Features
AmbulanceService In dire straits
Suwaseriya 1990
By Dr B. J. C. Perera
MBBS(Cey), DCH(Cey), DCH(Eng), MD(Paed), MRCP(UK), FRCP(Edin), FRCP(Lon), FRCPCH(UK), FSLCPaed, FCCP, Hony FRCPCH(UK), Hony. FCGP(SL)
Specialist Consultant Paediatrician and Honorary Senior Fellow, Postgraduate Institute of Medicine, University of Colombo, Sri Lanka.
In a most disturbing development, it has been brought to the notice of the nation that the Suwaseriya 1990 Ambulance Service is in imminent danger of having to restrict its services due to a severe curtailment of the financial facilities extended to it by the government. We have it on reasonable evidence that the service is even likely to keel over in the not-too-distant future.
This life-saving initiative, which commenced operations around six years ago, amidst all kinds of problems and predictions of doom, together with allegations of the incompetence of those manning the service, has proven itself to be a real boon as regards the provision of optimal emergency healthcare services in our country. The facility has been utilised to provide life-saving care to sudden health emergencies brought on by many disease conditions, an unprecedented COVID-19 pandemic, natural disasters, as well as road traffic crashes. Emergency care provided by those who man the service as para-medical staff, together with supporting staff working in the control centres including qualified medical personnel to provide emergency care guidance, have played a leading role in saving lives with absolutely no regard whatsoever being paid at the point of care provision, to caste, creed, religion or the financial status of those in desperate need of these services. To the eternal credit of this magnificent enterprise, all that has mattered to them is a committed effort towards saving lives and getting the affected patients to a healthcare facility as fast as possible. Life-saving and life-sustaining emergency measures are instituted at the site and in the ambulance itself, in a dedicated struggle to fight for the lives of those who urgently and terribly need such care. Very many are the many affected patients who have lived to tell the tale due to the valiant efforts of those who run this service.
Since its inception and launch in 2016, Suwaseriya has responded to over 1.15 million calls through the toll-free telephone line 1990. Currently, it handles over 1000 emergency calls per day from right around the country and at the height of the pandemic last year it had to handle over 2000 calls per day. The service has a staff of over 1300 and close to 300 fully-equipped ambulances in its fleet, covering the entire length and breadth of the country. The average response time from the receipt of the call through 1990 to the arrival at the site of the incident is just under 15 minutes. This could of course vary from just under 3 minutes to around 15 to 20 minutes depending on the distance of the incident from the centre where the ambulances are located.
It must be stressed that it costs a considerable amount of money to provide such a service in a sustained manner every minute of every day. It certainly does not come cheap. Apparently, in the year 2021 it cost around Sri Lankan Rupees 6500 per-incident and this year in 2022, due to rampant inflation, it has shot up to around LKR 8500 per incident. In strictly financial terms, the government has to allocate a sum of around LKR 140 per person per year for the total populace of around 22 million persons, to be able to provide such a magnificent 24/7 service to the general public. It certainly would sound like a paltry sum and a small price to pay but in effect, it works out to quite a few million per year at the going rate this year. Currently, Suwaseriya probably needs around 100 MILLION RUPEES PER MONTH to run the service efficiently. This amount includes salaries, overtime payments, maintenance costs of the ambulances, price of disposable medical equipment, cost of medicines etc.
These large amounts of money have to be provided by the powers-that-be to sustain this service. The problem now is that due to the current economic turndown of the country, the state has been forced to even cut down on the financial provisions for this absolutely essential service. As a result of this, the Suwaseria service has run up considerable debts to its subsidiary service providers and suppliers. It is rumoured that the service owes the suppliers something to the tune of around 150 million rupees as of now. It is most unlikely that these suppliers are going to tolerate this for any further length of time and the chances are that they would stop giving anything anymore on a credit basis, even absolutely essential medicines, sooner rather than later. Then the service will be caught between the devil and the deep blue sea as well as a catch-22 situation, with the inevitable outcome of having to restrict the provision of their much-valued and much-needed emergency services. God help us then and lives are going to be lost in the process. It will be yet another national catastrophe of considerable proportions. The people who would suffer most would be the poor and the marginalised, as the rich, as is usually the case anyway, will somehow find a way to have their way.
Having worked closely with the Suwaseriya service through the Sri Lanka Medical Association (SLMA) Doc Call 247 portal, I did feel the need to do it. I know for sure the type of service provided by this wonderful Suwaseriya 1990 initiative. I have seen the results first-hand and have been amazed at the dedication of the people who give their very best to save lives.
In such a context, this is a fervent appeal to the government to provide the necessary finances and maintain this excellent service provision initiative at any cost without allowing it to sink into the abyss of yet another venture that has sadly failed. Our men, women and children in this so-called resplendent isle have already suffered and continue to suffer much more than their fair share of grief through no real fault of theirs. The last thing they need at this juncture of destiny is yet another burden that would threaten their lives. The state has to…, SIMPLY HAS TO, find ways and means of keeping this vital service provider afloat. Even if it means that the state has to tax the super-rich, even if they have to do it until they bleed, even if it means cutting off some privileges for some in the highest echelons of power, so be it. Metaphorically speaking, if such blood-letting or curtailment of privileges would mean the saving of countless lives, it would be well worth it. Most definitely, it would be an initiative that would earn resounding encomiums from the suffering masses.
Features
US’ drastic aid cut to UN poses moral challenge to world
‘Adapt, shrink or die’ – thus runs the warning issued by the Trump administration to UN humanitarian agencies with brute insensitivity in the wake of its recent decision to drastically reduce to $2bn its humanitarian aid to the UN system. This is a substantial climb down from the $17bn the US usually provided to the UN for its humanitarian operations.
Considering that the US has hitherto been the UN’s biggest aid provider, it need hardly be said that the US decision would pose a daunting challenge to the UN’s humanitarian operations around the world. This would indeed mean that, among other things, people living in poverty and stifling material hardships, in particularly the Southern hemisphere, could dramatically increase. Coming on top of the US decision to bring to an end USAID operations, the poor of the world could be said to have been left to their devices as a consequence of these morally insensitive policy rethinks of the Trump administration.
Earlier, the UN had warned that it would be compelled to reduce its aid programs in the face of ‘the deepest funding cuts ever.’ In fact the UN is on record as requesting the world for $23bn for its 2026 aid operations.
If this UN appeal happens to go unheeded, the possibilities are that the UN would not be in a position to uphold the status it has hitherto held as the world’s foremost humanitarian aid provider. It would not be incorrect to state that a substantial part of the rationale for the UN’s existence could come in for questioning if its humanitarian identity is thus eroded.
Inherent in these developments is a challenge for those sections of the international community that wish to stand up and be counted as humanists and the ‘Conscience of the World.’ A responsibility is cast on them to not only keep the UN system going but to also ensure its increased efficiency as a humanitarian aid provider to particularly the poorest of the poor.
It is unfortunate that the US is increasingly opting for a position of international isolation. Such a policy position was adopted by it in the decades leading to World War Two and the consequences for the world as a result for this policy posture were most disquieting. For instance, it opened the door to the flourishing of dictatorial regimes in the West, such as that led by Adolph Hitler in Germany, which nearly paved the way for the subjugation of a good part of Europe by the Nazis.
If the US had not intervened militarily in the war on the side of the Allies, the West would have faced the distressing prospect of coming under the sway of the Nazis and as a result earned indefinite political and military repression. By entering World War Two the US helped to ward off these bleak outcomes and indeed helped the major democracies of Western Europe to hold their own and thrive against fascism and dictatorial rule.
Republican administrations in the US in particular have not proved the greatest defenders of democratic rule the world over, but by helping to keep the international power balance in favour of democracy and fundamental human rights they could keep under a tight leash fascism and linked anti-democratic forces even in contemporary times. Russia’s invasion and continued occupation of parts of Ukraine reminds us starkly that the democracy versus fascism battle is far from over.
Right now, the US needs to remain on the side of the rest of the West very firmly, lest fascism enjoys another unfettered lease of life through the absence of countervailing and substantial military and political power.
However, by reducing its financial support for the UN and backing away from sustaining its humanitarian programs the world over the US could be laying the ground work for an aggravation of poverty in the South in particular and its accompaniments, such as, political repression, runaway social discontent and anarchy.
What should not go unnoticed by the US is the fact that peace and social stability in the South and the flourishing of the same conditions in the global North are symbiotically linked, although not so apparent at first blush. For instance, if illegal migration from the South to the US is a major problem for the US today, it is because poor countries are not receiving development assistance from the UN system to the required degree. Such deprivation on the part of the South leads to aggravating social discontent in the latter and consequences such as illegal migratory movements from South to North.
Accordingly, it will be in the North’s best interests to ensure that the South is not deprived of sustained development assistance since the latter is an essential condition for social contentment and stable governance, which factors in turn would guard against the emergence of phenomena such as illegal migration.
Meanwhile, democratic sections of the rest of the world in particular need to consider it a matter of conscience to ensure the sustenance and flourishing of the UN system. To be sure, the UN system is considerably flawed but at present it could be called the most equitable and fair among international development organizations and the most far-flung one. Without it world poverty would have proved unmanageable along with the ills that come along with it.
Dehumanizing poverty is an indictment on humanity. It stands to reason that the world community should rally round the UN and ensure its survival lest the abomination which is poverty flourishes. In this undertaking the world needs to stand united. Ambiguities on this score could be self-defeating for the world community.
For example, all groupings of countries that could demonstrate economic muscle need to figure prominently in this initiative. One such grouping is BRICS. Inasmuch as the US and the West should shrug aside Realpolitik considerations in this enterprise, the same goes for organizations such as BRICS.
The arrival at the above international consensus would be greatly facilitated by stepped up dialogue among states on the continued importance of the UN system. Fresh efforts to speed-up UN reform would prove major catalysts in bringing about these positive changes as well. Also requiring to be shunned is the blind pursuit of narrow national interests.
Features
Egg white scene …
Hi! Great to be back after my Christmas break.
Thought of starting this week with egg white.
Yes, eggs are brimming with nutrients beneficial for your overall health and wellness, but did you know that eggs, especially the whites, are excellent for your complexion?
OK, if you have no idea about how to use egg whites for your face, read on.
Egg White, Lemon, Honey:
Separate the yolk from the egg white and add about a teaspoon of freshly squeezed lemon juice and about one and a half teaspoons of organic honey. Whisk all the ingredients together until they are mixed well.
Apply this mixture to your face and allow it to rest for about 15 minutes before cleansing your face with a gentle face wash.
Don’t forget to apply your favourite moisturiser, after using this face mask, to help seal in all the goodness.
Egg White, Avocado:
In a clean mixing bowl, start by mashing the avocado, until it turns into a soft, lump-free paste, and then add the whites of one egg, a teaspoon of yoghurt and mix everything together until it looks like a creamy paste.
Apply this mixture all over your face and neck area, and leave it on for about 20 to 30 minutes before washing it off with cold water and a gentle face wash.
Egg White, Cucumber, Yoghurt:
In a bowl, add one egg white, one teaspoon each of yoghurt, fresh cucumber juice and organic honey. Mix all the ingredients together until it forms a thick paste.
Apply this paste all over your face and neck area and leave it on for at least 20 minutes and then gently rinse off this face mask with lukewarm water and immediately follow it up with a gentle and nourishing moisturiser.
Egg White, Aloe Vera, Castor Oil:
To the egg white, add about a teaspoon each of aloe vera gel and castor oil and then mix all the ingredients together and apply it all over your face and neck area in a thin, even layer.
Leave it on for about 20 minutes and wash it off with a gentle face wash and some cold water. Follow it up with your favourite moisturiser.
Features
Confusion cropping up with Ne-Yo in the spotlight
Superlatives galore were used, especially on social media, to highlight R&B singer Ne-Yo’s trip to Sri Lanka: Global superstar Ne-Yo to perform live in Colombo this December; Ne-Yo concert puts Sri Lanka back on the global entertainment map; A global music sensation is coming to Sri Lanka … and there were lots more!
At an official press conference, held at a five-star venue, in Colombo, it was indicated that the gathering marked a defining moment for Sri Lanka’s entertainment industry as international R&B powerhouse and three-time Grammy Award winner Ne-Yo prepares to take the stage in Colombo this December.
What’s more, the occasion was graced by the presence of Sunil Kumara Gamage, Minister of Sports & Youth Affairs of Sri Lanka, and Professor Ruwan Ranasinghe, Deputy Minister of Tourism, alongside distinguished dignitaries, sponsors, and members of the media.
According to reports, the concert had received the official endorsement of the Sri Lanka Tourism Promotion Bureau, recognising it as a flagship initiative in developing the country’s concert economy by attracting fans, and media, from all over South Asia.
However, I had that strange feeling that this concert would not become a reality, keeping in mind what happened to Nick Carter’s Colombo concert – cancelled at the very last moment.
Carter issued a video message announcing he had to return to the USA due to “unforeseen circumstances” and a “family emergency”.
Though “unforeseen circumstances” was the official reason provided by Carter and the local organisers, there was speculation that low ticket sales may also have been a factor in the cancellation.
Well, “Unforeseen Circumstances” has cropped up again!
In a brief statement, via social media, the organisers of the Ne-Yo concert said the decision was taken due to “unforeseen circumstances and factors beyond their control.”
Ne-Yo, too, subsequently made an announcement, citing “Unforeseen circumstances.”
The public has a right to know what these “unforeseen circumstances” are, and who is to be blamed – the organisers or Ne-Yo!
Ne-Yo’s management certainly need to come out with the truth.
However, those who are aware of some of the happenings in the setup here put it down to poor ticket sales, mentioning that the tickets for the concert, and a meet-and-greet event, were exorbitantly high, considering that Ne-Yo is not a current mega star.
We also had a cancellation coming our way from Shah Rukh Khan, who was scheduled to visit Sri Lanka for the City of Dreams resort launch, and then this was received: “Unfortunately due to unforeseen personal reasons beyond his control, Mr. Khan is no longer able to attend.”
Referring to this kind of mess up, a leading showbiz personality said that it will only make people reluctant to buy their tickets, online.
“Tickets will go mostly at the gate and it will be very bad for the industry,” he added.
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