News
Sri Lanka, Maldives achieve Hepatitis B control
Maldives and Sri Lanka had achieved hepatitis B control, the World Health Organization announced yesterday after an expert panel verified that the two countries have had consistently high coverage of hepatitis B vaccine doses in infants and a low prevalence of the deadly disease, corroborated through serological surveys conducted recently in both countries.
“I congratulate and commend Maldives and Sri Lanka on their achievement which once again demonstrates the earnest efforts being made by the health leaders and officials, health workers and the people of these countries towards health and well-being of communities,” said Dr Poonam Khetrapal Singh, Regional Director WHO South-East Asia.
The Expert Panel for Verification of Hepatitis B Control in WHO South-East Asia Region reviewed childhood immunization data from Maldives and Sri Lanka that showed consistent over 90% coverage with Hepatitis B vaccine doses provided during infancy for past many years. The experts also reviewed the findings of national surveys conducted among children in 2022-2023, in these countries.
“Based on the evidence presented to it, the Expert Panel concluded that the standards required for verification of Hepatitis B control have been met in both these countries and hence recommended that this important public health target has been achieved in Maldives and Sri Lanka”, said Dr Supamit Chunsuttiwat, chairperson of the Regional Expert Panel for verification of Hepatitis B control in South-East Asia.
The two countries join Bangladesh, Bhutan, Nepal and Thailand, who achieved the same feat in 2019.
Preventing Hepatitis B infection in infancy substantially reduces chronic infections and cases of liver cancer and cirrhosis in adulthood.
Hepatitis control continues to be an important public health initiative in the South-East Asia Region of WHO that comprises of 11 countries and is home to a quarter of the world’s population. The Region has an estimated 60 million people living with chronic hepatitis B and 218,000 dying every year of hepatitis B and C. Of the persons eligible for antiviral treatment only about 10% know their status and less than 5% of them are on treatment.
In 2016, the South-East Asia Regional Immunization Technical Advisory Group endorsed a regional goal of hepatitis B control with a target of reducing hepatitis B prevalence to less than 1% among children aged at least 5 years.
Hepatitis B vaccine, as a part of the pentavalent vaccine, has been included in the national childhood immunization schedule of all countries of the Region, with three doses of this vaccine provided to children during their first year of life. Eight countries of the Region also have a policy of providing a birth dose of Hepatitis B vaccine to the newborn babies.
The Region made good progress in improving immunization coverage of the pentavalent vaccine until 2019. However, there was a decline in the coverage in several countries of the Region in 2020 and 2021 following the COVID-19 pandemic.
Intensive efforts in countries have resulted in the revival of childhood immunization coverage to pre-pandemic levels in several countries and the WHO and UNICEF estimates for 2022 show that the overall coverage of 3rd dose of pentavalent vaccine has recovered to the pre-pandemic level of 91% in the Region, a sharp increase from 82% coverage level reported in 2021.
Dr Khetrapal Singh said that countries also need to focus on improving the hepatitis B vaccine birth dose which continues to have a relatively slow uptake with an estimated coverage of only 58% in the Region in 2022. One of the key barriers for achieving high hepatitis B vaccine birth dose coverage remains the high proportion of home deliveries, that do not allow timely access of the Hepatitis B vaccine to these newborns, she said.
Inequities in immunization service delivery, suboptimal awareness and/training of health staff at birthing facilities; particularly in terms of false contraindications and/or fear of adverse events following immunization also contribute to sub-optimal coverage of Hepatitis B vaccination coverage, the Regional Director said.
The control of hepatitis B through immunization is a priority for our Region. Achieving the control goal is a critical step as we progress towards elimination of mother to child transmission of the hepatitis B virus, she said.
WHO’s “triple elimination initiative” encourages countries to simultaneously commit to such elimination together with HIV and syphilis – further pushing the agenda for integrated service delivery.
“Hepatitis must be prevented and treated. In addition to vaccination, continued efforts are needed to scale up other preventive measures such as safe injection, safe blood and infection prevention and control,” the Regional Director said. (WHO)
News
JSA opposes move to extend retirement ages of superior court judges
The Judicial Service Association (JSA), which represents the country’s magistrates and district judges, has unanimously adopted a resolution opposing the government’s proposed extension of the retirement age of superior court judges.
The resolution was passed at a special general meeting held at the Kaduwela Magistrate’s Court premises, attended by 65 magistrates and district judges from across the country.
The meeting was convened following the resignation of JSA President Pasan Amarasena, who stepped down in protest over the holding of the meeting.
According to the resolution, all members present voted in favour of opposing the proposed extension of the retirement age of Supreme Court and Court of Appeal judges.
Amarasena resigned after facing criticism for unilaterally expressing support for extending the retirement age of the Chief Justice. Following his resignation, JSA Secretary Suranga Munasinghe issued a statement to members rejecting the allegations contained in Amarasena’s resignation letter.
Meanwhile, former Health Minister Dr. Rajitha Senaratne claimed the government’s attempt to extend the tenure of superior court judges was aimed at securing their support in pursuing what he described as a campaign of political revenge against Opposition members.
Addressing a meeting at the Sri Lanka Freedom Party headquarters on Darley Road, Colombo, Senaratne argued that if the government’s justification was to retain experienced judges and avoid vacancies, similar retirement age extensions should also be granted to other professions, including university academics.
“The judges themselves have now unanimously opposed the government’s move, as reflected in the outcome of the Judicial Service Association’s special general meeting at Kaduwela,” he said.
by Chaminda Silva
News
Next two weeks critical as dengue risk soars
Mosquito larvae density in Sri Lanka’s Western Province has increased significantly, making the next two weeks an extremely high-risk period for dengue transmission, according to Consultant Physician Dr. Ananda Wijewickrama, a member of the Expert Committee on Dengue Management.
Speaking during a television programme, Dr. Wijewickrama warned that based on the current trend of dengue transmission, the situation could become more serious than the country’s 2017 dengue outbreak.
He said hospitals in the Western Province have already exceeded their capacity due to the sharp increase in patient admissions, with some facilities being forced to accommodate two or even three patients in a single hospital bed.
Also speaking during the programme, Prof. Neelika Malavige of the University of Sri Jayewardenepura said early signs of the current outbreak had been visible as far back as December and January.
“We could already see indications of this in December and January. With the current changes, the trend is not encouraging. We usually see an increase in dengue cases during the Southwest Monsoon period from May to July, and again during the Northeast Monsoon from November to January. When such conditions are expected, we need to be prepared in advance. After that, from February to April, we experienced extremely high temperatures, and mosquito breeding tends to slow down during periods of excessive heat,” she said.
Professor Malavige also noted that three dengue vaccines have been approved in various countries and are currently being used in several Asian nations, including Indonesia, the Philippines, Thailand, Vietnam and Malaysia.
“However, there are many factors Sri Lanka would need to consider before introducing a dengue vaccine. It would not have an immediate impact on reducing an epidemic. The vaccine requires two doses, and it takes time for immunity to develop after vaccination. However, for people who have previously been infected with dengue, the vaccine has shown very good effectiveness,” she said.
Sri Lanka has so far reported 66,064 dengue cases this year, while the death toll has risen to 46.
A total of 10,685 cases were reported during the first nine days of July alone, including 1,030 new infections reported yesterday.
Of the total number of cases, 52.7% have been reported from the Western Province. Gampaha District has now overtaken Colombo District as the area recording the highest number of dengue infections.
Meanwhile, amid the heightened risk, special dengue control operations involving members of the armed forces were carried out today in several parts of the country.
by Pradeep Prasanna Samarakoon
News
Budget 2027 on Nov. 12
The second reading of the 2027 Appropriation Bill will be presented in Parliament on November 12, the Ministry of Finance announced.
The Ministry said the Bill will be published in the Government Gazette on September 18 and presented for its first reading in Parliament on October 7.
The draft Appropriation Bill for 2027, which sets out the proposed expenditure allocations for each Ministry, is scheduled to be submitted to the Cabinet for approval on September 14.
According to the Ministry, the second reading debate on the Budget will be held from November 13 to 20, while the Committee Stage debate is scheduled from November 21 to December 14.
-
News3 days agoHerath warns prospective migrant workers not to get fleeced by racketeers
-
Midweek Review5 days agoUnexpected focus on ‘pieces of tin’ worn by military men
-
Features1 day agoPrison riots and politics: NPP’s biggest challenge and Sri Lanka’s biggest opportunity
-
Latest News6 days agoNyamhuri and Ngarava stun Bangladesh by defending 141
-
Editorial2 days agoWhat’s the world coming to?
-
News4 days agoNegombo Prison riot: Ensuring protection of prisoners fundamental responsibility of the state – UN
-
Features3 days agoDevanesan Annan – in Memoriam
-
Foreign News3 days agoTensions erupt in Indian state after 11-year-old raped and murdered
