Connect with us

Features

Nadungamuwe Raja, a prisoner of culture, an ambassador of culture or rather, an ambassador of conservation?

Published

on

By Manasee Weerathunga

It is no doubt that the passing away of the ceremonial tusker Nadungamuwe Raja was sorrowful news to the entire country, regardless of religions and ethnicities. It is highly unlikely that there could have been any Sri Lankan who did not love this gentle giant for his majesty and tranquility. However, the question at which everyone who loved Nadungamuwe Raja becomes divided, is on whether Nadungamuwe Raja lived a life of grandeur or a life of suffering?

Nadungamuwe Raja is best known as the ceremonial tusker, bearing the main casket of the Tooth Relic of Lord Buddha in the annual procession of Esala, in Kandy, Sri Lanka. As in ancient traditions, it is only a male tusker of remarkable physique that is eligible for bearing the casket of the Tooth Relic. It is this majesty of this beast which prompted many Sri Lankans, especially the devout Buddhists, to place Nadungamuwe Raja, up on a pedestal of sanctitude. In the eyes of devout Buddhists, Nadungamuwe Raja was not only privileged enough to bear the casket of the Tooth Relic of Lord Buddha (something which is not approachable to a layman) but also was able to gather a plethora of merit in this lifetime, for the rest of Samsara, by being in service to the Lord Buddha. However, in the eyes of animal lovers and workers for animal rights, Nadungamuwe Raja was a prisoner of culture and blind religious devoutation, having had lived a life, chained in a domestic setting with no access to the natural habitat of an elephant or its co-inhabitants.

The opulent pair of long, intersecting pair of tusks can be named as the crowning glory of Nadungamuwe Raja, not to mention that he was the tallest domestic elephant known in whole Asia. In addition to these unmistaken resplendent features of Nadungamuwe Raja, the placidity of this beast’s nature, points out some facts noteworthy about elephants. Asian elephants, the species to which Nadungamuwe Raja belongs, differ from their African elephant cousins, with respect to several features. Firstly, Asian elephants are of significantly smaller build in comparison to African elephants, which makes the height of Nadungamuwe Raja, remarkable. Secondly, unlike the African elephant, which possesses tusks in both male and female alike, tusks are a rarity found in some male Asian elephants only, ticking off another box for Nadungamuwe Raja’s exceptionality. Thirdly, domesticated African elephants are unheard of because they do not share the serene demeanor of their Asian counterparts, while Nadungamuwe Raja is only one of the many domestic Asian elephants found in several countries of Asia.

However, domestication of animals is not something which is discrete for a region of the world. The history of animal domestication spans as far as the beginning of human civilization. The pre-historic man of Stone Age was in the habit of chasing and hunting the animals they wanted to fulfill their food requirements, and then moving to a new location once he had exploited all the animals in his surrounding location. However, as the humans moved on to the farming age by growing their food in their locality and forming permanent settlements, they realized that rather than going in search of animals to hunt, holding the animals in captivity, raring them and harvesting the milk, meat and hides that they needed was an easier option. That marked the beginning of animal domestication, resulting in some animal species, such as dogs, cats and ornamental fish breeds, to become fully domesticated species by the present times. A major step in this process involved identifying animals who were passive enough to be approached, caught, and held captive and tamed. This has resulted in the evolution of most domestic animal species to have traits that would make them better suited to a domestic setting while wiping out the traits which would help them survive in the wild. For example, evolution has taken away from the dogs, the traits of aggression shown by their distant relatives, the wolves, as well as any skills of surviving in the wild by hunting and avoiding predation. Therefore, if an enthusiast of animal rights is to argue that holding a gold fish in a fish tank is a violation of its rights and that it would be better off swimming freely in a stream, it is going to be one of the most frivolous points to make because a gold fish would hardly survive in a wild stream for more than 24 hours without getting predated. That is because the ancestors of these domestic animals, running back to hundreds of generations, have not even seen a wild environment so that their genes no longer contain the traits suited for the wild.

However, we cannot say the same about Asian elephants so confidently, because elephants still do exist in the wild and therefore is not a completely domesticated animal species. While the harsher environment that African elephants inhabit has made them more aggressive and violent by their genetic makeup, Asian elephants are more approachable which has enabled many countries to domesticate Asian elephants for centuries. Therefore, a fair number of domestic Asian elephants, found in many countries, are elephants who had been born and bred in domestic settings for generations. Hence, although many activists for animals rights have been voicing out in social media platforms that Nadungamuwe Raja lived a life of suffering by being chained in a domestic setting, having been an elephant born in a domestic elephant stable in India, it is uncertain what percentage of Nadungamuwe’s Raja’s genes still retained the traits that would help him survive in the wild. Usually, several generations of inbreeding of domesticated animals result in establishment of gene combinations best suited for domestic settings and purging those suited for wild environments. Still, it is uncertain how rapidly it happens in each species. With evolutionary biologists and behavioural scientists worldwide conducting a plethora of research on the question of whether nature or nurture determines the behavioural traits of an animal, the question of whether Nadungamuwe Raja would have been happier roaming freely in the wild remains an open question, with not enough data on how much of wild traits that he retained in his genes.

Nevertheless, if we were to assume that Nadungamuwe Raja was still biologically fully capable of living in a wild environment, we should not forget that he would be living in an environment where the humans have become a major predator for elephants. Evolution being a very slow process that takes millions of years, usually the genetic makeup that currently exists in many organisms is the genetic combination that evolved to suit the environmental conditions that existed thousands of years ago. The genome of many organisms is still undergoing the process of adapting to the current environment, which has changed rapidly from what it was a few hundreds of years back. Therefore, organisms do not evolve adaptations to match the changing environmental conditions as rapidly as the environment changes. The same is true for elephants because their genetic makeup has not evolved to keep up with the rapidly changing environment and hence, lack the adaptations to survive the threats posed by their greatest predator of the current world, the human. Therefore, it is fairly agreeable if someone says that Nadungamuwe Raja could have been poached long ago for his magnificent pair of tusks or could have been killed by ‘hakka patas’ traps if it had not lived in the seclusion of a domestic environment. However, it should be noted that Nadungamuwe Raja lived the average lifespan of an Asian elephant. The most common natural cause of death for wild elephants is a mechanical cause resulting from the loss of teeth. Elephants usually have four sets of teeth during their course of life and once the last set of teeth is lost, elephants die a slow and painful death due to the inability to feed and nourish themselves. It is noteworthy that the owners of Nadungamuwe Raja took the utmost effort to preserve the last set of teeth of the elephant so that his lifespan could be prolonged, by meticulously managing the elephant’s diet and behaviour. However, whether living in a natural environment and choosing his own diet from natural sources could have prolonged the lifespan of the elephant is contentious.

The increasing rarity of tusks as sumptuous as Nadungamuwe Raja’s in Asian elephants itself signals an evolutionary trend of elephants towards adaptation to the hostility created in wild environments by humans. It is the general trend of evolution to get rid of any traits that would pose a threat to the survival and fitness of any organism. By evolution, tusks serve the purpose of attracting female mates to male elephants, while helping males with combat with other males for territory and mates as well as obtaining food. With humans as a predator of elephants in wild environments, tusks have unfortunately become the worst nightmare for the survival of elephants in the wild. It is highly probable that the tusks of Nadungamuwe Raja could have brought the same unfortunate fate on him if he had lived in the wild. Even with living a domesticated life, the tusks of Nadungamuwe Raja had been too heavy for his head to bear towards the latter part of his life, although the situation had been ameliorated by his owners by arranging a sleeping place for the elephant where he could rest his head above his body. However, it is doubtful whether the tusks of Nadungamuwe Raja would have grown to that length and weight if it had lived in the wild. If a wild elephant had tusks as long and big as that, it goes without saying that it would pose a hinderance and a danger to the movement of the animal in dense vegetation, which are the common habitats of Asian elephants. Therefore, wild elephants have the habit of wearing off their tusks by rubbing them against tree branches, while the tusks of wild elephants are subjected to breakage during combats between males. For example, Gemunu, who is a well-known tusker inhabiting the Yala National Park of Sri Lanka, had only one tusk until recently, with the other being broken off during a dual. The remaining tusk was also broken off a couple of years earlier, during a dual with Nandimitra, another male elephant of the Yala National Park. Usually, once a male elephant loses his tusks in a combat, it either dies of the wounds of the combat or lives a quiet and short life restricted of mates or food of the territory, without the advantage of tusks. Therefore, another open question remains of whether Nadungamuwe Raja would have had such a luxurious pair of tusks until the end of his lifetime, had he lived in a wild environment.

Considering all these whether Nadungamuwe Raja was a prisoner of culture or not remains a question to be answered based on each person’s own morals and judgment. But, while dividing into sides and splitting hairs to prove whether Nadungamuwe Raja lived a life of a prisoner or that of royalty, there is a fact that many forget. While limiting the discussions about Nadungamuwe Raja to decorating him as an icon of Sri Lankan culture or fighting for his rights for a free life, we forget that not only Nadungamuwe Raja but all other domestic elephants of Sri Lanka which are treated with high esteem can serve a bigger role as ambassadors of environmental conservation. Nadungamuwe Raja and all other celebrated domestic elephants of Sri Lanka such as Kataragama Wasana, Indi Raja, Miyan Raja etc. fit perfectly well to the category of Flagship Species. The concept of Flagship Species introduced by the International Union for Conservation of Nature (IUCN) includes organisms having an aesthetic importance while representing a certain habitat, issue, or environmental cause. The objective of this concept is by conserving and drawing public attention to these animals which are of aesthetic attraction, the entire habitat they represent will be conserved and the environmental issue that they are involved in would be resolved. The giant panda endemic to China is an ideal example of a flagship species being a successful ambassador in resolving a conservation issue. With the giant panda being categorized as an endangered species by the IUCN in the 1980s, a massive campaign was launched to save China’s beloved national icon. This involved not only in-situ conservation efforts such as setting up nature reserve areas habitable for pandas, but also numerous ex-situ conservation techniques such as breeding pandas in captivity and propagating public interest and awareness on these cute creatures with the use of domesticated pandas held in captivity. These pandas did their job as environmental ambassadors so perfectly that by 2016, IUCN declared that giant pandas are no longer endangered but just vulnerable.

Right now, the number of Sri Lankans who worship Nadungamuwe Raja, holding him at a highly revered position is countless. Similarly, the number of Sri Lankans who fight for animal rights pointing out that Nadungamuwe Raja spent a torturous, miserable life is also fairly high. Amidst all that clamour, the number of elephants killed each year by poachers or by ‘hakka patas’ traps, the number of elephants shot by villagers for encroaching into cultivated lands, the number elephants hit by trains, plus the number of human lives lost each year by wild elephant attacks remain escalating. This disturbing trend signals to us that right now the most serious issue regarding elephants in Sri Lanka is not the debate of whether domestic elephants are cultural icons or prisoners of culture, but the human-elephant conflict which has gone unresolved, yet escalating to an extremely unfortunate level, for the past years. Wild elephants cannot be blamed for the circumstances considering the plight they are in with the construction of motorways fragmenting natural habitats of elephants and blocking their passes, human encroachment into natural habitats limiting the availability of food, water and space for the elephants plus poaching for ivory. On the other hand, the retaliation by humans to wild elephants is also fair considering the threat to property and lives it poses and the economic and emotional turmoil it costs when living in an area of wild elephant threat. That is why Nadungamuwe Raja and his fellow domestic elephants, should be viewed as ambassadors of environmental conservation rather than either icons or prisoners of culture. While thousands of people have been coming to pay their last respects to Nadungamuwe Raja with heavy hearts, while the authorities are taking steps to preserve Nadungamuwe Raja as a national treasure, while Nadungamuwe Raja’s predecessor tusker Raja has a museum dedicated all to himself and preserved and displayed as a national treasure, and while animal rights activists are launching heated social media campaigns to free the domestic elephants from their chains, there are numerous elephants in the island who portray major conservation issues. The wild elephant Natta Kota who roams the premises of tourist hotels bordering the Yala national park, has become a scavenger on garbage of the hotels which lure him to be a tourist attraction. The elephants inhabiting the forests bordering motorways of areas such as Habarana and Buttala had fallen to the plight of mafia gangsters who don’t let vehicles pass unless they are given the ransom of food. The elephants scavenging on garbage dumps of Tissamaharama have fallen to the plight of homeless beggars, picking through trash to fill their stomachs.

It goes without saying that Nadungamuwe Raja is a national treasure because a tusker of that stature and physique is indeed an asset to any country’s natural resource chest. But the reverence shown towards this animal needs to be extended to countless other elephants in Sri Lanka who are at the risk of getting poached for ivory, or killed by traps. As good as it is that Nadungamuwe Raja’s body be preserved as a national treasure as that of Raja, by housing it in a museum as a mere icon of cultural importance, the natural homes of the wild elephants of Sri Lanka needs to be preserved as well, as elephants are assets of Sri Lanka. The activists and enthusiasts of animal rights who voice out protests on the chained life that Nadungamuwe Raja led, should extend their fighting towards winning freedom for the numerous unnamed wild elephants who cannot roam wherever they wish in their native habitats and eat as much natural food as they like. Therefore, it is high time that the authorities start hailing Nandungamuwe Raja as an icon of conservational importance, rather than as a mere national treasure of cultural importance while the worshippers of Nandungamuwe Raja and the fighters for Nandungamuwe Raja’s animal rights start portraying him as an ambassador of environmental conservation rather than an ambassador of culture or a prisoner of culture.

(The writer is a PhD Student in Evolutionary Biology, University of Florida, Gainesville, US. She thanks Gihan Athapaththu, former Naturalist at Jetwing Yala, currently Master’s student at Jeju National University, South Korea, for his contribution to this article.)



Features

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

Published

on

(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.)

Continue Reading

Features

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

Published

on

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

Continue Reading

Features

Rebuilding Sri Lanka Through Inclusive Governance

Published

on

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

Continue Reading

Trending