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Review Covid-19 deceased disposal on scientific evidence

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Open letter to Secretary of Health Dr. S. H. Munasinghe

Currently, the only available method of disposal of COVID-19 dead in Sri Lanka is cremation.

The basis to arrive at this decision when the guidelines were prepared was based on the factor that in January/February and early March 2020, the scientific community in Sri Lanka did not have adequate information on the SARS-CoV-2 virus.

Based on this lack of knowledge on the part of Sri Lankan experts in Judicial Medicine, Epidemiology and Microbiology, Sri Lankan health authorities decided to recommend measures to take no chances for the virus to spread from the dead to the living, and thus recommended cremation only, in the absence of conclusive scientific, ethical and moral evidence to do so at the time.

The time elapsed since the identification of the virus in late December 2019/early January 2020, and is now 180 days or approximately six months. In this period, there have been numerous scientific publications on the structure/characteristics (virology), epidemiology and pathophysiology of the SARS-CoV-2 virus.

In this context. it is time to look back at the scientific literature published on the virus with a particular reference to its spread from the dead to the soil, water, and its further spread through soil, water (water table) to the general public, and cause a public health issue in the international and local (Sri Lankan) arenas.

As said before, we do not know the science of the SASR-CoV-2 virus fully. In this massive lacuna of knowledge on the virus, acting in the interest of public health and safety becomes a challenge, and goes beyond hard core science itself. This is because scientists will always have diametrically opposing views with evidence to drive home their hypothesis with passion. This lacuna of knowledge creates a situation where there is a dilemma in terms of the science and the ethics of any and all decisions taken, even with the best of intentions.

In this context, have the decision makers in Sri Lanka paid adequate or indeed any attention to resolve this scientific and ethical dilemma with regards to the issue of final disposal of the dead due to COVID-19 in the accepted ethical scientific manner?

The position of the political leadership of Sri Lanka has always been that they will follow the advice given to them on the disposal of COVID dead by the health authorities. The position of health authorities to arrive at the decision to recommend cremation only has been based on the following three principal reasons:

1. The ‘current’ knowledge on the SARS-CoV- 2 virus is unknown as of now (This statement was made on 13th April 2020 and reiterated on 15th April 2020 at technical meetings held with Health Ministry Officials).

2. The SARS-CoV-2 virus in dead bodies when buried in Sri Lanka can spread to the water table, thus contaminating it and spreading the virus to a large section of the population through water, thus worsening the pandemic situation.

3. Given the militant history of the Sri Lankan Muslims (example sighted was the Easter Sunday Bombings of 21st April 2019) the Sri Lankan Muslims may use the dead body of the COVID-19 person as a Biological Weapon against other Sri Lankan citizens. This statement was publicly repeated by the Health Ministry Official on a BBC television interview a few days later (18th April 2020).

Let’s review the evidence for each of the above as of November 2020.

1. The notion that the dead bodies of Sri Lankan Muslims will be used to extract the virus and weaponize it as Weapon of Mass Destruction (WMD) has not materialized anywhere in the world. The technological and science to even attempt creating a biological weapon using the SARS-CoV-2 virus, is far too complex and advanced to be attempted by extremist Islamic groups operating in Sri Lanka, as per current available intelligence reports. The process of weaponizing the COVID-19 virus will at the minimal require Biological Safety Level (BSL) 3 or above laboratory facilities, and at present only the Medical Research Institute of the Ministry of Health and Universities of Sri Jayewardenepura, Colombo and Peradeniya have BSL 3 level laboratories. No evidence exists that BSL 3 level laboratories exist outside the direct purview and close supervision of the Government of Sri Lanka, and the intelligence and defence establishments. A literature search of the international databases for weaponization of SARS-CoV-2 virus yielded no results. If such a process is indeed available at international level, it has been kept classified out of reach of potential rouge scientists.

2. With regard to the knowledge of the SARS-CoV-2 virus spreading to cause public health issues in countries where burial of such dead bodies has occurred, the international scientific data bases yield no results. The WHO in its “Infection Prevention and Control for the Safe Management of a Dead Body in the Context of COVID-19 – Interim Guidance dated 24th March 2020 and 4th September 2020” clearly recommends burial as an option, after having reviewed all the available scientific, ethical and moral issues related to burial of COVID-19 dead as way back as March 2020. The WHO has not changed its stance on recommending burial as an option for COVID-19 dead to date.

3. A review of the international literature on the mass spreading of the SARS-CoV -2 virus to the ground water table in the international databases, too, yields no results. The WHO and UNICEF publication titled “Water, Sanitation, Hygiene, and Waste Management for the COVID-19 Virus – Interim Guidance dated 19th March 2020, 23rd April 2020 and 29th July 2020” – gives information and recommendations on the issue of contamination of ground water by SARS-CoV-2 virus. An extract from the interim guidance report is given below; (The WHO and UNICEF have not changed their stance on recommending burial as an option for COVID -19 dead to date).

‘Currently, there is no evidence about the survival of the COVID-19 virus in drinking-water or sewage. The morphology and chemical structure of the COVID-19 virus are similar to those of other human coronaviruses for which there are data about both survival in the environment and effective inactivation measures. This document draws upon the evidence base and WHO guidance on how to protect against viruses in sewage and drinking-water. This document will be updated as new information becomes available’.

Given the above, the three principal factors cited by the Sri Lankan health authorities are in direct conflict with international guidelines, and in the situation that no local data has been made available to the scientific community on Sri Lankan studies to confirm the hypothesis given by the Sri Lankan health authorities, there is a clear case for reviewing the decision for cremation only for COVID-19 dead in Sri Lanka.

Furthermore, in an interim guidance dated 4thNovember 2020 tilted Consideration for implementing and adjusting public health and social measures in the context of COVID-19 the WHO has clearly advices member states that such PHSM measures ‘…should be weight against the impact these measures have on societies and individuals. Consideration includes impact on economy, security, mental health and psychosocial well-being, human rights, food security, socioeconomic disparities….’ It summarizes its guidance by stating that ‘the overall health and well-being of communities should therefore be at the forefront of considerations when deciding on implementing phsm.

The continuation of the cremation-only policy for COVID-19 dead is seriously affecting the mental and psychosocial health of 2 million Sri Lankan Muslims, who have accounted for almost 48% of the COVID deaths in Sri Lanka as of 7/11/2020.

The social impact of the cremation of COVID-19 Muslim dead bodies is best summarized by the following statement made by an elderly Muslim gentleman recently:

‘I don’t fear getting Corona at any time anywhere in the world; Nor do I fear dying of Corona anywhere in the world; but I fear of being cremated in Sri Lanka if I die of Corona’.

As we have depicted, and no doubt you as a representative of the people, are fully aware this decision to ONLY allow cremation for COVID -19 death on unsound scientific, medical, ethical and moral grounds, is causing severe mental and psychosocial hardship to the all Sri Lankan Muslims, regardless politics, social status or any other parameter.

We have been making scientific, medical, and political representation since March 2020 to the Sri Lankan government to at the very least review the cremation only policy, and include the burial option for COVID -19 dead, to no avail.

Hence, we as an integral part of the citizenry of Sri Lanka, have now to resort to pleading to the authorities on humanitarian grounds and grounds of sympathy, for the government of Sri Lanka to very kindly consider reviewing the decision to continue with the cremation only policy for the COVID-19.

We sincerely hope that you will facilitate the necessary scientific and administrative process to be put in place to review the current cremation only policy for COVID-19 dead in Sri Lanka, based on the review of the facts presented.

 

PATRIOTIC SRI LANKAN

MUSLIMS



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Opinion

LSSP @ 90: The Sama Samaja Role in Constitutional Issues

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On the occasion of the ninetieth anniversary of the Lanka Sama Samaja Party (LSSP), this article highlights the party’s positions on constitutional matters. When the LSSP was founded, it had two primary objectives: obtaining complete political independence for Sri Lanka and building a socialist society. The first of these was achieved in two stages. The LSSP directly contributed to achieving semi-independence in 1948 through its anti-imperialist struggle and full political independence in 1972. The second objective remains a distant goal.

Citizenship Act

In the very second year after independence, the D. S. Senanayake government acted to deny citizenship to the Hill-Country Tamil community and, consequently, deprived them of voting rights. In the 1947 election, many Hill-Country Tamils—who voted as British subjects—were inclined toward the Left, and especially toward the Sama Samaja Party. In that election, the Ceylon Indian Congress won seven seats, and with the support of plantation workers in areas where they were numerous, several left-wing candidates were also elected.

Seeing the long-term danger in this alliance, the Sri Lankan capitalist class ensured that the Citizenship Act defined the term “citizen” in a way that denied citizenship to hundreds of thousands of Hill-Country Tamil people. As a result, they also lost their voting rights. At that time, it was the Left, led by the Sama Samaja Party, that opposed this.

While the Tamil Congress, a coalition partner of the government at the time, voted in favour of the legislation, S.J.V. Chelvanayakam stated that the inability of Tamil leaders to protect their cousins—the Hill-Country Tamil community—showed that being a partner in a Colombo-based government brought no benefit to minority groups. He argued that the lesson to be learned was the need for self-government in the regions where they lived. Chelvanayakam’s founding of the Federal Party was one consequence of this process.

Although section 29 of the 1947 Constitution purported protection by providing that no law shall make persons of any community or religion liable to disabilities or restrictions to which persons of other communities or religions are not made liable, neither the Supreme Court of Ceylon nor the Privy Council in England, which was then the country’s highest appellate court, afforded any relief to the Hill-Country Tamil community.

Parity of Status for Sinhala and Tamil and the Ethnic Issue

When the UNP and the SLFP, both of which had previously agreed to grant equal status to the Sinhala and Tamil languages, reversed their positions in 1955 and supported making Sinhala the sole official language, the LSSP stood firmly by its policy of parity. Earlier, when a group of Buddhist monks met N. M. Perera and told him they were prepared to make him Prime Minister if he agreed to make Sinhala the only official language, he rejected the proposal. Had the country heeded Colvin R. de Silva’s famous warning— “One language, two countries; two languages, one country”—the separatist war might have been averted. Because the Left refused to be opportunistic, it lost public support.

During the 1956 debate on the Official Language Bill, Panadura LSSP MP Leslie Goonewardene warned: “The possibility of communal riots is not the only danger I am referring to. There is the graver danger of the division of the country; we must remember that the Northern and Eastern provinces of Ceylon are inhabited principally by Tamil-speaking people, and if those people feel that a grave, irreparable injustice is done to them, there is a possibility of their deciding even to break away from the rest of the country. In fact, there is already a section of political opinion among the Tamil-speaking people which is openly advocating the course of action.” It is an irony of history that Sinhala was designated the sole official language in 1956, yet in 1987, both languages were formally recognised as official.

1972 Republican Constitution

Colvin’s contribution to the making of the 1972 Republican Constitution, which severed Sri Lanka’s political ties with Britain, was immense. Preserving the parliamentary system, recognising fundamental rights, and incorporating directive principles of state policy that supported social justice were further achievements of that Constitution. It also had its weaknesses, and any effort to assign full responsibility for them to Colvin must also be addressed.

In the booklet that he wrote on the 1972 Constitution, he said the following regarding the place given to Buddhism: “I believe in a secular state. But you know, when Constitutions are made by Constituent Assemblies, they are not made by the Minister of Constitutional Affairs.” What he meant was that the final outcome reflected the balance of power within the Constituent Assembly. As a contributor to constitution drafting, this writer’s experience confirms that while drafters do have a role, the final outcome on controversial issues depends on the political forces involved and mirrors the resultant of those forces.

In fact, the original proposal approved by the Constituent Assembly was that Buddhism should be given its “rightful place” as the religion of the majority. However, the subcommittee on religion, chaired by Prime Minister Sirimavo Bandaranaike, changed this to “foremost place.” It is believed that her view was influenced by the fact that one of her ancestors had signed the 1815 Kandyan Convention, in which Buddhism was declared inviolable, and the British undertook to maintain and protect its rites, ministers, and places of worship.

As Dr Nihal Jayawickrama, a member of the committee that drafted the 1972 Constitution, has written, the original draft prepared by Colvin did not describe Sri Lanka as a unitary state. However, Minister Felix Dias Bandaranaike proposed that the country be declared a “unitary state”. Colvin’s view was that, while the proposed constitution would have a unitary structure, unitary constitutions could vary substantially in form and, therefore, flexibility should be allowed. Nevertheless, the proposed phrase found its way to the final draft. “In the course of time, this impetuous, ill-considered, wholly unnecessary embellishment has reached the proportions of a battle cry of individuals and groups who seek to achieve a homogenous Sinhalese state on this island”, Dr Jayawickrama observed.

Indeed, the failure of the 1972 Constitution to make both Sinhala and Tamil official languages was a defeat for the Left. Allowing the use of Tamil in the courts of the Northern and Eastern Provinces and granting the right to obtain Tamil translations in any court in the country were only small achievements.

Devolution

The original Tamil demand was for constitutionally guaranteed representation in the legislature. Given that, in the early stages, they showed greater willingness to share power at the centre than to pursue regional self-government, it is not surprising that the Left believed that ethnic harmony could be ensured through equality. After the conflict escalated, N. M. Perera, now convinced that regional autonomy was the answer to the conflict, wrote in a collection of essays published a few months before his death: “Unfortunately, by the time the pro-Sinhala leaders hobbled along, the young extremists had taken the lead in demanding a separate State. (…) What might have satisfied the Tamil community twenty years back cannot be adequate twenty years later. Other concessions along the lines of regional autonomy will have to be in the offing if healthy and harmonious relations are to be regained.”

After N. M.’s death, his followers continued to advance the proposal for regional self-government. At the All-Party Conference convened after the painful experiences of July 1983, Colvin declared that the ethnic question was “a problem of the Sri Lanka nation and state and not a problem of just this community or that community.” While reaffirming the LSSP’s position that Sri Lanka must remain a single country with a single state, he emphasised that with Tamils living in considerable numbers in a contiguous territory, the state as presently organised does not serve the purposes it should serve, especially in the field of equality of status in relation to the state, the nation and the government. The Left supported the Thirteenth Amendment in principle. More than 200 leftists, including Vijaya Kumaratunga, paid the price with their lives for doing so, 25 of whom were Samasamajists. The All-Party Representatives Committee appointed by President Mahinda Rajapaksa and chaired by LSSP Minister Tissa Vitharana, proposed extensive devolution of power within an undivided country.

Abolishing the Executive Presidency

It is unsurprising that N. M. Perera, who possessed exceptional knowledge of parliamentary procedure worldwide and was one of the finest parliamentarians, was a staunch defender of the parliamentary system. In his collection of essays on the 1978 Constitution, N. M. noted that the parliamentary form of government had worked for thirty years in Sri Lanka with a degree of success that had surprised many Western observers. Today, that book has become a handbook for advocates of abolishing the executive presidency. The Left has consistently and unwaveringly supported the abolition of the executive presidential system, and the Lanka Sama Samaja Party has contributed significantly to this effort.

The National People’s Power, in its presidential election manifesto, promised a new constitution that would abolish the executive presidency, devolve power to provinces, districts, and local authorities, and grant all communities a share in governance. However, there appears to be no preparation underway to fulfil these promises. It is the duty of the Left to press for their implementation.

In an article published in The Island on June 6 this year, to commemorate N. M. Perera’s 120th birth anniversary, the writer wrote: “The Left may be weaker and fragmented; nevertheless, the relevance and need for a Left alternative persist. If the LSSP can celebrate its 90th anniversary as a reunited party, that could pave the way for a stronger and united Left as well. Such a development would be the best way to honour NM and other pioneering leaders of the Left.” It is encouraging that some discussion on this matter has now emerged. Merely discussing the history of the LSSP and the Left is insufficient; action is required. It is the duty of leftists to disprove Bernard Soysa’s sarcastic remark, “left activists are good at fighting for the crown that does not exist.”

by (Dr) Jayampathy Wickramaratne,
President’s Counsel

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Opinion

A harsh reflection of Sri Lanka’s early-warning gap

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Floods caused by Cyclone Ditwah

Cyclone Ditwah:

Cyclone Ditwah, which swept across Sri Lanka at the end of November, caused massive damage to the country, the extent of which need not be mentioned here, as all are aware of it by now. Heated arguments went on among many parties with regard to how this destruction could have been mitigated and who should take responsibility. Although there may have been shortcomings in several aspects of how we responded to Ditwah, this article highlights a critical area that urgently requires attention if we are to protect ourselves from similar hazards in the future.

As is common in many situations, it has once again showcased a concerning weakness in the country’s disaster-management cycle, the gap between issuing early warnings and the expected public response. The Meteorological Department, the Irrigation Department, the National Building Research Organization, and other authorities issued continuous warnings to evacuate well in advance of imminent threats of flooding, landslides, and water hazards. However, the level of preparedness and community reaction fell short, leading to far greater personal property damage, including loss of a few hundred lives.

Sri Lanka is not unfamiliar with natural disasters. One of the most devastating disasters in our history could be considered the 2004 Tsunami event, which resulted in over 35,000 deaths and over $1 billion in property damage in the coastal belt. After the event, the concepts of disaster management were introduced to the country, which we have been adhering to since then. Again in 2016, the country faced massive river flooding, especially in western and southern regions, and until recently experienced repeated floods and landslides due to rains caused by atmospheric disturbances, though less in scale. Each of these events paved the way for relevant authorities to discuss and take appropriate measures on institutional readiness, infrastructure resilience, and public awareness. Yet, Cyclone Ditwah has demonstrated that despite improvements in forecasting and communication, well supported by technological advancements, the translation of warnings into action remains critically weak.

The success of early-warning systems depends on how quickly and effectively the public and relevant institutions respond. In the case of Ditwah, the Department of Meteorology issued warnings several days beforehand, supported by regional cyclone forecasting of neighbouring countries. Other organisations previously mentioned circulated advisories with regard to expected flood risk and possible landslide threats on television, radio, and social media, with continuous updates. All the flood warnings were more than accurate, as low-lying areas were affected by floods with anticipated heights and times. Landslide risks, too, were well-informed for many areas on a larger spatial scale, presumably due to the practical difficulties of identifying such areas on a minor scale, given that micro-topography in hill country is susceptible to localised failures. Hence, the technical side of the early-warning system worked as it should have. However, it is pathetic that the response from the public did not align with the risk communicated in most areas.

In many affected areas, people may have underestimated the severity of the hazard based on their past experiences. In a country where weather hazards are common, some may have treated the warnings as routine messages they hear day by day. As all the warnings do not end up in severe outcomes, some may have disregarded them as futile. In the meantime, there can be yet another segment of the population that did not have adequate knowledge and guidance on what specific actions to take after receiving a warning. This could especially happen if the responsible authorities lack necessary preparedness plans. Whatever the case may be, lapses in response to early warnings magnified the cyclone’s impact.

Enforcing preventive actions by authorities has certain limitations. In some areas, even the police struggled to move people from vulnerable areas owing to community resistance. This could be partly due to a lack of temporary accommodation prepared in advance. In some cases, communities were reluctant to relocate due to concerns over safety, privacy, and the status quo. However, it should be noted that people living in low-lying areas of the Kelani River and Attanagalu Oya had ample time to evacuate with their valuable belongings.

Hazard warnings are technical outputs of various models. For them to be effective, the public must understand them, trust them, and take appropriate action as instructed. This requires continuous community engagement, education, and preparedness training. Sri Lanka must therefore take more actions on community-level disaster preparedness programs. A culture of preparedness is the need of the day, and schools, religious institutions, and community-based organisations can play an important role in making it a reality. Risk communication must be further simplified so that people can easily understand what they should do at different alert levels.

Cyclone Ditwah has left, giving us a strong message. Even an accurate weather forecast and associated hazard warnings cannot save lives or property unless the public responds appropriately. As it is beyond doubt that climate change intensifies the frequency and severity of extreme weather events, people in Sri Lanka have to consider preparedness as a routine part of life and respond to warnings promptly to mitigate damage from future disasters.

(The writer is a chartered Civil Engineer)

by Eng. Thushara Dissanayake

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Opinion

Feeling sad and blue?

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Rowan Atkinson

Here is what you can do!

Comedy and the ability to have a good laugh are what keep us sane. The good news to announce is that there are many British and American comedy shows posted up and available on the internet.

They will bring a few hours of welcome relief from our present doldrums.

Firstly, and in a class of its own, are the many Benny Hill shows. Benny is a British comedian who comes from a circus family, and was brought up in an atmosphere of circus clowning. Each show is carefully polished and rehearsed to get the comedy across and understood successfully. These clips have the most beautiful stage props and settings with suitable, amusing costumes. This is really good comedy for the mature, older viewer.

Benny Hill has produced shows that are “Master-Class” in quality adult entertainment. All his shows are good.

Then comes the “Not the Nine o’clock news” with Rowan Atkinson and his comedy team producing good entertainment suitable for all.

And then comes the “Two Ronnies” – Ronnie Barker and Ronnie Corbett, with their dry sense of humour and wit. Search and you will find other uplifting shows such as Dave Allen, with his monologues and humour.

All these shows have been broadcast in Britain over the last 50 years and are well worth viewing on the Internet.

Similarly, in The USA of America. There are some really great entertainment shows. And never forget Fats Waller in the film “Stormy Weather,” where he was the pianist in the unforgettable, epic, comedy song “Ain’t Misbehavin”. And then there is “Bewitched” with young and glamorous Samantha Stevens and her mother, Endora who can perform magic. It is amazing entertainment! This show, although from the 1970s was a milestone in US light entertainment, along with many more.

And do not overlook Charlie Chaplin and Laurel and Hardy, and all the Disney films. Donald Duck gives us a great wealth of simple comedy.

The US offers you a mountain of comedy and good humour on Youtube. All these shows await you, just by accessing the Internet! The internet channel, ‘You tube’ itself, comes from America! The Americans reach out to you with good, happy things right into your own living room!

Those few people with the ability to understand English have the key to a great- great storehouse of uplifting humour and entertainment. They are rich indeed!

Priyantha Hettige

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