Features
National expanded programme on immunisation for children
Even just about a couple of decades ago, it was quite common to see our children fall victim to certain serious infectious diseases, over which we had very little control. Illnesses such as tuberculosis, diphtheria, whooping cough, tetanus, polio, measles, mumps, rubella, chicken pox and typhoid were rampant and seemed to rule the roost. There were regular mass epidemics of some of these nasty diseases, which occurred with disconcerting regularity.
Some of these diseases killed children, while others left them severely disabled. For some of these diseases, like polio, there was no specific treatment either. In fact, just a few decades ago, the Lady Ridgeway Hospital, our premier medical institution for children, provided designated wards to look after some of these diseases, the wards being labelled as Diphtheria Ward, Polio Ward, etc. These are really things of the past now as a result of measures taken to prevent the occurrence of these dreaded diseases by successful immunisation, which to the general public means vaccinations.
The Sri Lankan Ministry of Health started the Immunisation Programme all those long years ago to try and control the unfortunate occurrence of some of these diseases. Initially, the entire enterprise was viewed with some suspicion by the general population, and it took some time to build up confidence in the programme. Gradually, people started to join in and vaccinate their children. With time, the programme evolved into the present day Expanded Programme of Immunisation (EPI) of the Ministry of Health.
The success of any preventive programme depends on the proportion of the vulnerable population that elects to join the programme. Today we can boast of over 90 per cent coverage of all children by the EPI. The parents of our children have taken it to their hearts to immunise the children. This is truly a wonderful example of the successful implementation of a partnership programme between the government and the people of a country. Our EPI is today extolled by many authorities in the world, including the World Health Organisation, as a role model for most developing countries. The tremendous success of this programme has led to the virtual elimination of diseases such as diphtheria, whooping cough, tetanus, polio and measles from our country. The immunisations are recorded in a comprehensive booklet known as The Child Health Development Record (CHDR), which is issued free to every newborn baby by the Ministry of Health. Vaccination is now well established as a vital cog in the wheel of successful child care.
The National Programme of Immunisation starts with the BCG vaccination at birth. This vaccine works against tuberculosis, particularly the more severe types that affect the brain, joints, bones and kidneys. It is given as a simple injection into the skin of the left upper arm near the shoulder within the first 48 hours after birth. We have the great advantage of over 95 per cent of births occurring in either public or private hospitals, and thus administration of BCG to all these babies is that much easier. The vaccination site comes up like a bump and even a blister within a couple of weeks, and sometimes opens up as a shallow ulcer, which heals leaving a scar. It is important to document the presence of a scar in the Immunisation Record component of the Child Health Development Record, as this scar fades off with time in a small percentage of children. If the vaccine does not produce a scar, it should be repeated within the first six months of life.
Next set of vaccines to be administered are the triple, hepatitis B and polio vaccines. The first doses are administered at the age of two months. The triple vaccine covers the baby against diphtheria, whooping cough and tetanus. These are given by a single injection. So is the hepatitis B vaccine. The Ministry of Health added the Haemophilus influenzae Type b (Hib) vaccine some time ago. This bacterium causes rather severe infections of the brain, lungs and ears of children. The polio vaccine is administered by mouth. All these vaccines have to be repeated again at ages 4, 6 and 18 months to provide full protection for the baby. All the diseases against which these vaccines work are serious problems and were major killers in the past. Diphtheria, tetanus and polio have been eradicated from the country as a result of these vaccinations.
At present, the baby is administered the combined Measles, Mumps and Rubella (MMR) vaccine at nine months and 3 years of age. These protect the child against these diseases, which were major causes of morbidity and some mortality in the past. Measles is a very rare disease now, and rubella is well under control. Rubella, when transmitted to pregnant mothers, produces major congenital malformations in the unborn baby. In many countries, children getting rubella is a potential source of infection for other pregnant mothers as well and this is the main reason that children are be immunised against this disease. There were some concerns regarding the alleged association of MMR vaccine with childhood autism sometime in the past. It was a terrible fiasco created by an unscrupulous and dishonest socotr from a Western country. It is now firmly established on very strong scientific evidence that there is no such link between MMR vaccine and autism. That canard has now been finally buried for good. This vaccine has, in fact been used in Sri Lanka for many years without any problems.
Now there is a vaccine that is administered at one year for the prevention of Japanese Encephalitis, a type of brain fever. Currently, this vaccine is given as a single dose, which provides adequate protection after just one dose. This is a significant advance in the development of immunisation in the country. Japanese Encephalitis was a major problem earlier and killed half of those who were affected and left a quarter with permanent brain damage. Booster doses of diphtheria, tetanus and oral polio vaccines are administered later at 5–year intervals. The rationale behind these additional doses is to enhance the immunity and provide continuing protection for the child right up to adult life.
In addition to all these vaccines which are provided free by the Ministry of Health, there are additional optional vaccines which are currently available only in the private sector. Some of them are quite expensive but these will provide additional protection against some other important diseases. There are vaccines against typhoid, hepatitis A, chicken pox, mumps, Japanese encephalitis, meningococcal disease and illnesses caused by pneumococci. Chicken pox is generally considered to be a kind of ‘customary disease’ or a part and parcel of childhood. In very many cases, it does not cause serious problems in children. However, a child or an adolescent could get chicken pox at some of the most inconvenient times such as before examinations and prior to competitive sporting events. In children who have not had chicken pox as an illness, the vaccine is really worthwhile but it has to be given well before contracting the disease.
All these vaccines must be transported and stored properly, as otherwise they lose their potency and effectiveness. One particularly important constituent of this process is the maintenance of the proper “cold chain”. This refers to the exact low temperatures at which these vaccines have to be stored to maintain their potency. The low temperatures at which they have to be stored are specified for each vaccine. In all institutions, whether big or small, where vaccines are stored, stringent measures, including back-up power supplies to refrigerators, should be instituted to address this issue even during power disruptions.
Our Sri Lankan government spends a great deal of money and provides all vaccines in the Expanded National Immunisation Programme, to safeguard the health of our children. At the point of administration, these vaccinations are provided completely free to the general population. Indeed, we are the envy of many countries in the world on the strength of our commitment to free health care.
However, there are minor problems, molehills blown out of all proportion, and various types of undue publicity, regarding some of these vaccines, triggered by isolated untoward incidents that have occurred in some parts of the country as well as in other countries. In addition, many myths regarding unconfirmed undesirable effects of vaccines on fertility and other aspects of the health of children have produced a growing group of parents who oppose all forms of vaccinations; the so-called “anti-vaxxers” or vaccine-hesitant people. Unfortunately, sensation-seeking media reports, along with misinformation and disinformation, have contributed to jeopardising the very core of one of the most successful programmes in the annals of our National Health Service.
This author has gone through several epidemics of many of these diseases and seen firsthand the intolerable anguish caused to the parents and families by these diseases. It breaks his heart now to see some interested people and families carrying out a campaign against vaccines. If only they could have seen even an iota of the misery caused by these diseases, as witnessed by this author in the past, they would not campaign against immunisation. We have seen some horrendous suffering, deaths and long-term disabilities meted out by some of these diseases even in the second half of the last century.
In the long run, the glittering successes achieved by the EPI are testimony to the effectiveness, validity and veracity of the programme. There is no other endeavour of any ministry of successive governments since independence that could boast of such spectacular results as those achieved by this programme. In fact, our country has been cited on numerous occasions by the global community as a role model of fantastically successful immunisation. Sri Lanka is a signatory to the International Children’s Charter, and the provision of good healthcare is a hallowed right of children as enshrined in that charter. The Expanded Programme of Immunisation is just one venture that was designed and initiated by the Ministry of Health to honour that commitment to our children, whom we all consider to be the jewels of our resplendent isle.
Finally, many publications have quipped, “vaccines do not save lives but vaccination certainly does.” What it means is that vaccines have to be properly administered for them to save lives.
Features
Mannar’s silent skies: Migratory Flamingos fall victim to power lines amid Wind Farm dispute
By Ifham Nizam
A fresh wave of concern has gripped conservationists following the reported deaths of migratory flamingos within the Vankalai Sanctuary—a globally recognised bird habitat—raising urgent questions about the ecological cost of large-scale renewable energy projects in the region.
The incident comes at a time when a fundamental rights petition, challenging the proposed wind power project, linked to India’s Adani Group, remains under examination before the Supreme Court, with environmental groups warning that the very risks they highlighted are now materialising.
At least two flamingos—believed to be part of the iconic migratory flocks that travel thousands of kilometres to reach Sri Lanka—were found dead after entanglement with high-tension transmission lines running across the sanctuary. Another bird was reportedly struggling for survival.
Professor Sampath Seneviratne, a leading ornithologist, expressed deep concern over the development, noting that such incidents are not isolated but indicative of a broader and predictable threat.
“These migratory birds depend on specific flyways that have remained unchanged for centuries. When high-risk infrastructure, like poorly planned power lines, intersect these routes, collisions become inevitable,” he said. “What we are witnessing now could be just the beginning if proper mitigation measures are not urgently implemented.”
Environmentalists argue that the Mannar region—particularly the Vankalai wetland complex—is one of the most critical stopover sites in South Asia for migratory waterbirds, including flamingos, pelicans, and various species of waders. The sanctuary’s ecological value has also supported a niche with growing eco-tourism sector, drawing birdwatchers from around the world.
Executive Director of the Centre for Environmental Justice, Dilena Pathragoda, said the incident underscores the urgency of judicial intervention and stricter environmental oversight.
“This tragedy is a direct consequence of ignoring scientifically established environmental safeguards. We have already raised these concerns before court, particularly regarding the location of transmission infrastructure within sensitive bird habitats,” Pathragoda said.
“Renewable energy cannot be pursued in isolation from ecological responsibility. If due process and proper environmental impact assessments are bypassed or diluted, then such losses are inevitable.”
Conservation groups have long cautioned that the installation of wind turbines and associated grid infrastructure—especially overhead transmission lines—within or near sensitive habitats could transform these landscapes into lethal zones for avifauna.
An environmental activist involved in the ongoing legal challenge said the latest deaths validate earlier warnings.
“This is exactly what we feared. Development is necessary, but not at the cost of biodiversity. When projects of this scale proceed without adequate ecological assessments and safeguards, the consequences are irreversible,” the activist stressed.
The debate has once again brought into focus the delicate balance between renewable energy expansion and biodiversity conservation. While wind energy is widely promoted as a clean alternative to fossil fuels, experts caution that “green” does not automatically mean “harmless.”
Professor Seneviratne emphasised that solutions do exist, including rerouting transmission lines, installing bird diverters, and conducting comprehensive migratory pathway studies prior to project approval.
“Globally, there are well-established mitigation strategies. The issue here is not the absence of knowledge, but the failure to apply it effectively,” he noted.
The timing of the incident is particularly worrying. Migratory flamingos typically remain in Sri Lanka until late April or May before embarking on their return journeys. Conservationists warn that if hazards remain unaddressed, larger flocks could face similar risks in the coming weeks.
Beyond ecological implications, experts also highlight potential economic fallout. Wildlife tourism—especially birdwatching—contributes significantly to local livelihoods in Mannar.
Repeated reports of bird deaths could deter eco-conscious travellers and damage the region’s reputation as a safe haven for migratory species.
Environmentalists are now calling for immediate intervention by authorities, including a temporary halt to high-risk operations in sensitive zones, pending a thorough environmental review.
They stress that protecting animal movement corridors—whether elephant migration routes or avian flyways—is a fundamental pillar of modern conservation.
As the controversy unfolds, one question looms large: can Sri Lanka pursue sustainable energy without sacrificing the very natural heritage that defines it?
Pathragoda added that for now, the sight of fallen flamingos in Mannar stands as a stark reminder that development, if not carefully planned, can carry a heavy and irreversible cost.
Features
‘Weaponizing’ religion in the pursuit of power
A picture of US President Donald Trump apparently being prayed for by supporters, appearing in sections of the international media, said it all loud and clear. That is, religion is being flagrantly leveraged or prostituted by politicians single-mindedly bent on furthering their power aspirations.
Although in the case of the US President the trend took on may be an exceptionally graphic or dramatic form, the ‘weaponizing’ of religion is nothing particularly new, nor is it confined to only religiously conservative sections of the West. For example, in South Asia it is an integral part of politics. The ‘South Asian Eight’ are notorious for it and it could be unreservedly stated that in Sri Lanka, the latter’s ethnic conflict would be more amenable to resolution if religion was not made a potent weapon by ambitious politicians of particularly the country’s South.
The more enlightened sections of Christian believers in the US may not have been able to contain their consternation at the sight of the US President apparently being ‘blessed’ by pastors claiming adherence to Christianity. Any human is entitled to be blessed but not if he is leading his country to war without exhausting all the options at his disposal to end the relevant conflict by peaceful means.
More compounded would be his problem if his directives lead to the death of civilians in the hundreds. In the latter case he is stringently accountable for the spilling of civilian blood, that is, the committing of war crimes.
However, the US along with Israel did just that in the recent bombings of Iran, for instance. The majority of the lives lost were those of civilians. If the US President is endowed with a Christian conscience he would have paused to consider that he is guilty of ordering the taking of the life of another human which is forbidden in the teachings of Jesus Christ.
Moreover, the ‘pastors’ praying over the US President should have thought on the above lines as well. May be they were in an effort to curry the President’s favour which is as blame-worthy as legitimizing in some form the taking of civilian lives. Apparently, the realisation is not dawning on all Christian conservatives of the US that some of these ‘pastors’ could very well be the proverbial false prophets and the latter are almost everywhere, even in far distant Sri Lanka.
However, the political reality ‘on the ground’ is that the Christian Right is a stable support base of the Republican Right in the US. Considering this it should not come as a surprise to the seasoned political watcher if the Christian Right, read Christian fundamentalists, are hand-in-glove, so to speak, with President Trump. But it is a scathing indictment on these rightist sections that they are all for perpetrating war and destruction and not for the fostering of peace and reconciliation. Ideally, they should have impressed on their President the dire need to make peace.
That said, political commentators should consider it incumbent on themselves to point out that religion is being ‘weaponized’ in Iran as well. Theocratic rule in Iran has been essentially all about perpetuating the power of the clerical class. The reasons that led to the Islamic Revolution in Iran are complex and the indiscreet Westernization of Iran under the Shah dynasty is one of these but one would have expected Iran to develop from then on into a multi-party, pluralistic democratic state where people would be enjoying their fundamental rights, as enshrined in the Universal Declaration of Human Rights, for example.
Moreover, Iran should have taken it upon itself to be a champion of world peace, in keeping with its Islamic credentials. But some past regimes in Iran had vowed to virtually bomb Israel out of existence and such regional policy trajectories could only bring perpetual conflict and war. Considering the current state of the Middle East it could be said that the unfettered playing out of these animosities is leading the region and the world to ‘reap the whirlwind’, having recklessly ‘sowed the wind’.
However, religious fundamentalism-inspired conflict and war has spread well beyond the Middle East into almost every region since 1979, the year of the Islamic Revolution in Iran. So much so, knowledgeable opinion now points out that religious identity has come to replace nationalism as a principal shaper of international politics or “geopolitics”, as quite a few sections misleadingly and incorrectly term it.
Elaborating on the decisive influence of religious identity, the well known and far traveled Western journalist Patrick Cockburn says in his authoritative and comprehensive book titled, ‘The Age of Jihad – Islamic State and the Great War for the Middle East’ at page 428 in connection with the war in Chechnya ; ‘If nationalism was not entirely dead, it no longer provided the ideological glue necessary to hold together and motivate people who were fighting a war. Unlike the Islamic faith, it was no longer a belief or a badge of identity for which people would fight very hard.’ (The book in reference was published by VERSO, London and New York).
In his wide coverage of Jihadist Wars the world over Cockburn goes on to state that today a call from a cleric could motivate his followers to lay down no less than their lives for a cause championed by the former. The 9/11 catastrophe alone should convince the observer that this is indeed true.
However, as often pointed out in this column, there is no alternative but to foster peace and reconciliation if a world free of bloodshed and strife is what is being sought. Fortunately we are not short of illustrious persons from the East and West who have shone a light on how best to get to a degree of peace. Besides Mahatma Gandhi of India, who was the subject of this column last week, we have former President of Iran Mohammad Khatami, who made a case for a ‘Dialogue of Civilizations’ rather than a ‘Clash of Civilizations’.
The time is more than ripe to take a leaf from these illustrious personalities, for, the current state of war in the Middle East has raised the possibility of a war that could transcend regional boundaries. The antagonists are obliged to exhaust all the peaceful options with the assistance of the UN system. Besides, war cannot ever have the blessings of the sane.
Features
Venerable Rahula Thera’s 35-year green mission and national Namal Uyana
It was 35 years ago, on March 28, 1991, that Venerable Rahula Thera, then a young monk, embarked on a journey to the Na forest in Ulpathagama, Palagama, in the Anuradhapura District. Today, three and a half decades later, this mission stands as living proof of the enduring bond between Buddhist philosophy and the natural world.
Marking the 35th year of this green mission, Rahula Thera’s relentless dedication has transformed the National Namal Uyana into an environmental landmark admired not only across Sri Lanka but around the globe, as well.
When studying the life of Venerable Rahula Thera, one cannot ignore the profound connection between Buddhism and the environment. Buddhism is a philosophy deeply attuned to nature. The historical use of the sacred “Na Ruka” by all four Buddhas: Mangala Buddha, Sumana Buddha, Revata Buddha, and Sobhita Buddha — for enlightenment —demonstrates that from time immemorial, Buddhism has maintained a sacred bond with the Na tree. From the birth of Siddhartha to his enlightenment, the propagation of the Dharma, and even the great Parinirvana, all of these milestones unfolded in verdant, living landscapes.
Venerable Rahula Thera did not embark on the Namal Uyana mission seeking government support or personal gain. His commitment sprang from a deep devotion to the Buddha’s teachings on grove cultivation. A grove cultivator is one who spreads compassion for nature. As the Vanaropa Sutta teaches:
Venerable Rahula Thera reclaimed Namal Uyana which was then under the control of timber smugglers and treasure hunters. The term “Wanawasi” does not merely mean living in a forest; it signifies finding rest and enlightenment through nature, free from the destructive roots of greed, sin, and delusion.
Another defining aspect of Venerable Rahula Thera’s 35-year mission is the purification of the human mind. He has consistently taught the thousands who visit Namal Uyana that a person who loves a tree will never harm another human being. As the Dhamma proclaims:
It is important to remember that Venerable Rahula Thera devoted his life, without fear, speaking the truth and taking necessary action, tirelessly advancing the national mission he began. From 1991 to the present, he has worked with every government elected by the people, maintaining impartiality and independence from political ideology. Yet, he never hesitated to raise his voice fearlessly against any individual, of any rank or party, who committed wrongdoing.
Religious and Social Mission
The National Namal Uyana is not merely a forest; it is a magnificent heritage site, dating back to ancient times. Scattered across the landscape are boundary walls, the remains of ancient monastery complexes, and stone carvings believed to date back to the reign of King Devanampiyatissa. In earlier centuries, this sacred land had served as a meditation sanctuary for hundreds of monks. The name “National Namal Uyana,” by which this ecological and archaeological treasure is known today, was introduced by Venerable Rahula Thera in 1991. The government’s later recognition of the site as the National Namal Uyana stands as a significant achievement for both religion and national heritage.
Venerable Rahula Thera is a monk who has lived a life of renunciation. A striking example of this is his decision not to assume the position of Chief Incumbent of the National Namal Uyana Viharaya, instead entrusting the temple to the Ramanna Nikaya and its trustees. In doing so, he set a precedent for the contemporary Sangha. The Thera himself stated that he was merely the trustee of Namal Uyana, not its owner.
Legacy and Continuing Inspiration
The 35th anniversary of Venerable Wanawasi Rahula Thera’s arrival at Namal Uyana is not merely the commemoration of a period of time; it is a message of nature to future generations. Through his work, the Thera revived the ancient Hela tradition of loving trees and venerating the environment as something sacred. This religious and environmental mission remains unforgettable.
The revival experienced by Namal Uyana, after the arrival of Venerable Wanawasi Rahula Thera, is beyond simple description. Some of the major accomplishments achieved under his leadership include:
* Securing and protecting the largest Rose Quartz (Rosa Thirivana) reserve in South Asia.
* Restoring the Na forest spread across hundreds of acres, providing shelter to numerous rare plants and animal species.
* Transforming the area into a living centre for environmental education, offering practical learning experiences for thousands of schoolchildren and university students.
* Drawing the attention of world leaders and international environmentalists to Sri Lanka’s unique environmental heritage.
In recognition of his immense contribution to environmental conservation, Venerable Rahula Thera was honoured with the Presidential Environment Award and the Green Award in 2004—a significant moment in his life. Yet the Thera himself has always remained devoted to the work rather than the recognition it brings, making such appreciation even more meaningful.
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