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It’s time for epidemiologists to lead battle against Covid-19

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Dr. Pradeep Kariyawasam’s recent article on the pandemic prompted me to pen this letter. I met the good doctor 20 long years ago as a rookie medical rep. He was the chief MOH in the Colombo Municipal Council at the time. I was awed by the Town Hall building itself, entering it for the first time in my life. Somehow, I managed to find the MOH offices in its labyrinth, tucked away in a corner on the second floor. Dr. Kariyawasam, in his plush office, welcomed me, listened patiently to my practiced jargon about my products, which we’re expected to deliver to doctors, and soon put me at ease. His joviality was infectious and though he was not swayed by any of the marketing gimmicks the drug companies employ to sell products, he was courteous and kind enough to give me the time to deliver my monologues on my products every time I went to meet him. He was a busy man, rarely found warming his seat. He was always at some meeting or the other, returning to his office well past lunch time. At the time I didn’t realise he was an epidemiologist too. But even then, I noted he was a manager besides being a doctor. Always seeing the big picture and its problems, and finding answers to them, rather than fighting fires here and there.

Reading the contributions, he has made to the papers since the beginning of the -Covid Pandemic, especially The Island article encompassing Sri Lanka’s whole tryst with Covid from the beginning, it is very clear, its him, or people like him that is needed, to get us out of the woods. It was an eye-opener, rendered by an expert who was able to decimate data as well as grasp the situation and see how, when, and where we can get out of this nightmare. The broken up and mostly narrow angled, and sometimes even opposing views the medical fraternity has given on this pandemic has created more confusion. Everyone from union leaders, PHIs, to nurses to laboratory technicians, to medical specialists had a different take, or a partial solution to the same problem. All are divided as government, unions, individuals, associations, medical specialties, political parties etc.

Sri Lanka doesn’t need different opinions or advice. What the country needs is expert handling of the crisis. Expertise in epidemiology to be in charge of this pandemic situation. The country has become rudderless in the Covid situation, because the rudder, the Task force, has proved inefficient. This in spite of the massive effort and brave plodding on by the Army Commander and his men in the fight against Coronavirus. This is because of the lack of experienced and effective epidemiologists in the battle front, people who can see the big picture and know the trends of an epidemic. This can be only achieved by years of experience fighting different epidemic wars, not just knowing about the viruses and their behaviour.

One thing that stands out in Dr. Kariyawasam’s solution is the ‘community participation’. His care and kindness to the community is astounding. After I left my job, I lost touch with Dr. Pradeep for many years. Then he was brought to my sphere of life again about 15 years later, without him even ever knowing about it. I was looking for the Japanese Encephalitis vaccine for my 10-year-old, which at the time was out of stock everywhere in Sri Lanka. After drawing negative at almost all MOH offices in my area of Rajagiriya/Borella, and all private hospitals in Colombo, I was directed to call the CMC head office. The call from a community member like me, was directed right to the top guy, Dr. Kariyawasam. I never identified myself/or told him that he knew me. But I told him of my fruitless search to find this vaccine. He acknowledged the stock out situation and said he would let me know as soon as he can get it. That is the stock answer many of us get from most government officials. We’re so used to this stock response that we never expect to hear anything afterwards. So, rather mad and disheartened, I gave up on this mission of mine and forgot about the matter myself.

I nearly fell off my chair when a week later Dr. Kariyawasam himself called me. He said he had managed to find a single vial at an MOH office in a remote corner of Colombo, Jinthupitiya. If I could get my son over there, he could have it. I stood flabbergasted at this man’s commitment to just one mother, in his sphere of care. I never got to tell him who I was, even then. I found Jinthupitiya, and got my son the vaccine. For me that is the true spirit of an epidemiologist. We are not just numbers or statistics on paper. To him we were human beings in need of care and protection.

An epidemiologist needs to be Sherlock Holmes. Not only did Sherlock gather data, but connected them together to give the correct story as well as solve the crime. That’s what Dr Kariyawasam has done in his article in The Island of 19th August. His expertise on this matter is evident. This kind of expertise is gathered by experience rather than learning. He talks of a ‘gut feeling’. This is only achieved by experience. A rookie can fly a plane as well as a seasoned pilot. But when bad weather hits, that’s when you need the Captain, the experienced. The years count then. The ‘gut feelings’ come into play. That’s when a rookie pilot will bow out and hand over the controls to the captain. I’m an avid watcher of Air Crash Investigations and it is horrifying to see the human errors that cause a crash. 99% of the time it is lack of experience that contributes to it. Either not seeing the glaring signs of trouble or panicking and making more errors.

In Sri Lanka, many errors have been committed in the handling of the pandemic, for it to reach this horrific proportion. In spite of the brave Army Commander and his task force doing everything possible to combat it, they have lacked the guidance and expertise expected from the epidemiology personnel. We need to identify this glaring shortcoming in the Task Force, and make rapid course correction, if Sri Lanka is to avoid a nose dive into the quagmire of uncontrolled Covid deaths. We need Captains of the epidemiologists, the experienced ones to take over the controls. Who can read the clouds/trends, who have ‘gut feelings’ on when and where the virus can pop up, and knows what’s best to do when it does. They have experienced it before, handled it, failed at it, succeeded in it and seasoned by it.

I’m sure there’s many Dr. Kariyawasams in Sri Lanka. Find them and install them at the controls. If called, any captain will volunteer to save the plane if it’s crashing, even if they are sitting as passengers in an aircraft. As the saying goes, when the going gets tough, the tough gets going. Please give the controls of Sri Lanka’s Covid flight, over to the hands of these. Recall them from retirement if necessary. Fly them back, if they are abroad. Transfer them from outposts. Get these to the helm – the Task Force. They are the ones to take charge. Not the government or all parties or opposition or trade unions.

SDZ



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Opinion

SL CRICKET SAVED BY THE PRESIDENT

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The President has taken the bold decision to get rid of the office bearers of Sri Lanka Cricket (SLC) and appoint an interim committee till such time suitable persons are elected to run the SLC. All Sri Lankan cricket lovers will applaud and endorse President Anura Kumara Dissanayake’s action as the SLC was one of the most corrupt sports organizations in Sri Lanka for a long time.

The office bearers had organized it in such a manner that no other persons could get elected to this den of thieves. They increased the number of clubs as members to collect their votes. Large amounts of funds were doled out to the clubs to which the office bearers belonged.

All cricket lovers would remember how when a previous Minister holding the Cabinet portfolio pertaining to sports tried to get rid of the corrupt officials which the then Parliament endorsed unanimously and how they manipulated to remain in power and get the President at that time to get rid of the Minister instead of the corrupt officials of the SLC.

They were able to get round the ICC too to get what they wanted. The Minister who was appointed in place of the ousted Minister fell into the pockets of the SLC officials and they continued happily thereafter. The Minister was happy and the corrupt officials were happy!

It is not only the elected officials who have to be removed. There are executive employees and other permanent employees who have to be relieved of their duties as otherwise they could get round the incoming officials, and the activities of the bandwagon could go on.

We would appreciate if the President and the Minister in charge would go the whole hog and relieve the SLC of all corrupt personnel so that Sri Lanka’s cricket could get back to its halcyon days again.

HM NISSANKA WARAKAULLE

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Has Malimawa govt. become Yahapalanaya II ?

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Malimawa government and Yahapalanaya are dissimilar in many respects, the most important being whilst Yahapalanaya had to manage with a balancing act in the parliament, Malimawa has the luxury of a massive parliamentary majority. However, they share one thing in common; the main plank for the election of both presidents Dissanayake and Sirisena was their solemn pledge for the eradication of corruption. It looks as if both have failed miserably, on that count!

It did not take very long for Yahapalanaya’s first act of corruption; the bond scam. COPE, headed by the veteran politician D E W Gunasekara, picked on this but to prevent the presentation of the report, Sirisena dissolved the parliament which was done at the request of the Prime Minister Ranil, to whom Sirisena was obliged for the unexpected bonanza of becoming president. This enabled the second bond scam to take place, also masterminded by Ranil’s friend Mahendran, imported from Singapore!

Malimawa convinced the voters that they are the only group that could get rid of the 76-year curse of corruption and made a multitude of promises, most of which are already broken! What is inexcusable is that, in a short space of time, they seem to have become as corrupt as any previous government and they seem to excel their predecessors in doling out excuses. Of course, they have a band of devoted social media influencers who are very adept at throwing mud at their opponents which they hope would help to cover up their sins. How long this strategy is going to work is anybody’s guess!

Some of these issues were addressed in an article, “Squeaky clean image of JVP in tatters” by Shamindra Ferdinando (The Island, 22 April). I hasten to add that, though some of his supporters are still trying to paint an honest image of AKD, he should be held responsible for many of these misdeeds and irresponsible acts.

One of the first acts of the newly elected president AKD was to appoint two retired police officers, who openly worked for the NPP through the Retired Police Collective, to top posts; Ravi Seneviratne as Secretary to the Ministry of Public Security and Shani Abeysekara as the Director of CID. Both of them held top jobs in the CID when the Easter Sunday attack took place and were blamed, by some, that they too failed to prevent this horrendous act of terrorism. In addition, there was a case against Seneviratne for causing accidents whilst under the influence and Abeysekara was exposed as a ’fixer’ by the infamous Ranjan Ramanayaka tapes. No one would have objected had they been appointed after their names were cleared but AKD’s rash decision to appoint them, disregarding all norms, clearly showed what his long-term strategy was. Was this not political corruption?

Now these two tainted officers are heading the search for the mastermind of the Easter Sunday attacks! Are they being used to divert attention away from Ibrahim’s family that was supposed to have funded the project? After all, Mohamed Ibrahim, the father, was on the national list of the JVP, and the two sons were the leading suicide bombers. It is a matter of great surprise that the Catholic church led by Cardinal Ranjith is not demanding the removal of these two officers from the investigation, who obviously have a conflict of interest. It becomes even more surprising when the demand is made for the Deputy Minister of Defence Aruna Jayasekara to resign, for the same reason; as well stated in the editorial, “Of masterminds” (The Island, 21 April).

The first act of the new parliament was to elect ‘Dr’ Ranwala as the speaker and pretty soon his doctorate was challenged. He stepped down to look for the certificate, which he is still looking for! Though some of the ministers too have admitted that Ranwala may not have a PhD, AKD seems silent. When Ranwala was involved in an RTA, police had run out of breathalyser tubes and blood was taken after a safe period had elapsed. Why has AKD no guts to sack him?

Episode of the release of 323 containers, without the mandatory inspections, seems to be receding to the past and the long-awaited report may be gathering dust in the president’s office! It is very likely due to political intervention and we probably will never know who benefitted.

A minister, who claimed that he is living on his wife’s salary and on the generosity of the party faithfuls, seems to have been able to build a three-storey house in a suburb of Colombo. He claims that when he made that statement, his father was alive but has since died and he has inherited everything as he is the only son! What a shame that Marxists do not believe in sharing the family wealth with sisters? Though the opposite may be true, his explanation that he was able to build a house in Colombo by selling the land in Anuradhapura rings hollow!

The worst of all was the coal scam which would have long lasting consequences on our economy. I do not have to go into details as much has been written about this but wish to point out AKD’s role. In spite of ex-minister Kumara Jayakody being indicted by CIABOC, AKD continued to give unstinted support till it became pretty obvious that he had to go. In fact, he is being charged with an offence which was committed whilst he was serving the Ceylon Fertilizer Company which was under the purview of, guess who? AKD when he was the Minister of Agriculture.

Devastating report from the Auditor General,before Jayakody’s resignation, would not have happened if AKD had his way. He attempted a number of times to get one of his henchmen appointed to this coveted post, overlooking those experienced officers in the department. AKD’s political machinations were thwarted thanks to the integrity of some members of the Constitution Council. If not for them, AKD’s nominee would have been in post and, perhaps, his friend Jayakody would still be the minister.

Malimawa seems to have beaten Yahapalanaya rather than being the second!

By Dr Upul Wijayawardhana

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Opinion

Pot calling the kettle black?

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Doctor Upul Wijayawardhana (eminent physician), posed a riddle for us. He wrote about that island Sri Lanka as ‘ this little dot in the ocean’ when deriding the remark of President Dissanayake who had said that Sri Lanka was a hunduva , a term that indicated a small volume: me hunduve inna puluvan da? (Can you live in this restricted space?) Most sensible people, even uneducated, judge that the volume of a little drop (of whatever) is smaller than that of a hunduva; so is weight. When the learned doctor emphatically maintains ‘….we are not a hunduva’ but ‘… a little dot in the ocean…’, is the pot calling the kettle black or worse?

Physically and population wise, Sri Lanka is neither ‘a little dot’ nor ‘a hunduva. This is all in the rich imaginations of Dissanayake and Wijayawardhana. I once counted that there were more than 50 members of the UN who were smaller than Sri Lanka in physical and population size. England was a sizeable island with a small population in the northwest corner of Europe in late 18th century when it began to become what China, with 1.3 billion people and jutting out to the Pacific, is now. From about 1850, when the population of Great Britain was about 20 million, less than that of Sri Lanka in 2026, it ruled more than half the world. Besides, do not forget Vanuatu, Kiribati, Cook Islands, Antigua and Barbuda, Barbados, Lesotho and New Zealand (who habitually beats us at cricket). New Zealand with 5 million population played against 1.5 billion population India (1:300) for the T20 cricket championship a few weeks ago. I quietly wished New Zealand would win; so much for crap about dots in the Indian Ocean or the south Pacific.

Dr. Wijayawardhana also wrote about history and about ‘The achievements of Hunduwa’. The massive reservoirs and extensive irrigation systems in rajarata and ruhuna as well as the stupa are indeed tremendous works of irrigation and bear witness to superior ingenuity and organising ability, for the time they were built. They compare very well among structures elsewhere in the ancient world. Terms like ‘granary of the East’ must be taken with more than a grain of salt. Facile use of such terms does not take account of whatever shreds of evidence there is of adversity in those times. Monsoon Asia over the ages has more or less regularly suffered from floods, droughts and consequent famines. The last dire famine was in Bengal in 1944. The irrigation works in Lanka were a magnificent response to those phenomena. The modern response has been scientific agriculture making India a major grain exporter, from near famine conditions in 1973-74. Recall Indira Gandhi’s garibi hatao (eliminate poverty) speech to the General Assembly of the UN, that year.

The bhikkhu who wrote down the tripitaka in aluvihara did so because there was the threat of a severe famine in the course of which learned bhikkhu might have come to harm. Buddhist thought over centuries had been passed from generation to generation vocally (saamici patipanno bhagavato savaka (listener) sangho) and the departure from that tradition must have required a major threat of famine. There are stories of bhikkhu from Lanka fleeing from dire straits. In the same vein, while the mahavamsa speaks of kings and their valiant deeds, there is little account of the large mass of little people who lived then. Sensible teaching of the history of a people must include the history of as much of the people as possible and some idea of the history of other peoples in comparable times to avoid feeling dangerously smug and arrogant, which we have seen many times over.

Usvatte-aratchi

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