Features
Jaffna’s very own Irishman: Fr. Charles Henry Lytton OMI
By Avishka Mario Senewiratne
Early days of the Irish Oblate
Born on May 25, 1847, Charles Henry Lytton hailed from Dublin, Ireland. Little is known of his childhood and early days. However, it is known that his mother lived until 1893 and he had no less than seven sisters. He received his education from a College run by the Oblates of Mary Immaculate in Dublin. After choosing to be a priest, 22-year-old Lytton joined the Anglo-Irish Province of Oblates. He passed the Oblate Novitiate in Sicklingball, Yorkshire in 1869. On September 12, 1870, he made his First Profession of Vows in Belmont. A year later, he made his Final Profession of Vows in Autun, France.
From 1871 to 1875 he did his scholastic studies in Autun. He was ordained by Msgr. Adolphe Perraud, Bishop of Autun (a Cardinal after 1893), on May 15, 1875. After his ordination, Fr. Lytton travelled back to Dublin to visit his family. Learning that he was to leave for Ceylon, a distant island colonised by the British, his mother and sisters were shattered.
On the day of his departure, his sisters and mother guarded his room so that he would not leave. However, during the night he quietly came out of his room and bade farewell to his mother. When his sisters woke up the next morning, they ran to the shore only to see him on a boat to the steamer which was to leave for Ceylon. Later, when his mother wrote a letter asking him to visit them, he responded in a letter saying: “You and I are good Christians and we will meet each other in heaven.”. A few months later, he would set foot for the first time in Ceylon on September 27, 1875. This was to serve the Vicariate of Jaffna under Msgr. Christopher Bonjean OMI.
Tough Start in Jaffna
Young Fr. Lytton was not all too excited with what he saw in Ceylon. Jaffna was plagued by a smallpox and cholera epidemic which spread to every nook and corner of the Peninsula, causing unprecedented suffering and deaths. In a letter dated May 15, 1876, to Fr. Joseph Fabre, Msgr. Bonjean writes: “Fr. Lytton has been struck by an eruption called ring-worm impetigo, which gives him little sleep, affects his general health and his morale too. Up to now, he has hardly learnt any Tamil. I do not know what to think of him.” (Perniola, (2005), The Catholic Church in Sri Lanka: The British Period, Vicariates of Colombo and Jaffna, 1864-1878, Volume V, p. 575)
For centuries, Jaffna had been domiciled by people from South India. Their language was Tamil, which goes back to ancient times. Not knowing Tamil or having no interest in learning the language and yet trying to work in Jaffna was nothing but a grave error. Fr. Lytton failed to understand this as a young missionary. His relationship with Bishop Bonjean was soon marred by it. His lack of interest in missionary work, propelled by his illness, weakened him gradually.
Soon, he avoided meals and neglected his health. To make matters worse, he had fallen out of favour with Bishop Bonjean. By June 1876, Fr. Lytton who had hardly been in Ceylon for nine months, had opted to leave. Following are some extracts of a letter by Msgr. Bonjean to his Vicar General, Fr. Dominique Pulicani OMI: “Just now I have received another letter from Fr. Lytton, who has been reasonable and made up his mind to go away since he has concluded that he cannot exercise his ministry in this country… If this young man has fully made up his mind to leave us, I do not see what interest we might have to retain him.” (Ibid., p. 589)
In a letter dated July 14, 1876, Bp. Bonjean residing in the outskirts of Vanni wrote to Fr. Fabre: “One day in the presence of all the Fathers, I said I would test the two new priests on their knowledge of Tamil. Then Fr. Lytton replied, ‘We must live before we learn Tamil’… this Father was morally rather than physically ill. So, I called him a little later and, in the course of the conversation, he told me in a very decisive manner that he cannot live in Ceylon, that he cannot cope with the climate, the food, the people, the ministry. He recalled to me that he had told me at our very first interview, that he never had any vocation for the foreign missions, and still less for Ceylon and that before his departure told Your Paternity that he could not remain at all.” (Ibid., p. 597)
The above extract shows how much prejudice young Fr. Lytton had for Ceylon. He was one of the first Irish priests to arrive in Ceylon. He must have assumed that knowing English and French might be adequate in Ceylon. One must remember that Ireland and England had a rivalry for centuries. The Irish people were somewhat oppressed by the dominant English, in their neighbourhood and elsewhere. What was manifested in Fr. Lytton was what one would call the ‘prejudice of the oppressed’. This is quite understandable, yet by no means justifiable.
Though Bishop Bonjean seemed to have encouraged Lytton’s departure, Bishop Bonjean realised what the young priest was going through. As a result, Bonjean the firm administrator laid off his usual ways, came to Fr. Lytton as a paternal guide and instructed him gently to rectify his mistakes. He counselled him and encouraged him towards a spiritual life over temporal affairs.
Inspired by his Superior, Fr. Lytton radically changed his ways. Msgr. Bonjean asked Fr. Fabre to write to Fr. Lytton, encouraging him to get on with his ministry. In a letter dated December 11, 1876, to Fr. Fabre, Bp. Bonjean stated: “Fr. Lytton is all right. I have him entirely under my control and I hope that we’ll be able to record a complete and definitive victory.” (Ibid p. 616) By February 1877, Fr. Lytton was busy, seriously studying Tamil. In April, Bp. Bonjean stated the following to Fr. Fabre: “Fr. Lytton has overcome his difficulties; he begins to speak Tamil and this will enable him not to yield to discouragement as he did in the past.” (Ibid., p. 626)
Success in Jaffna
With time, Fr. Lytton was well accustomed to the people of Jaffna. Despite the weary plague continuing, he cherished working for the people. From his utter reluctance to work for those poor souls, he had within a few months converted to the extent that the people witnessed his work as a ‘veritable ministering angel’. Fr. Lytton initially served as the Parish Priest of Kayts and then Valigamam East (Tholagatty) from 1875 to 1882. In 1882, he was allowed to serve in a College. This was St. Patrick’s College, Jaffna. Started as Jaffna Catholic English School by Msgr. Orazio Bettacchini in 1850, St. Patrick’s College was renamed and managed by the Oblates in 1881 and Fr. John Smythe was appointed as the first Rector.
Fr. Lytton was able to successfully serve as a teacher and educator after years of work in missions. During this time, he was able to build a Catholic Library in Jaffna. Undoubtedly, working for a College was his forte. When Bonjean was appointed by Papal Decree to head the Southern Vicariate in 1883, he had to leave Jaffna along with a group of priests including Smythe. Hence, Fr. Lytton was appointed as the second Rector of St. Patrick’s College.
His brief tenure as Rector of St. Patrick’s was a very successful endeavour. Fr. Lytton advocated for elocution and music. It was said that during his time, the boys of St. Patrick’s spoke a ‘different English’ from those of any other school in Jaffna. ((Jesuthasan, Philip, (2001) op. cit., Volume 2, part 1, p. 168) He stressed the importance of discipline to both teachers and students alike. He was much appreciated for his ability in character building, tactfully solving the problems of the youth and ensuring that they attain downright manliness.
For these reasons, his workings have been labelled as the ‘Lytton tradition’ at St. Patrick’s College. (St. Patrick’s Annual, 1925, p. 88) However, in 1885, Fr. Lytton came into a certain conflict with the Government, regarding an issue connected with the examinations. This drastically resulted in a decline in his authoritative role as Rector. As the number of students plummeted to a mere 160 in 1886, his role became untenable. (Boudens, Robrecht OMI, (1979), Catholic Missionaries in a British Colony: Success and Failures in Ceylon 1796-1893, p. 157)
A true supporter of the people of Jaffna
Despite his unfortunate exit from St. Patrick’s, Fr. Lytton’s reputation did not decline for he, by then, was known to be a ‘people’s presbyter’. In 1887, his leadership and pragmatic skills were much in demand with yet another outbreak of cholera in the peninsula. This was more severe than the previous epidemic. To make matters worse, there was a shortage of medical practitioners and sanitary facilities were poor in Jaffna. Fr. Lytton and his confreres would perform the tasks of physician, nurse and overseer. Visiting the victims courageously, he administered to the sick and buried the dead. His genuine concern for the welfare of the suffering people spread across the region in no time. What was more heart-warming to learn was that he treated all those who were in need, irrespective of their faith. By the time the epidemic faded away, Fr. Lytton had won the hearts of his people.
For many years, he had noticed that the Jaffna peninsula was severely neglected when compared to the rest of the country and that it was overpopulated. Furthermore, though the Vanni area was blessed with water and rich soil, there were no toilets. Transportation through thick forests and narrow roads would severely dampen any kind of business activity. He realised that the people of the North were living a life far different from those of the South.
Studying these serious problems, Fr. Lytton was convinced that the creation of a railway line to the North, joining it to the South of the country, might solve the issues of the people of the North. Though the idea to build a Northern Railway line was the brainchild of Fr. Michael Murphy OMI who had agitated for it, his untimely death resulted in Fr. Lytton having to campaign solo. Convinced by his plausible theory, he interviewed several people and addressed the issue outspokenly in public (Martyn, John, (1923) Notes on Jaffna, Jaffna, pp. 237, 279)
Despite his indomitable will and imposing personality, he was not short of adversaries. Though his intention was honourable, some rejected it and ridiculed it as the ‘Railway to the Moon’. Fr. Lytton’s campaign to instigate the railway line started in the late 1880s. However, it would take no less than 15 years to see the work begin. Despite the opposition of powerful detractors, his resolve remained equally powerful. In 1891, Fr. Lytton was called to join the Archdiocese of Colombo. Archbishop Bonjean had planned to start a Catholic College and wanted no one else but Fr. Lytton to collaborate with him.
Fr. Lytton’s sense of loss over Jaffna was as difficult for him to bear as it was for the people of the peninsula. After a reluctant start as a missionary, he had toiled for 16 years in Jaffna, and by the time of his departure, ‘Fr. C.H. Lytton’ was a household name. A deputation of Catholics, Protestants, Hindus and Muslims in Jaffna went to meet Msgr. Andrew Melizan OMI, the Bishop of Jaffna, with a request to retain Fr. Lytton. Knowing that Bishop Melizan would not change his decision, they organised a demonstration in honour of Fr. Lytton at the Catholic Library. In a letter dated April 17, 1891, to Fr. L. Soullier OMI, Bishop Melizan writes the following:
“I think I have already mentioned to you that Mgr. Bonjean yielding to the obsessions of the inhabitants of Colombo, has decided to establish a College like the one of Jaffna.; for this, he has asked me for Fr. Lytton, to launch the enterprise. Though it costs me a good deal to lose such a priest, I have consented on condition that he replaces him with a good missionary.” (Perniola, (2009), The Catholic Church of Sri Lanka: The Diocese of Jaffna, 1887-1923, Volume 12, p. 50) The missionary who replaced Fr. Lytton in Jaffna was Fr. L.G. Farbos O.M.I.
When the hour of Fr. Lytton’s departure to Colombo came a great concourse of people, comprising all communities, escorted him to the steamer Lady Havelock. Though he was more involved with the affairs of starting St. Joseph’s in Colombo, once he befriended Sir Joseph West Ridgeway, he knew that the matter about the railway line could be achieved too. Furthermore, he readily received the support of John Ferguson, the Editor of the Ceylon Observer to publish his reasonable demands on the railway line.
When Fr. Lytton visited England, he directly approached Joseph Chamberlain, the Secretary of State to the Colonies and explained the significance of the railway line. A few years later, the first stage of the railway was completed but it was only in 1904 that the Jaffna railway line became a reality. When Sir Frederick Saunders visited Ceylon, he made one condition, namely that if he were to travel to the North by train, he should be accompanied by Fr. Lytton. And so, it was. The two of them were warmly welcomed and all were in high spirits. When Fr. Lytton first visited the Railway Station of Jaffna, the following address was made to honour him:
“A grateful people offer you a hearty welcome on the occasion of your first visit to Jaffna, after the opening of the Northern Railway. We missed you greatly when the first section of the Railway was opened in 1902, but we rejoice in the opportunity given now to congratulate you face-to-face on the greatest achievement of your life and to tell you how thankful we are for a boon we owe in the first instance to you. It was you that first conceived the idea of a Railway to Jaffna and it is you who was in the forefront of the battle, with the energy and persistence characteristic of your race, and you have had the satisfaction of proving that your scheme was no tantalising vision, and that was called a Railway to the Moon, was one of the most sensible things a government could do, to benefit a most deserving and loyal section of His Majesty’s subjects.
“Thanks to your unceasing efforts and the earnest sympathy and support of noble-hearted gentlemen, among whom Sir F.R. Saunders and the Hon. P. Ramanathan stand foremost, the isolated North has been brought near to the seat of the Government, the way opened for the development of the vast resources of the Vanni and a clear source of the profit shown to a diffident Government.” (Blue and White, (1925), Volume 21, p. 7)
Fr. C.H. Lytton’s work in Colombo was as successful as that of Jaffna. It was he who gathered a number of local benefactors to establish St. Joseph’s College and once funds were short, he went back to Europe. This was to find more benefactors as well as a quality set of teachers. This he did with great success and saw that the College would start on a high note in 1896.
After being the Vice-Rector of the College for 14 years, he served as Rector between 1910 and 1912. Though he lost a limb towards the end of his life he played an important role as the military chaplain of Colombo. It was he founded many workers’ movements and the St. Vincent de Paul Society in Colombo. In December 1924, Fr. Lytton passed away at 74, after nearly half a century in an island nation, he considered his own.
avishkamario@gmail.com
Features
Who Owns the Clock? The Quiet Politics of Time in Sri Lanka
(This is the 100th column of the Out of the Box series, which began on 6 September, 2023, at the invitation of this newspaper – Ed.)
A new year is an appropriate moment to pause, not for celebration, but to interrogate what our politics, policies, and public institutions have chosen to remember, forget, and repeat. We celebrate the dawn of another brand-new year. But whose calendar defines this moment?
We hang calendars on our walls and carry them in our phones, trusting them to keep our lives in order, meetings, exams, weddings, tax deadlines, pilgrimages. Yet calendars are anything but neutral. They are among humanity’s oldest instruments of power: tools that turn celestial rhythms into social rules and convert culture into governance. In Sri Lanka, where multiple traditions of time coexist, the calendar is not just a convenience, it is a contested terrain of identity, authority, and fairness.
Time is never just time
Every calendar expresses a political philosophy. Solar systems prioritise agricultural predictability and administrative stability; lunar systems preserve religious ritual even when seasons drift; lunisolar systems stitch both together, with intercalary months added to keep festivals in season while respecting the moon’s phases. Ancient India and China perfected this balancing act, proving that precision and meaning can coexist. Sri Lanka’s own rhythms, Vesak and Poson, Avurudu in April, Ramadan, Deepavali, sit inside this wider tradition.
What looks “technical” is actually social. A calendar decides when courts sit, when budgets reset, when harvests are planned, when children sit exams, when debts are due, and when communities celebrate. It says who gets to define “normal time,” and whose rhythms must adapt.
The colonial clock still ticks
Like many postcolonial societies, Sri Lanka inherited the Gregorian calendar as the default language of administration. January 1 is our “New Year” for financial statements, annual reports, contracts, fiscal plans, school terms, and parliamentary sittings, an imported date shaped by European liturgical cycles and temperate seasons rather than our monsoons or zodiac transitions. The lived heartbeat of the island, however, is Avurudu: tied to the sun’s movement into Mesha Rāshi, agricultural renewal, and shared rituals of restraint and generosity. The result is a quiet tension: the calendar of governance versus the calendar of lived culture.
This is not mere inconvenience; it is a subtle form of epistemic dominance. The administrative clock frames Gregorian time as “real,” while Sinhala, Tamil, and Islamic calendars are relegated to “cultural” exceptions. That framing shapes everything, from office leave norms to the pace at which development programmes expect communities to “comply”.
When calendars enforce authority
History reminds us that calendar reforms are rarely innocent. Julius Caesar’s reshaping of Rome’s calendar consolidated imperial power. Pope Gregory XIII’s reform aligned Christian ritual with solar accuracy while entrenching ecclesiastical authority. When Britain finally adopted the Gregorian system in 1752, the change erased 11 days and was imposed across its empire; colonial assemblies had little or no say. In that moment, time itself became a technology for governing distant subjects.
Sri Lanka knows this logic. The administrative layers built under colonial rule taught us to treat Gregorian dates as “official” and indigenous rhythms as “traditional.” Our contemporary fiscal deadlines, debt restructurings, even election cycles, now march to that imported drumbeat, often without asking how this timing sits with the island’s ecological and cultural cycles.
Development, deadlines and temporal violence
Modern governance is obsessed with deadlines: quarters, annual budgets, five-year plans, review missions. The assumption is that time is linear, uniform, and compressible. But a farmer in Anuradhapura and a rideshare driver in Colombo do not live in the same temporal reality. Monsoons, harvests, pilgrimage seasons, fasting cycles, school term transitions, these shape when people can comply with policy, pay taxes, attend trainings, or repay loans. When programmes ignore these rhythms, failure is framed as “noncompliance,” when in fact the calendar itself has misread society. This mismatch is a form of temporal violence: harm produced not by bad intentions, but by insensitive timing.
Consider microcredit repayment windows that peak during lean agricultural months, or school examinations scheduled without regard to Avurudu obligations. Disaster relief often runs on the donor’s quarterly clock rather than the community’s recovery pace. In each case, governance time disciplines lived time, and the least powerful bend the most.
Religious time vs administrative time
Sri Lanka’s plural religious landscape intensifies the calendar question. Buddhism, Hinduism, Islam, and Christianity relate to time differently: lunar cycles, solar markers, sacred anniversaries. The state acknowledges these mainly as public holidays, rather than integrating their deeper temporal logic into planning. Vesak is a day off, not a rhythm of reflection and restraint; Ramadan is accommodated as schedule disruption, not as a month that reorganises energy, sleep, and work patterns; Avurudu is celebrated culturally but remains administratively marginal. The hidden assumption is that “real work” happens on the Gregorian clock; culture is decorative. That assumption deserves challenge.
The wisdom in complexity
Precolonial South and East Asian calendars were not confused compromises. They were sophisticated integrations of astronomy, agriculture, and ritual life, adding intercalary months precisely to keep festivals aligned with the seasons, and using lunar mansions (nakshatra) to mark auspicious thresholds. This plural logic admits that societies live on multiple cycles at once. Administrative convenience won with the Gregorian system, but at a cost: months that no longer relate to the moon (even though “month” comes from “moon”), and a yearstart with no intrinsic astronomical significance for our context.
Towards temporal pluralism
The solution is not to abandon the Gregorian calendar. Global coordination, trade, aviation, science, requires shared reference points. But ‘shared’ does not mean uncritical. Sri Lanka can lead by modelling temporal pluralism: a policy posture that recognises different ways of organising time as legitimate, and integrates them thoughtfully into governance.
Why timing is justice
In an age of economic adjustment and climate volatility, time becomes a question of justice: Whose rhythms does the state respect? Whose deadlines dominate? Whose festivals shape planning, and whose are treated as interruptions? The more governance assumes a single, imported tempo, the wider the gap between the citizens and the state. Conversely, when policy listens to local calendars, legitimacy grows, as does efficacy. People comply more when the schedule makes sense in their lives.
Reclaiming time without romanticism
This is not nostalgia. It is a pragmatic recognition that societies live on multiple cycles: ecological, economic, ritual, familial. Good policy stitches these cycles into a workable fabric. Poor policy flattens them into a grid and then blames citizens for falling through the squares.
Sri Lanka’s temporal landscape, Avurudu’s thresholds, lunar fasts, monsoon pulses, exam seasons, budget cycles, is rich, not chaotic. The task before us is translation: making administrative time converse respectfully with cultural time. We don’t need to slow down; we need to sync differently.
The last word
When British subjects woke to find 11 days erased in 1752, they learned that time could be rearranged by distant power. Our lesson, centuries later, is the opposite: time can be rearranged by near power, by a state that chooses to listen.
Calendars shape memory, expectation, discipline, and hope. If Sri Lanka can reimagine the governance of time, without abandoning global coordination, we might recover something profound: a calendar that measures not just hours but meaning. That would be a reform worthy of our island’s wisdom.
(The writer, a senior Chartered Accountant and professional banker, is Professor at SLIIT, Malabe. The views and opinions expressed in this article are personal.)
Features
Medicinal drugs for Sri Lanka:The science of safety beyond rhetoric
The recent wave of pharmaceutical tragedies in Sri Lanka, as well as some others that have occurred regularly in the past, has exposed a terrifying reality: our medicine cabinets have become a frontline of risk and potential danger. In recent months, the silent sanctuary of Sri Lanka’s healthcare system has been shattered by a series of tragic, preventable deaths. The common denominator in these tragedies has been a failure in the most basic promise of medicine: that it will heal, not harm. This issue is entirely contrary to the immortal writings of the Father of Medicine, Hippocrates of the island of Kos, who wrote, “Primum non nocere,” which translates classically from Latin as “First do no harm.” The question of the safety of medicinal drugs is, at present, a real dilemma for those of us who, by virtue of our vocation, need to use them to help our patients.
For a nation that imports the vast majority of its medicinal drugs, largely from regional hubs like India, Pakistan, and Bangladesh, the promise of healing is only as strong as the laboratory that verifies these very same medicinal drugs. To prevent further problems, and even loss of lives, we must demand a world-class laboratory infrastructure that operates on science, not just sentiment. We desperately need a total overhaul of our pharmaceutical quality assurance architecture.
The detailed anatomy of a national drug testing facility is not merely a government office. It is a high-precision fortress. To meet international standards like ISO/IEC 17025 and World Health Organisation (WHO) Good Practices for Pharmaceutical Quality Control Laboratories, such a high-quality laboratory must be zoned into specialised units, each designed to catch a different type of failure.
* The Physicochemical Unit: This is where the chemical identity of a drug is confirmed. Using High-Performance Liquid Chromatography (HPLC) and Gas Chromatography-Mass Spectrometry (GC-MS), scientists determine if a “500mg” tablet actually contains 500mg of the active ingredient or if it is filled with useless chalk.
* The Microbiology Suite: This is the most critical area for preventing “injection deaths.” It requires an ISO Class 5 Cleanroom: sterile environments where air is filtered to remove every microscopic particle. Here, technicians perform Sterility Testing to ensure no bacteria or fungi are present in medicines that have to be injected.
* The Instrumentation Wing: Modern testing requires Atomic Absorption Spectrometers to detect heavy metal contaminants (like lead or arsenic) and Stability Chambers to see how drugs react to Sri Lanka’s high humidity.
* The injectable drug contamination is a serious challenge. The most recent fatalities in our hospitals were linked to Intravenous (IV) preparations. When a drug is injected directly into the bloodstream, there is no margin for error. A proper national laboratory must conduct two non-negotiable tests:
* Bacterial Endotoxin Testing (BET): Even if a drug is “sterile” (all bacteria are dead), the dead bacteria leave behind toxic cell wall products called endotoxins. If injected, these residual compounds cause “Pyrogenic Reactions” with violent fevers, organ failure, and death. A functional lab must use the Limulus Amoebocyte Lysate (LAL) test to detect these toxins at the parts-per-billion level.
* Particulate Matter Analysis: Using laser obscuration, labs must verify that no microscopic shards of glass or plastic are floating in the vials. These can cause fatal blood clots or embolisms in the lungs.
It is absolutely vital to assess whether the medicine is available in the preparation in the prescribed amounts and whether it is active and is likely to work. This is Bioavailability. Sri Lanka’s heavy reliance on “generic” imports raises a critical question: Is the cheaper version from abroad as effective as the original, more expensive branded formulation? This is determined by Bioavailability (BA) and Bioequivalence (BE) studies.
A drug might have the right chemical formula, but if it does not dissolve properly in the stomach or reach the blood at the right speed, it is therapeutically useless. Bioavailability measures the rate and extent to which the active ingredient is absorbed into the bloodstream. If a cheaper generic drug is not “bioequivalent” to the original brand-named version, the patient is essentially taking a useless placebo. For patients with heart disease or epilepsy, even a 10% difference in bioavailability can lead to treatment failure. A proper national system must include a facility to conduct these studies, ensuring that every generic drug imported is a true “therapeutic equivalent” to the brand-named original.
As far as testing goes, the current testing philosophy is best described as Reactive, rather than Proactive. The current Sri Lankan system is “reactive”: we test a drug only after a patient has already suffered. This is a proven recipe for disaster. To protect the public, we must shift to a Proactive Surveillance Model of testing ALL drugs at many stages of their dispensing.
* Pre-Marketing Approval: No drug should reach a hospital shelf without “Batch Release” testing. Currently, we often accept the manufacturer’s own certificate of analysis, which is essentially like allowing students to grade their own examination answers.
* Random Post-Marketing Surveillance (PMS): Regulatory inspectors must have the power to walk into any rural pharmacy or state hospital, pick a box of medicine at random, and send it to the lab. This could even catch “substandard” drugs that may have degraded during shipping or storage in our tropical heat. PMS is the Final Safety Net. Even the best laboratories cannot catch every defect. Post-Marketing Surveillance is the ongoing monitoring of a drug’s safety after it has been released to the public. It clearly is the Gold Standard.
* Pharmacovigilance: A robust digital system where every “Adverse Drug Reaction” (ADR) is logged in a national database.
* Signal Detection: An example of this is if three hospitals in different provinces report a slight rash from the same batch of an antibiotic, the system should automatically “flag” that batch for immediate recall before a more severe, unfortunate event takes place.
* Testing for Contaminants: Beyond the active ingredients, we must test for excipient purity. In some global cases, cheaper “glycerin” used in syrups was contaminated with diethylene glycol, a deadly poison. A modern lab must have the technology to screen for these hidden killers.
When one considers the Human Element, Competence and Integrity, the very best equipment in the world is useless without the human capital to run it. A national lab would need the following:
* Highly Trained Pharmacologists and Microbiologists and all grades of staff who are compensated well enough to be immune to the “lobbying” of powerful external agencies.
* Digital Transparency: A database accessible to the public, where any citizen can enter a batch number from their medicine box and see the lab results.
Once a proper system is put in place, we need to assess as to how our facilities measure up against the WHO’s “Model Quality Assurance System.” That will ensure maintenance of internationally recognised standards. The confirmed unfavourable results of any testing procedure, if any, should lead to a very prompt “Blacklist” Initiative, which can be used to legally bar failing manufacturers from future tenders. Such an endeavour would help to keep all drug manufacturers and importers on their toes at all times.
This author believes that this article is based on the premise that the cost of silence by the medical profession would be catastrophic. Quality assurance of medicinal compounds is not an “extra” cost. It is a fundamental right of every Sri Lankan citizen, which is not at all subject to any kind of negotiation. Until our testing facilities match the sophistication of the manufacturers we buy from, we are not just importing medicine; we are importing potential risk.
The promises made by the powers-that-be to “update” the testing laboratories will remain as a rather familiar, unreliable, political theatre until we see a committed budget for mass spectrometry, cleanroom certifications, highly trained and committed staff and a fleet of independent inspectors. Quality control of therapeutic medicines is not a luxury; it is the price to be paid for a portal of entry into a civilised and intensively safe healthcare system. Every time we delay the construction of a comprehensive, proactive testing infrastructure, we are playing a game of Russian Roulette with the lives of our people.
The science is available, and the necessary technology exists. What is missing is the political will to put patient safety as the premier deciding criterion. The time for hollow rhetoric has passed, and the time for a scientifically fortified, transparent, and proactive regulatory mechanism is right now. The good health of all Sri Lankans, as well as even their lives, depend on it.
Dr B. J. C. Perera
MBBS(Cey), DCH(Cey), DCH(Eng), MD(Paediatrics), MRCP(UK), FRCP(Edin), FRCP(Lond), FRCPCH(UK), FSLCPaed, FCCP, Hony. FRCPCH(UK), Hony. FCGP(SL)
Specialist Consultant Paediatrician and Honorary Senior Fellow, Postgraduate Institute of Medicine, University of Colombo, Sri Lanka.
Joint Editor, Sri Lanka Journal of Child Health
Section Editor, Ceylon Medical Journal
Features
Rebuilding Sri Lanka Through Inclusive Governance
In the immediate aftermath of Cyclone Ditwah, the government has moved swiftly to establish a Presidential Task Force for Rebuilding Sri Lanka with a core committee to assess requirements, set priorities, allocate resources and raise and disburse funds. Public reaction, however, has focused on the committee’s problematic composition. All eleven committee members are men, and all non-government seats are held by business personalities with no known expertise in complex national development projects, disaster management and addressing the needs of vulnerable populations. They belong to the top echelon of Sri Lanka’s private sector which has been making extraordinary profits. The government has been urged by civil society groups to reconsider the role and purpose of this task force and reconstitute it to be more representative of the country and its multiple needs.
The group of high-powered businessmen initially appointed might greatly help mobilise funds from corporates and international donors, but this group may be ill equipped to determine priorities and oversee disbursement and spending. It would be necessary to separate fundraising, fund oversight and spending prioritisation, given the different capabilities and considerations required for each. International experience in post disaster recovery shows that inclusive and representative structures are more likely to produce outcomes that are equitable, efficient and publicly accepted. Civil society, for instance, brings knowledge rooted in communities, experience in working with vulnerable groups and a capacity to question assumptions that may otherwise go unchallenged.
A positive and important development is that the government has been responsive to these criticisms and has invited at least one civil society representative to join the Rebuilding Sri Lanka committee. This decision deserves to be taken seriously and responded to positively by civil society which needs to call for more representation rather than a single representative. Such a demand would reflect an understanding that rebuilding after a national disaster cannot be undertaken by the state and the business community alone. The inclusion of civil society will strengthen transparency and public confidence, particularly at a moment when trust in institutions remains fragile. While one appointment does not in itself ensure inclusive governance, it opens the door to a more participatory approach that needs to be expanded and institutionalised.
Costly Exclusions
Going down the road of history, the absence of inclusion in government policymaking has cost the country dearly. The exclusion of others, not of one’s own community or political party, started at the very dawn of Independence in 1948. The Father of the Nation, D S Senanayake, led his government to exclude the Malaiyaha Tamil community by depriving them of their citizenship rights. Eight years later, in 1956, the Oxford educated S W R D Bandaranaike effectively excluded the Tamil speaking people from the government by making Sinhala the sole official language. These early decisions normalised exclusion as a tool of governance rather than accommodation and paved the way for seven decades of political conflict and three decades of internal war.
Exclusion has also taken place virulently on a political party basis. Both of Sri Lanka’s post Independence constitutions were decided on by the government alone. The opposition political parties voted against the new constitutions of 1972 and 1977 because they had been excluded from participating in their design. The proposals they had made were not accepted. The basic law of the country was never forged by consensus. This legacy continues to shape adversarial politics and institutional fragility. The exclusion of other communities and political parties from decision making has led to frequent reversals of government policy. Whether in education or economic regulation or foreign policy, what one government has done the successor government has undone.
Sri Lanka’s poor performance in securing the foreign investment necessary for rapid economic growth can be attributed to this factor in the main. Policy instability is not simply an economic problem but a political one rooted in narrow ownership of power. In 2022, when the people went on to the streets to protest against the government and caused it to fall, they demanded system change in which their primary focus was corruption, which had reached very high levels both literally and figuratively. The focus on corruption, as being done by the government at present, has two beneficial impacts for the government. The first is that it ensures that a minimum of resources will be wasted so that the maximum may be used for the people’s welfare.
Second Benefit
The second benefit is that by focusing on the crime of corruption, the government can disable many leaders in the opposition. The more opposition leaders who are behind bars on charges of corruption, the less competition the government faces. Yet these gains do not substitute for the deeper requirement of inclusive governance. The present government seems to have identified corruption as the problem it will emphasise. However, reducing or eliminating corruption by itself is not going to lead to rapid economic development. Corruption is not the sole reason for the absence of economic growth. The most important factor in rapid economic growth is to have government policies that are not reversed every time a new government comes to power.
For Sri Lanka to make the transition to self-sustaining and rapid economic development, it is necessary that the economic policies followed today are not reversed tomorrow. The best way to ensure continuity of policy is to be inclusive in governance. Instead of excluding those in the opposition, the mainstream opposition in particular needs to be included. In terms of system change, the government has scored high with regard to corruption. There is a general feeling that corruption in the country is much reduced compared to the past. However, with regard to inclusion the government needs to demonstrate more commitment. This was evident in the initial choice of cabinet ministers, who were nearly all men from the majority ethnic community. Important committees it formed, including the Presidential Task Force for a Clean Sri Lanka and the Rebuilding Sri Lanka Task Force, also failed at first to reflect the diversity of the country.
In a multi ethnic and multi religious society like Sri Lanka, inclusivity is not merely symbolic. It is essential for addressing diverse perspectives and fostering mutual understanding. It is important to have members of the Tamil, Muslim and other minority communities, and women who are 52 percent of the population, appointed to important decision making bodies, especially those tasked with national recovery. Without such representation, the risk is that the very communities most affected by the crisis will remain unheard, and old grievances will be reproduced in new forms. The invitation extended to civil society to participate in the Rebuilding Sri Lanka Task Force is an important beginning. Whether it becomes a turning point will depend on whether the government chooses to make inclusion a principle of governance rather than treat it as a show of concession made under pressure.
by Jehan Perera
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