Opinion
Aflatoxins saga:bitter truth
By Dr Indrajith P Hathurusingha
Lecturer
Department of Applied and Environmental Science CRTAFE, Geraldton Campus, Western Australia
As we know, the entire country is in chaos with food insecurity and associated problems. People often seem to claim that their income is insufficient to manage their day-to-day expenses. Therefore, malnutrition, food of poor quality, and starvation have been hot topics for the past few days in the media and have not yet been finished. News is emerging one after another, and people sometimes can be seen on the streets protesting the rising cost of living. Low income has resulted in the deprivation of balanced diets for the poor. The situation is getting worse daily, and access to affordable and healthy food for low-income earners appears far out of reach. On top of that, contaminated foodstuff with hazardous compounds in the market has been a great concern.
A recent development is the detection of aflatoxin exceeding the maximum allowable limit in Thriposha according to the head of the government’s public health inspectors’ (PHI) union. Thriposha is a nutrient supplement given to pregnant women, breastfeeding mothers and young children who need the most. The key ingredients of Thriposha include maze, soya and milk powder, and people can easily make delicious, nutritious, and simple meals. Even though we have not seen the laboratory test reports or satisfactory evidence to prove their allegation, it is a timely requirement to make the public aware of the health impacts of aflatoxins and how to prevent their ingestion. This is because aflatoxins have created a public health concern and are of great interest.
What is aflatoxin?
People are curious about the speculated news of aflatoxin, and the word ‘aflatoxin’ appears new to the public. It is scientific terminology for a secondary metabolite produced by a kind of fungi known as Aspergillus flavus and Aspergillus parasiticus. The fungus is a type of microorganism that can be seen only through a microscope and is commonly known as mould (puss in Sinhala). However, they are visible to the naked eye when forming colonies. The toxic compounds generated by the fungi are called mycotoxins, and aflatoxin is a kind of those. Therefore, it is not a chemical being added during food processing or storage.
Aflatoxins are biologically active compounds, and the human palate cannot detect them while eating or chewing the foodstuff. Nevertheless, both humans and animals can unintentionally consume contaminated food with aflatoxins. There are different types of aflatoxins, but the four main ones are known to be B1, B2, G1, and G2. However, four of which, B1 has been responsible for high incidence and toxicities.
How foodstuff contaminate with aflatoxins
It is interesting to know how aflatoxins get into the food items. The responsible fungi, Aspergillus spp is reported to be soil-borne and produce aflatoxins under extreme environmental conditions like drought and high humidity. They are well suited to colonising due to their ability to thrive in high temperatures. Besides, they can grow well on many substrates. A high level of aflatoxins in the environment is often linked to insects and the wind. Importantly, Insects can act as carriers of fungal spores from an infected plant to a healthy plant and transfer the spores through minor notches or wounds caused by insects.
Maize is one of the raw materials used to produce Thriposha and is also a staple agricultural crop that is consumed worldwide. More importantly, it is an essential commodity in the world in terms of production and revenue. Notwithstanding, in most regions of the world, maize is infected with aflatoxins, especially in tropical and subtropical areas. The occurrence of aflatoxin contamination is reported to be sporadic and highly reliant on environmental conditions. Even though more news is speculated that maize is suspected to be contaminated with aflatoxins these days, we must not forget that other crops like rice, peanuts, cotton, almond, cashew, soya, spices, and coffee may be contaminated with aflatoxins.
Health risk and implications
Aflatoxin contamination has gained wider attention in food safety concerns. The International Agency for Research in Cancer (IARC) has reported that aflatoxins can cause cancer in both humans and animals and are classified into the Group 1 category of chemical hazards due to their potent nature. According to the US Food and Drug Administration (FDA), the maximum allowable limit for total aflatoxin in food items is 20 ppb (parts per billion) and the levels may vary on the type of food items. For instance, it is 5 ppb for milk. However, aflatoxins are different in their toxicity depending on their chemical composition and molecular structure.
The route of exposure to aflatoxins in humans is mainly via the consumption of infected seeds, meat, poultry, and dairy products. The liver is one of the most important defensive organs in our body as it breakdowns down or destroys harmful substances into less hazardous compounds to reduce the potential risk. Aflatoxins are powerful toxins and can cause acute liver damage by forming free radicals during metabolisation. If human continues to consume contaminated food with aflatoxin, can result in hepatic cancer. Moreover, chronic exposure to very low levels of aflatoxin is cause for concern. Epidemiological studies have also revealed that areas with elevated aflatoxins levels in the world relate to a high occurrence of hepatic cancer.
Apart from being a cancer causative agent, aflatoxins can make various implications in humans depending on their health conditions, age factors, duration of infection, and level of contamination in their bodies. Toxicity due to aflatoxins do not appear quickly but has a cumulative effect over time. Sometimes, it might take around 10 to 20 years to show the symptoms and cannot be easily removed from the body or get rid of them. Notably, there is no identified therapeutic drug to decrease the implications and therefore poses a big threat to human health. In addition, it has been responsible for affecting the human immune system, bone abnormalities and sexual efficiency. Particularly, when the human immune is suppressed, they are highly vulnerable to infect with various diseases. There are several reported cases to confirm that the carcinogenesis of these compounds is through genetic poisoning. The more alarming news is for pregnant women as studies carried out with mice have shown that aflatoxins can affect their embryos during pregnancy. This is evident that aflatoxin can transfer from the mother to the embryo across the placenta causing many problems for newborn babies. However, all these experiments have been conducted with animals and clinical trials with humans are not possible due to ethical issues and impracticality.
Concerns for livestock
Aflatoxins are carcinogenic to animals and their effects vary with species, dosage, period of exposure, and diet or nutritional status. The reported toxicity due to aflatoxin goes back to the 1950s and 1960s in England when Turkey’s mortality increased. When ingested in large doses, these toxins can be lethal or sublethal and can cause chronic toxicities. The toxicity of aflatoxins has been comprehensively identified in cattle farming in which decreased feed intake, dramatic declines in milk production, weight loss, feed refusal, infertility, impaired organ functions and liver damage were the reported clinical symptoms. Therefore, it is important to assess the quality of the feed before feeding the animals. Moreover, studies carried out using various animals like birds, chicken have reported different abnormalities in their bodies due to the consumption of contaminated feed with aflatoxins.
Economic losses
Aflatoxins are one of the major economic concerns in the agriculture and food processing industry all around the globe. They impair the nutrient quality of crops resulting in substantial financial losses for growers and manufacturers, mainly reducing the demand in the local and international markets, the risk of losing their market shares, and rejecting the consignments. If the crop or harvest was found to have contaminated with aflatoxins, the only option is to destroy them to control the further spreading. Since aflatoxins are produced in grains, fruits, and seeds, it is very stable and cannot be eradicated. An infection due to Aspergillus spp could occur pre-harvest, harvest and post-harvest stages and thrive under suitable environmental conditions.
What consumers can do
Aflatoxins are heat-resistant compounds and cannot be destroyed in normal cooking conditions. Therefore, the best practice is to select aflatoxins contamination-free edible items. Consumers can visually check the products for quality when purchasing. For instance, you may have seen black-coloured powdery particles or black patches in chillies or maize and these could be possible warning signs for aflatoxins contamination. In addition, consumers can dispose of any damaged, discoloured, shrivelled or infected grains that can be found in the purchased products before consuming them. Before purchasing, it is always advisable to look for fresh foods and check the labels for expiry dates or any damage in the sealed bags or containers. It is not recommended to buy foodstuffs which are about to expire even though they are for lower prices for quick sale. If you intend to keep the dry foodstuff or ingredients for a longer time once opened, keep them in air-tight bags or containers to avoid the growth of fungus.
Considering the carcinogenic nature, early detection of aflatoxin-producing fungi is essential for ensuring food safety. It is worthwhile to add dietary antioxidants such as vitamin E, selenium, and carotenoids to your diet as it helps destroy the generated free radicals in our body including the ones that form during the aflatoxin metabolism in the liver. Food spoilage due to bacteria can be easily noticed with a bad odour. On the contrary, fungi infestation may or may not be visible due to their characteristic nature and therefore more precautions are needed. The greater awareness could help you reduce the chances of possible aflatoxin ingestion.
The roles of farmers
Our farmers can take several measures to protect their crops from aflatoxin contamination. Good agricultural management practices include all the steps taken from plantation to harvest and post-harvest. Pre-harvest strategies aim to protect the crop from fungal infection or reduce the fungal pathogen’s ability to grow or synthesise aflatoxins. These include but are not limited to soil testing for potential pathogens, field conditioning, proper irrigation, crop rotation, the safe disposal of the infected plant, treatment with antifungal chemicals, maintenance of proper planting or growing conditions, use of resistant or adapted crop varieties, and maintenance of functional harvesting equipment. Applying good agricultural practices such as controlling disease carriers; bugs, insects, mites, beetles, and grasshoppers could help immensely control fungi infestation. Introducing genetically modified crops as a solution is suggested but with varying degrees of success. In contrast, even the best management methods cannot eradicate aflatoxin contamination.
Our farmers must carry out the harvesting when the grains are at full maturity stage and have low moisture content. Moisture is one of the characteristics related to the weight of dry matter. Hence, drying the material as dictated by the moisture content of the harvested grain followed by appropriate storage conditions can minimize post-harvest losses due to fungal infestation. It is worth noting that the moisture content requirement varies from one fungus to another, however bringing the moisture content below 13% together with lowering humidity levels in the warehouses can suppress the growth of Aspergillus spp. The fungi grow at varying temperate but the optimal for aflatoxins production is from 25 to 35°C. Therefore, creating unsuitable environmental conditions at the warehouses can minimise the thriving of the fungi and subsequently reduce the production of aflatoxins. Though it is not recommended and economically feasible, some countries use chemical treatments such as fumigation with ammonia and ozone which have proved effective.
Proper management of transport services can prevent seed damage during transportation. Because the damaged grains are highly susceptible to the growth of toxigenic fungi. Even though it is a tedious exercise and laborious process, segregating infected seeds from non-infected ones can be done before storing or packaging them. Scientists are working to develop techniques and technologies to control and manage aflatoxins in preharvest and postharvest stages. However, applying chemical or conventional agricultural methods only cannot prevent the fungi infestation and therefore integrated mechanisms are required to introduce to be able to regulate aflatoxin contamination of foodstuff and feed effectively and economically.
Evidence for aflatoxins contamination
In the scientific world, decisions are made based on conclusive evidence or information. Therefore, to prove the aflatoxin contamination, laboratory test reports must be produced. It is worth noting that these testing are highly expensive as it involves sophisticated advanced instruments to generate results. Several methods or protocols are available to use but the High-Performance Liquid Chromatography is the analytical method widely used for detecting aflatoxins in different food samples. More importantly, the operator must be versatile in the advanced technology and the science behind it to generate accurate and reliable results.
Challengers for PHIs and legal proceedings
There have been a few cases of food toxicity in the recent past and melamine contamination in milk powder, and heavy metals toxicity in rice are two of those. To our understanding, these claims have not yet been proven with satisfactory evidence to date and they appeared to have become merely news. However, irrespective of what has happened in the past, it is important to see how the PHIs are going to prove their claims on aflatoxin contamination in ‘Thriposha’. Nevertheless, they have not yet published the relevant test reports or released them to the media.
The accuracy of the results and the reliability of the laboratory in which they obtained the test reports may be in question in the legal proceedings or possible investigations. They must get test reports or certificates of analysis from an accredited laboratory and the laboratory needs to have that parameter accredited by a nationally or internationally reputed organization. Accreditation is a kind of recognition that a laboratory can have, and the Sri Lanka Accreditation Board for Conformity Assessment (SLAB) is the authorized institute in Sri Lanka. Apart from that PHIs should not depend on the results received from one laboratory but having the same samples analyzed from different laboratories, including one from overseas help them to justify their claims. PHIs must always keep reference samples with them as the defended parties may want to send those to an independent laboratory for their verification. Moreover, they must ensure that the received laboratory reports should contain the traceability of the samples as this is one of the important aspects that can be used to discharge the allegations. However, the chances of taking place legal proceedings or similar investigations are less likely to happen given the records of similar circumstances.
PHIs stand for public health and their roles must be commended and supported instead of criticised for what they have found. Consumers should be well informed of the health consequences of aflatoxin ingestion and more awareness programs must be arranged to educate ordinary people, even at village levels. PHIs must be given continuous training to upgrade their technical know-how and more collaboration between the government and the union must be established for better outcomes. Irrespective of whether the foodstuff is imported or locally produced, they all need to be scrutinized for quality before releasing to the market for the best interest of public health.
Opinion
YUGA PURUSHA Rabindranath Tagore
Where the mind is without fear
And the head is held high
Where knowledge is free
Where the world has not been broken up
Into fragments by narrow domestic walls
Where words come out from the depths of truth …
Into that heaven of freedom, my Father,
Let my country awake
That was not a man ‘for all seasons’ (who are plentiful) but a man for the ages, writing those words in this kali yugaya.
Do you hear them? Now? Now, as ever, as everywhere?
Fifty years ago, I wrote commentaries on each poem in Gitanjali, from which those lines are taken. They were a kind of ‘crib’, paid for by an early tutory, Atlas Hall, which sort of prepared students for examinations at tertiary level here and in London. One might note that Gitanjali and other works by writers in South Asia (other than those touted by spurious academics as ‘post-modernist’ and ‘post-colonial’, – read ‘pro-colonial’) – have long been sent out of the window of classrooms in this country.
The immediate occasion that called for these comments was the presentation of a selection of songs, from Tagore’s extensive body of work, at the Wendt last Monday. It was by the foremost exponent today of robindra sangeeth, Rezwana Chowdhury Bannya of Bangladesh & Santiniketan (yes, that sounds as if Santiniketan is a nation by itself). In a singularly happy namaskar towards each other, it was co-hosted by the High Commissions of Bangladesh & India. The fact that both have adopted Tagore’s songs as their national anthems may be indicative of ‘the breaking down of narrow domestic walls’. ‘The Partition of Bengal’, first attempted by the British over a hundred years ago, failed because the people, Tagore active among them, did not want it. Four decades later they, the Brits again, succeeded in rebuilding that wall though it remains porous. As Sarath Amunugama observed, in a felicitous address in which he referred both to ‘the partition’, and to national anthems, and as is well known here, Ananda Samarakone’s namo, namo matha was inspired by his stay at Santiniketan. In the 1930s to the 1960s the latter connection has vitalised our dancing, singing, ‘music-making’ and our knowledge of theatre.
A somewhat hilarious outcome of the latter occurred about ten years ago at the Tower Hall, when Suchitra Mitra, whose name would for the foreseeable future be inextricably associated with robindra-sangeeth, invited our ‘old boys’ of Santiniketan to come up and join her in their school song. Most of them had lost the words and more than there seemed to be of them had lost their voice, leaving Suchitra Mitra up there encouraging and reprimanding them like a Montessori teacher.
And now we have, before our astonished gaze, a Cricket World Cup with loads of some kinds of drama, including a battle royal among three South-Asian giants of that English game with the sort of statutory-leaders of India, Pakistan and Sri Lanka present, polishing or twirling moustaches and waving gaily in the general direction of our millions of hoi polloi via TV cameras.
Sorry, yuga purusha, no trace of awareness around. So how could you and all of us whom you left behind (not that it could any longer matter to us as it did not to you), expect guilt?
The special issue of INDIA Perspectives (IP) that marked this occasion is a handsome work. The IP journal has always been a high-quality production but this was a revelation. Specialists in each area of Tagore’s interests and activities have contributed articles on his views on schooling, theatre, painting, religion, nationalism and internationalism, science, rural economics and so on, each from his/her perspective. What follows is drawn from that work.
Although he and Gandhi were friends and, says Amartya Sen, he had popularised the appellation Mahatma for Gandhi, Tagore had seen that the chakra was not the route to India’s future. There could be many views on that: Tagore may have overlooked its symbolic value or significance. After all, the bottom-line is that the European tribes became rich by pillaging the rest of the world and rendering those people poor. The textile industry in England, for instance, ‘developed’ by destroying the textile industry in Bengal; the methods adopted were various, the most direct being that of chopping off the fingers of the weavers. Tagore should have been aware of that.
The brutality of the British ‘raj’ was not unknown to him. Following the massacre of over 1,000 unarmed people at a gathering at Jaliawallah Bargh by a Brigadier (named Dyer) Tagore returned a ‘knighthood’ ‘bestowed’ on him by their monarch. A dozen years later, the oh-so-valiant Brits followed up the massacre at Jaliawallah Bargh by, in Tagore’s words, ‘a concerted homicidal attack, under cover of darkness, on defenseless prisoners undergoing the system of barbaric incarceration’. Any other examples, anyone?
Tagore had been an inveterate traveler and the questions that arise in ‘looking inwards and outwards’ tend to remain unresolved. He had foreseen that ‘science’ would be prostituted, that it would not serve the world community of living things, that it would become a man-made calamity: ‘Science is at the beginning of the invasion of the material world and there goes on a furious scramble for plunder. Often things look hideously materialistic, and shamelessly belie man’s own nature.’
Nevertheless he seems to have retained golden visions for what it was going to do: ‘But the day will come when some of the great processes of nature will be at the beck and call of every individual and at least the prime necessities of life will be supplied with very little care and cost’. (We have seen how Monsanto, Del Monte and fellow predators, have set about doing that). ‘To live will be as easy to man as to breathe, and his spirit will be free to create his own world.’ He was fortunate indeed in not being around to witness how the country he was born in and which had nourished his creativity has gone in the pursuit of command of the great processes of nature (and of her neighbours). Besides, the mega-mega weddings, etc., we are witness to the operations of an imperium hell-bent on evicting people from the lands, waterways and beaches that ‘the market’ covets.
How such a culture of science would choose to help the sick or, just a step further for such minds, to make the healthy ill, or, indeed, how such ‘science’ would be used to create, in Ralph Pieris’s term, ‘illth’ (not ‘wealth’), did not quite come to pass in his lifetime. Since his passing, we share a common experience of ‘patents’ on traditional medicines, including the most ubiquitous and widely / wisely used, kohomba or neem, of kotala himbutu and many others, acquired via ‘laws’ constructed by the ‘developed’ people aforementioned, and India’s experience in developing an antidote to the AIDS virus. They affirm the validity of Tagore’s ‘gut reaction’ to where ‘science’ may take the world and has indeed taken it.
Forty years ago Senaka Bibile initiated the construction and adoption of a formulary that reduced the number of drugs required in this country by some 80% and identified them by their generic name, and battle was joined. (Senaka was eventually eliminated/killed by a mercenary, from this part of this world, of Big-Pharma). That entity, Big-Pharma, has acquired control not only over the production of drugs and their marketing but over the entire range of activity that relates to health-care – systems of ‘referral’ and lab tests where such weren’t needed, so with hospitalisation or indoor treatment usually with yet more ‘tests’, ‘prescription drugs’, ‘insurance’ from an ‘approved’ company of blood suckers. Its control is most scandalously evident in the USA and includes a species of corruption that Tagore could not have conceived of. (robindra–sangeeth does not address such yet-to-be reality, nor do his plays and paintings). When Big-Pharma got their obedient servants in the USA administration to send in marines to force Bangladesh to allow their drugs in, the government and the people of Bangladesh, all honour to them, physically ‘repelled the boarders’.
Tagore lived in and came to terms with a changing world, and he responded to all of what he saw in terms that had not occurred to his contemporaries anywhere in ‘the known world’. There were others of course who had a like foresight. Though too numerous to mention here, I should think that Blake and Whitman belonged among them, – as did such great poets as Bharathari from centuries ago, and Subramaniam Bharathi, consigned to a pauper’s grave, from yesteryear. So many more through all the hundreds and thousands of years that don’t quite make up a kalpa.
We learn through the IP that Tagore’s name had been put up for the Nobel prize by a single member of the Royal Society, T S Moore, while 97 other members had collectively recommended Thomas Hardy. The Swedish Academy had picked Tagore out of 28 nominees. In a telegram conveying his acceptance of the award, Tagore expressed his appreciation of ‘the breadth of understanding which has brought the distant near, and has made the stranger a brother’. In these times, Sarkozy, Cameron and their ilk seem intent on making strangers of brothers.
A fallout of the instant fame it brought had been a loss of privacy (as Garcia Marquez and others discovered many decades later) and of the use of his time to get on with his work. Gitanjali was for the most part a rendering into English, by the poet himself, of his songs in Bangla. Translating a novel, short story or a play is no easy matter (as, with respect to Sinhala works, Ashley Halpe, Lakshmi de Silva, Vijitha Fernando et al could confirm). Hemingway had found the great Russians unreadable till he came upon the translations by Constance Garnett. Translating poetry is infinitely more difficult, (as Ranjini Obeyesekere and Lakshmi have shown) and Tagore was hounded by admirers to translate more of his work into English. He was called on to make his poetry accessible to those who had only English. His poems have since been put into English; among them, an effort I liked, a whole volume, was titled ‘I will not let you go’. Simply put, the title poem will not let you go.
Nevertheless, the task of translating works in other south Asian languages, to begin with, into Hindi, Bangla and Urdu and the other way is one that needs attention. Bangla has the second largest numbers of speakers in South Asia after Hindi – about two-thirds the number of Hindi-speakers. Bangladesh might consider setting up a kind of clearing house for such work, perhaps with SAARC support and located perhaps, at Silaideh, around Tagore’s ancestral land in Bangladesh. Maybe, as Tagore’s examples show, ‘start small’ would be a good approach.
On matters that have to do with ‘religion’, Tagore’s activities may be seen as being eclectic. He was a member of Brahmo, (of which Satyajit Ray and his father’s family were members), which took the Upanishads for text and had no truck with caste-orders of ‘Hinduism’ including the rationalization for it given in the Gita. He admired Sufism, presented a ‘Christothsava’ akin to Christmas, wrote on ‘Devotion to Buddhism’. His view on Siddhartha Gautama was: ‘This wisdom came, neither in texts of scripture, nor in symbols of deities, nor in religious practices sanctified by ages, but through the voice of a living man and the love that flowed from a human heart.’ The concept of nirvana had not attracted him and in that sense his perception of Buddhism seems to have been closer to that of the northern form than to the Theravada familiar to us here and in south-east Asia.
As with his experiments in theatre, where he moved away from the westernised urban mode to the folk-inspired dance-drama, so with music and song he moved away from the classical raag to folk music. That is a trajectory that our musicians should explore. He drew from other cultures – among the vibrant renderings given by Rezwana Chowdhury Bannya was one that gave a celebratory edge to ‘Ye banks & braes o’ bonnie Doon’.
My first encounter with robindra sangeeth occurred in Dhaka at the home of Mohamed Sirajuddin. When the late Prof. P P G L Siriwardena introduced us, Siraj exclaimed, ‘We are batch-mates’; what he meant was that he had joined the CSP (Civil Service of Pakistan) around the same time as I joined the CCS. As Secretary for Rural Development he did much to support cottage industries in Bangladesh and was familiar with our experience in that field. He invited artistes he valued, some, to my ears, at master level in robindra sangeeth, to perform at his place. I was struck by the variety of those who turned up to listen; there were friends, people from down – or off – the road, the Governor of the Central Bank, Ministers, colleagues … It reminded me of the glory days at Chitrasena’s in Kollupitiya. In an environment that seemed designed for chamber music, those songs sank into my heart. Among those who sang were a young couple who were TV stars but gave tribute to a middle-aged man, Farook, who was a master. Yes, robindra sangeeth, does need the male voice.
As Rezwana mentioned, delicately, as ‘in passing’, a problem that arises in appreciating such songs is that they are more sadly incomplete for the listener who has no Bangla than the emotions they do convey regardless. The affinity between Bangla and Sinhala is well known. (Some twenty years ago I sent a farmer from Berelihela, off Tissamaharama, to Dhaka for extended chats with fellow farmers from Asia and the Pacific. When I myself got there a few days later on allied business, I found that he had communicated very well indeed with people there in the only language he knew: his own). The present moment seems to offer an excellent opportunity for the High Commissions of Bangladesh and India to harness the active support of our government to set up an infrastructure for making Bangla accessible to our people. If, in these sort-of ‘market’ days a further incentive is required at this end, policy makers should be aware that workers and managers from here have contributed much to the resuscitation of a textile industry in Bangla that had been of an unparalleled excellence through the centuries.
by Gamini Seneviratne
Opinion
More about Premadasa
In an article published in The Island of 01 May, Rohan Abeygunawardena has paid a glowing tribute to R. Premadasa. It is true Premadasa, as a man from a humble urban working class, was ambitious, and to boost his personal image he targeted the rural and the common man, marginalised by previous regimes. He set up projects to satisfy these folks and selected his own staff to carry out his orders to achieve what he desired. He got rid of those who were sticking to rules and regulations.
One such case is, J .R. Jayewardene brought in previous prestigious Civil Service officers to revamp the fading public service, and one such was the illustrious Chandi Chanmugam, as Secretary to the Treasury. He was called up by Premadasa and requested to provide funds for a welfare project and when he explained the difficulties, he was bluntly told that he (Premadasa) could find an officer who could make the funds available. In keeping with the traditions of the CCS, Chanmugam tendered his resignation. The vacancy was filled by R. Paskaralingam. When Secretaries questioned about funds, Paskaralingam, who chaired the Development Secretaries Committee, would say, “This is bosses orders, find the funds somehow. ” How the Secretaries provided funds is another story.
The next three projects to boost his image at government expense were the mobile office programme, the housing programme and Gamudawa.
As Assistant Secretary to the Ministry for Power and Energy, I was assigned to conduct the mobile service. As far as I could remember, the first Mobile Office was held in the Yapahuwa Electorate, in a village called Badalgama. The previous day, I rang up the area engineer and asked him to meet me at the school building, allocated for the Mobile Office, and to inform the UNP party supporter, who was to find accommodation for my overnight stay. When I arrived, the Area Engineer was there with men to make arrangements for the mobile office. Then two officers from the Presidential Mobile Office Division walked in and inquired as to why I had not hung a picture of Premadasa as he wanted his picture prominently displayed at Mobile Offices. When I said that I had no picture, they rushed back and came with a beautifully framed picture and hung it on the wall.
The following day, before going to the Mobile Office to take an oath, I went to my office to find that someone had garlanded the picture. It was later found that the clerk, who accompanied the area engineer, had overheard the conversation, knowing Premadasa’s whims and fancies.
The work started and as usual. Premadasa visited all offices and when he came to mine, I greeted him in the oriental fashion but his eyes were directed towards his picture and a beam of smile crossed his face. When leaving he said, “Carry on the good work.” Since then at every Mobile Office, I arranged for a special event for him to attend, such as the opening of a rural electrification project.
Gamudawa: This project was similar to the presidential mobile service. There was a variety show organised by the UNP supporters, and crowds dispersed happily. When the Gamudawa project was to be started, a request was made by the Presidential Secretariat to supply generators as the sites selected were far away from the transmission line. The then Chairman of the CEB, Prof. K. K. Y. W. Perera, who was also the Secretary to the Ministry for Power and Energy, politely replied requesting a payment to meet at least the cost. There was no reply and when I visited the Gamudawa held in Wellawaya, I saw CEB men operating the generators. On my return, I reported the matter to the Secretary to the Ministry and also the General Manager, CEB. They said that they were aware but remained silent.
At the first staff meeting, after the 1988 presidential election, Premadasa said, “Carry out my orders and those who do not agree could find other places.”
This was the start of deterioration in the power and energy sector. He brought in his own staff and the once well-managed sector fell into disarray. Premadasa removed Prof. Perera from the post of Chairman, CEB, and the Workshop Engineer, who supplied the generators without the knowledge of the management, was appointed Chairman, CEB, a reward for carrying out illegal orders! Having been in the state service for 40 years, I walked out happily without a farewell party. I took with me only a wooden block, on which my name was printed, and the Lion Flag, which I displayed at Mobile Offices.
President Premadasa also ordered that all policemen in the Eastern Province, surrender to the LTTE, with their weapons. The LTTE killed all of them, numbering over 600.
G. A. D. Sirimal
Boralesgamuwa
Opinion
Postmortem reports and the pursuit of justice
A serious debate has erupted following a postmortem examination conducted on the body of Ranga Rajapakshe, who was found dead in his garden.
The controversy has arisen as Rajapakshe, an Assistant Director in the Finance Ministry, had been suspended over the diversion of 2.5 million dollars to a fraudulent account. Although the cause of death (COD) is obviously cardiorespiratory failure due to severe haemorrhage (loss of blood), whether the two cut wounds on his legs and on his left wrist were self-inflicted or caused by an external agency is what has led to this raging controversy.
A four-member ‘regional’ expert forensic panel (EFP) was appointed supposedly by the Secretary, Ministry of Health. The Judicial post mortem report was submitted within 24 hours. Many questions have risen as a result. Whether the expert forensic panel looked into all aspects of the death – and not only the injuries in the body of the deceased — has become a moot point.
Was the death due to self-inflicted cut injuries, i. e. suicide? Or, were they inflicted by another or others? If so, it becomes homicide or murder. If there have been any deficiencies in the procedure adopted by the expert forensic panel, whether they are errors, negligence or deliberate is what is reverberating on the social media and the public spaces.
One important point has to be mentioned at the outset. The JPM Report is still not in the public domain. Whether it would remain a privileged communication limited to the judiciary remains to be seen. Hence, none can come to definitive conclusions on the JPM findings – except judicious, informed speculation.
Judicial Post Mortem Examinations: Are they prone to error, negligence or deliberate falsification?
History tells us that all three of the above are possible. The fourth possibility is that it is none of the three above, but a legitimate, academically defensible difference of opinion. Neither medicine, nor forensics is an exact science.
Error
A cursory glance at information on the Internet gives us a reasonable overview of the issue of error. Of them, I quote only those that may be relevant to the issue at hand.
(1) Errors in post-mortem examinations can arise from procedural oversights, misinterpretation of findings, or lack of expertise, with major diagnostic error rates ranging from 8% to 24%.
(2) Common mistakes include misinterpreting postmortem changes as injuries, missing findings due to incomplete examination, and failing to secure the chain of custody.
(3) Incomplete Examination: Failing to examine all necessary body cavities or failing to perform histology/toxicology.
(4) Misclassification of Death Manner: Incorrectly labelling a death as natural vs. unnatural (e.g., suicide vs. homicide) due to overlooking evidence or biased interpretation.
Causes of Errors
(1) Systemic Issues: Heavy workloads, lack of specialised training, inadequate equipment, or poor communication between investigators and pathologists.
(2) External Pressure: Influences from law enforcement, media, or families that can bias the investigation.
(3) Inefficient Techniques: Relying on delegated assistants for vital dissections or conducting superficial examinations.
The above would suffice to give us an idea about lacunae and deficiency in JPM examinations that could lead to error. Those interested could go into the plethora of academic articles on this subject of error in JPMs.
Did any of the above lead to an outcome of error in the conclusions of the JMP Report by the expert panel?
Negligence
Negligence involves critical and serious errors that are inexcusable. These include inadequate body examination, failed scene investigations, missed evidence and speculative, premature reporting. These shortcomings can hinder legal proceedings, obscure causes of death, and lead to wrongful conclusions, with studies identifying major procedural errors, including failure to identify injuries or misinterpreting pathological findings.
We have no information whether the EFP had done a detailed site visit.
Deliberate falsification
Deliberate falsification or fraudulent autopsy reporting involves the intentional alteration of findings, documentation, or conclusions to misrepresent the cause or manner of death.
This misconduct can take many forms, including covering up homicide, misrepresenting police actions, or protecting influential individuals.
Forms of Deliberate Falsification include modification of Conclusions due to Forensic pathologists facing coercion from police, politicians, or families to change a homicide to an accidental death or natural causes. Intentional Neglect of Evidence: Failing to document injuries like strangulation marks or bruises to support a fabricated narrative of natural death. Issuing misleading or untrue post-mortem reports constitutes “serious” professional misconduct that is punishable by law.
There is absolutely no evidence that deliberate falsification has occurred in this case. But what I have attempted to inform the readers of is that such situations are well known.
The celebrated Sathasivam case illustrates the earliest instance in Sri Lanka, in which there was conflicting forensic evidence from two highly eminent forensic professors. Professor GSW de Saram, the first professor of forensic medicine, faculty of medicine, of the then University of Ceylon and JMO, Colombo was the most pre-eminent forensic expert in Ceylon who gave evidence for the prosecution and Sir (Prof.) Sydney Smith, world renowned professor of forensic medicine, University of Edinburgh who gave contrary forensic evidence on behalf of the defence. This conflict in the forensic evidence was a key factor that resulted in Sathasivam’s acquittal
I list below, a few JPM discrepancies and conflicting JPM reports that are now in the public domain in the recent past in Sri Lanka:
1. The death of a student at the University of Ruhuna raped and killed on the Matara beach, considered a suicide when circumstantial evidence indicated thugs of a well-known politician were involved in the incident. I was on the academic staff of the faculty of Medicine, University of Ruhuna at that time and came to know several details that had not come into the public domain.
2. The conflicting PM reports on the “disappearance” of the kidneys of a child at LRH, which was originally given as a medical death and later judgement given as a homicide. The child’s good kidney had been removed when the nephrectomy had to be done on the damaged kidney.
3. The infamous JPM report first given on Wasim Thajudeen’s killing. This falsification was done by a very senior JMO.
4. Lasantha Wickrematunga’s death, which was originally attributed to shooting but subsequently found to be due to stabbing with a sharp implement.
5. The RTA death of a policeman on a motorcycle (his wife and children were also seriously injured) in Boralesgamuwa due to the drunk driving by a female specialist doctor. The first JMO report stated that the doctor had not been under the influence of alcohol until CCTV evidence was presented to the Court that showed her drinking in a club that night. The police informed Court that the breathalyser test had confirmed that the doctor was under the influence of alcohol.
These are some of the well-known instances that there had been conflicting JMO reports. Furthermore, there have been several JMO reports where death in police custody was falsely documented in the JPM or JMO reports to safeguard the police involved in torture.
I know of one case personally, where a doctor from Nagoda Hospital, Kalutara was hauled up by the Sri Lanka Medical Council (of which I was a member for 10 years) for falsifying his JPM report of a death of a young man in police custody to safeguard the policemen concerned.
Why do JMOs falsify JMO reports?
Based on reports and studies, primarily focusing on the context of Sri Lanka, allegations of false or misleading judicial medical reports by Judicial Medical Officers (JMOs) arise from a combination of systemic, ethical, and external pressures rather than a single cause.
Reports indicate that instances of faulty reporting often stem from several factors. The main factor being political and external influence. These are likely in high-profile cases; JMOs may face pressure to tailor reports to suit the interests of powerful individuals or to minimize the culpability of suspects.
It has been seen that some reports are deemed erroneous or contradictory due to negligence, improper reporting procedures, or a lack of understanding of the ethical responsibilities of their role as JMOs. The police sometimes exert influence to speed up investigations, leading to “shortcuts”, where evidence is not properly scrutinised, or reports are tailored to support a premeditated narrative rather than scientific findings.
To be fair by JMOs, it must be said that false history or narratives given by victims and or perpetrators mislead the JMO. Victims or suspects may provide false history during the medical examination to protect themselves or to misdirect investigations.
The dearth of experienced forensic specialists can lead to inexperienced officers handling complex forensic cases. It has been the practice in many instances that Magistrates make specific requests that the PM examination be transferred to an experienced and senior forensic expert.
The subversion of justice is not limited to our part of the world. It happens everywhere. The judiciary, the legal and medical professions can work together to deliver justice to the impoverished and unempowered masses.
by Prof. Susirith Mendis
susmend2610@gmail.com
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