example lies in the vespertilionid bat genus Kerivoula, described by British zoologist John Edward Gray. Bandara notes that the name is a combination of the Sinhala words kiri (milky) and voula (bat). Even the scientific name of finger millet, Eleusine coracana, carries linguistic traces of the Sinhala word kurakkan, a cereal cultivated in Sri Lanka for centuries.
Yet Bandara’s most intriguing discoveries extend far beyond the island — all the way to Africa and the Mediterranean.
In a research paper recently published in the journal Bionomina, Bandara presented evidence that two well-known snake genera, Duberria and Malpolon, both described in 1826 by Austrian zoologist Leopold Fitzinger, likely originated from Sinhala words.
The name Duberria first appeared in Robert Knox’s 1681 account of Ceylon, where Knox refers to harmless water snakes called “Duberria” by locals. According to Bandara, this was a mispronunciation of Diyabariya, the Sinhala term for water snakes.
“Mispronunciations are common in Knox’s writings,” Bandara said. “English authors of the time struggled with Sinhala phonetics, and distorted versions of local names entered European literature.”
Over time, these distortions became formalised. Today, Duberria refers to African slug-eating snakes — a genus geographically distant, yet linguistically tethered to Sri Lanka.
Bandara’s study also proposes the long-overdue designation of a type species for the genus, reviving a 222-year-old scientific name in the process.
Equally compelling is the case of Malpolon, the genus of Montpellier snakes found across North Africa, the Middle East and southern Europe. Bandara traced the word back to a 1693 work by English zoologist John Ray, which catalogued snakes from Dutch India — including Sri Lanka.
“The term Malpolon appears alongside Sinhala vernacular names,” Bandara noted. “It is highly likely derived from Mal Polonga, meaning ‘flowery viper’.” Even today, some Sri Lankan communities use Mal Polonga to describe patterned snakes such as the Russell’s Wolf Snake.
Bandara’s research further reveals Sinhala roots in the African Red-lipped Herald Snake (Crotaphopeltis hotamboeia), whose species name likely stems from Hothambaya, a regional Sinhala term for mongooses and palm civets.
“These findings collectively show that Sri Lanka was not just a source of specimens, but a source of knowledge,” Bandara said. “Early European naturalists relied heavily on local names, local guides and local ecological understanding.”
Perhaps the most frequently asked question Bandara encounters concerns the mighty Anaconda. While not a scientific name, the word itself is widely believed to be a corruption of the Sinhala Henakandaya, another snake name recorded in Ray’s listings of Sri Lankan reptiles.
“What is remarkable,” Bandara reflected, “is that these words travelled across continents, entered global usage, and remained there — often stripped of their original meanings.”
For Bandara, restoring those meanings is about more than taxonomy. It is about reclaiming Sri Lanka’s rightful place in the history of science.
“With this study, three more Sinhala words formally join scientific nomenclature,” he said.
“Who would have imagined that a Sinhala word would be used to name a snake in Africa?”
Long before biodiversity hotspots became buzzwords and conservation turned global, Sri Lanka’s language was already speaking through science — quietly, persistently, and across continents.
By Ifham Nizam
Features
Children first – even after a disaster
However, the children and their needs may be forgotten after a disaster.
Do not forget that children will also experience fear and distress although they may not have the capacity to express their emotions verbally. It is essential to create child-friendly spaces that allow them to cope through play, draw, and engage in supportive activities that help them process their experiences in a healthy manner.
The Institute for Research & Development in Health & Social Care (IRD), Sri Lanka launched the campaign, titled “Children first,” after the 2004 Tsunami, based on the fundamental principle of not to medicalise the distress but help to normalise it.

The Island picture page
The IRD distributed drawing material and play material to children in makeshift shelters. Some children grabbed drawing material, but some took away play material. Those who choose drawing material, drew in different camps, remarkably similar pictures; “how the tidal wave came”.
“The Island” supported the campaign generously, realising the potential impact of it.
The campaign became a popular and effective public health intervention.
“A public health intervention (PHI) is any action, policy, or programme designed to improve health outcomes at the population level. These interventions focus on preventing disease, promoting health, and protecting communities from health threats. Unlike individual healthcare interventions (treating individuals), which target personal health issues, public health interventions address collective health challenges and aim to create healthier environments for all.”
The campaign attracted highest attention of state and politicians.
The IRD continued this intervention throughout the protracted war, and during COVID-19.
The IRD quick to relaunch the “children first” campaign which once again have received proper attention by the public.
While promoting a public health approach to handling the situation, we would also like to note that there will be a significant smaller percentage of children and adolescents will develop mental health disorders or a psychiatric diagnosis.
We would like to share the scientific evidence for that, revealed through; the islandwide school survey carried out by the IRD in 2007.
During the survey, it was found that the prevalence of emotional disorder was 2.7%, conduct disorder 5.8%, hyperactivity disorder was 0.6%, and 8.5% were identified as having other psychiatric disorders. Absenteeism was present in 26.8%. Overall, previous exposure to was significantly associated with absenteeism whereas exposure to conflict was not, although some specific conflict-related exposures were significant risk factors. Mental disorder was strongly associated with absenteeism but did not account for its association with tsunami or conflict exposure.
The authors concluded that exposure to traumatic events may have a detrimental effect on subsequent school attendance. This may give rise to perpetuating socioeconomic inequality and needs further research to inform policy and intervention.
Even though, this small but significant percentage of children with psychiatric disorders will need specialist interventions, psychological treatment more than medication. Some of these children may complain of abdominal pain and headaches or other physical symptoms for which doctors will not be able to find a diagnosable medical cause. They are called “medically unexplained symptoms” or “somatization” or “bodily distress disorder”.
Sri Lanka has only a handful of specialists in child and adolescent psychiatric disorders but have adult psychiatrists who have enough experience in supervising care for such needy children. Compared to tsunami, the numbers have gone higher from around 20 to over 100 psychiatrists.
Most importantly, children absent from schools will need more close attention by the education authorities.
In conclusion, going by the principles of research dissemination sciences, it is extremely important that the public, including teachers and others providing social care, should be aware that the impact of Cyclone Ditwah, which was followed by major floods and landslides, which is a complex emergency impact, will range from normal human emotional behavioural responses to psychiatric illnesses. We should be careful not to medicalise this normal distress.
It’s crucial to recall an important statement made by the World Health Organisation following the Tsunam
Prof. Sumapthipala MBBS, DFM, MD Family Medicine, FSLCFP (SL), FRCPsych, CCST (UK), PhD (Lon)]
Director, Institute for Research and Development in Health and Social Care, Sri Lanka
Emeritus Professor of Psychiatry, School of Medicine, Faculty of Medicine & Health Sciences, Keele University, UK
Emeritus Professor of Global Mental Health, Kings College London
Secretary General, International society for Twin Studies
Visiting Professor in Psychiatry and Biomedical Research at the Faculty of Medicine, Kotelawala Defence University, Sri Lanka
Associate Editor, British Journal Psychiatry
Co-editor Ceylon Medical Journal.
Prof. Athula Sumathipala
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