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Without investment into laboratories, SL will be plagued by low quality medicine – Expert

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By Rathindra Kuruwita

While 80 percent of medicinal drugs are imported, Sri Lanka does not have facilities to test these drugs, and there is nothing to prevent more bad drugs from entering Sri Lanka in the future, former Chief Epidemiologist of the Ministry of Health and former President of the College of Community Physicians of Sri Lanka (CCPSL), Dr. Nihal Abeysinghe, said.

He added that when the National Medicines Regulatory Authority (NMRA) was established in 2015, then Health Minister Rajitha Senarathne promised to establish a laboratory within a short period.

“In the first decades following independence, we spent a lot of money on healthcare. However, this has changed in the past few decades. We have neglected to do things that are of utmost importance. I was at the epidemiology unit for 21 years, and because we know we can’t test drugs or vaccines, we do a lot of desk research before ordering any drug. This is what we have been doing as doctors,” he said.

Dr. Abeysinghe added that when registering a drug in Sri Lanka, a group of experts conducts their own independent survey on the quality of the drug. Those in charge of registration, currently the NMRA, study reports on drug trials, journey articles, reports on whether there have been any side effects, etc.

“This process has been disrupted in the past few years, and we are now seeing the consequences. There are issues with the Indian-made anaesthetic Bupivacaine. A few months ago, Prednisolone eye drops, another Indian drug, made a number of people lose their eyesight. This is a medium-term result of the economic crisis. The short-term consequences were the queues,” he said.

Dr. Abeysinghe said Sri Lanka is facing a serious nutrition crisis, and the consequences of this will be felt in the long term.

“We have got both the above-mentioned drugs from the Indian credit line. Perhaps we need to buy drugs from an Indian manufacturer under the credit line, but we could have done our research and found a good company. There are good drug manufacturers in India,” he said. The former chief epidemiologist said that he has been listening to the statements of senior officials and politicians about the deaths caused by low-quality drugs.

“They are taking it lightly. The NMRA head said that some drugs can have side effects, whether they are registered or not. This is also probably an indication that they know there will be other cases like this. If you look at the circular asking doctors not to use the anesthetic drug, the Health Ministry says that this is an unregistered drug. So they have released an unregistered drug for use in surgeries. How is this acceptable?” he asked.

Dr. Abeysinghe said that Sri Lankan governments have not understood health priorities. Visionaries like Dr. Senaka Bibile have been talking about the need to establish a high-tech lab to test imported medicines since 50–60 years ago, he said.

“These visionaries were ignored. However, thanks to the work of the Sri Lankan medical establishment, the consequences of the lack of testing facilities have not been disastrous until now. However, now we are seeing the consequences of our lack of investment,” he said.

A large number of medical practitioners also left the country following the economic crisis, he said. Most Sri Lankan specialist doctors are trained in the United Kingdom or Australia, so they find it easy to migrate, Dr. Abeysinghe, who was also a WHO consultant, said.

“Regular doctors sat for entrance exams to join the medical services of other countries. Some left after finding jobs, and others left expecting to find jobs. Most doctors have found jobs. A lot of nurses and medical technicians are also leaving the country. We are seeing the impact,” he said.



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Harsha flays govt. over plan to pass coal, Treasury losses to public

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Harsha de Silva

Chairman of the Public Finance Committee Dr. Harsha de Silva, MP, yesterday (31) said that the National People’s Power (NPP) government was going ahead with a controversial move to pass on the massive losses caused by the coal scam to the public. The government also intended to recover USD 2.5 (approximately Rs 800 mn) lost by the Treasury from the people by introducing an amendment to the Budget, the Opposition lawmaker alleged.

Dr de Silva said that the government had been compelled to increase the supply of diesel for the oil-fired power plants to meet the Norochcholai generation shortfall due to the use of substandard coal.

Responding to The Island queries, the former State Minister said that regardless of repeated assurances that electricity consumers wouldn’t be burdened for the lapse on their part, the government, in writing, has assured the International Monetary Fund (IMF) to recover the losses from the public. This came to light after the IMF released the Letter of Intent submitted by the government following the completion of the combined Fifth and Sixth Reviews under the Extended Fund Facility (EFF) programme to receive USD 695 mn.

Commenting on the specific assurance as regards the upward revision of fuel prices and electricity tariffs, MP de Silva pointed out the government’s assurance of its commitment to cost-recovery pricing for fuel and electricity meant that subsidies provided to ease the burden on households and businesses would remain within budgeted limits and be phased out by the end of September 2026.

Welcoming the USD 695 mn IMF loan, MP de Silva said that in terms of the agreement between the government and the IMF, the relief would end once Rs 100 bn allocated to provide relief was spent on subsidies on fuel (Rs 57 bn), electricity (Rs 15 bn) and the rest on ‘Aswesuma’ social welfare scheme and fertiliser.

MP de Silva said that the crisis should be examined taking into consideration that Sri Lanka paid very high prices to procure fuel in the wake of the continuing turmoil in West Asia. He noted that having perpetrated a coal scam the government could not under any circumstances absolve itself of responsibility for the skyrocketing electricity tariffs.

Commenting on the Sri Lanka-IMF agreement, lawmaker de Silva lambasted the government for utterly chaotic and poor management of the economy. Severe criticism was directed at the government over the rapid depreciation of the rupee against the USD and the NPP’s pathetic performance. Amidst speculation that De Silva may switch allegiance to the NPP, the MP also posted a video in which he flayed the government alleging the NPP couldn’t take forward measures taken by former President Ranil Wickremesinghe.

MP de Silva explained how the people would end paying for the theft of USD 2.5 by way of an amendment to the Budget. The MP told The Island that assurance meant that the government acknowledged that there was no hope of recovering USD 2.5 mn though they talked of investigations and progress being made. De Silva called for a combined Opposition effort to pressure the government to act responsibly in the face of growing challenges.

The government couldn’t lie as the relevant IMF report and the government letter of intent were in the public domain, Dr de Silva said.

by Shamindra Ferdinando

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PM opens Vesak pandals

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The PM opening a Vesak pandal

Two Vesak pandals erected in the Colombo area to mark Vesak Poya were ceremonially opened under the patronage of Prime Minister Dr. Harini Amarasuriya.

The Prime Minister first opened a pandal depicting the Sambula Jataka, constructed by the Sri Vaishakya Society of the Borella Magazine United Traders’ Association. She subsequently attended the opening of another pandal at the Grandpass Kosgas Junction, which portrays the Samudra Vanija Jataka tale, and ceremonially inaugurated it by lighting a traditional coconut-oil lamp.

The event was attended by members of the Maha Sangha, clergy of other faiths, Members of Parliament Dr. Najith Indika, Attorney-at-Law Lakmali Hemachandra and Dilith Jayaweera, Deputy Inspector General of Police Nihal Thalduwa, former Member of Parliament Thilanga Sumathipala, and President of the Magazine United Traders’ Association Palitha Herath, among others.

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UNP challenges NPP move to amend Vihara – Devalagam Act

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The UNP yesterday said that the government did not have the power to establish a Dharma Court. According to the Constitution, neither the executive, the legislature nor the judiciary had the power to interpret the Dharma, it added. The power to pass laws on disciplining the clergy had been granted to Parliament in terms of Article 105 of the Constitution, the UNP said, emphasising that the ultimate powers lay with the committees of the respective sects.

The UNP said so in response to President Anura Kumara Dissanayake’s recent speech that a concept paper had been submitted for amending the Vihara – Devalagam Act and the Cabinet had approved it. The President further stated that he had held a discussion with the Registrar, the Commissioner for Buddhist Affairs and the Attorney General. It is not known whether he discussed the matter with the Buddhist MPs in the Opposition.

Excerpts of the statement issued by former President Ranil Wickremesinghe’s Office: ” President Anura Kumara Dissanayake has recently publicly agreed to a call to take the same measures as previous kings in cases where the Buddhist religion is distorted under the guise of Dhamma.

Over our history we have seen some kings kill the Sangha during their reigns. The JVP also killed the Sangha in the same way during the years 1987-89.Kotikawatte Saddhatissa, Weltota Pangnadassi, Beligalle Mahinda, Kumbagoda Gnanaloka, Athurugiriya Pangnatissa, Soragune Pangnasara, Pelpola Dharmapala, Kandy Dhammarakkhitha and many other monks are included in the list of the JVP’s assassinations.

Apart from shedding the blood of the Buddha, the greatest sin that Buddhists can commit is the killing of the Sangha.  The JVP has not apologised for the killings. Is it moral for the President to accept this invitation without first taking this step?

In addition to killing the Sangha, the JVP also looted valuable historical items from the monasteries and temples.

The JVP has never accepted that Buddhism should be given priority politically. The JVP has always acted against Buddhism.

A major question that arises from this is whether the JVP, which has a history of killing monks, can do such a thing after taking power. What is the hidden motive here?

Mr. J. R. Jayewardene took steps to include a separate chapter in the 1978 Constitution to take necessary measures for monks who behave undisciplined and engage in crimes.  Provisions were made for the establishment of a Sangha Court to decide on the discipline of monks.

What did the NPP government done during the Sinhala and Tamil New Year? It disrupted all the auspicious signs. While the whole world was celebrating Vesak Poya on May 1st, the Vesak Poya day in Sri Lanka was postponed to a later date in order to hold political rallies.

There is no objection to taking action against unruly monks. But there is a procedure for how to discipline monks. Cabinet papers related to this should be prepared and presented to the Maha Sangha led by the Mahanayaka Theros and then a decision should be taken. Everything should be carried forward according to the existing tradition in the country.

The President has also expressed his views on taking monks to court. He has expressed such views without understanding the tradition. Taking wrong-doing monks to court in their robes is not something that only happened yesterday. Thalduwe Somarama and Mapitigama Buddharakkhita were presented to court wearing their robes for the assassination of Mr. Bandaranaike and later their robes were removed. This is not limited to monks. Father Mathew Peiris first came to court for legal proceedings wearing his robe. Accordingly, the monks who are currently acting in an undisciplined manner must also follow the same procedure that was implemented earlier.

The President mentioned in his speech that a concept paper was submitted for amending the Vihara – Devalagam Act and the Cabinet agreed to it. The President further stated that he had held a discussion with the Registrar, the Commissioner for Buddhist Affairs and the Attorney General. It is not known whether he had discussed this matter with the opposition Buddhist parliamentarians. This work has all been done only by the government without any consultation.

The government does not have the power to establish a Dharma Court. According to the Constitution, neither the executive, the legislature nor the judiciary have the power to interpret the Dharma. The power to pass laws on disciplining the clergy has been given to Parliament under Article 105 of the Constitution. However, the final powers lie with the committees of the respective sects. At present, this work has been done by the cabinet, officials and a handful of monks of a government that does not accept Buddhism.

The temples with the most assets and properties today are in the monasteries and temples that fall under the Vihara – Devalaya Village Act.  It is no secret that the Janatha Vimukthi Peramuna (JVP) is taking the position that these temples should be taken under government control. There is a strong suspicion that the Dharma Court is being created for this purpose.

An organized program to destroy Buddhism is being implemented today through government-affiliated social media. A section of civil society is also involved in it. What is always happening today is the marginalization of the Buddhist monastic-lay opinion.In the President’s speech, a reference was also made to the holding of the World Buddhist Congress in this country under the current government.

Such a situation is also indicated in the Vasala Sutta.

“Na jaccha vasalo hoti,

Na jaccha hoti brahmano;

Kammana vasalo hoti,

Kammana hoti brahmano”

Its Sinhala meaning is as follows.

“One is not a householder by birth.Nor is one a Brahmin by birth.One becomes a householder or a Brahmin by one’s actions.”

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