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Health experts call for enhanced trauma network and data-driven solutions to tackle high accident fatalities
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.
News
PSTA worse than PTA: FSP
The Frontline Socialist Party (FSP) yesterday accused the government of seeking to use the proposed Protection of the State from Terrorism Act (PSTA) to suppress popular political activity, claiming that some of its provisions were more repressive than those of the Prevention of Terrorism Act (PTA).
FSP Education Secretary Pubudu Jayagoda told a media briefing, in Nugegoda, that the definition of terrorism in the Bill was so broad that it could be used to label almost any form of popular political activity as terrorism.
He said the Bill’s approach to defining terrorism was based largely on attempts to compel a government, or an international organisation, to do, or refrain from doing something, rather than on internationally recognised criteria, such as killings, causing serious bodily harm, kidnapping or acts intended to spread terror among the public.
Jayagoda also alleged that the Bill transferred substantial powers from the judiciary to the executive, while extending powers of arrest, investigation and detention to the armed forces, in addition to the police.
He claimed that the government had sought to portray the Bill as a replacement for the PTA while retaining or introducing provisions that could facilitate political victimisation and repression.
The FSP also questioned the government’s decision to proceed with the Bill, despite having previously sought public views on an earlier draft.
Jayagoda said a draft had been published earlier this year, with the period for public submissions ending on February 28, but the Bill subsequently gazetted was essentially the same draft with some provisions rearranged.
Jayagoda also referred to a letter reportedly sent by Attorney-at-Law Saliya Peiris, a member of a Committee, chaired by President’s Counsel Rienzie Arsecularatne, that had been appointed to draft the legislation. He said Peiris had stated, in the October 06 letter, that changes had been made to the draft prepared by the Committee.
“This means that even the Committee, appointed to prepare the Bill, was a deception,” Jayagoda alleged.
He said that the PSTA was fundamentally similar to the Anti-Terrorism Bill introduced by the previous government, in 2023, which the National People’s Power (NPP) opposed and challenged in court.
“If the NPP opposed that Bill then and is now bringing the same legislation before Parliament, the government must explain its position,” he said.
Jayagoda called on NPP MPs to oppose the PSTA in Parliament and urged trade unions and other groups to build a broad public movement against the legislation.
He challenged the government to an open debate on the Bill.
News
Shiranthi R remanded until 13 Oct.
Former First Lady Shiranthi Rajapaksa was yesterday remanded until 13 October after being produced before the Colombo Magistrate’s Court following her arrest by the Commission to Investigate Allegations of Bribery or Corruption (CIABOC).
Shiranthi, wife of former President Mahinda Rajapaksa, was arrested at her residence on Poorwarama Road, Kirulapone, after CIABOC officers recorded a statement from her for nearly two hours.
According to the CIABOC, the arrest was made over allegations that Rs. 10 million obtained from the National Savings Bank through the Siriliya Saviya organisation was misappropriated.
The money was allegedly obtained to provide a Computed Tomography (CT) scanner to the children’s hospital. Investigators allege that the scanner was not provided and that the funds were instead unlawfully used.
CIABOC is investigating alleged offences under the Public Property Act and corruption-related provisions in connection with the transaction and other financial activities involving Siriliya Saviya, which was headed by Rajapaksa.
Rajapaksa returned to Sri Lanka on Monday night on a flight from Malaysia after travelling overseas for medical treatment. She left for Singapore on 16 September after being admitted to a private hospital in Colombo on 15 September following an illness.
She had been due to appear before the Financial Crimes Investigation Division (FCID) on 13 October in connection with its investigation into the financial affairs of Siriliya Saviya.
Meanwhile, her lawyers filed an anticipatory bail application before the Maligakanda Magistrate’s Court on Monday, seeking an order preventing her arrest in connection with the FCID investigation.
News
Former NSB Chairman Kariyawasam granted bail
Former National Savings Bank (NSB) Chairman Pradeep Kariyawasam was yesterday granted bail by the Colombo Magistrate’s Court following his arrest by the Commission to Investigate Allegations of Bribery or Corruption (CIABOC).
Kariyawasam, husband of former Chief Justice Shirani Bandaranayake, was arrested in connection with the Bribery Commission’s investigation into the ‘Siriliya Saviya’ account linked to former First Lady Shiranthi Rajapaksa.
The investigation concerns financial activities involving the Siriliya Saviya initiative, which was headed by Rajapaksa, wife of former President Mahinda Rajapaksa.
CIABOC is continuing investigations into the alleged financial irregularities relating to the account.
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