News
Cardiac surgeons transferred to Kurunegala Hospital for ‘can’t be done’ heart operations
by Suresh Perera
In a scenario akin to a “comedy of errors”, heart surgeons continue to receive transfers to the cardiology unit of the Kurunegala Teaching Hospital notwithstanding the fact that no cardiac surgical procedures were performed in this key government medical facility for the past six years due to lack of specialized medical equipment.
Even the two operating theatres in the five-storied cardiology complex are no longer in use. While one of them has been abandoned, the other has been taken over to house the Intensive Care Unit (ICU), medical officials said.
Though there’s a cardiology unit, the medical services doesn’t extend beyond an angiogram to diagnose patients and recommend follow-up treatment or surgical procedures, where necessary. However, despite the limitations, cardiac surgeons continue to be transferred to this premier hospital in the North Western Province, they said.
The building housing the cardiology unit was built with funds raised by philanthropists in 2016. However, since its inception, no heart operations were performed as the vital modern infrastructure was not in place in the two operating theatres, they pointed out.
It is true that initially there was a difficulty in finding sufficient heart surgeons to serve in provincial hospitals. Even now there are only about 25 senior cardiac surgeons in Sri Lanka, the officials said.
However, among the heart surgeons later transferred to this cardiology unit were those who had completed their two-year training overseas. But, as there was no functional operating theatre, many had subsequently asked that they be moved out as there was no work, while some others had opted to assist their colleagues in other major government hospitals performing cardiac surgical procedures, they noted.
A cardiac surgeon, who asked not be identified, said after his transfer to the Kurunegala Teaching Hospital, he chose to inform the Health Ministry and stay back to help a colleague perform heart operations rather than twiddle his thumbs in a medical facility sans even the basic medical equipment.
“I can perform heart surgeries, but not miracles”, he laughed.
“There should be lung machines, ventilators and other medical equipment in a fully-fledged operating theatre to do the job we are expected to do to save lives”, he said.
This is a ridiculous situation as, in a country where moves were underway to procure luxury vehicles for billions of rupees, allocating Rs. 300 million to give a new lease of life to critically ill patients doesn’t seem important, he remarked.
On the A9 Colombo-Jaffna highway, the Kurunegala Teaching Hospital is the only government medical facility with a cardiology unit. However, despite the heavy inflow of patients, no cardiac surgical procedures are done there, he continued.
Patients diagnosed with heart conditions by cardiologists in the Kurunegala Teaching Hospital are advised to undergo surgery have to travel to either the Kandy General Hospital or Colombo National Hospitals, where there is a long ‘waiting list’ in any case. Most of these patients are poor people living in far-flung villages and cannot even raise the bus fare to Colombo or Kandy, let alone meet other costs involved, medical officials pointed out.
“Through my experience in many hospitals, I am aware of countless instances where we found patients dead when their turn was up for surgery in the long ‘waiting list’. We could have saved many lives if the heart operations were performed at Kurunegala without over-burdening the Colombo and Kandy hospitals”, he said.
In today’s context, cardiac conditions are common even among the 35-50 age group. Unlike earlier, it’s no longer largely restricted to those between 60 and 70 years, he stressed.
Medical officials said that years ago quotations were called to refurbish the two operating theatres, but despite a successful bid, there was no headway as the matter was dropped, he said.
He further said that the Association of Cardiothoracic and Thoracic Surgeons of Sri Lanka has also repeatedly urged the Health Ministry to refurbish the operating theatre and have the required medical equipment in place to perform heart operations.
“It is sad to see poor heart patients dying as the Colombo and Kandy hospitals are under tremendous pressure with numbers from Kurunegala also adding to the heavy volume of patients awaiting surgery”, the cardiac surgeon commented.
A senior health official in the region said that the development of the Kurunegala Teaching Hospital under a master plan to improve government health facilities in the province is now on the drawing board.
The development initiative was also discussed at a recent meeting with Prime Minister Mahinda Rajapaksa, who contested the last parliamentary election from the Kurunegala district.
He conceded that heart surgeons were being routinely transferred to Kurunegala hospital’s cardiology unit though surgical procedures were not happening due to lack of facilities.
“As this is a matter of critical importance, we need to work on an intermediate plan to get on with heart operations early as we are not only placing lives at risk, but also adding to the burden of the Colombo and Kandy hospitals”, he explained.
Take for example, patients with Community-acquired pneumonia (CAP), a leading cause of morbidity and mortality, which can trigger acute cardiac events. As they risk rupturing of blood vessels, surgery should be performed within the hospital or at a medical facility in the locality, he said.
“However, under the prevailing circumstances, we have ask patients to visit either the Colombo National Hospital or the Kandy General Hospital for surgery despite the big risk involved”, he pointed out.
With ‘wait listing’, they have to hang on for months for their turn to undergo surgery. That’s if they survive the ordeal, he added.
News
Government’s objective is to ensure the continuous functioning of the country’s economic activities and essential services through effective energy management – President
President Anura Kumara Dissanayake stated that, in light of the challenges that have arisen due to the prevailing conflict situation in the Middle East, plans are being implemented to manage energy resources effectively while ensuring the uninterrupted continuation of the country’s economic activities and essential services.
The President made these remarks while participating in a discussion held on Monday (16) afternoon at the Presidential Secretariat to review the immediate measures required to ensure the country’s energy conservation and maintain the uninterrupted functioning of economic activities and essential services, in view of the current disruptions affecting energy supply.
During the discussion, which was attended by the relevant Ministers and Ministry Secretaries, special attention was focused on the measures required to ensure the uninterrupted continuation of public services in light of the prevailing situation.
Extensive discussions were also held on alternative methods that could be adopted in maintaining the operations of government offices. In this context, attention was drawn to the possibility of limiting energy consumption while continuing essential services by granting a one-day holiday for the public service.
Particular attention was also given to examining alternative measures that could be adopted to ensure the continued provision of services with minimal energy consumption, taking into account the specific nature and practical requirements of sectors such as education, health, tourism, fisheries, industry, agriculture, ports and shipping, airport services and digital services.
The President instructed a committee, comprising Ministry Secretaries and sectoral experts, to submit a report by the end of today to determine the fuel allocation required to maintain services in the key sectors.
In addition, the discussion highlighted the importance of making ministerial-level decisions regarding the practical feasibility of performing official duties from home under such circumstances. It was proposed that decisions on summoning officers to their workplaces be delegated to the heads of institutions and that appropriate methods be adopted to ensure the uninterrupted continuation of services.
In view of the prevailing situation, the President paid special attention to the challenges faced by farmers in the agricultural sector and by small and medium-sized industrialists in the industrial sector.
The President further emphasised that, in the current circumstances, the contribution and commitment of all are essential to minimise the potential impact on the country’s economy, while noting that certain groups may be provided with assistance through relief measures.
It was noted that the introduction of the QR system is intended to manage daily fuel consumption in response to the ongoing challenges. This system will allow for the daily analysis of fuel allocations, emphasising the importance of releasing fuel in a manner that safeguards the country’s energy conservation while supporting economic and service activities.
The discussion also highlighted the importance of using the QR system in an orderly manner during fuel distribution and the need for each Ministry to promptly provide all necessary data to the Ministry of Digital Economy. Accordingly, it was proposed that the relevant Ministries, together with the legally recognised petroleum institutions, work to further streamline the QR system.
In addition, it was proposed to temporarily suspend state celebrations in light of the prevailing situation and to establish a procedure for informing the private sector of any further measures the Government intends to take in this regard.
Prime Minister Dr. Harini Amarasuriya, Minister of Foreign Affairs, Foreign Employment and Tourism Vijitha Herath, Minister of Trade, Commerce, Food Security and Cooperative Development Wasantha Samarasinghe, Minister of Health and Mass Media Dr. Nalinda Jayatissa, Minister of Public Administration, Provincial Councils and Local Government Professor A.H.M.H. Abeyratne, Minister of Labour and Deputy Minister of Finance and Planning Dr. Anil Jayantha Fernando, Minister of Industries and Entrepreneurship Development Sunil Handunnetti, Minister of Transport, Highways and Urban Development Bimal Ratnayake, Secretary to the President Dr. Nandika Sanath Kumanayake, Governor of the Central Bank Dr. P. Nandalal Weerasinghe, Senior Advisor to the President on the Digital Economy Hans Wijesuriya, Senior Economic Advisor to the President Duminda Hulangamuwa and a group of officials, including the Secretaries of the relevant Ministries, participated in the discussion.
News
UN resolution on Iran ‘unbalanced’: FM Herath
Zuhair castigates sponsors who failed to condemn aggressors
Foreign Minister Vijitha Herath said that the recently adopted United Nations Security Council (UNSC) resolution that strongly condemned Iran for, what it called, “egregious attacks” on its regional neighbours, was not fair as it did not make reference to Israeli-US initiating the latest conflict.
Herath said so in response to The Island query. He said that the government wouldn’t support country specific resolutions. Minister Herath described the resolution, adopted by a vote of 13 in favour, none against, and two abstentions (China, Russian Federation), as unbalanced. Sri Lanka refrained from co-sponsoring the resolution that had the backing of nearly 140 countries. Both India and Pakistan co-sponsored the resolution.
The JVPer reiterated that both sides should cease attacks and deal with the developing situation in terms of the UN Charter.
The Council condemned, “in the strongest terms,” Iran’s attacks against Bahrain, Kuwait, Oman, Qatar, Saudi Arabia, the United Arab Emirates and Jordan and reiterated its strong support for those countries’ sovereignty, territorial integrity and political independence.
Former Sri Lanka’s Ambassador in Iran, M.M. Zuhair, PC, said that those who co-sponsored the controversial resolution, and the UNSC that adopted it, conveniently failed to take into account unprovoked Israeli-US attack on Iran and the killing of over 1,400 civilians, including nearly 160 children and staff at a girls’ school. The former lawmaker said that the UN Security Council had failed in its fundamental duty to prevent or end the Israeli-US joint aggression on Iran or, at least, to condemn the unprovoked military action.
By Shamindra Ferdinando
News
Japan provides grant for reinforcement of Cyclone Ditwah damaged bridge
Japanese ambassador in Colombo Akio Isomata on 16 March signed a grant contract for reinforcing a bridge in Buttala under the scheme of “Grant Assistance for Grassroots Human Security Projects (GGP)”. The contract was signed with Ven. Nagolle Nandaratana, Chairman of DIMUTHU Community Development Society.
The text of the Japanese embassy press release: “The Government of Japan has provided USD 25,432 (approx. LKR 7.8 million) for a project implemented by the DIMUTHU Community Development Society. This grant will fund urgent reinforcement of the bridge abutments which were damaged by Cyclone Ditwah, and construction of retaining walls to safeguard the bridge, which ensures safe access of 3,200 residents to education and healthcare services.
Emphasising Japan’s focus on strengthening institutional frameworks to address natural disasters in Sri Lanka, Ambassador ISOMATA remarked: “As Sri Lanka moves on to the phase of recovery and reconstruction, Japan remains steadfast in its resolve to stand by the people of Sri Lanka”. Ambassador also said: “The project for which we signed today will not only contribute to the recovery and reconstruction of areas affected by Cyclone Ditwah and socio-economic development of the country, but will also stand as an enduring symbol of the unwavering friendship between the peoples of Japan and Sri Lanka.”
Commenting on the receiving of this grant assistance, Ven. Nagolle Nandaratana, Chairman of DIMUTHU community Development Society, stated, “Japan and Sri Lanka share a beautiful, long-standing friendship. Beyond just development, we’ve always admired the Japanese way of doing things—with precision, discipline, and kindness. This approach has truly been our guide in making our past collaborations, like our water projects and community buildings, such a lasting success.
Special thanks to the Ambassador, the hardworking Embassy team, and our coordinator for making this happen. “
Since 1989, Japan has been providing a total of USD 62 million in assistance for Sri Lanka through the GGP (Grant Assistance for Grassroots Human Security Projects) scheme.”
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