Life style
Understanding Alzheimer’s
World Alzheimer’s Day is marked on September 21 globally to raise awareness about Alzheimer’s disease and other forms of dementia. This year’s theme is ‘Know Dementia, Know Alzheimer’s’.Speaking to the Sunday Island, Dr . Kapila Ranasinghe, Senior Consultant Psychiatrist (with special interest in old-age psychiatry) at the National Institute of Mental Health remarks that Sri Lanka’s inherent social and cultural traits are a strength in addressing Alzheimer’s disease. Unlike in the west where many senior citizens with Alzheimer’s are institutionalized, our culture of caring and looking after the elderly is an advantage in managing the disease better.
BY RANDIMA ATTYGALLE
Be it an elderly parent, a grandparent or any other elderly loved one in your family forgetting important dates or events or repeatedly asking the same question may sound familiar. Some may even be confused with time and places. Very often you may attribute this behaviour to ‘normal ageing’ or old age. But you may be seriously mistaken…These behavioural traits could be early symptoms of Alzheimer’s disease.
In 1901 that German psychiatrist Alois Alzheimer identified the first case of what became known as Alzheimer’s disease, in a 50-year-old woman he called Auguste D. He described as a ‘peculiar disease’ one of profound memory loss and microscopic brain changes.
Commonest form of dementia
Alzheimer’s disease is the commonest form of dementia. Although laymen often consider Alzheimer’s and dementia to be synonymous, it is not so. Dementia is a term for several diseases that affect memory, thinking and the ability to perform daily activities. It results from a variety of diseases and injuries that affect the brain. “Although Alzheimer’s disease is indeed one of the most common forms of dementia, it’s important to note that not all dementia is Alzheimer’s,” explains Dr. Kapila Ranasinghe, Senior Consultant Psychiatrist (with special interest in old-age psychiatry) at the National Institute of Mental Health.
According to the World Health Organization (WHO), Alzheimer’s disease may contribute 60-70% of cases of dementia. The other common dementias are:
Vascular Dementia: Often caused by strokes or brain blood vessel diseases, leading to impaired judgment or difficulty in planning and organizing.
Lewy Body Dementia: Characterized by visual hallucinations, sleep disturbances and fluctuating cognitive abilities.
Frontotemporal Dementia: Affects personality, behaviour and language, often leading to socially inappropriate behavior or language difficulties.
Early signs
The presentation of Alzheimer’s is generally late here at home, observes Dr. Ranasinghe. This is largely due to lack of awareness and the common misconceptions related to the early signs signaling the condition, he says. “Very often it is only when an elderly parent or a loved one is causing some kind of disturbance at home with his/her behaviour such as wandering in the night, developing crying or anger swells that children or caregivers seek medical help. Otherwise, early signs of Alzheimer’s such as memory loss, misplacing their possessions etc. is often put down to ‘old age’ and inactivity after retirement.”
Reiterating that Alzheimer’s is not a normal characteristic of aging, the psychiatrist cites some key early signs to watch for and seek medical advice and support. They are:
Memory Loss: Forgetting recently learned information, important dates, or events. Repeatedly asking the same questions.
Difficulty in planning or solving problems: For example, struggling to follow a plan, work with numbers, or keep track of monthly bills.
Challenges completing familiar tasks: Trouble with daily tasks like driving to a familiar location, managing a budget, or remembering the rules of a favourite game.
Confusion with time or place: Losing track of dates and the passage of time. Sometimes forgetting where they are or how they got there.
Trouble in understanding visual images and spatial relationships: Difficulty in reading, judging distance and determining colour or contrast, which can affect driving.
New problems with words in speaking or writing: Trouble following or joining a conversation, stopping in the middle of a conversation, or repeating themselves.
Misplacing things and losing the ability to retrace steps: Putting things in unusual places and being unable to retrace steps to find them.
Decreased or poor judgment: Poor decision-making
Withdrawal from work or social activities: Avoiding social activities, work projects, or hobbies they once enjoyed.
Changes in mood and personality: Becoming confused, suspicious, depressed, fearful, or anxious.
Risk factors
Alzheimer’s disease is influenced by a combination of genetic, medical and lifestyle factors. “The major risk factor is age and the majority of people with the disease are over 65 although a minority could experience it before 65,” explains Dr. Ranasinghe. The genetic risk factors include family history of having a first-degree relative (parent or sibling) with Alzheimer’s, genetic variants (the presence of the APOE-e4 gene is associated with a higher risk of developing Alzheimer’s) and early-onset of the condition (rare genetic mutations can cause early onset of Alzheimer’s, typically before 65 years).
Certain medical conditions such as hypertension, diabetes and high cholesterol levels and having a history of traumatic brain injury can also increase the risk of Alzheimer’s in a person. Lifestyle risk factors would include poor diet, lack of physical activity, smoking and excessive alcohol consumption. “Many senior citizens whose brains are constantly stimulated either by reading, writing or other mental-stimulants such as regular social-interaction have a very low risk of Alzheimer’s as their cognitive engagement is high,” points out the psychiatrist who goes onto note that lower levels of formal education and less engagement in mentally stimulating activities are linked to a higher risk of developing the disease.
Multiple burdens of the disease
Between 2015 and 2050, the proportion of the world’s population over 60 years, according to the WHO data will nearly double from 12 % to 22%. In 2050 WHO predicts 80% of older people to be living in low and middle-income countries. “Sri Lanka already has a significant aging population and the double burden of Alzheimer’s disease, especially in the context of aging, is a significant concern. This burden can be individual as well as societal,” remarks Dr. Ranasinghe. Individual burdens would include health decline, emotional and physical impact and financial strains. “Alzheimer’s leads to progressive cognitive and physical decline, affecting the individual’s ability to perform daily activities and maintain independence. It could cause cause anxiety, depression and frustration for both the patient and their family members and care-givers. The cost of medical care, long-term care, and support services can be substantial, often leading to financial stress for families..”
The societal burden of Alzheimer’s too cannot be undermined. “The increasing prevalence of Alzheimer’s among the ageing population puts a significant strain on healthcare systems, requiring more resources to be mobilized for diagnosis, treatment, and care. The economic burden includes direct medical costs and indirect costs such as lost productivity of caregivers who may need to reduce work hours or leave their jobs to provide care. The condition also demands social services including support groups, respite care and community interventions to assist both individuals with Alzheimer’s and their care givers,” points out Dr. Ranasinghe who urges family members to seek early medical intervention for their loved ones suspected to be having the disease.
Seeking early care
Having an open discussion with parents and other elders suspected of early signs of the condition and seeking professional help is the key to managing the condition, maintains the psychiatrist. “Many children tend to hide the real situation from their parents and other elderly family members and this does more harm than good because the symptoms of Alzheimer’s worsen over time unless managed properly.”
Although Alzheimer’s cannot be cured, the progression of it could be slowed down with right interventions. “Today our state sector is also well equipped to address the disease both in terms of health care providers and other interventions. There are many non-pharmacological interventions such as memory assessments, cognitive function assessments etc. which will help in functional improvements of the person with Alzheimer’s. The good news is, not only can these interventions improve the quality of life of the person concerned but they are also relatively less expensive than other investigations and treatment modalities. Drugs for the disease are recommended only in severe and advanced stages,” Dr. Ranasinghe notes.
Alzheimer’s disease requires a holistic management or an inter-disciplinary approach to it. “When managing Alzheimer’s’ all aspects of a person’s life should be addressed; his/her physical and mental health, relationships and social life – all of this should be taken stock of. For example, non-communicable diseases (NCDs) such as diabetes, excessive cholesterol and high blood pressure should be kept at bay for optimum results,” says Dr. Ranasinghe who also warns against ‘over protection’ of parents and other elders. “We see some elders being over restricted with their social interactions and other physical activities which would be detrimental. Social interaction is vital to slow down the progress of the disease.”
When managing Alzheimer’s, caregivers too need to be looked after as it could be overwhelming to care for a loved one with the disease. “It could be very stressful for caregivers to look after a loved one with the disease and they too need support of other family members and friends and getting the support of health care providers is also critical to avoid burnout,” remarks the consultant.
Sri Lanka’s inherent social and cultural traits are a strength in addressing Alzheimer’s. “Unlike in the west where many elders with the disease are institutionalized, our elders with dementia and Alzheimer’s still enjoy better lives within their family units. The psychological support our system enables with the love and support of the immediate family cannot be undermined at any cost,” concludes Dr. Ranasinghe.
Life style
River of Life in Peril: Shantha Jayaweera’s Four-Decade Vigil in Boralugoda
In the quiet, rain-washed village of Boralugoda, where narrow streams slip silently through thick green undergrowth and the air carries the scent of wet earth, a remarkable story of science, persistence, and quiet resistance has been unfolding for decades.
At its centre is Research Scientist and artist Shantha Jayaweera—a man who has spent nearly 40 years studying, documenting, and defending one of the richest freshwater ecosystems in the island. His life’s work is not just about fish, but about a fragile world that exists beneath the surface of flowing water—often unseen, frequently misunderstood, and increasingly under threat.
“Sri Lanka holds a very special place in global freshwater biodiversity,” Jayaweera says, reflecting on decades of fieldwork. “But even within the island, there are pockets that are extraordinarily rich. Boralugoda is one of them.”
A Global Context, A Local Wonder
Sri Lanka is part of the Oriental region—one of the most biologically diverse freshwater zones in the world. Within the island, the lowland wet zone stands out as the most species-rich area, nurtured by year-round rainfall and dense vegetation.
But Boralugoda, located within this wet zone, is exceptional even by those standards.
“Out of about 94 true freshwater fish species recorded in the country, around 84 are found in the lowland wet zone,” Jayaweera explains. “What is remarkable is that Boralugoda alone supports 53 species. That is the highest number recorded in any inland location.”
He pauses before adding a sobering detail.
“Of those 53 species, 26 are endemic. And 23 are threatened—ranging from vulnerable to critically endangered. That’s a very serious signal.”
- Boralugoda Ella
The Secret of the Maguru
Flowing through this biodiversity hotspot is the Maguru River—a relatively small river with an outsized ecological role. Originating in the rainforest-covered Morapitiya area, it carries with it the ecological signature of its pristine beginnings.
“What makes the Maguru unique is its clarity,” Jayaweera says. “Most rivers turn brown as they carry sediment downstream. But this river remains clear, which allows sunlight to penetrate and sustain aquatic life.”
The river’s structure adds another layer of ecological complexity.
“It starts with fast-flowing, rocky sections and then gradually shifts to sandy, slow-moving areas,” he explains. “Different species are adapted to each of these habitats. Some are highly specialised and cannot survive outside the rocky zones.”
This diversity of microhabitats is one of the key reasons for the area’s richness.
“Fish like certain gobies and barbs are restricted to fast-flowing rocky areas,” he notes. “If those habitats are disturbed, the species simply disappear.”
Streams That Sustain Life
Beyond the main river, Boralugoda is crisscrossed by an intricate network of streams—fed by rainfall, forest cover, and underground springs.
“This area has one of the highest stream densities in the Western Province,” Jayaweera says. “These streams act as nurseries, refuges, and migration pathways for many species.”
The surrounding landscape further enhances this ecological mosaic.
“You have a mix of rainforest patches, home gardens, tea estates, and cultivated lands,” he explains. “Each of these contributes in some way to the overall habitat diversity.”
However, this delicate balance is increasingly being pushed to its limits.
Sand Mining: A River Reshaped
One of the most destructive forces to hit the Maguru River has been large-scale sand mining, particularly since the early 2000s.
“The riverbed has been completely altered,” Jayaweera says, his tone turning grave. “We’ve lost aquatic plants, native riverbank trees, and entire habitats.”
The ecological consequences have been severe.
“The endangered Red Neck Goby has become locally extinct,” he reveals. “And the Ocellated Pipefish has not been recorded for years, largely due to the loss of specific aquatic plants it depends on.”
The physical damage to the river is equally alarming.
“Sand mining has deepened the river unnaturally,” he explains. “This leads to bank erosion, collapse, and long-term instability. It changes the entire character of the river.”
Although recent policy changes have halted new permits, the damage done over decades cannot be easily reversed.
- Marbled spiny eel
- Red tailed goby – endangered
Tea Expansion and Vanishing Buffers
Another major pressure comes from agricultural expansion—particularly the spread of lowland tea cultivation.
“Since the 1990s, we’ve seen a steady conversion of home gardens and even forest patches into tea plantations,” Jayaweera says. “In some cases, even rubber lands have been cleared.”
This transformation has not only reduced biodiversity on land but has also affected water systems.
“Riverbank vegetation is often cleared to make way for cultivation,” he explains. “But these trees are critical—they stabilise banks, filter runoff, and provide shade.”
What is particularly troubling is the disregard for existing environmental regulations.
“There are clear laws requiring buffer zones along rivers and streams,” he says. “But many local authorities are either unaware or do not enforce them. As a result, these protective areas are disappearing.”
A Life Dedicated to Observation and Action
For Jayaweera, these changes are not abstract trends—they are deeply personal.
“I’ve been observing this ecosystem for nearly four decades,” he says. “I’ve seen species decline, habitats shrink, and patterns change.”
But his work has never been limited to observation alone.
Through the Organisation for Aquatic Resources Management (OARM), he has led numerous conservation and restoration efforts.
“We’ve worked on replanting rainforest species in degraded areas, restoring stream banks, and raising awareness among local communities,” he explains. “In some places, we’ve seen encouraging signs of recovery.”
His approach combines science with grassroots engagement.
“Conservation cannot happen in isolation,” he says. “You need the community to be involved.”
Where Science Meets Art
What sets Jayaweera apart is his ability to translate science into art.
As an accomplished artist, he uses illustrations and visual storytelling to bring freshwater ecosystems to life.
“Art can reach people in ways that science sometimes cannot,” he says. “It creates an emotional connection.”
His paintings often depict the intricate beauty of fish species, aquatic plants, and flowing streams—capturing not just their form, but their essence.
“When people see what is at stake, they are more likely to care,” he adds.
A Community at a Crossroads
Despite decades of work, challenges remain at the community level.
“Some people still treat rivers as dumping grounds,” Jayaweera says with frustration. “Plastic and waste continue to find their way into these waters.”
Yet, there are also signs of hope.
“A group of committed individuals regularly organise clean-up campaigns,” he notes. “They collect waste and display it publicly to raise awareness. It’s a simple but powerful act.”
These grassroots efforts, he believes, are crucial.
“Real change begins at the local level,” he says.
A Fragile Future
For Jayaweera, Boralugoda is more than just a field site—it is a symbol of what is at stake.
“If we lose ecosystems like this, we lose something irreplaceable,” he warns. “These species are found nowhere else in the world.”
His message is both urgent and measured.
“We need stronger enforcement of environmental laws, better awareness, and a genuine commitment to conservation,” he says.
“Otherwise, the damage will become irreversible.”
As the clear waters of the Maguru River continue to flow through Boralugoda—past rocks, roots, and remnants of a once-pristine landscape—they carry with them a quiet story of resilience.
And alongside that flow stands Shantha Jayaweera—scientist, artist, and guardian of a hidden world—still watching, still working, and still hoping that it is not too late.
By Ifham Nizam
Pictures by Shantha Jayaweera
Life style
Cheers to one year! Cinnamon Myst still casting its spell
Perched in the heart of Sri Lanka’s hill capital, Kandy Myst by Cinnamon recently marked its first anniversary, celebrating a year of redefining modern hospitality in the historic City of Kandy. Since opening its doors on February 12, 2025, the hotel has quickly established itself as a vibrant lifestyle destination that blend contemporary comfort with the cultural charm of the region.
This property was designed to bring a fresh energy to the city’s hospitality scene with 215 modern rooms, the largest room inventory in Kandy. The hotel caters to both leisure and business travellers seeking comfort, convenience and stylish surrounding close to the city’s key attraction.
Within the first year, the hotel has achieved notable milestones, including become the first hotel in Kandy to receive Leed Gold Certificate reflecting its commitment to sustainable and responsible development. Beyond accommodation and dining, the property has also emerged as a hub for cultural events.
As Kandy Myst by Cinnamon enters its second year, the hotel continues to position itself as more than a place to stay. With its lively dining venues, social spaces and commitment to sustainability and community engagement, it is steadily shaping a new chapter in Kandy’s evolving hospitality landscape – one where tradition meets contemporary style.
Over the months the restaurant has hosted themed culinary events, special promotions and vibrant social evenings, further strengthening its place as a lively hub in Kandy’s hospitality scene. Guests have been drawn not only by the flavours on the plate but also by the inviting atmosphere that captures the essence of city’s elegance.
Kandy Myst by Cinnamon celebrates its first anniversary, marking a year as Kandy’s contemporary hospitality destination that brings energy, culture, and lifestyle experiences to the city. Opened through a partnership between Cinnamon Hotels & Resorts and Indra Traders (Pvt) Ltd, the hotel blends hospitality expertise with local insight to deliver a modern, energetic and lifestyle driven offering.
With the highest room inventory in Kandy, comprising 215 contemporary rooms, Kandy Myst by Cinnamon caters to both leisure and business travellers, offering modern comfort in close proximity to the city’s key attractions and transport routes. Its dynamic dining and social spaces; Grains Dining, Terra Lounge, and the rooftop Kosmos Sky Bar with heated infinity pool, invite guests and locals to engage, with panoramic city views, curated entertainment, and vibrant social experiences. Grains Dining, the buffet restaurant, serves an extensive selection of local and international cuisine, while Terra Lounge provides a welcoming café-style hub for casual meetups and social gatherings.
In its inaugural year, the hotel achieved significant milestones, becoming the first hotel in Kandy to receive LEED Gold certification, demonstrating a commitment to responsible, future-ready development. Reinforcing its culturally connected and globally relevant positioning, Kandy Myst by Cinnamon hosted globally celebrated icons such as Alpha Blondy and a series of high-profile local and international events, including the official trophy unveiling of the inaugural New Zealand U85kg Rugby Tour of Sri Lanka in May 2025.
Throughout the year, the hotel brought guests and the community together through seasonal activations, curated experiences, and loyalty-driven offers, contributing to strong engagement while supporting Kandy’s tourism economy through local partnerships and community initiatives.
As it enters its second year, Kandy Myst by Cinnamon continues to invite international and local guests alike to experience its vibrant dining, social, and lifestyle spaces, while reinforcing its role in shaping Kandy’s modern hospitality and cultural landscape. (Zanita )
Life style
Montblanc launches Explorer Extreme in Sri Lanka
Internationally renowned luxury Maison Montblanc has introduced its latest fragrance, Montblanc Explorer Extreme, to the Sri Lankan market through Exclusive Lines, the sole authorised agent for the brand in the country.
The launch event was hosted at Virticle by Jetwing, where guests were invited to experience the newest addition to the bestselling Explorer line in a setting that reflected the Maison’s enduring themes of adventure, refinement and craftsmanship.
Montblanc Explorer Extreme represents a significant evolution of the Explorer franchise and is the first Parfum concentration within the collection. Conceived as an ode to vast landscapes and the world’s most remote desert terrains, the fragrance delivers a deeper, more intense interpretation of the original Explorer Eau de Parfum. Its woody, ambery and leathery composition is crafted to embody courage, ambition and the drive to push beyond limits.
Hiru Surtani, Managing Director and CEO of Exclusive Lines, said the launch reinforces the company’s commitment to bringing globally celebrated luxury brands to Sri Lanka. “Montblanc Explorer Extreme Parfum stands for courage, ambition and the determination to surpass boundaries, values that strongly resonate with us at Exclusive Lines. We are proud to present this remarkable fragrance to Sri Lanka’s discerning consumers, offering a scent that captures the essence of adventurous living,” he stated.
- Treshan and Senuri
- Thiyasha
- Roshan Ranawana
Inspired by dramatic desert landscapes such as Saudi Arabia’s AlUla, the fragrance reflects the bold spirit of modern exploration. It opens with fresh green notes of bergamot blended with clary sage, creating an immediate sense of vitality. The heart reveals patchouli layered with Ambrofix™, delivering warmth and depth, while the base combines rich amber, leather accords and refined vetiver to leave a powerful and lasting impression.
The bottle design draws inspiration from the Montblanc Extreme 3.0 Collection, echoing its distinctive textured motif associated with modern travel and dynamism. Crafted from fully black lacquered glass and topped with a polished black cap, the design underscores the intensity of the parfum. Production and assembly take place at Montblanc’s dedicated Pelleteria workshop in Florence, Italy, with elements crafted across Germany and France, a testament to the Maison’s European craftsmanship.
The global campaign features American actor, model and musician Justice Joslin as the contemporary Explorer, set against striking desert landscapes that symbolise ambition and achievement.
Montblanc Explorer Extreme joins Montblanc Explorer and Montblanc Explorer Platinum in the line-up and is now available exclusively in Sri Lanka through Exclusive Lines outlets and authorised retail partners nationwide.
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