Features
Education for some but not for others: Learning support, disability, and free education
By Ramya Kumar
Kuppi Talk stands for democratising education and educational spaces by addressing issues of access, (in)equality, exclusion and marginalization, within our education systems. This Kuppi Talk draws on conversations with principals/teachers, parents, and students, to look into the everyday forms of violence and exclusion experienced by children with special needs at our schools and universities.
“I could not concentrate or sit in one place, but this was not recognised as a problem by my parents or teachers…it was when I went extreme that the problem was identified, that is when I became violent …. I was bored … .my accumulated frustration finally jumped out as a cry for help.” – Lucky, University student
Lucky, a high performing student with special learning needs, enrolled at a state university, recalled how he faced humiliation, corporal punishment, a three-month suspension, and finally ran away from home to end up at a detention centre. It was only there that Lucky’s potential was recognised by a visiting doctor, who supported him to return to school. “I came out of this system by chance, despite the odds stacked against me, but there are many many children who do not.”
Sri Lanka endorses a policy of inclusive education. According to UNESCO, inclusive education is “a process of addressing and responding to the diversity of needs of all learners.” Implied in this approach is that students with special educational needs and/or disability must be supported to achieve their learning potential. Towards this end, schools and universities should create conducive learning environments that meet the individual needs of children. In reality, however, about a third of children with disabilities in Sri Lanka never go to school, and when they do, most are not identified to be in need of support.
As Deepthi, a parent whose son has special learning needs, explained, “Our education system assumes all children are the same, and, if they are not, there is something very wrong with them.” The Ministry of Education issues guidelines for schools to involve parents in their children’s education. However, this approach has resulted in teachers placing all the responsibility on parents, especially mothers. “When I went for PTA meetings, the teachers would make me feel that [my son] is abnormal and that I was not doing my job.” In fact, because teachers and school administrations do not understand the problem, schooling becomes a toxic experience. “My child was separated from the rest and frequently punished, but these measures did not address the issue.”
As Lucky pointed out, our education system does not have a mechanism to identify and support students with less obvious learning challenges. Instead, these children are punished, and even beaten, for disorderly conduct. Even if identified, there is no organised system for assessment and follow up, which means that parents, who often do not understand the problem, must cope on their own, resulting in poor academic performance and low-self-esteem, among such students. On the other hand, high-performing students, who have exceptional abilities, are compelled to follow the current system of rote learning, and become bored and disengaged, with adverse and far-reaching outcomes.
The Protection of the Rights of Persons with Disabilities Act of 1996 stipulates, “No person with a disability shall be discriminated against on the ground of such disability in recruitment for any employment or office or admission to any educational institution.” Accordingly, students with obvious special needs are admitted to special education units in our schools, but what happens once they get there? According to Shanthi, a principal of a school that caters to children with special needs, inclusive education has been watered down to “integrating” such students to the mainstream. “Rather than creating a learning environment that nurtures children with special needs, they are moulded to conform to mainstream education that has little to offer them.” Unsurprisingly, these children often do not perform well in school, and, in a vicious cycle, do not find gainful employment, and cannot live independently.
While certain private schools do have the resources, including trained teachers, to support children with special educational needs, such facilities are not accessible to the vast majority of children in Sri Lanka. Nayana, a principal of a village school in the Central Province, described the ad hoc manner in which a special education unit was set up in her school, with minimal support and resources. In Nayana’s school, of about 500 students, 25 plus children learn in the special education unit. Over half of them have autism spectrum disorder, followed by Down Syndrome, and other undiagnosed problems that make them “slow learners.” Despite varying levels of ability, these children make do with a small classroom and one trained teacher. Although the unit has three teachers—two with no training in special education—the requirement is much higher. The Department of Education appoints one teacher per five students with special educational needs (and one teacher per two students with autism), but most cadre positions remain vacant in village schools. This means that parents, mostly mothers, of children with severe disability, stay on at school to assist with their children’s education.
The education zone in which Nayana’s school is located has two other special education units, which are also desperately under-resourced: “We do not receive support from the educational authorities to develop these units.” As a result, they function as day-care centres without resources to empower students to function independently, making “integration” very difficult. Shanthi, the principal mentioned above, believes that “integration” is practically impossible, other than in rare occasions with high-performing students: “Most special education units do not have teachers with the required training, and the teachers in mainstream classrooms, who have even less expertise, must singlehandedly attend to the needs of “integrated” students as well as their classes.” A major factor here is the lack of strong programmes in special needs education, which means that we do not have teachers with sufficient expertise to teach visually- and hearing-impaired children, and those with neurodevelopmental problems.
In many ways, students with physical disability may have a better deal. Hiran, a university student with a severe physical disability, recalled his experience at primary school when his mother spent the entire day at school during his early years. While Hiran received tremendous support from his teachers and peers, who would go out of their way to move him from one disability inaccessible place to another, he could never function independently as there were no ramps, lifts, or disability accessible washrooms. While these challenges continue at university, where entering a lecture hall is challenging, the education authorities have failed to support students like Hiran to learn independently. The UGC provides little guidance beyond the additional 10 minutes per hour at examinations. Although the UGC’s quality assurance mechanisms recommend institutions to develop policies on disability, they do not provide human and other resources to ensure disability access and accommodation.
Yet, the law, as stipulated in the Protection of the Rights of Persons with Disabilities Act of 1996, states, “No person with a disability shall, on the ground of such disability, be subject to any liability, restriction or condition with regard to access to, or use of, any building or place which any other member of the public has access to or is entitled to use, whether on the payment of any fee or not.” While remedy for contravention of these provisions are included in the Act, the Disabled Persons (Accessibility) Regulations of 2006, lay down explicit disability accessibility standards, and also specify that all buildings/areas should conform to the standards within three years of the Act, that is by 2009. Twelve years later, in 2021, disability access remains minimal, including at schools and universities. Few seek legal redress, perhaps because judicial procedures are time consuming, expensive and do not offer quick results.
Free education is about equality of opportunity. As stated in the Kannangara Report of 1943, “Talents and ability are not confined to any social class or group and any social system must provide for their emergence by the provision of equal educational opportunities.” Yet, a section of our country’s children are bereft of educational opportunities as the education system fails to support them, and instead relegates their care and education to parents, especially mothers. Last month, the Minister of Education, responding to the threat of continuing trade union action by principals and teachers, declared, “Let us all join hands to give the children of this nation the opportunity to enjoy the right to free education, and thereby protect free education for all.” Rather than coopting free education to undermine trade unions, the Minister should do his job and take steps to protect free education for all, including children with special learning educational needs and disability.
*Names are replaced with pseudonyms.
(The author is attached to the Department of Community and Family Medicine, University of Jaffna)
Kuppi is a politics and pedagogy happening on the margins of the lecture hall that parodies, subverts, and simultaneously reaffirms social hierarchies.
BY Dr. Gotabhya Ranasinghe
(MBBS, MD, FCCP, FRCP, FAPSIC, FACC, FESC)
Consultant in General & Interventional Cardiology, NHSL
Tobacco harms practically all of the body’s organs and is a key risk factor for heart disease!
Smoking can impact all aspects of the cardiovascular system, including the heart, blood, and blood vessels. I know from my experience over the years that about 25% of the patients who seek treatment from me for heart conditions smoke.
Is there a strong link between smoking and heart disease?
Of course, there is! Smoking definitely contributes to heart disease. The majority of smokers experience heart attacks.
Some claim that the only people at risk for heart attacks or strokes are those who are classified as heavy smokers. Although this is the case, did you know that smoking even one or two cigarettes a day might result in heart attacks?
Young smokers are on the rise, which unfortunately brings more cardiac patients between the ages of 20 and 25 to the cardiology unit.
Why is tobacco poison for your heart?
The harmful mix of more than 7,000 chemicals in cigarette smoke, including nicotine and carbon monoxide, can interfere with vital bodily functions when inhaled.
When you breathe, your lungs absorb oxygen and pass it on to your heart, which then pumps this oxygen-rich blood to the rest of your body through the blood arteries. However, when the blood that is circulated to the rest of the body picks up the toxins in cigarette smoke when you breathe it in, your heart and blood arteries are harmed by these substances, which could result in cardiovascular diseases.
What does cigarette smoke do to your heart?
Atherosclerosis (Building up of cholesterol deposits in the coronary artery)
Endothelium dysfunction leads to atherosclerosis. The inner layer of coronary arteries or the arterial wall of the heart both function improperly and contribute to artery constriction when you smoke cigarettes. As a
result, the endothelium-cell barrier that separates the arteries is breached, allowing cholesterol plaque to build up. It’s crucial to realize that smoking increases the risk of endothelial dysfunction in even those who have normal cholesterol levels.
Heart Attacks
The plaque accumulated in the arteries can burst as a result of continued smoking or other factors like emotional stress or strenuous exercises. Heart attacks occur when these plaque rupture and turn into clots.
Coronary artery spasm
Did you know you can experience a spasm immediately after a puff of smoke?
A brief tightening or constriction of the muscles in the wall of an artery that supplies blood to the heart is referred to as a coronary artery spasm. Part of the heart’s blood flow can be impeded or reduced by a spasm. A prolonged spasm can cause chest pain and possibly a heart attack.
People who usually experience coronary artery spasms don’t have typical heart disease risk factors like high cholesterol or high blood pressure. However, they are frequent smokers.
Arrhythmia
An erratic or irregular heartbeat is known as an arrhythmia. The scarring of the heart muscle caused by smoking can cause a fast or irregular heartbeat.Additionally, nicotine can cause arrhythmia by speeding up the heart rate.
One of the best things you can do for your heart is to stop smoking!
Did you know the positive impacts start to show as soon as you stop smoking?
After 20 minutes of quitting smoking, your heart rate begins to slow down.
In just 12 hours after quitting, the level of carbon monoxide in your blood returns to normal, allowing more oxygen to reach your heart and other vital organs.
12 to 24 hours after you stop smoking, blood pressure levels return to normal.
Your risk of developing coronary heart disease decreases by 50% after one year of no smoking.
So let us resolve to protect and improve heart health by saying no to tobacco!
What a ho ha over a silly standup comedian’s stupid remarks about Prince Siddhartha. I have never watched this Natasha Edirisuriya’s 
supposedly comic acts on YouTube or whatever and did not bother to access derogatory remarks she supposedly introduced to a comedy act of hers that has brought down remand imprisonment on her up until June 6. Speaking with a person who has his ear to the ground and to the gossip grape wine, I was told her being remanded was not for what she said but for trying to escape consequences by flying overseas – to Dubai, we presume, the haven now of drug kingpins, money launderers, escapees from SL law, loose gabs, and all other dregs of society.
Of course, derogatory remarks on any religion or for that matter on any religious leader have to be taboo and contraveners reprimanded publicly and perhaps imposed fines. However, imprisonment according to Cassandra is too severe.
Just consider how the Buddha treated persons who insulted him or brought false accusations against him including the most obnoxious and totally improbable accusation of fatherhood. Did he even protest, leave along proclaim his innocence. Did he permit a member of the Sangha to refute the accusations? Not at all! He said aloud he did not accept the accusations and insults. Then he asked where the accusations would go to? Back to sender/speaker/accuser. That was all he said.
Thus, any person or persons, or even all following a religion which is maligned should ignore what was said. Let it go back and reside with the sayer/maligner. Of course, the law and its enforcers must spring to action and do the needful according to the law of the land.
One wonders why this sudden spurt of insults arrowed to Buddhism. Of course, the aim is to denigrate the religion of the majority in the land. Also perhaps with ulterior motives that you and Cass do not even imagine. In The Island of Wednesday May 31, MP Dilan Perera of Nidahas Janatha Sabawa (difficult to keep pace with birth of new political parties combining the same words like nidahas and janatha to coin new names) accused Jerome Fernando and Natasha E as “actors in a drama orchestrated by the government to distract people from the real issues faced by the masses.”
We, the public, cannot simply pooh pooh this out of hand. But is there a deeper, subtler aim embedded in the loose talk of Jerome and his followers? Do we not still shudder and shake with fear and sympathy when we remember Easter Sunday 2019 with its radical Muslim aim of causing chaos? It is said and believed that the Muslim radicals wanted not only to disrupt Christian prayer services on a holy day but deliver a blow to tourism by bombing hotels.
Then their expectation was a backlash from the Sinhalese which they hoped to crush by beheading approaching Sinhala avenging attackers with swords they had made and stacked. This is not Cass’ imagination running riot but what a Catholic Priest told us when we visited the Katuwapitiya Church a couple of weeks after the dastardly bombing.
It is believed and has been proclaimed there was a manipulating group led by one demented person who egged the disasters on with the double-edged evil aim of disrupting the land and then promising future security if … Hence, we cannot be so naïve as to believe that Jerome and Natasha were merely careless speakers. Who knows what ulterior moves were dictated to by power-mad black persons and made to brew in the national cauldron of discontent? Easiest was to bring to the boil religious conflict, since the races seem to be co-living harmoniously, mostly after the example of amity set before the land and internationally of Sri Lankans of all races, religions, social statuses and ages being able to unite during the Aragalaya.
We have already suffered more than our fair share of religious conflict. The LTTE exploded a vehicle laden with bombs opposite the Dalada Maligawa; shot at the Sacred Bo Tree, massacred a busload of mostly very young Buddhist monks in Aranthalawa. This was on June 2, 1987, particularly pertinent today. They killed Muslims at prayer in a mosque in Katankudy after ethnically cleansing Jaffna and adjoining areas of Muslim populations.
The Sinhalese, led by ultra-nationalists and drunken goons ravaged Tamils in 1983 and then off and on conflicted with Muslims. Hence the need to nip all and every religious conflict in the bud; no preachers/ Buddhist monks/overzealous lay persons, or comedians and media persons to be allowed to malign religions and in the name of religion cause conflict, least of all conflagration.
Comes to mind the worst case of religious intolerance, hate, revenge and unthinkable cruelty. Cass means here the prolonged fatwa declared against Salman Rushdie (1947-), British American novelist of Indian origin who had a ransom set aside for his life declared by the then leader of Iran, Ruhollah Khomeini, soon after Rushdie’s novel Satanic Verses was published in 1988. The British government diligently ensured his safety by hiding him in various places. After nearly two decades of tight security around him, he ventured to the US on an invited visit. He settled down in New York, believing he was now safe from the fatwa and mad men. It was not to be. In New York on stage to deliver a lecture in 2022, Rushdie was set upon by a lone assailant who stabbed him in the eye, blinding him in that eye and necessitating his wearing an eye band. What on earth was his crime? Writing a fictitious story to succeed many he had written and won prizes for like the Booker.
Religious fanaticism must never be permitted to raise its devilish head wherever, whenever.
Farmer’s fabulously rich son
Often quoted is the phrase coined by the Tourist Board, Cass believes, to describe Sri Lanka. Land like no other. It was completely complementary and justified when it was first used. We were an almost unique island where every prospect pleased, particularly its smiling, easy going people and the wonderful terrain of the land with varying altitudes, climates and fauna and flora.
Then with the decline of the country engineered and wrought by evil, self-gratifying politicians, their sidekicks and dishonest bureaucrats, disparities became stark. Sri Lanka is now in the very dumps: bankrupt, its social, economic and sustainability fabric in shreds and people suffering immensely. But since it is a land like no other with a different connotation, only certain of its population suffer and undergo deprivation and hardship. Others live grand even now and have money stashed high in–house and overseas in banks, businesses and dubious off shore dealings. Some lack the few rupees needed to travel in a bus but most political bods drive around in luxury cars; infants cry for milk and children for a scrap of bread or handful of rice. Plain tea is drunk by many to quell pangs of hunger while the corrupt VIPs quaff champaign and probably have exotic foods flown over from gourmet venues.
And most of those who drive luxury cars, eat and drink exotically and live the GOOD life, did not inherit wealth, nor earn it legitimately. Young men who had not a push bike to ride or Rs 25 to go on a school trip to Sigiriya are now fabulously wealthy. Cass does not want to list how they demonstrate immense wealth possession now.
One case in the news is Chaminda Sirisena, who seems to be very, very wealthy, wearing a ring that is valued at Rs 10 million, and then losing it to cause severe damnation to its stealer. Goodness! Cass cannot even imagine such a ring. Well, he lost it and 5,000 US $ and Rs 100,000. The suspect is his personal security guard. Having never heard of this brother of the ex Prez and he not being the paddy multimillionaire owning hotels, Cass googled. Here is short reply, “Chaminda Sirisena. Owner Success Lanka Innovative Company, Sri Lanka, 36 followers, 36 connections. (The last two bits of info completely incomprehensible and no desire at all to verify). He sure is comparable to Virgin Airways Branson and other top global entrepreneurs to become so wealthy being a son of a man who served in WWII and was given a small acreage to cultivate paddy in Polonnaruwa. When his brother Maitripala became Prez of Sri Lanka it was with pride the comparison was brought in to the American President who moved from log cabin to the White House.
Hence isn’t our beloved, now degraded Sri Lanka, a land like no other with Midases around?
We now have another maybe thief to worry about. No further news of the poor mother whose life was quashed for the sake of a gold ring, leaving three children motherless and probably destitute. When we were young, we were told very early on that if we lost anything it was more our fault; we were careless and placed temptation to less fortunate persons. The Tamil woman who died after being in remand was such a one who needed extra protection from temptation. To Cass her employer is more to blame for the probable theft and for the tragedy that followed.
By Ifham Nizam
Snake bites are a serious public health issue in Sri Lanka. It has been estimated that nearly 80,000 snake bites occur here every year.Due to fear and poor knowledge, hundreds of thousands of snakes, mostly non-venomous ones, are killed by humans each year.The state spends more than USD 10 million a year on treating snake bite patients.
According to health sector statistics between 30,000 and 40,000 snake bite patients receive treatment in hospitals annually, says Dr. Anjana Silva, who is Professor in Medical Parasitology, Head/ Department of Parasitology, Faculty of Medicine and Allied Sciences, Rajarata University.
To date, 93 land and 15 sea snake species have been recorded from Sri Lanka. While all 15 sea snakes are venomous, only 20% of the land snakes are venomous or potentially venomous.
The term, ‘venomous snakes’ does not mean they cause a threat to human lives every time they cause a bite. The snakes of highest medical importance are the venomous ones which are common or widespread and cause numerous snakebites, resulting in severe envenoming, disability or death,” says Dr. Silva who is also Adjunct Senior Research Fellow – Monash Venom Group,Department of Pharmacology, Faculty of Medicine, Nursing and Health Sciences, Monash University and Research Associate- South Asian Clinical Toxicology Research Collaboration, Faculty of Medicine, University of Peradeniya.
Only five snakes could be considered to be of the highest medical importance in Sri Lanka: Russell’s viper, Indian krait, Sri Lankan cobra, Merrem’s hump-nosed viper and Saw-scaled viper. All but Merrem’s hump-nosed vipers are covered by Indian Polyvalent antivenom, the only treatment available for snake bites in Sri Lanka.
There are another five snake species with secondary medical importance, which are venomous snakes and capable of causing morbidity, disability or death, but the bites are less frequent due to various reasons (Sri Lankan krait, Highland Hump-nosed viper, Lowland hump-nosed pit viper, Green-pit viper and Beaked sea snake)
The snakes of highest medical importance in Sri Lanka are as follows:
- Russell’s viper (Daboia russelii) (Sinhala: Thith Polanga/ Tamil: Kannadi viriyan)
Medically the most important snake in Sri Lanka. It is found throughout South Asia. It is responsible for about 30% of snake bites in Sri Lanka and also about 70% of deaths due to snake bites in Sri Lanka.
Some 2-5% bites by Russell’s viper are fatal. Widely distributed throughout the country up to the elevations of 1,500m from sea level. Highly abundant in paddy fields and farmlands but also found in dry zone forests and scrub lands. Bites occur more during the beginning and end of the farming seasons in dry zone. It can grow up to 1.3m in length. Most bites are reported during day time.
Over 85% of the bites are at the level of or below the ankle. It is a very aggressive snake when provoked. Spontaneous bleeding due to abnormalities in blood clotting and kidney failure have life-threatening effects.
Dr. Anjana Silva
- The Sri Lankan Russell’s vipers cause mild paralysis as well, which is not life threatening. Indian Polyvalent antivenom covers Russell’s viper envenoming. Deaths could be due to severe internal bleeding and acute renal failure.
- Indian Krait (Bungarus caeruleus) (Sinhala: Thel Karawala/ Maga Maruwa; Tamil: Yettadi virian/ Karuwelan Pambu)
It is distributed in India, Sri Lanka, Nepal, Bangladesh, Pakistan and Afghanistan. It is found across the lowland semi-arid, dry and intermediate zones of Sri Lanka. Almost absent in the wet zone. Usually, a non-offensive snake during the daytime; however, it could be aggressive at night.
Common kraits slither into human settlements at night looking for prey. People who sleep on the ground are prone to their bites.
Most common krait bites do occur at night. Bites are more common during the months of September to December when the north-east monsoon is active. Most hospital admissions of krait bites follow rainfall, even following a shower after several days or months without rain.
Since most bites do occur while the victim is asleep, the site of bite could be in any part of the body.
As bite sites have minimal or no effects, it would be difficult to find an exact bite site in some patients. Bite site usually is painless and without any swelling. Causes paralysis in body muscles which can rapidly lead to life threatening respiratory paralysis (breathing difficulty).
- Sri Lankan Cobra (Naja polyoccelata; Naja naja) Sinhala: Nagaya; Tami: Nalla pambu
Sri Lankan cobra is an endemic species in Sri Lanka. It is common in lowland (<1200m a.s.l), close to human settlements. Cobras are found on plantations and in home gardens, forests, grasslands and paddy fields. It is the only snake with a distinct hood in Sri Lanka.
Hood has a spectacle marking on the dorsal side and has two black spots and the neck usually has three black bands on the ventral side. When alarmed, cobras raise the hood and produce a loud hiss.
Cobra bites could occur below the knee. They are very painful and lead to severe swelling and tissue death around the affected place. Rapidly progressing paralysis could result from bites, sometimes leading to life-threatening respiratory paralysis (breathing difficulty). Deaths could also be due to cardiac arrest due to the venom effects.
- Merrem’s hump-nosed viper (Hypnale hypnale) Sinhala: Polon Thelissa/ Kunakatuwa; Tamil: Kopi viriyan.
Small pit-vipers grow up to 50cm in length. Head is flat and triangular with a pointed and raised snout. They are usually found coiled, they keep the heads at an angle of 45 degrees. Merrem’s Hump-nosed viper (Hypnale hypnale) is the medically most important Hump-nosed viper as it leads to 35-45% of all snake bites in Sri Lanka.
Merrem’s Hump-nosed vipers are very common in home gardens and on plantations and grasslands. Bites often happen during various activities in home gardens and also during farming activities in farmlands in both dry and wet zones. Hands and feet (below the ankle) are mostly bitten. Bites can often lead to local swelling and pain and at times, severe tissue death around the bite site may need surgical removal of dead tissue or even amputations. Rarely, patients could develop mild blood clotting abnormalities and acute kidney failure. Although rare, deaths are reported due to hypnale bites.
- Saw-scaled viper (Echis carinatus), Sinhala: Weli Polanga; Tamil: Surutai Viriyan
This species is widely distributed in South Asia. However, in Sri Lanka, it is restricted to dry coastal regions such as Mannar, Puttalam, Jaffna peninsula and Batticaloa. In Sri Lanka, this snake grows upto 40-50cm. It is a nocturnal snake which is fond of sand dunes close to the beach. It could be found under logs and stones during daytime. Bites are common during January and February.
It is a very aggressive snake. A distinct, white colour ‘bird foot shape’ mark or a ‘diamond shape’ mark could be seen over the head. When alarmed, it makes a hissing sound by rubbing the body scales. Although this snake causes frequent severe envenoming and deaths in other countries, its bites are relatively less severe in Sri Lanka. Bites could lead to mild to moderate swelling and pain on the affected place and blood clotting abnormalities and haemorrhage and rarely it could lead to kidney failure.
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