Features
The Worst Rulings of the Supreme Court in the History of the USA
by Vijaya Chandrasoma
The Supreme Court of the United States of America is the highest court in the land, entrusted with ensuring that legislation is faithfully interpreted and enacted according to the Constitution, in word and in spirit.
The Court is presently comprised of nine Justices, nominated by presidents of the United States. As presidents are assumed to be elected by a majority of the nation, it is assumed that the Court also represents the will of that majority.
Unfortunately, that is not the case with the current Supreme Court. Five of its Justices were appointed by two presidents who won the presidency with a minority of the electorate.
George W. Bush won the presidency in 2000 with a majority in the antiquated Electoral College but a minority popular vote of over 500,000. Trump also won the presidency in 2016 with a majority in the Electoral College, but a minority popular vote of over three million. In any other election in the world, and in any other election in the USA, from dog-catcher upwards, Al Gore and Hillary Clinton would have been declared the winners of the presidency in 2000 and 2016, respectively.
Bush appointed two Justices to the present Court. Justice John Roberts in July, 2005 on the retirement of Sandra Day O’Connor. Roberts was subsequently appointed Chief Justice on the death Chief Justice William Rehnquist, who was replaced in January, 2006 by Justice Samuel Alito. Predictably, these new Justices were members of the Republican Party, with opinions tempered with traditional conservative values.
Trump appointed Neil Gorsuch to replace Antonin Scalia in 2017, Brett Kavanaugh on the retirement of Justice Kennedy in 2018 and Amy Coney Barrett on the death of Justice Ruth Bader Ginsburg in September 2020. All these Justices are light on judiciary qualifications and experience, but espouse the new, hardly traditional, radical right, Evangelical opinions of Trump’s Republican Party.
The sixth Republican Justice of the Court, African American Clarence Thomas, was appointed by the older Bush in 1991.
The Supreme Court has made several rulings in its history, based on politics, against the Constitution and the will of the people. The most egregious of these rulings are:
The Dred Scott ruling of 1857
The Dred Scott decision in 1857 was the Supreme Court ruling that “African Americans could not be citizens of the United States, and therefore, had no standing in the US legal system, and the federal government had no authority to regulate slavery”. Chief Justice Roger Brooke Taney’s ruling “ignored precedent, distorted history, imposed a rigid rather than a flexible construction of the Constitution, ignored specific grants of power in the Constitution, and tortured meanings out of other, more obscure clauses”.A description which perfectly defines the recent decision of today’s radical right, Evangelical Supreme Court, overturning the rights of reproductive freedom granted to all women.
President Abraham Lincoln issued the Emancipation Proclamation on January 1, 1863, as the nation approached its third year of bloody civil war. The Proclamation essentially declared that “all persons held as slaves” within the rebellious states “are, and henceforward shall be free”.
The civil war ended in 1865 with the victory of the Union forces, at an estimated cost of 620,000 lives. Although four million Black slaves were granted their freedom, the Proclamation did not end slavery, but it “captured the hearts and imagination of millions of Americans and fundamentally transformed the character of the civil war”.
The hard-fought freedom achieved by the Union victory was freedom in name only, devoid of any vestige of equality. From 1865, “freedom” was subject to the racial ravages of Reconstruction, with restrictive laws designed to limit the freedom of the slaves. Reconstruction was followed by nearly a century of Jim Crow laws, which mandated legal segregation of the races.
Martin Luther King’s 1963 dream that the “momentous decree” of the Emancipation Proclamation “came as a great light of hope to millions of Negro slaves who had been seared under the flames of withering injustice. It came as a joyous daybreak to end the long night of their captivity”. However, that “joyous daybreak” took over 100 years to see the light of day, in the form of the Civil Rights Act of 1964.
His dream of “the day my four little children will one day live in a nation where they will not be judged by the colour of their skin but by the content of their character”, has only dawned in the legal sense. The “flames of withering injustice” of racism remain unfettered in the hearts and minds of a significant section of white America.
The Anti New Deal Laws (specifically the Social Security Act) of 1937
Franklin Delano Roosevelt won his second term in 1936 with, according to the New York Times “the most overwhelming testimonial of approval ever received by a national candidate in the history of the nation”. However, the election victory was tempered with a great fear that a hostile Supreme Court would vote to invalidate Roosevelt’s New Deal – a set of progressive programs designed to provide a safety net to those adversely affected by the Great Depression, and to initiate progressive legislation to improve the national economy. Specifically, the Supreme Court declared that the Social Security Act was “unconstitutional”.
Roosevelt decided not to undertake the arduous task of a constitutional amendment to pass his programs, which would have been possible given his vast popularity in Congress and the nation. In his opinion, it was not the Constitution that needed change; it was the Composition of the Supreme Court which would best allow him to continue the programs of the New Deal.
In February, 1937, Roosevelt asked Congress to empower him to appoint up to six more Supreme Court Justices, ostensibly to strengthen an aging Supreme Court. “Life tenure” argued Roosevelt, “was not intended to create a static judiciary. A constant and systematic addition of younger blood will vitalize the courts”.
Roosevelt’s plan touched off a grim struggle among the three branches of government. “If Roosevelt won”, opponents warned, “he would destroy the independence of the judiciary and create an evil precedent for successors who wished to ‘pack’ the Court”. If Roosevelt lost, his supporters countered, “a few judges appointed for life would be able to ignore the popular will, destroy programs vital to the welfare of the people, and deny the president and Congress the powers exercised by every other government in the world”. Both opinions have been proved to be valid, even complementary.
However, the latter opinion is particularly relevant to the current Supreme Court, which aims to “destroy programs vital to the welfare of the people” and so deny President Biden his powers to carry out his programs of progressive legislation. These include repairing of crumbling physical infrastructure of the nation, taking necessary steps to combat climate change, and enhancing the social safety net of those Americans who are most vulnerable.
Although the composition of the Supreme Court has been preserved, Roosevelt’s veiled threats to pack the Court staved off the invalidation of the Social Services Act and other progressive reforms. Roosevelt claimed that he “may have lost the battle, but he had won the war”.
That he did. His “socialist” programs continue to provide a limited social safety net to all Americans today.
The Overturning of Roe v. Wade in 2022
The current Supreme Court, with its 6/3 radical right majority, overturned Roe v. Wade, the 1973 ruling granting reproductive freedom without government restrictions to all women. Roe v. Wade has been reconfirmed in the last 50 years by numerous subsequent Supreme Court rulings, and was considered to be the law of the land, popular with over 80% of all Americans.
The present Court threatens to make even more inroads to recently passed progressive legislation. Justice Clarence Thomas recently stated that the Court is taking a second look aimed at scrapping rulings that protect contraception, same-sex marriage and same-sex sexual activity. Even the Voting Rights Act of 1965 and the Civil Rights Act of 1964 are on the list of endangered legislation.
President Biden does not enjoy the popularity FDR enjoyed in the 1930s, although he did inherit an economy approaching recession caused by the Covid epidemic, which had been criminally mismanaged by the Trump administration. The economy has also been hit by the military assistance given to Ukraine to help a sovereign nation combat illegal invasion by Putin’s Russia, now globally described as a “terrorist government”.
The economy of United States is going through a period of near recession and unprecedented inflation, global problems which will be solved in the fullness of time. Biden’s presidency has brought fresh air of decency and integrity to the White House, compared to the stench of vulgarity, corruption and treason of the previous administration. Biden’s previously low popularity ratings have shown significant increases in the past few weeks. If the midterms were held today, most polls indicate that the Democrats lead the Republicans by seven to ten percentage points.
There are a couple of silver linings in these very dark clouds. Recent events indicate that Trump may be losing his stranglehold on the Republican party. His erratic, often maniacal behaviour and the irrefutable evidence emerging of his complicity in the January 6 coup, have the majority of the party questioning if his involvement in the November midterms would not be a liability. As Deputy Chairperson of the January 6 Committee, Liz Cheney said, “it is impossible to support both Donald Trump and the Constitution”.
A viable alternative for Republican leadership, of similar radical right persuasion but more educated and presentable, also seems to be emerging in the persona of Florida Governor, Ron de Santis.
The unpopular reversal of Roe v. Wade, which guaranteed reproductive freedom to all women in America, will take millions of votes away from the Republican Party in the midterm elections in November.As will the Independence Day mass shooting in Highland Park, Illinois, where seven people were killed and over 30 wounded by a 22-year-old white shooter armed with an AR 15 automatic rifle. The killer is in custody and faces seven murder and numerous other charges which will keep him prison for life. This tragedy marks the 314th mass shooting in the USA for this year alone.
Republicans keep blocking meaningful gun control regulations, including a total ban on military style assault rifles. Controls favoured by over 80% of the American people.These two factors – anti-abortion laws and the refusal to enact stringent gun control laws – may help Democrats get the majority they need in Congress in the midterms to address the real problems facing the nation. If the Republicans gain control of Congress, they will surely resume their down-slide on the slippery slope to a Theocratic Autocracy.
Proving the age-old platitude: Nations get the leaders they deserve.Of course, before, during and after the midterms, Trump and his hard-core cult will never give up on their aspirations for the perpetuation of white privilege. Nor will they tolerate the imminent arrest of Trump and/or his enablers, even in the face of undeniable evidence of their complicity in the January 6 coup. These thugs will “not go gentle into that good night”.
The USA may see violence surpassing that suffered during the civil war, in the next few months, until and unless the epidemic of Trumpism is finally stamped out. And this time, these home-made, white supremacist terrorists will be armed not with muskets and bayonets, but with military style killing machines.
Features
Wishes, Resolutions and Climate Change
Exchanging greetings and resolving to do something positive in the coming year certainly create an uplifting atmosphere. Unfortunately, their effects wear off within the first couple of weeks, and most of the resolutions are forgotten for good. However, this time around, we must be different, because the nation is coming out of the most devastating natural disaster ever faced, the results of which will impact everyone for many years to come. Let us wish that we as a nation will have the courage and wisdom to resolve to do the right things that will make a difference in our lives now and prepare for the future. The truth is that future is going to be challenging for tropical islands like ours.
We must not have any doubts about global warming phenomenon and its impact on local weather patterns. Over its 4.5-billion-year history, the earth has experienced drastic climate changes, but it has settled into a somewhat moderate condition characterised by periods of glaciation and retreat over the last million years. Note that anatomically modern Homo sapiens have been around only for two to three hundred thousand years, and it is reasoned that this stable climate may have helped their civilisation. There have been five glaciation periods over the last five hundred thousand years, and these roughly hundred-thousand-year cycles are explained by the astronomical phenomenon known as the Milankovitch Cycle (the lows marked with stars in Figure 1). At present, the earth is in an inter glacial period and the next glaciation period will be in about eighty thousand years.
(See Figure 1. Glaciation Cycles)
During these cycles, the global mean temperature has changed by about 7-8 degrees Centigrade. In contrast to this natural variation, earth has been experiencing a rapid temperature increase over the past hundred years. There is ample scientific evidence from multiple sources that this is caused by the increase in carbon dioxide gas in the atmosphere, which has seen a 50% increase over the historical levels in just hundred years (Figure 2). Carbon dioxide is one of the greenhouse gases which traps heat from the sun and slows the natural cooling process of the earth. This increase of carbon dioxide is due to human activities: fossil fuel burning, industrial processes, deforestation, and agricultural practices. Ironically, those who suffer from the consequences did not contribute to these changes; those who did contribute are trying their best to convince the world that the temperature changes we see are natural, and nothing should be done. We must have no illusions that global warming is a human-caused phenomenon, and it has serious repercussions.

(See Figure 2. Global Temperature and Carbon Dioxide Levels)
Why should we care about global warming? Well, there are many reasons, but let us focus on earth’s water cycle. Middle schoolers know that water evaporates from the oceans, rises into the atmosphere where it cools, condenses, and falls back onto earth as rain or snow. When the oceans warm, the evaporation increases, and the warmer atmosphere can hold more water vapour. Water laden atmosphere results in severe and erratic weather. Ironically, water vapour is also a greenhouse gas, and this has a snowballing effect. The increased ocean temperature also disrupts ocean currents that influence the weather on land. The combined result is extreme and severe weather: violent storms and droughts depending on the geographic location. What is happening on the West coast of the USA is an example. The net result will be major departures from what is considered normal weather over millennia.
International organisations have been talking for 30 years about limiting global temperature increase to 1.5oC above pre-industrial levels by curtailing greenhouse gas emissions. But not much has been done and the temperature has risen by 1.2oC already. The challenge is that even if we can stop greenhouse gas emissions completely, right now, we have the problem of removing already existing 2,500 billion tons of carbon from the atmosphere, for which there are no practical solutions yet. Scientists worry about the consequences of runaway temperature increase and its effect on human life, which are many. It is not a doomsday prediction of life disappearing from earth, but a warning that life will be quite different from what humans are used to. All small tropical nations like ours are burdened with mitigating the consequences; in other words, get ready for more Ditwahs, do not wait for the twelve-day forecast.
Some opined that not enough warning was given regarding Ditwah; the truth is that the tools available for long-term prediction of the path or severity of a weather event (cyclone, typhoon, hurricane, tornado) are not perfect. There are multitude of rapidly changing factors contributing to the behavior of weather events. Meteorologists feed most up to date data to different computer models and try to identify the prediction with the highest probability. The multiple predictions for the same weather event are represented by what is known as spaghetti plots. Figure 3 shows the forecasted paths of a 2019 Atlantic hurricane five days ahead on the right and the actual path it followed on the left. While the long-term prediction of the path of a cyclone remains less accurate, its strength can vary within hours. There are several Indian ocean cyclones tracking sites online accessible to the public.

Figure 3. Forecasting vs Reality
There is no argument that short-term forecasts of this nature are valuable in saving lives and movable assets, but having long term plans in place to mitigate the effects of natural disasters is much more important than that. If a sizable section of the population must start over their lives from ground zero after every storm, how can a country economically develop?
The degree of our unpreparedness came to light during Ditwah disaster. It is not for lack of awareness; judging by the deluge of newspaper articles, blogs, vlogs, and speeches made, there is no shortage of knowledge and technical expertise to meet the challenge. The government has assured the necessary resources, and there is good reason to trust that the funds will be spent properly and not to line the pockets as happened during previous disasters. However, history tells us that despite the right conditions and good intentions, we could miss the opportunity again. Reasons for such skepticisms emerged during the few meetings the President held with the bureaucrats while visiting effected areas. Also, the COPE committee meetings plainly display the inherent inefficiencies and irregularities of our system and the absence of work ethics among all levels of the bureaucracy.
What it tells us is that we as a nation have an attitude problem. There are ample scholarly analyses by local as well as international researchers on this aspect of Sri Lankan psyche, and they label it as either island or colonial mentality. The first refers to the notion of isolated communities perceiving themselves as exceptional or superior to the rest of the world, and that the world is hell-bent on destroying or acquiring what they have. This attitude is exacerbated by the colonial mentality that promoted the divide and conquer rules and applied it to every societal characteristic imaginable; and plundered natural resources. As a result, now we are divided along ethnic, linguistic, religious, political, class, caste, geography, wealth, and many more real and imagined lines. Sadly, politicians, some religious leaders, and other opportunists keep inflaming these sentiments for their benefit when most of the population is willing to move on.
The first wish, therefore, is to get the strength, courage, and wisdom to think rationally, and discard outdated and outmoded belief systems that hinder our progress as a nation. May we get the courage to stop venerating elite who got there by exploiting the masses and the country’s wealth. More importantly, may we get the wisdom to educate the next generation to be free thinkers, give them the power and freedom to reject fabrications, myths, and beliefs that are not based on objective facts.
This necessitates altering our attitude towards many aspects of life. There is no doubt that free thinking does not come easily, it involves the proverbial ‘exterminating the consecrated bull.’ We are rightfully proud about our resplendent past. It is true that hydraulic engineering, art, and architecture flourished during the Anuradhapura period.
However, for one reason or another, we have lost those skills. Nowadays, all irrigation projects are done with foreign aid and assistance. The numerous replicas of the Avukana statue made with the help of modern technology, for example, cannot hold a candle to the real one. The fabled flying machine of Ravana is a figment of marvelous imagination of a skilled poet. Reality is that today we are a nation struggling with both natural and human-caused disasters, and dependent on the generosity of other nations, especially our gracious neighbor. Past glory is of little help in solving today’s problems.
Next comes national unity. Our society is so fragmented that no matter how beneficial a policy or an idea for the nation could be, some factions will oppose it, not based on facts, but by giving into propaganda created for selfish purposes. The island mentality is so pervasive, we fail to trust and respect fellow citizens, not to mention the government. The result is absence of long-term planning and stability. May we get the insight to separate policy from politics; to put nation first instead of our own little clan, or personal gains.
With increasing population and decreasing livable and arable land area, a national land management system becomes crucial. We must have an intelligent zoning system to prevent uncontrolled development. Should we allow building along waterways, on wetlands, and road easements? Should we not put the burden of risk on the risk takers using an insurance system instead of perpetual public aid programs? We have lost over 95% of the forest cover we had before European occupation. Forests function as water reservoirs that release rainwater gradually while reducing soil erosion and stabilizing land, unlike monocultures covering the hill country, the catchments of many rivers. Should we continue to allow uncontrolled encroachment of forests for tourism, religious, or industrial purposes, not to mention personal enjoyment of the elite? Is our use of land for agricultural purposes in keeping with changing global markets and local labor demands? Is haphazard subsistence farming viable? What would be the impact of sea level rising on waterways in low lying areas?
These are only a few aspects that future generations will have to grapple with in mitigating the consequences of worsening climate conditions. We cannot ignore the fact that weather patterns will be erratic and severe, and that will be the new normal. Survival under such conditions involves rational thinking, objective fact based planning, and systematic execution with long term nation interests in mind. That cannot be achieved with hanging onto outdated and outmoded beliefs, rituals, and traditions. Weather changes are not caused by divine interventions or planetary alignments as claimed by astrologers. Let us resolve to lay the foundation for bringing up the next generation that is capable of rational thinking and be different from their predecessors, in a better way.
by Geewananda Gunawardana
Features
From Diyabariya to Duberria: Lanka’s Forgotten Footprint in Global Science
For centuries, Sri Lanka’s biological knowledge travelled the world — anonymously. Embedded deep within the pages of European natural history books, Sinhala words were copied, distorted and repurposed, eventually fossilising into Latinised scientific names of snakes, bats and crops found thousands of kilometres away.
Africa’s reptiles, Europe’s taxonomic catalogues and global field guides still carry those echoes, largely unnoticed and uncredited.
Now, a Sri Lankan herpetologist is tracing those forgotten linguistic footprints back to their source.
Through painstaking archival research into 17th- and 18th-century zoological texts, herpetologist and taxonomic researcher Sanjaya Bandara has uncovered compelling evidence that several globally recognised scientific names — long assumed to be derived from Greek or Latin — are in fact rooted in Sinhala vernacular terms used by villagers, farmers and hunters in pre-colonial Sri Lanka.
“Scientific names are not just labels. They are stories,” Bandara told The Island. “And in many cases, those stories begin right here in Sri Lanka.”

Sanjaya Bandara
At the heart of Bandara’s work is etymology — the study of word origins — a field that plays a crucial role in zoology and taxonomy.
While classical languages dominate scientific nomenclature, his findings reveal that Sinhala words were quietly embedded in the foundations of modern biological classification as early as the 1700s.
One of the most striking examples is Ahaetulla, the genus name for Asian vine snakes. “The word Ahaetulla is not Greek or Latin at all,” Bandara explained. “It comes directly from the Sinhala vernacular used by locals for the Green Vine Snake.” Remarkably, the term was adopted by Carl Linnaeus himself, the father of modern taxonomy.
Another example lies in the vespertilionid bat genus Kerivoula, described by British zoologist John Edward Gray. Bandara notes that the name is a combination of the Sinhala words kiri (milky) and voula (bat). Even the scientific name of finger millet, Eleusine coracana, carries linguistic traces of the Sinhala word kurakkan, a cereal cultivated in Sri Lanka for centuries.
Yet Bandara’s most intriguing discoveries extend far beyond the island — all the way to Africa and the Mediterranean.
In a research paper recently published in the journal Bionomina, Bandara presented evidence that two well-known snake genera, Duberria and Malpolon, both described in 1826 by Austrian zoologist Leopold Fitzinger, likely originated from Sinhala words.
The name Duberria first appeared in Robert Knox’s 1681 account of Ceylon, where Knox refers to harmless water snakes called “Duberria” by locals. According to Bandara, this was a mispronunciation of Diyabariya, the Sinhala term for water snakes.
“Mispronunciations are common in Knox’s writings,” Bandara said. “English authors of the time struggled with Sinhala phonetics, and distorted versions of local names entered European literature.”
Over time, these distortions became formalised. Today, Duberria refers to African slug-eating snakes — a genus geographically distant, yet linguistically tethered to Sri Lanka.
Bandara’s study also proposes the long-overdue designation of a type species for the genus, reviving a 222-year-old scientific name in the process.
Equally compelling is the case of Malpolon, the genus of Montpellier snakes found across North Africa, the Middle East and southern Europe. Bandara traced the word back to a 1693 work by English zoologist John Ray, which catalogued snakes from Dutch India — including Sri Lanka.
“The term Malpolon appears alongside Sinhala vernacular names,” Bandara noted. “It is highly likely derived from Mal Polonga, meaning ‘flowery viper’.” Even today, some Sri Lankan communities use Mal Polonga to describe patterned snakes such as the Russell’s Wolf Snake.
Bandara’s research further reveals Sinhala roots in the African Red-lipped Herald Snake (Crotaphopeltis hotamboeia), whose species name likely stems from Hothambaya, a regional Sinhala term for mongooses and palm civets.
“These findings collectively show that Sri Lanka was not just a source of specimens, but a source of knowledge,” Bandara said. “Early European naturalists relied heavily on local names, local guides and local ecological understanding.”
Perhaps the most frequently asked question Bandara encounters concerns the mighty Anaconda. While not a scientific name, the word itself is widely believed to be a corruption of the Sinhala Henakandaya, another snake name recorded in Ray’s listings of Sri Lankan reptiles.
“What is remarkable,” Bandara reflected, “is that these words travelled across continents, entered global usage, and remained there — often stripped of their original meanings.”
For Bandara, restoring those meanings is about more than taxonomy. It is about reclaiming Sri Lanka’s rightful place in the history of science.
“With this study, three more Sinhala words formally join scientific nomenclature,” he said.
“Who would have imagined that a Sinhala word would be used to name a snake in Africa?”
Long before biodiversity hotspots became buzzwords and conservation turned global, Sri Lanka’s language was already speaking through science — quietly, persistently, and across continents.
By Ifham Nizam
Features
Children first – even after a disaster
However, the children and their needs may be forgotten after a disaster.
Do not forget that children will also experience fear and distress although they may not have the capacity to express their emotions verbally. It is essential to create child-friendly spaces that allow them to cope through play, draw, and engage in supportive activities that help them process their experiences in a healthy manner.
The Institute for Research & Development in Health & Social Care (IRD), Sri Lanka launched the campaign, titled “Children first,” after the 2004 Tsunami, based on the fundamental principle of not to medicalise the distress but help to normalise it.

The Island picture page
The IRD distributed drawing material and play material to children in makeshift shelters. Some children grabbed drawing material, but some took away play material. Those who choose drawing material, drew in different camps, remarkably similar pictures; “how the tidal wave came”.
“The Island” supported the campaign generously, realising the potential impact of it.
The campaign became a popular and effective public health intervention.
“A public health intervention (PHI) is any action, policy, or programme designed to improve health outcomes at the population level. These interventions focus on preventing disease, promoting health, and protecting communities from health threats. Unlike individual healthcare interventions (treating individuals), which target personal health issues, public health interventions address collective health challenges and aim to create healthier environments for all.”
The campaign attracted highest attention of state and politicians.
The IRD continued this intervention throughout the protracted war, and during COVID-19.
The IRD quick to relaunch the “children first” campaign which once again have received proper attention by the public.
While promoting a public health approach to handling the situation, we would also like to note that there will be a significant smaller percentage of children and adolescents will develop mental health disorders or a psychiatric diagnosis.
We would like to share the scientific evidence for that, revealed through; the islandwide school survey carried out by the IRD in 2007.
During the survey, it was found that the prevalence of emotional disorder was 2.7%, conduct disorder 5.8%, hyperactivity disorder was 0.6%, and 8.5% were identified as having other psychiatric disorders. Absenteeism was present in 26.8%. Overall, previous exposure to was significantly associated with absenteeism whereas exposure to conflict was not, although some specific conflict-related exposures were significant risk factors. Mental disorder was strongly associated with absenteeism but did not account for its association with tsunami or conflict exposure.
The authors concluded that exposure to traumatic events may have a detrimental effect on subsequent school attendance. This may give rise to perpetuating socioeconomic inequality and needs further research to inform policy and intervention.
Even though, this small but significant percentage of children with psychiatric disorders will need specialist interventions, psychological treatment more than medication. Some of these children may complain of abdominal pain and headaches or other physical symptoms for which doctors will not be able to find a diagnosable medical cause. They are called “medically unexplained symptoms” or “somatization” or “bodily distress disorder”.
Sri Lanka has only a handful of specialists in child and adolescent psychiatric disorders but have adult psychiatrists who have enough experience in supervising care for such needy children. Compared to tsunami, the numbers have gone higher from around 20 to over 100 psychiatrists.
Most importantly, children absent from schools will need more close attention by the education authorities.
In conclusion, going by the principles of research dissemination sciences, it is extremely important that the public, including teachers and others providing social care, should be aware that the impact of Cyclone Ditwah, which was followed by major floods and landslides, which is a complex emergency impact, will range from normal human emotional behavioural responses to psychiatric illnesses. We should be careful not to medicalise this normal distress.
It’s crucial to recall an important statement made by the World Health Organisation following the Tsunam
Prof. Sumapthipala MBBS, DFM, MD Family Medicine, FSLCFP (SL), FRCPsych, CCST (UK), PhD (Lon)]
Director, Institute for Research and Development in Health and Social Care, Sri Lanka
Emeritus Professor of Psychiatry, School of Medicine, Faculty of Medicine & Health Sciences, Keele University, UK
Emeritus Professor of Global Mental Health, Kings College London
Secretary General, International society for Twin Studies
Visiting Professor in Psychiatry and Biomedical Research at the Faculty of Medicine, Kotelawala Defence University, Sri Lanka
Associate Editor, British Journal Psychiatry
Co-editor Ceylon Medical Journal.
Prof. Athula Sumathipala
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