Features
Patriotic surgeon who volunteered to work on battlefield
By Admiral Ravindra C Wijegunaratne
(Retired from Sri Lanka Navy) Former Chief of Defence Staff
In 1991, I was selected to one of the prestigious sea appointments in the Sri Lanka Navy. After a short familiarisation course, I was appointed to P 467 (old pennant numbers), Fast Attack Craft (FAC) Super Dovra Mk ll, one of the fastest FAC of the Navy at that time. Built in Israel at a cost of US $ 30 million, it was the vanguard of our Navy throughout our conflict with LTTE Sea Tiger terrorists.
P467 was commanded by LT Cdr Ariyadasa, an officer senior to me, who has intercepted the highest number of smuggling boats in SLN in Western Naval Command. So, my sole intention was to work hard and capture more smuggling boats than LT Cdr Ariyadasa.
Two days after my appointment, my FAC was attached to Eastern Naval Command to patrol the Northern waters. It may have been done by someone in the Naval Headquarters who didn’t want to see me in Colombo?
We had to deal with not smugglers but LTTE Sea Tigers operating in the northern waters at the time. The LTTE had some camps on the Southern Indian coast; it was their main logistics route to the Northern peninsula. They had boats moving at an excess of 30 knots (30 nautical miles per hour – approx 40mph ) and our FAC had a slight speed advantage over terrorist speed boats.
The distance between India and Sri Lanka is approximately 24 nautical miles. Indo- Sri Lanka International Maritime Boundary Line (IMBL) has been marked at equidistance, approximately 12 nautical miles. So, terrorist boats moving at 30 knots could cross our waters in 24 minutes ! That’s the time the Navy had to detect, chase and to destroy them. If you had got too close to land, which was held by my enemy at that time, you would have been fired upon with enemy’s shore gun batteries. The FAC would have become a “sitting duck” in such an eventuality. The enemy always kept their tractors with the trailers in the water ready for their boat arrivals.
As soon as their boats hit the shore, they were loaded into tractor trailers and moved to safety. This was done in reverse order when the boats were launched. It was more difficult for us to detect the boat launching pads as they were done at night. However, those days when LTTE Sea Tigers saw an Israeli built Dovra, they used to run away at maximum speed. Most of our chases of sea tiger boats ended up in a “stern chase” and with slight speed advantage, we destroyed the enemy boat with 20mm Oerlicon cannon we had as the main weapon.
The FAC had a crew of two officers and 12 sailors at that time. It was a very close “family”. My Second-In-Command was LT SHU Dushmantha, fearless and an excellent officer. He was an outstanding tennis player, an old Anandian and from the KDU Intake 4. Sadly, he died in action out at sea on 30/10/1998. He was a recipient of three gallantry medals for his bravery and valour out at sea namely, Weera Wickrama Vibushanaya (WWV), Rana Wickrama Paddakkama (RWP) and Rana Soora Paddakkama (RSP). I had Leading Seaman Newton as my coxswain (later rose to Master Chief Petty Officer rank and excellent photographer), and Leading Marine Engineering Mechanic Premaratne (also rose to MCPO rank later and excellent cook) looked after the
engines. Our FAC during her first patrol to Northern Naval Area was able to destroy a enemy boat, which was a great achievement to me personally and to my crew.
The FAC was a time-tested craft in the SLN. From time to time, we upgraded our weapons and sensors on board FACs. When we were onboard an FAC, we had only a radar to detect enemy boats at night. Later, we had MSIS (Multi Sensor Integrated Systems) and better forward main guns such as US-made 30mm Bush master chain gun, but the platform, the FAC hull remained the same.
When we fought with Sea Tigers, there were no suicide boats. The enemy fled at their maximum speed when they saw an FAC, Then enemy developed their suicide cadres and speed boats later loaded with explosives and started to steer towards us at excessive speed on suicidal missions.
We had to rewrite and develop our fighting tactics and manoeuvres against the new threat. We lost some of our best FAC Commanders and crews due to those deadly attacks. I salute them and all those who worked tirelessly during this period and special thanks to our gunners, electrical/electronic engineers and marine engineers for keeping FACs operational and battle-prepared.
There is a unique difference in fighting at sea that on land. There are no covers in sea battle. Whoever fired effectively first won. Sea battles are very short and decisive.
There is a special bond between your shipmates (FAC mates), whether you are an officer or a sailor. You go to battle together in Fast Attack Craft and come home victorious ,or perish at sea together. OIC take decisions and he had to be brave and knowledgeable.
My FAC command period was eventful and enjoyable. I was married and my wife Yamuna was expecting our son. We lived in married quarters at the Naval Base Trincomalee. Those Royal Navy time officers quarters are specious and beautiful.
Our patrols to Northern waters lasted seven days. If everything went well, you got a seven-day break for maintenance, repairs to get ready for next patrol. Before heading for the North, I would leave my wife with my brother officer’s family living at the Naval Base, Trincomalee, where she would stay until my return. She preferred to be with LCdr (L) Sarath Silva’s family. Sarath is from my junior batch and his wife Chandrani looked after Yamuna very well. They were very close friends. Such is the camaraderie among Naval families !
When your FAC is non operational, you have to take some other Operational FACs on patrol. This is not a good arrangement as you are going out to sea with an unknown crew. However, in September 1991, I had to take P468 (my batchmate Shirantha’s FAC) as mine was under repairs on slipway. Further, my 2IC, Dushmamtha was also on leave. I decided to go to sea on board P468 without a 2IC, on a six-day patrol to Northern waters.
Fast Attack Craft have two very powerful inboard engines. They required large amounts of low sulphur diesel (LSD). One engine consumed approximately 100 litres of LSD per hour. Two engines running, its 200 litres per hour. It takes four hours for us to sail from Trincomalee to KKS. About 800 litres consumed per one run to Northern waters from Trincomalee. If Rs 100 a litre of LSD, FAC consumes approximately Rs 80,000 worth of LSD per one run. Then we do seven days patrolling and returning back to Trincomalee. Navy has 36 Fast Attack Craft. So you can imagine the fuel costs.
Navies are very expensive!
So, two days of my patrol onboard P468 was uneventful. On 13 June 1991 around 10AM, we were returning to KKS for rest and refuelling from the Mulativu sea area. Sea was calm and I was keeping about two nautical miles from the land and moving North at approximately 20 knots speed. I was on the flying bridge and enjoying bright sunlight and very clear weather. My lookout sentry on Port side (land side) reported two open jeeps moving on Manakkadiu road, one fitted with a gun. The area was held by enemy. I sounded action stations and told the crew that I would turn towards the jeeps and increase speed.
I told them when I was turning away from land they had to engage the targets with our 20mm cannon. The sea was deep enough for the FAC to go up to 400m from shore. Forward gunner was very good. His third shot hit a jeep and it started burning. Other jeep took cover behind a sand dune.
We saw some movements on the beach with enemy cadres getting into boats on land. When we were breaking away from targets and headed towards deep sea, our boat was hit by enemy fire from boats. Crack and thump of 50 calibre machine gun fire was very clearly heard.
Do you know how to identify someone is firing at you? You hear two noises (in military terminology known as a crack and thump. Every shot fired at you makes two noises for one shot. As bullet velocity is faster than the speed of sound, you first hear sound “tuck’ (or crack) when bullet goes through air closer to you. Then you hear sound “Dum” ( or thump) after some time. That is the sound made by bullets leaving the gun barrel. A well trained Special Forces person will be able to say the approximate distance of firer by the interval between crack and thump.
Enemy gun fire rained on the FAC, but we were almost beyond enemy’s effective gun range. Suddenly, one enemy gun shot hit the guard rail of the FAC. It’s splinters hit my left shoulder and upper arm . A sailor who was standing next to me at Open bridge was also hit in the leg. Blood soaked my left arm and multiple injuries were visible.
I knew I was hit badly. Sailors onboard panicked. I steered the FAC to a safe distance from land and informed my colleague Rohan, who was on another FAC on patrol and steered towards KKS.
After bleeding was controlled by a sailor trained on combat medicine, I found no major damage to my bones. I felt a bit dizzy, but able to walk into a waiting ambulance at KKS harbour to be taken to Army hospital at Palaly for immediate medical treatment.
On arrival at the Palaly Army Hospital, I saw a tall figure in a surgical gown waiting for me. He was non other than Dr Maiya Gunasekara, Consultant Surgeon. Dr Maiya took a few hours to remove whatever shrapnel he detected. He said others would remain inside the bones as they posed no threat. They are still inside my left shoulders and upper arm.
I consider them as gifts from the LTTE but they prevent me from through any Magnetic Resonance Imaging (MRI) machines!
I invited Dr Maiya on board to my FAC that evening and took him to sea and showed him Point Pedro and VVT (home town of LTTE leader Prabhakaran) from sea.
Dr Maiya volunteered services as a surgeon at the battle front and saved a number of officers and men who were severely injured.
Dr Indrajith Maithri (‘Maiya’) De Zoysa Gunasekara, FRCS, FICS, Consultant Surgeon was born on 22nd August 1951 and educated at Royal College, Colombo 7. He was a College coloursman in Basketball and Rugby Football and represented Royal College in Athletics as well. He represented the Royal College rugby team for a number of years and later entered the Medical Faculty of Colombo University. He was the recipient of Leslie Handunge trophy awarded to the best sportsman at both
Colombo and Peradeniya Universities in 1974. He excelled in both studies and sports, graduated from both Royal College of Surgeons of England and Royal College of Surgeons of Edinburgh and captained CR and FC rugger team and represented the National Rugby team and the National Rugby sevens team for a number of years . He was President of the Sri Lanka Rugby Football Union and Chairman of National Sports Council.
Now, he is the Consultant Surgeon at the Nawaloka Hospital, Colombo. He will sits in his consultation room (Room 55) at Navaloka Hospital daily.
However his dedicated service to the Nation in treating our Armed Forces personnel at the Battle front in Palaly Army hospital is not known to many.
Former South African President Nelson Mandela once said “There will be no greater gift than that of giving one’s time and energy to help others without expecting anything in return”
Thank you Dr Maiya – we salute you !
Features
Wishes, Resolutions and Climate Change
Exchanging greetings and resolving to do something positive in the coming year certainly create an uplifting atmosphere. Unfortunately, their effects wear off within the first couple of weeks, and most of the resolutions are forgotten for good. However, this time around, we must be different, because the nation is coming out of the most devastating natural disaster ever faced, the results of which will impact everyone for many years to come. Let us wish that we as a nation will have the courage and wisdom to resolve to do the right things that will make a difference in our lives now and prepare for the future. The truth is that future is going to be challenging for tropical islands like ours.
We must not have any doubts about global warming phenomenon and its impact on local weather patterns. Over its 4.5-billion-year history, the earth has experienced drastic climate changes, but it has settled into a somewhat moderate condition characterised by periods of glaciation and retreat over the last million years. Note that anatomically modern Homo sapiens have been around only for two to three hundred thousand years, and it is reasoned that this stable climate may have helped their civilisation. There have been five glaciation periods over the last five hundred thousand years, and these roughly hundred-thousand-year cycles are explained by the astronomical phenomenon known as the Milankovitch Cycle (the lows marked with stars in Figure 1). At present, the earth is in an inter glacial period and the next glaciation period will be in about eighty thousand years.
(See Figure 1. Glaciation Cycles)
During these cycles, the global mean temperature has changed by about 7-8 degrees Centigrade. In contrast to this natural variation, earth has been experiencing a rapid temperature increase over the past hundred years. There is ample scientific evidence from multiple sources that this is caused by the increase in carbon dioxide gas in the atmosphere, which has seen a 50% increase over the historical levels in just hundred years (Figure 2). Carbon dioxide is one of the greenhouse gases which traps heat from the sun and slows the natural cooling process of the earth. This increase of carbon dioxide is due to human activities: fossil fuel burning, industrial processes, deforestation, and agricultural practices. Ironically, those who suffer from the consequences did not contribute to these changes; those who did contribute are trying their best to convince the world that the temperature changes we see are natural, and nothing should be done. We must have no illusions that global warming is a human-caused phenomenon, and it has serious repercussions.

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

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

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

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