Features
Sri Lanka is yet malaria-free, but can it remain so?
By A Health Watcher
We in Sri Lanka celebrated World Malaria Day (WMD) just a few days ago on April 25 for having eliminated malaria in 2012. When the World Health Organization certified Sri Lanka as a malaria-free country the event was hailed worldwide as a major milestone in global public health history. The good news is that Sri Lanka is still malaria-free.
This year’s WMD commemorations in Sri Lanka were, however, marred by two very unfortunate events. One was misinformation on malaria in Sri Lanka in the local print media which alarmed stakeholders the world over. A prominent local English newspaper reported that 10 malaria cases were reported in Sri Lanka this year – which is correct. But its print version stated in a headline that nine of them were indigenous cases, meaning that these patients contracted malaria in this country implying that malaria has returned to Sri Lanka.
The other version reported that 10 cases of malaria have been reported in Sri Lanka despite the disease having being eliminated from the country. Both these reports imply that malaria has been re-established in Sri Lanka, which is blatantly incorrect. All cases of malaria reported this year and almost all reported since the disease was eliminated in Sri Lanka have been imported cases, meaning that they are travelers who contracted the disease overseas in other malaria endemic countries but were diagnosed and treated after their arrival in Sri Lanka.
It is to be noted that imported malaria cases are reported from all countries of the world where there is no malaria, including the UK, USA, Europe and elsewhere, and Sri Lanka is no exception. The occurrence of imported malaria is by no means synonymous with malaria returning to the country. Only, and only if the mosquito in Sri Lanka begins to transmit malaria from one person to another that malaria would have returned to the country, and to date, it has not.
Misinformation in the print media has damaging consequences, and is a reflection of extremely poor national standards. It may not be attributable to irresponsible journalism alone. One of the articles mentioned above quoted the spokesperson of a professional medical body, who seem to either be unaware that the occurrence of imported malaria does not mean that malaria has returned to the country, or in an enthusiastic bid to raise awareness on malaria has used exaggerated and scaremongering language. Either of these reasons amounts to poor reporting, and even worse, to a shocking lack of knowledge and professionalism.
The other very unfortunate event this year is that a person died of malaria on April 15, the first malaria death in the country since 2007. The deceased, a Sri Lankan national, contracted malaria in an African country, and on his return to Sri Lanka developed symptoms of malaria for which he sought treatment. Malaria was unfortunately not diagnosed early enough to save his life. Imported malaria in countries that have no malaria is known to be associated with a relatively high mortality rate for the simple reason that being a rare disease doctors fail to test for malaria soon enough, and thus, treatment is often delayed. Sri Lanka is now in that category of countries where malaria is a rarely encountered disease. Consequently, malaria being not among the common causes of fever such as dengue, influenza and viral fevers which are highly prevalent in the country, doctors fail to place malaria high on their list for testing.
The clue to management of fevers in this country should be to elicit from a patient the history of travel to other countries, of which the Anti Malaria Campaign keeps reminding members of the medical profession, but not always with effect, as evident in this particular case. Malaria is a disease which is both preventable and treatable, and a death due to malaria is entirely avoidable and regrettable. In this unfortunate instance of the recent malaria death in this country we have failed in both. These events call for introspection.
The national malaria control programme of Sri Lanka, the body which successfully spearheaded the elimination of malaria has still a lot of work to do to prevent malaria deaths, and to prevent the disease returning because the mosquito that transmits malaria is prevalent in the country. The malaria control programme which is a special programme within the Ministry of Health has an active, year round, 24/7 programme which alerts physicians on the need to test for malaria, and which screens groups of people who return from malaria endemic countries for malaria. The staff of the programme actively seek travelers to malaria endemic countries (and I was one of them), and advise them on reducing the risk of contracting malaria while overseas. They even provide travelers with preventive medicines to be taken while being exposed to malaria overseas. Why then, could this death not have been prevented?
More questions than answers emerge from both these unfortunate events. Does the national malaria programme receive the necessary budgetary and administrative support that it should, to keep Sri Lanka malaria-free? Does the national malaria programme have the necessary technical capacity and commitment to do its work? And why aren’t there mechanisms to review the performance of public sector institutions such as the national malaria programme? Are the medical schools current in teaching travel health and medicine to the graduating doctors? Are clinical practitioners in Sri Lanka up-to-date with demands of the rapidly changing world of international travel health?
The unfortunate events relating to malaria this year cannot be reversed, but it is imperative on our part to prevent further occurrences of this nature. People of this country and the tax payer expect the relevant health authorities and institutions to be held accountable for preventing malaria deaths and the return of malaria to this country. If they fail, malaria could return, and if it does, it could cause devastation on a scale not seen before, in a population that now lacks immunity.
Features
The challenge of keeping value-based politics alive
The current outbreak of anti-immigrant protests in Durban, South Africa is bound to have taken many a subscriber to value-based politics or political idealism quite by surprise. After all, this is evidence that despite the historic accomplishments of nation-builders of the stature of the late President Nelson Mandela it cannot be taken for granted that identity politics, including racism in its worst forms, is no more in South Africa.
At the time of this writing details are scarce on the substantive root causes of the protests but it could very well be that economic grievances, particularly on the part of the majority community in South Africa, are contributing considerably to the disaffection. Shrinking employment and material prospects are likely to figure majorly among the factors igniting the unrest.
Fortunately, the local authorities in Durban are losing no time in calling for peaceful co-existence among the relevant communities and are pointing to the vital importance of stepping-up national integration processes. Apparently, immigrants in sizable numbers from neighbouring countries are present in Durban. However, international TV footage of the protests quoted some local authorities as saying that the majority of the immigrants in some centres that housed them were not illegal migrants and had the documents that entitle them to be in Durban.
In the Durban protests the world has fresh proof of the socially divisive consequences of the gathering globe-wide economic disaffection, touched off particularly by the continuing crisis in West Asia. Going ahead, the world would need to brace for increasing identity-based unrest of the kind it is just witnessing in South Africa.
Considering that the material lot of ordinary people everywhere could only aggravate progressively, with the US and Iran showing no signs of negotiating an end to their confrontation any time soon, it will be left to the more democratic and progressive sections of the world community to initiate positive measures collectively to bring a measure of relief to the discontented.
The swiftness with which such relief will be provided would depend crucially on the importance those sections taking up these undertakings attach to value-based politics as opposed to Realpolitik of power politics.
Going by these yardsticks, Italy could be considered to be moving in the right direction. Recently Italy came to the fore in initiating the collective named, ‘Rome Coalition for Food Security and Access to Fertilizer’, which has as one of its aims the swift provision of fertilizer to economically weak African countries.
In a recent statement Italian Minister of Foreign Affairs and International Cooperation, Antonio Tajani, said that a principal aim of the project was to ensure that the farmers of Africa gained easy access to fertilizer, considering that food security is a growing concern among some of Africa’s economically vulnerable countries.
The statement went on to mention that some 30 countries hailing from the Mediterranean region, the Middle East, the Balkans as well as the FAO had been invited to join the coalition. The venture is far-seeing in that food security is main among the reasons for social discontent which in turn could degenerate into endemic political turmoil and bloodshed. Separatist violence and geographical fragmentation of countries wouldn’t be too far behind these developments, as Africa itself has often proved.
It is hoped that more G7 countries would take the cue from Italy and do what they could to ease the hardships of economically distressed countries, particularly of the global South. In these efforts they would need to break rank with the US, which is today brutally indifferent to the consequences of its policy of making ‘America First’, come what may.
Going by current developments, the Trump administration seems to be blithely oblivious to the wider, deleterious effects of its policy course in West Asia. Besides rendering Iran militarily and otherwise impotent nothing else seems to matter to Washington, as regards West Asia. This is policy short-sightedness of an extreme kind. After all, right now West Asia could be said to be sitting on the proverbial powder keg.
On the other hand, Iran is not giving the world the impression that it is doing anything constructive to get out of the policy straitjacket that it wove for itself decades ago. Rather than enter into a policy of ‘live and let live’ in relation to Israel in particular and initiate a process of reconciliation with the latter, it has chosen to operate within policy parameters that continue to damn Israel. This has put Israel always on the ‘defensive’ so to speak and prevented the opening up of space for meaningful dialogue.
That said, Israel is obliged to explore the possibilities of entering into a negotiatory process with the Arab-Islamic world that could lead to a de-escalation of tensions and bloodshed. It cannot continue to look at its neighbours through lenses that distort them as archetypal enemies who should be ‘wiped off completely from the face of the earth.’
In other words, the need is urgent for Realpolitik to give way to value-based politicks. Italy is beginning to prove that the latter approach could be pursued with some success. May be the EU and the UK could throw their weight behind these initiatives as well and establish that international politics could be refashioned on the basis of humane, civilized norms. The UN would need to be fully supportive of these moves and prove an organizational nucleus of the operations that follow.
In fact the time is ripe for people of conscience to collectively stand up on the side of peace and say ‘No’ to war and violence. Organizations such as the ICRC, the WHO and Medicines Sans Frontiers have already taken up this call. Referring to the widespread destruction of health facilities and their dehumanizing results these organizations have said, among other things, that ‘This is not a failure of the law. It is a failure of political will.’
True, ‘failure of political will’ among those powers that matter accounts for the runaway, uncontrollable nature of war and destruction in contemporary times, but more fundamentally it is a failure of the human conscience. It could very well be that the phenomenal levels to which violence and war have been unleashed today have had the effect of deadening consciences. This is a matter for urgent study and wide discussion.
Features
Vesak celebrations … with Cuteefly
I would describe Indunil Kaushalya Dissanayaka as innovative and creative, and she operates under the name of Cuteefly.
Indunil always comes up with something novel to celebrate special occasions, and she does it with candles … and that’s her profession.
She was in the spotlight when she created a happening scene, with candles, for Christmas, Sinhala and Tamil New Year, and Valentine’s Day.
As lanterns light up Sri Lanka for Vesak, the Colombo-based candle maker is quietly turning wax and wick into little pieces of the festival.

Candles reflecting Vesak themes
Her candles reflect Vesak themes – light, peace, remembrance, giving, etc., to enable you to fill your Vesak celebration with devotion and beauty.
Among her Vesak creations is a lotus-shaped soy candle, scented with sandalwood, lavender, etc., meant to burn during this Vesak Poya Day.

Indunil Kaushalya Dissanayaka: Customers
praise her for her creativity
These handcrafted Vesak candles are perfect for offering at the temple, she says.
What makes her creations so novel is that they come in different shapes, scents, themes, and all are handmade.
What’s more, her customers have heaped praise on her for her creativity.
According to Indunil, her creations are perfect as a thoughtful gift … to bring beauty, unity, and light into every moment.
Says Indunil: “Our beautifully handcrafted Unity candles are designed with premium detail and love, making them perfect for celebrations, gifts, and meaningful occasions.”
Cuteefly, says Indunil, is available online.
Readers could contact Indunil on 0778506066 for more details.
He Facebook Page is: Cuteefly.

Handmade with love
Features
Dark Spots …
Yes, dark spots do crop up on the skin, especially with sun exposure and, of course, as the skin ages.
However, these tips should be of immense benefit to those who are faced with dark spots.
* Lemon and Honey Glow Mask:
You will need 01 teaspoon lemon juice and 01 teaspoon honey.
Mix the lemon juice and honey well and then apply this mixture, only on the dark spots.
Leave for 10–15 minutes and then rinse with cool water.
Benefits:
Lemon helps brighten pigmentation.
Honey moisturises and heals skin.
Gives a natural glow.
* Aloe Vera Gel Treatment:
All you need is fresh aloe vera gel.
Apply the gel apply on dark spots, before going to bed.
Leave overnight and wash in the morning.
Benefits:
Reduces acne marks and pigmentation.
Soothes irritated skin.
Helps skin repair naturally.
* Turmeric and Yoghurt Paste:
You will need 01 teaspoon yoghurt and a pinch of turmeric
Mix the yoghurt and turmeric into a smooth paste and apply on affected areas.
Leave for 15 minutes and then wash gently with lukewarm water.
Benefits:
Turmeric brightens skin naturally.
Yoghurt removes dead skin cells.
Helps fade dark spots gradually.
Use these packs 02-03 times a week as results are generally seen over time.
You can also try this out: Mix a ripe papaya into a smooth paste and apply to the face, or directly on to the dark spots. Leave for 15-20 minutes and then wash with lukewarm water.
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