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Covid-19 vaccination: Is it the proverbial ‘Silver Bullet’?

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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 this emerald isle, people take to any form of vaccination, like the legendary ducks take to water. Offer them a vaccine against anything and they will take it; at least most of them would do so. The vaccine antagonists and anti-vaxxers are extremely few and far between, so as to be almost a virtual non-entity. With a very high literacy rate, and a population that is prepared to take heed to the hilt, the axiom that dictates ‘prevention is better than cure’, it is the absolute dream of the experts in the public health scenario that there is unmitigated abiding interest on the part of our populace to get vaccinated against COVID-19. It has been said that vaccines do not save lives but vaccination most definitely does. Vaccines have to be given to people for them to produce the optimal effects. A receptive population to such a notion is indeed, a much-fancied reverie of all health service providers.

In such a background, it is most laudable that Sri Lanka is going pell-mell, even in an impetuous rush, to vaccinate her population against COVID-19, at what could best be described as at break-neck speed. Even given the spectacle of an insufficiency of adequate stocks of the coronavirus vaccines to freely vaccinate the population, the authorities are making the very best of the situation. We must, of course clearly appreciate the steps taken by the Government and the Ministry of Health in this initiative. The tri-forces, the Army in particular, have to be congratulated, in playing the lead role in organising a scheme of things to administer the vaccines in an orderly fashion. TAKE A BOW; ALL OF YOU, you are indeed giving the very best of yourselves in this endeavour.

Well, the goal is to somehow secure a high enough herd-immunity to defeat the virus; most definitely a commendable final goal. The currently prevalent mantra is to vaccinate, vaccinate, and vaccinate even more. Yet for all that there is much misinformation and an infodemic doing the rounds, especially on social media, about widespread speculations on loss of sexual prowess, impotence, subfertility and infertility, as undesirable effects of the COVID-19 vaccines. THERE IS ABSOLUTELY NO SCIENTIFIC BASIS FOR ANY OF THESE IMPLICATIONS. NONE OF THE CURRENTLY AVAILABLE COVID-19 VACCINES DO ANY OF THIS. It is just stupid covidiocy on the part of a few anti-vaxxers. It has induced a lot of young people to refuse the vaccine. This is a crime against humanity to spread such falsehoods. It is absolutely crucial to realise that the current vaccination drive is just a very important one of quite a few things we can do to try and keep the coronavirus at bay.

We have seen the fantastic results of immunisations against ‘child-killer diseases’ in paediatric healthcare. This author, as a young junior doctor, was witness to the ravages of the much-feared childhood diseases that killed or maimed scores of young children even in the second half of the last century. Those diseases such as tetanus, diphtheria, whooping cough, polio, measles, Japanese encephalitis; just to mention a few that took scores of young lives of yore, are a thing of the past now. Adequate vaccination has completely wiped them out. The last case of childhood polio in Sri Lanka was seen just around a quarter of a century ago. The young junior doctors of today and the current lot of medical students have not seen any of these dreaded diseases.

In the child healthcare scenario, vaccination has become the panacea for all ills in the above-mentioned diseases. In the same vein, it is quite reasonable to expect the coronavirus vaccines to provide a similar end-result. However, is it really so? It is a most lamentable fact that it is perhaps not quite so.

There is a well-recognised fundamental difference between all the vaccines that are used to prevent the much-feared childhood diseases of the past and the currently available vaccines against the coronavirus that is causing the current pandemic. The vaccines against all those childhood diseases COMPLETELY PREVENT children getting the disease!!!, period. Well, if the recipients are protected against getting the infection, it is the end of the story; a definitive conclusion of the matter in hand.

However, right up to just a few days ago, none of the currently available vaccines against COVID-19, were thought to be able to COMPLETELY PREVENT anyone getting the disease to any appreciable degree. How they work is by reducing the severity of the disease and by preventing the deaths. So…, the basic end-result characteristics of all the currently available COVID-19 vaccines were thought to be quite different to the standard vaccines against all other infective diseases. One could still get the disease in spite of being vaccinated against COVID-19 and would still be able to spread the illness to others.

Yet for all this, there seems to be a little bit of light at the end of the tunnel. In a most recent scientific publication in the New England Journal of Medicine, released as recently as 22nd September 2021, an interim analysis of a large study conducted in 99 centres of the USA has shown significant protection against CONTRACTING THE DISEASE as well as AGAINST MORE SEVERE DISEASE AND DEATH by the mRNA-1273 (Moderna/Spikevax) vaccine, administered as two doses 28 days apart. Vaccine efficacy in preventing Covid-19 illness was 93.2%, the effectiveness in preventing severe disease was 98.2% and the efficacy in preventing asymptomatic infection, starting 14 days after the second injection, was 63.0%. Vaccine efficacy was consistent across ethnic and racial groups, age groups, and participants with coexisting conditions. No safety concerns were identified.

Be that as it may, added to all our problems, now there is the daunting spectacle of the various types of variants and mutants, ranging from Alpha through delta, even to Epsilon and most recently to a particularly nasty strain called ‘Mu’, of the coronavirus which could cause problems even in the fully vaccinated. We still do not understand completely the potential impact of these more virulent strains in vaccinated people.

However, a case in point in relationship to these facts is the presently dominant situation in Israel. That country, one of the fastest in vaccination and most-vaccinated nations in the world, in spite of almost the entire population being vaccinated, is having some problems at the present time. By mid-March 2021, Israelis were partying as lockdowns ended and by April, masks had more or less vanished, turning the tiny country into a tantalising glimpse of a post-pandemic future. However, the crafty blight of a coronavirus seems to have come back with a vengeance. From a few dozen daily cases in early June 2021, even zero on June 9, new daily COVID infections twice hovered near 6,000 very recently, the highest daily rate in six months. Having won early access to supplies of the BioNTech/Pfizer jab in exchange for sharing nationwide data on how mass vaccination drives affect the pandemic, Israel is a closely watched indicator of a country where well-inoculated developed economies are heading.

As new infections soared, so did the long tail of hospitalisations in Israel. Even though the unvaccinated were five to six times as likely to end up seriously ill, the vaccine’s protection was waning fastest for the oldest; the most vulnerable, who got their first jabs as early as December 2020. At this rate, health officials predicted at least 5,000 people would need hospital beds by early September, half of them with serious medical needs, twice as many as Israel is equipped to handle. The current Prime Minister of Israel was honest with Israelis when he announced a new measure just a couple of weeks ago, whereby the government was trying to cushion the blow. On August 1, it had started offering people, over 60, a third shot of the Pfizer vaccine, embarking on its own public health experiment as it tumbled into an unpredictable fourth wave. So far, 775,000 people have taken their third shot and doctors say they can see antibody counts rising measurably within days of the third jab.

For Israelis, the booster shots are a reminder that they are still on the frontier of Covid-19 vaccinations. They celebrated when they were the first to get jabbed, cheering Pfizer as lockdowns ended in March 2021. Now, they are the first to experience the limits of the vaccine and the first to accept a long-whispered inevitability: the need to give regular booster shots to stay protected.

All these facts tend to bring into sharp focus, again and AGAIN, the undoubted importance of time-tested manoeuvres of avoiding crowds, maintaining a social distance of at least one to two metres, wearing suitable and effective masks; even double-masking, and repeated washing of hands, as our own personal weapons against this dastardly blight. Vaccination against COVID-19 will probably not be the panacea for all ills in combating this pandemic, although it would be a very powerful tool in the hands of the authorities in their quest towards victory over this disease. It will certainly not be the ultimate ‘SILVER BULLET’ against the disease.

If there is a lesson to be learnt from Israel today, it is this: corona, in fact, is not over; perhaps not for quite a while. This summer was just an intermission. Next may come winter., sadly perhaps, a winter of discontent. We do hope to high heaven that it may not be so for this beautiful and much-treasured Motherland of ours.



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New mediation law for smarter dispute resolution of civil and commercial disputes – I

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The Mediation (Civil and Commercial Disputes) Bill  was passed by the Parliament on Thursday, June 11, 2026.  Harshana  Nanayakkara, Minister of Justice and National Integration, introduced the Bill, and explained its provisions and value for Sri Lanka and global developments in the use of mediation. Encouragingly, it was passed unanimously.

Sri Lanka’s commitment to provide legislative support for the use of mediation is timely and most welcome. Given that the backlog of cases pending before courts is over a staggering 1.1 million, it is clear that Sri Lanka is yet another country that remains challenged to find responses to make  dispute resolution more efficient. The impact of laws delays is serious and damaging not only to the disputants personally, but also for businesses and the economic development of the country. The delays in concluding cases impacts the economy adversely, both directly and indirectly,  but are often seen only as an access to Justice concern. This is unfortunate. In many jurisdictions across the globe, alternative dispute resolution processes (ADR), such as mediation, have been introduced to alleviate laws delays. While Sri Lanka enacted legislation (1988) to provide for mediation in respect of minor community disputes of a low monetary threshold, the enactment of the new law heralds a commitment to provide for the recognition of a disciplined regime for its use for higher value civil and commercial disputes.

The new law provides for the recognition of mediation as a dispute resolution option that can be voluntarily selected by parties, and for a governance regime to ensure that mediations are conducted in compliance with certain standards which are globally accepted. It provides statutory recognition to the principle that a mediated settlement agreement that has been signed by the disputants, is valid in law. It does not provide for any management control by government or establish entities. In addition to the voluntary reference by parties, a  court can also refer a dispute in an action before it, to mediation, at its discretion, after considering all  circumstances and if considered appropriate.  The voluntary nature of the process is not affected because, while the court can refer the dispute to mediation and the parties must then engage in the mediation, there is no compulsion for the parties to settle against their will.

The law sets out the obligations of Mediators, disputants and the Service Provider. Certain categories of disputes cannot be referred  to mediation.  These are disputes the settlement of which requires the inclusion of terms that can be given effect to, only on a decree of court, such as the termination of a marriage or a declaration of nullity of marriage or the adoption of a child or the partition of land to obtain rights in rem.  A schedule sets out eleven (11) categories of actions that cannot be settled by mediation. However,  matters relevant to such disputes may be mediated for the purpose of submitting terms of settlement to court for consideration of incorporation in a judgement, decree or order in compliance with applicable law.

The new law also provides that in a mediation, certain  key principles of the process must be complied with. These include the  confidentiality and the without prejudice rule in respect of matters discussed at the mediation; the  rule that Mediators must be neutral and impartial; the party centric nature of the process that provides primacy to the wishes of the disputants including that it is they that determine the outcome and that a settlement is reached only if all disputants agree to the terms; the noncoercive role of the mediator whose duty is to facilitate and manage the process using mediation specific skills and techniques, but is debarred from imposing a decision. Although a settlement agreement is valid in law, provision is included to obtain a decree of court, based on the terms of the settlement. A mediated settlement agreement can be set aside on an application made to court, on specific limited grounds which are provided for, including that it is offensive to the public policy of the country. If the parties are unable to agree on a settlement, a certificate of non-settlement is issued. The provisions of the law are based on international best practices and principles articulated in the 1988 UN Mediation Convention  (the Singapore Convention) and the UNCITRAL model law.

The popularity of mediation has grown for its value in being time efficient, cost effective and party centric. Parties have control over the outcome and have the space to discuss their concerns, fears and interests and need never agree to settle unless fully satisfied that settlement terms address their interests. Disputants are free to walk out of a mediation process at any time, if dissatisfied with the progress. The discussions are confidential and a valuable feature is that the process offers an opportunity to reduce acrimony which is prevalent in most disputes, and to restore fractured relationships which is very important in family  and  business related disputes. This benefit and the prospects for governments to reduce the cost of the administration of justice, by using mediation,  is articulated in the preamble to the 2018 UN Convention on International Settlement Agreements Resulting from Mediation (2018) which states that the use of mediation results in significant benefits.

 Pursuant to the interest generated within the country regarding the value of using Mediation for commercial dispute resolution, and heralding what we like to see as the initial steps of a Mediation boom in the country, several positive advancements have taken place –

*    Parties have opted to include mediation in the dispute resolution clause in contracts;

*    Given that mediating disputes requires  very specialised techniques and skills, many professionals, including predominantly Lawyers, have engaged in training programmes offered by international training bodies that offer accreditation;

*    Trained Mediators are engaged in an effort to form themselves as a professional Organisation;

*    Mediation  Advocacy training programmes have been held to train Lawyers on their niche role in the mediation process. That role is distinctly different to that of a court Lawyer who’s obligations are centred on an adversarial approach where the dispute is adjudicated in terms of the law alone.  Hence lawyers need training to be useful within a non-adversarial process which is party centric and has a focus on reaching a settlement, based on the interests of disputants.

*    Sri Lanka enacted the Recognition and Enforcement of International Mediated Settlement Agreements Act No. 5 of 2024 (the UN Mediation Convention Act) and ratified the Convention becoming the 14th country to do so. Sri Lanka will be seen as an investor friendly country in respect of dispute resolution where mediation is used, since it offers an enforcement regime which is recognised universally.

*    The landmark determination of the Supreme Court (SC SD 22 of 2025) in the challenge by the Bar Association to the constitutionality of the Mediation (Civil and Commercial Disputes) Bill, found that none of the provisions of the Bill were unconstitutional and gave a judicial sign off to statutory provisions that seek to ensure that mediation services are provided in this country, in a disciplined manner in compliance with universally accepted standards.

*    Perhaps, inspired by the statutory obligation imposed on judges to attempt pretrial settlement of disputes, in terms of the Small Claims Court Act and the Small Claims Court Procedure Act (both of 2022) and the Civil Procedure Code provisions on Pretrial Conference and Pretrial Orders, 125 District Judges were recently trained (with support from the ADB) in Mediation. The training provided a dual benefit – it provided training in  skills that are required to settle disputes and equally importantly, provided a comprehensive understanding of how mediation will function when judges themselves refer disputes for settlement by private mediators.

*    Trained Mediators are already conducting mediations with success.

*    A not-for-profit guarantee company, the International ADR Centre – www.iadrc.lk ) was established in 2018  as a joint venture of the Ceylon Chamber of Commerce and the Institute for the Development of Commercial Law & Practice (ICLP) to promote ADR and is actively engaged in promoting mediation through training, disseminating information and creating awareness among stakeholders, including the business sector.   In addition to the International ADR Centre, “Udecide”  is a project that promotes training of mediators and other activities that enrich the mediation culture.

*    Commercial Mediation has been included in the Masters level programme at the Colombo University;

*    The Sri Lanka Law College offers a component on Mediation in the Post Attorney Diploma programme, which commenced recently.

The private sector was actively engaged in the drafting of the  Mediation Bill under the leadership of the International ADR Centre, which held many stakeholder consultations to obtain feedback from those that were conversant with the subject. The Centre had previously assisted the government to draft the UN Mediation Convention Act (Act No. 5 of 2024).

Several international Organisations that previously provided for resolution of disputes by arbitration, have provided for institutional rules to provide mediation services. These include WIPO and the ICC. Specifically, in relation to Investor State dispute resolution (ISDR), the  International Bar Association (IBA) adopted its  Mediation  Rules in 2012 and ICSID (of the World Bank group) adopted its Mediation Rules in 2022.  UNCITRAL, which is currently working on reforming  ISDR, promotes mediation, observing that the use of mediation could reduce the costs of ISDS and also preserve relationships between the investor and the State. UNCITRAL has formulated provisions on and Guidelines for, Mediation for investor state dispute resolution.

(To be continued)

by Dhara Wijayatilake
Attorney-at-Law; Former Secretary to the Ministry of Justice; Director and Secretary General of the International ADR Centre.

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A Testament to the Sri Lankan family

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The passing of Dr. Devanesan Nesiah a few days ago brought back memories that spanned more than four decades. Devanesan signed the witness register at my marriage in 2002. It was a year of hope. The Ceasefire Agreement between the government and the LTTE had brought a respite from a war that had devastated the country for nearly two decades. The possibility of peace seemed real. It was fitting that Devanesan should be present on that occasion because his entire life was dedicated to building bridges across divides and seeking rational and humane solutions to conflict. He was a friend, mentor, and guide whose life embodied values that Sri Lanka, indeed the world, needs today.

In reflecting on Dr. Nesiah’s life, we need to be reminded that the forces that unite us as a people in Sri Lanka are stronger than those that divide us, and that the bonds of human affection can transcend even the deepest divisions of ethnicity, history and politics. I first met him in 1984. I had just had my very first newspaper article published in the Jaffna-based Saturday Review. The editor was Gamini Navaratne, a Sinhalese. This was a reminder that even during the darkest period of ethnic conflict, the bonds between communities remained strong. The article I had written was based on my encounters with the anti-Tamil violence of July 1983.

At that time, Dr Nesiah was the Government Agent of Jaffna. Tens of thousands of Tamil people who had fled violence in the south had been transported to the north by a government that had failed to protect them. He came up to me at an event, introduced himself, and told me that he liked what I had written. He also said that he would soon be leaving for Harvard University’s Kennedy School of Government and that we could meet there. Over the next three years, Devanesan and his wife Anita adopted me into their family.  I used to visit them two or three times a week, not only to be given meals by Anita but to discuss matters with Devanesan.  These included the academic papers and newspaper articles that were written. Later, Anita earned her PhD in religion and served on the boards of many civic organisations, including the National Peace Council.

Practical Solution

In 1992, we had both returned to work in Sri Lanka when Devanesan invited me to accompany him to Jaffna to celebrate the eightieth birthday of his father, K Nesiah, the distinguished educationist affectionately known as Professor Nesiah. The older Nesiah had been a leading member of the Jaffna Youth Congress. This remarkable movement championed complete independence from British rule, national unity, and the eradication of social inequalities based on caste and communal identity.

At a time when many feared that independence would lead to majoritarian domination, the leaders of the Youth Congress chose instead to place their faith in a shared Sri Lankan future. They believed that people from different communities could build a common nation while preserving their distinctive identities. So did Devanesan.  This vision remains relevant today. It needs to be actualized.

The tragedy of Sri Lanka’s post-independence history is not that diversity exists. Diversity exists in every society. The tragedy is that we often allow diversity to become a source of fear, though we share many of the same values of family, hospitality, respect for elders and compassion towards others. During our visit to Jaffna in 1992, we met representatives of the LTTE administration, including Raheem. The discussion turned to the controversial issue of merging the Northern and Eastern Provinces. Dr Nesiah argued that if the merger could not be achieved due to political opposition, it might be more rational to seek greater powers for provincial councils instead. Raheem disagreed.  Devanesan was interested in finding practical ways to achieve justice and coexistence. That was characteristic of him.

Devanesan Nesiah was a student of conflict and strategy. He became a doctoral student of Professor Thomas Schelling, who would later receive the Nobel Prize for his pioneering work on conflict and cooperation. Schelling’s insight was that even in the midst of conflict, there are usually common interests that adversaries share. Even adversaries locked in a struggle usually depend on each other for the outcome they each want. The challenge is to identify those common interests and build upon them. Conflict is not simply a contest between enemies. It is also a search for ways to coexist. Together as students and peace practitioners, we applied those theories to the Sri Lankan context to understand what was going on and to share that understanding with the Sri Lankan people.

Rational Empathy

Dr Nesiah spoke his mind, truth to power. He was a man of logic, rationality, and principle. His integrity came at a cost. His public service career experienced many ups and downs because he refused to accommodate irrational or corrupt demands. There were periods when he was sidelined into that administrative limbo known as the “pool” and assigned no substantive responsibilities for refusing to give in to political demands. Like the rest of his larger family, most notably the Hoole family of Jaffna, he would not abandon his principles. In 2018, to protest the action of President Maithripala Sirisena in sacking the then government he returned his Deshamanya Award (Pride of the Nation) national civil honourn which was soon thereafter overturned by the Supreme Court as being unconstitutional. His commitment was not to personal advancement, but to what he believed was right.

My wife Sumadhu recalls a story he told her. One day, while travelling on official duty, he told her how he had seen a thalagoya, a monitor lizard, trussed up and being taken away for slaughter. The sight of the creature’s suffering affected him deeply. He said he saw tears in its eyes and described the moment of awakening. From that day onwards, he gave up eating meat.

The story brings to mind the biblical story of the conversion of St Paul on the road to Damascus and the Buddhist exhortation, “May all living beings be well and happy.” But the deeper significance lies not in religious comparison. It lies in the awakening of empathy.

That was the essence of Dr Devanesan Nesiah’s worldview. The prejudices that society often imposes through ethnicity, religion, caste, or gender had little hold on him. He saw them as human constructs that often served to privilege some while excluding others. Such were his values that made him an extraordinary human being. Dr. Nesiah lived according to that understanding. He showed that integrity can survive amidst conflict. He reminded us that reason and compassion are not opposites but partners, that what unites us as Sri Lankans inhabiting our common island home has always been greater than what divides us, and we need to build our institutions accordingly.

I am proud that he was my friend. I am grateful that he was my mentor.

by Jehan Perera

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City of Dreams …Heartbeat of Colombo

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Enroute

If Colombo’s nightlife had a pulse, you’d find it 23 floors up, at Gatz, City of Dreams, Cinnamon Life.

The entertainment lounge has shed its old skin and stepped out supper-club style — think dim lights, clinking glasses, and live music that doesn’t ask you to choose between dinner and a show. You get both.

What’s more, at the new look Gatz the music never stops and it’s all happening seven nights a week … with live entertainment, and this is the scene, beat by beat:

Monday and Tuesday: Top Hats with Daniella/Naomi, from 7.00 pm onwards.

Sohan, Kamal Munasinghe (GM, Cinnamon Life) and Imran of
Funtime Entertainments

One of Colombo’s most sought-after bands is now a Monday-Tuesday ritual.

With a super repertoire, Top Hats can swing from lounge jazz to dancefloor fire. Big venues love them. Now Gatz gets to claim them.

Wednesday: Enroute with Gananath & Debbie – from 7.00 pm onwards.

Want New York at sunset? This is it. Gananath & Debbie transport you straight to the heady days of Frank Sinatra, Dean Martin, and Ray Charles …old-school cool, live and unfiltered.

Thursday to Sunday: Terry & the Big Spenders – from 8.00 pm onwards.

Terry & The Big Spenders

The crowd favourite. A super big band sound that owns the 70s, 80s and 90s.

If you’ve been waiting for horns, harmonies, and nostalgia with volume, Terry & the Big Spenders deliver it nightly. No wonder they’re a huge hit.

Gatz is now an entertainment lounge, in Supper Club style, with Happy Hour very day, from 6.00 pm to 8.00 pm because the night, they say, should start with a toast.

And, from July, weekends at the Gatz go global. Local and foreign guest stars will be around to entertain you. Gatz is certainly booking big.

Wow! That would be another exciting experience for those patronising the most talked about venue in town.

In charge of the new setup is our legendary entertainer/singer Sohan Weerasinghe, along with Imran of Funtime Entertainment.

The twosome, with invaluable assistance from the General Manager, Kamal Munasinghe, and the entire team at Cinnamon Life, have built Gatz into more than a venue. They have turned it into the “Heartbeat of the City.”

So come for happy hour. Stay for Terry’s horns, Sing-along with Enroute and Dance with Top Hats, all on the 23rd floor, and while Colombo sparkles below the bands will take you higher.

Remember, the heartbeat is loudest at Gatz.

Top Hats

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