Business
After Cyclone Ditwah: Climate-proofing Sri Lanka’s health system
As Sri Lanka currently counts human and economic costs of Cyclone Ditwah, the images are both disturbing and somewhat familiar: flooded hospitals, access roads buried by landslides, evacuation centres overflowing with displaced families, and officials in health and disaster management services scrambling to meet everyone’s needs. The death toll is at 355 and rising, with hundreds more missing and over 200,000 displaced, with effects being borne disproportionately in the central hills and low-lying river basins across the country. It has once again placed the spotlight on the preparedness of our disaster response ecosystem, and with climate-related disasters no longer a few and far between, Cyclone Ditwah is a tragic but predictable reminder and caution of the same vulnerabilities that have persisted for years.
A recent chapter of the Institute of Policy Studies of Sri Lanka’s (IPS) State of the Economy report examines how climate risks intersect with Sri Lanka’s health infrastructure, disease profiles, and governance. In the aftermath of Ditwah, there must be an urgent call to reassess Sri Lanka’s disaster preparedness.
Cyclone Ditwah and Vulnerabilities in Health and Communities

Dr Pulasthi Amarasinghe_IPS / Usha Perera_IPS
A considerable number of hospitals and divisional medical centres of Sri Lanka operate in flood-prone and landslide-risk areas throughout the country. Figure 1 shows that the analysis of health facilities against national hazard information reveals the location of hospitals by type that exist in districts that currently face the most severe Ditwah impacts in the central highlands and Sabaragamuwa, Gampaha, and Colombo’s surrounding low-lying urban areas. When rivers overflow, health facilities themselves become vulnerable, not just lifelines.
Moreover, the physical exposure quickly becomes an epidemiological risk. Flood-prone districts tend to report some of the highest average annual numbers of dengue and leptospirosis cases. While access to routine care and emergency transport is disrupted, heavy rainfall and poor drainage create ideal conditions for the spread of vector- and waterborne diseases. Ditwah will therefore not only create an immediate trauma burden, but likely a second wave of climate-sensitive illnesses among people in the most exposed communities.
Climate projections suggest more intense and frequent extreme weather, with a large share of Sri Lanka’s population expected to live in climate “hotspots” by mid-century. However, the transformation of the health system to address the climate reality is occurring at a slower pace than the rate at which climate change is affecting Sri Lanka.
Data and Coordination Lag Behind Frontline Needs
Sri Lanka has strong technical capacity in many parts of its health system and a national Disaster Management Centre (DMC) with a mandate for early warning and response. Yet the overall architecture of disaster and climate risk governance remains fragmented, with the Ministry of Health and the DMC, particularly at the local level, and other agencies linked more by ad hoc coordination. This severely undermines the preparation of relevant stakeholders, even in highly predictable natural disasters such as Ditwah.
In the IPS State of the Economy findings on the topic, health officials and frontline workers report how, even in “normal” times, they juggle multiple unconnected reporting formats and databases. During a large-scale disaster like Ditwah, district health authorities would benefit from real-time information on displaced individuals and households, facilities and their occupancy, and the availability of medicine and staff. Currently, much of this is still pieced together informally or in silos rather than through integrated dashboards that bring hazard, health, and facilities data together.
Additionally, the health-disaster ecosystem loses its ability to monitor diseases as dengue, leptospirosis, and diarrheal diseases, which need to be tracked during heavy rainfall and after floodwaters recede. The current system fails to connect meteorological data with health information systems and prevents the conversion of weather alerts into specific health warnings for local areas. Ditwah is therefore exposing not only weaknesses in physical infrastructure, but also the absence of a joined-up “climate and health” information system.
Digital Fortification: What We Must Build Before the Next Ditwah
One of the core ideas in the IPS report chapter is the need for “digital fortification” of the health sector. A quick and effective solution is an integrated emergency coordination platform that connects the DMC, Ministry of Health, provincial and district health offices, hospitals, and field staff. It can provide a shared picture of affected populations, and regularly update the status of health facilities, bed and drug availability, ambulance routes, and staff deployment. Additionally, a climate and health surveillance system that combines real-time climate and hazard data with routine disease reporting can flag high-risk areas for dengue, leptospirosis, and other climate-sensitive conditions.
Both interventions can be built on existing digital health tools, such as the Hospital Health Information Management System. It would require expanding coverage, backup power for connectivity, and the personnel and training necessary to raise efficiency. Linking these tools to geographic information systems would allow planners to see which facilities are at risk of being cut off and how best to coordinate vertically within health and disaster management systems, and horizontally across them.
From Tragedy to Transformation
Digital solutions do not substitute investments in infrastructure, staff, or primary care. However, they present feasible ways forward in a recovering economy to stretch limited resources by providing decision-makers with timely, detailed information and tools. As climate disasters become more frequent, Sri Lanka cannot afford not to invest in simple yet effective solutions.
Cyclone Ditwah is a national tragedy. It should also be a turning point in how we think about climate resilience in the health sector. As reconstruction support and international assistance are mobilised, Sri Lanka has an opportunity to ensure that “building back” includes building more intelligent, more connected, and more anticipatory disaster preparedness systems.
By Pulasthi Amarasinghe and Usha Perera
Business
Real economic data isn’t in a report: It’s on a bargain table
If you want to understand Sri Lanka’s economy, don’t start with reports from the Ministry of Finance or the Central Bank. Go instead to a crowded clothing sale on the outskirts of Colombo.
In places like Nugegoda, Nawala, and Maharagama, temporary year-end sales have sprung up everywhere. They draw large crowds – not just bargain hunters, but families carefully planning every rupee. People arrive with SMS alerts on their phones and fixed budgets in their minds. This is not casual shopping. It is a public display of resilience, a tableau of how people are coping.
Tables are set up in parking lots and open halls, clothes spilling from cardboard boxes. When new stock arrives, hands reach in immediately – young and old, men and women – searching for the right size, the least faded colour, the smallest flaw that justifies the price. Everyone is heard negotiating, not with desperation, but with a quiet, shared dignity.
“Look at the prices in the malls, then look here,” says a middle-aged mother shopping for school uniforms in Maharagama. “This isn’t shopping for enjoyment. This is about managing life.” Food prices have already stretched her household budget thin. Here, she can buy trousers for half the usual price.
Women, often the household’s purchasing managers, move with determined efficiency. Men are just as involved – checking stiches, comparing prices, trying shirts over their own clothes. Inflation, here, wears the same face on everyone.
Bright banners promise “Trendy Styles!”, but most shoppers know better. These are last season’s clothes, cleared out to make room for next year’s stock. Still, no one feels embarrassment. “New” now simply means something you didn’t own before; the label matters far less than the price.
Not all items are discounted equally. Essentials – work trousers, denims, track pants – are only slightly cheaper. Sellers know these will sell regardless. The steepest discounts are reserved for the items people can almost afford to skip.
This is economic data you won’t find in official reports. Here, inflation is measured in real time. A young man studies a shirt’s price tag and calculates how many days of work it represents. Friends debate whether a slight fade is a fair trade for the price. Every transaction is a careful calculation.
Year-end sales have always existed. But since the economic crisis, they have taken on a new, grim significance. They offer a slight reprieve to households learning to steadily lower their aspirations. While the government speaks of fiscal discipline and a steady Treasury, everyday life remains a tightrope walk.
The Central Bank measures inflation in percentages. On the streets of Kiribathgoda, it is measured in trade-offs: one item instead of two; buying now or waiting for the Avurudu season; choosing need over want, again and again.
As evening falls, the crowds thin. The tables are left rumpled, hangers scattered like fallen leaves. Yet these spaces tell a story more powerful than any quarterly report – a story of business ingenuity, household struggle, and an economy where every single purchase is weighed with immense care.
In that careful weighing lies a quiet, unsettling truth. No matter what is said about replenished reserves or balanced budgets, these bargain tables – if they could speak – would tell the nation’s most heart-rending story. And they do, to anyone who chooses to listen.
By Sanath Nanayakkare
Business
Global economy poised for growth in 2026, says Goldman Sachs, despite uneven job recovery
The global economy is forecast to expand by a “sturdy” 2.8% in 2026, exceeding consensus expectations, according to the latest Macro Outlook report from Goldman Sachs Research. This optimistic projection highlights a resilient recovery trajectory across major economies, albeit with significant regional variations and a persistent disconnect with labour market strength.
Goldman Sachs economists are most bullish on the United States, expecting GDP growth to accelerate to 2.6%, substantially above consensus estimates. This optimism stems from anticipated tax cuts, easier financial conditions, and a reduced economic drag from tariffs. The report notes that consumers will receive approximately an extra $100 billion in tax refunds in the first half of next year, providing a front-loaded stimulus. A rebound from the past government shutdown is also expected to contribute to what chief economist Jan Hatzius predicts will be “especially strong GDP growth in the first half” of 2026.
China’s economy is projected to grow by 4.8%, underpinned by robust manufacturing and export performance. However, economists caution that parts of the domestic economy continue to show weakness. In the euro area, growth is forecast at a modest 1.3%, supported by fiscal stimulus in Germany and strong growth in Spain, despite the region’s longer-term structural challenges.
A key concern outlined in the report is the stagnant global labour market. Job growth across all major developed economies has fallen well below pre-pandemic 2019 rates. Hatzius links this weakness partly to a sharp downturn in immigration, which has slowed labour force growth, with the disconnect being most pronounced in the United States.
While artificial intelligence (AI) dominates technological discourse, Goldman Sachs economists believe its broad productivity benefits across the wider economy are still several years away, with impacts so far largely confined to the tech sector.
Business
India trains Sri Lankan gem and jewellery artisans in landmark capacity-building programme
A 20-member delegation of professionals from Sri Lanka’s Gem and Jewellery sector visited India from 1–20 December 2025 to participate in a specialised Training and Capacity Building Programme. The delegation represented the gemstone cutting and polishing segments of Sri Lanka’s Gem and Jewellery industry.
The programme was organised pursuant to the announcement made by Prime Minister of India, Narendra Modi, during his visit to Sri Lanka in April 2025, under which India committed to offering 700 customised training slots annually for Sri Lankan professionals as part of ongoing bilateral capacity-building cooperation.
The 20-day training programme was conducted by the Government of India at the Indian Institute of Gem & Jewellery, Jaipur, Rajasthan. The curriculum comprised a comprehensive set of technical and thematic sessions covering the entire Gem and Jewellery value chain. Key modules included cleaving and sawing, pre-forming, shaping, cutting and faceting, polishing, quality assessment, and industry interactions, aimed at strengthening practical skills and enhancing design and production capabilities.
As part of the experiential learning component, the participants undertook site visits to leading gemstone manufacturing units, gaining first-hand exposure to contemporary production technologies, design development processes, and modern retail practices within India’s Gem and Jewellery ecosystem.
The specialised training programme contributed meaningfully to strengthening professional competencies, promoting knowledge exchange, and deepening institutional and industry linkages in the Gem and Jewellery sector between India and Sri Lanka, reflecting the continued commitment of both countries to capacity building and people-centric economic cooperation.
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