Features
Sepsis: Just Ask—Could It Be Sepsis?
Sepsis is a serious, potentially life-threatening condition that requires urgent medical attention. Despite its prevalence, sepsis remains one of the most under-recognized illnesses in both developing and developed countries.
The Global Sepsis Alliance (GSA)—a non-profit organization—provides global leadership in efforts to reduce the burden of sepsis worldwide. GSA has designated September 13th as World Sepsis Day, and various awareness initiatives are carried out throughout the month to educate the public, healthcare professionals, and policymakers about the signs, symptoms, and importance of timely intervention for sepsis.
In 2017, the World Health Organization (WHO) with the World Health Assembly recognized sepsis as a global health crisis and declared sepsis as a global health priority.
In Sri Lanka, the College of Anaesthesiologists and Intensivists of Sri Lanka (COAISL), in collaboration with the Sri Lanka Sepsis Alliance (SLSA), has organized numerous educational campaigns aimed at raising awareness among both healthcare providers and the public.
The Critical Importance of Awareness: Why Understanding Sepsis Matters
Understanding sepsis is crucial due to its devastating impact on global health. According to the Global Sepsis Alliance, sepsis affects 47 to 50 million people annually, causing at least 11 million deaths—or roughly one death every 2.8 seconds. Alarmingly, 1 in 5 deaths worldwide is associated with sepsis.
Beyond mortality, survivors often face long-term health complications. Recognizing sepsis early and ensuring prompt medical care can save lives and significantly reduce long-term disability.
What Is Sepsis?
Sepsis is a life-threatening medical emergency that arises when the body’s response to an infection becomes dysregulated. Rather than fighting off harmful microorganisms, the immune system begins to attack its own tissues and organs —including the heart, lungs, brain, kidneys, and liver.
If not recognized early and untreated, sepsis can progress to septic shock, a critical condition where blood pressure drops dangerously low levels, reducing blood flow to vital organs. Even with treatment, 40% of patients with septic shock do not survive.
Unmasking the Hidden Culprits: What Causes Sepsis?
Sepsis can be triggered by various infections caused by bacteria, viruses, fungi, or parasites. Common infections include:
· Pneumonia
· Abdominal infections (e.g., appendicitis)
· Urinary tract infections (UTIs)
· Meningitis
· Skin and soft tissue infections
Fungal infections, particularly in immunocompromised individuals, and severe viral infections (such as influenza) can also lead to sepsis. These infections can trigger an overwhelming immune response, causing systemic inflammation and life-threatening complications if not treated promptly.
Recognizing the Symptoms
Early recognition is vital. Symptoms of sepsis often mimic other conditions. So vigilance is important, especially if an infection is already present.
Use the acronym “SEPSIS” to remember the warning signs:
· S – Slurred speech or confusion
· E – Extreme shivering, muscle pain, or fever
· P – Passing no urine in a day
· S – Severe breathlessness
· I – “It feels like you are going to die”
· S – Skin mottled or discoloured
Sepsis can progress rapidly. Early administration of antibiotics and supportive care dramatically improves the chances of survival.
Who Is at Risk?
Sepsis can affect anyone, but certain groups are at higher risk:
· People with long term illnesses (e.g., heart, lung, liver, or kidney disease)
· Individuals with weakened immune systems (e.g., due to diabetes, cancer, HIV/AIDS, or those without a spleen)
· Infants (under 1 year of age)
· Elderly (individuals over 60)
· Pregnant women
· Those with recent infections or surgeries
What to Do If You Suspect Sepsis
If you or someone you know shows symptoms of sepsis, seek emergency medical care immediately.
Healthcare professionals will assess vital signs—heart rate, blood pressure, oxygen levels, and respiratory rate. If sepsis is suspected or confirmed, hospital admission is likely.
Early treatment is essential. The first hour of sepsis management is often referred to as the “golden hour”, during which timely intervention is life-saving.
What Happens in the Hospital?
Once admitted, patients receive immediate care, which include:
· Collection of samples (blood, urine, sputum) to identify the source of infection and assess organ function
· Strong antibiotics to treat the underlying infection
· Intravenous fluids to maintain blood pressure and hydration
· Medications to support blood pressure and organ function
· Admission to the ICU for critically ill patients requiring advanced support/care
Complications of Sepsis
Without timely treatment, sepsis can lead to septic shock and multi-organ failure including kidney or liver failure, brain dysfunction and breathing difficulties.
Even with treatment, survivors may experience long-term complications, such as physical disability, chronic health issues or cognitive impairment.
Unfortunately, despite optimal treatment and care some patients continue to deteriorate, leading to death.
Life After Sepsis: Understanding Post-Sepsis Syndrome
Survivors of sepsis often suffer from Post-Sepsis Syndrome, which includes:
· Persistent fatigue and weakness
· Memory problems and difficulty in concentration
· Anxiety, depression, and sleep disturbances
These effects can significantly reduce quality of life, highlighting the importance of ongoing support and rehabilitation post-recovery.
Preventing Sepsis
While not all cases are preventable, you can reduce your risk with simple actions:
· Practice good hygiene: Wash hands regularly
· Stay up to date with vaccinations: Especially for flu, pneumonia and other preventable diseases
· Manage chronic conditions effectively
· Care for wounds properly: Clean and monitor for signs of infection
· Seek timely medical help: Don’t ignore symptoms of infection
How You Can Make a Difference
This World Sepsis Day, take time to:
· Educate yourself and others about sepsis
· Share awareness materials with family, friends, and your community
· Support sepsis advocacy groups through donations, volunteering, or by spreading their message
Awareness saves lives. The earlier sepsis is recognized and treated, the better the outcome.
Conclusion
World Sepsis Day serves as a powerful reminder of the need for global awareness and timely action.
The Sri Lanka Sepsis Alliance (SLSA) was launched in 2023, as a member of the Global Sepsis Alliance, in collaboration with the College of Anaesthesiologists and Intensivists of Sri Lanka (COAISL), the Sri Lanka College of Microbiologists (SLCM), and the Ministry of Health, Sri Lanka. Their shared mission is to reduce the burden of sepsis in the country through aeducation, advocacy, and research.
On September 13th—and every day—let us commit to educating public, fighting sepsis and saving lives.
Together, let’s: Recognize Early … Act Swiftly … Save Lives.
(Pictures: Global Sepsis Alliance)
by Dr. Anjalee De Silva, Dr. Thusitha Jayathilake, Dr. Abdus Sukoor, Dr. Vijayashakthy Sivasankar, Dr. Nandika Wanigasinghe ✍️
College of Anaesthesiologists and Intensivists of Sri Lanka
Features
The challenge of being positive about SAARC
It was a few years back that a former President of Sri Lanka took it on himself to pronounce SAARC ‘dead’. Since then there have been other sections of Sri Lankan opinion that have joined the critics of SAARC and taken the solemn stance that SAARC has indeed died what may be called a natural death.
Their fatalism is understandable. SAARC has failed to meet at heads of government or state level for the past several years to take the SAARC process notably forward. Regional cooperation has more or less been only an appealing idea. No substantive concrete projects have taken off to make the idea a hard reality. ‘Inner paralysis’ seems to be SAARC’s lot. Hence the fatalism in these circles.
However, being one of the worst cash-strapped regions of the world and a teemingly populated one with people virtually left to their devices, what choices do the ‘SAARC Eight’ have other than to try their best to band together and continue with their cooperation efforts, however small they may be?
There is no escaping the mounting debt trap for many of these countries and bankrupt Sri Lanka is a glaring example, but ‘throwing in the towel’ and abandoning themselves entirely to the diktats of the strongest economies and their agencies will prove a ‘living death’ for many countries in the SAARC fold.
The gains may be meagre but giving-up on SAARC cooperation in full would prove self-defeating for the organization and South Asia. Right now, the collective intention ought to be to salvage what the region could from the tenuous cooperative efforts. Moreover, such initiatives could go some distance to generate a degree of goodwill among the Eight and help in sustaining a dialogue process.
Given this backdrop it proved ‘a stich in time’ for the Regional Centre for Strategic Studies (RCSS), Colombo, to recently host the SAARC Secretary General Ambassador Md. Golam Sarwar to a round table discussion on the unifying potential of SAARC and its future possibilities, besides other related issue areas.
Held on June 24th and moderated by RCSS Executive Director and former ambassador Ravinatha Aryasinha, the forum brought together a vibrant, wide ranging audience comprising academicians, diplomats, senior public servants, civil society activists and many others. Following the presentation by Ambassador Golam Sarwar titled, ‘Reigniting SAARC: Achievements, Challenges and the Way Ahead’, a lively Q&A followed.
The above forum could be described as an act of lighting the proverbial ‘candle’ rather than ‘cursing the darkness.’ It surely is a ‘darkness’ that could be seen as daunting considering that the region’s pivotal powers, India and Pakistan, are failing to act in a spirit of accord but are engaged in bitter finger-pointing on a number of questions of vital importance to SAARC.
On the other hand, what is the rest of the region doing to bring the above sides together? It is disappointing that to date the rest of SAARC has failed to launch a major diplomatic drive to bring peace between the feuding regional heavyweights. It needs to act without delay and establish its earnestness and this effort would need to prove SAARC’s staying power in the unfolding months and even years.
In assessing SAARC’s seeming failure local opinion in particular has failed to factor in what could be described as weak leadership. Since Sheikh Mujibur Rahman of Bangladesh, the founding father of SAARC, the region has failed to produce a visionary leader who could advance the SAARC cause with charisma and drive.
Among other reasons, weak leadership accounts considerably for the faltering and stuttering status, as it were, of SAARC. Badly needed are leaders who could go the extra mile, think less of narrow national interests and work diligently towards the collective well being of the region but SAARC’s millions of ordinary people have been made to wait in vain for leaders of such stature. Instead, they have been burdened with politicians who seem to be relishing the apparently moribund state of SAARC.
Looking back, it could be said that it was the dynamic leadership factor that led to the launching of the Non-Aligned Movement and for its sustenance for a few decades. True, it could be seen in some quarters that NAM is no more, but as in the case of SAARC, the former too has been unfortunate to be burdened over the years with politicians who lack the vision and drive to unflaggingly advance the fortunes of the South. NAM and SAARC lack the dynamism and vision of leaders of the stature of Jawaharlal Nehru, for example, to give them the required guidance and intellectual depth.
The reasons are complex for there not being among us currently political leaders with the vision and the steadfast commitment to advance the legitimate interests of the South. However, it could be stated with conviction that the majority of Southern leaders have too easily caved in to the demands of the global North and its financial agencies.
These leaders have failed to see, for instance, that the largely market economy oriented Northern governments would not view with favour a centrist economic model that attaches priority to the interests of the dis-empowered publics of the South. This realization ought to have dawned on the current government in Sri Lanka, for instance, some while ago but it has no choice but to abide by IMF dictates since economic survival at present is unthinkable without the latter’s succour.
Accordingly for SAARC this should be the time for some soul-searching. Priority needs to be attached to ending the feuding between India and Pakistan since at present the material fortunes of the region hinge largely on these regional giants giving peaceful relations among them a try. This is no easy challenge to meet but some daring, visionary diplomacy needs to take hold among the rest of SAARC.
There is some sense in SAARC bringing the peoples of the region together through programs that address their best collective interests. A meeting of minds among SAARC nations could enable SAARC and its agencies to build a region-wide people’s movement for progressive political and economic change that could in turn lead to the region’s political leaders sensitizing themselves more to the neglected needs of their publics.
However, the time is ‘now’ for the initiation of these progressive changes and the voice of SAARC well wishers would need to drown out those of their critics.
Features
OPA seminar examines Sri Lanka’s economic recovery, resilience and growth pathways
A seminar, “Sri Lanka’s Economic Crossroads: Navigating Recovery, Resilience and Growth” was recently held by the Organisation of Professional Associations of Sri Lanka (OPA) at the OPA Auditorium, bringing together economists, OPA members, and professionals from diverse fields for an insightful discussion on Sri Lanka’s economic recovery and future growth prospects.
The event was held under the patronage of Jayantha Gallehewa, President of the OPA, and was jointly organised by the National Issues Committee (NIC) and the Seminars, Workshops and Programmes Committee of the OPA. The event reaffirmed the organisation’s commitment to advancing professional excellence, fostering insightful intellectual engagement, facilitating interdisciplinary knowledge exchange and creating a constructive platform for informed dialogue on issues of national importance.
The panel of speakers comprised Dr. Harsha Aturupane, Lead Economist and Programme Leader for Human Development at the World Bank for Sri Lanka and the Maldives; Dr. Achinthya Koswatta, Senior Lecturer in Economics at the Open University of Sri Lanka, and Anushan Kapilan, Lead Economist at Verité Research.
In his welcome address, the President of the OPA emphasised that Sri Lanka was at a critical juncture in its economic recovery journey where sustained reforms, effective implementation, and collective national commitment are essential to achieving long-term stability, resilience and inclusive growth. He noted that the country had experienced one of the most severe economic crises in its history with the economy contracting by 7.8 percent in 2022 and a further 11.5 percent in 2023, resulting in significant economic and social challenges.
Delivering his introductory remarks Bhanu Wijeyaratne, Vice President of the OPA and Chairman of the National Issues Committee, underscored the need to move beyond short-term economic stabilisation towards a comprehensive agenda of structural transformation. He observed that the economic crisis had revealed deep-rooted weaknesses within the economy, including persistent fiscal pressures, rising public debt, foreign exchange limitations, and insufficient diversification of the export base. He stressed that addressing these challenges through strategic reforms, institutional strengthening and long-term economic planning would be essential to establishing a more resilient and competitive economy.
While acknowledging recent positive developments, including improved inflation management, tourism recovery and signs of economic stabilisation, Wijeyaratne stressed the need to advance reforms aimed at strengthening fiscal discipline, enhancing productivity, improving competitiveness, developing human capital and reinforcing governance and institutional effectiveness.
He further highlighted the important role of professionals, businesses, academia and other stakeholders in contributing to evidence-based dialogue and supporting Sri Lanka’s journey towards a resilient, inclusive and sustainable economic future.
Delivering the keynote presentation, Dr. Harsha Aturupane provided a comprehensive assessment of Sri Lanka’s economic prospects within the broader context of global economic transformation. He argued that Sri Lanka functioned as a small open economy whose performance is significantly influenced by developments in the global marketplace. External factors could not be controlled, and the country must strengthen its domestic capacity and resilience to respond effectively to international economic shifts, he noted.
Tracing the evolution of global economic systems, Dr. Aturupane highlighted the transition from ideological divisions between state-controlled and market-oriented economies towards increasingly pragmatic approaches focused on growth, competitiveness and development. He noted that Sri Lanka’s own economic journey reflects a similar evolution, with contemporary policy debates now centred on practical solutions for sustainable economic progress.
The presentation also examined the transformative impact of globalisation. Dr. Aturupane observed that global economic integration had enabled several East Asian economies, including South Korea, Singapore, Taiwan and Hong Kong, to achieve remarkable economic advancement through export-led growth strategies. Sri Lanka similarly benefited from this process through the expansion of its apparel industry and increased integration into global value chains.
Turning to Sri Lanka’s recovery programme, Dr. Aturupane emphasised that the ongoing stabilisation process should be viewed as a national programme supported by the International Monetary Fund rather than solely as an IMF initiative. He observed that strong worker remittances, improved tourism earnings, enhanced government revenue mobilisation and prudent import management have contributed significantly to economic stabilisation.
Despite this progress, he cautioned that rebuilding foreign exchange reserves and meeting future debt obligations remain major challenges. He underscored the need to strengthen export performance, attract investment and generate sustainable foreign exchange earnings to ensure long-term economic resilience.
The discussion also focused on monetary stability, inflation management and exchange-rate policy. Dr. Aturupane stressed that maintaining price stability was fundamental to sustainable growth and household welfare, while sound monetary policy remains essential for preserving economic confidence.
Looking beyond stabilisation, he argued that Sri Lanka must transition towards a broader economic transformation agenda. Sustainable growth, he noted, will depend on expanding productive capacity through investment, technological advancement, innovation, skills development and structural reforms.
Among the key constraints identified was the high cost of energy, which continues to affect competitiveness and investment attractiveness. Dr. Aturupane emphasised the importance of improving efficiency and affordability within the energy sector to enhance Sri Lanka’s business environment.
He further highlighted the social dimensions of the crisis, noting the rise in poverty and economic vulnerability among households. Strengthening social protection systems and ensuring inclusive growth, he argued, must remain central components of the national development agenda.
Another critical challenge identified was Sri Lanka’s demographic transition. With an ageing population, outward migration and evolving labour market dynamics, the country is increasingly confronting labour shortages in several sectors. Dr. Aturupane suggested that greater automation, increased labour-force participation and strategic workforce planning would be necessary to address these emerging realities.
Concluding his presentation, he emphasised the need to improve governance, strengthen institutions, enhance competitiveness and create an enabling environment for private sector investment. Sri Lanka’s future success, he noted, will depend on its ability to move decisively beyond crisis management towards a development model founded on resilience, innovation, productivity and inclusive growth.
Dr. Achinthya Koswatta reiterated the importance of policy consistency and predictability in fostering investment and industrial development. She observed that frequent policy changes create uncertainty and discourage long-term investment decisions, whereas stable and coherent policy frameworks build confidence and support sustainable economic transformation.
Meanwhile, Anushan Kapilan highlighted the substantial progress achieved in restoring macroeconomic stability following the recent crisis. He noted significant improvements in fiscal performance, including increased government revenue, reduced reliance on debt financing and a historically low fiscal deficit.
He further observed that public debt levels are declining faster than anticipated, economic growth has exceeded expectations and inflation has been brought under control more rapidly than forecast. Nevertheless, he cautioned that the recovery remains uneven, particularly within the industrial sector and that many households have yet to experience a meaningful improvement in living standards.
The seminar was expertly coordinated by Eng. Chamil Edirimuni, Vice President of the OPA and Chairman of the Seminars, Workshops and Programmes Committee, while the technical moderation and interactive discussion session were facilitated by Bhanu Wijeyaratne, Vice President of the OPA and Chairman of the National Issues Committee.
The event was attended by Tisara De Silva, President-Elect of the OPA, Eng. Ravi Rupasinghe, General Secretary, Past Presidents, members of the Executive Council, representatives of the General Forum and professionals representing a wide range of disciplines.
The seminar concluded with a vibrant exchange of ideas and perspectives, reaffirming the importance of evidence-based policy dialogue, institutional collaboration and collective national commitment in advancing Sri Lanka’s economic recovery, resilience and sustainable growth.
Features
Her roots run deep in Sri Lanka
Yes, for UK-based presenter and artiste Samantha Kay, home is where the heart – and the roots – are. And her roots run deep in Sri Lanka.
In an exclusive interview with The Island, Samantha says “I’m proud to be Sri Lankan. My mum is from Kandy and my dad is from Colombo, so Sri Lanka has always held a very special place in my heart.
“Whenever I visit Sri Lanka, I love spending time on the beautiful south coast, especially Hikkaduwa and Mirissa. It’s somewhere I always feel connected to my roots and completely at peace.”
Now living in Bournemouth, on the south coast of England, where, she says, she is lucky to be close to some of the UK’s most beautiful beaches, including the iconic Sandbanks, Samantha has built a career that refuses to fit into one box.
She is a radio presenter, podcast host, singer-songwriter, personal trainer and life coach.
“I genuinely love the variety because every role allows me to connect with people and, hopefully, make a positive difference in someone’s day.”
Of course, music has taken her far.
One of her proudest achievements, she says, was releasing a song with 90s music icon Angie Brown, which reached No. 9 in the UK Club Charts.
She also reached the final stages of The X Factor and performed at Wembley Stadium in front of thousands.
Beyond music, Samantha competed in bikini bodybuilding across the UK, winning several titles. “It taught me discipline, resilience and self-belief,” she recalls.
Today, her focus is on radio, podcasting and coaching women. Her podcast encourages people to live life on their own terms rather than feeling pressured to follow society’s expectations.
Says Samantha: “Whether someone is single, changing careers, travelling solo or simply trying to find their purpose, I want them to know that it’s never too late to create a life that feels authentic. If you’ve ever felt like you don’t fit into the box, maybe you were never meant to.”
Samantha Kay also spent a year in Dubai, performing at five-star hotels, including FIVE, and coaching at the iconic outdoor gym on Palm Jumeirah.
“I taught strength and conditioning classes, and hosted wellness retreats, combining my passion for music, health and inspiring others.”
However, with family matters calling her back to the UK, she made the choice to return. “Family comes first,” she says.
Looking ahead, Samantha plans to grow her radio and podcast work, release more music, and expand her wellness retreats.
“My biggest passion is helping people, especially women, build confidence and believe in themselves,” she says.
“Wherever my career takes me, I hope to continue inspiring others to live with courage, kindness and authenticity, while never forgetting my Sri Lankan roots.”
-
News6 days agoHerath warns prospective migrant workers not to get fleeced by racketeers
-
Features4 days agoPrison riots and politics: NPP’s biggest challenge and Sri Lanka’s biggest opportunity
-
Editorial5 days agoWhat’s the world coming to?
-
Foreign News6 days agoTensions erupt in Indian state after 11-year-old raped and murdered
-
Features6 days agoDevanesan Annan – in Memoriam
-
Editorial6 days agoPunishment in hellholes
-
Features1 day agoDirty Money
-
News7 days agoRepresentatives of the Organization of Professional Associations (OPA) of Sri Lanka meet the Prime Minister
