Opinion
Proper procedures to fight Covid pandemic

by SUMINDA S S DHARMASENA
With Covid-19 on the rise again, the people, businesses and government should take necessary steps to curtail it. Everyone involved should assess the risks of contagion and put measures to mitigate the risk. In addition, steps should be taken to traceability of an infected person to an establishment. Also, the public should be empowered to take additional preventative steps, based on the risk.
The government has put in place a legal policy framework to manage the pandemic situation. This merits some improvements. Here are policies and procedures to follow given the threat level. The epidemic threat level advisory for infectious diseases could have the following levels:
Severe (red) – severe risk – full curfew – spread to multiple areas, 5+ level separation from patient zero
High (orange) – high risk – travel is permitted only for essential services, partial curfew hours – on detecting multiple clusters or significant spread, with 3 to 4 level separation from patient zero
Elevated (yellow) – significant risk – in addition, travel is restricted using passes to go to work, restricted travel by ID number for shopping – on detecting 1st cluster with 1 to 2 levels of separation from patient zero
Guarded (blue) – general risk – advise public to curtail travel, disinfection at all establishments, visitor tracking, checking for symptoms of visitors – initially a person is detected in the country
Low (green) – low risk – areas with no threat of infectious disease, hence normal life can continue – no disease in the country or internationally
Each area, district, province should get a threat assessment and the public should be made aware of it through media.
The threat levels and government, organizational and civil procedures should be later codified systematically into pandemic and epidemic preventions laws, taking into account how diseases spread. This should include procedures for airborne, waterborne, contact-based, social and other methods for further disease prevention.
Procedures to Follow
All private and publishing establishments should follow preventive and traceability best practices based on the regional threat assessment.
The best practices that each establishment can follow:
Disinfection
Floors should be moped regularly
All establishments should have a sanitizing footbath mat
All large establishments where people frequent like shopping malls, supermarkets, offices, ministries should have sanitization chamber fitted at the entrance
The door handles should be sanitised after each touch
Pens in supermarkets, banks should be sanitised after each touch
If the establishment has A/Cs or other ventilation systems, disinfectants should be continuously added to the ventilation system so this does not become the means of spreading disease
In shops and stores, customers should be advised to touch only what they intended to buy, and any products which are touched needs to be disinfected. In the case of food products, these should only be handled by staff. For packaged items in shelves, they should be regularly sprayed with non-toxic sanitisers like pure alcohol.
Shopping carts and baskets should be disinfected after each use
Countertops should be disinfected after each customer
Seats should be disinfected after each use in public places and transport
All public vehicles should be fitted with disinfectant misters/foggers at the doors. Supermarkets should ideally be fitted in the aisles with motion sensors or periodic spraying. Similarly for public building and enclosed areas
All taps and disinfectant dispensers at entrances should be by foot or motion or proximity detection
Social Distancing
1m markers should be placed for each queue. The separation between queues should be 1 metre also
For sitting arrangements, there should be an empty with an unmovable dummy box placed on it to promote social distancing. Extra chairs should not be removed. This prevents people from moving the chairs closer to each other, in social gatherings like weddings
Seating areas should be fully partitioned to avoid respiratory droplets spreading and accidental contact. This should extend under the tables as well so there is no accidental contact when once stretchers one’s legs
Retail shops should be encouraged to move to contactless payments and banks replace current cards with contactless cards
Though there is no strong evidence, cash can be a source of infections spreading, hence before recirculation, they should be disinfected using UV lamps
Validations and Calibration – in order to prevent a false sense of safety and the following procedure
All disinfectants should be quality checked to see if they are not adulterated and effective
All equipment should be calibrated to see if they are functioning properly
Tracking
The recording of visitors should be done by a designated person, otherwise, the logbook and pen could be a source of spreading infections
Supermarkets and shops with loyalty programmes can easily use this to track visitors. Therefore, no need to record this in books. But each time one enters and exists one should swipe the card. Shops can work to upgrade the cards or issue new replacement cards to do the tracking
Testing
The testing should be made systematic balancing cost and coverage. Employees and building owners should compile a list of people per floor in the building. At least one person on each floor should be tested per day. Similarly for shops, where each individual gets tested at least once every other month
People taking the same route using public transport should be similarly tested every other month in a systematic way
Information
In order to be extra vigilant and take additional precautions, the public should be given information on which street and area patient lives and
what areas each patient has frequented
The government and media should publicise the best practices followed by various establishments to curtail the current pandemic
Any violation of safety precautions and actions taken should be publicised also
Government action
The government should be swift to take action against any violations of public safety standards
Lack of proper disinfection
Lack of enforcement of social distancing
Lack of contact-free washing facilities
Lack of proper responsible record keeping
Lack of proper calibration checking
The government should expand field offices in the Public Health Inspectors services with latest technologies body cams and ensure most establishments are frequently checked
Checks and raids by Public Health Inspectors should become and common occurrence in schools, government departments, offices and shops
This should continue even after the pandemic situation ends as public safety has no compromise
Lack of public safety should be made a criminal offence
In cases of infectious people visiting a certain place, cellular data can be used to find who else was there at the same time to curtain spreading
Organisational responsibilities
Organisations should be at the forefront of trying to curtail the situation and make aware of the innovative procedures they are follow as a reassurance to workers and the public. Any organisation not following the procedures they purported to follow should be made liable.
All institution should have checkers to visit branch offices and premises to see that the whole organisation adheres to public health standards
Civil liabilities
Make it a civil fundamental right to be in a safe environment at work or as a customer. The public should be given the right to take action if any establishment does not provide a safe environment. Implementation of this right should be well publicised. This would keep more businesses and establishments in check.
Also if anybody gets sick by visiting any establishment which does not provide a safe environment, it should be made liable for damages
These cases should be swiftly dealt with and settles through an appropriate establishment and tribunals bypassing the court system
Having the proper procedures implemented along with the legal framework would to a certain extent help combat the current Covid situation. The government policy at this crucial juncture will decide the fate of the country and its people.
Opinion
Dhammam Saranam

It may hurt our pride, but we must admit that our Buddhist education has failed. It adheres to the tradition of memorizing, especially post canonical poetry and commentaries while discouraging critical thinking. The current sorry state of social institutions is living evidence of that failure. Solutions to chronic problems of this nature will take time to bear results, but there is no better time to act than now. We must teach the future generations, using terms they understand, that Dhamma is a way to see the reality of nature and our place in it, and knowing it with wisdom will allow us to live a happy and successful life here and now. We must stress the fact, and be proud of it, that Dhamma is not only compatible with science, but it is also ahead of our times, a unique feature. Future generations of Sangha must be trained to critically evaluate the utility of prevailing practices that Buddha had rejected. Understanding Dhamma does not have to wait for the arrival of a Buddha who is not even mentioned in the Pali Canon. Let us teach future generations, in their language, that Dhammam Saranam means is to ‘Face life armed with the wisdom of Dhamma, free of baseless beliefs and futile rituals.’
(The first part of this article appeared yesterday)
A third characteristic derived from this first principle has to do with human knowledge, or the way they know about their world. Dhamma describes the cognitive process, or the way humans become aware of their world, using the formula referred to as the Five Aggregates (Pancakkhanda). Dhamma ascribes knowledge to what is acquired through the sense organs consisting of eye, ear, nose, tongue, and the body, and deliberations by mind, which is the sixth sense faculty. The stimuli received by the sense organs (Vedana) are received by the brain in the form of electrochemical signals (Sanna), where that data is interpreted and assembled into mental formations (Sankhara).
The brain is isolated from the outside world and relies solely on the information sent by the sense organs to construct an image of the object or phenomenon that caused the stimulus. There is a major shortcoming in this process. That is, there is no way humans can know how accurately the mind interprets the information in constructing mental images. Humans think they see, hear, taste, smell and feel things, but they only become aware of things. Awareness and reality are not the same, and we have no way of knowing how close the former represents the latter. Furthermore, the sense organs, brain, and its activities, as well as all phenomena the sense organs encounter are in flux. Human sense organs have not evolved to see reality, yet we become aware of our world through this process and get attached to them. Dhamma describes this process, the Five Aggregates, as the human condition, or Dukkha in Pali (Sankittena pancupadanakkhanda dukkha).
These limitations of the human cognitive system that the Buddha described two and half millennia ago, have been confirmed by modern science. Dhamma describes this as a state of ignorance (Avijja). That means humans have no way of knowing how closely the mental construct of their world represents reality. This is a subject of quantum physics as well. Einstein described this condition as an illusion, and he said that the purpose of any religion should be to help humans overcome this condition. That is exactly what Dhamma is about: it considers life, the condition in which humans must deal with things that are in flux and beyond control, while not knowing reality is unsatisfactory. It describes this condition as Dukkha. That does not mean life is misery; there is nothing good or bad about life, life is what it is.
Dhamma does not stop there, it also explains the arising (Samudaya), cessation (Nirodha), and the way to cessation (Magga) of this condition. Teaching describes the cause and condition for human condition as ignorance, and the way to eliminate it is to develop the mind to be able to see things as they really are (yathabutha nanadassana). To know that without doubt, one must experience it, know it without names and labels; and the way to accomplish it is described in the Noble Eight-fold Path, also known as the Middle Path (Majjima Patipada).
In essence, Dhamma can be described as nature, truth, law, and the way things are. That is, the purpose of Dhamma is to see the reality of nature and human’s place in it. There is no mysticism or beliefs involved. What is the significance of understanding the position of humans in nature? The one who knows the way will not go astray!
Since everything is in flux, everything is interconnected. As such, human life depends on everything else in nature, and humans must take that into account in all their actions, talking, and even thinking. The science behind how thinking matters is another fascinating aspect to explore. This is where the Buddhist ethics come into play. Buddhist ethics are not decrees of a superpower, they are a set of guidance or conventions that are in harmony with nature’s way. They allow humans to live a happy, harmonious, and prosperous life here and now and make the planet a safe place for all beings. Look at our country; it is disregarding the ethical behavior that has caused the failure of socio-economic institutions of the country.
Now, we can turn to the second part of the question, what is the meaning of Saranam? Even though it is implied in the goal of Dhamma, it must be clarified whether this constitutes an appeal to an authority to bestow its blessings upon those in need, or if it represents a directive. The Pali-English dictionary translates Saranam as Refuge, Protection, Salvation, and Nirvana. A Pali-Sanskrit scholar who analyses the etymology of the word Saranam explains it as to mean defence, shield, not running away from, and providing protection in a fight (Whelan 2022). This explanation gives a sense of active participation or being the agent of the action instead of being the passive beneficiary of a power, as opposed to what is conveyed by dictionary translations.
Dhammam Saranam Gacchami does not mean passively waiting for some blessing to be bestowed upon us. To reap the benefits of Dhamma, one must understand it and live accordingly. Memorising it or listening to recitations in a now extinct language does not serve the purpose. There is no mystery or higher powers involved. Therefore, this phrase can be interpreted as ‘I face the human condition armed with the wisdom of Dhamma.’
A brief investigation of the reasons for the failure of Buddhist education is warranted here. When the Sangha prioritised learning and memorisation of Dhamma over practice, they did the right thing: Dhamma is preserved and safe. Unfortunately, to fill the void created by lack of interpretation and practice, our ancestors have adopted beliefs, practices, and rituals from other cultures that exist on the island, and it is those complex set of practices developed over centuries that the Westerners labeled as Buddhism. Most alarmingly, the process of adding new rituals continues to date.
Theravada is one tradition, or a school, among thirteen or so existing such traditions. To Sri Lankans, it is of paramount importance; not only that it has become an integral part of our large culture, but it is also the system that ensured the perpetuation of Dhamma and made it available to the world. However, we must have the wisdom and courage to see that the Dhamma and Buddhism are two different things, for Dhamma has no ‘ism’ in it. We must appreciate the origin and purpose of those practices and continue to protect and preserve those that have practical utility but critically evaluate and reject those that are utterly meaningless. The time has come to use the treasure that generations sacrificed blood and sweat to protect, and that is the best way to preserve it.
The Buddha recognised that the goals of the monastics and the laity are different, and he provided different sets of guidance accordingly. Monastics, free of household impediments, strive to reach the highest goal of Dhamma, whereas the laity must endeavor for a happy and prosperous life while fulfilling their responsibilities to the family, society, and Sasana at the same time. Since it has been the monastics who had been the purveyors of Dhamma, those aspects relevant to laity and their life here and now have been overlooked. The entire focus has shifted to the wellbeing in the hereafter at the expense of life here and now. The socio-economic breakdown we struggle with is a direct result of this misguided belief. This is not what the Buddha had advised; his teaching has utility whether one believes in continuity (samsara) or not (Kalama sutta). If we live an ethical and moral life, the benefits will result here and now as well as here after. Sadly, misguided, we have ruined both.
The other reason is giving priority to “the higher doctrine” or Buddhist philosophy in attempts to understand Dhamma. This led modern scholars to analyse Buddhist philosophy from the perspective of Western philosophy in hopes of discovering its empiricism (Tilakaratne 2021). Efforts in this direction have produced great scholarly work that allows the students of higher studies to analyse Dhamma, but they do not help the laypeople to bridge the gap in education. Instead of exegesis, we must rely on Buddha’s teaching itself.
Finally, the language is a major obstacle. We must not overlook the fact that the language and the style of the Pali Canon were meant for the iron age society. The scholarship is valuable only if it results in new thinking or interpretations, but that does not appear to be happening in recent times. We must recognise the value of the language of science as an invaluable tool in this respect. It may not work for all ages, but that is the way to get the message across to technology savvy future generations. What other better way to teach complex concepts like pancakkhanda, the human cognitive process than using science? Once they see the practicality of this approach, the students will embrace their proud heritage for being ahead of time and will turn into explore more complex concepts such as rebecoming (punabbhava) and continuity (samsara), which also can be explained based on scientific observations.
It may hurt our pride, but we must admit that our Buddhist education has failed. It adheres to the tradition of memorizing, especially post canonical poetry and commentaries while discouraging critical thinking. The current sorry state of social institutions is living evidence of that failure. Solutions to chronic problems of this nature will take time to bear results, but there is no better time to act than now. We must teach the future generations, using terms they understand, that Dhamma is a way to see the reality of nature and our place in it, and knowing it with wisdom will allow us to live a happy and successful life here and now. We must stress the fact, and be proud of it, that Dhamma is not only compatible with science, but it is also ahead of our times, a unique feature. Future generations of Sangha must be trained to critically evaluate the utility of prevailing practices that Buddha had rejected. Understanding Dhamma does not have to wait for the arrival of a Buddha who is not even mentioned in the Pali Canon. Let us teach future generations, in their language, that Dhammam Saranam means is to ‘Face life armed with the wisdom of Dhamma, free of baseless beliefs and futile rituals.’
(Concluded)
by Geewananda Gunawardana, Ph.D.
Opinion
Drs. Navaratnam’s consultation fee three rupees NOT Rs. 300

Thank you for publishing the article written by Mr Arjuna Hulugalle on my British Empire Medal award. I appreciate the prominence you have given the accolade, but I just wanted to bring to your notice that there was an incorrect reference to charges for patient consultations made by my late parents Dr and Dr Mrs Navaratnam.
I believe it was a type written error and it should read “to every patient the consultation fee was rupees three (NOT Rs 300.00” as stated in the article). My parents did not believe in taking money from their patients as theirs was a service to humanity, but if they did charge patients it was a nominal fee of three rupees or more often than not free of charge.
I hope you will publish this correction on my behalf as my late parents left a tremendous legacy of humanity, kindness and compassion and this does not reflect what they stood for.
Preshanthi Navaratnam
Opinion
81st Birth Anniversary of Dr. (Mrs.) Dulcie de Silva – A tribute

“In the end, it is not the years in your life that count. It is the life in your years.” — a quote from Abraham Lincoln that offers me a unique perspective to reflect on the life and work of Dr Mrs. Dulcie de Silva, whose 81st birthday falls on May 12, 2025. She is fondly addressed as Dulcie. Her life so far has been full of loving relationships, intellectual curiosity, a strong commitment to helping others, and an interesting career in public health with a focus on training primary healthcare workers. These qualities have made her one of Sri Lanka’s most memorable public health figures in recent times.
Dr de Silva’s move to the Institute of Hygiene Kalutara (now the National Institute of Health Sciences – NIHS) in 1976 as a Medical Officer was a defining moment in her life. That was when she truly embraced public health as her lifelong path. Later, she became part of the faculty, training primary healthcare workers, and stood out as one of its pioneers. She had the good fortune to be mentored by the late Dr Godwin Fernando, who took on the role of Chief Medical Officer of Health Kalutara in 1972. She also worked alongside a passionate group of co-workers from various health fields.
In the early 1970s, public health started going through a major transformation, especially in how front-line health workers were trained. This shift really kicked off when Dr Godwin Fernando became Chief Medical Officer of Health.
The transformation was not easy. It was a tough journey driven by Dr Fernando’s strategies, in partnership with his team — with Dr de Silva playing a key role. There was careful planning and structured roll-outs aimed at addressing the country’s health training needs more effectively. Getting approval from the ministry and cabinet was a major hurdle. Dr Fernando and his team had to navigate uncertainty and challenges to get NIHS recognized as a decentralized unit of the Ministry of Health. He had the willpower and skills to face whatever came his way. “Si vis pacem, para bellum” (If you want peace, prepare for war). Dr Fernando had a rare ability to anticipate the future. He was incredibly resilient — able to adapt, recover, and continue. With these strengths, he led an effort to persuade, negotiate, defend, and compromise in the interest of what became a nationally recognized achievement.
This entire journey gave Dr de Silva the experience to equip herself with future-ready skills and long-term success. She believed that “a vision is not enough; it must be combined with venture. It is not enough to stare up the steps; one must also step upstairs.” She believed bringing new life to your life requires focus, dedication, and emotional energy. She was driven by purpose and eventually became the fifth Director of NIHS in 1997 serving until her retirement in 2004.
The golden years of NIHS began with its full autonomy as a decentralized body under the Ministry of Health. This stage involved major developments in human resources, infrastructure and curriculum redesign, to mention but a few.
From the early 1980s, NIHS took new steps in its training programs. A notable example was the community development project in Adikarigoda, a small village near Kalutara, which became a “community school” offering direct training and research opportunities. Dr Halfdan T. Mahler, then Director-General of the World Health Organization, visited both NIHS and this village in the mid-1980s. He was deeply moved by the sense of unity and spirit there. In appreciation, Dr Mahler made a personal donation to restart a preschool project that had stalled for years. Dr Mahler is known for launching the “Health for All by the Year 2000” strategy.
Dr de Silva had a talent for managing problems. She was a moral compass who made steady, thoughtful decisions. Her leadership style was marked by calm strength, confidence, and consistency. She was known for doing ordinary things in extraordinary ways and following the principle: “Never impose on others what you would not choose for yourself.”
She was an erudite person with immense potential and experience in teaching and learning — providing a dynamic environment that nurtured intellectual curiosity, critical thinking, and ethical leadership. She believed in lifelong learning. “Ancora imparo” (Still, I am learning) — the Italian quote fits her perfectly.
Dr de Silva’s family and social life were filled with joyful moments and admirable qualities. She was always kind-hearted, cheerful, and modest — someone who lived with grace and grit. I remember the birthday parties of our sons and daughters back in the 1970s when we lived in the NIHS quarters. Today, you have your elder sons, daughter, grandchildren, and Mr. Andrew de Silva — once Secretary of Education close to you in your senior years.
You now lead a virtuous family life deeply rooted in religious and spiritual pursuits. “A virtuous wife was one who led the good life. A good laywoman endowed with religious devotion, moral virtues, and openness as well as wisdom and learning and gifting to charity makes success of her life in this very existence.” (Samyutta Nikaya)
Dr de Silva returned to public life though in a limited way after ten years of retirement, as a co-founder of the NIHS Pensioners’ Association, formed in December 2014. She served as its president for nine consecutive years. The association’s mission is to support the health, social, and spiritual needs of its members, while also showing continued loyalty to NIHS. One of its major achievements was naming the NIHS Auditorium as “Dr Godwin Fernando Memorial Auditorium” — a lasting tribute to a public health pioneer. The association celebrated its 10th anniversary in December 2024, marking a significant milestone.
On aging, Dr de Silva believes that with the right attitude and healthy spirit, aging can bring joy and new rewards. She feels positive aging is about being confident, staying active, and living fully.
She has answered some of life’s deepest questions: How should I live my life? For what should I aim? What values should I live by? These are what some call “Socrates questions.”
Dr de Silva has lived a psychologically rich life — never boring, always full of new experiences. She is a rare blend of qualities in one person. She lived authentically and gracefully and is undoubtedly a true legend of our time. Her contributions to public health are clear and lasting.
As she continues her retirement journey, I wish her good health and much joy in the years ahead.
The wonderful memories we share are priceless.
A.K. Seneviratne
A Former Senior Tutor, Public Health
NIHS Kalutara
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