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Covid-19: Perhaps final warning for Sri Lankans

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By Dr B. J. C. Perera 

BBS(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.

Be warned, our dear countrymen and women. The die is cast…, well and truly. In addition to all our woes in this resplendent isle, as far as COVID-19 goes, things are getting totally out of control. We will have to pay for our sins. Whom do we blame now? Here are some facts and some well-considered thoughts.

It is our most unfortunate duty to warn the general public of the potential and quite imminent threat of a very nasty third wave of the COVID-19 outbreak over the next three weeks or so and the absolutely essential and indispensable need to take all possible precautions to avoid contracting the disease.

The little coronavirus is going on; in its merry way, rampaging right across the world. It is causing intolerable problems in several countries of the Western hemisphere. Our closest neighbour India is in absolutely dire straits. There are hundreds of thousands of new cases in India daily, deaths are soaring and the medical facilities are getting swamped. People are dying in India even due to a shortage of oxygen, a life saving medication that is of enormous value in saving lives during a pandemic of these magnitude.

Sri Lanka has now been caught right across the country in the cross-wires. During the last few days, there is a distinct and very rapid increase in the number of COVID-19 positive cases, as well as the number of patients requiring hospital admissions, oxygen and treatment in Intensive Care Units (ICUs). In fact, the dedicated COVID-19 ICU beds are all full. We have also observed an increase in the number of COVID positive reports at the laboratory settings. The numbers detected at random checks in the Colombo municipal limits also have increased. Doctors in the frontline have observed patients presenting with atypical symptoms and rapid deterioration leading to serious clinical scenarios. Possible rapid transmission has been suspected and presentation of younger patients with more serious symptoms has been noted. In a most disturbing development, those working at the Lady Ridgeway Hospital for Children, report on a rapidly increasing number of positive cases of COVID-19 amongst children. Children were generally resistant to the vagaries of the disease and now the situation with them is very bad news indeed. The presence of a new variant with possible rapid transmission has been suspected following preliminary laboratory studies. This awaits confirmation with further testing. The possible new variant could be a new mutation of the already prevalent index strain in Sri Lanka or a virus introduced anew from another foreign country.

It is important for every citizen to understand the potentially disastrous consequences of a third wave, especially with a possible new virus variant. If the new variant is able to exhibit features of rapid transmission, there will be a flood of COVID-19 cases leading to a greater number of seriously ill patients, potentially exceeding the capacity of hospitals to handle them. This is likely to lead to more deaths. The new variant may also affect the younger population even more than the older population leading to more deaths of young people in their prime of life. Mark my words, in spite of our trying our very best and the darndest from a medical angle, MANY LIVES WILL BE LOST in a third wave. At present the deaths are over 600., but it could go up to thousands over just a few days if we do not look sharp.

The real reason for this latest cataclysmic development is the utter nonchalance and irresponsible behaviour of our people. There was very definite ‘COVID Fatigue. The populace was well and truly completely sick of being dictated to and being restrained. They were just waiting for an excuse to let their hair down. Then came the Sinhala and Tamil New Year. It looked as if it was God’s own gift to mankind. It looked as if we have not had a New Year in decades. The New Year festivities showed complete disregard to the health guidelines. People from the urban areas made a bee-line to the usual holiday spots. The hotels were full, there was a one and a half hour long traffic snarl on the way to Horton Plains and Nuwara-Eliya was inundated. It is reported that there were even carnivals at some of these traditional holiday resorts.

One private bank reported that the Automatic Teller Machine (ATM) transactions from the 9th and 10th of April were to the tune of 8.818 billion rupees., YES, not even millions but BILLIONS. These transactions were not made by Haramaanises, Palas and Dasas from Thuththukudiya. These transactions were made by people from the metropolis and all other urban townships. They did not withdraw money to donate it to charity. They took it out to celebrate, go on holiday, and have a good time.

Shops were packed to capacity. People thronged the shops selling clothes as if they have been naked for a few years. All forms of transport were packed to capacity…, in fact, sardines would have been more comfortable. It was a matter of ‘to hell with the health guidelines’. With hundreds of thousands on a holiday rampage, there was no way in which physical distancing nor scrupulous hand washing could be implemented. There were stylish face masks covering the chins, rather than being worn properly to cover the nose and mouth. It was a virtual free-for-all. All it needed was just one case of an asymptomatic or mildly symptomatic COVID-19 in these crowds for it to spread right through, like a wildfire. The general impression created was that we are well over this COVID business and it was time to celebrate. My foot !!!!!!!!!!!!!

We will pay the price for our indiscretions. In the normal course of nature, what goes round will always come round. There is no other way. It may be better late than never and perhaps even never too late to start even now. The populace has to get it into their thick heads that there is a life-threatening emergency. It is absolutely pertinent and crucially vital that all possible stringent public health measures are strictly adhered to, by all citizens, to mitigate contracting the COVID-19 infection. In this regard, it would be absolutely essential to wear masks, maintain 1 meter or more of social distancing and frequently wash our hands. It is also absolutely critical to keep away from crowded places.

Furthermore, public education to alleviate stigma involved with the diagnosis of COVID-19 also is important. This virus infection should be treated like any other illness, by taking all steps to prevent contracting it. As the severity of the infection with a new variant is not all that familiar to the medical profession, all members of the public with respiratory symptoms are strongly recommended to seek medical advice followed by a COVID-19 test.

There are some of our people who did and still do obey the health guidelines. They are mostly those people from the more rural areas of the country. The buses plying in those rural areas are almost empty. Those people are scrupulously avoiding unnecessary travel and mass gatherings. The problem rests squarely with the more affluent and even more educated folk from the urban areas. They are the ‘know-alls’ who are inclined to throw caution to the winds at the drop of a hat. They need to take their public spiritedness and responsibilities to society ever so seriously. If they need a role model, they only need to just look once at the heart-rendering picture and the account of a Senior Lady Police Officer in India which appeared in the Island Newspaper of 22nd April 2021. It showed Mrs Shilpa Sahu, a five-month pregnant Deputy Superintendent of Police, in maternity attire rather than her Police Uniform, on a sun-baked street in a locked down area in India, wielding a stick and admonishing people who were out on the streets “Wapas jao. Ghar jao” (Go home. Stay at home). She is also reported to have said “we are out on the roads for your protection and you must remain at home for protecting everyone”. Need you look further? The lady is the sheer personification and the epitome of responsibility. Well, my countrymen and women, she is the one to follow.

I only hope and pray that I will be proved to be wrong as a prophet of doom, just for the welfare of our beloved Motherland and our people.



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US’ drastic aid cut to UN poses moral challenge to world

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An UN humanitarian mission in the Gaza. [File: Ashraf Amra/Anadolu Agency]

‘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.

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Egg white scene …

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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.

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Confusion cropping up with Ne-Yo in the spotlight

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Ne-Yo: His management should clarify the last-minute cancellation

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.

Shah Rukh Khan: Disappointed his fans in Sri Lanka

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.

Nick Carter: His concert, too, was cancelled due to “Unforeseen circumstances

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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