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‘Spread Awareness, Stop Resistance’

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World Antimicrobial Awareness Week – 18th to 24th Nov. 2021

by Dr. Kavindya Marapana

Antimicrobial resistance (AMR) has become a global health and developmental threat. World Health Organization (WHO) has declared it as one of the top 10 global public health problems facing humanity, and at the same time it has also shown to have a major impact on animal, plant and environmental health. The misuse and overuse of the drugs are the main causes of this problem, and awareness as well as proper actions by the stakeholders including policymakers, healthcare providers and the general public, is of utmost importance to combat this threat.

As the world marks the “World Antimicrobial Awareness Week”, two experts on the field, Dr. Primali Jayasekara, Consultant Medical Mycologist at the Medical Research Institute, Colombo, and Dr. Madumanee Abeygunawardane, Consultant Microbiologist at National Hospital Kandy, share their expertise on antimicrobial resistance, in a brief discussion.

Q: What is the significance of World Antimicrobial Awareness Week (WAAW)?

WAAW is a global campaign, held annually since 2015, which aims to raise awareness of antimicrobial resistance worldwide and encourages best practices among the general public, health workers and policymakers to slow the development and spread of drug-resistant infections.

This year, the WHO has declared the period from 18th to 24th November, 2021, as Antimicrobial Awareness Week with the theme, “Spread Awareness, Stop Resistance”.

Previously named ‘World Antibiotic Awareness Week’, it was changed in 2020 to ‘World Antimicrobial Awareness Week’ as it will reflect the broadened scope of the theme to include all antimicrobials including antibiotics, antifungals, antiparasitics and antivirals.

Q: What are antimicrobials?

Antimicrobials are medicines that are used to prevent and treat infections in humans, animals and plants which include antibiotics, antivirals, antifungals and antiparasitics.

Q: What is Antimicrobial Resistance (AMR), and how does it occur?

Antimicrobial resistance occurs when bacteria, viruses, fungi and parasites change over time, usually through genetic changes, and no longer respond to the drugs. The misuse and overuse of antimicrobials in humans, animals and plants are the main drivers in the development of drug-resistant infections.

Q: Why is Antimicrobial resistance a major concern?

Antibiotics are becoming increasingly ineffective as drug-resistance spreads globally making treatment of infections harder. It increases the risk of disease spread, severe illness and even death, following any common infection.

Currently, we observe the treatment of bacterial infections including urinary tract infections, pneumonia and sepsis becoming difficult with high rates of resistance against antibiotics in all the hospitals of Sri Lanka. Bacteria like Klebsiella pneumonia Acinetobacter spp have become major causes of hospital-acquired infections such as pneumonia, bloodstream infections, and infections in newborns and intensive-care unit patients. We are observing such bacterial organisms becoming resistant to all antibiotics available in Sri Lanka, leaving no option to save lives of the patients with such infections.

Q: How does it affect the healthcare and economy of our country?

The cost of AMR to the economy is significant. In addition to death and disability, which is irreversible, prolonged illness results in longer hospital stays, the need for more expensive medicines and financial challenges for those affected. Being a developing country with the majority of the people depending on free healthcare services, the additional cost it entails is significant.

Without effective antimicrobials, the success of modern medicine such as organ transplants and cancer treatment (chemotherapy) would be impossible with no option to manage infections.

Raising public awareness of antimicrobials can help reduce the misuse of them and slow resistance emergence as a result.

Q: What is the role the public can play in preventing AMR?

It is important to make the public well aware that no antibiotic can cure viral infections including COVID-19. Besides, the consumption of antibiotics without any indication can be harmful.

Other practices which contribute to the emergence of antimicrobial resistance are as follows:

Self-treatment with antibiotics by getting antibiotics over the counter for common colds, diarrhoea, sore throat and chronic wounds.

Incompletion of the antibiotic course (stopping when clinically feeling better).

Reducing the dose, expecting to reduce side-effects.

Sharing antibiotics with family members with similar symptoms.

We need to know that cough and cold, sore throat and diarrhoea are most of the time caused by viruses and they are self-limited. And even for a bacterial infection, it is very important to take the correct dose of antibiotic at the correct time for the correct duration for cure and to avoid the emergence of resistance. A very common example is that many people suffer from urinary tract infections caused by resistant bacteria as a result of not completing the course of antibiotics during the previous episodes.

It is strongly advised to take antibiotics only when a qualified Medical Officer prescribes them.

The emergence of resistance can be slowed by using antibiotics correctly only when indicated, and we can save antibiotics for future.

Q: What is the danger of drug-resistant fungal infections?

Resistance to antifungals is a mounting global public health threat. Existing antifungal drugs are often associated with important negative side effects. Besides, a few new drugs are under development.

Fungal infections also frequently complicate other illnesses. This was most recently illustrated by the devastating impact of mucormycosis (Black Fungus) and invasive aspergillosis during the COVID-19 pandemic.

The prevalence of drug-resistant fungal infections is increasing and exacerbating the already difficult treatment situations. Many fungal infections have existing treatability issues such as toxicity especially for patients with other underlying infections (e. g. HIV). Drug-resistant Candida auris, one of the most common invasive fungal infections, is already widespread with increasing resistance reported to commonly used antifungal drugs and emerging resistance to other newer antifungal drugs.

This is leading to more difficulty treating fungal infections, treatment failures, longer hospital stays and much more expensive diagnostic and treatment options.

The world urgently needs to change the way it prescribes and uses antimicrobials. Even if new medicines are developed, we will not be able to keep up with the development of resistance as long as our practices are not changed. Without urgent action, we are heading towards a post-antibiotic era, in which common infections and minor injuries can once again cause death. Therefore, all of us at all levels are responsible for doing our part to save the antimicrobials for the future.



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Features

Cricket and the National Interest

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The appointment of former minister Eran Wickremaratne to chair the Sri Lanka Cricket Transformation Committee is significant for more than the future of cricket. It signals a possible shift in the culture of governance even as it offers Sri Lankan cricket a fighting possibility to get out of the doldrums of failure. There have been glorious patches for the national cricket team since the epochal 1996 World Cup triumph. But these patches of brightness have been few and far between and virtually non-existent over the past decade. At the centre of this disaster has been the failures of governance within Sri Lanka Cricket which are not unlike the larger failures of governance within the country itself. The appointment of a new reform oriented committee therefore carries significance beyond cricket. It reflects the wider challenge facing the country which is to restore trust in public institutions for better management.

The appointment of Eran Wickremaratne brings a professional administrator with a proven track record into the cricket arena. He has several strengths that many of his immediate predecessors lacked. Before the ascent of the present government leadership to positions of power, Eran Wickremaratne was among the handful of government ministers who did not have allegations of corruption attached to their names. His reputation for financial professionalism and integrity has remained intact over many years in public life. With him in the Cricket Transformation Committee are also respected former cricketers Kumar Sangakkara, Roshan Mahanama and Sidath Wettimuny together with professionals from legal and business backgrounds. They have been tasked with introducing structural reforms and improving transparency and accountability within cricket administration.

A second reason for this appointment to be significant is that this is possibly the first occasion on which the NPP government has reached out to someone associated with the opposition to obtain assistance in an area of national importance. The commitment to bipartisanship has been a constant demand from politically non-partisan civic groups and political analysts. They have voiced the opinion that the government needs to be more inclusive in its choice of appointments to decision making authorities. The NPP government’s practice so far has largely been to limit appointments to those within the ruling party or those considered loyalists even at the cost of proven expertise. The government’s decision in this case therefore marks a potentially important departure.

National Interest

There are areas of public life where national interest should transcend party divisions and cricket, beloved of the people, is one of them. Sri Lanka cannot afford to continue treating every institution as an arena for political competition when institutions themselves are in crisis and public confidence has become fragile. It is therefore unfortunate that when the government has moved positively in the direction of drawing on expertise from outside its own ranks there should be a negative response from sections of the opposition. This is indicative of the absence of a culture of bipartisanship even on issues that concern the national interest. The SJB, of which the newly appointed cricket committee chairman was a member objected on the grounds that politicians should not hold positions in sports administration and asked him to resign from the party. There is a need to recognise the distinction between partisan political control and the temporary use of experienced administrators to carry out reform and institutional restructuring. In other countries those in politics often join academia and civil society on a temporary basis and vice versa.

More disturbing has been the insidious campaign carried out against the new cricket committee and its chairman on the grounds of religious affiliation. This is an unacceptable denial of the reality that Sri Lanka is a plural, multi ethnic and multi religious society. The interim committee reflects this diversity to a reasonable extent. The country’s long history of ethnic conflict should have taught all political actors the dangers of mobilising communal prejudice for short term political gain. Sri Lanka paid a very heavy price for decades of mistrust and division. It would be tragic if even cricket administration became another arena for communal suspicion and hostility. The present government represents an important departure from the sectarian rhetoric that was employed by previous governments. They have repeatedly pledged to protect the equal rights of all citizens and not permit discrimination or extremism in any form.

The recent international peace march in Sri Lanka led by the Venerable Bhikkhu Thich Paññākāra from Vietnam with its message of loving kindness and mindfulness to all resonated strongly with the masses of people as seen by the crowds who thronged the roadsides to obtain blessings and show respect. This message stands in contrast to the sectarian resentment manifested by those who seek to use the cricket appointments as a weapon to attack the government at the present time. The challenges before the Sri Lanka Cricket Transformation Committee parallel the larger challenges before the government in developing the national economy and respecting ethnic and religious diversity. Plugging the leaks and restoring systems will take time and effort. It cannot be done overnight and it cannot succeed without public patience and support.

New Recognition

There is also a need for realism. The appointment of Eran Wickremaratne and the new committee does not guarantee success. Reforming deeply flawed institutions is always difficult. Besides, Sri Lanka is a small country with a relatively small population compared to many other cricket playing nations. It is also a country still recovering from the economic breakdown of 2022 which pushed the majority of people into hardship and severely weakened public institutions. The country continues to face unprecedented challenges including the damage caused by Cyclone Ditwah and the wider global economic uncertainties linked to conflict in the Middle East. Under these difficult circumstances Sri Lanka has fewer resources than many larger countries to devote to both cricket and economic development.

When resources are scarce they cannot be wasted through corruption or incompetence. Drawing upon the strengths of all those who are competent for the tasks at hand regardless of party affiliation or ethnic or religious identity is necessary if improvement is to come sooner rather than later. The burden of rebuilding the country cannot rest only on the government. The crisis facing the country is too deep for any single party or government to solve alone. National recovery requires capable individuals from across society and from different sectors such as business and civil society to work together in areas where the national interest transcends party politics. There is also a responsibility on opposition political parties to support initiatives that are politically neutral and genuinely in the national interest. Not every issue needs to become a partisan battle.

Sri Lanka cricket occupies a special place in the national consciousness. At its best it once united the country and gave Sri Lankans a sense of pride and international recognition. Restoring integrity and professionalism to cricket administration can therefore become part of the larger task of national renewal. The appointment of Eran Wickremaratne and the new committee, while it does not guarantee success, is a sign that the political leadership and people of the country may be beginning to mature in their approach to governance. In recognising the need for competence, integrity and bipartisan cooperation and extending it beyond cricket into other areas of national life, Sri Lanka may find the way towards more stable and successful governance..

by Jehan Perera

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From Dhaka to Sri Lanka, three wheels that drive our economies

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Court vacation this year came with an unexpected lesson, not from a courtroom but from the streets of Dhaka — a city that moves, quite literally, on three wheels.

Above the traffic, a modern metro line glides past concrete pillars and crowded rooftops. It is efficient, clean and frequently cited as a symbol of progress in Bangladesh. For a visitor from Sri Lanka, it inevitably brings to mind our own abandoned light rail plans — a project debated, politicised and ultimately set aside.

But Dhaka’s real story is not in the air. It is on the ground.

Beneath the elevated tracks, the streets belong to three-wheelers. Known locally as CNGs, they cluster at junctions, line the edges of markets and pour into narrow roads that larger vehicles avoid. Even with a functioning rail system, these three-wheelers remain the city’s most dependable form of everyday transport.

Within hours of arriving, their importance becomes obvious. The train may take you across the city, but the journey does not end there. The last mile — often the most complicated part — belongs entirely to the three-wheeler. It is the vehicle that gets you home, to a meeting or simply through streets that no bus route properly serves.

There is a rhythm to using them. A destination is mentioned, a price is suggested and a brief negotiation follows. Then the ride begins, edging into traffic that feels permanently compressed. Drivers move with instinct, adjusting routes and squeezing through gaps with a confidence built over years.

It is not polished. But it works.

And that is where the comparison with Sri Lanka becomes less about what we lack and more about what we already have.

Back home, the three-wheeler has long been part of daily life — so familiar that it is often discussed only in terms of its problems. There are frequent complaints about fares, refusals or the absence of meters. More recently, the industry itself has become entangled in politics — from fuel subsidies to regulatory debates, from election-time promises to periodic crackdowns.

In that process, the conversation has shifted. The three-wheeler is often treated as a problem to be managed, rather than a service to be strengthened.

Yet, seen through the experience of Dhaka, Sri Lanka’s system begins to look far more settled — and, in many ways, ahead.

There is a growing structure in place. Meters, while not perfect, are widely recognised. Ride-hailing apps have added transparency and reduced uncertainty for passengers. There are clearer expectations on both sides — driver and commuter alike. Even small details, such as designated parking areas in parts of Colombo or the increasing standard of vehicles, point to an industry slowly moving towards professionalism.

Just as importantly, there is a human element that remains intact.

In Sri Lanka, a three-wheeler ride is rarely just a transaction. Drivers talk. They offer directions, comment on the day’s news, or share local knowledge. The ride becomes part of the social fabric, not just a means of getting from one point to another.

In Dhaka, the scale of the city leaves less room for that. The interaction is quicker, more direct, shaped by urgency. The service is essential, but it is under constant pressure.

What stands out, across both countries, is that the three-wheeler is not a temporary or outdated mode of transport. It is a necessity in dense, fast-growing Asian cities — one that fills gaps no rail or bus system can fully address.

Large infrastructure projects, like light rail, are important. They bring efficiency and long-term capacity. But they cannot replace the flexibility of a three-wheeler. They cannot reach into narrow streets, respond instantly to demand or provide that crucial last-mile connection.

That is why, even in a city that has invested heavily in modern rail, Dhaka still runs on three wheels.

For Sri Lanka, the lesson is not simply about what could have been built, but about what should be better managed and valued.

The three-wheeler industry does not need to be politicised at every turn. It needs steady regulation — clear fare systems, proper licensing, safety standards — alongside encouragement and recognition. It needs to be seen as part of the solution to urban transport, not as a side issue.

Because for thousands of drivers, it is a livelihood. And for millions of passengers, it is the most immediate and reliable form of mobility.

The tuk-tuk may not feature in grand policy speeches or infrastructure blueprints. It does not run on elevated tracks or attract international attention. But on the ground, where daily life unfolds, it continues to do what larger systems often struggle to do — show up, adapt and keep moving.

And after watching Dhaka’s streets — crowded, relentless, yet functioning — that small, three-wheeled vehicle feels less like something to argue over and more like something to get right.

(The writer is an Attorney-at-Law with over a decade of experience specialising in civil law, a former Board Member of the Office of Missing Persons and a former Legal Director of the Central Cultural Fund. He holds an LLM in International Business Law)

 

by Sampath Perera recently in Dhaka, Bangladesh 

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Dubai scene … opening up

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Seven Notes: Operating in Dubai

According to reports coming my way, the entertainment scene, in Dubai, is very much opening up, and buzzing again!

After a quieter few months, May is packed with entertainment and the whole scene, they say, is shifting back into full swing.

The Seven Notes band, made up of Sri Lankans, based in Dubai, are back in the spotlight, after a short hiatus, due to the ongoing Middle East problems.

On 18th April they did Legends Night at Mercure Hotel Dubai Barsha Heights; on Thursday, 9th May, they will be at the Sports Bar of the Mercure Hotel for 70s/80s Retro Night; on 6th June, they will be at Al Jadaf Dubai to provide the music for Sandun Perera live in concert … and with more dates to follow.

These events are expected to showcase the band’s evolving sound, tighter stage coordination, and stronger audience engagement.

With each performance, the band aims to refine its identity and build a loyal following within Dubai’s vibrant nightlife and event scene.

Pasindu Umayanga: The group’s new vocalist

What makes Seven Notes standout is their versatility which has made the band a dynamic and promising act.

With a growing performance calendar, new talent integration, and international ambitions, the band is definitely entering a defining phase of its journey.

Dubai’s music industry, I’m told, thrives on diversity, energy, and audience connection, with live bands playing a crucial role in elevating events—from corporate shows to private concerts. Against this backdrop, Seven Notes is positioning itself not just as another band, but as a performance-driven musical unit focused on consistency and growth.

Adding fresh momentum to the group is Pasindu Umayanga who joins Seven Notes as their new vocalist. This move signals a strategic upgrade—not just filling a role, but strengthening the band’s front-line presence.

Looking beyond local stages, Seven Notes is preparing for an international tour, to Korea, in July.

Bassist Niluk Uswaththa: Spokesperson for Seven Notes

According to bassist Niluk Uswaththa, taking a band abroad means: Your sound must hold up against unfamiliar audiences, your performance must translate beyond language, and your discipline must be at a professional level.

“If executed well, this tour could redefine Seven Notes from a local band into an emerging international act,” added Niluk.

He went on to say that Dubai is not an easy market. It’s saturated with highly experienced, multi-genre bands that can adapt instantly to any crowd.

“To stand out consistently you need to have tight rehearsal discipline, unique sound identity (not just covers), strong stage chemistry, audience retention – not just applause.”

No doubt, Seven Notes is entering a critical growth phase—new member, multiple shows, and an international tour on the horizon. The opportunity is real, but so is the pressure.

However, there is talk that Seven Notes will soon be a recognised name in the regional music scene.

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