News
No sign of decrease in incidence of chronic kidney disease
By Rathindra Kuruwita
There were 20,000 patients with kidney issues in the Anuradhapura District by 2023, Dr. Nadeesha Wickramaarachchi, Consultant Nephrologist at the Transplant Centre of the Anuradhapura Teaching Hospital said.
She said that over 4,000 people had died between 2019 and 2024 in the District due to kidney diseases.
“About 1,200 new patients were registered with our clinics in the last year. Between 18 and 20 new patients start dialysis each month,” she said.
Chronic Kidney Disease of Unknown Aetiology (CKDu) was prevalent in the North Central province, Dr. Wickramaarachchi said. Despite numerous research, scientists had not yet singled out the cause for CKDu, she said.
“This might be caused by agrochemicals, genetics, heavy metals in water or long term dehydration,” she said.
Dr. Wickramaarachchi said about 40 percent of diabetics suffered from kidney diseases. Most of the kidney patients that came to her were obese, she added.
“Most people don’t care too much about putting on weight, but obesity leads to many diseases. People who have been using painkillers for a long period of time and those who smoke are also more vulnerable to kidney diseases,” she said.
Dr. Wickramaarachchi said kidney patients could control the disease with medication and following the correct lifestyle and food habits.
She said that being properly hydrated was a way to minimise the risk of kidney diseases. A male should drink at least three litres of water a day and a woman 2.5 litres, she said.
“Getting at least 30 minutes of exercise a day is also important,” she said. Dr. Wickramaarachchi added that if kidney diseases could be diagnosed in early stages, they could be treated effectively.
The government spent about Rs 14,000 for each dialysis. If kidney diseases could be diagnosed early they could be controlled and a lot of money saved.
Dr. Maithri Fernando, Consultant Nephrologist at National Nephrology Hospital said the situation in Polonnaruwa was as grave as Anuradhapura. The hospital had 50 dialysis machines, but there was a need for at least 30 more such machines to deal with the large number of kidney patients who needed assistance.
“There are so many new cases, sometimes people have to wait to get a date at the clinic,” he said.
Dr. Fernando said the state conducted a large number of screening programmes for kidney diseases in areas with a high prevalence. People who suspect that they might be prone to the diseases can avail these services, he said.
“Those living in areas with a high prevalence of kidney diseases must get tested twice a year,” he said.
Dr. Fernando said some kidney patients were resorting to shamanic practices and trying other untested herbal medicine. Given that there are now many effective medicines for kidney diseases, there is no need to take a chance, he said.
“We now have a class of drugs known as sodium–glucose cotransporter-2 (SGLT2) inhibitors, which has been hailed as one of the biggest breakthroughs we’ve had for kidney disease in 30 years,” he said.
News
National Audit Office reveals NHSL lapses
Reagent scandal:
Deputy Director of the National Hospital, Dr. Rukshan Bellana, has been interdicted by Health Service Committee (HSC) of the Public Service Commission (PSC) following a preliminary inquiry into several complaints received against him, government sources said.
They said certain matters referred by the Secretary to the Prime Minister Dr. Harini Amarasuriya and Inspector General of Police (IGP) Priyantha Weerasooriya, too, had been taken into consideration.
A Health Ministry official said there was no truth in Dr. Bellana’s claim, as reported in the 30th December edition of The Island, that the Health Ministry had sacked him on the approval of the HSC of the PSC over him taking up the massive Rs 900 mn fraud involving the supply of chemical reagents to the laboratory of the National Hospital of Sri Lanka (NHSL) in Colombo, which is the premier hospital in the country.
Sources said that there was absolutely no basis for this allegation. The official said that Dr. Bellana had been interdicted for issuing statements that caused controversy and turmoil among the public. That’s the most serious offence that had been taken into consideration when the decision to interdict him was taken, sources said. “There will be a spate of charges in the charge sheet to be issued soon.”
The interdiction of medical officers could not be carried out by the Ministry of Health and Mass Media, as the Ministry was not vested with disciplinary authority, sources added.
Dr. Bellana said he stood by what he revealed and had evidence to support his claim.
Health Ministry sources acknowledged that the National Audit Office (NAO) on June 6, 2025, had called for information in respect of chemical reagents procured by the National Hospital Colombo NHSL laboratory from 2022 to 2024.
Responding to another query, sources said that a separate investigation by the Internal Audit of the Ministry of Health was on into issues raised by the Audit query pertaining to the lab of the NHSL.
Having pointed out that the government paid Rs. 894,186,168 (2022), Rs. 713,652,615 (2023) and Rs. 936,152,767, totalling Rs 2,543,991,550 for chemical reagents during that period, NAO sought an explanation from the Health Ministry as to how Rs 12,894,697 worth of chemical reagents past expiry dates were found in six laboratories at NHSL during examination carried out on April 7,8,10,21 and 22 in 2025.
The NAO also raised the failure on the part of the relevant authorities to secure the approval of the Medical Supplies Division (MSD) before placing orders with local suppliers for chemical reagents.
The Health Ministry was questioned over the absence of proper stock keeping regarding Rs 2544 mn worth chemical reagents issued to NHSL laboratories. The NAO ascertained that Financial Regulations 751 had been violated. As a result of the absence of credible stock keeping, the NAO hadn’t been able to ascertain whether shelf-life expired chemical reagents were misused, the government authority stated.
The NAO asked for an explanation regarding the payment of Rs 912,838 over the required amount to a local private supplier (NAO named the supplier) for chemical reagents obtained.
In one of the most serious observations, NAO pointed out that shelf-life expired chemical reagents had been used for tests. The NAO raised this while pointing out the Health Ministry violated a key prerequisite in the procurement of chemical reagents that their shelf life should be at least 85% at the time of receiving consignments. Instead, all stocks procured had less than six months shelf life, NAO stated.
NAO declared that some suppliers refrained from mentioning the date of manufacture and the time of expiry.
The above mentioned were some of the issues that had been raised by Audit Superintendent Y.M. Sugathadasa on behalf of the Auditor General who is the head of the NAO. The post of AG remains vacant since December 8, 2025. Earlier incumbent W.P.C. Wickremeratne retired on April 8, 2025 after having served as AG for several years. President Anura Kumara Dissanayake and the Constitutional Council haven’t been able to reach consensus on a permanent appointment yet.
By Shamindra Ferdinando ✍️
News
NPP’s CMC budget passed after four Opp. members switch allegiance
The Opposition has claimed that the government forced three of its Colombo Municipal Council members to to skip yesterday’s vote on the annual budget of the Council. The three councillors who voted with the SJB-led Opposition on 22 Dec., to defeat the NPP, skipped yesterday’s vote.
Two of them didn’t turn up yesterday while the other one left the Council early, claiming his wife was not well. One of the four SLMC councillors switched his allegiance to the NPP. having voted with the Opposition on 22 Dec.
As a result, the CMC’s annual budget was passed with a majority of two votes.
The budget proposal received 58 votes in favour, while 56 councillors voted against it. Last week, the Opposition obtained 60 votes to defeat it, while the NPP managed to secure only 57.
When the 2026 budget of CMC was first presented to the council on 22 December, 60 councilors voted against it while 57 members voted for the budget.
In the last Local Government Elections, the NPP secured power in the CMC and its mayoral candidate Vraie Cally Balthazar was elected as the Mayor of Colombo by securing 61 votes. (SF)
News
600MW hit to national grid as two Norochcholai units go offline
Sri Lanka’s power system has suffered a major setback with two of the three generators at the coal-fired power plant at Norochcholai going out of service, cutting around 600 megawatts from the national grid, even as Energy Ministry officials stressed yesterday that the issue is minor and fully under control.
One unit has been offline since November for scheduled major maintenance carried out once every three years, while another was shut down following a technical fault in its boiler. As a result, only one generator, at the country’s largest and only coal-fired power station, is currently supplying electricity to the grid.
Despite the sharp reduction in coal-based generation, a senior spokesperson for the Norochcholai Power Plant assured that there would be no disruption to electricity supply, as hydroelectric power generation is being increased to compensate for the temporary shortfall from Norochcholai.
Ministry of Power and Energy officials also confirmed that the situation is not serious and does not pose a risk to the stability of the national grid. “This is a minor technical issue and routine maintenance activity. There is no cause for public concern,” a senior Ministry official said.
Meanwhile, a top official of the Ceylon Electricity Board (CEB) said all three units of the Norochcholai Power Plant are expected to be restored by the first week of January, delivering the full 900MW capacity back to the national grid.
“Current reservoir levels are favourable, allowing us to rely more on hydropower during this period,” the CEB official said, adding that system operations are being closely monitored.
A senior electrical engineer told The Island that one unit had been shut down in November for routine maintenance, while another unit suffered an unexpected breakdown earlier this week. “Such incidents are not unusual in large thermal power stations. Corrective work is already under way and the units will be brought back online as scheduled,” he said.
Norochcholai remains the backbone of Sri Lanka’s base-load electricity generation, and while prolonged outages could place strain on the system during dry periods, officials reiterated that current conditions and contingency measures are adequate to ensure uninterrupted power supply until full operations resume.
By Ifham Nizam ✍️
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