Opinion
Why hide the truth about CKDu?
By Dr PARAKRAMA WAIDYANATHA
An open letter to the new Minister of Health
The chronic kidney disease (CKDu) has been a major non-communicable disease prevalent essentially among the Rajarata’s agricultural communities in the last three decades that had, on average, killed several thousand people annually. The disease aetiology is now known, with a high degree of certainty to be hard water in dug wells on high ground contaminated with fluoride. Because it largely affected the farming families, agro-chemicals were justifiably suspected as the cause although without evidence; and many, especially the ignorant politicians, including several key ministers without knowing the facts of the matter, have blamed agrochemicals.
In fact, the term wasa visa krushikarmaya (toxic- agriculture) was coined on conventional agriculture largely because of the misinformation. Ridiculous boards displaying that fruits and vegetables sold in wayside shops are ‘toxin-free’ have been a common sight. The shopkeeper hardly knows the origin of the produce!
Then, there was the much-hyped ‘toxin-free agriculture” or organic farming drive of the Yahapalana government, led by the then President and Ven. Ratana, which again was on the premise that agrochemicals are the cause of the disease. It was, however, a total failure. And it would appear that the current President too, rushed to organic farming with the misinformed judgment that agrochemicals are the cause of CKDu, and probably also of other non-communicable ones, although there has been no evidence for it! He should have consulted the scientists and academics in the relevant fields before rushing to the decision.
However, the new Finance Minister has, in a recent gazette notification, dated 31st July 2021, claimed to be published in order to “regulate the importation of chelated minerals and micronutrients” which were previously banned, has also ‘surreptitiously’ reverted the Presidential decision; allowing imports of virtually all straight chemical fertilizers and mixtures thereof, but on license! So, hopefully, farmers should have access to chemical fertilisers for the coming Maha season!
Be all that as they may, the writer’s concern is that despite the overwhelming research, as also supportive numerical evidence the Health Ministry/Department has been generating on the prevalence of CKD, through a broad surveillance with nationwide sentinel sites that has also supported the observation that drinking water quality is the major cause of the disease, it has hitherto made no formal pronouncement on the disease causation. Regrettably, neither the former Health Minister nor the Agriculture Minister seem to be aware of this fact, from the utterances they have made recently in Parliament and outside. In fact, both of them were seen yelling in Parliament, some days ago, that the cause for the kidney disease is agrochemicals! Further, at a meeting with the farmers some weeks ago, the Agriculture Minister exclaimed that the government has rushed into organic farming to save the kidneys of farmers!

Mr. Minister, please be aware of the following facts and take necessary action to clear the myth in the minds of the President, ministers and other authorities, that agrochemicals are the cause of CKDu, the number one non-communicable in the country:
1.
The scientific and medical community have developed an understanding of the origins of this chronic disease. Steps to control it have shown increasing success as the numbers stricken by the disease have decreased since 2016, following supply of clean drinking water to the residents of the endemic areas. And it is now critically important that people of all affected areas are provided with good quality drinking water. Apparently, when the Yapahalana authorities then “flogging the dead agrochemical horse” came to learn that polluted water was the cause of the disease, rumour was doing the rounds, that the authorities did not want people told about it for fear of an outcry for quality water!
2.
Research by at least five groups and many individuals, local and foreign, have shown that the disease is caused by the consumption of water from wells containing hard water and fluoride, found in geological formations known as Regolith aquifers that hold the water in the relevant dry zone areas. People who were settled rapidly during the Accelerated Mahaweli Programme on higher ground in the late 1970s, had to dig shallow wells or tube wells for their water supply. Estimates reveal that there are some 176,000 such wells in the Rajarata! CKDu is found essentially in villages drinking water from such wells. Residents who get their water from agricultural canals, rivers or reservoirs DO NOT CONTAMINATE CKD, whereas one would have expected them to do so if agrochemicals were the cause of the disease. Please see the attached graph (Fig. 1) from a publication by none other than Dr Asanga Ranasinghe, Coordinator of the CKDu Programme, Ministry of Health and others (BMC Nephropathy, Aug 2019) that reveal a sharp drop in the number of patients in the two most CKD affected districts of Anuradhapura and Polonnaruwa. This was a consequence of provision of safe drinking water, and in fact the people themselves in the affected areas realised that polluted water was the cause of the disease, and not drinking it. Further, the Table 1 below compiled from the data of 2018 Annual Health Bulletin (page 70), also confirm a sharp decline in the increase in patient numbers from 52% between 2014 and 2016 to just 12% between 2016 and 2018, which should essentially be a consequence of drinking good quality water. There is no other evidence to explain this prominent decline.
Sadly, however, the 2019 Annual Health Bulletin does not carry any information on the CKDu status, despite there being a nationwide Sentinel Survey of patient numbers; and the 2020 Annual Health Bulletin too has not been published to date! Why are the health authorities so negligent about the number one non-communicable disease in the country! Table 1
3. There is CKDu in areas like Mullaitivu where no agro-chemicals whatsoever have been used due to the Eelam wars. So it is now amply evident that residents who drink hard water rich in fluoride contract CKDu, but not those who drink water from streams, reservoirs and wells in the planes.
4.
No CKDu is found in the Hill Country (vegetable and tea cultivation) and in most other areas such as Kalpitiya (vegetable cultivation) where agrochemicals are used much more heavily than in the Rajarata.
5.
The WHO Report, 2013, concluded, amongst other things, that some CKDu patients secreted pesticide residues above the reference (permissible) levels, but did not refer to the pesticide residue status in the urine of the control subjects (from Hambantota) in the trial! Our subsequent analysis of the pesticide residue raw data, revealed that the numbers of subjects with urine pesticide levels were two to three times higher from the non-CKD (Control) area than among the CKD patients (See Table 2). Why did the WHO Report omit this critically important control data? Referring to pesticides, the Report merely stated that some CKDu patients had residues of some pesticides above reference limits! Was it to give the impression that pesticides were probably the cause? However, an International Expert Consultation held in 2018 on CKDu in Colombo, concluded that there is no evidence to implicate agrochemicals in the causation of the disease.
6.
Several ministers and most importantly even the President of the GMOA, Dr Padeniya have been repeatedly claiming that Sri Lanka is the country consuming the highest quantities of agrochemicals in the world. However, the published data of the World Bank (see Table 3) reveals that in this part of the world, we are the country consuming the lowest amount of fertiliser and the second lowest amount of pesticide per unit area!
In conclusion, the disease is evidently caused by consuming naturally contaminated well water. It has nothing to do with fertilisers or pesticides. The disease is prevented by supplying clean water to the endemic villages. This has been done largely by the distribution of rain-water collection tanks, and by the installation of reverse-osmosis water filtration plants by benevolent donors. Moreover, people in the affected areas are now aware of the cause of the disease and are taking preventive measures themselves, as evident from the data.
Please bring this information to the attention of the President and other authorities, so that vital national decisions are based on facts, and not myths!
Opinion
The policy of Sinhala Only and downgrading of English
In 1956 a Sri Lankan politician riding a great surge of populism, made a move that, at a stroke, disabled a functioning civil society operating in the English language medium in Sri Lanka. He had thrown the baby out with the bathwater.
It was done to huge, ecstatic public joy and applause at the time but in truth, this action had serious ramifications for the country, the effects have, no doubt, been endlessly mulled over ever since.
However, there is one effect/ aspect that cannot be easily dismissed – the use of legal English of an exact technical quality used for dispensing Jurisprudence (certainty and rational thought). These court certified decisions engendered confidence in law, investment and business not only here but most importantly, among the international business community.
Well qualified, rational men, Judges, thought rationally and impartially through all the aspects of a case in Law brought before them. They were expert in the use of this specialised English, with all its meanings and technicalities – but now, a type of concise English hardly understandable to the casual layman who may casually look through some court proceedings of yesteryear.
They made clear and precise rulings on matters of Sri Lankan Law. These were guiding principles for administrative practice. This body of case law knowledge has been built up over the years before Independence. This was in fact, something extremely valuable for business and everyday life. It brought confidence and trust – essential for conducting business.
English had been developed into a precise tool for analysing and understanding a problem, a matter, or a transaction. Words can have specific meanings, they were not, merely, the play- thing of those producing “fake news”. English words as used at that time, had meaning – they carried weight and meaning – the weight of the law!
Now many progressive countries around the world are embracing English for good economic and cultural reasons, but in complete contrast little Sri Lanka has gone into reverse!
A minority of the Sinhalese population, (the educated ones!) could immediately see at the time the problems that could arise by this move to down-grade English including its high-quality legal determinations. Unfortunately, seemingly, with the downgrading of English came a downgrading of the quality of inter- personal transactions.
A second failure was the failure to improve the “have nots” of the villagers by education. Knowledge and information can be considered a universal right. Leonard Woolf’s book “A village in the Jungle” makes use of this difference in education to prove a point. It makes infinitely good politics to reduce this education gap by education policies that rectify this important disadvantage normal people of Sri Lanka have.
But the yearning of educators to upgrade the education system as a whole, still remains a distant goal. Advanced English spoken language is encouraged individually but not at a state level. It has become an orphaned child. It is the elites that can read the standard classics such as Treasure Island or Sherlock Holmes and enjoy them.
But, perhaps now, with the country in the doldrums, more people will come to reflect on these failures of foresight and policy implementation. Isn’t the doldrums all the proof you need?
by Priyantha Hettige
Opinion
GOODBYE, DEAR SIR
It is with deep gratitude and profound sorrow that we remember Mr. K. L. F. Wijedasa, remarkable athletics coach whose influence reached far beyond the track. He passed away on November 4, exactly six months after his 93rd birthday, having led an exemplary and disciplined life that enabled him to enjoy such a long and meaningful innings. To those he trained, he was not only a masterful coach but a mentor, a friend, a steady father figure, and an enduring source of inspiration. His wisdom, kindness, and unwavering belief in every young athlete shaped countless lives, leaving a legacy that will continue to echo in the hearts of all who were fortunate enough to be guided by him.
I was privileged to be one of the many athletes who trained under his watchful eye from the time Mr. Wijedasa began his close association with Royal College in 1974. He was largely responsible for the golden era of athletics at Royal College from 1973 to 1980. In all but one of those years, Royal swept the board at all the leading Track & Field Championships — from the Senior and Junior Tarbat Shields to the Daily News Trophy Relay Carnival. Not only did the school dominate competitions, but it also produced star-class athletes such as sprinter Royce Koelmeyer; sprint and long & triple jump champions Godfrey Fernando and Ravi Waidyalankara; high jumper and pole vaulter Cletus Dep; Olympic 400m runner Chrisantha Ferdinando; sprinters Roshan Fernando and the Indraratne twins, Asela and Athula; and record-breaking high jumper Dr. Dharshana Wijegunasinghe, to name just a few.
Royal had won the Senior & Junior Tarbats as well as the Relay Carnival in 1973 by a whisker and was looking for a top-class coach to mould an exceptionally talented group of athletes for 1974 and beyond. This was when Mr. Wijedasa entered the scene, beginning a lifelong relationship with the athletes of Royal College from 1974 to 1987. He received excellent support from the then Principal, late Mr. L. D. H. Pieris; Vice Principal, late Mr. E. C. Gunesekera; and Masters-in-Charge Mr. Dharmasena, Mr. M. D. R. Senanayake, and Mr. V. A. B. Samarakone, with whom he maintained a strong and respectful rapport throughout his tenure.
An old boy of several schools — beginning at Kandegoda Sinhala Mixed School in his hometown, moving on to Dharmasoka Vidyalaya, Ambalangoda, Moratu Vidyalaya, and finally Ananda College — he excelled in both sports and studies. He later graduated in Geography, from the University of Peradeniya. During his undergraduate days, he distinguished himself as a sprinter, establishing a new National Record in the 100 metres in 1955. Beyond academics and sports, Mr. Wijedasa also demonstrated remarkable talent in drama.
Though proudly an Anandian, he became equally a Royalist through his deep association with Royal’s athletics from the 1970s. So strong was this bond that he eventually admitted his only son, Duminda, to Royal College. The hallmark of Mr. Wijedasa was his tireless dedication and immense patience as a mentor. Endurance and power training were among his strengths —disciplines that stood many of us in good stead long after we left school.
More than champions on the track, it is the individuals we became in later life that bear true testimony to his loving guidance. Such was his simplicity and warmth that we could visit him and his beloved wife, Ransiri, without appointment. Even long after our school days, we remained in close touch. Those living overseas never failed to visit him whenever they returned to Sri Lanka. These visits were filled with fond reminiscences of our sporting days, discussions on world affairs, and joyful moments of singing old Sinhala songs that he treasured.
It was only fitting, therefore, that on his last birthday on May 4 this year, the Old Royalists’ Athletic Club (ORAC) honoured him with a biography highlighting his immense contribution to athletics at Royal. I was deeply privileged to co-author this book together with Asoka Rodrigo, another old boy of the school.
Royal, however, was not the first school he coached. After joining the tutorial staff of his alma mater following graduation, he naturally coached Ananda College before moving on to Holy Family Convent, Bambalapitiya — where he first met the “love of his life,” Ransiri, a gifted and versatile sportswoman. She was not only a national champion in athletics but also a top netballer and basketball player in the 1960s. After his long and illustrious stint at Royal College, he went on to coach at schools such as Visakha Vidyalaya and Belvoir International.
The school arena was not his only forte. Mr. Wijedasa also produced several top national athletes, including D. K. Podimahattaya, Vijitha Wijesekera, Lionel Karunasena, Ransiri Serasinghe, Kosala Sahabandu, Gregory de Silva, Sunil Gunawardena, Prasad Perera, K. G. Badra, Surangani de Silva, Nandika de Silva, Chrisantha Ferdinando, Tamara Padmini, and Anula Costa. Apart from coaching, he was an efficient administrator as Director of Physical Education at the University of Colombo and held several senior positions in national sporting bodies. He served as President of the Amateur Athletic Association of Sri Lanka in 1994 and was also a founder and later President of the Ceylonese Track & Field Club. He served with distinction as a national selector, starter, judge, and highly qualified timekeeper.
The crowning joy of his life was seeing his legacy continue through his children and grandchildren. His son, Duminda, was a prominent athlete at Royal and later a National Squash player in the 1990s. In his later years, Mr. Wijedasa took great pride in seeing his granddaughter, Tejani, become a reputed throwing champion at Bishop’s College, where she currently serves as Games Captain. Her younger brother, too, is a promising athlete.
He is survived by his beloved wife, Ransiri, with whom he shared 57 years of a happy and devoted marriage, and by their two children, Duminda and Puranya. Duminda, married to Debbie, resides in Brisbane, Australia, with their two daughters, Deandra and Tennille. Puranya, married to Ruvindu, is blessed with three children — Madhuke, Tejani, and Dharishta.
Though he has left this world, the values he instilled, the lives he shaped, and the spirit he ignited on countless tracks and fields will live on forever — etched in the hearts of generations who were privileged to call him Sir (Coach).
NIRAJ DE MEL, Athletics Captain of Royal College 1976
Deputy Chairman, Old Royalists’ Athletics Club (ORAC)
Opinion
Why Sri Lanka needs a National Budget Performance and Evaluation Office
Sri Lanka is now grappling with the aftermath of the one of the gravest natural disasters in recent memory, as Cyclone Ditwah and the associated weather system continue to bring relentless rain, flash floods, and landslides across the country.
In view of the severe disaster situation, Speaker Jagath Wickramaratne had to amend the schedule for the Committee Stage debates on Budget 2026, which was subsequently passed by Parliament. There have been various interpretations of Budget 2026 by economists, the business community, academics, and civil society. Some analyses draw on economic expertise, others reflect social understanding, while certain groups read the budget through political ideology. But with the country now trying to manage a humanitarian and economic emergency, it is clear that fragmented interpretations will not suffice. This is a moment when Sri Lanka needs a unified, responsible, and collective “national reading” of the budget—one that rises above personal or political positions and focuses on safeguarding citizens, restoring stability, and guiding the nation toward recovery.
Budget 2026 is unique for several reasons. To understand it properly, we must “read” it through the lens of Sri Lanka’s current economic realities as well as the fiscal consolidation pathway outlined under the International Monetary Fund programme. Some argue that this Budget reflects a liberal policy orientation, citing several key allocations that support this view: strong investment in human capital, an infrastructure-led growth strategy, targeted support for private enterprise and MSMEs, and an emphasis on fiscal discipline and transparency.
Anyway, it can be argued that it is still too early to categorise the 2026 budget as a fully liberal budget approach, especially when considering the structural realities that continue to shape Sri Lanka’s economy. Still some sectors in Sri Lanka restricted private-sector space, with state dominance. And also, we can witness a weak performance-based management system with no strong KPI-linked monitoring or institutional performance cells. Moreover, the country still maintains a broad subsidy orientation, where extensive welfare transfers may constrain productivity unless they shift toward targeted and time-bound mechanisms. Even though we can see improved tax administration in the recent past, there is a need to have proper tax rationalisation, requiring significant simplification to become broad-based and globally competitive. These factors collectively indicate that, despite certain reform signals, it may be premature to label Budget 2026 as fully liberal in nature.
Overall, Sri Lanka needs to have proper monitoring mechanisms for the budget. Even if it is a liberal type, development, or any type of budget, we need to see how we can have a budget monitoring system.
Establishing a National Budget Performance and Evaluation Office
Whatever the budgets presented during the last seven decades, the implementation of budget proposals can always be mostly considered as around 30-50 %. Sri Lanka needs to have proper budget monitoring mechanisms. This is not only important for the budget but also for all other activities in Sri Lanka. Most of the countries in the world have this, and we can learn many best practices from them.
Establishing a National Budget Performance and Evaluation Office is essential for strengthening Sri Lanka’s fiscal governance and ensuring that public spending delivers measurable value. Such an office would provide an independent, data-driven mechanism to track budget implementation, monitor programme outcomes, and evaluate whether ministries achieve their intended results. Drawing from global best practices—including India’s PFMS-enabled monitoring and OECD programme-based budgeting frameworks—the office would develop clear KPIs, performance scorecards, and annual evaluation reports linked to national priorities. By integrating financial data, output metrics, and policy outcomes, this institution would enable evidence-based decision-making, improve budget credibility, reduce wastage, and foster greater transparency and accountability across the public sector. Ultimately, this would help shift Sri Lanka’s budgeting process from input-focused allocations toward performance-oriented results.
There is an urgent need for a paradigm shift in Sri Lanka’s economy, where export diversification, strengthened governance, and institutional efficiency become essential pillars of reform. Establishing a National Budget Performance and Evaluation Office is a critical step that can help the country address many long-standing challenges related to governance, fiscal discipline, and evidence-based decision-making. Such an institution would create the mechanisms required for transparency, accountability, and performance-focused budgeting. Ultimately, for Sri Lanka to gain greater global recognition and move toward a more stable, credible economic future, every stakeholder must be equipped with the right knowledge, tools, and systems that support disciplined financial management and a respected national identity.
by Prof. Nalin Abeysekera ✍️
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