Connect with us

News

Medical Specialists: Only 28 hospitals have liquid oxygen tanks

Published

on

Noting that the best way to deliver oxygen to a patient’s bedside is to have piped oxygen distributed from a central liquid oxygen tank, rather than using cylinders, the Association of Medical Specialists (AMS) has said that Sri Lanka only has 28 such liquid oxygen tanks installed in hospitals.

Dr A J A L Fernando, President, AMS, yesterday said, in a media statement, that the sizes of those tanks ranged from 3,000 to 20,000 litres, but only two had 20,000 litre tanks. One was the National Hospital and the other the Peradeniya Teaching Hospital, the AMS has said.

“The others are relatively smaller. With the current coronavirus being highly transmissible, taking patients to hospitals with larger tanks may not be an option as many of these hospitals mainly cater to non-Covid patients. Spreading the disease within a hospital could also result in disaster. With this, the system will still have to largely depend on jumbo cylinders where each can carry 47 liquid litres that produce 7,050 gas litres of oxygen.”

Dr. Fernando added that although the jumbo cylinders were heavy enough to need more than a couple of people to move them, each of them might not last for more than a few hours as regards a highly oxygen dependant patient. Managing oxygen between hospitals and delivering it to the individual patient would certainly need intelligent planning and extreme coordination of production, storage and efficient delivery, he said.

Dr Fernando added that his association did not see any pragmatic strategy on the part of the government in place to face eventualities that could arise given the spike in COVID-19 cases. “The number of Covid-19 patients is on the rise in Sri Lanka. It has exceeded 1,000 a day and is still rising. We know that our existing capacity to treat patients (intensive care and high dependency beds) has reached its threshold. Experts have clearly mentioned the higher infectivity and virulence of the current strain warranting and increased need for oxygen dependency and intensive care.”

Excerpts of the AMS statement: “Since there is no firmly established cure for this disease, symptomatic treatment is the mainstay till the recovery is reached. However, oxygen and ICU care play a crucial role in critical cases and we should ensure that there will be a constant and uninterrupted availability of oxygen supplied beds if we are to avert disaster. Apparently, being a financially stronger regional giant, India is facing immense hardships due to shortage of oxygen right now.

“As oxygen is considered the most important medical need and likely to be in short supply, all necessary steps must be taken to avoid a crisis.

“To the best of our knowledge there are two companies that supply oxygen to healthcare facilities and these manufacturers can easily increase their production almost three-fold. Together they now produce around 75 tons of oxygen per day of which a portion is supplied for industrial use. They can divert all their oxygen production to health if the need arises and Sri Lanka has sufficient source of supply. However, the more important issue is the delivery of this oxygen to patient’s bedside. The best way to do this is to have piped oxygen distributed from a central liquid oxygen tank rather than using cylinders. Unfortunately, the whole country only has 28 such liquid oxygen tanks installed in hospitals. The sizes range from 3000 to 20000 litres, but there are only two 20,000 size tanks one each at National Hospital and Peradeniya and others are relatively smaller. With the current Covid being highly transmissible, taking patients to hospitals with larger tanks may not be an option as many of these hospitals mainly cater to non-covid patients. Spreading the disease within a hospital could also result in disaster. With this the system will still have to largely depend on jumbo cylinders where each can carry 47 liquid litres that produce 7050 gas litres of oxygen. Though heavy enough to need more than a couple of people to move them, each jumbo cylinder may not last for more than few hours in a highly oxygen dependant patient. Managing oxygen between hospitals and delivering to the individual patient will certainly need intelligent planning and extreme coordination of production, storage and efficient delivery.

“For this, we need to utilize the services of relevant experts in these fields to design and implement the best national plan and it should be kept strictly apolitical. If such action is not taken in this crucial juncture, we will be another nation who has “planned to fail” as we have “failed to plan”.

“It is also important that we take a serious note of the high rate of disease spread in spite of the present prevention strategies. A degree of complacency and overconfidence can take Sri Lanka to a critical point faster as it has happened in some countries. Out of all, Prevention is THE best strategy and we need to do everything possible to prevent and slow down the spread. Even if a lockdown is needed, it is best to foresee and think ahead and be prepared to do it if it is essential.

“Only the authorities who have the real information and data, can make that decision. It should not be a political decision, but a decision to save the country and its people based on scientific principles both for today and tomorrow. It is very evident now that the countries can go up or down in the success of Covid control based on the wisdom they demonstrate during decision making. Moreover, while appreciating all the positive moves the government has taken towards Covid control, we believe it is the duty of the health authorities to submit the correct information and data to the political authorities without any delay. We urge the authorities to consider all above facts and make prompt decisions based on scientific facts and rational thinking to face the present Covid 19 situation. The AMS is ready to provide the government and health authorities its maximum support at this hour of need.”



News

President proposes; Speaker disposes

Published

on

Dr. Wickramaratne

AKD’s request to Harsha:

Speaker Dr. Jagath Wickramaratne has frustrated an attempt by Chairman of the Committee on Public Finance (CoPF) Dr. Harsha de Silva, MP, to intervene to settle the continuing dispute over the appointment of a new Auditor General.

Dr. De Silva yesterday told The Island he had recently written to all members of the Constitutional Council (CC) drawing their attention to the urgent need to address the issue at hand. The AG’s position remains vacant since 08 Dec, 2025. AG W.P.C. Wickremanayake retired in April and since then there have been a couple of Acting appointments. The CC has declined to endorse any of President Dissanayake’s nominees as the AG.

Asked whether he had taken up the issue with the CC following President Anura Kumara Dissanayake soliciting his support in this regard, MP de Silva said that he had written to CC members as agreed with the President.

The former UNPer and one-time State Minister said: “I did so, giving due respect to CC’s independence, underscoring the critical importance in them working with the President to resolve the crisis. I alluded to the need to have transparency in public financial management during this post-cyclone period where large amounts of funds are being transacted on multiple fronts, both domestic and foreign.”

Responding to another query, Dr. De Silva emphasised that he had clarified that the President must send the names of qualified and experienced persons to the CC for consideration. “However, these letters were returned to me by the Speaker, without being delivered to members of the CC. The Speaker didn’t give an explanation. Thus, except for members who are MPs who had been copied via email by my committee office, others never received my letter of concern. Even though I questioned, in Parliament, the basis of his refusal to forward my communication to the members of the CC of which he is Chairman, no answer was given.”

The CC consists of Dr. Jagath Wickramaratne, Speaker and Chairman of the 10-member body. Dr. Harini Amarasuriya, Prime Minister, Sajith Premadasa, Leader of the Opposition, Bimal Rathnayake, Aboobucker Athambawa, Ajith P. Perera, Sivagnanam Shritharan, and three civil society members namely Dr. Prathap Ramanujam, Dr. Dilkushi Anula Wijesundere and Dr. Dinesha Samararatne. None of the President’s nominees could obtain CC’s approval as all of them were rejected by the CC.

The present CC was introduced by the 21st Amendment to the Constitution which was endorsed on 31 October 2022.

Both the Bar Association of Sri Lanka (BASL) and the Transparency International Sri Lanka Chapter recently requested President Dissanayake, in writing, to propose a suitable person to the post of AG. The BASL, in another statement that dealt with the forthcoming vacancies in the CC due to three civil society members completing their terms, declared its concern over possible attempts by the President and the NPP government to fill the vacancies with rubber stamps.

The three civil society members will complete their terms on 18 January. In terms of Article 41E of the Constitution, the CC meets at least twice every month, and may meet as often as may be necessary. The Chairman presides at all meetings of the CC and in the absence of the Chairman, the Prime Minister, and in the absence of the Prime Minister, the Leader of the Opposition presides at the meetings of the CC.

Asked whether the CC could be disrupted due to the end of civil society members’ terms, an authoritative official pointed out that in case new appointments were not made the current members could continue.

The Parliament has not so far called for applications to fill the forthcoming vacancies.

by Shamindra Ferdinando ✍️

Continue Reading

News

Sri Lanka loses Rs.7.5 bn due to coal tender irregularities: FSP

Published

on

Pubudu

The NPP government’s coal procurement process has once again come under scrutiny following allegations by the Frontline Socialist Party (FSP) that substandard coal has been imported for power generation and that tender procedures were manipulated to favour a specific supplier.

Addressing the media after a party meeting in Maharagama on Saturday, FSP Education Secretary Pubudu Jagoda said a test report issued by the government laboratory at the Lakvijaya Power Plant had confirmed that the latest coal shipment unloaded in Sri Lanka did not meet the required quality standards. According to the report, the coal’s calorific value ranged between 5,600 and 5,800 kilocalories per kilo, below the 5,900–6,200 kCal/kg range specified in tender requirements.

Jagoda warned that lower calorific value coal would require higher volumes to generate the same amount of electricity, increasing costs significantly. Preliminary estimates, he said, indicated an additional financial burden of around Rs. 7,500 million, which might eventually be passed on to consumers through higher electricity tariffs.

The FSP also accused the government of tailoring procurement rules to benefit the Indian supplier, which has deposited bonds for long-term coal supply for the upcoming season. Jagoda alleged that tender conditions had been altered to accommodate the company, pointing to changes in coal reserve requirements. Under the 2021 Sri Lanka Coal Registration Document, suppliers were required to maintain a minimum reserve of one million metric tonnes with a gross calorific value of 5,900 kCal/kg. This threshold, he said, had been reduced to 100,000 metric tonnes in the 2025 document which is a 90% reduction raising serious concerns.

He further cited past allegations against the Indian company, including findings in a 2016 Auditor General’s report that the company violated procurement guidelines regarding a rice supply contract with Sathosa in 2014. Jagoda also referred to legal issues involving individuals linked to the company, and the suspension of a representative by the International Cricket Council in 2019 over match-fixing allegations.

Beyond company-specific concerns, Jagoda criticised what he described as systemic manipulation of the coal tender process. He questioned why the coal tender, typically called in February or March, was delayed until July, despite electricity being declared an essential service. He also alleged that the tender submission period had been progressively shortened from the internationally accepted six weeks to five weeks, and now reportedly to three giving an unfair advantage to suppliers with existing stock.

The Ministry of Energy has recently issued an amended tender to procure 4.5 million metric tonnes of coal for the Lanka Coal Company for the 2025/26 and 2026/27 periods, following the cancellation of an earlier tender.

Jagoda warned that delays and irregularities could lead to coal shortages, higher spot market purchases, increased electricity costs, and even power cuts if hydropower generation falls short. He called for urgent investigations into the procurement process, insisting that the burden of alleged mismanagement and corruption must not be transferred to the public.

by Chaminda Silva ✍️

Continue Reading

News

CID summons SJB MP for criticising education reforms

Published

on

Prasad

SJB Gampaha District MP Prasad Siriwardhana has been summoned to the CID today (12) for questioning in connection with a statement he made on a private television channel regarding education reforms.

He was earlier asked to report to the CID on 10 January to make a statement. However, as Siriwardhana had notified the authorities that he was unable to appear on that day, he was subsequently asked to come today.

Siriwardhana is one of the critics of the shortcomings of the education reforms introduced by the NPP government.

Continue Reading

Trending