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Health experts call for enhanced trauma network and data-driven solutions to tackle high accident fatalities

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An accident (File photo)

By Rathindra Kuruwita

Despite the easy availability of the 1990 ambulance service, most people who have met with an accident are brought to the hospital by personal vehicles, Dr. Sajith Ranathunga General Surgeon at the National Hospital of Sri Lanka, said.

“Out of those vehicles, most are three-wheelers. When an accident happens, most people don’t know what kind of hospital they should be taken to. Staff in the 1990 ambulances know, but the average man on the street does not. We must educate Sri Lankans and create a system where everyone knows where to take a person who has met with an accident, based on the nature of the injury.”

Dr. Ranathunga said that the 1990 ambulance service has done a lot to minimize fatalities. He added that Sri Lanka has several types of hospitals, and hospitals like the Colombo National Hospital are tertiary care hospitals. The next rung of hospitals are district general hospitals, and they, too, have surgeons and emergency care departments.

“Then there are the base hospitals. These hospitals, too, have surgeons who take care of emergency situations. There are also hospitals that only have a general practitioner, and they take steps to transfer patients that need emergency care to a hospital with better facilities,” he said.

Meanwhile, Dr. Kirthi Abayajeewa, Consultant Surgeon at the Colombo National Hospital said Sri Lankan hospitals receive about seven cases of serious accidents that result in death. About 10 times more people become differently abled due to accidents. About 10 times that number of people suffer from minor injuries that do not require hospital visits.

These are high numbers, and we have been in this high range for many years. “There was a drop in accidents during COVID. But it has returned to the usual high rates following the lifting of lockdowns,” he said.

As a country develops, the number of people who die or get permanently injured reduces. However, in a country like Sri Lanka, fatalities that occur during accidents are higher than in a developed country, he mentioned.

Dr. Abayajeewa said that when it comes to motor accidents, ignoring road rules, the quality of roads, and vehicles, are the main reasons why most accidents occur and why there are higher fatalities. He said that recently they held a convention on accidents to share their knowledge among all stakeholders.

“We need to establish a trauma network covering all hospitals. This might cost a lot but is essential as we go forward.”

Dr. Gayan Ekanayake, Plastic Surgeon at the Colombo National Hospital, said the use of data and the application of data science in the management of injuries are low. “Everything depends on data. We need to immediately start collecting, analysing and using data to make key decisions on accident prevention as well as the management of accidents.”

Dr. Ekanayake said road accidents caused by violating road rules, injuries caused by those who are depressed, burn wounds, and violence that occurs due to domestic disputes, can be reduced with a change in attitude.

“I especially see interpersonal violence as a serious burden to the healthcare system. For example, a lot of people come in with injuries caused by sword attacks, and we have to do several surgeries that take over 12 hours. These are resource-intensive operations. The most striking feature is that most of these sword attacks have been done, emulating what people see in films. Resorting to violence has become normalized. We need to change our attitudes,” he said.

Domestic violence is also a serious problem. About 10 years ago, there were campaigns to deter domestic violence, and these programmes must continue because people tend to forget, he said. “The other problem is road accidents. Some people become speed demons once they get behind the wheel. They completely forget the risks involved in excessive speeding and violating traffic laws,” he added.



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Maldives Coast Guard Ship Huravee departs island

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The Maldives Coast Guard Ship Huravee which arrived in Sri Lanka for replenishment purposes, departed the island on 04 Mar 26.

In accordance with naval tradition, the Sri Lanka Navy extended a customary farewell to the departing ship at the Port of Colombo

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‘IRIS Dena was Indian Navy guest, hit without warning’, Iran warns US of bitter regret

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A day after a US submarine sunk an Iranian Navy warship off the coast of Sri Lanka, the Foreign Minister of Iran, Sayed Abbas Araghchi, has warned that the US would “pay bitterly” for targeting a ship in international waters, The Tribune has reported.

Araghchi posted on social media platform X on Thursday saying, “The US has perpetrated an atrocity at sea, 2,000 miles away from Iran’s shores.”

The frigate IRIS Dena, a guest of India’s Navy carrying almost 130 sailors, was struck in international waters without warning, said the Iran Foreign Minister, adding, “Mark my words: The US will come to bitterly regret the precedent it has set.”

US Secretary of War, Pete Hegseth, on Wednesday confirmed that a US submarine fired a torpedo and sank the Iranian Navy vessel IRIS Dena west of Sri Lanka.

In a way, the Iran and US-Israel conflict has reached close to the Indian coast. The strike today at sea was almost 4,000 kms away from Iran, significantly expanding the radius of war. Already, fearing Iranian missile strikes, several US warships have moved eastward towards India.

These ships are in international waters. India has denied that any US Navy assets were using Indian ports. The Iranian ship, hit on Wednesday, was returning after participating in the international fleet review and exercise Milan hosted by India at Visakhapatnam.

The Iranian ship went down with almost 130 sailors on board missing. The Sri Lankan Navy, acting on a distress call, rescued 32 of the Iranian sailors. Hegseth confirmed the act by the US forces, saying the ship was hit in the Indian Ocean, stating, “an Iranian warship that thought it was safe in international waters. .. Instead, it was sunk by a torpedo”.

Hegseth did not name the Iranian ship that was attacked. But earlier, the Sri Lankan Navy reported the distress call from IRIS Dena when it was some 40 kms west of Galle, located on the south-western part of the island country. On February 16, the Iranian ship had sailed into the port of Visakhapatnam, where seventy-four nations participated.

Warships from Australia, Japan, South Korea, Russia, and dozens of others were anchored alongside the now-sunk Iranian vessel. Iran’s Navy Commander, Rear Admiral Shahram Irani, held talks with India’s Chief of Naval Staff on strengthening maritime security cooperation.

The theme was “United through Oceans.” Notably, the US Navy was supposed to send the guided-missile destroyer USS Pinckney to the exercise Milan; however, the ship was diverted to Singapore on February 15. The US did not field its warship in Milan, which had ships from Russia and Iran.

The exercise ended on February 25. Three days later, on February 28, the United States and Israel launched Operation Epic Fury. The IRIS Dena was transiting home. This morning at 5:08 a.m. local time, the IRIS Dena issued a distress call. Sri Lanka’s Foreign Minister, Vijitha Herath, informed parliament that two navy vessels and an aircraft were deployed. Thirty crew members were rescued and admitted to Karapitiya Hospital in Galle.

The Straits Times reported 32 critically wounded survivors. Reuters reported 101 missing and 78 wounded. The Sri Lankan Navy spokesman said the operation was conducted in line with the International Convention on Maritime Search and Rescue.

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Risk of power cuts due to use of low-quality coal,PUCSL warns

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The Public Utilities Commission of Sri Lanka (PUCSL) has warned of a possible risk of power cuts due to the use of inferior quality coal affecting generation capacity at the Lakvijaya Power Plant, according to a recent commission report.

The commission said the risk to the continuous electricity supply was assessed based on the peak demand forecast submitted by the Ceylon Electricity Board (CEB) for 2026.

According to the report, the analysis assumed that hydropower plants could contribute up to 1,300 MW to meet the night peak demand, while the Lakvijaya Power Plant (LVPS) would be able to contribute only up to 690 MW due to a capacity shortfall, assuming a 40 MW generation capacity reduction from each unit.

The PUCSL said the assessment was carried out taking into account the planned maintenance schedule submitted by the CEB. Under the schedule, Unit 1 of the Lakvijaya plant is due to undergo maintenance checks and repairs in June for a period of 25 days, while Unit 2 is scheduled for maintenance in July for another 25 days.

The report also noted that the 270 MW West Coast Power Plant is scheduled to undergo maintenance in April for 10 days, while the 150 MW Kelanitissa Combined Cycle Power Plant (KCCP 2) is expected to undergo maintenance during May, June and July.

Under normal conditions, the report said, there is a potential risk of a generation capacity shortage if electricity demand reaches 3,030 MW in April, 3,070 MW in June and 3,000 MW in July.

The highest recorded night peak demand so far in 2026 was 2,949 MW on February 25.

The PUCSL further warned that if one coal unit or any major power plant becomes unavailable from the existing generation mix, there would be a significant risk of a generation capacity shortage to meet the night peak demand, particularly during April, June and July.

Energy sector analysts said the use of substandard coal could further aggravate operational challenges at the Norochcholai plant, potentially affecting generation efficiency and reliability if corrective measures are not taken promptly.

By Ifham Nizam

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