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Maldives – Nation of 1.190 islands

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by ACB Pethiyagoda

(This article was written after a visit to the Maldives in the early nineties)

The beauty and splendor of these islands have been written of during the past several centuries by well known travellers. Marco Polo described them as “Flowers of the Indies”, Ibin Batuta said these were ‘One of the Wonders of the World,” Fah Hsien, the Chinese, Papas of Alexandria, Scholastics of Thebes and H.C.P. Bell of the Ceylon Civil Services are other notables who have written about this archipelagic nation.

It was Ibn Batuta, the Moroccan traveller, who remained in the Maldives for only about 18 months and lost no time in marrying four noble women of the Court of Kadihah, daughter of Sultan Ahbendjaly whose husband was her Chief Vizar. Unfortunately for Batuta, who having won the confidence of some members of the Royal family and having been offered the post of Kazi, was compelled to flee the country (with or without his wives it is not known) in about 1345 due to the apparent jealousy of the Chief Vizar who was himself the second husband of the lady Sultan Kadihah.

H.C.P. Bell, the first Commissioner of Archaeology of the Government of Ceylon, in Sessional Papers of 1881 which were laid before the Legislative Council of Ceylon wrote that the “Early history of these islands is buried in obscurity — the natural result of their complete isolation and comparative insignificance. Indeed, except for scant glimpses afforded by the accounts of a few causal travellers, whom accident has taken them there from time to time, the world in the later half of the 19th century knows little or nothing of the whole or part of the history of the Maldives.

“The Maldivians themselves possess no known historical records of any antiquity and would seem to be utterly ignorant of their antecedents beyond such vague and unreliable shreds of information as may have been handed down by traditions.” That is quite a mouthful, but it was Bell’s usual style.

From the earliest of times, trading contacts with the Arabs, Persians, Malaysians, Indians, Indonesians, Sinhalese and with even some African countries have certainly left their influence on the people and culture of the Maldivians. Their language itself, known as Dhivehi is derived from Sanskrit, with both Arabic and Hindi influence which is unmistakable to linguists.

After the Malabar raiders were got rid of the Maldivians formed a closer association, with strengthened diplomatic representations with Ceylon, a relationship which has existed from as far back as 1645. Thereafter, in 1887 the Maldivians accepted British Suzerainty for the benefit of military protection from them and this arrangement ended in 1965. The British did not station their representative in the islands nor did they interfere in their administration.

It is to the credit of the Maldivians that such a small nation was able to remain independent for so long with several powerful nations around them. This is on account of their farsighted diplomacy and on account of the country not being rich in natural resources except fish, which in those times was not as valuable as it is now because it could not be preserved for transport over long distances.

The period of British Suzerainty covered the years of the Second World War and Gan and Cocoa islands were important British bases with large numbers of Ceylonese serving in them with distinction and a few who were said to have not been amenable to discipline. That however, is another story.

Archaeological findings bear ample evidence of the prevalence and practise of Buddhism in the country prior to 1153 AD. In that year, Shaikh Yusuf ud-din of Tabriz, a pious Saint introduced Islam to the country during the rule of King Komala who changed his name to Mohommed Ibin Abdulla and assumed the Islamic title of Sultan after his conversion to Islam.

Ibn Batuta wrote of this conversion to Islam giving credit to Abdul Barakath Yusuf but that version does not appear to be accepted. It could be that Yusuf accompanied the Saint and remained in the islands to spread the religion. What is important is, historically, socially culturally and since 1153 AD the Maldivians have been true followers of Islam and that there is no other religion practised in the republic.

“Islam is the strength and backbone of Maldivians society permeating as it does the entire educational system….” It is the State Religion but there is, a “delicate blend of tradition and modernity.” Women are not in purdah and have equal opportunities with men in regard to education and employment. Hence, their contribution to the economic and social development of their country is no less than that of the contribution made by their men. They are seen and heard and listened to all over the republic.”

As mentioned earlier the country gained independence in 1965. This was during the tenure of office of the President, Ibrahim Nasir who was the Prime Minister under the titular Sultan. It became a Republic in 1968 with an elected President and a national Assembly. The current President, His Excellency Maumoon Abdul Gayoom assumed office on November 11, 1978, having polled 92.9% of the votes at a referendum. He is a Master of Arts in Islamic Studies from Alazhar University and lectured in Islamic Law and Philosophy at Ahmadu Bello University in Nigeria.

In his own country he held several high positions in Government since 1971 and was his country’s permanent representative at the United Nations in 1976 and 1977. He is a true friend of Sri Lanka and once said “Sri Lanka and the Maldives have embraced warm friendly relations for centuries. Our countries bondage of friendship stretches beyond geographical proximity.” President Gayoom’s administration is committed to an open Government ensuring the observance of the principles of democracy.

The first written Constitution of the Maldives was proclaimed in 1982 but is is said that there is evidence of the system of Government and administration accepting traditional principles of democracy as time honoured customs. The present constitution is that of a sovereign and independent Republic with Islam as its State Religion and Dhivehi as the State Language. However, English is widely used in Government’s administration and in the private sector.

The Maldive islands are on the equator in the Indian Ocean consisting of 26 atoll formations, the word atoll being derived from the word `atholu’ in Dhevehi. These atolls are groups of islands of varying numbers in each, all making a total of 1,190 islands. Of these, only 199 are inhabited and 74 others are set apart exclusively as tourist resorts.

The republic is some 720 km. South West of Sri Lanka and cover a total area of about 90,000 Square km. measuring 820 km. from North to South and 120 km. East to West at the longest and broadest points. The islands which consist of only about 1% of the total area are formed from layers of coral and none are more than six feet above sea level at the highest point. Gan with several garment factories, the longest island was developed by the British when they closed their base in Ceylon in 1956 by mutual agreement with the government of Ceylon which came into power that year. The British left Gan 20 years later leaving a fully developed island with roads and infrastructure which the Maldivians took over and set up industries with foreign investors.

The soils of the islands are poor and are alkaline due to their derivation from coral rock. There are no rivers or springs and all crops are dependent on the rains from the South West Monsoon. Hence the only crops grown are on a ‘chena’ or shifting agriculture basis in some of the inhabited islands and consist of various kinds of millets, tubers such as manioc, chillies, onions, cabbage, beans, brinjals, various gourds etc. and fruits such as watermelon, banana, papaw, mango and lemon. Coconut is an important crop and is found on many of the islands including the resorts.

To the tourist fishing is an important sport as diving. Fishing trips both by day and night are organized for modest fees for a few hours by local motorized Dhonis or baththal the traditional boat, or for very high fees in modern yachts and speed boats with sophisticated gear. The sportsmen and women bring in skipjack, groupers, snappers and other reef fish. Big game fish outside the atoll enclosures consist of marlin, barracuda, yellow fin tuna etc.

There are no indigenous animals but the islands area haven for large numbers and species of seabirds.Conservation of its wealth in its waters is important to the Maldivians. ‘Hence the use of harpoons and catching dolphins, whales, whale shark etc. is strictly prohibited and observed.

The most spectacular floral and fauna are found from just below the surface of the sea to hundreds of feet below. Fish with all the colours of the rainbow in their thousands, corals, crustaceans, turtles etc. and numerous varieties of sea weed make a world of psychedelic colour which defy description. Fishing accounts for about 40% of those in gainful employment with a catch of some 99,000 metric tons in 1993. This was for home consumption, local sale and for export, canned or frozen.

The per capita consumption of fish in the Maldives is about the highest in the world and is about the only form of animal protein consumed by its people. Skipjack is the main catch and upto about 1972, it was the main export product, in the form of Maldive Fish after a process of boiling, salting, smoking and sun drying. The sole buyer of the product was Sri Lanka and on account of our foreign exchange problems and restrictions on imports of all but essentials the Maldivians were forced to find other markets for their foreign exchange earnings from fish. They were thus compelled to freeze or can their exportable fish.

The climate in the Maldives is humid and hot (average 86 degrees Fahrenheit) in spite of the influence of the cool sea breeze. The South West Monsoon from April to November brings about 84 inches of rain while the North – East Monsoon from December to March is a dry period in most years.With little or no resources for significant industrial or agricultural development and to support a growing population with its increasing needs from outside the country, the Maldivians turned to tourism for its foreign exchange earnings.

Hence, from an almost non-existent industry in 1972 with just a handful of tourists 1993 recorded 241,000 arrivals, in 1994 it rose to 279,600 and in 1995 to 300,000 arrivals. The main reasons for this rapid growth is of course on account of ‘the gem like islands depict the rare vision of a tropical paradise. Palm fringed islands with sparkling white beaches, turquoise lagoons, clear warm waters and coral reefs teeming with abundant varieties of marine flora and fauna.” Apart from these, there are no ogling oafs and gawking peddlers of bead chains, cheap clothing or even other wares as in some Sri Lankan sea side holiday resorts.

This makes the Maldives an ideal destination for the holiday maker in search only of, and with no interest other than in tranquillity and peace with sunshine and warm clear waters to laze in. Other reasons for this phenomenal growth is the opening of the Male International Airport in late 1981 to receive wide bodied jets from Colombo, Singapore and Trivandrum; a Cabinet Minister solely in charge of the subject and more than likely the comparatively slower growth of the industry in Sri Lanka since about 1978. About 85% of the visitors are from Western Europe with West Germany and Italy forming the majority and with smaller numbers from France, Sweden etc.

A typical visit to the Maldives is one in which the visitor arrives at Hulule Airport and goes through immigration with little bother except that the odd official may want to know, particularly from dark skinned people, whether they have a minimum of US$ 25 for each day of stay. The Customs check is quick if one does not carry alcohol or firearms both of which are strictly taboo. After awhile, the Tour Guide with whose Company one has booked escorts him to a Dhoni many of which are now powered by 15 or 20 HP Honda or Yamaha diesel engines.

The journey starts with leaping from one Dhoni to another (if his particular boat is some distance away) with plenty of willing hands to ensure that he does not end up squashed between two boats in the lapping waters below!

Ziaraarafushi in Kaafu Atoll the destination in this case is two and half hour journey with the first hour or so on the open top deck on foam rubber cushions admiring the beauty of the changing colours of the waters from clear light blue to shades of green and finally to deep blue as the depth of the water increases. Fish, corals and other islands and their beaches in the distance add to the beauty of the view. Retirement to the enclosed lower deck becomes necessary as the sea gets rough and waves hit the upper deck. It is hot and humid down there and exhaust fumes from the engine somehow find their way adding to the discomfort.

The Captain of the boat has three helpers who once the going is steady hasten to the lower deck and promptly fall fast asleep on the cushioned benches. Fishing is second nature to the Maldivians hence on these trips too they throw a few lines and haul a skipjack or two every now and then; a bonus payment or a bigger fish curry for dinner!

The Captain stands with his back to the starpole and guides the boat with his bare foot or even his shoulder blades without the aid of a compass, and in total dependence on his experienced eye, never flinching even when accepting one of the many lighted cigarettes his assistants, when they are awake, pass on to him throughout the journey.

Ziaraarafushi is one of the 74 resort islands, leased to foreign developers and has some one hundred chalets. Visitors are met at the jetty by the staff with wheel barrows marked ‘Luggage’ in bold red letters. The complex consists of the single and double room chalets, large dining hall, a reception area with a shop displaying beach wear, toiletries, handicrafts made from bones of large fish, picture post cards etc.; the main indoor recreational area is a large hall with the bar at one end. Liquor is expensive, a can of beer is sold at US$ 3.5 to 4 with a peg of Sri Lankan Gin selling at about the same price. In these circumstances, the price of Scotch is prohibitive.

Floors of all common areas are sand covered with half walls all round. Roofs are covered with woven coconut palm fronds with wire mesh spread over as a protection against strong winds. The chalets have cement floors which are sometimes covered with linoleum and consist of a shower and toilet and sit-out. The furniture and linen are simple and adequate but the charges are about double or a little more for more comfortable accommodation and very much better food at Sri Lankan three or four star hotels in the coast.

The food is simple, consisting of baked or boiled fish with cabbage, beans, tomatoes and cucumber for both main meals and an egg with limited quantities toast for breakfast. The meals are bland and monotonous and the food served to the staff is more appetising to the Sri Lankan pallet as it consists of rice and hot fish curry with grated coconut. Talking about food, an European woman said “As long as I don’t have to cook and wash I don’t care as the sun, sea and sand are there for my annual holiday.” Perhaps she speaks for large numbers of the tourists who come to the Maldives. There are, however, some resorts which boast of several coffee shops and restaurants in each offering varied and excellent cuisine at relatively higher prices.

There are no Maldivians permanently resident on Ziaraarafushi just as in all the other resort islands as the Government wishes to preserve the culture of its people uninfluenced by foreign habits and customs. Likewise inhabited islands have no hotels and visits to them by tourists are allowed only with guides for a few hours in the day in what is described as ‘proper attire’. This is a most laudable practice.

The staff at all levels consist mostly of Sri Lankans, Indians and Pakistanis and they like the visitors are birds of passage leaving the unspoilt Maldivians to their traditions and religion uninterfered with.Those resorts in the islands, hotels and guest houses in Male, had a bed strength of just under 10,000 in 1993 with about 65% utilization bringing the Government about three fifths of its ‘visible export receipts.”

To service the tourists and the local population with their requirements of internal transport by sea, there were 1,434 mechanised Dhonis, a few luxury yachts and 313 trolling vessels in 1993. A mere 15 sailing Dhonis and 22 rowing boats were available mostly for pleasure rides.Male, the capital and Seat of Government and main commercial centre is entirely different from the resort islands “for, if the islands depend on Male for all their trading and administration, Male depends on the islands for its livelihood.” It is busy town with Government Offices, Schools, Shops of all grades and sizes, Hospitals and residences of all the important officials and the not so important with a population of around 60,000 out of a total of just over 238,000 in the Republic in 1993.

In that year, Male, Hulule and Gan had most of the 5,330 bicycles, 3,466 motor cycles and 454 cars, vans and trucks. The authorized vehicles, more often than not are driven on low gear most of the time due to the crowded and narrow roads.The President’s residence or Mulee Aage, the Grand Friday Mosque which can accommodate 5,000 worshipers at a time, National Museum in the Sultan Park, marine drive, docks and fish markets are important land marks in clean, tidy and bustling Male.



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Features

Who Owns the Clock? The Quiet Politics of Time in Sri Lanka

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(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.)

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Medicinal drugs for Sri Lanka:The science of safety beyond rhetoric

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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

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Rebuilding Sri Lanka Through Inclusive Governance

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Management Committee of the 'Rebuilding Sri Lanka' Fund Appointed with Representatives from the Public and Private Sectors - PMD

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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