Connect with us

Features

Lankan WHO Covid envoy extols SL’s ‘bounce back’ capacity and established public health system

Published

on

Dr. Palitha Abeykoon, former Director, Health Systems Development, WHO South-East Asia Regional Office and Senior Advisor to the Sri Lankan Ministry of Health, was recently named the WHO Director General’s Special Envoy to facilitate the COVID-19 response in Southeast Asia.

Counting many years at the WHO, Abeykoon served as the advisor in human resources for health in Nepal where he helped to set up the Institute of Medicine, the country’s first medical school, and later in Indonesia to establish the Consortium of Health Sciences and five new schools of public health. He also worked as the WHO South-East Asia Regional Advisor on Human Resources for Health and later was appointed the Director of Health Systems Development. He also served as the WHO Representative to India and led India’s polio eradication effort. He has published widely in many international health journals.

In an interview with Randima Attygalle, the respected senior professional who has long been a building bridges of goodwill in the regional health sector, discusses the road-map for the fight the pandemic in which health security and sustaining livelihoods cannot be undermined.

 

Q : What advantages do you think your appointment gives the Sri Lankan health sector and the region?

A: For the past one year, I have been working closely with the WHO, with the Ministry of Health and different groups in the country. I believe my present appointment will help me give further thrust to this engagement and extend it to the highest level, to the WHO Direct General’s and Regional Director’s offices, and also to bring messages down to the local level. This way I hope I could be even more relevant and useful.

As a Sri Lankan who has worked extensively in the region coupled with my experience in the local public health sector, I believe I’ll be able to add value not only to our own setting but to the other countries in the region in a number of ways.

 

Q: What is your mandate?

A: Our Region has a 2.4 billion people and I will try to do justice to their priorities. The Director-General has appointed six Special Envoys on COVID-19, to provide strategic advice and high-level political advocacy and engagement in different parts of the world. The Special Envoys work in close collaboration with WHO Regional Directors and WHO country offices to coordinate the global response to COVID-19.

In coordinating this response, one of the key responsibilities is to promote health security and to take the WHO DG’s messages to stakeholders in the government, the private sector and most importantly to the communities and individuals. The envoys also have to help ensure that the WHO guidelines are implemented correctly. We have weekly meetings with the WHO Chief and his technical staff on COVID-19 where we discuss pandemic-related common regional issues.

The DG strongly believes that we could be strong ‘supplementary voices’ for our respective regions, to be able to communicate fast with him and take his voice downstream as quickly as possible because of the contacts we have already made over the years and are expected to make in the short term.

 

Q: As a health professional who had held many international positions and steered several health projects in the region, do you think your latest appointment is more challenging than those of the past?

A: Every situation where you have to work with large groups of people has its own challenges; but the main difference between what I did then and this position is I suppose the fact that those days I was working within the WHO, in an established system and a structure. Therefore the responsibilities were according to a plan with agreed outcomes which we made with the different countries.

But what we are going through now is a pandemic with a spectrum of issues and a high level of unpredictability. This is a complete novel situation we have to grapple with. It has affected the entire world, and ever since the pandemic broke a year ago, we have been learning something new every day. We continue to learn about the virus, how it circulates, its changing nature, new management strategies both in terms of the preventive and clinical aspects of management. Yet, we do not know enough.

Now we have the new dimension of the vaccine. Nowhere in our history did we have a situation where a new vaccine was developed with the strictest of controls to the stage of administration in just one year. It is an amazing scientific achievement! There is considerable hope with the advent of the vaccine although it is not going to solve all the problems immediately. Thus, there are many challenges and my role would be to facilitate the overall system development.

 

Q: What are the immediate concerns of the Special Envoys in terms of COVID-response?

A: Right now we have three main concerns. We are looking at how best to make COVID vaccines equitably distributed because we have a serious problem where all rich countries seem to be purchasing all the vaccines produced, leaving very little for the poor countries. This is a sad story. In fact two days ago the Director General referred to this as a “catastrophic moral failure”.

Up to now, 50 countries in the world including India have started immunization and 70 – 80 million doses have been administered to their people. One of the things we are supposed to do is to work with regional bodies and the manufacturing countries to advocate that all countries get at least part of the vaccines produced in an equitable manner. Otherwise there will be health problems and also political issues when one section of the world is deprived of a vaccine with the other part grabbing it all.

Many countries have entered into bilateral agreements with manufacturing countries. Sri Lanka as well as some other countries in the region such as the Maldives, Bhutan and Bangladesh have also entered into such agreements with India. Some other countries have bilateral agreements with manufacturers to buy vaccine stocks. For example, Myanmar has an agreement with the Serum Institute of India which is licensed to manufacture the Oxford AstraZeneca vaccine (named Covishield) in India. The Institute by itself cannot sell outside India, and hence we have entered into an agreement at an official protocol level.

 

Q: Sri Lankans are anxiously awaiting the arrival of a vaccine. Where do we stand right now in terms of our preparedness to import an effective vaccine and when can such a vaccine be expected to arrive here?

A: The GAVI Alliance (The Global Alliance for Vaccinations and Immunization) which is a global health partnership of public and private sector organizations dedicated to ‘immunization for all’, has developed a facility called COVAX. It is co-led by the WHO and the Coalition for Epidemic Preparedness Innovations (CEPI) and aims to accelerate the development and manufacture of COVID-19 vaccines, and to guarantee fair and equitable access for every country in the world.

At the moment COVAX has been able to procure about two billion doses and by the end of this month they may be able to raise it to three billion doses. The COVAX facility will give vaccines to the poorer countries free of charge. We are likely to get enough to vaccinate about 20% of the population, prioritizing the front-line health workers and the other most vulnerable segments in society including the elderly and those with chronic illnesses.

But all of the four million doses will not come immediately or in bulk. It will come in batches and by end February we may receive the first supply of a COVAX vaccine. Through the rest of the year we may able to get the balance depending on the availability of the vaccine supply. The vaccines through the COVAX facility are likely to be the Pfizer vaccine and the Oxford- AstraZeneca vaccine, which may come through the Serum Institute of India or another facility.

 

Q: Do we have adequate cold chain facilities here at home to store the vaccines?

A: Yes we do. Only the Pfizer Vaccine requires storage facility of minus 70 C. Even for that we have identified sufficient storage space and necessary logistics.

 

Q: What does WHO feel about Sri Lanka’s preparedness and response efforts and what key areas should be strengthened to face the COVID threat in months to come?

A: There are several pillars on which the drive to fight a pandemic rest: the leadership, technical, behavioural, and management. Sri Lanka generally speaking, has handled all these pillars reasonably well.

Our sound public health system which is time tested and had faced epidemics has been applauded. It is a system which is primed to face emergencies and disasters. Secondly, we are also fortunate to have good leadership at multiple levels and tiers. We have used probably the best scientific evidence that a pandemic of this scale requires.

Thirdly, we have had a lockdown at the initial stages which some believed to be ‘too harsh’. But the idea of a lockdown at the onset of an epidemic is to suppress the virus. The suppression also meant time to strengthen the health system so that in the event of an upsurge, the system is well geared to cope. We did that reasonably well – detecting, isolating, quarantining and at the same time strengthening the health system by expanding the bed capacity, ICUs etc.

The success of a good public health system involves the input of multiple professionals and a scientific approach. On the whole, our response to the crisis has been driven by and large by science and evidence. Sri Lanka has one of the best track records with regard to immunization and I am sure we will be able to organize the vaccination programme very well.

Another attribute similar to Thailand, which also has done well, is that we also adopted ‘a whole of society’ approach. This means all groups came together- the government, professional bodies, the private sector, academics etc. in countering the crisis. It is largely the countries which did not have this ‘whole of society’ approach, among them developed countries such as the US, which suffered notably.

In general our people’s behaviour, with the exception of a small segment, had also been good during the pandemic. We also need to applaud our people for sacrificing some of the most important religious and cultural events of their calendar, irrespective of the faith, to protect one another.

Having said that, it is inevitable that sometimes complacency creeps in when the public is too confident. This contributed to the second wave but with the lessons learnt, we should be able to prevent a large third surge.

In terms of strengthening our system, we need to give more teeth to the proven interventions we already have in place and bridge the gaps. There could be better communication among multiple stakeholders. Now we generate a lot of data through various platforms and agencies. This includes clinical data, epidemiology data, laboratory data etc. We need to collate all this data better and redesign a data-driven campaign. This could help us further fine-tune our surveillance mechanism. In that case we need not block large areas of population. We also need to bring in more technology to move forward.

The other crucial need of the hour is to look after our frontline health workers. A good number of them are fatigued and they also face the threat of infection. We should not allow a ‘burn out syndrome’ to creep into our health sector. This has to be managed well. I think the forces cadres are handling their systems well. We need to take good care of those who take care of us in the best possible manner and make them feel that they are valued and respected as an integral part of our COVID management mechanism.

 

Q: What is the immediate forecast of the WHO and their advice in moving forward in this new normalcy?

A: Generally speaking the vaccine will be a game changer but certainly not short-term in the next three or six months. Countries will have to adopt the same measures they have been adopting stringently over the past year- the fundamentals such as wearing masks, regular washing of hands, social distancing etc.

The WHO also urges vigilance to prevent another cycle because what might happen then is that the capacity of the health system can get overwhelmed. Why countries like America and European countries got into trouble was because this surge came quite fast at a time when their health systems were not resilient enough. Once that happens the game changes very quickly.

We have to make sure that we do not create any situation which would lead to another wave. Preventing super-spread events where large numbers of people get together is crucial. This is going to be a difficult year; however if we manage this year well, we should be on the path to recovery.

When you tighten the controls by locking down and isolating areas, naturally there are spillover effects on the economy and education of children. Like most other governments we too need to be mindful of these two crucial factors. So now we have the issue of balancing: how do we save and protect lives as well as livelihoods? This is going to be the biggest challenge.

Good communication which will contribute to the desired behaviour of people is important because it is essentially the behaviour of people that is going to make or break the next six months of the epidemic. We have to make sure that people take ownership of the situation, empower the communities to take responsibility – this is the challenge from now on.

 

Q: There is a serious issue of COVID myths vs Scientific Facts. What is the role of the health sector in disseminating correct information to the public and also the role of media in this regard?

The pandemic response has to be driven by science. The role of the health sector in sharing correct information is crucial and the role of mass media in disseminating that knowledge in an acceptable and an ethical way becomes equally important. Media has to be conscious of conveying credible information without sensationalizing. Their reports must be interesting and factual. This approach may not be attractive to some media organizations, but that, and certainly not controversy, is the need of the hour.

Education per se does not necessarily make people rational; we cannot stop everyone from subscribing to non-scientific measures. In any setting there will be pockets believing in myths. Sometimes, out of desperation, people are driven to such trappings. Hence the responsibility of media and the health system is not to spur the public to subordinate essentials with such behaviour. Media cannot afford to create a false sense of security by encouraging people to displace well known scientifically established facts with unproven phenomena.

 

Q: What are your proposals to the Health Ministry and other local stakeholders in strengthening access to correct information on the pandemic with necessary transparency?

A: It is ideal if we have one designated ‘face’ as a national spokesperson for COVID-19 as in the case of Thailand. This can avoid confusion and contradictions. We could have one designated person or a panel of people who speak the same language in this regard.

It is also important for the Health officials to give more time to the media. Both print and electronic media should also have designated journalists trained in this subject, so that there are specialists who can produce a balanced report.

 

Q: From the lessons learnt during the pandemic, how can our health sector be strengthened to face future catastrophes?

A: Most importantly, we have to make certain that our healthy security is strengthened with strong and resilient public health systems that can prevent, detect, and respond to infectious disease threats, wherever they occur in the world. According to the ‘Swiss cheese model’, in a complex system, hazards are prevented from causing harm by a series of barriers. Each barrier has unintended weaknesses, or holes – hence the comparison to Swiss cheese and this term is frequently used by patient safety professionals.

The prime subjects of health security should be the most vulnerable groups such as those with chronic illnesses, the elderly and the disabled. Health security should also pay attention to nutrition, that the children are immunized even in times of epidemics or pandemics and that pregnant women have access to anti-natal care.

Moreover, international Health Regulations articulate certain obligations of a nation. One key regulation is the immediate notification to the WHO at the first sign of any infection, particularly, those diseases which can be transmitted to humans by animals. This is why there is a controversy surrounding Wuhan where the first case of COVID-19 was reported. WHO investigations are being carried out to determine if there was any lapse in this regard by the Chinese officials. Within the WHO system there are ‘incident managers’ for immediate referrals of this nature.

 

Q: What do you think are the inherent ‘Sri Lankan strengths’ as a nation in fighting this pandemic from a cultural and a social perspective?

A: We can take shocks and bounce out of shocks. This has become part of our nation’s DNA. Our people are generally helpful and in a crisis all pull together. This level of mutual help and support, we may not see in many countries. Also our health literacy is very good. We also have a strong history of volunteerism. We donate eyes, blood, kidneys etc. more than in many parts of the world. We are one of the very few countries in the world with a 100% voluntary blood donation service. We are still very much an altruistic nation, a major plus which we should sustain.



Continue Reading
Click to comment

Leave a Reply

Your email address will not be published. Required fields are marked *

Features

Humanitarian leadership in a time of war

Published

on

Sri Lanka Navy rescuing survivors of the US torpedo attack on IRIS Dena last week

There has been a rare consensus of opinion in the country that the government’s humanitarian response to the sinking of Iran’s naval ship IRIS Dena was the correct one. The support has spanned the party political spectrum and different sections of society. Social media commentary, statements by political parties and discussion in mainstream media have all largely taken the position that Sri Lanka acted in accordance with humanitarian principles and international law. In a period when public debate in Sri Lanka is often sharply divided, the sense of agreement on this issue is noteworthy and reflects positively on the ethos and culture of a society that cares for those in distress. A similar phenomenon was to be witnessed in the rallying of people of all ethnicities and backgrounds to help those affected by the Ditwah Cyclone in December last year.

The events that led to this situation unfolded with dramatic speed. In the early hours before sunrise the Dina made a distress call. The ship was one of three Iranian naval vessels that had taken part in a naval gathering organised by India in which more than 70 countries had participated, including Sri Lanka. Naval gatherings of this nature are intended to foster professional exchange, confidence building and goodwill between navies. They are also governed by strict protocols regarding armaments and conduct.

When the exhibition ended open war between the United States and Iran had not yet broken out. The three Iranian ships that participated in the exhibition left the Indian port and headed into international waters on their journey back home. Under the protocol governing such gatherings ships may not be equipped with offensive armaments. This left them particularly vulnerable once the regional situation changed dramatically, though the US Indo-Pacific Command insists the ship was armed. The sudden outbreak of war between the United States and Iran would have alerted the Iranian ships that they were sailing into danger. According to reports, they sought safe harbour and requested docking in Sri Lanka’s ports but before the Sri Lankan government could respond the Dena was fatally hit by a torpedo.

International Law

The sinking of the Dena occurred just outside Sri Lanka’s territorial waters. Whatever decision the Sri Lankan government made at this time was bound to be fraught with consequence. The war that is currently being fought in the Middle East is a no-holds-barred one in which more than 15 countries have come under attack. Now the sinking of the Dena so close to Sri Lanka’s maritime boundary has meant that the war has come to the very shores of the country. In times of war emotions run high on all sides and perceptions of friend and enemy can easily become distorted. Parties involved in the conflict tend to gravitate to the position that “those who are not with us are against us.” Such a mindset leaves little room for neutrality or humanitarian discretion.

In such situations countries that are not directly involved in the conflict may wish to remain outside it by avoiding engagement. Foreign Minister Vijitha Herath informed the international media that Sri Lanka’s response to the present crisis was rooted in humanitarian principles, international law and the United Nations. The Convention on the Law of the Sea (UNCLOS) which was adopted 1982 provides the legal framework governing maritime conduct and obliges states to render assistance to persons in distress at sea. In terms of UNCLOS, countries are required to render help to anyone facing danger in maritime waters regardless of nationality or the circumstances that led to the emergency. Sri Lanka’s response to the distress call therefore reflects both humanitarianism and adherence to international law.

Within a short period of receiving the distress message from the stricken Iranian warship the Sri Lankan government sent its navy to the rescue. They rescued more than thirty Iranian sailors who had survived the attack and were struggling in the water. The rescue operation also brought to Sri Lanka the bodies of those who had perished when their ship sank. The scale of the humanitarian challenge is significant. Sri Lanka now has custody of more than eighty bodies of sailors who lost their lives in the sinking of the Dena. In addition, a second Iranian naval ship IRINS Bushehr with more than two hundred sailors has come under Sri Lanka’s protection. The government therefore finds itself responsible for survivors but also for the dignified treatment of the bodies of the dead Iranian sailors.

Sri Lanka’s decision to render aid based on humanitarian principles, not political allegiance, reinforces the importance of a rules-based international order for all countries. Reliance on international law is particularly important for small countries like Sri Lanka that lack the power to defend themselves against larger actors. For such countries a rules-based international order provides at least a measure of protection by ensuring that all states operate within a framework of agreed norms. Sri Lanka itself has played a notable role in promoting such norms. In 1971 the United Nations General Assembly adopted a resolution declaring the Indian Ocean a Zone of Peace. The initiative for this proposal came from Sri Lanka, which argued that the Indian Ocean should be protected from great power rivalry and militarisation.

Moral Beacon

Unfortunately, the current global climate suggests that the rules-based order is barely operative. Conflicts in different parts of the world have increasingly shown disregard for the norms and institutions that were created in the aftermath of the Second World War to regulate international behaviour. In such circumstances it becomes even more important for smaller countries to demonstrate their commitment to international law and to convert the bigger countries to adopt more humane and universal thinking. The humanitarian response to the Iranian sailors therefore needs to be seen in this wider context. By acting swiftly to rescue those in distress and by affirming that its actions are guided by international law, Sri Lanka has enhanced its reputation as a small country that values peace, humane values, cooperation and the rule of law. It would be a relief to the Sri Lankan government that earlier communications that the US government was urging Sri Lanka not to repatriate the Iranian sailors has been modified to the US publicly acknowledging the applicability of international law to what Sri Lanka does.

The country’s own experience of internal conflict has shaped public consciousness in important ways. Sri Lanka endured a violent internal war that lasted nearly three decades. During that period questions relating to the treatment of combatants, the protection of civilians, missing persons and accountability became central issues. As a result, Sri Lankans today are familiar with the provisions of international law that deal with war crimes, the treatment of wounded or disabled combatants and the fate of those who go missing in conflict. The country continues to host an international presence in the form of UN agencies and the ICRC that work with the government on humanitarian and post conflict issues. The government needs to apply the same principled commitment of humanitarianism and the rule of law to the unresolved issues from Sri Lanka’s own civil war, including accountability and reconciliation.

By affirming humanitarian principles and acting accordingly towards the Iranian sailors and their ship Sri Lanka has become a moral beacon for peace and goodwill in a world that often appears to be moving in the opposite direction. At a time when geopolitical rivalries are intensifying and humanitarian norms are frequently ignored, such actions carry symbolic significance. The credibility of Sri Lanka’s moral stance abroad will be further enhanced by its ability to uphold similar principles at home. Sri Lanka continues to grapple with unresolved issues arising from its own internal conflict including questions of accountability, justice, reparations and reconciliation. It has a duty not only to its own citizens, but also to suffering humanity everywhere. Addressing its own internal issues sincerely will strengthen Sri Lanka’s moral standing in the international community and help it to be a force for a new and better world.

BY Jehan Perera

Continue Reading

Features

Language: The symbolic expression of thought

Published

on

It was Henry Sweet, the English phonetician and language scholar, who said, “Language may be defined as the expression of thought by means of speech sounds“. In today’s context, where language extends beyond spoken sounds to written text, and even into signs, it is best to generalise more and express that language is the “symbolic expression of thought“. The opposite is also true: without the ability to think, there will not be a proper development of the ability to express in a language, as seen in individuals with intellectual disability.

Viewing language as the symbolic expression of thought is a philosophical way to look at early childhood education. It suggests that language is not just about learning words; it is about a child learning that one thing, be it a sound, a scribble, or a gesture, can represent something else, such as an object, a feeling, or an idea. It facilitates the ever-so-important understanding of the given occurrence rather than committing it purely to memory. In the world of a 0–5-year-old, this “symbolic leap” of understanding is the single most important cognitive milestone.

Of course, learning a language or even more than one language is absolutely crucial for education. Here is how that viewpoint fits into early life education:

1. From Concrete to Abstract

Infants live in a “concrete” world: if they cannot see it or touch it, it does not exist. Early education helps them to move toward symbolic thought. When a toddler realises that the sound “ball” stands for that round, bouncy thing in the corner, they have decoded a symbol. Teachers and parents need to facilitate this by connecting physical objects to labels constantly. This is why “Show and Tell” is a staple of early education, as it gently compels the child to use symbols, words or actions to describe a tangible object to others, who might not even see it clearly.

2. The Multi-Modal Nature of Symbols

Because language is “symbolic,” it does not matter how exactly it is expressed. The human brain treats spoken words, written text, and sign language with similar neural machinery.

Many educators advocate the use of “Baby Signs” (simple gestures) before a child can speak. This is powerful because it proves the child has the thought (e.g., “I am hungry”) and can use a symbol like putting the hand to the mouth, before their vocal cords are physically ready to produce the word denoting hunger.

Writing is the most abstract symbol of all: it is a squiggle written on a page, representing a sound, which represents an idea or a thought. Early childhood education prepares children for this by encouraging “emergent writing” (scribbling), even where a child proudly points to a messy circle that the child has drawn and says, “This says ‘I love Mommy’.”

3. Symbolic Play (The Dress Rehearsal)

As recognised in many quarters, play is where this theory comes to life. Between ages 2 and 3, children enter the Symbolic Play stage. Often, there is object substitution, as when a child picks up a banana and holds it to his or her ear like a telephone. In effect, this is a massive intellectual achievement. The child is mentally “decoupling” the object from its physical reality and assigning it a symbolic meaning. In early education, we need to encourage this because if a child can use a block as a “car,” they are developing the mental flexibility required to later understand that the letter “C” stands for the sound of “K” as well.

4. Language as a Tool for “Internal Thought”

Perhaps the most fascinating fit is the work of psychologist Lev Vygotsky, who argued that language eventually turns inward to become private speech. Have you ever seen a 4-year-old talking to himself or herself while building a toy tower? “No, the big one goes here….. the red one goes here…. steady… there.” That is a form of self-regulation. Educators encourage this “thinking out loudly.” It is the way children use the symbol system of language to organise their own thoughts and solve problems. Eventually, this speech becomes silent as “inner thought.”

Finally, there is the charming thought of the feasibility of conversing with very young children in two or even three or more languages. In Sri Lanka, the three main languages are Sinhala, Tamil and English. There are questions asked as to whether it is OK to talk to little ones in all three languages or even in two, so that they would learn?

According to scientific authorities, the short, clear and unequivocal answer to that query is that not only is it “OK”, it is also a significant cognitive gift to a child.

In a trilingual environment like Sri Lanka, many parents worry that multiple languages will “confuse” a child or cause a “speech delay.” However, modern neuroscience has debunked these myths. The infant brain is perfectly capable of building three or even more separate “lexicons” (vocabularies) simultaneously.

Here is how the “symbolic expression of thought” works in a multilingual brain and how we can manage it effectively.

a). The “Multiple Labels” Phenomenon

In a monolingual home, a child learns one symbol for an object. For example, take the word “Apple.” In a Sri Lankan trilingual home, the child learns three symbols for that same thought:

* Apple (English)

* Apal

(Sinhala – ඇපල්)

* Appil

(Tamil – ஆப்பிள்)

Because the trilingual child learns that one “thought” can be expressed by multiple “symbols,” the child’s brain becomes more flexible. This is why bilingual and trilingual children often score higher on tasks involving “executive function”, meaning the ability to switch focus and solve complex problems.

b). Is there a “Delay”?

(The Common Myth)

One might notice that a child in a trilingual home may start to speak slightly later than a monolingual peer, or they might have a smaller vocabulary in each language at age two.

However, if one adds up the total number of words they know across all three languages, they are usually ahead of monolingual children. By age five, they typically catch up in all languages and possess a much more “plastic” and adaptable brain.

c). Strategies for Success: How to Do It?

To help the child’s brain organise these three symbol systems, it helps to have some “consistency.” Here are the two most effective methods:

* One Person, One Language (OPOL), the so-called “gold standard” for multilingual families.

Amma

speaks only Sinhala, while the Father speaks only English, and the Grandparents or Nanny speak only Tamil. The child learns to associate a specific language with a specific person. Their brain creates a “map”: “When I talk to Amma, I use these sounds; when I talk to Thaththa, I use those,” etc.

*

Situational/Contextual Learning. If the parents speak all three, one could divide languages by “environment”: English at the dinner table, Sinhala during play and bath time and Tamil when visiting relatives or at the market.

These, of course, need NOT be very rigid rules, but general guidance, applied judiciously and ever-so-kindly.

d). “Code-Mixing” is Normal

We need not be alarmed if a 3-year-old says something like: “Ammi, I want that palam (fruit).” This is called Code-Mixing. It is NOT a sign of confusion; it is a sign of efficiency. The child’s brain is searching for the quickest way to express a thought and grabs the most “available” word from their three language cupboards. As they get older, perhaps around age 4 or 5, they will naturally learn to separate them perfectly.

e). The “Sri Lankan Advantage”

Growing up trilingual in Sri Lanka provides a massive social and cognitive advantage.

For a start, there will be Cultural Empathy. Language actually carries culture. A child who speaks Sinhala, Tamil, and English can navigate all social spheres of the country quite effortlessly.

In addition, there are the benefits of a Phonetic Range. Sinhala and Tamil have many sounds that do not exist in English (and even vice versa). Learning these as a child wires the ears to hear and reproduce almost any human sound, making it much easier to learn more languages (like French or Japanese) later in life.

As an abiding thought, it is the considered opinion of the author that a trilingual Sri Lanka will go a long way towards the goals and display of racial harmony, respect for different ethnic groups, and unrivalled national coordination in our beautiful Motherland. Then it would become a utopian heaven, where all people, as just Sri Lankans, can live in admirable concordant synchrony, rather than as splintered clusters divided by ethnicity, language and culture.

A Helpful Summary Checklist for Parents

* Do Not Drop a Language:

If you stop speaking Tamil because you are worried about English, the child loses that “neural real estate.” Keep all three languages going.

* High-Quality Input:

Do not just use “commands” (Eat! Sleep!). Use the Parentese and Serve and Return methods (mentioned in an earlier article) in all the languages.

* Employ Patience:

If the little one mixes up some words, just model the right words and gently correct the sentence and present it to the child like a suggestion, without scolding or finding fault with him or her. The child will then learn effortlessly and without resentment or shame.

by 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

Continue Reading

Features

SIMPSON’S … set to carve a distinct sonic identity

Published

on

SIMPSON’S: Quite active in the scene here

It is, indeed, encouraging to see our local artistes working on new formats, where their music is concerned.

Variety is the spice of life, they say, and I do agree, especially when it comes to music.

Blending modern synth textures, ambient layers and soulful undertones, the group SIMPSON’S is set to carve a distinct sonic identity within Sri Lanka’s contemporary music landscape.

Their vision, they say, is not simply to produce songs, but to create emotional atmospheres – experiences that elevate, energise and resonate, both locally and beyond.

This four-piece outfit came into the scene, less than two years ago, and they are already making waves with their debut single ‘Balaporottuwak’ (Hope).

The song, I’m told, marks the beginning of a new sound, and at the forefront of ‘Balaporottuwak’ is the group’s lead vocalist and guitarist, Ryo Hera, who brings a rich cultural heritage to the stage.

As a professional Kandyan Wes dancer, Ryo’s commanding presence and textured vocals bring a distinct energy to the band’s sound.

‘Balaporottuwak’

Ryo Hera: Vocals for ‘Balaporottuwak’

is more than just a debut single – it’s a declaration of intent. The band is merging tradition and modernity, power and subtlety, to create a sound that’s both authentic and innovative.

With this song, SIMPSON’S is inviting listeners to join them on an evolving musical journey, one that’s built on vision and creativity.

The recording process for ‘Balaporottuwak’ was organic and instinctive, with the band shaping the song through live studio sessions.

Dileepa Liyanage, the keyboardist and composer, is the principal sound mind behind SIMPSON’S.

With experience spanning background scores, commercial projects, cinematic themes and jingles across multiple genres, Dileepa brings structural finesse and atmospheric depth to the band’s arrangements.

He described the recording process of ‘Balaporottuwak’ as organic and instinctive: “When Ryo Hera opens his voice, it becomes effortless to shape it into any musical colour. The tone naturally adapts.”

The band’s lineup includes Buddhima Chalanu on bass, and Savidya Yasaru on drums, and, together, they create a sound that’s not just a reflection of their individual talents, but a collective vision.

Dileepa Liyanage: Brings
structural finesse and
atmospheric depth to the
band’s arrangements

What sets SIMPSON’S apart is their decision to keep the production in-house – mixing and mastering the song themselves. This allows them to maintain their unique sound and artistic autonomy.

“We work as a family and each member is given the freedom to work out his music on the instruments he handles and then, in the studio, we put everything together,” said Dileepa, adding that their goal is to release an album, made up of Sinhala and English songs.

Steering this creative core is manager Mangala Samarajeewa, whose early career included managing various international artistes. His guidance has positioned SIMPSON’S not merely as a performing unit, but as a carefully envisioned project – one aimed at expanding Sri Lanka’s contemporary music vocabulary.

SIMPSON’S are quite active in the scene here, performing, on a regular basis, at popular venues in Colombo, and down south, as well.

They are also seen, and heard, on Spotify, TikTok, Apple Music, iTunes, and Deezer.

Continue Reading

Trending