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Geographical Information Maps for Covid-19 control

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Around six months ago, the issue about lack of spatial information about the whereabouts of Covid-19 patients, came up, but, unfortunately, it has not been resolved yet. At that time the GMOA gave an ultimatum to the Ministry of Health that it will withdraw from the Technical Committee for Covid-19 control, if analyzed Geographical Information System (GIS) maps of Covid-19 patient-locations will not be made available. Although most don’t agree with the GMOA with some of their actions, on this matter I was more than 100% with them. The GMOA is an organization, which has many knowledgeable specialists in the areas of epidemiology, disease control and Information Technology, and I believe their knowledge, attitude and valuable inputs made it easy for the control teams to prevent the escalation of this epidemic.

The geographical maps are valuable tools to the MOHs, PHIs for their control work, and also to the general public to know of the locations of the patients, at least at the street level, so that they can avoid such areas. I think the Presidential Task Force also should be shown these maps, if they have not seen it yet, to make informed decisions. This week again, the President of the GMOA stated, over a private TV channel, that they, in fact, put up a GIS room next to the Director General of Health Services’ room, and that is a right move. He vented his frustrations when he came out with the difficulty in getting the maps done through the Epidemiology Unit to get this genre going. To fight a war there should be a central command and control room, and maps are a very important tool. Even 30 years ago, the officers in the field sent in the data about the spread of diseases, or they took samples, such as of stools of cholera patients, but they never got the analyzed reports, as someone was keeping them in the centre to write a paper to a journal.

Twenty years ago, when I was the Chief Medical Officer of Health of the CMC, realizing the value of GIS maps, I used them for dengue control in Colombo; and it provided great information to plan and implement control measures. We could see clusters of patients, and the gradual movement of the cluster into newer areas with time. My maps were used by at least the Peradeniya University to train Medical Officers in Health Mapping. I was also invited as the keynote speaker, by the Geographical Information Society. Many came to me from the Ministry of Health, KDU and other institutions to learn what we had done. Since then, the Ministry has trained some doctors who are now experts in GIS mapping, and they could be used to map the patient locations, show high, medium and low risk areas and also put in other information. The Public Health Department of CMC gave Geographical Position System-GPS training to Public Health Inspectors those days, to send in the information from the patient’s location to the GIS centre at the Town Hall, where all such information was collated. We then prepared the maps and sent them out to the MOHs and also discussed the situation at meetings.

I hope they have continued that work and, if so, they also should put out the maps of present patient locations in the CMC website, so that the people in Colombo will also know which areas in the city they should avoid. Colombo city was the centre of transmission of Covid-19 in the country a few months ago as nothing materialised. It is a pity that I can’t even get any information about Covid-19 patients in the CMC area, although I am the Chairman of the Standing Committee on Health and Sanitation at the CMC. The system I built up has come to a standstill, and sometimes even after eight months, I can’t get any answers to my questions given at Council meetings. Frustrated, I even wrote to the Epidemiology Unit asking for information about patient locations to better plan our prevention programmes, at least to prevent patients dying at home. But after listening to the GMOA President, yesterday, I now know it is a futile exercise. Information is power, but why not give it at a time of national crisis for the greater good of the people?

Technology should be used in disease prevention as much as possible, especially in this case, but the people in top positions are scared to use newer technology mostly because they don’t know about such technologies, or do not know how to use them. When PCR testing was started, a few leading private firms wanted to donate the latest automated PCR machine, but it was turned down by the people who were to use it, as they wanted a machine that could be used manually. That was my personal experience. There are other interests involved, too. Now I believe only the Sri Jayewardenepura University has an Automated machine which is 4-5 times faster in giving results.

Similarly, through GIS mapping we can put together a lot of information in a short time, and the analyzed information can be made available to the people who make decisions, and those in the field. Seeing the ground situation with one’s own eyes, is better than seeing some numbers. I hope the President, the Ministers and the Presidential Task Force will seriously take note of this, as this is very valuable public information that can be used to control this epidemic, at this critical juncture. For example, the information through maps could be used at least to know whether we should lock down a city or a district, or a province, or a few of them, etc., to prevent further escalation of this Covid-19 epidemic. There could be even a working sub-committee set up to do this work. Please do not put away this information in cold storage as someone’s private property. Let saner counsel prevail.

 

Dr. PRADEEP KARIYAWASAM

Former CMOH/CMC,

Chairman, Standing Committee on Health/CMC



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Opinion

MPs can show their colours

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I refer to this article, ‘Covid bonanza for….’ by Shamnidra Ferdinando.

It was obvious that the LC could not easily be cancelled. It will be interesting to know when the LC was actually opened; before or after Cabinet approval? The answer will be revealing.

Now that the vehicles will come in, come hell or high water with burning ships, there is a simple solution.

If the government is sincere in its intentions to reverse this totally unnecessary expenditure, which the country cannot afford,  scraping the bottom of the vangediya as it is, then the vehicles can be sold in the open market, in a transparent manner and at a profit, too, and the wasted  funds reimbursed to the Treasury. Personally, I know this will not happen, seeing what we are helplessly seeing being enacted in the country yesterday, today and alarmingly, tomorrow, too.

The next best option is for those MPs who oppose this criminal waste of public funds, to work out a method by which they can sell the vehicles presented to them by the starving masses, in a transparent manner and utilise the proceeds again in a transparent manner to uplift the lives of the millions of poor citizens in their electorates.

ACabinet given opportunity for Members of Parliament to show their true, even if highly faded and smudged, colours!

 

CITIZEN FERNANDO

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Opinion

Gazette Bill in blatant conflict with Constitution

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The Colombo Port City Special Economic Zone (SEZ) Bill had been gazetted on March 24 after Cabinet approval, and placed in the order paper of Parliament on April 9. Normally, before placing a Bill on the order paper of the Parliament, it goes through the levels of the Legal Draftsman, Attorney General, Ministry of Justice, and the Cabinet of Ministers.

According to a news item that appeared in the Daily News, on April 27, the Attorney General has informed the Presidential Secretary that the Port City Economic Commission Draft Bill is not inconsistent with the Constitution. But the same Attorney General has advanced the submissions and amendments in court, during the hearing of 18 petitions filed by members of civil society alleging the Bill is inconsistent with the Constitution.

The Supreme Court has found more than one third of its clauses are conflicting with the Constitution – the supreme law of Sri Lanka. Thus, it has been proved the Gazette Bill was in blatant conflict with the Constitution.

High officials of the Ministry of Justice, the Attorney General and the Legal Draftsman who are supposed to have been involved in the drafting of this Bill are professionals of recognized capability. They are committed to follow the best practices of their professions and should adhere to standards in procedural manuals and professional codes of conduct and ethics. They are bound by the oath taken by them in line with the Constitution and the accountability of the offices they hold. They also would have been supported by several legal eagles and experienced politicians in the Cabinet.

Citizens are confused as to how on earth such a Bill, in blatant conflict with the Constitution, could have been approved by the Attorney General and be drafted by the Legal Draftsman. 149 Members of Parliament have voted to amend 26 clauses of 75 clauses of the Legal Draftsman’s Bill. This is tantamount to a No Confidence Motion on the Legal Draftsman.

JUSTIN KEPPETIYAGAMA

jdkgama02@gmail.com

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Opinion

Probe into expressway construction and floods

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The news item appearing in your issue of 10th June, regarding the Expressway Construction and Floods, is of interest to me, as I had handled Road Projects when attached to the then Department of Public Works [PWD] and later the Ministry for Highways.

It’s stated that Minister Johnston Fernando had instructed his Ministry Secretary to investigate immediately, whether there was any truth in the claim that some areas in Gampaha were inundated owing to the construction work, in the first phase of the Central Expressway, from Kadawatha to Mirigama; and continues to say ‘Yahapalana adjustments to the construction master plan may have lead to the present situation’, which could be insinuated as placing the blame on the previous Yahapalana government. This is the usual blame-game adopted by bankrupt politicians. It will not be surprising if the present government will be blamed when a new government is formed, for mismanagement of projects carried out now.

As far as I know, while construction is on, there comes up certain problems, which may necessitate altering or deviating from the original design. Hence the responsibility lies entirely on the Engineer, and not on any politician or government in power. Here the integrity of the Engineer counts. Sad to say, there have been accusations where professionals have given way to political pressure and projects have become failures. I would like to quote Moeller’s theory “One of the major reasons for a country to be subjected to bad governance is when its professionals do not speak out, but worst still, these professionals actually gang up with those committing anarchy for their own benefit. What the professionals do not realize is that in the long term, they too would be subjected to the worst treatment by these despotic dictators whom they were keen to protect. Moeller’s theory being proved time and again consorting with an autocratic regime is a worst act of treason against one’s own country and its people”

To the credit of Minister Johnston Fernando, he also mentions the likelihood of this flooding by saying “We must keep in mind that the highest rainfall in the known history was reported from this area”. Whatever, the findings of the investigations be, the accusation should be taken as fault finding of Engineers, and they should now come forward to protect their prestigious profession and give reasons, which lay, incompetent politicians, do not have the capacity to understand. Hope the Sri Lanka Institute of Engineers will expose the viles of politicians to steer this country in the correct direction. This goes for other professions as well.

G. A. D. SIRIMAL

Boralesgamuwa

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