Features
Meetings with Gandhi and Nehru;Message from Ramgarh to Ceylon
by JR Jayewardene
(Excerpted from Men and Memories)
The Ramgarh Session of the Indian National Congress, the last Session before Freedom was held in March 1940, in a small village, in Bihar Province, “sanctified by the touch of the feet of Gautama, the Buddha”, said the Reception Committee Chairman, Rajendra Prasad, later President of Free India. I attended the Session as a delegate of the Ceylon National Congress and recorded my impressions then.
The little village of Ramgarh is today famous throughout the world. For here gathered the men and women of the new India with her beauty and her chivalry, intent on freeing their motherland from foreign rule. It was a pretty countryside that we passed through on our way, for over a hundred miles to the west of Calcutta. Ramgarh itself is very similar to Diyatalawa, undulating valleys, large plains and mountain streams abounding.
It is also a countryside with a history unequaled in the world. The founders of Buddhism and Jainism both spent large portions of their lives in this province, now called Bihar. Bodh-Gaya is hardly a hundred miles away towards the north. “Every particle of dust in this province”, said the retiring President, Rajendra Prasad to the delegates, “is sanctified by the touch of the feet of Gautama, the Buddha.”
And as a tribute to India’s greatest son and to his disciple, Asoka, India’s greatest monarch, a facsimile, of one of Asoka’s pillars, over a hundred feet high, had been erected at the entrance to the Congress town. On this pillar the Congress flag was later hoisted, and as it fluttered in the breeze, the people of India paid their homage. The new India they wished to create called them to action and this flag was their symbol. And how appropriate it was that a symbol of India’s ancient greatness should bear it aloft.
Three huge pandals marked the entrances to the Khadi Exhibition, the open air arena and the Congress town or Hagar. What was scrubby jungle had been converted into a small town. The main street was over a mile long and as broad as the Galle Road at Kollupitiya. Electric lights and a water service had been installed. A railway station, radio and telephone exchange and a post office completed the township.
Policemen there were, but none from the British Government. Men and women volunteers recruited as honorary workers from the district, controlled the traffic, helped those in,trouble and guarded the leaders’ huts.
And then came the inhabitants to this township. Over a lakh of people, a population larger than that of Kandy or Galle lived here for four or five days and then disappeared. They came from the North-West Frontier; they came from Madras, over two thousand miles away. The women and children from every part of India, from every race in India, from every religion in India. Delegates and visitors from Burma, Ceylon, England and America. A Japanese monk was there beating his drum to drive away the evil spirits. The streets were packed with a mass of humanity. There was bustle but no bluster. Everyone was friendly. The mention of Ceylon brought forth a kindly smile and a word of greeting.
The leaders of India were there, living simply like the rest, sitting on the floor while they ate, and mixing with the crowds. Mahatma Gandhi alone had a hut to himself. Wherever he went he was mobbed. Crowds would suddenly break all barriers, rush up to his hut and shout: “Gandhi ji ki Jai”. His stay there was an endless series of interviews. And thus to business.
The work of the session begins with the opening of the Exhibition and the sitting of the Working Committee. The Working Committee was the “Cabinet”, and composed of about 12 members chosen by the President. After that the All-India Congress Committee consisting of about 375 delegates from all the Congress Provincial Committees held its meetings. These meetings are held in a huge covered pandal capable of seating about 10,000 people.
These were really the most interesting meetings. For here took place the moving of motions and amendments for debate. For this purpose the Committee converted itself into the Subjects Committee. No motion or amendment rejected by the Subjects Committee had any chance of being accepted by the Session.
The Burma and Ceylon delegations were permitted to witness these deliberations. The Patna Resolution on Independence was the only official motion to be discussed. M.N. Roy attempted to bring in a Communist amendment but found very little support. The motion was accepted without much trouble.
It was interesting to see these leaders of India. Perfect order was maintained. The leaders and the invited guests were on a huge platform covered with a large mattress and carpet.
The delegates sat on low benches in the body of the hall. The other visitors sat on the floor round the delegates. There were no chairs. Girl volunteers in orange sarees kept order and served water. The Congress colours and flags were used to decorate the platform and the pandal. Abdul Gaffar Khan, over six feet in height, was there almost sleeping on the platform. Mrs Sarojini Naidu found the low table on which a model charkha was kept more comfortable than the mattress.
Pandit Nehru, quick of temper was calmed down by Jamnalal Bajaj, the Congress treasurer. He lost his temper more than once. It was to a speaker from the Punjab who said, that “country is ready to fight, we are ready, the Congress is ready, but Nehru and Gandhi are not ready.” Nehru thereupon angrily retorted: “I am ready.” A young Communist speaker angered him terribly. He rushed to the presidential table and exchanged a few words before calm was restored.
And then came Gandhiji. Vallabhai Patel was speaking when he arrived, yet, it was only necessary to whisper, “Gandhiji is coming,” for the cheering to break out. He slipped in quietly and sat on the floor.
No remarks could anger him. When one of the speakers said, “It is this little man whom I can put into my pocket who is delaying us,” he laughed loudly and beckoned him to do so.
The resolution was passed unaltered and then Gandhiji spoke. He spoke for about an hour. There was no interruption. There was no stir. Even those on the platform crowded round the speaker to hear his words. There is no doubt that Mahatma Gandhi, though not a member of the Congress, was its leader, nay, a dictator. He said so himself. Congress, he said, cannot be a democratic assembly when it is waging war. It must become a fighting unit and it must have one general. As long as they have him as general he expected unquestioned obedience. If they wished they could replace him and follow another.
But could they?
Thus concluded the meetings of the Subjects Committee. And then to the sessions. Three days had been allotted for the open sessions. The Congress Sessions were held in a huge open air amphitheatre as large as the Victoria Park. The members of the Congress Committee throughout India are entitled to vote, numbering over a thousand. At one end of the stadium was a platform and a rostrum for the President.
The first day was allotted for the Presidential Address and the other two days for discussion on motions. A crowd of over a lakh of people had assembled by 5 p.m. on the 19 March. The President was expected at 5.30. More people were coming in. And then came the rain! In half an hour the vast amphitheatre was one sheet of water and in some places the water was knee deep. The President’s speech was taken as read. Thus ended the Congress Session.
The next morning a make-shift session was held under the Asoka pillar, as the theatre was still wet and in a few hours the Patna resolution urging “Independence outside the orbit of the British Empire”, was passed. By the evening the crowds had started to leave. In a few days Ramgarh would assume its normal quiet. The jackals would wander through the empty streets and huts. The aborigines will weave into their history the legends of Ramgarh, the story of a town which sprang up in a few days, of motor cars and trains and electric lights and of an “avatar”, an incarnation of God, whom they saw–Mahatma Gandhi.
But what does Ramgarh mean to India and to the world? How were we in Ceylon to adjust ourselves to the results that flowed in from Ramgarh? Two facts were clear. First, India was united in her demand to be free and she wanted her freedom outside the British Commonwealth of Nations. Secondly, Mahatma Gandhi was still the unquestioned leader of India. There was, no doubt, opposition to his leadership.
Subhash Chandra Bose held a counter show at Ramgarh with his anti-compromise and Forward Bloc ideals. These meetings were attended by the Kisan (peasant) organizations and had the support of over a lakh of people. The opposition were not, however, to Gandhi’s leadership: it was to his refusal to begin the fight. His opponents wished to push him on to act at once. But Gandhi believed that the country was not ready and if he was the leader, he must give the signal to begin. In the Congress itself there was no opposition.
That India will begin her struggle again there was no question. That she would soon be free was also not to be doubted. In their minds and in their actions, the Indians were free. They wore clothes made in India and used articles made in India. They did not recognize the British flag nor the British connection. To the men and women who thought as the political parties did, the British Crown and British ideals and customs meant nothing. India was determined to travel on her own path to chart its own course.
We, in Ceylon, had to learn many things. First, the idealism and complete absence of racial or personal feeling which characterized the political discussions at Ramgarh was a contrast to the petty methods prevalent among us. No man or woman we met, be he/she leader or the follower, talked except in terms of ideals of social and economic construction, of a new world order based not on exploitation but according to a planned economy. In the field of politics, the masses were trained to think not in terms of race or personalities, but in terms of social equality, equal opportunity for all and anti-imperialism.
Could we in Ceylon close our eyes to these movements so close to our shores? Was it not the duty of our leaders, our men of letters and culture, or newspapers and all those who love this country, to quicken the awakening consciousness of our people and help them too to feel the impulse of that idealism which emanated from India?
During the Ramgarh Session, Pandit Jawaharlal Nehru who visited our quarters, after the torrential rains, asked us to visit him at Allahabad and stay with him for a few days. Pandit Nehru was the only leader who visited all the guests and saw to their comfort after the rains. We gladly accepted his invitation and on our way to Delhi we called on him at Allahabad.
John Ameratunge and I –J ayasekera had business in Bombay –stayed for a few days in Nehru’s house, “Anand Bhawan” on 26, 27 and 28 March. We were treated with the greatest kindness and hospitality, as if we were old friends. Mrs Vijaya Lakshmi Pandit, Nehru’s sister as the hostess, used to sit down for morning breakfast with us to a typical Western breakfast with bacon and eggs, toast and the host presided and sat with us. He would generally be out for lunch and return for dinner. Indira Gandhi, his daughter, was not in India at that time, and we were the only guests.
We had long discussions with Pandit Nehru though we were far removed from his activities which covered almost 20 years of direct and indirect non-violent campaigns, to free India from foreign rule. That campaign was now in its final stages and we talked to him quite freely about his role in these movements. Like all other youths of our generation throughout the British Empire, we hero-worshipped Jawaharlal Nehru and his leader, Mahatma Gandhi.
The friendship thus formed enabled me to correspond with him. Some of our letters have now been published. They are letters that speak for themselves and unfortunately the correspondence terminated with Pandit Nehru’s incarceration. He was released just before the War ended and became Prime Minister of Free India and I became the Minster of Finance of Free Ceylon (Sri Lanka). We had many contacts but did not renew our correspondence.
“Quit India” – Indian Congress Meeting
Bombay 7, 8 August 1942
The Indian National Congress had been preparing for a final move against the British rule since the Ramgarh Session. Its leaders had been arrested, tried, jailed and released. The British Government had sent Sir Stafford Cripps on a special mission to meet the Indian leaders; his mission had ended in failure. The War in the West and in North Africa could not have followed a more disastrous course for the Allied Powers.
In the East, Japan was in command of the Indian Ocean and had bombed Ceylon twice after the fall of Indonesia, Singapore and Burma. They were knocking at the doors of India on the Assam frontier. It was at this moment that Mahatma Gandhi sought the sanction of the Congress to implement his “Quit India” program.
I could not miss this opportunity. P.D.S. Jayasekere, one of the Treasurers, C.P.G. Abeywardene and I were deputed to represent Ceylon at the Indian National Congress Committee meeting to be held in Bombay to discuss the “Quit India” Resolution. We accordingly left for Bombay through Madras by train on July 31, 1942. On arrival at Bombay, we contacted Jawaharlal Nehru on the telephone and he very kindly sent us tickets for admission to the special enclosure.
We met him, his sister Mrs Krishna Huthee Singh and his son-in-law Feroze Gandhi at Mrs Singh’s flat where he was staying. He was interested in hearing of the air-raids on Ceylon, the damage caused, and the consequences on the morale of the people. He was confident that India would be free after the War and did not favour a victory for the Axis powers. However, he said, he could not help the Allies as long as they (the Indians) were a subject people.
We met Mahatma Gandhi also at Birla House where he was staying. At our request he included Ceylon too in the Resolution demanding freedom for Asiatic nations. “Why do you think that Ceylon is not included in India’s demand for freedom?” he asked. “My love for Ceylon is even greater than my love for Burma.-
There was an amusing incident in the room. The late Mahadev Desai was seated on a cushion by the side of Gandhiji taking down his reply to a British paper. At one stage Gandhi referred to the 380 millions of Indians. Desai playfully refused to take this down saying, “No, Bapuji, it’s not 380 millions but 400 millions”. Some of the others in the room also joined in the discussion regarding the exact number of India’s population. Desai clinched the issue by saying that the latest census figure was 400 millions. Gandhi smilingly gave in, and allowed Desai to write “400 millions”.
In spite of the bitterness that had arisen as a result of this conflict between Britain and India, it was true that in the mind of India’s great leader there was no hate whatever towards his adversaries.
The meeting of the Congress Committee was held under a large pandal seating 10,000 on the Gowalia Tank Maidan on 7 and 8 August 7 and 8. The meeting was more like a mass rally.
The leaders were accommodated on a platform without chairs and we sat on the cushioned stage with them. Mahatma Gandhi outlined his non-cooperation movement and called upon the British to “Quit India”, coining the now famous phrase “Karange Ya Marenge …… Do or Die”. He was, by unanimous consent, accorded full powers to lead the movement.
Soon after the meeting rioting broke out and as we left that very night for Madras we could not witness the varied forms into which it spread. The train we travelled in was also stoned and throughout India similar occurrences were reported. Mahatma Gandhi, Jawaharlal Nehru and the other leaders were arrested. India was again set on the Gandhian path to freedom.
Features
Who Owns the Clock? The Quiet Politics of Time in Sri Lanka
(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.)
Features
Medicinal drugs for Sri Lanka:The science of safety beyond rhetoric
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
Features
Rebuilding Sri Lanka Through Inclusive Governance
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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