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
Merchant Shipping Secretariat probes bribery scandal
… bribe giver departs Colombo port
The Merchant Shipping Secretariat (MSS) is investigating a complaint received from the Captain of an Indonesian flagged vessel Sensho that he had to pay an official USD 5,000 bribe to facilitate what our sources called port state control inspection.
Sources said that the cement carrier arrived at the Colombo Port, on Friday, and departed after having passed the rigorous inspection. Responding to queries, sources said that after paying the bribe, the vessel’s Captain has lodged complaints with MSS and the Commission to Investigate Allegation of Bribery or Corruption (CIABOC).
In spite of the government’s high profile anti-corruption drive there seemed to be fresh cases, sources said, adding that MSS had received a comprehensive complaint. The vessel had departed Colombo for Jeddah, sources said.
“The issue at hand is whether there have been unreported cases of MSS personnel receiving bribes,” sources said, acknowledging that the Captain, instead of immediately bringing the demand for USD 5,000 bribe to the MSS, had paid it and departed Colombo. (SF)
News
Theft of USD 2.5 mn: Dinana Dakuna claims COPF trying to protect mastermind
An opposition political group, styled as Dinana Dakuna, has accused the Committee of Public Finance (COPF) of protecting the masterminds behind the USD 2.5 mn theft from the Treasury.
Commenting on the recent COPF report on the theft, the group has alleged that the all-party parliamentary grouping made an attempt to shift the blame to the Central Bank as part of a cover-up. It has described the COPF report as a deliberate attempt to suppress the truth.
The group said that the COPF conveniently asserted that the theft took place due to the inexperience of officers concerned, thereby diverting the attention from those who perpetrated it.
An alleged attempt to portray the collapse of the administrative set-up that led to the USD 2.5 mn theft as a human resource problem, has also been questioned by Dinana Dakuna.
News
COPF chief slams security sticker scam
The country was losing so much revenue due to the controversial liquor bottle security sticker scam that if tangible measures were taken to stop the fraud, they could fund about eight projects on the scale of the Suwaseriya ambulance service, Chairman of the Committee on Public Finance (COPF) and Colombo District MP Dr. Harsha de Silva said on Saturday.
Addressing the media in Colombo, Dr. de Silva described the security sticker, introduced for alcoholic beverages, as a “major scam” and called on the government to act responsibly when the current tender is renewed in 2027.
The former State Minister said the security sticker system had originally been introduced with the legitimate objective of improving tax compliance and preventing excise duty evasion in the liquor industry. However, he alleged that the manner in which the programme is currently being implemented was resulting in significant losses to the State.
According to Dr. de Silva, the government pays an Indian company US$8 for the digital printing of every 1,000 security stickers, although the actual cost of printing the same quantity is only about 12 US cents.
“The money being lost through this scheme is sufficient to finance around eight Suwaseriya-type projects,” he said, highlighting, what he described as, the excessive cost burden borne by the State.
Dr. de Silva noted that the high taxes imposed on alcoholic beverages had created incentives for manufacturers, distributors and liquor outlet owners to evade taxes, making a security sticker mechanism a necessary regulatory tool.
He said the proposal to introduce security stickers was first put forward during the Yahapalana administration in 2016.
The tender process commenced in 2017, was concluded in 2018 and the system was eventually implemented in 2023. The COPF Chairman said his Committee had recently undertaken an extensive review of excise revenue and the operation of the security sticker programme.
During the inquiry, it emerged that the Excise Department still lacked a computerised system capable of recording and managing data, related to the stickers, despite their importance to government revenue collection.
Dr. de Silva further said that Excise Department officials, who appeared before the Committee on Public Finance, had maintained that no fraud was taking place in relation to the sticker programme.
However, he expressed concern over the subsequent seizure of a stock of security stickers, in Malabe, only days after those assurances had been given.
He questioned whether stickers recovered during raids were genuine labels, legally obtained from the authorised supplier, or counterfeit versions, printed illegally, arguing that either possibility pointed to serious shortcomings in a system intended to guarantee security and traceability.
Dr. de Silva also referred to media reports concerning the company awarded the security sticker tender and allegations of fraudulent activities linked to the firm in several other countries.
He urged authorities to ensure greater transparency and accountability in the management of the programme and to carefully scrutinise the tender process when it comes up for renewal next year.
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