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WHO brainstorming meeting among public health experts: Observations and recommendations

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Covid-19 surge in Sri Lanka

Public health experts representing diverse specialties held a brainstorming meeting convened by the World Health Organisation (WHO) Sri Lanka to discuss the current spike in cases in Sri Lanka recently, according to a media statement issued by the WHO Colombo Office. The key observations and recommendations to policy and decision-makers indicated below are documented based on proceedings and the consensus achieved at the meeting. The views expressed on the situation are those of the experts and do not necessarily reflect those of WHO.

The following crucial factors were considered:

The COVID-19 situation in Sri Lanka is very likely to get worse over the next few weeks. The decisions we take NOW will affect the lives of millions of Sri Lankans. Therefore, the next 3-4 weeks are critical in controlling transmission and saving lives.

The epidemiological trend of the past weeks shows a rapid exponential increase in the number of cases, this trend is likely to continue for some time if no effective interventions are made.

There is a lag of 1-2 weeks between infection and case detection and a further lag of an additional 2-3 weeks between an increase of reported cases and an increase in reported ICU admissions and deaths. Thus, the deaths and ICU admissions we are seeing now are the consequence of infections that took place at the early stage of this third wave (3-4 weeks ago).

The public sector health system is stretched to the limit, making it difficult to manage COVID-19 cases as well as other essential services. More health professionals and preventive staff (e.g. PHIs) are getting infected and HR policies need to be geared to meet the urgency. There is a “tipping point” beyond which the system can rapidly go out of control. 

The more transmissible and severe variants detected in India and other variants have already been detected in the country, these can spread faster and may even circumvent vaccine-induced immunity.

Vaccines will be crucial to controlling the epidemic in the medium-term but will not address the immediate crisis we now face. Some vaccines are only effective after the second dose. Therefore, it will take a minimum of 6-8 weeks to see the effects of vaccination in the number of new cases.

In the context of the above, there are two URGENT actions we can take to save lives – stop new infections as effectively as possible and prepare for the predictable increase in severe cases and deaths.

1.

Globally, evidence shows that strict and immediate measures to restrict mobility are the only measures that quickly and drastically reduce cases. Sri Lanka will also benefit from strict mobility restrictions whilst maintaining major economic activities and essential services. There is a need to stop inter-district travel and introduce severe restrictions on non-essential human mobilities and the congregation of people. Universal adherence to ‘precautions’ such as appropriate masking, physical distancing, hand hygiene, and avoiding the 3Cs – crowds, confined and enclosed spaces, and close-contact settings is a must. High transmission areas must be shut down for 2-3 weeks to stop or limit transmission. There should be a national mobilization effort to accelerate vaccination.

2.

Reconsider the management of asymptomatic cases, revise clinical management protocol to include home management.  Increase focus on intermediate care centres to detect cases early, properly monitor patients, and appropriately manage cases, thereby minimizing the need for more intensive care. Prepare for an increase in hospitalization and the need for adequate HDU and ICU care.

Participants

Dr. Palitha Abeykoon, WHO Consultant and WHO Director-General’s Special Envoy For COVID-19 Preparedness and Response for SEAR 

Prof. Malik Peiris, Chair/Professor – School of Public Health, The University of Hong Kong, Faculty of Medicine, Hong Kong

Dr. Ananda Wijewickrama, Consultant Physician and Past President of the College of Physicians

Prof. Neelika Malavige, Professor and Head, Department of Immunology and Molecular Medicine, Sri Jayewardenepura University

Dr. Vinya Ariyaratne  

Public Health Specialist,  President- Sarvodaya (CSO)

Dr. Padma Gunaratne, Consultant Neuro Physician and President, Sri Lanka Medical Association

Prof.  Indika Karunathilake, Prof. in Medical Education, Department of Medical Education, Faculty of Medicine and Former President – SLMA

Prof. Asita de Silva, Senior Professor of Pharmacology, University of Kelaniya and President, Sri Lanka Association of Clinical Pharmacology & Therapeutics

Prof. Manuj Weerasinghe , Professor in Community Medicine, Faculty of Medicine, Colombo 

Dr. LakKumar Fernando, Consultant Pediatrician and President, Association of Medical Specialists

Dr. Nihal Abeysinghe, Consultant in Community Medicine and Former Chief Epidemiologist in Sri Lanka and President of the College of Community Physicians in Sri Lanka

Prof. Saroj Jayasinghe, Consultant Physician and former Prof. of Medicine, Faculty of Medicine, Colombo 

Prof. Kamini Mendis , Professor Emeritus, University of Colombo; Public Health Expert and former WHO Malaria expert  

Dr. Olivia Nieveras, Officer In-Charge, WHO Sri Lanka 

Dr. Sapumal Dhanapala, WHO Sri Lanka

Dr. Padmal de Silva, WHO Sri Lanka

Prof. Nalika Gunawardena, WHO Sri Lanka

Mr. T  Suveendran, WHO Sri Lanka

Dr. Preshila Samaraweera, WHO Sri Lanka

Ms. Sahani Chandraratna, WHO Sri Lanka

Dr. Mizaya Cader, WHO Sri Lanka

Ms. Sadhani Rajapakse, WHO Sri Lanka

Dr. Anjalee De Silva, WHO Sri Lanka

Dr. Roshan Sampath , WHO Sri Lanka

Dr. Shreenika De Silva, WHO Sri Lanka



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SJB: China, India taking advantage of Lanka’s unregulated oil market

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Ananda Palitha

… questions why the price of a by-product like kerosene was jacked up

China Petrochemical Corporation (Sinopec Group) and Indian Oil Corporation Lanka (IOC PLC) have increased the prices of certain products significantly more than the Ceylon Petroleum Corporation (CPC). However, the fourth player in the market R.M. Parks, a US company in collaboration with Shell that launched operations here in late February last year, has increased its prices in line with Ceypetco.

Convener of the Samagi Joint Trade Union Alliance, Ananda Palitha, yesterday (23) told The Island that foreign players had immensely benefited from the latest price revision at the expense of Sri Lankan consumers.

Alleging that Sinopec and Lanka IOC PLC had become a law unto themselves, Palitha pointed out that the failure on the part of successive governments to establish an Independent Commission and Regulatory Authority for the petroleum sector had allowed Ceypetco and all foreign players to do as they please. Palitha said that in the absence of proper regulatory mechanism, CPC/Energy Ministry should ensure genuine competitiveness in the market.

Palitha said that the NPP government had exploited the ongoing Middle East war to earn unconscionable profits at a time the economy was reeling under the impact of the Hormuz Strait blockade. According to him, all four players increased Auto Diesel by Rs. 79 to Rs. 382 per litre, and Octane 92 Petrol by Rs. 81 to Rs. 398 per litre, while Sinopec and Lanka IOC PLC price list differed in respect of other products. At most filling stations Octane 92 was not available and only higher priced Octane 95 petrol was available.

Pointing out that since the eruption of the Middle East conflict, on 28 February, the NPP had twice increased fuel prices on 09 and 22 March, Palitha said that the government could have cushioned the impact by lowering taxes imposed on crude oil and refined petroleum products. Instead, the latest price revisions resulted in further increase of customs duties, VAT and Port and Airport Development Levy. Additional duties often apply, such as a surcharge tax, on diesel and petrol.

Since the entry of Lanka IOC into the market in 2003, Sinopec in 2023 and R.M. Parks in 2025 eroded the CPC share and, at the moment, it was down to about 57%, and the private players accounted for the rest. Palitha placed the number of filling stations players authorised to operate at Ceypetco (836), Lanka IOC (274) and Sinopec and R.M. Parks 150 each.

Palitha said Lanka IOC has increased Petrol Octane 95 to Rs. 487 a litre whereas the CPC priced the same at Rs. 455) a litre. Lanka IOC and Ceypetco have priced a litre of Super diesel at Rs. 572 and Rs. 443, respectively.

LIOC has also revised its premium fuel categories, with Xtra Premium Petrol priced at Rs. 465, Xtra Mile at Rs. 551, and Xtra Green Diesel at Rs. 588.

Claiming that the government had twice increased the prices of old petroleum stocks, procured at a maximum USD 70 a barrel, weeks, if not months, before the new war, Palitha found fault with the Opposition for not launching a sustained campaign against the exploitation of the public. Palitha said that the increase of a litre of kerosene by Rs. 13 on 09 March and Rs. 60 on 22 March was unjustifiable. “The people do not know that kerosene is a by-product in the process of refining crude oil. Sapugaskanda produces LPG, naphtha, petrol, diesel, kerosene and furnace oil.”

The price of a litre of kerosene to had been increased to Rs 255, Palitha said, adding that it could have been provided to the needy at a much lower rate. If those who represent Parliament bothered to study the issues at hand, they would be able to challenge the government on this disgraceful manipulation of the entire country, he said.

Palitha said that the Parliament owed an explanation as to why the Commission to regulate the oil trade hadn’t been appointed and whether some interested parties financially benefited at the expense of the country.

Palitha said that the introduction of the QR code to control fuel sales and the increase of the fuel quota last Sunday night had been used to deceive the public when those in power and their friends in the industry made money at the expense of the public.

By Shamindra Ferdinando

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SL to redevelop Trinco tank farm expeditiously

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Vijitha Herath

Sri Lanka is planning to fast-track the redevelopment of the Trincomalee oil tank farm as a long-term solution to its ongoing energy crisis, with backing from India and the United Arab Emirates, The Hindu has reported.

Foreign Minister Vijitha Herath said the project, which involves restoring World War II-era oil storage facilities in the eastern district, is seen as a “permanent solution” to managing fuel supply challenges.

“Temporary solutions are not sustainable. We need a long-term strategy to deal with oil storage and distribution, given the global energy situation,” he told The Hindu.

The initiative follows a Memorandum of Understanding signed in April 2025 between Sri Lanka, India, and the UAE to develop Trincomalee as a regional energy hub.

Despite previous delays spanning decades, the project has gained renewed urgency amid the current global energy crisis, which has disrupted supply chains and driven up fuel costs.

Sri Lanka has already submitted a concept proposal to its partners, while technical aspects are being reviewed by the Energy Ministry before moving to the tender stage, according to the report.

The renewed push also marks a notable policy shift, as the ruling administration, led by the National People’s Power, had previously opposed Indian involvement in the project.

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Heat Index at Caution Level in the Western, Sabaragamuwa, Southern and North-western, North-central provinces and in Mannar and Vavuniya districts

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Warm Weather Advisory
Issued by the Natural Hazards Early Warning Centre
 at 3.30 p.m. on 23 March 2026, valid for 24 March 2026.

The Heat index, the temperature felt on human body is likely to increase up to ‘Caution level’ at some places in the Western, Sabaragamuwa, Southern and North-western, North-central
provinces and in Mannar and Vavuniya districts.

The Heat Index Forecast is calculated by using relative humidity and maximum temperature and this is the condition that is felt on your body. This is not the forecast of maximum temperature. It is generated by the Department of Meteorology for the next day period and prepared by using global numerical weather prediction model data.


Effect of the heat index on human body is mentioned in the above table and it is prepared on the advice of the Ministry of Health and Indigenous Medical Services.

ACTION REQUIRED
Job sites: Stay hydrated and takes breaks in the shade as often as possible.
Indoors: Check up on the elderly and the sick.
Vehicles: Never leave children unattended.
Outdoors: Limit strenuous outdoor activities, find shade and stay hydrated.
Dress: Wear lightweight and white or light-colored clothing.

Note:
In addition, please refer to advisories issued by the Disaster Preparedness & Response Division, Ministry of Health in this regard as well. For further clarifications please contact 011-7446491.

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