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Expect newer variants with rapid spread of COVID-19 in many parts of South Asia, medical experts say
The uncontrolled spread of COVID-19 in many parts of South Asia implies that newer variants will continue to emerge, a research paper titled ‘Stronger together: a new pandemic agenda for South Asia’ by top South Asian medical experts state.
Among the medical experts is Prof. Neelika Malavige of the Department of Immunology and Molecular Medicine, University of Sri Jayewardenepura.
The paper said that it is estimated that by 1 September 2021, approximately 1.4 million in South Asians will die due to COVID-19 alone. They also said the total number of excess deaths will be much higher—including non-COVID causes, as health systems are on the brink of collapse. With 33.4% of South Asians being extremely poor and the large-scale loss of livelihood being reported, the region faces a potentially catastrophic future for the ongoing decade.
“However, countries in South Asia continue to remain divisive. This differs from other geographic ‘blocs’ that frequently cooperate on mutual interest issues. Tensions in South Asia are shaped by complex domestic, bilateral, intra-regional and international geopolitical factors, despite the region’s obvious geographic, economic and cultural interdependence,” they claim.
A key lesson from the current pandemic is that countries need to share lessons and actively coordinate, complement, and supplement each other’s public health responses, especially between neighbours. The experts then presented a pragmatic ‘Stronger Together’ agenda on critical areas of concern for political, social, medical, and public health leaders in South Asia to consider and build on.
Given below the suggested action plan
“Cross-national surveillance for the
SARS-CoV-2 variants
“The uncontrolled spread of COVID-19 in many parts of South Asia implies that newer variants will continue to emerge. Some variants will inherently display increased transmissibility, infectivity and vaccine/antigenic escape capability, making it difficult for us to track and intelligently act on them. Rapidly scaling up capacity for genomics and rolling out countrywide surveillance systems require increased time and resources. Regional collaborative efforts within existing facilities and building a regional network similar to the Indian SARS-CoV-2 Genome Sequencing Consortia are feasible. The network can also build capacity within each country in the long run making countries self-sufficient to collect data and strengthen regional surveillance. Linking genomic data with clinical and public health data as well as enabling environmental surveillance will provide a more comprehensive picture of circulating SARS-CoV-2 variants. This is an investment, not only for the ongoing pandemic but also for other endemic pathogens and emerging infectious diseases.
“Interconnected and resilient health systems
“Health system capacity and human resources for health remain a major regional challenge. Healthcare worker density in the region is well below the suggested threshold of 44.5 healthcare workers per 10 000 population to achieve universal health coverage. National averages hide the disparities that exist across various geographic, demographic and socioeconomic population groups. The possibility of interconnected and collaborative health systems holds enormous potential, specifically for border areas. Setting up mechanisms for cross-border patient management (relaxed barriers or visa requirements on sharing medical documentation) and regional medical missions is essential from a humanitarian standpoint. Facilitating cross-border teleconsultation by designing more flexible mutually agreed upon regulations will also further boost capacity. At the minimum, peer support groups and tele-mentoring should be put into place. For this, mutual recognition of medical licenses and healthcare qualifications is essential. While close collaborations will be needed for the pandemic response, forming functional mechanisms of public health networking between countries under a long-term regional strategy will be required for developing a shared resilience and preparedness plan.
“Addressing COVID-19 supplies shortage
“There is a dependency on aid from the diaspora and from bilateral, multinational and humanitarian aid agencies to secure COVID-19 supplies during the current surge. This is neither sustainable, nor secure, nor without consequences. South Asian countries need to jointly invest in the augmentation of dedicated production capacities of essential medicines and other supplies. Much has been said about India’s tremendous capacity as the ‘pharmacy of the world’, not recognising manufacturing capacity in Bangladesh, Sri Lanka, Pakistan, Nepal and other countries in the region. Nationalistic policies and hoarding of active pharmaceutical ingredients by high-income countries (HICs) impede access and scale-up. However, such power imbalances can be mitigated to an extent if South Asia acts as a ‘bloc’. Production augmentation alone would not be sufficient—there is a need to agree on shared technology ownership/transfer and an equity-based regional distribution model based on priority groups defined based on assessment of risks and vulnerability.
“COVID-19 vaccines specifically remain a crucial challenge for South Asia. In the short term, South Asian countries must act as a bloc to request excess vaccines from HICs, using a collective needs assessment and a diplomatic approach. In the long term, there is a need to re-invent global health mechanisms such as COVID-19 Vaccines Global Access (COVAX). Equity—the defining purpose of COVAX—has been subverted by HICs who had brought vaccines directly from manufacturers and built stockpiles. The South Asian bloc, together with others, needs to shift COVAX from a neo-colonial purchase-donate model to a model with regional manufacturing hubs. Access to vaccines or essential medicines, a vital component of the right to health, should not be dependent on charitable inclinations, economic or political interests of HICs, or private corporations—a regional effort is required to change the status quo.
“Cooperation between scientific, professional organisations and associations
“Clinical providers (e.g., doctors, nurses), scientists and public health professionals in South Asia must recognise that there is much context-specific knowledge to be learnt from one another and that collaboration is valuable. Shared challenges include low value, irrational clinical care, unregulated home-grown medical solutions and medical misinformation. Many South Asian countries do not develop their own clinical practice guidelines or the ones that are developed are not of high-quality. There is an urgent need for medical associations to collaboratively develop contextually relevant clinical practice guidelines at par with global standards. Advocacy for more significant investments in health and health workers is needed. The social conscience needs to realise that pathogens do not understand nationalism, populism or respect borders. There is also an urgent need to fight against irrationality and anti-science in the region. Drawing on the diverse experiences of countries regarding public health responses, vaccine roll-out, diagnosis and treatment capacity would be highly advantageous in designing effective pandemic responses both immediately and for the long term.
“The way forward
“Focusing on a ‘Stronger Together’ future is a necessary step for tackling health security challenges beyond COVID-19, such as the climate crisis. The longer COVID-19 stays uncontrolled, even in a single country in South Asia, all other countries will be in immediate danger from novel variants and other social, economic and political consequences. Beyond the immediate benefits of addressing the pandemic, a collective regional approach, with global knowledge-exchange collaborations, will be vital for re-imagining the global health structure with equity at its centre.”
Latest News
Heat Index at ‘Caution level’ at some places in the Western, Sabaragamuwa, Southern and North-western provinces and in Monaragala and Mannar districts
Warm Weather Advisory
Issued by the Natural Hazards Early Warning Centre of the Department of Meteorology at 3.30 p.m. on 11 March 2026, valid for 12 March 2026.
The public are warned that the Heat index, the temperature felt on human body is likely to increase up to ‘Caution level’ at
some places in the Western, Sabaragamuwa, Southern and North-western provinces and in Monaragala and Mannar districts.
The Heat Index Forecast is calculated by using relative humidity and maximum temperature and this is the condition that is felt on your body. This is not the forecast of maximum temperature. It is generated by the Department of Meteorology for the next day period and prepared by using global numerical weather prediction model data.

Effect of the heat index on human body is mentioned in the above table and it is prepared on the advice of the Ministry of Health and Indigenous Medical Services.
ACTION REQUIRED
Job sites: Stay hydrated and takes breaks in the shade as often as possible.
Indoors: Check up on the elderly and the sick.
Vehicles: Never leave children unattended.
Outdoors: Limit strenuous outdoor activities, find shade and stay hydrated.
Dress: Wear lightweight and white or light-colored clothing.
Note:
In addition, please refer to advisories issued by the Disaster Preparedness & Response Division, Ministry of Health in this regard as well.
For further clarifications please contact 011-744649
News
Power sector reforms jolted by 40% pay hike demand
The government’s sweeping electricity sector restructuring programme ran into fresh turbulence yesterday, with authorities warning that meeting a 40 percent salary increase, demanded by striking power sector unions, could push electricity tariffs up by nearly 100 percent.
Chairman of the National Transmission Network Service Provider (NTNSP), Nusith Kumaratunga, issuing the warning at a media briefing, said the additional salary burden would significantly escalate operating costs in the newly formed power sector companies.
According to Kumaratunga, granting the 40 percent salary increase would raise the monthly wage bill by about Rs. 1.8 billion, amounting to nearly Rs. 22 billion annually, placing enormous pressure on the already fragile financial position of the electricity sector.
“If that additional burden is passed on to consumers, electricity tariffs may have to increase by close to 100 percent,” he said.
The briefing was organised by the management of the successor companies created following the restructuring of the Ceylon Electricity Board (CEB).
Kumaratunga said electricity sector trade unions had presented 64 demands in the wake of the restructuring exercise.
“Out of the 64 demands, 62 have already been agreed to,
while the remaining two have been referred to President Anura Kumara Dissanayake for discussion,” he said.
He explained that the majority of the demands related to the continuation of privileges previously enjoyed by employees under the CEB structure.
“During the initial round of discussions itself, the boards of directors agreed to 59 of those demands,” he noted.
Among the concessions already granted was the continuation of bonus payments, similar to those previously paid by the CEB, at least temporarily, until a performance-based incentive system is introduced.
The management had also agreed to grant an allowance of Rs. 11,000, in addition to the existing cost-of-living allowance, bringing the average additional monthly benefit to around Rs. 17,000 per employee, he said.
Kumaratunga stressed that management had approved all demands that could be granted at the ministerial level.
However, he said the proposed 40 percent salary increase would be difficult to justify, particularly at a time when other segments of the public service were not receiving similar benefits.
He also revealed that unions had requested that a 25 percent salary adjustment, granted to senior executives in 2024, be extended to all employees, with retrospective effect from January 1, 2024.
Granting such a request would require amending an existing Cabinet decision, which the boards of directors of the newly established companies do not have the authority to do, Kumaratunga explained.
He pointed out that the newly created electricity sector companies had only commenced operations on Monday, and their work had already been disrupted by the ongoing trade union action.
“It is difficult to understand why the strike continues when the vast majority of demands have already been addressed,” he said.
However, the Ceylon Electricity Board Engineers’ Union clarified that the 40 percent salary increase was not their primary demand.
Union representatives said that the electricity sector employees were originally due for a salary revision in January 2027, but the ongoing restructuring had raised concerns that the scheduled increase might not materialise.
“That is why we requested at least a reasonable percentage increase in order to secure some form of salary revision,” a senior electrical engineer said.
The dispute comes at a critical moment as the government presses ahead with the unbundling of the CEB into separate generation, transmission and distribution entities, a reform programme, officials say, is aimed at improving efficiency and attracting investment to Sri Lanka’s troubled power sector.
However, the restructuring has been strongly opposed by trade unions, which argue that the reforms could undermine employee security and weaken state control over a strategic national utility.
With industrial action continuing and tariff hikes looming as a possibility, the confrontation between the government and electricity sector unions appears set to intensify in the coming days.
By Ifham Nizam
News
UN scientific research ship here amidst ban on such vessels
A UN vessel arrived in Colombo yesterday (11) to conduct a month-long marine scientific survey in Sri Lanka’s Exclusive Economic Zone (EEZ). This is the first foreign scientific research vessel here since President Ranil Wickremesinghe banned such visits on January 1, 2024, for a period of one year. However, the ban remains in place with the NPP government yet to announce its new decision on the issue.
The following is the text of statement issued by the Foreign Ministry yesterday: “On the invitation of the Government of Sri Lanka, the United Nations-flagged vessel R/V Dr. Fridtjof Nansen, under the Food and Agriculture Organisation (FAO), is scheduled to arrive in Sri Lanka today to conduct a marine scientific survey in Sri Lanka’s Exclusive Economic Zone (EEZ) in collaboration with the Ministry of Fisheries, Aquatic and Ocean Resources and the National Aquatic Resources Research and Development Agency (NARA).
R/V Dr. Fridtjof Nansen supports countries in collecting critical scientific data for sustainable fisheries management and in understanding how climate change is affecting marine ecosystems. The survey, spanning 32 days, will focus on assessing marine living resources and marine ecosystems, providing updated scientific data that will support Sri Lanka’s sustainable fisheries management and ocean governance. During the mission, scientists will undertake a range of activities, including hydro-acoustic surveys to estimate the biomass and distribution of key fish stocks in Sri Lankan waters; assessment of marine pollution levels; and biodiversity monitoring.
An important component of the programme is capacity building. The mission will bring together Sri Lankan scientists from NARA and other national institutions with international experts, promoting scientific collaboration and knowledge exchange.
Sri Lanka previously hosted the R/V Dr. Fridtjof Nansen in 2018, when the vessel conducted a comprehensive survey of Sri Lanka’s continental shelf and upper slope, in collaboration with national institutions. Earlier, Nansen surveys were also carried out in Sri Lankan waters in 1978–1980, reflecting a long-standing scientific partnership under the Nansen programme.
Sri Lanka’s participation in this survey reflects the country’s continued commitment to sustainable fisheries, marine ecosystem protection, and international scientific cooperation in the Indian Ocean region.”
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