News
Direct Relief: Lanka heading for a humanitarian disaster
22mn Lankans lose access to medicine
Since Sri Lanka announced in April that it would default on its foreign debt, its 22 million residents have lost access to most medicine and medical supplies, setting them on course for a humanitarian disaster, according to a report published by the ReliefWeb, the humanitarian information project of the United Nations Office for the Coordination of Humanitarian Affairs.
It said: Unlike Russia’s invasion of Ukraine and the recent hurricane batterings of Puerto Rico and Florida, Sri Lanka’s crisis grew slowly and has garnered few international headlines. But Sri Lankans are suffering amid the harshest economic crisis the country has confronted since gaining independence from the British empire in 1948.
With the country’s foreign reserves depleted, the nationalized healthcare system cannot afford to import medicine and medical supplies in sufficient quantities. Sri Lanka relies on imports for about 85% of its pharmaceutical needs and about 80% of its medical supplies. The country imported $815 million in medicine in 2021, but by May had only about $25 million in foreign reserves to pay for imports of any kind.
Last week in Sri Lanka, Direct Relief staff participated in an extensive series of meetings with Prime Minister Dinesh Gunawardena and much of the country’s healthcare leadership while overseeing the arrival of what may be the largest donation of medicine to the country since the crisis began.
What they encountered was grim. “For the next six months, they’re expecting a catastrophic number of deaths,” said Chris Alleway, Direct Relief’s manager of emergency response and new initiatives, who led the Sri Lanka meetings.
The 3,500-bed National Hospital of Sri Lanka in Columbo, which usually has 1,300 medicines in stock, is now down to requesting only the 60 most essential medicines.
With anesthesia in short supply, most general surgeries in the country have ceased, including kidney transplants. Cancer patients have lost access to medications needed to fight the deadly disease. Diabetes patients must secure and bring their own glucose meters for blood sugar checkups.
Many hospitals are stocked out of basic items like bandages and cotton balls. The stockouts are forcing rural clinics to close their doors and refer patients to larger facilities in urban areas, which also are overwhelmed by the flow of patients.
Due to a severe fuel shortage, the country’s fishing fleets cannot go far out to sea, slashing the supply of fish that is a significant source of protein in the country, including at its largest children’s hospital.
In addition to Prime Minister and the Ministery of Health, Direct Relief staff met with the chairs of the country’s medical universities, including the colleges of oncology, psychiatry, nephrology, hematology, endocrinology, critical care medicine, anesthesiology, and maternal & child health.
Sri Lanka is also losing clinicians as they migrate to other countries with more opportunities, while its medical colleges see the number of applicants for medical education decline sharply.
“Every one of the medical college leaders informed us that they are in a dire situation, with major shortages across the board for everything,” Alleway said. “A lot of them were very emotional in our conversations. You could tell that they’re holding together the health care system to the best of their abilities with limited to no resources.”
Responding to the crisis spurred by Sri Lanka’s default in June of this year, Direct Relief has delivered eight humanitarian shipments totaling 27 tons and 16 million defined daily doses of donated medicine.
The largest shipment from Direct Relief to Sri Lanka—36,600 lbs. (18 tons) of medicine and medical supplies requested explicitly by Sri Lanka’s government—arrived in recent weeks.
“Direct Relief’s donation of $10 million worth of medicine will save many lives,” Prime Minister Gunawardena said in a statement.
The 18-ton shipment included medications to treat infections, wounds, seizures, mental health conditions, glaucoma, cardiovascular disease and respiratory issues.
These products were donated to Direct Relief by companies including Accord Healthcare, Apotex, Baxter International, Teva Pharmaceuticals and Viatris. One particularly considerable contribution from Accord included nearly 200,000 defined daily doses of IV furosemide, which is used to treat edema from heart failure and liver and kidney disease.
Other companies contributing donated medicine to Sri Lanka include AbbVie, Boehringer Ingelheim Cares Foundation, Eli Lilly & Co., Hikma Pharmaceuticals, Integra LifeSciences, Meitheal Pharmaceuticals, and Merck.
Partnering with Sri Lanka’s College of Endocrinologists and the Life for a Child program, Direct Relief has also donated and delivered two shipping containers of insulin that went to 25 health facilities for the benefit of patients under the age of 14 with diabetes.
Direct Relief works closely with Sri Lanka’s Ministry of Health, Ministry of Foreign Affairs, the Sri Lankan Embassy in the United States, the Medical Supply Division, and the National Medicines Regulatory Authority to deliver supplies and will continue to do so.
Direct Relief has also received invaluable assistance from Medical Help Sri Lanka, an organization formed by Sri Lankans in the United States.
“Direct Relief has established trusted relationships at all levels of the government and will continue to provide support as needed,” Alleway said.
In April, Sri Lanka suspended repayment of nearly $7 billion in foreign debt due this year out of a total foreign debt of more than $51 billion. On Sept. 1, the International Monetary Fund announced $2.9 billion in loans “to restore macroeconomic stability and debt sustainability while safeguarding financial stability, reducing corruption vulnerabilities and unlocking Sri Lanka’s growth potential.”
The loans, however, are not expected to restore Sri Lanka’s ability to import medicine quickly. In the meantime, Direct Relief will continue assisting the country to the fullest extent possible, with additional medical aid shipments already underway.
Latest News
May the blessings of Lord Shiva bring peace, good health, and spiritual fulfillment to your homes and to our beloved country – PM
Prime Minister Dr Harini Amarasinghe in her Maha Shiva Ratri message wished that the blessings of Lord Shiva bring peace, good health and spiritual fulfillment to every home and our beloved country.
The PM’s Maha Shiva Ratri message:
“As we observe the sacred occasion of Maha Shivaratri, I extend my warmest greetings to the Hindu community of Sri Lanka and to devotees across the world.
Maha Shivaratri, the “Great Night of Shiva,” stands as a profound symbol of the triumph of light over darkness and wisdom over ignorance. It is a time for deep reflection, spiritual discipline, and the pursuit of inner peace.
In our multicultural and multireligious society, this festival reminds us of the shared values that unite us — selflessness, compassion, and the strength to overcome challenges through unity and faith. As devotees spend the night in prayer and meditation, may we all reflect on how we can contribute to building a more harmonious, inclusive, and prosperous nation.
May the blessings of Lord Shiva bring peace, good health, and spiritual fulfillment to your homes and to our beloved country”.
Latest News
India vs Pakistan match is a godsend for T20 World Cup hosts Sri Lanka
Almost 30 years ago today, India and Pakistan formed a combined cricket team to take on Sri Lanka ahead of the 1996 Cricket World Cup in an unprecedented moment of unity in the sport’s history.
The two age-old rivals put aside their differences and came together in an act of solidarity to support a fellow South Asian team, who faced the threat of match boycotts in a tournament they had battled hard to host.
India versus Pakistan is the most highly marketed fixture at every multination tournament – the World Cup, Asia Cup or Asian Games – whether it’s a men’s, women’s or Under-19 event.
Few sporting events globally carry the weight and anticipation of an India-Pakistan cricket match. So, when Pakistan’s government ordered its team not to face India at the ongoing T20 World Cup, the tournament was briefly pushed into a state of chaos.
It also left Sri Lanka, the designated host of the fixture, holding its collective breath.
A week of negotiations led to a dramatic late U-turn by the Pakistani government and the match will now take place as scheduled on Sunday at the R Premadasa International Cricket Stadium in Colombo.
But what if the boycott had gone ahead? The impact could have been catastrophic, not just for Pakistan, but also for the International Cricket Council (ICC), as well as Sri Lanka.
With the crisis seemingly averted, the island nation stands poised to reap the benefits in its financial landscape, diplomatic standing and community.
The tourism and hospitality industry was one of the hardest hit during Sri Lanka’s financial meltdown and this match will see an enormous influx of fans from India and Pakistan coming into the country.
Hotels in and around Colombo were fully booked out well ahead of the tournament but the industry braced itself for heavy losses after Pakistan threatened a boycott.
“There’s been a massive impact since the boycott was announced,” Sudarshana Pieris, who works in Sri Lanka’s hospitality sector, told Al Jazeera.
“All major hotels in Colombo were fully booked by Indian travel agencies well ahead of the match and once the boycott was announced, we lost almost all of those bookings,” he said.
“But after Pakistan reversed their decision, hotel room rates shot up by about 300-400 percent at five-star establishments in Colombo.”
It’s not just hotels but several other local businesses – from street vendors to high-end restaurants – who are hoping for an increased footfall and spending over the weekend.
These short trips and the experiences they offer could influence visitors to extend their stay or return to Sri Lanka on holiday, long after the game has ended, in a potential long-term benefit to the industry.
Another relatively underestimated impact of the game would be the employment opportunities it creates, albeit temporarily, in the media, event management, security and transportation industries.
Asanka Hadirampela, a freelance journalist and broadcaster currently working as a Sinhala language commentator for the World Cup, recognises the marquee match as a great opportunity from a personal standpoint.
“This is my first World Cup as a broadcaster,” Hadirampela said.
“The India-Pakistan fixture is the biggest and most-watched game of the tournament. So to get to work on such a match is exciting and I consider it a special achievement.”
The lines are always blurred between sport and politics in South Asia.
So while the financial gains are expected to be significant, the fixture’s impact on the region’s geopolitical environment cannot go amiss.
Pakistan’s boycott, too, was explicitly political, as confirmed by the country’s Prime Minister Shehbaz Sharif when he said that they were offering support to Bangladesh after the Tigers were kicked out of the tournament by the ICC.
The reversal of Pakistan’s decision, which they said came after requests to reconsider the boycott by several regional “friends”, was steeped in politics, too.
Sri Lanka’s President Anura Kumara Dissanayake reportedly had a phone conversation with PM Sharif, urging his government to rethink their decision to boycott the game as the successful staging of this encounter would not only position Sri Lanka as a capable host of global sporting events but also reinforce its standing as a neutral mediator in a region fraught with geopolitical complexities.
Sri Lanka and Pakistan have always maintained strong diplomatic relations, which have extended to the cricket field as well.
Sri Lanka were one of the first teams to travel to Pakistan following their 10-year ostracisation from international cricket, which came as a result of a terrorist attack targeting the Sri Lankan team in March 2009.
When Al Jazeera reached out to Sri Lanka Cricket (SLC), its vice president Ravin Wickramaratne confirmed that SLC did, indeed, reach out to the Pakistan Cricket Board (PCB) after the boycott was announced.
“We asked them to reconsider the decision,” Wickramaratne said.
“It [boycott] would have impacted Sri Lanka economically, whether directly or indirectly.
“We have always had a good relationship with the PCB and we have always supported them, so we’re happy with their decision.”
A little over 24 hours ahead of the match in Colombo, there is a sense of palpable excitement and a growing buzz around the fixture as it returns from the brink of cancellation.
As of Saturday morning, 28,000 tickets had been sold for the game but local organisers expect a capacity crowd of 40,000 to make it into the stands.
Come Sunday, thousands more will line the streets in and around Maligawatte, the bustling Colombo suburb that houses the famous Premadasa Stadium.

Business
“We Are Building a Stable, Transparent and Resilient Sri Lanka Ready for Sustainable Investment Partnerships” – PM
Prime Minister Dr. Harini Amarasuriya addressed members of the Chief Executives Organization (CEO) during a session held on Thursday [3 February 2026] at the Shangri-La Hotel, Colombo, as part of CEO’s Pearl of the Indian Ocean: Sri Lanka programme.
The Chief Executives Organization is a global network of business leaders representing diverse industries across more than 60 countries. The visiting delegation comprised leading entrepreneurs and executives exploring Sri Lanka’s economic prospects, investment climate, and development trajectory.
Addressing the gathering, the Prime Minister emphasized that Sri Lanka’s reform agenda is anchored in structural transformation, transparency, and inclusive growth.
“We are committed not only to ensuring equitable access to education, but equitable access to quality education. Our reforms are designed to create flexible pathways for young people beyond general education and to build a skilled and adaptable workforce for the future.”
She highlighted that the Government is undertaking a fundamental pedagogical shift towards a more student-focused, less examination-driven system as part of a broader national transformation.
Reflecting on Sri Lanka’s recent political transition, the Prime Minister stated:
“The people gave us a mandate to restore accountability, strengthen democratic governance, and ensure that opportunity is not determined by patronage or privilege, but by fairness and merit. Sri Lanka is stabilizing. We have recorded positive growth, restored confidence in key sectors, and are committed to sustaining this momentum. But our objective is not short-term recovery it is long-term resilience.”
Addressing governance reforms aimed at improving the investment climate, she said:
“We are aligning our legislative and regulatory frameworks with international standards to provide predictability, investor protection, and institutional transparency. Sustainable investment requires trust, and trust requires reform.”
Turning to the recent impact of Cyclone Ditwa, which affected all 25 districts of the country, the Prime Minister underscored the urgency of climate resilience.
“Climate change is not a distant threat. It is a lived reality for our people. We are rebuilding not simply to recover, but to build resilience, strengthen disaster mitigation systems, and protect vulnerable communities.”
Inviting CEO members to consider Sri Lanka as a strategic partner in the Indo-Pacific region, she highlighted opportunities in value-added mineral exports, logistics and shipping, agro-processing, renewable energy, pharmaceuticals, and innovation-driven sectors.
“We are not looking for speculative gains. We are seeking long-term partners who share our commitment to transparency, sustainability, and inclusive development.”
She further emphasized collaboration in education, research, vocational training, and innovation as essential pillars for sustained economic growth.
Concluding her address, the Prime Minister expressed appreciation to the Chief Executives Organization for selecting Sri Lanka as part of its 2026 programme and reaffirmed the Government’s readiness to engage constructively with responsible global investors.
The event was attended by the Governor of the Western Province, Hanif Yusoof, and other distinguished guests.


[Prime Minister’s Media Division]
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