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‘Nobody is safe until everyone is safe’

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The world faces a ‘catastrophic moral failure’ because of unequal COVID vaccine policies. With more than 80% of the COVID vaccines being given in high and upper-middle income countries, low-income nations are left at the receiving end with just 0.5 percent.

The inequitable distribution of vaccines have left the poor nations in the lurch and if the rich countries ‘keep their vaccine promises, the pandemic can end,’ observes the Director General of WHO, Dr. Tedros Ghebreyesus.

Randima Attygalle speaks to Dr. Palitha Abeykoon, World Health Organization (WHO) Director General’s Special Envoy to facilitate the COVID-19 response in Southeast Asia, for the latest developments of the pandemic which has taken a new shape, pushing countries to deploy new management strategies. Following are excerpts:

 

Q: With new COVID variants emerging, what are the predictions for both the world and us in the next few weeks and months and what precautions are encouraged?

A:

Considering the factors and trends in other parts of the world, particularly in India, we can talk of certain potentials. As a country, we managed both the first and the second waves relatively well with a ‘whole of society approach’; people and the government stakeholders, particularly the frontline health workers and defense personnel working together, standing on the same side. However, with the onset of the recent festive season, this ‘whole of society’ approach was slackened leading to this spike we are experiencing right now. Even in the case of India with some mammoth super-spreader events and dropping of the guard including non-observance of simple health protocols, a spike was inevitable. We are only hoping that it is only a spike and not a surge, both locally and globally.

Here at home, if the number of infected cases does not rise rapidly in the next two weeks, our health sector will be able to manage the situation, albeit with considerable strain, but if the numbers do not come down by the middle of next week or so, it will certainly lead to a deeply worrying situation.

The evidence we have now reflects, (unlike in the first or second round), that the UK Variant of Concern (B1.117) is now established in Sri Lanka and with this virus the transmission is more efficient, more young people are infected, more serious complications are developed with more patients requiring oxygen and ICU facilities. If numbers increase, we will have a problem with capacity. The health sector is now setting up intermediate centers to isolate and treat patients, however, it will be a big strain on the system. Although we were fortunate to have vaccinated our frontline health workers and other personnel, we should not forget that they are working round the clock and are physically and even mentally exhausted. The logistical demands and shortcomings are an added burden on them.

The world still does not know enough about COVID 19 variants or the way the virus behaves, hence extreme precautions are necessary. The University of Jayewardenapura is doing a splendid job isolating the variants, particularly the variants of concern. We will need to do more sequencing which is a very expensive exercise. However, we cannot afford to neglect that also. There has been concern that some of the variants are not completely covered by some of the vaccines available; but this should not be much of a worry as the vaccines we use do give adequate protection, particularly preventing serious complications and death. Random testing in high transmission areas should also be given more muscle.

There is also this recent story in a reputed journal gaining ground that transmission is through aerosols in addition to being through droplets but research is still in process to establish it. In any event the key measures needed for preventing transmission in either case would be similar and are now well known.

 

Q: What lessons can we draw from India’s predicament?

A:

India is alerting us that ‘no one is safe unless everyone is safe.’ Being a large player in the drugs and pharmaceutical industry, India is today struggling to meet their health demands. With havoc in Delhi and Maharashtra, they do not have sufficient personal protection equipment, oxygen etc. We need to be mindful that the Indian situation can affect our supplies as well as we are a major importer of Indian pharmaceuticals and equipment.

Today the Indian health system is burnt out and this is an eye opener for us. We need to endeavour to prevent the Indian variant entering Sri Lanka and do more sequencing to determine if the new Indian variant (B. 1.617) which seems more virulent and produces serious complications, has entered the country.

In the past few weeks, we have been too lax and let our hair down too early and easily. The situation in India should push us to strengthen our ‘risk communication’ to the public.

Q: Do you think there is a need for tighter inter-province travel restrictions right now because despite warnings, people from ‘red zones’ such as Colombo still tend to flock into outstations?

A:

Yes, certainly there should be certain restrictions. In a country where the majority are daily wage earners, we cannot afford to go down for a long lock down risking the livelihood of thousands. What is needed is a balancing act for which selective lockdowns which are now in force and travel restrictions as indicated. There should also be other restrictions with regard to assembly, any type of gathering or ceremony and these restrictions should be strictly enforced. It is urgent that the transmission from ‘red zones’ to other ‘not-so vulnerable regions’ is suppressed. I reiterate that we cannot afford to overwhelm our health sector exceeding its capacities.

 

Q: What is the overall success rate of the vaccination programme world over?

A:

It is very clear that the countries which vaccinated more than 50% of their populations have demonstrated a lesser number of cases. In fact Israel has achieved nearly 85% of a roll out – the first country to achieve such a large number – and it is considered to have achieved ‘herd immunity’ and able to relax the earlier restrictions. For a while Israel has been reporting a very few cases and this is an example to the rest of the world. Even in England, the number of cases has come down, and can be attributed in some measure to the impact of the vaccination program, and so is the case in some of the states in the U.S.

 

Q: Many malpractices and managerial drawbacks were witnessed when the first dose of the Covax vaccine was locally administered. How important is it not to replicate these during a possible second roll out?

A:

If the programme stuck to its original mandate of vaccinating the frontline personnel and those over 60 years, it would have been much more successful because still the world over, most number of cases and deaths are reported among the elderly. With the initial mandate shifting from senior citizens, some people attempted to take advantage of the vaccination program and this was unfortunate. So prioritizing of the elderly and those with co -morbidities in the next phase of the program is still a must. We also need to prioritize factory workers and those who contribute significantly to the economy and among whom the spread of the infection is common.

 

Q: There is concern over the second dose with a possible shortage of vaccines. Where do we stand in this backdrop?

A:

Still there is an uncertainty about the quantity of the second doses which will be available, and whether we will receive these in time. I am aware of the efforts made by those responsible to ensure supplies for the second dose. We have already got around 600,000 doses of the Chinese Sinopharm vaccine which is awaiting WHO Emergency Use Listing which is likely to be obtained by the second week of May. (Our regulations require either WHO clearance or another similar stringent authority’s clearance for the administration of a new vaccine). We are also expecting the Russian Sputnik V vaccine in the next few weeks. With the possible arrival of these vaccines, we should be in a much better position within the next four to five weeks support the control of the spike to a limited extent and expand the vaccination program simultaneously.

 

Q: What are the other South East Asian countries which come under your purview that administer Chinese vaccinations and the Russian Sputnik V?

A:

The Maldives started administering the Chinese Sinopharm in small doses about two weeks ago. This vaccine was also gifted to Nepal and just a few days ago they commenced their roll out. Indonesia is using the other Chinese vaccine- Sinovac. Pakistan is using both Sinopharm and Sinovac. The Sputnik V is not yet being used in the region but it is likely that it will also soon get into the regional vaccine portfolio. Beyond the South East Asian region, the Chinese vaccines are also being used in the UAE, many South American countries and in certain parts of Africa.

 

Q: Bhutan is considered a model in COVID management efforts. Can you throw more light on this?

A:

It is indeed a model. Bhutan illustrates well how an enlightened leadership and a disciplined and sensible population managed to mitigate the risks and prevent the transmission and spread of the disease in the country. Bhutan prevented the infection coming into the country for a long time but it eventually did arrive there from the borders of her ‘big brothers.’ Nevertheless, they have been very successful in suppressing the virus. So far the country has only reported less than a thousand cases and just one death. It is also a country which has already vaccinated nearly 70% of their population, more than many of the developed countries. This is quite a feat.

 

Q: WHO Chief has expressed his concerns about the inequitable distribution of vaccines. In his recent report which appeared in the New York Times he had noted that if the rich nations ‘keep their vaccine promises, the pandemic can end.’ What are your thoughts?

A:

Although the rich countries talk of ‘One-health, universal health coverage’ etc. they have left only very few vaccines for the poor countries. More than 80% of the vaccines are found in the rich countries. This is a very sad situation and the rich countries should now ‘make a choice’ as the WHO Director General remarked. The ACT Accelerator (Access to COVID-19 Tools) was set up by a number of organizations including the WHO and European Commission and several more global bodies to enable tools such as vaccines, drugs, supplies and equipment to fight the pandemic. In fact the WHO has developed a fair allocation formula through the Covax facility. This global collaboration has worked to a large extent with regard to everything other than the vaccine distribution that was iniquitous. This is a serious problem and apart from the ethics and social justice, the rich countries should realize before it’s too late that they are not going to be safe until others are also safe. In economic terms alone too, the global economy cannot recover if there are serious disparities in vaccine coverage and it is a false economy for countries to do it alone.

 

 



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Are rice consumers and farmers victims of current practices?

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by Neville Ladduwahetty

One of the subjects President Anura Kumara Dissanayake is responsible for is agriculture. On the other hand, subjects such as food security and health that are related and dependent on agriculture come under the purview of Prime Minister Harini Amarasuriya. Consequently, the production and distribution of agricultural products have a bearing on access to food at affordable prices to ensure not only food security but also on poverty and malnutrition. Thus, responsibility for the welfare and wellbeing of the majority of Sri Lankans depend on the joint efforts of the President and the Prime Minister.

An area that will have a significant bearing on the above is the production and distribution of rice. This topic is addressed in a well-researched article titled “RICE MONOPOLY Continues to Put Farmers and Consumers in Peril” by Prageeth Sampath Karunathilaka (Daily Mirror, Sept 25. 2024). This article confirms that consumers and farmers are victimised not only due to shortages in production but also by the current practices that are permitted to operate with regard to the production and distribution of rice.

RICE PRODUCTION

The aforesaid article says the per capita rice consumption is approximately 125 kg per year. Furthermore, it states that during a conversation the author had with a former Director of Agriculture, K.B. Gunaratne, he had commented that despite the fact that there were variations during COVID, Sri Lanka must produce an additional 2.4 million metric tons annually”.

The argument that Sri Lanka is self-sufficient in rice does not hold water. Therefore, since the current shortfalls have a bearing on market prices which in turn have a bearing on health, poverty and malnutrition, price variations should be avoided. It is therefore imperative that rice production be increased and stocks monitored regularly to ensure that sufficient stocks are available at any time because shortfalls are often the cause to justify increasing market prices.

Increasing paddy production could be achieved either by advanced technologies or by bringing more land under cultivation. Since the latter approach would involve an increase in infrastructure and maintenance costs, it would be more prudent to resort to advanced technologies because human capital and related infrastructure are already available. Furthermore, the former approach is likely to bear not only faster results but also more income to the farmer through increased yields.

CURRENT PRACTICES

The article cited above states: “In the past large-scale paddy mill owners sold rice at Rs. 220 per kilogram, based on the government’s guaranteed price. Meanwhile, smaller mill owners sold the same rice for Rs. 160-175 per kilogram. This allowed large scale mill owners to make a profit of Rs. 60-75 per kilogram of rice. They earned significant profits from paddy purchased at low prices. Although the government set a guaranteed price of Rs. 100 per kilogram of paddy, some large-scale mill owners bought it for as low as Rs. 70-80. It is no secret that purchasing hundreds of thousands of kilos of paddy at low prices and storing it led to massive profits ….

According to the National Institute of Post-Harvest Management, a large-scale mill owner earns at least 4 million in profit per day, which amounts to Rs. 120 million per month … To produce one kilogram of Nadu rice, about 1.5 kilograms of paddy are required”. This is so with other varieties as well. Thus, on average, nearly 2/3 of rice is produced from 1 kilogram of paddy.

“The cost of producing one kilogram of rice, including expenses such as machinery, electricity, labour and distribution is approximately 25 rupees. Given the government’s guaranteed price of 100 rupees per kilogram of paddy, rice can be sold to consumers at 160-175 rupees per kilogram. However, in the current market, a kilogram of rice is sold at 220 rupees”.

With due respect, there appears to be an inaccuracy in the conclusion that “rice can be sold to consumers at 160-175 rupees per kilo”. If as stated in the article cited above, 1.5 kilos of paddy are required to produce 1 kilo of rice and the guaranteed price is Rs. 100 for a kilo of paddy, it means a farmer would need Rs. 150 to produce 1 kilo of rice. To this, if Rs. 25 is added as the cost of production as stated in the article, the bare cost without profit would be Rs. 175. Therefore, the comment that “rice can be sold to the consumer at 160-175 rupees per kilogram” needs to be revisited.

STRATEGY for the IMMEDIATE

What is evident from the foregoing is that the higher the guaranteed price for paddy, the greater is the benefit to the farmer because of increased income. On the other hand, high guaranteed prices for paddy results in high prices for the consumer. What is demonstrated above is that with a guaranteed price of Rs. 100 for paddy, the price to the consumer has to be close to Rs. 200 and above. Another fact demonstrated is that a high guaranteed price to the Farmer and an affordable price to the consumer is an incompatible proposition. Consequently, the challenge is how the farmer could earn a worthwhile income while ensuring that the consumer has access to rice at an affordable price.

A fact that influences this challenge is the availability of paddy surpluses soon after each harvest. The large-scale millers have financial capacities and infrastructural resources to buy large stocks following each harvest at low prices and store the paddy. Consequently, farmers are at their mercy. Such advantages are not available to small and medium scale Mill owners. However, the Agriculture Department reports that it is “set to provide a maximum loan amount of Rs. 50 million rupees for small and medium scale rice mill owners and maximum loan amount of Rs. 25 million rupees for paddy storers and collectors through state and private banks…” (Dept. of Agriculture Report).

An alternative proposed by All Ceylon Farmers’ Federation (ACFF) Convener Namal Karunaratne speaking to The Sunday Morning (June 25, 2023) is “that prices could be reduced if production cost was reduced… For instance, to reduce production costs, farmers’ equipment and gear need to be freed from taxes. Fertiliser prices need to be reduced. If production costs are reduced to about Rs. 60 a kilo of paddy can be sold for Rs. 80-90. The responsibility for this is in the hands of the government.”

Similar concepts have been in operation since 2000 by The Farm Storage Facility Loan Program (FSFL) of the US Department of Agriculture. FSFL provides low-interest financing so producers can build or upgrade permanent and portable storage facilities and equipment. Eligible commodities include grains, oilseeds, peanuts, pulse crops, hay, hemp, honey, renewable biomass commodities, fruits and vegetables, floriculture, hops, maple sap, maple syrup, milk, cheese, yogurt, butter, eggs, meat/poultry (unprocessed), rye and aquaculture. Eligible facility types include grain bins, hay barns, bulk tanks, and facilities for cold storage.

Drying and handling and storage equipment is also eligible, including storage and handling trucks. Eligible facilities and equipment may be new or used, permanently affixed or portable. Since its inception in May 2000, more than 33,000 loans have been issued for on-farm storage, increasing storage capacity by 900 million bushels.

FSFL is an excellent financing programme for on-farm storage and handling for small and mid-sized farms, and for new farmers. Loan terms vary from 3 to 12 years. The maximum loan amount for storage facilities is $500,000. The maximum loan amount for storage and handling trucks is $100,000. In 2016 FSA introduced a new loan category, the microloan, for loans with an aggregate balance up to $50,000. Microloans offer a 5 percent down-payment requirement, compared to a 15 percent down-payment for a regular FSFL, and waive the regular three-year production history requirement.

CONCLUSION

The clear objective of any government has been to ensure a healthy income to the paddy farmer and rice at an affordable price to the Consumer. Achieving such an objective means improving the welfare and wellbeing of nearly a third of the population who are engaged in production and improving the health of the whole nation with an impact on poverty.

A variety of opinions and proposals have been expressed and explored over the years to realize the objective stated above. Most of them involve the intervention of the Government in one way or another. For instance, one way is for the Government to control 10% of paddy production to stabilize production and to provide financial benefits in one form or another to reduce costs.

One form of financial assistance considered has been to provide loans to establish small and medium scale Mills and storage facilities throughout the country; a strategy adopted by the US Department of Agriculture. Another form has been to subsidize fertilizer and other inputs required in the production of paddy. Yet another is to establish guaranteed prices for paddy; a strategy that favours the Farmer but not the Consumer, as stated above.

None of these options have proved satisfactory, as far as achieving the desired objectives are concerned. The reason perhaps is because strategies proposed are from the perspectives of the Farmer or the Consumer and not from a holistic perspective of both. Therefore, the strong recommendation is that a Forensic Audit is conducted to ascertain the most effective strategy or strategies to meet the interests of both Farmer and Consumer.

However, what is needed in the immediate term is for the Government to engage with the large-scale mill owners and the representatives of the All Ceylon Farmers’ Federation to establish a sustainable compromise arrangement that serves the interests of both the Farmer and Consumer because at the end of the day, their interests affect the wellbeing, health and food security of the whole nation, the responsibility for which rests jointly with the President and the Prime Minister.

 

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Hope for future; Heads need be cautious

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PM Harini Amarasuriya

Many good things have been happening; the best is that in all Sri Lankans, barring opposing political parties and politicians, hope has been rekindled after decades of gloom and doom. We trust, admire and have full confidence in the President and the Prime Minister. Cass does not need to spell these out and give reasons.

Beware the bullet

Open letters have been penned and seen in the public sphere as how things should be done. Personally, Cass believes no pontificating nor even advice is needed. President Anura Kumara Dissanayake and his advisors, and Dr Harini Amarasuriya know what they have to do, how best to do these, and they will deliver, for the greater benefit of the country and its people. Already things are greatly improved like food items getting cheaper.

Cass always wondered why eggs and onions were imported from India, Bangladesh and Pakistan when we can produce our own, and if there occurred a shortfall, we just had to tide over that hiccup and use less or no eggs and onion. Then she was told of the import mafias – unscrupulous persons making personal profits at the expense of the country and us The People. The authorities, under the new dispensation which is honest and wise and true to the country will stop import of inessentials. That will give a boost to local producers. So, enjoy it!!

One matter Cass wanted to write an open letter to the two Heads was to please be careful; employ high security; cut down on moving around freely. They have to be very cautious. The entire country’s future now depends on these two: the Prez and PM. This is no exaggeration. Murderers, willing now to kill for perhaps a mere Rs 2,000, float around looking for their kind of work. Someone corrected Cass when she said this. Stupid, a murderer can be hired for a shot of arrack, so low is the morale of some and so rampant are sharpshooters ready to be hired.

The two Big Ones must constantly keep in mind that there are politicians in kapati suits who do not have an ounce, nay, an atom of conscience. The hunger for power, envy, need to avenge being defeated are so great that for the sake of just himself, he will order the murder of someone, even though it will shatter the entire country and send it plunging down a gorge worse than the bankruptcy they caused. Also, a strong motive pushes them forward to order a killing – their being open to exposure now that previous crimes are to be re-investigated, and more closely.

Remember Lasantha W was brutally, horrendously murdered just because he was writing about an act of suspected corruption. Even more tragic was the torture and murder of ruggerite Wassim Thajudeen since he cocked a snook at powerful sons and was, it is said, due to a dispute about a sports team. Those who were suspected of commissioning the murders and the murderers themselves are still free and around. Nothing was proven in these cases so what Cass says here is almost hearsay, but fingers pointed then and still do so. Murder simply cannot be overlooked.

Advice given by elders when we complained of a theft of something of ours was: Why do you accommodate temptation? Why are you not careful about your possessions? Do not keep them lying around, inviting theft. Now that Cass is the older person and allowed to advise: please, increase the security around our Head of State and Head of Government. It was wonderful seeing the President Elect let himself out of his car and walk unescorted by security personnel to take his oaths as Head of State. He needs to change his stance; and Harini as well. They need very secure, foolproof protection. They must also cut out walk-abouts.

Work ethic

Iridescent, luminous is the message conveyed by the true story of the son who reported for work in the skies while his father was taking oaths as the Prez of the Democratic Socialist Republic of Sri Lanka. His reply to his peers who asked him why he was not among the VVIPs at this momentous event is said to have been: “I let my father do his job and I like to do my job.”

That ethos was much with us older persons when we were in careers: hardly took leave, especially medical staff and teachers, (not government teachers who were often non-caring of kids in their charge); we worked a full day. Cass remembers going to her place of work the day after her husband was cremated. Shocked looks. You could have taken a week off. But why? I did all I had to do and now I am ready to carry on my job. She remembers as the Education Officer in a professional association finding students taking very long over an assignment they had to submit before final results. Why have you taken so long to complete the research and submit your paper? My father died? When? A year ago. So, you are in deep mourning all this time, unable to do what you have to do! That is the general trend in this lotus eating country of ours.

Back to work

This malaise has ceased. Goodness gracious! A woman reports that she visited the income tax office in the past week. A department which had earned the wrath of the public for sending them from pillar to post. But to her utter surprise and delight her work was attended to, pronto, and she was treated politely.

Cass had a report to get about a piece of land. Her agent went a number of times to two offices concerned and spent many hours, but the document was not signed. The person authorised to sign the document had gone to political meetings, he said. The agent told her the officer expected jarava – oiling palms. Post September 23, Cass told her agent that now he would get the completed document handed over to him the moment he went in!

Demise of the vehicle parades

A vendor on Thurstan Road opposite Royal and Thurstan Colleges told a friend that normally a large number of armed forces’ vehicles driven by uniformed personnel would stop in front of where he was to drop boys studying at Royal. But no longer since September 23!

Monday late news reported that 107 vehicles, all luxury, were allocated to Presidential advisors, secretaries et al by ex Prez Ranil W. So very many advisors when he was a man who decided matters often on his own? What did Rosy Senanayake advise him on, pray? Sartorial elegance? This is just one institution and the cost borne by us, citizens, in maintaining them a favoured bod could cruise all over in a public paid for vehicle? Deeply shocking!

Dr Harini Amerasuriya’s views

Cass listened to an interview conducted before the presidential elections by Kishani Alanki of Conversations with Dr Harini Amarasuriya where she was asked what she stood for if the NPP won the presidency. Cass’ heart got lighter, hopes kept rising and pride was born within as Dr H A outlined strategies she would promote. She first made clear the ideology of the NPP and its inception – the National People’s Power or Jathika Jana Balawegaya, established in 2019, is a socialist political alliance led by the Janatha Vimukthi Peramuna, consisting of 21 political parties.

Dr H A’s main areas of interest are education, women’s and children’s concerns and of course bringing equality among all in the island, particularly concentrating on erasing the divide between the haves and the marginalized. She was questioned about the low representation of women in Parliament and how she fared, with the majority of her co-MPs being male. She smiled broadly! She said she fared well but there were instances when behaviour toward other women MPs was below par (Cass’ words).

Encouraging it was to hear that in her interaction with women in various spheres of employment and economic status, she found so many willing to give of their ability to improve the condition of the people of the land. Yes, Cass agrees wholesale with the move: give a woman a job and she will do it well, with full commitment and effort. Corruption and its temptation are so much less in women, Cass boldly affirms.

So, unlike on previous Fridays, with Cass’ dismal mood infusing her Cry with acid and suppressed frustration, she now looks to the future with hope and enthusiasm.

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Pathfinder Foundations launches Sinhala Translation of ‘The India Way: Strategies for an Uncertain World”

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The Sinhala translation of  ‘The India Way: Strategies for an Uncertain World’  by Dr. S. Jaishankar, Minister of External Affairs of the Government of India, will be launched in Colombo today. The decade from the 2008 Global Financial Crisis to the 2020 Coronavirus pandemic has significantly transformed the world order. In The India Way’, Dr. S. Jaishankar analyses these challenges and proposes possible policy responses. He places this thinking in the context of history and tradition, appropriate for a civilizational power that seeks to reclaim its place on the world stage.

 The Sinhala translation of the book ‘The India Way’ is a publication by the Pathfinder Foundation translated by Ajith Perakum Jayasinghe.

The original publication was undertaken by Delhi-based Harper Collins Publishers India Private Limited, from whom Pathfinder Foundation obtained the license to translate the work into Sinhalese language and print for distribution free of charge.

The book is available free of charge for public libraries and libraries of all universities in the country by contacting pm@Pathfinderfoundation.org or 011 425 9952-3.

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