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COLLEGE OF SURGEONS OF SRI LANKA

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“HISTORY OF SURGICAL SERVICES IN SRI LANKA FROM EARLIEST TIMES TO 2021”

by KAMALIKA PIERIS

In 2022, the College of Surgeons of Sri Lanka celebrated its 50th anniversary by publishing, a History of Surgical services in Sri Lanka from the Earliest Times to 2021.” The book examines both schools of surgery known in Sri Lanka, the indigenous system practiced in ancient times and the western one which is practiced today. It offers much new information on the ancient system of surgery and provides definitive information on the western system which replaced it.

The book documents the evolution of modern surgery in Sri Lanka, from its beginnings, when surgeons worked with limited resources and produced good results. The book then goes on to provide a comprehensive, up to date, account of the development of contemporary operative surgery in Sri Lanka, with special emphasis on the individual surgeons who pioneered the sub-disciplines and those who are carrying on the tradition today. It is a definitive work on modern surgery in Sri Lanka

The College of Surgeons said it had several goals in mind when it planned this book. Firstly, to ensure that present day surgeons know about the past, secondly, to show the steady evolution of surgery “amidst odds” to the intelligentsia as well as the doctors, and thirdly, to show the range of sub specialties that are now available island wide and how they were developed. That explains the size of the book.

The book is a large, heavy tome of over 500 pages, profusely illustrated with fine color photographs on quality paper, making it look like a coffee table book, which it is not. It is a very comprehensive, reliable academic work, consisting of texts written by experts, collated and edited by Channa Ratnatunga, a former President of the College of Surgeons. It is a mammoth work and a magnificent achievement.

The section on ancient medicine starts with a comprehensive political history written on invitation by the eminent historian KM de Silva. I found three unique items in this section. Firstly, there is a pie chart of the royal capitals of Sri Lanka, indicating the period of time for each capital, starting with Anuradhapura and ending with Kandy. I have not seen such a pie chart before. It is original and very instructive.

Secondly there are two maps which I have not seen before. One is a map of the route taken by Dutugemunu, when he advanced from Magama to Anuradhapura to oust Elara. The other is a map of Vijayabahu I campaign, to oust the Cholas, illustrating the pincer movement used. Both seem to be original to this book.

The colour photographs in this chapter call for special comment. I have not seen such a profusion of photographs in any history book. They are a varied, interesting collection. They include the earliest potsherd with writing, a pillar edict, a copper plate, a sannasa, a moonstone, the Vatadage, a stone bridge, a map of ancient irrigation works, the ancient sluice discovered at Maduru oya and a beautiful panoramic shot of Kalawewa.

There are other firsts in this section. For the first time ever, scattered references on operative surgery have been gathered together. In addition to the well known documents, the History lists two items which are not well known.

We are told that the Buddhist commentary Kankavitarani refers to 8 kinds of surgical operations and provides a list of instruments for each type. The Historical Manuscripts Commission of 1933 had found dozens of medical manuscripts in personal collections and temples. Purana vihara, Pelmadulla had a manuscript dealing with surgical operations, which had been copied in Sinhala, in 1862.

The compilers have looked for information on the surgical techniques of ancient times. They found one statement on surgical training. In Visuddhimagga, Buddhagosa had made an observation on how surgeons were trained. Pupils are trained in the use of the scalpel by learning to make an incision on a lotus leaf placed in a dish of water, he said. They must make the incision without cutting the leaf in two or pushing the leaf into the water.

The chapter titled, ‘Surgical anecdotes from the Culawamsa’ studies the Mahavamsa data from a surgeon’s point of view. It notes that King Buddhadasa (337-365 AD).has practiced operative surgery. He had treated a snake that had a tumor in its belly. The King had slit open the belly of the snake, taken out the tumor, applied medicine to the wound and cured the snake.

Buddhadasa is also credited with impossible operations, the History said. Buddhadasa had performed an operation for correction of a mal position of a foetus. He had also split the cranium of a patient and removed a toad who had grown inside it, then reconstructed the bisected cranium. Surgeons did not think these operations were likely.

Parakramabahu I (1153-1186) knew medicine, a fact which is rarely mentioned in accounts of this king. Mahavamsa says Parakramabahu I had done a ‘ward round’ surrounded by physicians. He had checked on the medicine given to patients, instructed on mistakes made and by his own hand skillfully showed the use of instruments. “To skilful physicians who were quick at identifying illness and were well versed in textbooks of medicine Parakrama Bahu gave a stipend according to their expertise and made them practice their art day and night,” said the Mahavamsa.

The History of Surgery has an extensive section on surgery during the British administration. it gives the names of the surgeons of this period and the work they did. A. M de Silva, who belonged to a later generation of this group, had removed a foreign body from the trachea of a patient using a magnet tied to a piece of string lowered into the trachea through a tracheotomy.

Surgeons who came after him had interesting observations to relate. When Milroy Paul was stationed in Jaffna in 1931, he found that the brass oil lamp in the operating theatre was not to be used for operations. It must be kept intact for the annual audit. So no operations were performed at night.

ATS Paul recalled that in the 1930s and 1940s surgeons wore waistcoats in Colombo, despite the hot weather. Each week a day was set apart for operations of paying patients in an operating theatre specially reserved for them. It had marble flooring imported from Italy.

The first surgeons were “General Surgeons” who were expected to deal with all surgical cases that came their way. They were sent to the provincial hospitals as well as the General Hospital, Colombo. The book features, one by one, province by province, all the hospitals that offered general surgery. There is a descriptive note on each hospital and photographs of all the surgeons who are currently working there and those who were there in the past.

In the early period, when there were no specialist surgeons, the general surgeons had voluntarily engaged in specialist surgery. They did this as a service. This is not well known. The pediatric surgical service at Lady Ridgway Children’s Hospital in Colombo was for a long time run by general surgeons who agreed to operate there.

General surgery eventually gave way to surgical specialties. The book allocates a separate chapter to each specialty, written by specialists in that subject. The chapters follow a set pattern. How the specialty started, its entrenchment in Colombo and its development in each of the provinces. This is given in great detail, with much description, and includes a table which shows the expansion of the specialty in each province, by number of beds and number of surgeons. Every chapter carries biographical information on each of the surgeons, past and present, who practiced that specialty.

Each chapter ends dramatically with an eye catching map showing the surgeons available in this specialty in the island as at 2021. This is presented in a novel manner, with photographs of the surgeons, neatly blocked with arrows linking them to the province they are working in. This is original and very effective.

History of Surgery

records that surgical specialties were introduced to the state health sector in the late 1950s. Specialist surgeons did not find it easy to establish their specialties in a hospital. The Ministry of Health sent them for training, appointed them as specialists on their return, got them the surgical instruments they asked for and then forget about them. The rest was up to the personal initiative of the surgeon. Urology is a good example.

Urology was established as a specialty in Sri Lanka in 1954 in the General Hospital, Colombo. Dr G.N. Perera was the sole urologist for the whole country at that time. He had just 10 beds, no house officers and had to share operating time with other surgeons.

Decades later, In Kurunegala the urologist only had a single afternoon operating session a week but with the support of the anesthetist and nurses, he operated from 2 pm to 7 pm. The Inner Wheel club had helped to develop the urology ward and clinic in Kurunegala.

Dr. AML Beligaswatte, in Kandy, was asked to treat a VVIP with a urological condition. Dr.Beligaswatte had explained that he could not carry out the necessary surgery as he did not have the facilities. Within two months he had all the equipment he needed.

One of the earliest surgical specialties available in Sri Lanka was heart surgery. Between 1954 and 1975 625 cases of hole in the heart, were corrected. Heart surgery in Sri Lanka has received much praise.

In 2008 US Cardiac Surgeon Dr J.R.Torstveit stated in an interview with the Daily News that Sri Lanka was on par with the best when it came to open heart surgery on children. The success rate at Lady Ridgway Hospital had gone beyond 95 % which places it on par with the very best in countries like US and UK. This was attributed to the selfless dedication and commitment by both local doctors and authorities.

India did a survey of heart surgery in Bangladesh, Bhutan, Nepal, Maldives, Pakistan and Sri Lanka and this was reported in Indian Heart Journal in 2017. The number of cardiac operations done in Sri Lanka, compared to its population was far superior to that of any other South Asian nation, including India, it said.

Transplant surgery started in Sri Lanka on the initiative of three doctors, H. Sheriffdeen, Rizvi Sherif and Geri Jayasekera. These three have not, in my view, received the recognition due to them for their successful introduction of transplant surgery in Sri Lanka.

In 1978, these three doctors, observed that patients were going to India for renal transplants. They discussed the possibility of setting up a renal transplantation programme in Sri Lanka. This first venture into transplant surgery was carefully planned over a period of time. Sheriffdeen used his sabbatical leave to undergo training in renal transplantation in the UK and USA. Rizvi Sheriff set up the necessary dialysis unit in 1980-1985, first in the private sector at Lanka Medicare hospital t and later in the National Hospital, Colombo.

Sheriffdeen returned after training in 1981 and preparatory work for kidney transplant started. .A high level team was assembled for the first operation. This consisted not only of the operating theatre team, but also specialists from other subjects such as pathology and physiology. Nurses were specially trained. A specialist on dialysis and technicians from a private lab were brought in. The team also had an adviser on medico- legal issues.

In 1985 the first living donor kidney transplant operation was successfully carried out by this team at Rutnams Private Hospital, Colombo as permission to carry out this operation in the National Hospital was denied.

Two years later, National Hospital had its first kidney transplantation operation, done by the same team. First pediatric transplantation was also done there in 1987 by them. in 1997 the first transplant using organs from brain dead person (cadaveric) took place at the same hospital.

There were legal issues involved in transplant surgery. The Sheriffdeen team lobbied the Minster of Health and obtained the Transplantation of Human tissues Act no 48 of 1987. With the development of transplant surgery, there was also the need to find donors, and doctors Island wide were alerted about the need to obtain organs from brain dead persons.

The first pediatric renal transplant program in the island was developed at Peradeniya Teaching Hospital in 2004. Peradeniya teaching Hospital is recognized today as the only unit that provides Pediatric kidney transplant service in Sri Lanka. The Medical Faculty at Peradeniya greatly supported this venture and is very proud of its achievement in pediatric transplant surgery.

Initially local doctors had to go to UK to quality as surgeons. Apart from the expense, this had two other disadvantages, said History of Surgery . The surgical illnesses in the west were different to those in Sri Lanka and the operation theatre facilities were far superior. on their return doctors found it difficult to work using the limited facilities in the provincial hospitals. Doctors should be trained in the environment in which they will be working and there is a clear need for local Post graduate medical training”, said the senior surgeons in Sri Lanka.

In 1973, the Advisory Committee on Postgraduate Medical Education recommended to the government that it should start to train medical specialists locally. The Postgraduate Institute of Medicine (PGIM) was set up for this purpose at the University of Colombo. In 1980 the government decided that the degree of Master of Surgery given by the PGIM would be the only qualification recognized in the state health sector.

That was the end of the foreign qualification but the foreign link was retained. The examinations were conducted at the Medical Faculty, Colombo jointly with examiners from the Royal College of Surgeons, London. The written papers for the first MS Part 1 was held, under police guard at a neutral venue, the Agrarian Research and Training Institute, in Colombo, as the GMOA was opposed to local post graduate qualifications.

The ready support given by the medical profession to this sudden transfer of qualifications from London to Colombo has not, in my view, received the appreciation it deserves. This venture, would not have succeeded if not for the whole hearted support of the specialists who were already in service in Sri Lanka.

Local postgraduate training in surgery was an important factor in the development of surgery in Sri Lanka said the History of Surgery. The general and specialized services expanded over the last four decades specifically due to the PGIM. The PGIM training in surgery is much in demand in the region and there are more than a dozen foreign students in the progamme. The PGIM could be an important regional center in the future, it added.

History of surgery is a gold mine of medical biography. The biographies are presented in three clusters, 1860-1910, 1911-1948 and 1949-1975. These biographies are neat and well written. The biographies focus on the professional career of the surgeon, not his personal life. They record the hospitals the surgeon worked in, appointments held and contributions made to surgery. Anecdotes and reminiscences from fellow surgeons, seamlessly woven together by the Editor, make these biographies come alive. Each biography has a pleasing photograph beside it.

There is a clever double use of the biographies. The development of general surgery in Sri Lanka during this period is shown through these biographies. We learn that it was R.L.Spittel who had introduced masks and gloves for the surgeons. Nicholas Attygalle was the first to train his assistants and registrars to conduct operations directly under his supervision. They went on to do major operations on their own.

Biographies are also woven into the rest of the book. The sections on surgical specialties carry biographical information on each surgeon who worked in that specialty, in the early days and today. The section on provincial and teaching hospitals provide at least a mention of each of the surgeons who had worked there, at one time or another.

One of the striking features of this book, is the enormous number of photographs included in it .It is most unusual for a work of this type to have so many photographs of such clarity and good quality. The majority of the photographs are photos of surgeons. They are part of the biographical slant in the book .But they are also cleverly used to function as lists. For instance, instead of an inanimate list of names we have photographs of all the doctors who had worked in a specific hospital. In History of Surgery the editors have used not only photographs, but lists, tables and maps, very cleverly as a substitute for text. .This must be applauded.

This History has been well researched and each chapter has a long list of references at the end. It is printed on high quality paper, well bound and at the grossly under priced rate of Rs. 7,500 a very worthwhile purchase. The book ends with the hope that “in the future we will be able to both innovate and lead the world in the management of the common surgical disorders we see in Sri Lanka “.

“History of Surgery” published by the College of Surgeons of Sri Lanka, priced at Rs 7,500. is available at the College of Surgeons office , No 6, Independence Avenue, Colombo 7.



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Features

The Venezuela Model:The new ugly and dangerous world order

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The US armed forces invading Venezuela, removing its President Nicolás Maduro from power and abducting him and his wife Cilia Flores on 3 January 2026, flying them to New York and producing Maduro in a New York kangaroo court is now stale news, but a fact. What is a far more potent fact is the pan-global impotent response to this aggression except in Latin America, China, Russia and a few others.

Colombian President Gustavo Petro described the attack as an “assault on the sovereignty” of Latin America, thereby portraying the aggression as an assault on the whole of Latin America. Brazilian President Luiz Inácio Lula da Silva referred to the attack as crossing “an unacceptable line” that set an “extremely dangerous precedent.” Again, one can see his concern goes beyond Venezuela. For Mexican President Claudia Sheinbaum the attack was in “clear violation” of the UN Charter, which again is a fact. But when it comes to powerful countries, the UN Charter has been increasingly rendered irrelevant over decades, and by extension, the UN itself. For the French Foreign Minister, the operation went against the “principle of non-use of force that underpins international law” and that lasting political solutions cannot be “imposed by the outside.” UN Secretary General António Guterres said he was “deeply alarmed” about the “dangerous precedent” the United States has set where rules of international law were not being respected. Russia, notwithstanding its bloody and costly entanglement in Ukraine, and China have also issued strong statements.

Comparatively however, many other countries, many of whom are long term US allies who have been vocal against the Russian aggression in Ukraine have been far more sedate in their reaction. Compared to his Foreign Minister, French President Emmanuel Macron said the Venezuelan people could “only rejoice” at the ousting of Maduro while the German Chancellor Friedrich Merz believed Maduro had “led his country into ruin” and that the U.S. intervention required “careful consideration.” The British and EU statements have been equally lukewarm. India’s and Sri Lanka’s statements do not even mention the US while Sri Lanka’s main coalition partner the JVP has issued a strongly worded statement.

Taken together, what is lacking in most of these views, barring a negligible few, especially from the so-called powerful countries, is the moral indignation or outrage on a broad scale that used to be the case in similar circumstances earlier. It appears that a new ugly and dangerous world order has finally arrived, footprints of which have been visible for some time.

It is not that the US has not invaded sovereign countries and affected regime change or facilitated such change for political or economic reasons earlier. This has been attempted in Cuba without success since the 1950s but with success in Chile in 1973 under the auspices of Augusto Pinochet that toppled the legitimate government of president Salvador Allende and established a long-lasting dictatorship friendly towards the US; the invasion of Panama and the ouster and capture of President Manuel Noriega in 1989 and the 2003 invasion of Iraq both of which were conducted under the presidency of George Bush.

These are merely a handful of cross border criminal activities against other countries focused on regime change that the US has been involved in since its establishment which also includes the ouster of President of Guyana Cheddi Jagan in 1964, the US invasion of the Dominican Republic in 1965 stop the return of President Juan Bosch to prevent a ‘communist resurgence’; the 1983 US invasion of Grenada after the overthrow and killing of Prime Minister Maurice Bishop purportedly to ensure that the island would not become a ‘Soviet-Cuban’ colony. A more recent adventure was the 2004 removal and kidnapping of the Haitian President Jean-Bertrand Aristide, which also had French support.

There is however a difference between all the earlier examples of US aggression and the Venezuelan operation. The earlier operations where the real reasons may have varied from political considerations based on ideological divergence to crude economics, were all couched in the rhetoric of democracy. That is, they were undertaken in the guise of ushering democratic changes in those countries, the region or the world irrespective of the long-term death and destruction which followed in some locations. But in Venezuela under President Donald Trump, it is all about controlling natural resources in that country to satisfy US commercial interests.

The US President is already on record for saying the US will “run” Venezuela until a “safe transition” is concluded and US oil companies will “go in, spend billions of dollars, fix the badly broken infrastructure, the oil infrastructure, and start making money” – ostensibly for the US and those in Venezuela who will tag the US line. Trump is also on record saying that the main aim of the operation was to regain U.S. oil rights, which according to him were “stolen” when Venezuela nationalized the industry. The nationalization was obviously to ensure that the funds from the industry remained in the country even though in later times this did lead to massive internal corruption.

Let’s be realistic. Whatever the noise of the new rhetoric is, this is not about ‘developing’ Venezuela for the benefit of its people based on some unknown streak of altruism but crudely controlling and exploiting its natural assets as was the case with Iraq. As crude as it is, one must appreciate Trump’s unintelligent honesty stemming from his own unmitigated megalomania. Whatever US government officials may say, the bottom line is the entire operation was planned and carried out purely for commercial and monetary gain while the pretext was Maduro being ‘a narco-terrorist.’ There is no question that Maduro was a dictator who was ruining his own country. But there is also no question that it is not the business of the US or any other country to decide what his or Venezuela’s fate is. That remains with the Venezuelan people.

What is dangerous is, the same ‘narco-terrorist’ rhetoric can also be applied to other Latin American countries such as Columbia, Brazil and Mexico which also produce some of the narcotics that come into the US consumer markets. The response should be not to invade these countries to stem the flow, but to deal with the market itself, which is the US. In real terms what Trump has achieved with his invasion of Venezuela for purely commercial gain and greed, followed by the abject silence or lukewarm reaction from most of the world, is to create a dangerous and ugly new normal for military actions across international borders. The veneer of democracy has also been dispensed with.

The danger lies in the fact that this new doctrine or model Trump has devised can similarly be applied to any country whose resources or land a powerful megalomaniac leader covets as long as he has unlimited access to military assets of his country, backed by the dubius remnants of the political and social safety networks, commonsense and ethics that have been conveniently dismantled. This is a description of the present-day United States too. This danger is boosted when the world remains silent. After the success of the Venezuela operation, Trump has already upended his continuing threats to annex Greenland because “we need Greenland from the standpoint of national security.” Greenland too is not about security, but commerce given its vast natural resources.

Hours after Venezuela, Trump threatened the Colombian President Gustavo Petro to “watch his ass.” In the present circumstances, Canadians also would not have forgotten Trump’s threat earlier in 2025 to annex Canada. But what the US President and his current bandwagon replete with arrogance and depleted intelligence would not understand is, beyond the short-term success of the Venezuela operation and its euphoria, the dangerous new normal they have ushered in would also create counter threats towards the US, the region and the world in a scale far greater than what exists today. The world will also become a far less safe place for ordinary American citizens.

More crucially, it will also complicate global relations. It would no longer be possible for the mute world leaders to condemn Russian action in Ukraine or if China were to invade Taiwan. The model has been created by Trump, and these leaders have endorsed it. My reading is that their silence is not merely political timidity, but strategic to their own national and self-interest, to see if the Trump model could be adopted in other situations in future if the fallout can be managed.

The model for the ugly new normal has been created and tested by Trump. Its deciding factors are greed and dismantled ethics. It is now up to other adventurers to fine tune it. We would be mere spectators and unwitting casualties.

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Beyond the beauty: Hidden risks at waterfalls

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Bambarakanda waterfall. Image courtesy LANKA EXCURSIONS HOLIDAYS

Sri Lanka is blessed with a large number of scenic waterfalls, mainly concentrated in the central highlands. These natural features substantially enhance the country’s attractiveness to tourists. Further, these famous waterfalls equally attract thousands of local visitors throughout the year.

While waterfalls offer aesthetic appeal, a serene environment, and recreational opportunities, they also pose a range of significant hazards. Unfortunately, the visitors are often unable to identify these different types of risks, as site-specific safety information and proper warning signs are largely absent. In most locations, only general warnings are displayed, often limited to the number of past fatalities. This can lead visitors to assume that bathing is the sole hazard, which is not the case. Therefore, understanding the full range of waterfall-related risks and implementing appropriate safety measures is essential for preventing loss of life. This article highlights site-specific hazards to raise public awareness and prevent people from putting their lives at risk due to these hidden dangers.

Flash floods and resultant water surges

Flash floods are a significant hazard in hill-country waterfalls. According to the country’s topography, most of the streams originate from the catchments in the hilly areas upstream of the waterfalls. When these catchments receive intense rainfalls, the subsequent runoff will flow down as flash floods. This will lead to an unexpected rise in the flow of the waterfall, increasing the risk of drowning and even sweeping away people.  Therefore, bathing at such locations is extremely dangerous, and those who are even at the river banks have to be vigilant and should stay away from the stream as much as possible. The Bopath Ella, Ravana Ella, and a few waterfalls located in the Belihul Oya area, closer to the A99 road, are classic examples of this scenario.

Water currents 

The behaviour of water in the natural pool associated with the waterfall is complex and unpredictable. Although the water surface may appear calm, strong subsurface currents and hydraulic forces exist that even a skilled swimmer cannot overcome. Hence, a person who immerses confidently may get trapped inside and disappear. Water from a high fall accelerates rapidly, forming hydraulic jumps and vortices that can trap swimmers or cause panic. Hence, bathing in these natural pools should be totally avoided unless there is clear evidence that they are safe.

Slipping risks

Slipping is a common hazard around waterfalls. Sudden loss of footing can lead to serious injuries or fatal falls into deep pools or rock surfaces. The area around many waterfalls consists of steep, slippery rocks due to moisture and the growth of algae. Sometimes, people are overconfident and try to climb these rocks for the thrill of it and to get a better view of the area. Further, due to the presence of submerged rocks, water depths vary in the natural pool area, and there is a chance of sliding down along slippery rocks into deep water. Waterfalls such as Diyaluma, Bambarakanda, and Ravana Falls are likely locations for such hazards, and caution around these sites is a must.

Rockfalls

Rockfalls are a significant hazard around waterfalls in steep terrains. Falling rocks can cause serious injuries or fatalities, and smaller stones may also be carried by fast-flowing water. People bathing directly beneath waterfalls, especially smaller ones, are therefore exposed to a high risk of injury. Accordingly, regardless of the height of the waterfall, bathing under the falling water should be avoided.

Hypothermia and cold shock

Hypothermia is a drop in body temperature below 35°C due to cold exposure. This leads to mental confusion, slowed heartbeat, muscle stiffening, and even cardiac arrest may follow. Waterfalls in Nuwara Eliya district often have very low water temperatures. Hence, immersing oneself in these waters is dangerous, particularly for an extended period.

Human negligence

Additional hazards also arise from visitors’ own negligence. Overcrowding at popular waterfalls significantly increases the risk of accidents, including slips and falls from cliffs. Sometimes, visitors like to take adventurous photographs in dangerous positions. Reckless behavior, such as climbing over barriers, ignoring warning signs, or swimming in prohibited zones, amplifies the risk.

Mitigation and safety

measures

Mitigation of waterfall-related hazards requires a combination of public awareness, engineering solutions, and policy enforcement. Clear warning signs that indicate the specific hazards associated with the water fall, rather than general hazard warnings, must be fixed. Educating visitors verbally and distributing bills that include necessary guidelines at ticket counters, where applicable, will be worth considering. Furthermore, certain restrictions should vary depending on the circumstances, especially seasonal variation of water flow, existing weather, etc.

Physical barriers should be installed to prevent access to dangerous areas by fencing. A viewing platform can protect people from many hazards discussed above. For bathing purposes, safer zones can be demarcated with access facilities.

Installing an early warning system for heavily crowded waterfalls like Bopath Ella, which is prone to flash floods, is worth implementing. Through a proper mechanism, a warning system can alert visitors when the upstream area receives rainfall that may lead to flash floods in the stream.

At present, there are hardly any officials to monitor activities around waterfalls. The local authorities that issue tickets and collect revenue have to deploy field officers to these waterfalls sites for monitoring the activities of visitors. This will help reduce not only accidents but also activities that cause environmental pollution and damage. We must ensure that these natural treasures remain a source of wonder rather than danger.

(The writer is a chartered Civil Engineer specialising in water resources engineering)

By Eng. Thushara Dissanayake ✍️

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From sacred symbol to silent victim: Sri Lanka’s elephants in crisis

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The year 2025 began with grim news. On 1st January, a baby elephant was struck and killed by a train in Habarana, marking the start of a tragic series of elephant–train collisions that continued throughout the year. In addition to these incidents, the nation mourned the deaths of well-known elephants such as Bathiya and Kandalame Hedakaraya, among many others. As the year drew on, further distressing reports emerged, including the case of an injured elephant that was burnt with fire, an act of extreme cruelty that ultimately led to its death. By the end of the year, Sri Lanka recorded the highest number of elephant deaths in Asia.

This sorrowful reality stands in stark contrast to Sri Lanka’s ancient spiritual heritage. Around 250 BCE, at Mihintale, Arahant Mahinda delivered the Cūḷahatthipadopama Sutta (The Shorter Discourse on the Simile of the Elephant’s Footprint) to King Devanampiyatissa, marking the official introduction of Buddhism to the island. The elephant, a symbol deeply woven into this historic moment, was once associated with wisdom, restraint, and reverence.

Yet the recent association between Mihintale and elephants has been anything but noble. At Mihintale an elephant known as Ambabo, already suffering from a serious injury to his front limb due to human–elephant conflict (HEC), endured further cruelty when certain local individuals attempted to chase him away using flaming torches, burning him with fire. Despite the efforts of wildlife veterinary surgeons, Ambabo eventually succumbed to his injuries. The post-mortem report confirmed severe liver and kidney impairment, along with extensive trauma caused by the burns.

Was prevention possible?

The question that now arises is whether this tragedy could have been prevented.

To answer this, we must examine what went wrong.

When Ambabo first sustained an injury to his forelimb, he did receive veterinary treatment. However, after this initial care, no close or continuous monitoring was carried out. This lack of follow-up is extremely dangerous, especially when an injured elephant remains near human settlements. In such situations, some individuals may attempt to chase, harass, or further harm the animal, without regard for its condition.

A similar sequence of events occurred in the case of Bathiya. He was initially wounded by a trap gun—devices generally intended for poaching bush meat rather than targeting elephants. Following veterinary treatment, his condition showed signs of improvement. Tragically, while he was still recovering, he was shot a second time behind the ear. This second wound likely damaged vital nerves, including the vestibular nerve, which plays a critical role in balance, coordination of movement, gaze stabilisation, spatial orientation, navigation, and trunk control. In effect, the second shooting proved far more devastating than the first.

After Bathiya received his initial treatment, he was left without proper protection due to the absence of assigned wildlife rangers. This critical gap in supervision created the opportunity for the second attack. Only during the final stages of his suffering were the 15th Sri Lanka Artillery Regiment, the 9th Battalion of the Sri Lanka National Guard, and the local police deployed—an intervention that should have taken place much earlier.

Likewise, had Ambabo been properly monitored and protected after his injury, it is highly likely that his condition would not have deteriorated to such a tragic extent.

It should also be mentioned that when an injured animal like an elephant is injured, the animal will undergo a condition that is known as ‘capture myopathy’. It is a severe and often fatal condition that affects wild animals, particularly large mammals such as elephants, deer, antelope, and other ungulates. It is a stress-induced disease that occurs when an animal experiences extreme physical exertion, fear, or prolonged struggle during capture, restraint, transport, or pursuit by humans. The condition develops when intense stress causes a surge of stress hormones, leading to rapid muscle breakdown. This process releases large amounts of muscle proteins and toxins into the bloodstream, overwhelming vital organs such as the kidneys, heart, and liver. As a result, the animal may suffer from muscle degeneration, dehydration, metabolic acidosis, and organ failure. Clinical signs of capture myopathy include muscle stiffness, weakness, trembling, incoordination, abnormal posture, collapse, difficulty breathing, dark-coloured urine, and, in severe cases, sudden death. In elephants, the condition can also cause impaired trunk control, loss of balance, and an inability to stand for prolonged periods. Capture myopathy can appear within hours of a stressful event or may develop gradually over several days. So, if the sick animal is harassed like it happened to Ambabo, it does only make things worse. Unfortunately, once advanced symptoms appear, treatment is extremely difficult and survival rates are low, making prevention the most effective strategy.

What needs to be done?

Ambabo’s harassment was not an isolated incident; at times injured elephants have been subjected to similar treatment by local communities. When an injured elephant remains close to human settlements, it is essential that wildlife officers conduct regular and continuous monitoring. In fact, it should be made mandatory to closely observe elephants in critical condition for a period even after treatment has been administered—particularly when they remain in proximity to villages. This approach is comparable to admitting a critically ill patient to a hospital until recovery is assured.

At present, such sustained monitoring is difficult due to the severe shortage of staff in the Department of Wildlife Conservation. Addressing this requires urgent recruitment and capacity-building initiatives, although these solutions cannot be realised overnight. In the interim, it is vital to enlist the support of the country’s security forces. Their involvement is not merely supportive—it is essential for protecting both wildlife and people.

To mitigate HEC, a Presidential Committee comprising wildlife specialists developed a National Action Plan in 2020. The strategies outlined in this plan were selected for their proven effectiveness, adaptability across different regions and timeframes, and cost-efficiency. The process was inclusive, incorporating extensive consultations with the public and relevant authorities. If this Action Plan is fully implemented, it holds strong potential to significantly reduce HEC and prevent tragedies like the suffering endured by Ambabo. In return it will also benefit villagers living in those areas.

In conclusion, I would like to share the wise words of Arahant Mahinda to the king, which, by the way, apply to every human being:

O’ great king, the beasts that roam the forest and birds that fly the skies have the same right to this land as you. The land belongs to the people and to all other living things, and you are not its owner but only its guardian.

by Tharindu Muthukumarana ✍️
tharinduele@gmail.com
(Author of the award-winning book “The Life of Last Proboscideans: Elephants”)

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