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Infrastructure facilities in our schools: a thing that begs a critical look

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By Dr B. J. C. Perera

MBBS(Cey), DCH(Cey), DCH(Eng), MD (Paediatrics), MRCP(UK), FRCP(Edin), FRCP(Lon), FRCPCH(UK), FSLCPaed, FCCP, Hony FRCPCH(UK), Hony. FCGP(SL) 

Specialist Consultant Paediatrician

We are all ever so proud of our Free Education System. Mainly due to the foresight of politicians of the past, such as Dr C.W.W. Kannangara, and perhaps many others in the education sphere as well, our system of education has provided distinctive opportunities for all children in our land, irrespective of caste, creed, religion, ethnicity and wealth.

The far-sighted vision of our education system is to provide optimal educational facilities to each and every child of the Sri Lankan nation. The mission of the authorities to provide this is of course quite a laudable and noble task. Yet for all that, as at present, it is well-recognised that this venture is not an absolutely perfect, equal and even totally equitable venture that provides irrefutable as well as sublimely equivalent opportunities to every child in this entire island. There are most definitely quite a few problems in this system. However, in spite of all of some confounding circumstances, something akin to a level playing field in the realm of education has been provided for our children in whose capabilities the future of this country rest. It is stating the obvious to say that the intellectual and other aptitudes of youngsters need to be nurtured, developed and augmented through a most valuable education system for us to reap the benefits of such endeavours in the not-too-distant future.

Many of us, including parents, look at certain tangible characteristics that are exclusively and purely related to the imparting of knowledge and education in schools. There is no doubt that these are of absolute and prime importance and provision of information to young minds should take pride of place. Of course, the provision of adequate numbers of properly qualified and dedicated teachers with the necessary aptitudes as well as empathetic qualities, is a very vital cog in the wheel of the entire spectrum of education. We do acknowledge that there are problems in providing optimal numbers of qualified and suitable teachers to all schools in our island. However, this article hopes to address some other important consideration that should be taken note of. These include at least three of the vital infrastructure facilities in our schools.

The first of these is the provision of pipe-borne running water for each and every school. It has been estimated that around 40 to 50 percent of schools, mainly those in non-urban and far-away remote areas, do not have the facilities of a proper water supply, leave alone pipe borne running water. Economic constraints have been the main reason for this problem. The state is expected to provide this facility to each and every school in this island nation. If it is not possible to get this done through the government, there may be certain enterprising ways of getting such things done by the local population itself. It is possible to very often harness the philanthropy of willing residents in these areas to try and think of ways to finance the basic infrastructure of a satisfactory water supply to these schools. Most of these areas have affluent people who might be more than willing to be a part of such useful and noble ventures that would benefit the children of the very same areas. There are also ways of fund-raising events that could be organised by the school authorities themselves that would augment the monetary amounts that are needed for such projects. All it needs is a little imagination and of course unstinted leadership. The politicians of the area too can help in such endeavours. In fact, the total amount of money needed for a water supply project for these could be surprisingly low, provided some of the labour for the project could be secured via local residents through their voluntary efforts or through their generosity.

During the current COVID-19 pandemic, schools were kept closed for almost to nine months. Schools in many areas of the country opened for academic activities for designated classes on 11th January 2021. The education authorities are planning to gradually open the other classes in a stepwise fashion and perhaps within another month or so all classes will be functional. One of the prime recommendations for prevention of coronavirus infections by the health authorities is frequent washing of hands. For this measure to be effective it should be performed in an optimal fashion. It is recommended that hands should be washed with soap and running water for at least 20 seconds. What is the real purpose of our pontificating on the dire necessity of hand washing practices if there is no running water in the schools?

The second essential provision that should be attended to is the establishment of proper and hygienic toilets and wash-rooms. It is well-known that these are pretty unsatisfactory in very many schools. Some may not have properly functioning toilet facilities at all. Even when some sort of these amenities are available, cleanliness of these facilities in these edifices of learning seem to have gone through the windows of the very same institutions. Building and maintaining suitable toilets are no big deals if the residents of the area, the parents and even the children themselves are roped into the exercise. In many households in these areas, it is the children themselves who are made to clean and take adequate care of the toilets in their own homes. If it is properly organised, there is no reason why the children could take over such responsibilities in their own schools as well.

We have seen many children scrupulously avoiding biological relieving of themselves for prolonged periods of time because of the lack of proper sanitary facilities in toilets and washrooms. Quite a few of them, especially young girls, elect to wait for hours on end with full urinary bladders. Sometimes immediately after school time, they attend tuition classes where these sanitary facilities are no better. It is on record that Paediatricians and Genito-Urinary Surgeons do see children with persistently overstretched urinary bladders that could lead to major medical problems later on in their lives.

The third dire necessity for all schools is electricity. Many areas of our country still do not have alternating current power provided through the national grid. The government is on a committed course to try and provide electricity to many of our remote and impoverished areas. However, with the myriad of problems faced by the power generating and distributing sectors as well as the basic power infrastructure mechanisms, this might be wishful thinking, at least for the time being. In these days of electronic learning platforms and tremendous expansion of the possible electronic facilities to play a seminal role in education processes, the provision of electricity to all schools becomes a vital need. Once again, innovative ways of providing electricity through local solar power units, wind power securing mechanisms and even mini-hydro power generating enterprises are things that may be needed in some of the most remote areas.

Having mentioned at least some of the things that need rather urgent attention, the need of the hour to take these initiatives forward would be a committed partnership of schools with the residents of the same area. In many an instance our people are most receptive to the needs of children. This author has worked as a Consultant Paediatrician in three major towns in the periphery of our country, surrounded by remote and impoverished areas, for a total of 12 years before he reached the citadels and bastions of child healthcare in Colombo. The stints in these three areas were, in one-man stations as we call it, without another Consultant Paediatrician being available for miles and miles around. The author is well aware of what can be done by harnessing the goodwill of the local populace of these areas. Our people in these areas, of all religions, castes and creeds, consider it to be a supremely meritorious act of kindness to help out the hospital wards that cater to the health needs of their own children. They painted the wards, provided mattresses for the beds, bought expensive medicines for those who were not able to afford them, kept the wards and the toilets clean and generally threw their collective shoulder to the wheel. If something was needed, the author only had to ask, and most willing cooperation was there from the people, just for the asking. He does not see any reason for it to be any different, if help is sought from the very same people for the schools in those very same areas.



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Playing politics with science!

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It is obvious that the only way out of this disastrous pandemic is through science––the use of vaccines that have been introduced in double quick time due to scientific ingenuity. It is the duty of politicians to refrain from playing politics with science.

 

By Dr Upul Wijayawardhana

If you thought it was only our politicians who played politics with science, you thought wrong. Admittedly, ours are pretty bad as evident from the Dhammika peniya episode. We had our Health Minister freely advertising the concoction by ingesting it in her office and wasting the valuable time of academics by instructing them to test it for efficacy. Getting a pretty bad attack of Covid-19 demonstrated the idiocy of her action but she continues unashamedly to be our Minister of Health!

A Professor of Pharmacology turned politician did likewise. Forgetting what he taught his students, he supported the untested therapies, the explanation given by one of his colleagues being that he behaved as a politician, not a scientist! By implication, even scientists can forget science when they become politicians! Funnily, he was rewarded by being appointed the Acting Minister of Health the day the Health Minister was discharged from hospital, which was rather bizarre considering that during the Minister’s prolonged period of hospital-stay there was no acting appointment! Perhaps, fearing that he might take the bread out of her mouth, the Minister returned to office within a few days of discharge.

Although the first wave of the Covid-19 epidemic was very effectively controlled, the loss of efficiency as regards the second wave was due no doubt to allowing non-scientific ideas to creep in. The refusal of permission for the burial of Covid-19 victims in spite of a group of top scientists recommending it, made us look foolish and turned international opinion against the country.

The clamour for vaccination is a welcome sign, more so because the UK is continually producing evidence for the extreme efficacy of vaccination.

The UK was the first country in the world to start vaccination and has already vaccinated more than 21 million of its 66 million population. It started with the Pfizer vaccine, closely followed by the Oxford AstraZeneca vaccine. EU, which was a late starter, was critical of the Oxford AZ vaccine. The French President Emmanuel Macron is obviously guilty of playing politics with science as he was one of the vaccine’s most vociferous critics, calling it “quasi-ineffective” for the elderly. As a result of political comments of this nature, more than half of EU countries limited the Oxford AZ vaccine to those under 65 years, in spite of the European Medicines Agency approving it for all age groups.

Another political appointee, Ursula von der Leyen, European Commission President, had a public spat with AstraZeneca over gaining more of its vaccine doses and introduced a border between Ireland and Northern Ireland; she was forced to reverse her decision, quickly. She then suggested the UK had compromised on “safety and efficacy” by approving the jab so early, despite the EMA reaching the same conclusions as the UK’s internationally-respected MHRA, which approved the Oxford AZ vaccine for all ages. Millions of doses of Oxford AZ vaccine, which they obtained in spite of criticism, remain unused in France and Germany. Why did they not have the generosity to give these to struggling countries like Sri Lanka?

Data released by Public Health England (PHE) shows that both the Pfizer and Oxford-AstraZeneca vaccines are highly effective in reducing COVID-19 infections among those 70 years and over. Since January, protection against symptomatic Covid-19, four weeks after the first dose, ranged between 57 and 61% for Pfizer and between 60 and 73% for the Oxford AZ vaccine.

In the over 80s, data suggest that a single dose of either vaccine is more than 80% effective in preventing hospitalisation, around 3 to 4 weeks after the jab. There is also evidence for 83% reduction in deaths from Covid-19 with the Pfizer vaccine and data for Oxford AZ vaccine is awaited.

European aversion to Oxford AZ vaccine is, no doubt, due to Brexit than to science. Very soon, all EU countries would be forced by science to allow all age groups to have the Oxford AZ vaccine which, by the way, is the cheapest vaccine that is easier to transport and store. Politicians who criticised Oxford AZ vaccine have had to eat humble pie but they will no doubt come out with some claim to justify their idiocy!

A Belgian minister, Budget State Secretary Eva De Bleeker, has angered vaccine manufacturers by revealing sensitive and confidential commercial information – the price that the EU has agreed to pay for the leading Covid-19 vaccines. Though her twitter message was deleted quickly, screenshots taken show that the EU agreed prices for the three vaccines used at present are as follows: Oxford/AstraZeneca: €$ 1.78, Pfizer/BioNTech : €$ 12 and Moderna: $18.

Moderna, a Bio-tech company, which has not been profitable so-far, is heading for wind-fall profits and the drug-giant Pfizer will get richer. No one seems to have followed the noble gesture of AstraZeneca, which agreed with the Oxford group to provide the vaccine on no-profit basis.

It is obvious that the only way out of this disastrous pandemic is through science––the use of vaccines that have been introduced in double quick time due to scientific ingenuity. It is the duty of politicians to refrain from playing politics with science.

As Dolly Parton sang with a rewrite of her famous song ‘Jolene’ whilst having her jab:

“Vaccine, vaccine, vaccine, vaccine, I’m begging of you, please don’t hesitate. Vaccine, vaccine, vaccine, vaccine, because once you’re dead, then that’s a bit too late.”

 

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Who wants to live forever?

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The haunting lyrics of The Queen song and the almost plaintive tone in Freddie Mercury’s oh so unique voice, when he sang this song (particularly in his live performance at Wembley), echo through my mind these days. There are two main reasons why longevity is foremost these days.

The first, of course, being the pandemic that is among us. It may be the first time that the civilian population of the entire world is facing the possibility of sudden death, not from incoming fire or even suicide bombers but from an insidious, unseen, minute germ!

The second reason why the length of our lives and prolonging it for as long as we possibly can have been entering my thoughts, is when I see the scramble to get the anti-virus vaccine that I observe in the Pearl. Now, most of us are Buddhists and somewhere in those teachings is a belief that we come into this world with a certain amount of AYUSHA or length of life, and that when that is over the end happens and there is no choice. At least, that is the basic interpretation of undoubtedly very complex teaching.

If that is the case, why this scramble for the vaccine? Why are we using privileged positions (connections to rulers and politicians), connections to doctors, and even the Mayors of certain cities to short-circuit the waiting lists? Older people are complaining that they are being denied the vaccine, why? Those people have probably achieved all their objectives in life, completed successful lives, seen grandchildren or even great-grandchildren, why do they want to deny some young man or woman starting out on life with all those milestones to reach, the vaccine, particularly if they are devoted to the teachings of the Buddha.

Is it selfishness, greed, and avarice, things we should avoid according to these self-same teachings, or is it simply one-up-man-ship and the need to be able to boast that they got the vaccine when the “ordinary” man is still standing in queues and probably infecting each other due to the total chaos and non-observance of Covid protocols in these places of administering the vaccine? Think about it dear readers, especially those of you who have completed productive and useful lives, brought up “successful” children, and as is the way in our society provided them with houses, lands, dowries, and other ways of sustenance. Do we really need to join this scramble for the vaccine? Or, use our position of privilege to probably deny some younger person, with a life to live, the chance of getting it. Is it even our ego (something else we should control and make less significant in our lives and decisions) that allows us to justify our long existence in this world? They need my superior intellect, does this world and this society, therefore I must live as long as possible! Or, is it simply the basic animal instinct to live as long as possible, something that we as humans with our superior brains should be able to think around?

Here in Aotearoa, we have re-entered a level 3 lockdown in our most heavily populated city and a level 2 lockdown for the rest of our country. This has been due to certain non-observance of Covid protocols by people of a clearly identified community, living in a certain part of the city of sails, as Auckland is also known. This is the second time that the community, living in that part of the city has brought about an escalation of the pandemic and stricter lockdowns. It has brought more economic misery and spelled the end of the road to more businesses and enterprises. Now, in the Pearl, we may have resorted to attacking those communities and even rioting. All that seems to have happened here are of course the usual vitriolic racist attacks on the internet and a government decision to vaccinate those areas of the city first, in an attempt to control the pandemic. Wow! in the pearl either all these people would have been rounded up and locked up in a camp in the Vanni or locked down under strict curfew with the threat of being shot if violated. The jury with regard to if the Pearl alternative or the Aotearoa alternative of these should have been used is still out …

Maybe some readers are interested in the outcome of the threat that is looming over us from the upcoming United Nations action in Geneva? I have been trying to get some feedback from “intellectuals” currently living in the Pearl, but they seem distracted, and a feeling of helplessness seems to prevail. The incumbent Foreign Minister seems to think that a humble Indian Ocean Island with what strictly speaking, can be considered a failed or at least failing economy, can dictate terms to the UN, behaving like the proverbial bull in a china shop. Maybe our “new best friend” China, probably aided and abetted by Russia has lent strength to his arm.

Even a “victory’ for Lanka at the UNHCR to this resolution should not be cheered too vociferously, as the countries ranged against us will have long term plans. Every step of this government will be monitored closely. The loss of our garment exporting privileges to the first world could result along with other economic sanctions that would make the cost of living in the Pearl even higher.

One rather interesting possibility seems to be travel bans on certain individuals and freezing of their assets held abroad. Now that could be stimulating, especially if the numbers involved are made public! However, if that was the case, I believe the attempt to rectify the situation would have been given to a more competent person than “the bull in the china shop”!

I cannot resist putting this out dear readers and I apologise profusely in advance. What if someone like Ranil W, was in charge of foreign affairs? Do you think we would have had a more professional approach and had a better chance in dealing with the complicated nuances of handling UN diplomacy, in the long term? At least we may have not insulted and possibly humiliated the visiting PM of one of our allies, Imran Khan of Pakistan! On the other hand, Mr. Khan, you may rest assured that even if you had addressed our parliament, no member would have understood anything you said or even been able to decipher your immaculate Oxbridge accent. It is only those of us who have shut ourselves out mentally from the shenanigans or gone into voluntary exile who watch with dismay, who would have savoured your words and briefly wondered …what if … ?

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Thanks for quick vaccination; harmful dabblers in the occult should be severely dealt with

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There has been much in the daily press on vaccination against Covid-19 in this fair isle of ours, or rather in Colombo and its suburbs

Let’s put aside complaints and say praise be!

Most of what was media-written was on the ensuing chaos of not knowing where to go for the jab; how to get a token; which age group will be given it (apart of course from VIPs and politicians who were close behind frontline health workers). Mercifully, the authorities righted the initial wrong of deciding on prioritizing the 30-65 age group and neglecting the over 65s, who were placed second in the priority list in more enlightened countries following WHO strictures. And so lots have got the jab and we anticipate a drastic drop in infection and Covid death rates. Cass contributed her fair share of criticism in this column but not stridently nor unreasonably. She had not seen the privileged list that passed off as Municipal workers on Tuesday 24 February at the Public Library, Colombo 7, arriving in Mercedes Benzes and SUVs. If she had, her ire would have emerged in pure vitriol! One friend said she enquired from several sophisticates in the queue how they got there, but received mumbled replies. So, a Rose by any other name, even Do-Gooder, smells as bad when it goes unjust! Things got much better and the service worked smoothly once the MOHs came into their own.

What Cass notes in summarizing the issue today is thanks and gratitude to the government and the Health Services particularly, for vaccinating so very many so quickly. People who wrote about this issue, Cass included, were all praise for the actual data takers and vaccine givers. In certain centres, the old and disabled were queued in a different line and vaccinated within an hour.

The gratitude Cass renders is because only part of the total amount of vaccine was gifted by India and the WHO. Our government booked early and paid for the rest, and of the Oxford kind. This vaccine is admittedly relatively cheaper, but it had to be paid for, which cost the government bore. We have to appreciate the massive organization entailed and excuse inevitable hiccups. This fact struck Cass as a feeling of much needed security and elimination of fear was felt, and all for free. Also when a friend in Melbourne wrote they were as yet awaiting vaccination.

 

Black Magic and witchcraft in Sri Lanka

If you thought as Cass did that we would never ever resemble a dark Congo tribe resorting to occult cures or a re-enactment of shades of supernatural superstitious beliefs in witchcraft as in Salem, Massachusetts, USA, in 1692 (where some young girls caught prancing naked cooked up lies about good women in the village being witches), you and Cass were both mistaken. We’ve had these in different styles right here in supposedly majority Buddhist Free Sri Lanka with other religions holding people together, in the 21st century with some of our own doing brilliantly well in advanced scientific disciplines all over the developed world. Cass, as you now know, was born and bred in the hills of Kandy with its most sacred Dalada Maligawa and picturesquely situated quaint temples in peaceful green valleys with the sound of evening pooja bells, joined by Kovil tinkles and Sunday sonorous Church gantara and the cry of the Muzeen. We never had a bali or thovil ceremony. If an inauspicious time descended on the village or a household, it was pirith chanted by Bhikkhus. So to Cass what has been happening very recently is even stranger than to those who have village cousins who dabble in mantra and kodivina with kattadiyas in action.

I refer here to the stupidly preposterous belief in Dhammika’s peniya as both a prophylactic and cure for pernicious Covid-19. Where is that charlatan veda – oops sorry- Kaliamma devala kapurala now? Safe with his ill-gotten gains, we suppose.

The latest voodoo story, but with such a tragic ending, is that of the 9-year-old Delgoda girl who suffered an emotional (rather than mental) aberration and was subject to exorcism by caning her mercilessly. The exorcist could not be a woman; she must certainly be a sadistic aberration herself. Can you believe that she applied oil on the girl and used the cane on her till the kid went unconscious? Was the cane an ordinary one? At first I could not believe the story read in the papers – how cane a person to death, but it was a child receiving the torture and who knows what sort of ‘weapon’ was used. The mother definitely must be punished more severely. Maternal love, even in the animal kingdom, will never allow harming an offspring, so how on earth did the mother watch all that caning. One shot would have torn Cass to the defence of her child, or for that matter any child, with talons extended and blood now not turned to milk as the Sinhala saying goes, but to vitriolic fury. The woman exorcist with supernatural powers and the mother are in police custody. Why doesn’t she do a Houdini and astound handsome Police high-up Ajit Rohana?

People claiming superhuman clairvoyance and divine power crop up everywhere. Cass accompanied a friend to consult a girl in the suburbs of Kandy to find out where her hub had ‘donated’ a fairly large sum of money. This girl had given clear directions to find a lost Persian cat to a third friend; hence the visit. She was a pretty, soft girl of around 18. Once Cass and the other entered the room, the girl changed, was in a near trance and speaking in an entirely different voice, pronounced the reason for seeking her help and said “Look for a man always dressed in long sleeves and thinning hair parted in the middle.” The friend was baffled and defeated by this long shot, but finally she met a man of this description – the father of a girl in her husband’s office. She did not ask for the money!

Such ‘powers’ are temporary; maybe like poltergeist manifestations in a teenager’s home. But going for cures to them is unthinkable. Buddhist bhikkhus and maybe bhikkhuunis, so also certain Christian priests (the bulk of lecherous Father Mathew intrudes here) do have powers of exorcism. A medical doctor is the best bet, in any case, including even mental upsets.

 

Short Takes

Imran Khan’s all too brief visit was a successful veni, vidi, vici in spite of being snubbed ungraciously over the address to Parliamentarians (what a weak, threadbare excuse was offered – C-19 precaution!) and missing out two of our cricket greats: Michael Tissera and Anura Tennakoon from the list of cricket folk to say Hi to the great Cricketer at lunch at Shangri La. What was the success apart from charming everyone and showing off what a Statesman can look like and carry himself off? Why – the Muslims of Sri Lanka conquered. Burial was theirs or so it seemed. But hold it, is it gazetted or is this ‘yes’ like the Prime Minister’s definite ‘can bury’ pronounced in Parliament and then brushed aside and explained by the Gaman as “he was merely expressing his thoughts.”

Main headline in The Island of Wednesday 3 March:” PCol report on Easter Sunday carnage: AG won’t be given ‘sensitive’ volumes.” Why on earth? Is it X-rated and the AG underage?

Picture on page I of same issue of Dr Rajitha Senaratne arriving at the Colombo High Court to appear in a case involving two persons who accused then Defence Secretary Gotabaya Rajapaksa of various crimes. We have long forgotten even a single word of what they said. They will not get off free is Cass’ bet unlike Aluthgamage, who emerged very recently from a court house free as a bird, accused of corruption, Cass recalls.

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