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Living in Paris, exploring London and an encounter with JRJ over a newspaper article

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At media seminar with Everett Rogers

(Excerpted from volume ii of the Sarath Amunugama autobiography)

I found accommodation close to my office in Rue Miollis. It saved me hours of commuting time to my office and EHESS, my study place for my doctorate. My friend Dilip Padgoankar and his wife Lotika were going back to India and their flat fell vacant. Dilip, a ‘bon vivant’ who later became the Editor of the Times of India and advisor to the Indian Government on Kashmir, had chosen well. As M’Bow’s media spokesman he was on call all the time and had to live close to his boss’s office. Thanks to his recommendation I managed to secure that flat.

It was spacious enough to accommodate me, my wife and two children, and was close to good restaurants, cinemas and theatres. Many children of UNESCO staff lived in the vicinity and they all went to the same schools so that the neighborhood was congenial. For instance, Varuni had a friend who was the daughter of a sister of the Shah of Iran who was in exile, living in a mansion close by. Another friend, Mohammed Musa, was the son of M’Bow’s advisor from Nigeria.

Ramanika’s best friend was the daughter of a senior Indian professional in the science sector of UNESCO. All in all it was a stress free life wherein I could easily handle my official duties as well as academic pursuits with ease. From our Metro station Segur, it took me less than ten minutes to get to EHESS on the Boulevard Raspail.

Exploring London

One of the advantages of living in Paris was that I could travel often to the UK. The Paris-London flight took less than an hour and there were commercial flights on 12-seater planes which offered us cut rate tickets. These low cost flights took us to Stanstead airport and not Heathrow which meant that the entry formalities and waiting time was much less. The British government was promoting Stanstead in order to take the pressure off Heathrow. Since our elder daughter Ramanika was studying in England my wife and I took every opportunity to use these low cost flights to get to London.

Another factor was that our close friends, Namel and Malini Weeramuni were living in North London and their spacious house became a home away from home to us as it was to many visiting Sri Lankan friends. The Weeramunis were a generous and welcoming couple and we spent time together exploring the nooks and corners of London including Karl Marx’s grave in Highgate cemetery. At that time J B Dissanayake and his wife were also in London for his sabbatical and Gananath and Ranjini Obeyesekere were hosted by the Anthropology Department of London University. In addition there were a large number of our friends from Sri Lanka working in the UK in different capacities.

H.H. Bandara was employed as a researcher in the London museum library dealing with Sinhala palm leaf manuscripts with Somadasa who way the librarian of Peradeniya University in our time. Mark,Fernando who played the lions role in Sarachchandras “Sinhabahu” was a solicitor practicing in London. R.D. Perera, my Arunachalam hall mate, was a high school teacher who had authored a popular book on economics for “crammers” for public exams and had thereby become rich and famous.

RD generously lent us his new Mercedes Benz for our excursions. One such excursion of our group was to Cambridge University where we met several Srilankan students, particularly those who were attached w a hospital there. With the Obeyesekeres and Weeramunis I went to a West End theatre to see Pirandellos “Six characters in search of an author”. This may have been the beginning of Namel Weramunis fascination with the plays of Pirandello.

After relocating in Colombo many years later he won fame with his production of a translation of a Pirandello play. Here I must write of a memorable dinner meeting with Lindsay Anderson at the Weeramunis. Malini, ever the sacrificing wife, worked part time in a supermarket in North London. It so happened that Lindsay Anderson, the famous critic and filmmaker lived in Hendon and was a regular visitor to Malini’s supermarket for his provisions. Being an admirer of Lester and Sumitra Peries and a frequent guest at their home in Colombo, and a confirmed addict of rice and curry, he became a friend of the Weeramunis who frequently invited him to their home.

Once Lindsay came over to share a meal with me and talk about Asian cinema. It was a memorable meeting which went on till midnight and Lindsay’s insights on Lester and Satyajit Ray’s films have remained in my memory. He died not long after and our cinema, particular our radical young film makers, lost a kindred soul.

Being a senior official of UNESCO I interacted with the staff of the British delegation attached to our office. Occasionally they invited me for discussions in London in the Commonwealth office as several media projects in Commonwealth countries were funded by IPDC. I found that the British were less ideological than the US and were willing to work with multilateral organizations because they got much credit without investing large sums of money. As one such official described it, the UK got “more bounce for their ounce”.

Many of these meetings ended with a drink and dinner at London’s famous clubs like Travellers, Whites and Carlton with their distinctive atmosphere and superb food. Of these the Carlton was the most ‘political’ of the lot and we could see several well known politicians in their cups carrying on undisturbed. Privacy was the golden rule and often we had our conversations in hushed tones. Much later when I was a minister I was offered membership in the Carlton but I did not follow through as my visits to London had dwindled and I could not afford the high fees.

When not staying with the Weeramunis I patronized a regular hotel in the Strand which was close to the theatre district. Opposite it was the famous Savoy Hotel which had been the favourite of Winston Churchill during the Second World War. I was entertained there occasionally and I marveled at the efficiency of the staff and the crisp linen and table arrangement which could not be bettered in a hotel dining room anywhere. Fine dining is an art in the western world and without experience of it in London, New York, Paris, Zurich or Berlin one cannot really begin to understand the life of the “haute bourgeosie” in the capitalist world.

Class differences are clear in that society and within a few minutes of association it was possible to place an interlocutor within the social map in which he is embedded. The emerging “pop” culture of the time with its crossing of social boundaries was a working class reaction to the snobbish upper echelons which dominated English society till it was torn apart during the Second World War and the post war period.

The English stage which was invaded by “angry young men” featured characters who rebelled against the upper class due to their envy and sense of inadequacy. They “looked back in anger” but often took it out impotently on their upper class girlfriends and their parents. I will return to these personal experiences later on in this chapter.

Let me now return to my official duties as Director of IPDC. This time I face an editorial difficulty since my readers will not in all probability be interested in the minutiae of this assignment. On the other hand however, in my autobiography I am bound at least for authenticity, to describe the important and memorable experiences encountered in my varied career. I will therefore now turn to the highlights of my UNESCO career.

International meetings

One of my responsibilities as Director was to popularize the activities of IPDC and solicit funding for the media projects which were identified by us. For this purpose we called for proposals from developing countries and studied them with assistance of the staff of the communications division.Tis included the headquarters staff as well as our regional representatives who were in direct contact with the media authorities of the membe states. These projects were submitted by me to the annual meeting of the governing council which then allocated resources from the IPDC.

Fund from other donors were on a ‘Funds in Trust’ basis. At this meeting I introduced the projects to the members of the Council and made my recommendations regarding the proposals before us. On occasion this led to heated debates. Far instance African countries tended to band together on the basis of their regional affiliations and demand the biggest share of the pie. I had a difficult time to get approval for some projects submitted by Cuba because of objections by the US delegation.

But with the US boycotting UNESCO and a wave of sympathy from the developing countries I was able to get Cuban projects – mostly promoting education – approved, as well as get their representative elected to the Inter-Governmental Council. I could always depend on the Asian group and the African group which tended to follow the line dictated to them by the Director General M’Bow who was their hero and icon.

Once this provided a nasty shock to the Sri Lanka delegation led by our Ambassador in Paris, Balasubramaniam. Bala was considered to be an able negotiator and he was determined to show his diplomatic skills by getting Esmond Wickremesinghe elected to the Council of the IPDC. He began canvassing early and was confident when election day arrived. In the election Esmond and an African candidate got equal votes and it was decided to have a second vote.

While our Ambassador was nonplussed and rendered ineffective the African caucus was, we learnt later, instructed by M’Bow to support their fellow black candidate. Esmond was defeated in the second round. He took it calmly but I knew that he was very hurt by M’Bows uncalled for intervention which was criticized by whisperers in the corridors of the UNESCO building. After that Esmond lost interest in UNESCO and began to get involved with Ralph Buultjens, with disastrous results to him and the country.

Oslo [Norway]

I travelled to donor countries to firm up their offers of assistance to the IPDC Fund as well as to `sell’ large projects they could finance on a multilateral basis. This funding mechanism was called ‘Funds in Trust’. Going around with the begging bowl was an interesting task for which I had good experience in promoting projects like the introduction of TV to Sri Lanka with Japanese assistance. Norway was the biggest donor to the IPDC Fund pledging a million dollars every year. So Norway was one of our target countries.

At an international conference there was an inter-mixture of Norwegian media and government officials as well as a large number of internationally famous media personalities. Sri Lanka was represented by my friend Mervyn de Silva, and together with Kumar Rupasinghe who was then living in Norway, we spent time exploring Oslo and its restaurants in which venison dishes were a specialty. The forested hills of Norway were full of deer and a saddle of venison was on everybody’s table. But some killjoys created a scare that the deer had migrated from Chernobyl, with its radiation leaks, and the venison may be contaminated. However, these scare stories did not prevent our participants from tucking in.

Hohenheim [Germany]

Another important donor to IPDC was the Federal Republic of Germany. The German Government as well as their powerful NGOs were keen participants in the New Communication Order debate. The FRG delegate to IPDC was Bertolt Witte who was an important figure in the Free Democratic Party [FDP] which was the junior partner in a coalition Government with the Social Democrats. He later became a Minister in the FRG.

The FDP though small in numbers was quite influential and the Foreign Minister came from that party. Witte was a liberal and deeply concerned about questions like the freedom of the press and training for journalists. He arranged a meeting with media scholars at the ancient University of Hohenheim which is near Stuttgart. This University specializes in agrarian sciences with special emphasis on communication for promoting new agricultural practices and marketing.

During this time many German media scholars looked to the US for their theoretical orientations. In the Hohenheim seminar an important role was played by Everett Rogers who had written extensively on use of media in achieving developmental targets. Since he taught in a midwestern University much of his attention was on use of media for agricultural development. Everett was a genial person who was supportive of IPDC. We got on well.

The Hohenheim Conference did the IPDC a world of good because FRG became a contributor to our programme. Witte who was a well-known journalist and a senior in the FDP, continuously lobbied the German government on our behalf. He was a member of the IPDC Council and a great supporter of UNESCO.

After the Seminar I was the chief guest at a dinner offered by the Rector of this old University. Hohenheim was a beautiful agricultural area with its rolling green hills and vast swathes of arable land. Stuttgart was an industrial town which was the heartland of German motor car manufacturing, including the Volkswagen works, but Hohenheim with its old castle and large irrigated fields was a peaceful agricultural university town.

Helsinki [Finland]

Helsinki was a unique experience fir most of us since Finland is not on the conference circuit. But both in the conference room and out in the freezing winter amid. we were treated with extraordinary friendship and courtesy. Sharing a territorial boundary with the USSR, the Finns while cherishing their independence were extraordinarily careful not to offend the hibernating Russian bear. The organizers had made sure that a strong USSR delegation led by Professor Zassousky of Moscow University also participated in one of our conferences. The USSR team comprising their regular delegation to IPDC and Zassousky, weremost cooperative and supportive of my suggestion to have a similar meeting in the USSR. The Soviets, soon to drop that name and call themselves Russians, were strong advocates of the New Information Order as a way of embarrassing the West.

Finland was full of surprises. Just across the square facing our hotel was the beautiful ‘art decor’ railway station designed by Saarinen. He was a Finnish architect who later migrated to the US and made a name for himself with his path breaking designs. Helsinki is full of his buildings which give a modern look to the city. We were guests of a rich magazine publisher of the country. His country home was built on the shore of a small lake. He had installed a wave making machine on one side of the lake so that there were artificial waves for surfing in the summer.

That being a winter, he took us to his sauna by the lake. This was an authentic Finnish sauna and not the artificial one we usually come across in big hotels. We had to alternatively sit inside the sauna sweating profusely and then run naked to the lake for a dip in its ice-cold waters. This had to be done several times so that the skin is subjected to extreme heat followed by extreme cold. In addition we had to hit our bodies with branches of birch so that the skin is drawn tight by the time we dip into the water.

This was a once in a life time experience. Though fearful at first I found this invigorating and the body was made ready for large gulps of Finnish beer which was sucked up by my tormented body. Fortunately none of us came down with pneumonia.

Another interesting feature was that most of the buildings we saw were built by Scotsmen. It was the Scots who had introduced electricity to Finland. We were told us that Scottish businessmen had invested in infrastructure development in Finland prior to World War Two. Now however, Finland was too close to the USSR for the west to intervene in its economic development.

Parts of Helsinki looked very much like St Petersburg before the revolution. In fact Lenin had come to join the revolution in St Petersburg via the Finland railway station. Many films like David Lean’s ‘Dr Zhivago’ were shot in Helsinki where the streets and houses could be used to simulate the life and atmosphere of the Russian capital about the time of the Russian revolution.

The participants at this seminar who were the world’s leading communications scholars of the day were bowled over by the life and customs in Helsinki and the goodwill of our Finnish colleagues. There is a ‘back story’ which involves Finland which I can narrate here. At the height of the shooting war with the LTTE, Gamini Dissanayake, who was being fast overtaken in popularity by Lalith Athulathmudali who had been put in charge of defence, presented to JRJ a memorandum which advocated a `detente’ with India. This was an alternative to the hostile approach of Lalith to India.

One of the references in this memorandum dealt with the ‘inter se’ position between the USSR and Finland. Here the two countries functioned without the smaller country challenging the interests of USSR. JRJ did not comment on this suggestion. However on the day after the signing of the Sri Lanka-India accord, the editor of the ‘Sun’ newspaper, Rex de Silva had an article which highlighted what he called the ‘Finlandisation of Sri Lanka vis-a-vis India.

It may be that Gamini had fed Rex a copy of his memorandum which was the usual practice at that time. JRJ called me in a fury after reading this article which appeared the day after signing the accord. He wanted me to get the Information Ministry to take over the Sun newspaper. This was a challenge to me as a newspaper take over was the worst thing that could be done at that juncture. Rex was my friend and after much thought, I got him to join me in a visit to ‘Braemar’ to meet the President.

That was a time when I could walk into ‘Braemar’ without notice, as Anandatissa, the Minister was in hospital and the President relied on me to handle the Department of Information, in which my lieutenant, Anura Goonesekere was Director. By this time JRJ’s fury had abated and he patiently explained to Rex that his analogy was the last thing he wanted the Indians to adopt. Rex replied in a conciliatory manner and the matter was dropped for the time being.



Features

Who Owns the Clock? The Quiet Politics of Time in Sri Lanka

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(This is the 100th column of the Out of the Box series, which began on 6 September, 2023, at the invitation of this newspaper – Ed.)

A new year is an appropriate moment to pause, not for celebration, but to interrogate what our politics, policies, and public institutions have chosen to remember, forget, and repeat. We celebrate the dawn of another brand-new year. But whose calendar defines this moment?

We hang calendars on our walls and carry them in our phones, trusting them to keep our lives in order, meetings, exams, weddings, tax deadlines, pilgrimages. Yet calendars are anything but neutral. They are among humanity’s oldest instruments of power: tools that turn celestial rhythms into social rules and convert culture into governance. In Sri Lanka, where multiple traditions of time coexist, the calendar is not just a convenience, it is a contested terrain of identity, authority, and fairness.

Time is never just time

Every calendar expresses a political philosophy. Solar systems prioritise agricultural predictability and administrative stability; lunar systems preserve religious ritual even when seasons drift; lunisolar systems stitch both together, with intercalary months added to keep festivals in season while respecting the moon’s phases. Ancient India and China perfected this balancing act, proving that precision and meaning can coexist. Sri Lanka’s own rhythms, Vesak and Poson, Avurudu in April, Ramadan, Deepavali, sit inside this wider tradition.

What looks “technical” is actually social. A calendar decides when courts sit, when budgets reset, when harvests are planned, when children sit exams, when debts are due, and when communities celebrate. It says who gets to define “normal time,” and whose rhythms must adapt.

The colonial clock still ticks

Like many postcolonial societies, Sri Lanka inherited the Gregorian calendar as the default language of administration. January 1 is our “New Year” for financial statements, annual reports, contracts, fiscal plans, school terms, and parliamentary sittings, an imported date shaped by European liturgical cycles and temperate seasons rather than our monsoons or zodiac transitions. The lived heartbeat of the island, however, is Avurudu: tied to the sun’s movement into Mesha Rāshi, agricultural renewal, and shared rituals of restraint and generosity. The result is a quiet tension: the calendar of governance versus the calendar of lived culture.

This is not mere inconvenience; it is a subtle form of epistemic dominance. The administrative clock frames Gregorian time as “real,” while Sinhala, Tamil, and Islamic calendars are relegated to “cultural” exceptions. That framing shapes everything, from office leave norms to the pace at which development programmes expect communities to “comply”.

When calendars enforce authority

History reminds us that calendar reforms are rarely innocent. Julius Caesar’s reshaping of Rome’s calendar consolidated imperial power. Pope Gregory XIII’s reform aligned Christian ritual with solar accuracy while entrenching ecclesiastical authority. When Britain finally adopted the Gregorian system in 1752, the change erased 11 days and was imposed across its empire; colonial assemblies had little or no say. In that moment, time itself became a technology for governing distant subjects.

Sri Lanka knows this logic. The administrative layers built under colonial rule taught us to treat Gregorian dates as “official” and indigenous rhythms as “traditional.” Our contemporary fiscal deadlines, debt restructurings, even election cycles, now march to that imported drumbeat, often without asking how this timing sits with the island’s ecological and cultural cycles.

Development, deadlines and temporal violence

Modern governance is obsessed with deadlines: quarters, annual budgets, five-year plans, review missions. The assumption is that time is linear, uniform, and compressible. But a farmer in Anuradhapura and a rideshare driver in Colombo do not live in the same temporal reality. Monsoons, harvests, pilgrimage seasons, fasting cycles, school term transitions, these shape when people can comply with policy, pay taxes, attend trainings, or repay loans. When programmes ignore these rhythms, failure is framed as “noncompliance,” when in fact the calendar itself has misread society. This mismatch is a form of temporal violence: harm produced not by bad intentions, but by insensitive timing.

Consider microcredit repayment windows that peak during lean agricultural months, or school examinations scheduled without regard to Avurudu obligations. Disaster relief often runs on the donor’s quarterly clock rather than the community’s recovery pace. In each case, governance time disciplines lived time, and the least powerful bend the most.

Religious time vs administrative time

Sri Lanka’s plural religious landscape intensifies the calendar question. Buddhism, Hinduism, Islam, and Christianity relate to time differently: lunar cycles, solar markers, sacred anniversaries. The state acknowledges these mainly as public holidays, rather than integrating their deeper temporal logic into planning. Vesak is a day off, not a rhythm of reflection and restraint; Ramadan is accommodated as schedule disruption, not as a month that reorganises energy, sleep, and work patterns; Avurudu is celebrated culturally but remains administratively marginal. The hidden assumption is that “real work” happens on the Gregorian clock; culture is decorative. That assumption deserves challenge.

The wisdom in complexity

Precolonial South and East Asian calendars were not confused compromises. They were sophisticated integrations of astronomy, agriculture, and ritual life, adding intercalary months precisely to keep festivals aligned with the seasons, and using lunar mansions (nakshatra) to mark auspicious thresholds. This plural logic admits that societies live on multiple cycles at once. Administrative convenience won with the Gregorian system, but at a cost: months that no longer relate to the moon (even though “month” comes from “moon”), and a yearstart with no intrinsic astronomical significance for our context.

Towards temporal pluralism

The solution is not to abandon the Gregorian calendar. Global coordination, trade, aviation, science, requires shared reference points. But ‘shared’ does not mean uncritical. Sri Lanka can lead by modelling temporal pluralism: a policy posture that recognises different ways of organising time as legitimate, and integrates them thoughtfully into governance.

Why timing is justice

In an age of economic adjustment and climate volatility, time becomes a question of justice: Whose rhythms does the state respect? Whose deadlines dominate? Whose festivals shape planning, and whose are treated as interruptions? The more governance assumes a single, imported tempo, the wider the gap between the citizens and the state. Conversely, when policy listens to local calendars, legitimacy grows, as does efficacy. People comply more when the schedule makes sense in their lives.

Reclaiming time without romanticism

This is not nostalgia. It is a pragmatic recognition that societies live on multiple cycles: ecological, economic, ritual, familial. Good policy stitches these cycles into a workable fabric. Poor policy flattens them into a grid and then blames citizens for falling through the squares.

Sri Lanka’s temporal landscape, Avurudu’s thresholds, lunar fasts, monsoon pulses, exam seasons, budget cycles, is rich, not chaotic. The task before us is translation: making administrative time converse respectfully with cultural time. We don’t need to slow down; we need to sync differently.

The last word

When British subjects woke to find 11 days erased in 1752, they learned that time could be rearranged by distant power. Our lesson, centuries later, is the opposite: time can be rearranged by near power, by a state that chooses to listen.

Calendars shape memory, expectation, discipline, and hope. If Sri Lanka can reimagine the governance of time, without abandoning global coordination, we might recover something profound: a calendar that measures not just hours but meaning. That would be a reform worthy of our island’s wisdom.

(The writer, a senior Chartered Accountant and professional banker, is Professor at SLIIT, Malabe. The views and opinions expressed in this article are personal.)

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Medicinal drugs for Sri Lanka:The science of safety beyond rhetoric

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The recent wave of pharmaceutical tragedies in Sri Lanka, as well as some others that have occurred regularly in the past, has exposed a terrifying reality: our medicine cabinets have become a frontline of risk and potential danger. In recent months, the silent sanctuary of Sri Lanka’s healthcare system has been shattered by a series of tragic, preventable deaths. The common denominator in these tragedies has been a failure in the most basic promise of medicine: that it will heal, not harm. This issue is entirely contrary to the immortal writings of the Father of Medicine, Hippocrates of the island of Kos, who wrote, “Primum non nocere,” which translates classically from Latin as “First do no harm.” The question of the safety of medicinal drugs is, at present, a real dilemma for those of us who, by virtue of our vocation, need to use them to help our patients.

For a nation that imports the vast majority of its medicinal drugs, largely from regional hubs like India, Pakistan, and Bangladesh, the promise of healing is only as strong as the laboratory that verifies these very same medicinal drugs. To prevent further problems, and even loss of lives, we must demand a world-class laboratory infrastructure that operates on science, not just sentiment. We desperately need a total overhaul of our pharmaceutical quality assurance architecture.

The detailed anatomy of a national drug testing facility is not merely a government office. It is a high-precision fortress. To meet international standards like ISO/IEC 17025 and World Health Organisation (WHO) Good Practices for Pharmaceutical Quality Control Laboratories, such a high-quality laboratory must be zoned into specialised units, each designed to catch a different type of failure.

*  The Physicochemical Unit: This is where the chemical identity of a drug is confirmed. Using High-Performance Liquid Chromatography (HPLC) and Gas Chromatography-Mass Spectrometry (GC-MS), scientists determine if a “500mg” tablet actually contains 500mg of the active ingredient or if it is filled with useless chalk.

*  The Microbiology Suite: This is the most critical area for preventing “injection deaths.” It requires an ISO Class 5 Cleanroom: sterile environments where air is filtered to remove every microscopic particle. Here, technicians perform Sterility Testing to ensure no bacteria or fungi are present in medicines that have to be injected.

*  The Instrumentation Wing: Modern testing requires Atomic Absorption Spectrometers to detect heavy metal contaminants (like lead or arsenic) and Stability Chambers to see how drugs react to Sri Lanka’s high humidity.

*  The injectable drug contamination is a serious challenge. The most recent fatalities in our hospitals were linked to Intravenous (IV) preparations. When a drug is injected directly into the bloodstream, there is no margin for error. A proper national laboratory must conduct two non-negotiable tests:

*  Bacterial Endotoxin Testing (BET): Even if a drug is “sterile” (all bacteria are dead), the dead bacteria leave behind toxic cell wall products called endotoxins. If injected, these residual compounds cause “Pyrogenic Reactions” with violent fevers, organ failure, and death. A functional lab must use the Limulus Amoebocyte Lysate (LAL) test to detect these toxins at the parts-per-billion level.

*  Particulate Matter Analysis: Using laser obscuration, labs must verify that no microscopic shards of glass or plastic are floating in the vials. These can cause fatal blood clots or embolisms in the lungs.

It is absolutely vital to assess whether the medicine is available in the preparation in the prescribed amounts and whether it is active and is likely to work. This is Bioavailability. Sri Lanka’s heavy reliance on “generic” imports raises a critical question: Is the cheaper version from abroad as effective as the original, more expensive branded formulation? This is determined by Bioavailability (BA) and Bioequivalence (BE) studies.

A drug might have the right chemical formula, but if it does not dissolve properly in the stomach or reach the blood at the right speed, it is therapeutically useless. Bioavailability measures the rate and extent to which the active ingredient is absorbed into the bloodstream. If a cheaper generic drug is not “bioequivalent” to the original brand-named version, the patient is essentially taking a useless placebo. For patients with heart disease or epilepsy, even a 10% difference in bioavailability can lead to treatment failure. A proper national system must include a facility to conduct these studies, ensuring that every generic drug imported is a true “therapeutic equivalent” to the brand-named original.

As far as testing goes, the current testing philosophy is best described as Reactive, rather than Proactive. The current Sri Lankan system is “reactive”: we test a drug only after a patient has already suffered. This is a proven recipe for disaster. To protect the public, we must shift to a Proactive Surveillance Model of testing ALL drugs at many stages of their dispensing.

*  Pre-Marketing Approval: No drug should reach a hospital shelf without “Batch Release” testing. Currently, we often accept the manufacturer’s own certificate of analysis, which is essentially like allowing students to grade their own examination answers.

*  Random Post-Marketing Surveillance (PMS): Regulatory inspectors must have the power to walk into any rural pharmacy or state hospital, pick a box of medicine at random, and send it to the lab. This could even catch “substandard” drugs that may have degraded during shipping or storage in our tropical heat. PMS is the Final Safety Net. Even the best laboratories cannot catch every defect. Post-Marketing Surveillance is the ongoing monitoring of a drug’s safety after it has been released to the public. It clearly is the Gold Standard.

*  Pharmacovigilance: A robust digital system where every “Adverse Drug Reaction” (ADR) is logged in a national database.

*  Signal Detection: An example of this is if three hospitals in different provinces report a slight rash from the same batch of an antibiotic, the system should automatically “flag” that batch for immediate recall before a more severe, unfortunate event takes place.

*  Testing for Contaminants: Beyond the active ingredients, we must test for excipient purity. In some global cases, cheaper “glycerin” used in syrups was contaminated with diethylene glycol, a deadly poison. A modern lab must have the technology to screen for these hidden killers.

When one considers the Human Element, Competence and Integrity, the very best equipment in the world is useless without the human capital to run it. A national lab would need the following:

*  Highly Trained Pharmacologists and Microbiologists and all grades of staff who are compensated well enough to be immune to the “lobbying” of powerful external agencies.

*  Digital Transparency: A database accessible to the public, where any citizen can enter a batch number from their medicine box and see the lab results.

Once a proper system is put in place, we need to assess as to how our facilities measure up against the WHO’s “Model Quality Assurance System.” That will ensure maintenance of internationally recognised standards. The confirmed unfavourable results of any testing procedure, if any, should lead to a very prompt “Blacklist” Initiative, which can be used to legally bar failing manufacturers from future tenders. Such an endeavour would help to keep all drug manufacturers and importers on their toes at all times.

This author believes that this article is based on the premise that the cost of silence by the medical profession would be catastrophic. Quality assurance of medicinal compounds is not an “extra” cost. It is a fundamental right of every Sri Lankan citizen, which is not at all subject to any kind of negotiation. Until our testing facilities match the sophistication of the manufacturers we buy from, we are not just importing medicine; we are importing potential risk.

The promises made by the powers-that-be to “update” the testing laboratories will remain as a rather familiar, unreliable, political theatre until we see a committed budget for mass spectrometry, cleanroom certifications, highly trained and committed staff and a fleet of independent inspectors. Quality control of therapeutic medicines is not a luxury; it is the price to be paid for a portal of entry into a civilised and intensively safe healthcare system. Every time we delay the construction of a comprehensive, proactive testing infrastructure, we are playing a game of Russian Roulette with the lives of our people.

The science is available, and the necessary technology exists. What is missing is the political will to put patient safety as the premier deciding criterion. The time for hollow rhetoric has passed, and the time for a scientifically fortified, transparent, and proactive regulatory mechanism is right now. The good health of all Sri Lankans, as well as even their lives, depend on it.

Dr B. J. C. Perera  

MBBS(Cey), DCH(Cey), DCH(Eng), MD(Paediatrics), MRCP(UK), FRCP(Edin), FRCP(Lond), FRCPCH(UK), FSLCPaed, FCCP, Hony. FRCPCH(UK), Hony. FCGP(SL) 

Specialist Consultant Paediatrician and Honorary Senior Fellow, Postgraduate Institute of Medicine, University of Colombo, Sri Lanka.

Joint Editor, Sri Lanka Journal of Child Health

Section Editor, Ceylon Medical Journal

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Rebuilding Sri Lanka Through Inclusive Governance

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Management Committee of the 'Rebuilding Sri Lanka' Fund Appointed with Representatives from the Public and Private Sectors - PMD

In the immediate aftermath of Cyclone Ditwah, the government has moved swiftly to establish a Presidential Task Force for Rebuilding Sri Lanka with a core committee to assess requirements, set priorities, allocate resources and raise and disburse funds. Public reaction, however, has focused on the committee’s problematic composition. All eleven committee members are men, and all non-government seats are held by business personalities with no known expertise in complex national development projects, disaster management and addressing the needs of vulnerable populations. They belong to the top echelon of Sri Lanka’s private sector which has been making extraordinary profits. The government has been urged by civil society groups to reconsider the role and purpose of this task force and reconstitute it to be more representative of the country and its multiple  needs.

 The group of high-powered businessmen initially appointed might greatly help mobilise funds from corporates and international donors, but this group may be ill equipped to determine priorities and oversee disbursement and spending. It would be necessary to separate fundraising, fund oversight and spending prioritisation, given the different capabilities and considerations required for each. International experience in post disaster recovery shows that inclusive and representative structures are more likely to produce outcomes that are equitable, efficient and publicly accepted. Civil society, for instance, brings knowledge rooted in communities, experience in working with vulnerable groups and a capacity to question assumptions that may otherwise go unchallenged.

 A positive and important development is that the government has been responsive to these criticisms and has invited at least one civil society representative to join the Rebuilding Sri Lanka committee. This decision deserves to be taken seriously and responded to positively by civil society which needs to call for more representation rather than a single representative.  Such a demand would reflect an understanding that rebuilding after a national disaster cannot be undertaken by the state and the business community alone. The inclusion of civil society will strengthen transparency and public confidence, particularly at a moment when trust in institutions remains fragile. While one appointment does not in itself ensure inclusive governance, it opens the door to a more participatory approach that needs to be expanded and institutionalised.

Costly Exclusions

 Going  down the road of history, the absence of inclusion in government policymaking has cost the country dearly. The exclusion of others, not of one’s own community or political party, started at the very dawn of Independence in 1948. The Father of the Nation, D S Senanayake, led his government to exclude the Malaiyaha Tamil community by depriving them of their citizenship rights. Eight years later, in 1956, the Oxford educated S W R D Bandaranaike effectively excluded the Tamil speaking people from the government by making Sinhala the sole official language. These early decisions normalised exclusion as a tool of governance rather than accommodation and paved the way for seven decades of political conflict and three decades of internal war.

Exclusion has also taken place virulently on a political party basis. Both of Sri Lanka’s post Independence constitutions were decided on by the government alone. The opposition political parties voted against the new constitutions of 1972 and 1977 because they had been excluded from participating in their design. The proposals they had made were not accepted. The basic law of the country was never forged by consensus. This legacy continues to shape adversarial politics and institutional fragility. The exclusion of other communities and political parties from decision making has led to frequent reversals of government policy. Whether in education or economic regulation or foreign policy, what one government has done the successor government has undone.

 Sri Lanka’s poor performance in securing the foreign investment necessary for rapid economic growth can be attributed to this factor in the main. Policy instability is not simply an economic problem but a political one rooted in narrow ownership of power. In 2022, when the people went on to the streets to protest against the government and caused it to fall, they demanded system change in which their primary focus was corruption, which had reached very high levels both literally and figuratively. The focus on corruption, as being done by the government at present, has two beneficial impacts for the government. The first is that it ensures that a minimum of resources will be wasted so that the maximum may be used for the people’s welfare.

Second Benefit

 The second benefit is that by focusing on the crime of corruption, the government can disable many leaders in the opposition. The more opposition leaders who are behind bars on charges of corruption, the less competition the government faces. Yet these gains do not substitute for the deeper requirement of inclusive governance. The present government seems to have identified corruption as the problem it will emphasise. However, reducing or eliminating corruption by itself is not going to lead to rapid economic development. Corruption is not the sole reason for the absence of economic growth. The most important factor in rapid economic growth is to have government policies that are not reversed every time a new government comes to power.

 For Sri Lanka to make the transition to self-sustaining and rapid economic development, it is necessary that the economic policies followed today are not reversed tomorrow. The best way to ensure continuity of policy is to be inclusive in governance. Instead of excluding those in the opposition, the mainstream opposition in particular needs to be included. In terms of system change, the government has scored high with regard to corruption. There is a general feeling that corruption in the country is much reduced compared to the past. However, with regard to inclusion the government needs to demonstrate more commitment. This was evident in the initial choice of cabinet ministers, who were nearly all men from the majority ethnic community. Important committees it formed, including the Presidential Task Force for a Clean Sri Lanka and the Rebuilding Sri Lanka Task Force, also failed at first to reflect the diversity of the country.

 In a multi ethnic and multi religious society like Sri Lanka, inclusivity is not merely symbolic. It is essential for addressing diverse perspectives and fostering mutual understanding. It is important to have members of the Tamil, Muslim and other minority communities, and women who are 52 percent of the population, appointed to important decision making bodies, especially those tasked with national recovery. Without such representation, the risk is that the very communities most affected by the crisis will remain unheard, and old grievances will be reproduced in new forms. The invitation extended to civil society to participate in the Rebuilding Sri Lanka Task Force is an important beginning. Whether it becomes a turning point will depend on whether the government chooses to make inclusion a principle of governance rather than treat it as a show of concession made under pressure.

by Jehan Perera

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