Features
My childhood memories of Kadugannawa
by Dr Nihal D Amerasekera
Returning to the past is wonderful if one doesn’t dwell on sadness and regrets.
Memories are best filtered. I reach for the wisdom of Omar Khayyam in the Rubaiyat for a thought-provoking and timeless musing on the vicissitudes of life:
The Moving Finger writes;
and, having writ Moves on:
nor all thy Piety nor Wit Shall lure it back to cancel half a Line,
Nor all thy Tears wash out a Word of it.
Although I was born in Kandy, that charming citadel in the hills, I never had the good fortune to live there. The nearest I got was when my parents moved to Kadugannawa. In 1946 it was a sleepy little town. Charming and at times beguiling, It prided itself on its unique middle-class appeal and the sheer good-natured generosity of its people. My father was in charge of the Power Station that supplied electricity to the town. That was an enormous responsibility and he was deeply aware of the overwhelming burden of duty. Throughout my childhood, my father’s work ethic wove a pattern which he encouraged me to emulate. I wish I did!!!
In colonial times many power stations were setup in towns and cities until we had adequate thermal and hydroelectric power for a countrywide grid. The power station at Kadugannawa was close to the centre of town. I still have images in my mind of the tall single storey building painted a drab ‘samara’ yellow. This edifice housed the huge Lister engine that generated electricity. I recall the large spinning fly-wheel and the constant chugging of the pistons. There was the unmistakable smell of grease all around. Despite the engine noise and mayhem there was a sense of calm in the way the workers set about their tasks.
We lived opposite the Dawson Tower in a large house rented from the CGR. In 1820 Governor Sir Edward Barnes appointed Dawson to construct the Colombo Kandy road. Sadly, Dawson died in 1829 of a snake bite before the road was completed. Sir Edward Barnes’ great great ……… great granddaughter was a consultant physician in my hospital in the UK. When she asked me about Edward Barnes, I was embarrassed by my ignorance. He started the coffee plantations in Ceylon and to facilitate the transport of coffee and other goods he built a network of roads.
This was the “golden era” of steam trains. They were noisy beasts. As they chugged along they hissed and puffed steam and threw coal dust into the air. Just in front of our small front garden was the busy Colombo-Kandy railway line and just beyond that was the main Colombo – Kandy road. As the trains roared past at all hours of the day and night the earth shook. We had to get used to the noise and the rumble. The house was surrounded by a grey picket fence typical of the properties owned by the old CGR.
These were Colonial times and I wasn’t aware of the political ructions of the era. All I remember now is how quiet and peaceful it was. My parents knew of my fascination for “the good old days”. In turn they too loved to talk about old times and often filled me in with their descriptive narratives and recollections. My parents had a large collection of photos from the time they were married. Although discoloured and moth eaten they captured the era perfectly. They brought to life the culture, people and events of a time now long gone. The styles and fashions of the day are interesting too. Men had hair short on the sides and back, long at the top with a side parting. They wore baggy trousers. Women had long hair tied at the back into a ball and wore saree. No one seemed to smile for the camera. Perhaps their faces mirrored their insecure and uncertain lives.
The Government servants In Kadugannawa were there on transfer. They started their lives as freshers in a new town. Loneliness can swiftly nibble into one’s soul. Soon the social circles engulfed them and they became part of a larger family. They often met up in the evenings for a chat. One person I remember well is Postmaster Rodrigo. He was an astrologer and popular with the ladies. He had a caged mynah bird who mimiced his master voice and reiterated his wisdom. People in those days visited friends uninvited. They were welcomed with open arms.
There was no television. The short-wave radio service was full of hiss and crackles. The only evening’s entertainment was by meeting friends. Families joined together for company. Some played card games. There was much helpful kindness on offer and social integration. It was fashionable for men to smoke and drink. As the evening wore on there was the propensity for the discussions to get heated and combative. Invariably there were misunderstandings and moments of awkwardness. Evening parties were a popular form of entertainment. It was Orange Barley or Lanka Lime for the ladies and children, patties and cutlets for all. The large CGR contingent were well known for their drinking and socialising. Some were gifted musicians. When there was a party they arrived with their guitars and drums and entertained us singing well into the night. Growing up against a backdrop of alcohol and music, those bohemian habits were hard-wired into me from an early age!!!
In those days women’s lives were mostly domestic. Education and public life were confined to men. There were maids to cook and do many of the household chores. When at a loose end the wives found pleasure in frivolous tittle tattle. The family gossip that brightened up their lives also had the propensity to darken theirs too. Personal quarrels, fraying friendships, love, marriage and romantic liaisons became big news and took pride of place in their daily talk. In retrospect it amazes me how impervious people were to the extraordinary everyday sexism women encountered in those distant days.
There was the overriding perception that the British Crown was not accountable to the people. Unlike today people didn’t complain about the government as they felt no one listened. Jobs were scarce and they feared the consequences. In those dark days a sense of apocalypse dominated the lives of people. Very few owned cars. Public transport was slow, costly and inconvenient. Safety and security on those journeys were never guaranteed. Healthcare was poor and people died young. The schools established by Christian Missionaries glorified British rule. The British way of life pervaded the lives of the upper and middle classes in Ceylon.
When the CGR wanted our house back for their Station Master we found a lovely old house called Roydon on Alagalla road. It had large glass windows all round. The sun came streaming in all day. The locals called it the ‘Glass House’. We were now far away from the town and it was ever so peaceful. Our house was on a hill and had stunning views of the blue mountains of the Alagalla range. There was a winding dirt track by the house that took us to the bottom of the hill. This was a heavenly journey. Tall grass, ferns and wildflowers lined our paths. We passed moss ridden culverts and trickling streams. In the valley below there were vast stretches of uncultivated green land. The large pond had fish and water lilies. The place was a haven for birds. The soft wind whistled through the tall grass. It was ever so peaceful. Even recalling these heavenly memories gives me such great joy.
I still remember how quiet and dark the nights were at Roydon. There was a distinct chill in the air. In the stillness of the night We heard the eerie croaking of frogs and the din of crickets. Our garden was full of fireflies that lit up those dark corners. Nature can be a work of art. The bewitching magic of the full moon created a wonderland illuminating the landscape with its mellow silvery light. When my parents went away to meet their friends I sometimes stayed home with our maid. She had a store of stories. I recall with much nostalgia those tales of long ago beautifully embellished with her lavish descriptions.
My real love affair with Kadugannawa began many years later. I read about its strategic significance, fascinating history and its many places of interest. The Balana pass was the doorway to the Kandyan Kingdom. Strengthened by the Fort and the tall Alagalla mountains, Balana remained an impenetrable natural defence for the Kingdom. We often visited the 14th century Gadaladeniya temple for its pristine beauty and the splendid south Indian paintings and architecture. The 200 year old quaint ‘Amabalama’ near the hair pin bend was constructed by the British. This remained a popular stop over for horsemen and merchants and is still kept in good repair. The famous Kadugannawa tunnel created by boring a hole through solid rock is a tribute to the British engineer W.F Davidson who designed it. The Dawson Tower will remain a monolith for the great man and also the blood, sweat and guts of the labourers who toiled day and night to make his dream a reality.
India became independent in 1947 and our politicians too were agitating for freedom. After 500 years of foreign rule our people wanted to be free. Few of our friends were concerned about breaking away from our colonial masters. They weren’t sure if we could govern ourselves with that same fairness and efficiency.
Kadugannawa was my holiday resort. I had to get back to school. There was wailing and floods of tears when my parents left me with my grandparents in Nugegoda. My father left Kadugannawa in 1948, the memorable year we got our independence. I was far too young to appreciate the enormous significance of February 4. We have remained a democracy giving every countryman the vote to elect a government of the people, by the people and for the people. When things go wrong there is no one to blame but ourselves. It is for us to judge if we have used our vote wisely and if those whom we have elected have helped us achieve our goals.
I remember Kadugannawa most fondly of a happy time in my life and of the people who made it so special. Including my parents, none of those adults are alive today but they will remain in my memory for many more years to come.
Features
Wishes, Resolutions and Climate Change
Exchanging greetings and resolving to do something positive in the coming year certainly create an uplifting atmosphere. Unfortunately, their effects wear off within the first couple of weeks, and most of the resolutions are forgotten for good. However, this time around, we must be different, because the nation is coming out of the most devastating natural disaster ever faced, the results of which will impact everyone for many years to come. Let us wish that we as a nation will have the courage and wisdom to resolve to do the right things that will make a difference in our lives now and prepare for the future. The truth is that future is going to be challenging for tropical islands like ours.
We must not have any doubts about global warming phenomenon and its impact on local weather patterns. Over its 4.5-billion-year history, the earth has experienced drastic climate changes, but it has settled into a somewhat moderate condition characterised by periods of glaciation and retreat over the last million years. Note that anatomically modern Homo sapiens have been around only for two to three hundred thousand years, and it is reasoned that this stable climate may have helped their civilisation. There have been five glaciation periods over the last five hundred thousand years, and these roughly hundred-thousand-year cycles are explained by the astronomical phenomenon known as the Milankovitch Cycle (the lows marked with stars in Figure 1). At present, the earth is in an inter glacial period and the next glaciation period will be in about eighty thousand years.
(See Figure 1. Glaciation Cycles)
During these cycles, the global mean temperature has changed by about 7-8 degrees Centigrade. In contrast to this natural variation, earth has been experiencing a rapid temperature increase over the past hundred years. There is ample scientific evidence from multiple sources that this is caused by the increase in carbon dioxide gas in the atmosphere, which has seen a 50% increase over the historical levels in just hundred years (Figure 2). Carbon dioxide is one of the greenhouse gases which traps heat from the sun and slows the natural cooling process of the earth. This increase of carbon dioxide is due to human activities: fossil fuel burning, industrial processes, deforestation, and agricultural practices. Ironically, those who suffer from the consequences did not contribute to these changes; those who did contribute are trying their best to convince the world that the temperature changes we see are natural, and nothing should be done. We must have no illusions that global warming is a human-caused phenomenon, and it has serious repercussions.

(See Figure 2. Global Temperature and Carbon Dioxide Levels)
Why should we care about global warming? Well, there are many reasons, but let us focus on earth’s water cycle. Middle schoolers know that water evaporates from the oceans, rises into the atmosphere where it cools, condenses, and falls back onto earth as rain or snow. When the oceans warm, the evaporation increases, and the warmer atmosphere can hold more water vapour. Water laden atmosphere results in severe and erratic weather. Ironically, water vapour is also a greenhouse gas, and this has a snowballing effect. The increased ocean temperature also disrupts ocean currents that influence the weather on land. The combined result is extreme and severe weather: violent storms and droughts depending on the geographic location. What is happening on the West coast of the USA is an example. The net result will be major departures from what is considered normal weather over millennia.
International organisations have been talking for 30 years about limiting global temperature increase to 1.5oC above pre-industrial levels by curtailing greenhouse gas emissions. But not much has been done and the temperature has risen by 1.2oC already. The challenge is that even if we can stop greenhouse gas emissions completely, right now, we have the problem of removing already existing 2,500 billion tons of carbon from the atmosphere, for which there are no practical solutions yet. Scientists worry about the consequences of runaway temperature increase and its effect on human life, which are many. It is not a doomsday prediction of life disappearing from earth, but a warning that life will be quite different from what humans are used to. All small tropical nations like ours are burdened with mitigating the consequences; in other words, get ready for more Ditwahs, do not wait for the twelve-day forecast.
Some opined that not enough warning was given regarding Ditwah; the truth is that the tools available for long-term prediction of the path or severity of a weather event (cyclone, typhoon, hurricane, tornado) are not perfect. There are multitude of rapidly changing factors contributing to the behavior of weather events. Meteorologists feed most up to date data to different computer models and try to identify the prediction with the highest probability. The multiple predictions for the same weather event are represented by what is known as spaghetti plots. Figure 3 shows the forecasted paths of a 2019 Atlantic hurricane five days ahead on the right and the actual path it followed on the left. While the long-term prediction of the path of a cyclone remains less accurate, its strength can vary within hours. There are several Indian ocean cyclones tracking sites online accessible to the public.

Figure 3. Forecasting vs Reality
There is no argument that short-term forecasts of this nature are valuable in saving lives and movable assets, but having long term plans in place to mitigate the effects of natural disasters is much more important than that. If a sizable section of the population must start over their lives from ground zero after every storm, how can a country economically develop?
The degree of our unpreparedness came to light during Ditwah disaster. It is not for lack of awareness; judging by the deluge of newspaper articles, blogs, vlogs, and speeches made, there is no shortage of knowledge and technical expertise to meet the challenge. The government has assured the necessary resources, and there is good reason to trust that the funds will be spent properly and not to line the pockets as happened during previous disasters. However, history tells us that despite the right conditions and good intentions, we could miss the opportunity again. Reasons for such skepticisms emerged during the few meetings the President held with the bureaucrats while visiting effected areas. Also, the COPE committee meetings plainly display the inherent inefficiencies and irregularities of our system and the absence of work ethics among all levels of the bureaucracy.
What it tells us is that we as a nation have an attitude problem. There are ample scholarly analyses by local as well as international researchers on this aspect of Sri Lankan psyche, and they label it as either island or colonial mentality. The first refers to the notion of isolated communities perceiving themselves as exceptional or superior to the rest of the world, and that the world is hell-bent on destroying or acquiring what they have. This attitude is exacerbated by the colonial mentality that promoted the divide and conquer rules and applied it to every societal characteristic imaginable; and plundered natural resources. As a result, now we are divided along ethnic, linguistic, religious, political, class, caste, geography, wealth, and many more real and imagined lines. Sadly, politicians, some religious leaders, and other opportunists keep inflaming these sentiments for their benefit when most of the population is willing to move on.
The first wish, therefore, is to get the strength, courage, and wisdom to think rationally, and discard outdated and outmoded belief systems that hinder our progress as a nation. May we get the courage to stop venerating elite who got there by exploiting the masses and the country’s wealth. More importantly, may we get the wisdom to educate the next generation to be free thinkers, give them the power and freedom to reject fabrications, myths, and beliefs that are not based on objective facts.
This necessitates altering our attitude towards many aspects of life. There is no doubt that free thinking does not come easily, it involves the proverbial ‘exterminating the consecrated bull.’ We are rightfully proud about our resplendent past. It is true that hydraulic engineering, art, and architecture flourished during the Anuradhapura period.
However, for one reason or another, we have lost those skills. Nowadays, all irrigation projects are done with foreign aid and assistance. The numerous replicas of the Avukana statue made with the help of modern technology, for example, cannot hold a candle to the real one. The fabled flying machine of Ravana is a figment of marvelous imagination of a skilled poet. Reality is that today we are a nation struggling with both natural and human-caused disasters, and dependent on the generosity of other nations, especially our gracious neighbor. Past glory is of little help in solving today’s problems.
Next comes national unity. Our society is so fragmented that no matter how beneficial a policy or an idea for the nation could be, some factions will oppose it, not based on facts, but by giving into propaganda created for selfish purposes. The island mentality is so pervasive, we fail to trust and respect fellow citizens, not to mention the government. The result is absence of long-term planning and stability. May we get the insight to separate policy from politics; to put nation first instead of our own little clan, or personal gains.
With increasing population and decreasing livable and arable land area, a national land management system becomes crucial. We must have an intelligent zoning system to prevent uncontrolled development. Should we allow building along waterways, on wetlands, and road easements? Should we not put the burden of risk on the risk takers using an insurance system instead of perpetual public aid programs? We have lost over 95% of the forest cover we had before European occupation. Forests function as water reservoirs that release rainwater gradually while reducing soil erosion and stabilizing land, unlike monocultures covering the hill country, the catchments of many rivers. Should we continue to allow uncontrolled encroachment of forests for tourism, religious, or industrial purposes, not to mention personal enjoyment of the elite? Is our use of land for agricultural purposes in keeping with changing global markets and local labor demands? Is haphazard subsistence farming viable? What would be the impact of sea level rising on waterways in low lying areas?
These are only a few aspects that future generations will have to grapple with in mitigating the consequences of worsening climate conditions. We cannot ignore the fact that weather patterns will be erratic and severe, and that will be the new normal. Survival under such conditions involves rational thinking, objective fact based planning, and systematic execution with long term nation interests in mind. That cannot be achieved with hanging onto outdated and outmoded beliefs, rituals, and traditions. Weather changes are not caused by divine interventions or planetary alignments as claimed by astrologers. Let us resolve to lay the foundation for bringing up the next generation that is capable of rational thinking and be different from their predecessors, in a better way.
by Geewananda Gunawardana
Features
From Diyabariya to Duberria: Lanka’s Forgotten Footprint in Global Science
For centuries, Sri Lanka’s biological knowledge travelled the world — anonymously. Embedded deep within the pages of European natural history books, Sinhala words were copied, distorted and repurposed, eventually fossilising into Latinised scientific names of snakes, bats and crops found thousands of kilometres away.
Africa’s reptiles, Europe’s taxonomic catalogues and global field guides still carry those echoes, largely unnoticed and uncredited.
Now, a Sri Lankan herpetologist is tracing those forgotten linguistic footprints back to their source.
Through painstaking archival research into 17th- and 18th-century zoological texts, herpetologist and taxonomic researcher Sanjaya Bandara has uncovered compelling evidence that several globally recognised scientific names — long assumed to be derived from Greek or Latin — are in fact rooted in Sinhala vernacular terms used by villagers, farmers and hunters in pre-colonial Sri Lanka.
“Scientific names are not just labels. They are stories,” Bandara told The Island. “And in many cases, those stories begin right here in Sri Lanka.”

Sanjaya Bandara
At the heart of Bandara’s work is etymology — the study of word origins — a field that plays a crucial role in zoology and taxonomy.
While classical languages dominate scientific nomenclature, his findings reveal that Sinhala words were quietly embedded in the foundations of modern biological classification as early as the 1700s.
One of the most striking examples is Ahaetulla, the genus name for Asian vine snakes. “The word Ahaetulla is not Greek or Latin at all,” Bandara explained. “It comes directly from the Sinhala vernacular used by locals for the Green Vine Snake.” Remarkably, the term was adopted by Carl Linnaeus himself, the father of modern taxonomy.
Another example lies in the vespertilionid bat genus Kerivoula, described by British zoologist John Edward Gray. Bandara notes that the name is a combination of the Sinhala words kiri (milky) and voula (bat). Even the scientific name of finger millet, Eleusine coracana, carries linguistic traces of the Sinhala word kurakkan, a cereal cultivated in Sri Lanka for centuries.
Yet Bandara’s most intriguing discoveries extend far beyond the island — all the way to Africa and the Mediterranean.
In a research paper recently published in the journal Bionomina, Bandara presented evidence that two well-known snake genera, Duberria and Malpolon, both described in 1826 by Austrian zoologist Leopold Fitzinger, likely originated from Sinhala words.
The name Duberria first appeared in Robert Knox’s 1681 account of Ceylon, where Knox refers to harmless water snakes called “Duberria” by locals. According to Bandara, this was a mispronunciation of Diyabariya, the Sinhala term for water snakes.
“Mispronunciations are common in Knox’s writings,” Bandara said. “English authors of the time struggled with Sinhala phonetics, and distorted versions of local names entered European literature.”
Over time, these distortions became formalised. Today, Duberria refers to African slug-eating snakes — a genus geographically distant, yet linguistically tethered to Sri Lanka.
Bandara’s study also proposes the long-overdue designation of a type species for the genus, reviving a 222-year-old scientific name in the process.
Equally compelling is the case of Malpolon, the genus of Montpellier snakes found across North Africa, the Middle East and southern Europe. Bandara traced the word back to a 1693 work by English zoologist John Ray, which catalogued snakes from Dutch India — including Sri Lanka.
“The term Malpolon appears alongside Sinhala vernacular names,” Bandara noted. “It is highly likely derived from Mal Polonga, meaning ‘flowery viper’.” Even today, some Sri Lankan communities use Mal Polonga to describe patterned snakes such as the Russell’s Wolf Snake.
Bandara’s research further reveals Sinhala roots in the African Red-lipped Herald Snake (Crotaphopeltis hotamboeia), whose species name likely stems from Hothambaya, a regional Sinhala term for mongooses and palm civets.
“These findings collectively show that Sri Lanka was not just a source of specimens, but a source of knowledge,” Bandara said. “Early European naturalists relied heavily on local names, local guides and local ecological understanding.”
Perhaps the most frequently asked question Bandara encounters concerns the mighty Anaconda. While not a scientific name, the word itself is widely believed to be a corruption of the Sinhala Henakandaya, another snake name recorded in Ray’s listings of Sri Lankan reptiles.
“What is remarkable,” Bandara reflected, “is that these words travelled across continents, entered global usage, and remained there — often stripped of their original meanings.”
For Bandara, restoring those meanings is about more than taxonomy. It is about reclaiming Sri Lanka’s rightful place in the history of science.
“With this study, three more Sinhala words formally join scientific nomenclature,” he said.
“Who would have imagined that a Sinhala word would be used to name a snake in Africa?”
Long before biodiversity hotspots became buzzwords and conservation turned global, Sri Lanka’s language was already speaking through science — quietly, persistently, and across continents.
By Ifham Nizam
Features
Children first – even after a disaster
However, the children and their needs may be forgotten after a disaster.
Do not forget that children will also experience fear and distress although they may not have the capacity to express their emotions verbally. It is essential to create child-friendly spaces that allow them to cope through play, draw, and engage in supportive activities that help them process their experiences in a healthy manner.
The Institute for Research & Development in Health & Social Care (IRD), Sri Lanka launched the campaign, titled “Children first,” after the 2004 Tsunami, based on the fundamental principle of not to medicalise the distress but help to normalise it.

The Island picture page
The IRD distributed drawing material and play material to children in makeshift shelters. Some children grabbed drawing material, but some took away play material. Those who choose drawing material, drew in different camps, remarkably similar pictures; “how the tidal wave came”.
“The Island” supported the campaign generously, realising the potential impact of it.
The campaign became a popular and effective public health intervention.
“A public health intervention (PHI) is any action, policy, or programme designed to improve health outcomes at the population level. These interventions focus on preventing disease, promoting health, and protecting communities from health threats. Unlike individual healthcare interventions (treating individuals), which target personal health issues, public health interventions address collective health challenges and aim to create healthier environments for all.”
The campaign attracted highest attention of state and politicians.
The IRD continued this intervention throughout the protracted war, and during COVID-19.
The IRD quick to relaunch the “children first” campaign which once again have received proper attention by the public.
While promoting a public health approach to handling the situation, we would also like to note that there will be a significant smaller percentage of children and adolescents will develop mental health disorders or a psychiatric diagnosis.
We would like to share the scientific evidence for that, revealed through; the islandwide school survey carried out by the IRD in 2007.
During the survey, it was found that the prevalence of emotional disorder was 2.7%, conduct disorder 5.8%, hyperactivity disorder was 0.6%, and 8.5% were identified as having other psychiatric disorders. Absenteeism was present in 26.8%. Overall, previous exposure to was significantly associated with absenteeism whereas exposure to conflict was not, although some specific conflict-related exposures were significant risk factors. Mental disorder was strongly associated with absenteeism but did not account for its association with tsunami or conflict exposure.
The authors concluded that exposure to traumatic events may have a detrimental effect on subsequent school attendance. This may give rise to perpetuating socioeconomic inequality and needs further research to inform policy and intervention.
Even though, this small but significant percentage of children with psychiatric disorders will need specialist interventions, psychological treatment more than medication. Some of these children may complain of abdominal pain and headaches or other physical symptoms for which doctors will not be able to find a diagnosable medical cause. They are called “medically unexplained symptoms” or “somatization” or “bodily distress disorder”.
Sri Lanka has only a handful of specialists in child and adolescent psychiatric disorders but have adult psychiatrists who have enough experience in supervising care for such needy children. Compared to tsunami, the numbers have gone higher from around 20 to over 100 psychiatrists.
Most importantly, children absent from schools will need more close attention by the education authorities.
In conclusion, going by the principles of research dissemination sciences, it is extremely important that the public, including teachers and others providing social care, should be aware that the impact of Cyclone Ditwah, which was followed by major floods and landslides, which is a complex emergency impact, will range from normal human emotional behavioural responses to psychiatric illnesses. We should be careful not to medicalise this normal distress.
It’s crucial to recall an important statement made by the World Health Organisation following the Tsunam
Prof. Sumapthipala MBBS, DFM, MD Family Medicine, FSLCFP (SL), FRCPsych, CCST (UK), PhD (Lon)]
Director, Institute for Research and Development in Health and Social Care, Sri Lanka
Emeritus Professor of Psychiatry, School of Medicine, Faculty of Medicine & Health Sciences, Keele University, UK
Emeritus Professor of Global Mental Health, Kings College London
Secretary General, International society for Twin Studies
Visiting Professor in Psychiatry and Biomedical Research at the Faculty of Medicine, Kotelawala Defence University, Sri Lanka
Associate Editor, British Journal Psychiatry
Co-editor Ceylon Medical Journal.
Prof. Athula Sumathipala
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