Features
History of Leprosy in Sri Lanka: Saga of three millennia
By Ifham Nizam
Nearly 1500 new patients with leprosy are diagnosed each year. Almost 50 percent of them are residents of four districts, Colombo, Kalutara, Gampaha and Batticaloa. Some areas in the northern, Uva and Central provinces have very few cases and may be considered areas that have “eliminated” leprosy in the true sense, says a senior medical officer.
Dr. Indira Kahawita, Consultant Dermatologist, Anti Leprosy Campaign, Sri Lanka, told The Island that 10 percent of the patients are children below 14 years of age.
“This is an indication of ongoing transmission within the country. About seven percent of the patients have permanent nerve damage at the time of diagnosis. This means there is a delay in diagnosis,” Dr. Kahawita stressed.
Excerpts of the interview with Dr. Kahawita:
* Does leprosy have a long history in Sri Lanka?
Yes, the history of leprosy is as long as the history of the country itself. There is evidence from the ancient medical books, as well as from the chronicles on history. But one need to remember that the disease wasn’t called leprosy then.
In some of my descriptions I have used the terms leper and asylum. These words are used only in the historical context. In the modern world these words are considered discriminatory and are not used.
* Then how is it possible to come to conclusions?
Firstly, some ancient books on medicine, written in the Anuradhapura era, describe symptoms and signs of skin diseases, similar to leprosy. The most notable among them are; Sarartha Sangrahaya” by the Surgeon King Buddhadasa in the 5th century, “Yogarnavaya”, written by Bhikku Buddhaputhra in the 12th century, and “Bhesajja Manjusawa”, written by “Paspiruvan mula/head of five piriven” Bhikku in the 13th century. All these books describe several presentations of “kushtha” that are identical to leprosy. The same is true for the well known Ayurvedic books, “Charaka Sanhithawa” and “Susrutha Sanhithawa”.
After going through these texts very carefully, one can deduct that the word “kushtha” was an all-encompassing term similar to the word ‘rash’ in today’s context, and that leprosy was definitely one of them. Both the Sushrutha and Charaka Sanhitha give almost identical descriptions of “kushtha poorwa roopa”or symptoms of “kushtha”. The absence of sensation, absence of sweating, paraesthesia, goose bumps, unusual pain in the wound (neuropathic pain), ulcers that occur easily and last longer and numbness of organs have been described as symptoms of “kushtha”. Several types of “kushtha” described in the books written in Sri Lanka are identical to the individual features of leprosy.
Secondly, the “Mahawansa” narrates how king Buddhadasa cured a leper of his deranged mental condition when he used abusive language at the king in the marketplace. The statue “Kushtaraja Gala” in Weligama, is now established as an Avalokitheswara bodhisatva. Bodhisatva worship was used for relief from illness and it is believed that lepers of the South worshipped this statue seeking relief.
* What about the legend of the “lion” and Suppa Devi and the
beginning of the Sinhala race?
If one were to think of a medically plausible explanation for the lion, the most suitable would be a well-built young man with lepromatous leprosy who had who had fled to the jungles due to his disease. In fact, the changes in the face in lepromatous leprosy are termed “leonine facies” – face of a lion.
If this is the case, the fact that their offspring were later received at the Royal Court confirms that discrimination against those affected was minimal at that time.
* Was leprosy a dreaded disease in the ancient past?
It is difficult to say that persons affected were not discriminated at all. But the story of Sinhabahu and the fact that the leper who abused king Buddhadasa was able to do so in the market place suggest that those affected were allowed to live freely within the society. The Thripitaka contains the “Suppabuddha Kutti suttha” narrating the story of a person affected who sat in the audience with the others to listen to the preachings of the Buddha who gained enlightenment as the Buddha preached aiming him specifically. Even the bioarcheological work in the Indus valley have shown evidence that there was an empathetic attitude towards those affected.
* What was the status of leprosy in the colonial period?
Even though there are no written records from the Portuguese period, many documents from the Dutch period give details about the status of leprosy. The disease was prevalent in the areas under the Dutch rule and the rulers had started to segregate those affected in order to prevent further transmission. Initially, they were banished to Tutucorin, in India. Later the Dutch East India company allocated funds to build the leper asylum in Hendala. Leprosy was a major health problem in the Dutch era and the officials had been prompt in tackling the situation.
The highlights of the British period are the lepers ordinance no 4 of 1901, the building of the leprosy hospital in Manthivu, off Batticaloa, and the introduction of the early treatments for leprosy. The Lepers Ordinance imposes compulsory segregation of those confirmed to have leprosy. Since all those diagnosed could not be housed within the leprosy hospitals, home quarantine was also practiced.
* What is the status of leprosy hospitals now?
The hospital at Hendala houses patients who were admitted several decades ago. They are there as they have lost family ties due to long separation. In its prime the hospital had boasted of around 700 patients, the best possible medical care and nursing support of religious sisters from many sects. The eminent doctors had done immense service to leprosy care in the country and some have even been honoured by the British empire.
The hospital at Manthivu was opened in 1921 due to the logistic difficulties in transporting patients from the East to Handala. It was decided to close the hospital and transfer 38 patients to Hendala due to safety concerns during the civil unrest in 1996. Two patients who had refused to be moved still remain there.
A leprosy colony, meant for able bodied patients to undergo inpatient care while being economically independent, functioned at Uragasmanhandiya, in the Galle district, for a short period, from 1952 to 1963.
* Why were patients segregated?
There was no effective treatment at that time. In fact, in the Dutch period, it wasn’t even known that leprosy was caused by a bacterium. But it was accepted that spread of the disease could be contained by removing those affected from the community. Initially, segregation was voluntary but after 1901 all patients diagnosed were under segregation, irrespective of their status.
* Does it mean that there was no treatment whatsoever during those days?
The initial treatment options were oils extracted from certain plants as external applications. During the late 19th century, two oils; gurjun oil extracted from the plant Dipterocarpus turbinatus and chaulmoogra oil extracted from the plant Hydnocarpus wightianus were used as massage oils.Chaulmoogra oil became the mainstay of therapy in the 1920s, when better techniques of preparation made it possible for the oil to be used as an oral drug and an injection. But the injections were painful and the response to treatment was around 50%.
With the introduction of a group of drugs called sulphones in the 1930s the treatment took a new turn. By the 1950s dapsone, a better and newer sulphone, was used as monotherapy (single drug therapy) for long periods. Since the organism has the tendency to alter itself to escape the effects of one antibiotic resistance to dapsone was soon identified.
* When was effective treatment for leprosy available in Sri Lanka?
In 1982 the World Health Organization (WHO) introduced a combination of antibiotics called the Multi Drug Therapy (MDT). Sri Lanka started using the MDT island-wide in 1983 and approximately 100 000 patients have been treated with MDT over the past 40 years. There are two types of treatment, paucibacillary (PB) given for six months for those with less severe disease and multibacillary (MB) given for 12 months for those with the more extensive form of the disease. The treatment is provided free of charge by the WHO and is available at government hospitals island-wide. The treatment can be used safely even in pregnant and lactating mothers and children.
*There were popular awareness programmes in the past. Were they effective?
The most effective awareness programme was conducted in the late 1980s with messages about the signs and symptoms of leprosy and that leprosy is curable over all available media. The two teledramas, “Ella langa walawwa” and “Ira Paya” were very effective in taking the message about leprosy to the masses. With improved awareness, the number of patients identified almost trebled in 1990. Many patients presented for treatment by themselves. Since 2000, approximately 1500 to 2000 new patients have been diagnosed each year. There was a drop in the detection of new cases after the COVID-19 pandemic, the Anti-Leprosy Campaign has started a social marketing programme over mainstream and social media called “LIFE Sri Lanka” in 2022.
* Has Sri Lanka eliminated leprosy?
When the WHO introduced the goal of “Eliminating leprosy as a public health problem” in the 1990s the parameter used was “less than one patient with leprosy per 10,000 population”. This highly technical point was not understood even by some healthcare workers. So, the message that was accepted by the public was that “Sri Lanka has eliminated leprosy, or leprosy is no longer present in Sri Lanka”. This misconception may have led to the missing of the diagnosis in many patients. If we look at the statistics for leprosy in Sri Lanka for the past 60 years, we can see that the numbers detected in the country have been within the WHO’s parameters even in the 1960s.
* What is the status of leprosy in Sri Lanka now?
Approximately 1500 new patients with leprosy are diagnosed each year. Almost 50% of them are residents of four districts, Colombo, Kalutara, Gampaha and Batticaloa. Some areas in the northern, Uva and Central provinces have very few cases and may be considered areas that have “eliminated” leprosy in the true sense
10% of the patients are children below 14 years of age. This is an indication of ongoing transmission within the country. About 7% of the patients have permanent nerve damage at the time of diagnosis. This means there is a delay in diagnosis.
*What measures have the authorities taken to control leprosy in Sri Lanka?
The Anti Leprosy Campaign (ALC), the organization in charge of leprosy control, is using a multi-pronged approach to improve awareness about leprosy, both among healthcare workers and the public. The ALC has mapped the country into risk areas according to the WHO’s most recent recommendations and is now in the process of using GIS technology to identify areas with high disease burden and to target those areas for awareness and case detection.
Our aim is to use strategies specifically suited for each area of the country so that all possible cases are diagnosed and started on treatment early. Since treatment of cases and minimizing the reservoir of infection is the only effective method of disease control for leprosy, we are hopeful that the improved strategies will take the country towards zero leprosy or true elimination of the disease.
Features
Lunatics of genius
Tales of Mystery and Suspense 2
A very different sort of murder mystery today, one of the few intended to provide laughter too. Written in the thirties, it deals with a murder during a ballet, its title being A Bullet at the Ballet. It was a collaborative effort by Caryl Brahms and S J Simon, to whom I was introduced nearly half a century ago by Robert Scoble, the friend with whom I have discussed and shared books more than with anyone else.
Brahms was a ballet critic whose parents were Jews who had emigrated to Britain from Turkey while Simon was born in Manchuria in 1904 to a White Russian Jewish family, and then ended up in England, where he was renowned as an expert on bridge.
Having been fellow lodgers in London, they wrote together for newspapers and then tried out a novel. A Bullet in the Ballet, published in 1937, was an instant success, and over the next few years they published a couple of sequels, involving the Ballet Stroganoff, and the detective Adam Quill, who was tasked with investigating the first murder.
In Robert’s Books and other reading around the world, published by Godage & Bros a few years back, I mentioned the first of these and also what then entertained me most, when I read these books in his luxurious flat in Chidlom Place in Bangkok, No Bed for Bacon, a romp through the days of Queen Elizabeth. Historical absurdities were their other forte, but in this series, I will confine myself to the three books that feature Quill, and the gloriously dotty Ballet Stroganoff.
It is owned by the impresario Vladimir Stroganoff, whose motley crew includes the once renowned ballerina Arenskaya, who is now his trainer, and the avant garde composer Nicolas Nevajno, who wants anyone, as he meets them, ‘to schange me small scheque’. The dancers are less memorable, except that two of them are the murder victims, both when dancing the title role in ‘Petroushka’. Neither Anton Palook nor Pavel Bunia was especially popular, and Quill was on the point of arresting the latter for the murder of the former when, having put it off at Stroganoff’s request so that he could dance the title role, the suspect was killed in the course of the ballet.
Both before and after the second murder, Quill is confronted with multiple motives, multiple means and multiple opportunities, to cite the formula in the Detective’s Handbook he has studied. Palook for instance had affairs with lots of girls but had recently taken up with the homosexual Pavel, whose lover, his dresser Serge Appelsinne, was profoundly jealous. The young dancers who performed brilliantly in the final performance of Petroushka, with which the novel ends, were also involved, in that Palook had been friendly towards Kasha Ranevsky, making Pavel jealous; and the ballerina Rubinska, involved with Palook, had tried to wean him away from Pavel, an appeal Pavel may have heard, after which she met Palook again just before he died, and he had said he was sick of being chased since his affairs were never lasting.
Preposterous intricacies one might have thought, had I not come across similar exchanges when we hosted the London City Ballet in Sri Lanka in 1985 on a British Council tour. Brahms and Simon simply push everything well over the top, with the characters pursuing their own obsessions without reference to the predilections, let alone the obsessions, of the others, all of which makes for high drama at a cracking pace.
But in dwelling at length on the plot of this first Brahms and Simon novel, I have omitted what perhaps provides the most zest to the plot, the constant bickering between Stroganoff and his orchestra, his efforts to avoid his relentlessly talkative Secretary, the endless stream of catch phrases, such as the Wiskyansoda Stroganoff offers his visitors, only to find there is none, just Russian tea, or the vigilant mothers determined to bag the best roles for their daughters.
Then there is Arenskaya, who flirts with the incredibly handsome Quill, and turns out to have had an affair years back with his boss, the usually grumpy Snarl, who softens surprisingly when he comes to a performance. And her husband, Puthyk, who was not at all jealous it seemed of her having had an affair with Palook, reminisces endlessly of his own wonderful performances in the past, though now at most he can only be used in crowd scenes.
Quill – and the ubiquitous press – meanwhile discover that a third Petroushka had died while playing the role, in Paris, before the two deaths in London. He had been found dead in his dressing room, and suicide had been the verdict, but now it was assumed that he too had been murdered, and there was thought to be a jinx on anyone dancing the title role. But Stroganoff was determined to go ahead with the gala performance he had planned, for which he hoped Benois, who had been involved in the original production with Njinsky, would come.
Though it was increasingly clear Benois would not appear, with tickets selling like hot cakes, in anticipation of a death, there was no way Stroganoff would cancel the performance. And his great rival Lord Buttonhooke, the newspaper proprietor, who it was rumoured wanted to start a ballet and had persuaded Palook to come over to him, had headlines about another murder all ready as the curtain rose.
Rubinskaya had earlier begged Quill to arrest Ranevsky, who was to dance the roll, as the only way of saving him, but there is no reason to do this, and so the performance does happen, with inspired performances by both of them. And, so, the murderer, who could not bear to have the role traduced, refrains from killing Ranevsky, and confesses to the earlier crimes. ‘Lord Buttonhooke strode from the theatre, a disappointed man’.
But that is not the end, for there is an epilogue in which Stroganoff writes to Quill to plead for kindness to ‘not an assassin, but an artist, that you have put in that pretty home in Sussex’. The letter has other elements that take up themes from the book, such as a new ballet by Nevajno, with ‘a scene where the corps de ballet is shot with a machine-gun. London will be shaken.’ And he will not tell Kasha and Rubinska that they dance better every day ‘lest their mother ask for bigger contracts’.
It was no wonder that the book was a triumph. The ballet scenes, if brilliantly exaggerated, did create a sense of how such spectacles were created, the murder mystery was full of suspense with the two deaths – and the discovery of another, treated earlier as suicide – well paced, and the climax when the ballet ends without another murder was gripping.
Features
Mysterious Death of United Nations Secretary General Hammarskjöld
LEST WE FORGET – IV
Dag Hjalmar Agne Carl Hammarskjöld
(‘DH’ for short) was appointed Secretary-General of the United Nations in April 1953, when he was 47 years old. He was a member of an aristocratic Swedish family, a diplomat and reformer, in whom the Western world and United States of America had faith to do the ‘right’ thing. His mission was to prevent minor skirmishes among countries from escalating into a third World War. In short, his role was to implement the UN Charter (Peace, Security, Development and Human Rights).
The Korean War was just ending, and the Cuban situation (1956 to 1958) occurred during his watch. The Vietnam North/South conflict had also commenced in 1955. So did the Suez crisis in 1956. By 1960 another crisis had occurred in the Congo. He applied himself with religious zeal, sometimes trusting his conscience, judgement and personal commitment to maintain the UN’s integrity during the Cold War. As a result, he was not too popular with the US, the UK and Russia, which at one point wanted him to resign. By now DH was serving a second term as Secretary-General.
In the Congo, mineral-rich Katanga province wanted self-rule with Moïse Tshombe as its head, while highly paid white mercenaries (dogs of war?) ran his military. Thus, with this situation creating a civil war, things were going from bad to worse. By now UN troops were fully involved in ‘peace keeping’ in the Congo. DH had made three trips to Congo before, and his fourth trip, on September 13, 1961, was to include a visit to Katanga for a meeting with Tshombe in the hope of negotiating for peace. His first destination was Leopoldville, now known as Kinshasa, the capital of the Democratic Republic of Congo (DRC). There, he spent about four days before flying to Ndola in Northern Rhodesia, the country now known as Zambia. Ndola was situated at the Katanga border.
The flight took off from Leopoldville shortly after 3 pm on September 17. For security reasons, the flight was initially planned for another destination, then diverted to Ndola. The aircraft was a four-engine Douglas DC-6B, with ‘Aramco’ markings, Swedish registration SE-BDY, and named Albertina. With DH there were 15 other passengers and crew on board.
It was midnight when the aircraft overflew the Ndola airport, tracking towards a ground-based Non-Directional radio beacon (NDB) in the vicinity. To observers on the ground, everything about the aircraft looked ‘normal’. This was 1961, and it was still not mandatory to have a Flight Data Recorder (FDR) and Cockpit Voice Recorder (CVR) – collectively known as the ‘Black Box’ – installed onboard. The air traffic control tower had neither radar nor voice-recording facilities.
The navigational equipment on the DC-6 was primitive by today’s standards. A needle over a compass dial in the Automatic Direction Finder (ADF) pointed to the beacon which was located close to the final approach. The ‘modus operandi’ was to fly past the beacon (which is at a known position relative to the airport). Pilots know they have flown past the beacon when the ADF needle swings around from pointing toward the nose of the aircraft to the tail. From overhead that Ndola NDB the aircraft is expected to fly on a heading of 280 degrees for 30 seconds, then carry out a course reversal, known as a ‘procedure turn’, offset to the right at 45 degrees (heading of 325 degrees) and flown for precisely 60 seconds, after which another turn is made to the reciprocal direction, in this case 145 degrees, back to intercept the extended centreline of the runway, with a bearing of 100 degrees to the NDB and the runway beyond. All this while descending to a minimum altitude of 5,000ft, as dictated by a landing chart for the airfield approved by the operating airline and local civil aviation authority. (See Chart 1 and 2)
In Chart 1, the significant high ground is only indicated to the north and south of the runway. There is no significant high ground to the west. Because pilots don’t know the exact distance from the airport, an acceptable technique used was ‘dive and drive’. Consequently, Albertina flew over Ndola at 6,000 ft or lower, and when turning ‘beacon inbound’ the pilots asked for a lower altitude of 5,000 ft to descend and maintain. While on descent, the DC-6 impacted unmarked high ground at 13 minutes past midnight, when only 9 miles from the airport.
Meanwhile in Ndola, a welcoming party awaited, consisting of Lord Alport, British High Commissioner to the Federation of Rhodesia and Nyasaland, Moïse Tshombe, the Katangese separatist leader, who had been brought in from Congo for talks with DH, and many others. They waited at the airport until shortly after 3 am, when the runway was closed and landing lights were turned off. Strangely, the air traffic control staff in the tower did not observe fire or noise of the crash and assumed that the aircraft had diverted to another airport. (See Image Wreckage)
The impact with trees occurred at a height of 4,357 ft above sea level, slightly left of the extended centreline of the runway. The aircraft should have been at least at 5,000 ft above sea level, as required by the approved landing chart. Significant high ground west of the airfield was not indicated in that chart.
The wreckage was found later in the afternoon of September 18, in the jungle, with over 80% of the airplane destroyed by fire. Although 14 passengers and crew were burnt beyond recognition, one bodyguard, Sergeant Harold Julien, survived for six days before dying in hospital. DH’s unburnt dead body was discovered with grass on his hands, propped up by an anthill and a playing card, the Ace of Spades, under his collar! The first UN officer to arrive at the crash site, Major General Bjørn Egge, a Norwegian, observed that there was a clean bullet hole in DH’s head that was covered up during the postmortem. So, did DH survive the crash to be killed afterward?
In the 24 hours preceding the crash, two of the three crew members had been on duty continuously for 17 hours, while the handling pilot’s duty time was within limits. The Rhodesian accident investigation team that conducted the inquiry declared it was ‘pilot error’. The following day, former US President Harry Truman, who was a confidant of incumbent President John F. Kennedy said that “Hammarskjöld had been killed”. Of course, pilot error was the most convenient explanation, because dead men cannot defend themselves. Therefore, those findings were disputed as there can be reasons why the pilots were forced to fly low. In other words, the cause behind the cause needed to be found.
In one of two UN-authorised inquiries, the UN’s Deputy Spokesperson, Farhan Haq, said that “significant new information” had been submitted to the inquiry for this latest update. This included probable intercepts by the UN member states, of communications related to the crash; the capacity of Katanga’s armed forces, or others, to mount an attack on the DC-6, SE-BDY; and the involvement of foreign paramilitary or intelligence personnel in the area at the time. It also included additional new information relevant to the context and surrounding events of 1961.
Additionally, in 1998 Archbishop Desmond Tutu, Chairman of South Africa’s Truth and Reconciliation Commission (TRC), stated that with regards to DH’s death in 1961, Britain’s MI5 (Military Intelligence, Section 5), the USA’s Central Intelligence Agency (CIA) and South African Intelligence were implicated in letters where information was withheld before by member nations of the UN.
One possibility was the planting of plastic explosives in the wheel bay of the DC-6 when it was on the ground in Leopoldville. Pieces of wreckage were not spread out over the jungle. The aircraft crashed in one piece, creating a swathe in the treeline. So, it could not have been an explosion.
Many Congolese natives, including ‘charcoal burners’ in the jungle, said that there was more than one aircraft in the sky that night. These reports were dismissed as unreliable by the original accident inquiry. It was possibly because in 1961 the Rhodesian authorities only accepted ‘white’ witnesses’ evidence. So, was the DC-6 shot down, and if so by whom?
A High Frequency (HF) radio listening station in Cyprus monitored a transmission of a highly decorated, ex-Royal Air Force World War II pilot, operating in the Congo as a mercenary with the nickname ‘Lone Ranger’, giving a running commentary while shooting a large passenger aircraft from his modified Fouga CM.170 Magister two-seat jet trainer airplane. The pilot, Jan Van Risseghem (from a Belgian father and English mother), may not have known whose aircraft he was shooting at. He was only told of the mission he needed to accomplish. Besides, he had a strong alibi set up by the Belgian State Security Service (VSSE), saying that he was nowhere in the vicinity. Documents released later confirmed that the alibi was pure fabrication. It is also said that the American Ambassador to the Congo sent a secret cable saying that Van Risseghem was the possible ‘attacker’! (See Images Jan Van and KAT 93)
Harold Julien, the sole survivor of the crash, stated from his hospital bed that the aircraft caught fire before it crashed. But his evidence was disregarded on the grounds that he was seriously ill and delirious before he succumbed to his injuries.
Then, Land Rovers being driven to and fro were observed by natives in the early morning of September 18. This led to speculation that the occupants were suspected French mercenaries attempting to reach the crash site and destroy any evidence of foul play before the official party arrived. Questions were also asked as to how the Ace of Spades (or Six of Spades) playing card ended up under DH’s collar?
Further reports mentioned a de Havilland Dove aircraft flying in the vicinity of the crash. Was it part of an attempt to bomb the DC-6 from a high altitude?
On the other hand, the DC-6 was making a very difficult approach and landing at night, with the possibility for pilots to be distracted by optical illusions. These have been identified and labeled as potential killers by scientists and aviation accident investigators in subsequent crashes. With no lights in the foreground, they would have lost sight of the natural horizon in the dark. Years later, this phenomenon was called a ‘Black Hole’. Did the captain attempt to do a visual approach into uncharted territory, while disregarding the radio navigational beacon landing aid, and collide into high ground, a type of accident described as a Controlled Flight into Terrain (CFIT)?
The verdict is still open
Today’s airliners, equipped with Inertial Navigation Systems (INS) and satellite-aided Global Positioning Systems (GPS), can be set up by the pilots to fly an Artificial Intelligence (AI) generated approach angle, independent of ground navigational facilities, to prevent this type of CFIT accident. Besides that, all turbine-powered aircraft carrying more than nine passengers must be equipped with a Ground Proximity Warning System (GPWS) as mandated by law.
Going even one better, there are enhanced radar displays to show the presence of high ground. Unfortunately, the DC-6 that the Secretary-General of the UN travelled in was powered by four piston engines.
It was said of Dag Hammarskjöld that he served as Secretary-General of the UN with the utmost courage and integrity from 1953 until his death in 1961, setting standards against which his successors continue to be measured.
He is the only Nobel Peace Prize Laureate to have been awarded the distinction posthumously.
God bless all secret service agencies of the world and no one else!
by GUWAN SEEYA
Features
Putting people back into ‘development’ – a challenge for South
Should Sri Lanka consider an 18th IMF programme? Some academicians exploring Sri Lanka’s development prospects in depth are raising this issue. It is yet to emerge as a hot topic among policy and decision-making circles in this country but common sense would sooner rather than later dictate that it be taken up for discussion by the wider public and a decision arrived at.
The issue of an 18th IMF programme was raised with some urgency locally by none other than Dr. Ganeshan Wignaraja,Visiting Senior Fellow, ODI Global London, one of whose presentations, made at the Regional Centre for Strategic Studies (RCSS), Colombo, was highlighted in this column last week, May 7th. An IMF programme is far from the ideal way out for a bankrupt country such as Sri Lanka but a policy of economic pragmatism would indicate that there is no other way out for Sri Lanka. Such a programme is the proverbial ‘Bird in the hand’ for Sri Lanka and it may be compelled to avail of it to get itself out of the morass of economic failures it is bogged down in currently.
While local economic growth possibilities are far from encouraging at present, such prospects globally are far from bright as well. Some of the more thought-provoking data in the latter regard were disclosed by Dr. Wignaraja. For example, ‘The IMF’s April 2026 World Economic Outlook projects global growth slowing to 3.1 percent in 2026; with downside risks dominating: prolonged conflict, geopolitical fragmentation, renewed trade tensions, bearing down hardest on emergent and developing economies.’
However, as is known, an ‘IMF bailout’ is fraught with huge risks for the people of a developing country. ‘The Silver Bullet’ brings hardships for the people usually and they would be required by their governments to increasingly ‘tighten their belts’ and brace for perhaps indefinite material hardships and discontent. For Sri Lanka, the cost of living is unsettlingly high and 20 percent of the population is languishing below the poverty line of $ 3.65 per day.
These statistics should help put the spotlight on the people of a country, who are theoretically the subjects and beneficiaries of development, and one of the main reasons, in so far as democracies are concerned, for the existence of governments. Placing people at the centre of the development process is urgently needed in the global South and shifting the focus to other considerations would be tantamount to governments dabbling in misplaced priorities.
Technocrats are needed for the propelling of economic growth but a Southern country’s main approach to development cannot be entirely technocratic in nature. The well being of the people and how it is affected by such growth strategies need to be prime focuses in discussions on development. Accordingly, discourses on how poverty alleviation could be facilitated need urgent initiation and perpetuation. There is no getting away from people’s empowerment.
In the South over the decades, the above themes have been, more or less, allowed to lapse in discussions on development. With economic liberalization and ‘market economics’ being allowed to eclipse development, correctly understood, people’s well being could be said to have been downplayed by Southern governments.
The development issues of Southern publics could be also said to have been compounded over the years as a result of the hemisphere lacking a single and effective ‘voice’ that could consistently and forcefully take up its questions with the global powers and institutions that matter. That is, the South lacks an all-embracing, umbrella organization that could bring together and muster the collective will of the South and work towards the realization of its best interests.
This columnist has time and again brought up the need for concerned Southern sections to explore the potential within the now virtually moribund Non-Aligned Movement to reactivate itself and fill the above lacuna in the South’s organizational and mobilization capability. In its heyday NAM not only possessed this institutional capability but had ample ‘voice power’ in the form of its founding fathers, with Jawaharlal Nehru of India, for example, proving a power to reckon with in this regard. The lack of such leaders at present needs to be factored in as well as accounting for the South’s lack of power and presence in the deliberative forums of the world that have a bearing on the hemisphere’s well being.
The Executive Director of the RCSS, Ambassador (Retd) Ravinatha Aryasinha, articulated some interesting thoughts on the above and related questions at a forum a couple of months back. Speaking at the launching of the book authored by Prof. Gamini Keerewella titled, ‘Reimagining International Relations from a Global South Perspective’, at the Bandaranaike Centre for International Studies, Colombo, Amb. Aryasinha said, among other things: ‘Historically, there is a precedent that has been realized by the Non-Aligned group of countries – unfortunately, rather than being reformed and modified at the end of the Cold War, it has been tossed away.’
The inability of the nominally existent NAM to come out of its state of veritable paralysis and voice and act in the name of the South in the current international crises lends credence to the view that the organization has allowed itself to be ‘tossed away.’ The challenge before NAM is to prove that it is by no means a spent force.
As indicated, NAM needs vibrant voices that could advocate value-based advancement for the global South. Moral principles need to triumph over Realpolitik. Such transformative changes could come to pass if there is a fresh meeting of enlightened minds within the South. Pakistan by offering to mediate in the ongoing conflict between the US and Iran, for instance, proved that there are still states within the South that could look beyond narrow self-interest and work towards some collective goals. Hopefully, Pakistan’s example will be emulated.
Along with Pakistan some Gulf states have shown willingness to work towards a de-escalation of the present hostilities in West Asia. This could be a beginning for the undertaking of more ambitious, collective projects by the South that have as their goals political solutions to current international crises. These developments prove that the South is not bereft of visionary thinking that could lay the basis for a measure of world peace. That is, there are grounds to be hopeful.
NAM needs to see it as its responsibility to make good use of these hopeful signs to bring the South together once again and work towards the realization of its founding principles, such as initiating value-based international politics and laying the basis for the collective economic betterment of Southern people.
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