Features
President Rajapaksa and his 13A dilemmas
by Rajan Philips
It was said of Prime Minister SWRD Bandaranaike that “it was a grim irony that he should be called upon, at the moment of his greatest political triumph, to articulate the strong opposition of the Sinhalese to any attempt to establish a federal constitution.” Sixty-five years later, it could be said in reverse that it is a grimmer irony for President Gotabaya Rajapaksa to be unfairlyput on the spot by his most ardent supporters and their insistent calls for abolishing the Provincial Council system, in total disregard of the realities of political and geopolitical consequences of such abolishing, not to mention the extraordinary Covid-19 challenges that he has to deal with now. The irony is to be noted because Mr. Rajapaksa was among the first to raise the call for abolishing the PCs as far back as 10 years ago, when even the mere thought of becoming Sri Lanka’s president may not have crossed his mind as an American citizen.
The PCs are not the only dilemma that President Rajapaksa has to wrestle with. He is grappling with quite a few of them. While almost all other presidential dilemmas are connected to Covid-19, the dilemma over 13A and the Provincial Councils is antecedent to Covid-19, but like everything else in Sri Lanka and elsewhere, is complicated by it. Hence the lingering question, why bother with a new constitution now? And especially for this President, whose credentials are totally those of a practical doer, and not at all the characteristics of a constitutional visionary? The answer might be that it is the ‘constitutional cabal’ that is running the constitutional show, like every other cabal running every other government show.
‘Sapatha’ and Overreach
The immediate cause for the abolishment calls is the apparent decision of the government, or the Prime Minister, to go ahead with the long postponed (by the Wickremesinghe-TNA-JVP threesome) elections to the currently defunct Provincial Councils, which were established under the 13th Amendment. The sources of these calls are also a classic case of multiple political tails trying to wag the country’s presidential executive and his brother prime minister. A government minister, indeed, the Minister for Public Security and the State Minister for Provincial Councils, has, in ancient Mahabharata “sapatha kara kiyanawa” style, made a solemn pledge to the members of the Civil Defence Force that he would put an end to the system of Provincial Councils. The Experts Committee tasked with preparing a draft for the new Rajapaksa constitution, is also reported to have expressed concern over holding PC elections before their draft is done and a new constitution is in place.
It is not clear if there is unanimity in the committee over this concern, or if some committee members are speaking publicly for the whole committee. There was an earlier news report that the Experts Committee took an internal vote and decided by majority on a matter that is apparently fundamental to preparing the draft constitution. That an expert committee on the constitution would take an internal vote to decide on a fundamental question without referring it to its political masters in the government (with the parliament helplessly sidelined in the whole exercise) is an extraordinary overreach. If this is any indication, even the draft constitution that the committee would likely produce (presumably by a majority vote) may turnout to be extraordinary and tendentious.
Does the matter that the committee had to vote on have anything to do the 13th Amendment? We do not know. But we know that the more powerful members of the committee are not amused by the government’s apparent decision to go ahead with PC elections. And that is some gall for a committee appointed by the country’s Head of State to publicly tell the government if or when it should conduct elections to any elected body. For now, there is more than Expert Committee amusement or gall that has been put on display. Real midweek fury against the Provincial Councils has been unleashed by Prof. GH Peiris, who is also a prominent member of the Experts Committee.
Facts and Fabrications
Anyone looking to get refreshed on the materially relevant historical background to the constitutional voids that were unnecessarily created in 1972 and in 1978 – and their partial filling by the 13th Amendment (in 1987) and the Provincial Councils it created, could re-read Chapter 36 in KM de Silva’s (1981) “A History of Sri Lanka.” Even its first few pages will do. My opening quote on SWRD Bandaranaike in today’s article is from page 513 of de Silva’s book, in Chapter 36: “The Triumph of Linguistic Nationalism”. The quote might suggest that the historian was having his academic tongue in his political cheek, but it reads far superior to anything that a geographer seems to be able to politically offer 40 years later. And this is not because Sri Lanka has too much history and too little geography.
Yet, no one can do worse than CA Chandraprema’s attempt to rewrite history, as he did in his hagiographic monograph, “Gota’s War.” We can anticipate versions of it to be undiplomatically broadcast from Geneva from March onward. The one thing about the history of Sri Lanka’s national question or conflict is that it is a well studied (even “over studied”, as AJ Wilson used to say) subject, and almost everyone who is of consequence either in Sri Lanka or abroad is well versed, in it and knows to discern between facts and fabrications. More than historical writings, Sri Lanka’s stubborn facts always give the fabricator’s, if not the government’s, game away. Just as it is impossible to hide a whole pumpkin in a plate of rice. Peremptorily abolishing the Provincial Council system will be one more stubborn fact that will fetch no credit for Sri Lanka.
Sri Lankans who have lived through and politically experienced the tumults and wars after 1977 need no lesson from old history, colonial, or pre-colonial. Some of us–Burghers, Muslims, Sinhalese, and Tamils rising above our ethnic strictures, happened to be involved in efforts to respond to these events within the framework of the Movement for Inter-Racial Justice and Equality (MIRJE).1983 is now considered a watershed moment in Sri Lanka’s modern history, one that is totally negative and even calamitous, and quite different from 1956 which bore both positive and negative fruits. However, 1983 had its annual forerunners. Riots broke out in 1977, after a twenty-year hiatus and within months of the UNP’s bigger than landslide election victory. For the first time, plantation Tamils were targeted in communal rioting. In 1978, the UNP used its massive majority in parliament to elevate one of its MPs, Prime Minister JR Jayewardene, as the country’s first executive president. 1979 was the year of the Emergency in Jaffna, when President Jayewardene ordered Brigadier (Bull) Weeratunga (not DIG/IGP Rudra Rajasingham) to “eliminate the menace of terrorism in all its forms from the island and more specially from the Jaffna District.” Two years later, in 1981, tea plantation districts were targeted again in the south, while off-duty policemen burnt down the Public Library in Jaffna. In 1982, President Jayewardene upended parliamentary democracy in Sri Lanka through the chicanery of a referendum. One year later, what was catastrophic became calamitous, as the Palestinians are known to say.
1983 implicated Sri Lanka not only geopolitically with India, but also internationally with practically every western country where Tamils leaving Sri Lanka found a foothold. The Sixth Amendment that was passed during the dark and difficult days of August 1983, erased the elected TULF off the political map and handed over the keys to Tamil politics to armed militants. Sarath Silva said as much in his 2005 ruling as Chief Justice, in the course of denying President Kumaratunga’s plea to stay in office a year longer.
The commonplace argument is that 13A and the Provincial Councils were foisted on Sri Lanka by India’s machinations taking advantage of an old, weak, and beleaguered President Jayewardene. While this argument might be politically potent, it is bereft of any analytical insight or credibility, and it flies in the face of events and the alignments of political forces within Sri Lanka before and after 1983. The notion that India’s role in Sri Lanka was triggered by the fury of Indira Gandhi after she was apparently scorned by JR Jayewardene is cheap table talk and should not be a serious political consideration. And in 2020 it is utterly inappropriate to speak of any woman, let alone a woman political leader and Prime Minister, being scorned, leaving aside the not uncommon misattribution to Shakespeare of the line (“Heav’n has no rage, like love to hatred turn’d, Nor hell a fury like a woman scorned”) that was satirically written by William Congreve (1670-1729) in his play, The Mourning Bride.
Indian Involvement and Sri Lanka’s Failure
I make no suggestion that India’s involvement, or interference, in Sri Lanka was entirely, or even primarily, motivated by neighbourly altruism. There were of course machinations, but they were mostly of the raw bureaucratic kind, thanks to the Research and Analysis Wing (RAW), India’s wannabe CIA. And whether it was Indian involvement or interference, it did not arise out of nothing and would not have transpired the way it did and to the extent it did, without compelling circumstances in Sri Lanka. The Sri Lankan political circumstances after 1977, and more so after 1983, provided both the pretext and the context for India to get involved in Sri Lanka’s internal affairs. And no one, not even India, could have anticipated that things would get ugly and totally out of control as they did over several years. It is still the sorest point among many Sinhalese that India peremptorily prevented the Sri Lankan military onslaught on the LTTE in June 1987 with its controversial air drop of food supplies in Jaffna. The contention is that were it not for this highhanded intervention, the war would have been over by and large in 1987 itself. This is debatable because the LTTE was then primarily a guerrilla organization and may have survived the onslaught to live and fight another day. It was only years later that the LTTE would build up its so called conventional fighting force and convert itself from being a fighting-fit guerrilla force to a flabby national army, and getting drunk in the process with its own myth of invincibility. And in this saga of ironies, India that initially aided and armed Tamil militant groups on the beaches of Tamil Nadu, would later preside over the disarming of every militant group bar the LTTE, engage its army in an unfinished and unsuccessful fight against the LTTE, and finally – 22 years after the infamous ‘parippu drop’ – end up aiding and assisting the government of Sri Lanka to vanquish the LTTE once and for all. It was not only the Central Government in Delhi that went through these about-turns, but also the state and government leaders in Tamil Nadu who were complicit at every step along the way. And there is no shortage among Sri Lankan Tamils who believe that the Tamils were shortchanged in the Indo-Sri Lanka Accord and the 13th Amendment, and especially by the provisions of the Provincial Councils Act that the two gave rise to.
As for JR Jayewardene, although his detractors among the Sinhalese may never concede this, he must have felt entitled to a little last laugh in getting India to clean up the militant mess which in his mind was mostly of India’s making. To his justifiable credit, however, he conceded in the end that India was the only external agency, and not any western country or international agency, that would help him put his Sri Lankan house in order after national politics has unravelled beyond restoration by any domestic initiative alone. This very point was well articulated in a public statement, at the time of the Indo-Sri Lanka Accord, by more than a score of left and liberal Sinhalese intellectuals, activists, and academics. I do not have the statement at hand, but suffice it to say that the anti-13A lobby is not entitled to claim exclusive monopoly over Sinhalese political thinking, then or now.
As well, the 13th Amendment is not the only controversial initiative, constitutionally or otherwise, that JR Jayewardene implemented and presided over aided by his tyrannical majority in parliament. His entire 1978 constitutional project has been controversial from the time of its inauguration. In fact, the 13th Amendment has had greater support among non-UNP Sinhalese, than the 1978 Constitution ever did. Abolishing the executive presidency has been the winning battle cry in every election from 1994, until 2019. At none of these elections, including, I believe, the 2019 and 2020 elections, did any of the main contenders for power promised to abolish the Provincial Council system.
On the contrary, Chandrika Kumaratunga and her People’s Alliance movement used Provincial Council elections to launch their campaign against and eventually oust the UNP from power after its seventeen year rule. Mahinda Rajapaksa cleverly and consistently used PC elections to consolidate his electoral fiefdom. Again, as political indicators go, the 2014 PC election in Uva signalled the people’s regime fatigue after 10 years of Rajapaksa rule and 20 years of SLFP-dominated governments. Lacking Chandrika Kumaratunga’s charisma and Mahinda Rajapaksa’s cleverness, the beleaguered yahapalanaya folk shuttered up the Provincial Councils and postponed their elections indefinitely. Their dillydallying has created the current dilemma for President Rajapaksa.
There is no dispute that the implementation of the Provincial Councils system has not turned out to be an appealing success. But this is not due to any systemic or structural shortcomings, but entirely due to the failure of political leadership. The blame for the worst leadership failure should fall squarely on the shoulders of Maithripala Sirisena and Ranil Wickremesinghe in general, and particularly on the TNA and CV Wigneswaran for what they have done and what they failed to do with the Northern Provincial Council after its first and only election in 2013.
There is no question that the PC system needs changes and reforms, regardless of when the next elections are held. And unlike any other institution in Sri Lanka, the PC system has a handbook of reform recommendations in the comprehensive symposium complied, in 2010, by the late Ranjith Amarasinghe, Asoka Gunawardena, Jayampathy Wickramaratne, and AM Navaratna-Bandara. There have been plenty of other suggestions, most recently by Austin Fernando and Nirmala Chandrahasan.
In his December 25 article in The Island, Fernando recounts that the current government includes many past champions of the PC system, including former Provincial Chief Ministers and Governors. Will they speak out now, or stay silent as the current abolishment clamour grows? The current voices of abolition have been around from the time the PCs were introduced in 1987-88. But for over 30 years they have not gotten anywhere close to influencing, or dictating to, the policy of any Sri Lankan government on the 13th Amendment and the Provincial Councils. Until now. And that is President Gotabaya Rajapaksa’s main dilemma.
Features
The middle-class money trap: Why looking rich keeps Sri Lankans poor
Every January, we make grand resolutions about our finances. We promise ourselves we’ll save more, spend less, and finally get serious about investments. By March, most of these promises were abandoned, alongside our unused gym memberships.
The problem isn’t our intentions, it’s our approach. We treat financial management as a personality flaw that needs fixing, rather than a skill that needs the right strategy. This year let’s try something different. Let’s put actual behavioural science behind how we handle our rupees.
Based on the article ‘Seven proven, realistic ways to improve your finances in 2026’ published on 1news.co.nz, I aim to adapt these recommended financial strategies to the Sri Lankan context.” Here are seven money habits that work because they’re grounded in how humans actually behave, not how we wish we would.
While these strategies offer useful direction for strengthening personal financial management, it is important to acknowledge that they may not be suitable for everyone. Many households face severe financial pressure and cannot realistically follow traditional income allocation frameworks, such as the well-known but outdated Singalovada Sutta guidelines, when even meeting daily food expenses has become a struggle. For individuals and families who are burdened by escalating costs of essentials, including electricity, water, mobile connectivity, transport, and other non-negotiable commitments, strict adherence to prescriptive models is neither practical nor fair to expect. Therefore, readers should remain mindful of their own financial realities and adapt these strategies in ways that align with their income levels, essential obligations, and broader personal circumstances.
1. Your Money Problems Aren’t Moral Failures, They’re Data Points
When every rupee misspent becomes evidence of personal failure, we stop looking for solutions. Shame is a terrible problem-solver. It makes us hide from our bank statements, avoid difficult conversations, and repeat the same mistakes because we’re too embarrassed to examine them.
Instead, try replacing judgment with curiosity. Transform “I’m terrible with money” into “That’s interesting, why did I make that choice?” Suddenly, mistakes become information rather than indictments. You might notice you overspend at Odel or high-end restaurant when stressed about work. Or that you commit to expensive plans when feeling socially pressured. Perhaps your online shopping peaks during power cuts when you’re bored and frustrated.
2. Forget the Year-Long Marathon, Focus on 90-Day Sprints
A Sri Lankan year is densely packed with financial obligations: Sinhala/Tamil Avurudu, Christmas, Vesak, and Poson celebrations; recurring school fees; seasonal festival shopping; wedding and almsgiving periods; yearend festivities; and an evergrowing list of marketing-driven occasions such as Valentine’s Day, Father’s Day, Mother’s Day, and many others. Each of these events carries its own financial weight, often placing additional pressure on already-stretched household budgets.
Research consistently shows that shorter time frames work better. Ninety days is long enough to create a meaningful change, but short enough to maintain focus and momentum. So instead of one overwhelming annual goal, give yourself four quarterly upgrades.
In the first quarter, the focus may be on organising your contributions toward key duties and responsibilities, while also ensuring that you are maximising the available benefits for your designated beneficiaries. Quarter two could be about building a small emergency fund, even Rs. 10,000 provides breathing room. Quarter three might involve auditing your bills and subscriptions to eliminate unnecessary expenses. Quarter four could be when you finally start that investment you’ve been postponing. You don’t need superhuman discipline or complicated spreadsheets, just focused attention, one quarter at a time.
3. Make One Decision That Eliminates Weekly Worry
The best money decisions are the ones you make once but benefit from repeatedly. These are decisions that permanently reduce what behavioural economists call “decision fatigue”, the mental exhaustion that comes from constantly managing money in your head. What’s one choice you could make today that would remove a recurring financial worry?
It might be setting up an automatic standing order to transfer Rs. 10,000 to savings the day your salary arrives, before you can spend it. Maybe it’s consolidating your scattered savings accounts into one that actually pays decent return.
These aren’t dramatic moves that require personality transplants. They’re structural decisions that work with your human tendency toward inertia rather than against it. Most banks now offer seamless digital automation. You can set it up once and benefit from that decision every single month without additional effort or willpower. You make the decision once. You benefit all year. That’s leveraging your energy intelligently.
4. Stop Spending on Who You Think You Should Be
Sri Lankan society comes with heavy expectations. The car you drive, the school your children attend, the hotels you patronise, the brands you wear, all communicate your worth, or so we’re told. Much of our spending isn’t about actual enjoyment. It’s about meeting unspoken expectations, keeping up appearances, or aspiring to a version of us that doesn’t actually exist.
We buy expensive saris we’ll wear once because everyone does. We maintain memberships to clubs we rarely visit because it looks good. We say yes to weekend plans at overpriced restaurants because declining feels like admitting we can’t afford it. We upgrade phones not because ours stopped working, but because others have.
Before your next purchase, ask yourself: do I actually want this, or do I want to want it? If it’s the second one, walk away. You won’t miss it. This isn’t about deprivation, it’s about precision. When you stop spending to perform and start spending to support the life you genuinely enjoy, money pressure eases dramatically. Your resources align with your actual values rather than imagined expectations.
Maybe you don’t care about fancy restaurants, but you love long drives along the southern coast. Maybe branded clothing leaves you cold, but you’d spend any amount on art supplies or books. That’s fine. Spend accordingly.
5. Break One Habit, See If You Actually Miss It
We’re creatures of routine, which serves us well until those routines outlive their usefulness. Sometimes we spend money on habits that started for good reasons but no longer serve us. Alpechchathava, in Buddha’s teaching, means living contentedly with few desires. It guides a person to manage money wisely by avoiding excess spending, unnecessary debt, and craving, and by focusing on essential needs and wholesome priorities. In this way, wealth supports mental cultivation, generosity, and spiritual progress.
The daily kottu roti that once felt like a convenient solution after working late may now have turned into an unnecessary routine. Similarly, frequent P&S or Caravan snack runs, and the habit of picking up sugary treats like cakes and sweets, are not only costly but also wellknown to be unhealthy, as nutritionists consistently point out. Beyond food, other expenses such as magazine subscriptions, the monthly coffee meetup, or weekend mall browsing often continue on autopilot without us realising how much they add up. These seemingly small, habitual expenses can quietly drain your budget while offering very little longterm value.
Try this experiment: keep a money diary for one week. Note every expense, no matter how small. Then identify one regular spend and eliminate it for the following week. If you don’t miss it? Excellent, keep it gone. If you genuinely miss it? Add it back without guilt. This isn’t about permanent sacrifice.
It’s about snapping yourself out of autopilot and checking whether your spending still reflects your current reality, priorities and purchasing power. You might discover you’re spending Rs. 15,000 monthly on things you barely notice.
6. Create Your Crisis Playbook on a Good Day
Many financial disasters don’t happen because we’re careless, they happen because we’re panicked. When crisis strikes, job loss, medical emergency, unexpected business downturn, fear hijacks our decision-making. Our rational brain exists while panic makes expensive choices: high-interest personal loans, selling investments at losses, making commitments we can’t sustain.
The solution? Make your crisis plan before the crisis arrives. On a calm day, sit down and document: If I lost my income tomorrow, what would I do first? Which expenses are truly essential? What’s the absolute minimum I need to function? Who could I call for advice? Which savings are untouchable, which could be accessed if necessary? What government support or loan restructuring options exist (Not in Sri Lanka)? This is a sort of preparation for sudden shocks.
7. Question the Money Stories You Inherited
Sometimes our biggest financial obstacles aren’t failed attempts, they’re the attempts we never make because we’ve internalised limiting stories. “Our family was never good with money.” “Investing is for rich people.” “I’m just not the type who earns more.” “Women don’t understand finance.” These narratives, absorbed from family, culture, or past experiences, become invisible fences.
Question them. Where did this belief originate? Is it actually true, or is it a story you’ve been telling yourself for so long, it feels like fact? What would happen if you tested it? Often, these stories protect us from the discomfort of trying and potentially failing. But they also protect us from the possibility of succeeding. And that’s a far costlier protection than most of us realise.
The Bottom Line
Improving your finances in 2026 doesn’t require becoming a different person. It requires understanding the person you already are, your patterns, triggers, and tendencies, and working with them rather than against them.
These aren’t magic solutions. They’re evidence-based approaches that acknowledge a simple truth: you’re not broken, and your money management doesn’t need fixing through willpower alone. It needs better systems, clearer thinking, and a lot less shame.
Features
Public scepticism regarding paediatric preventive interventions
A significant portion of the history of paediatrics is a triumph of prevention. From the simple act of washing hands to the miracle of vaccines, preventive strategies have been the unsung heroes, drastically lowering child mortality rates and setting the stage for healthier, longer lives across the globe. Simple measures like promoting personal hygiene, ensuring the proper use of toilets, and providing Vitamin K immediately after birth to prevent dangerous bleeding, have profound impacts. Advanced interventions like inhalers for asthma, robust trauma care systems, and even cutting-edge genetic manipulations are testament to the relentless and wonderful progress of paediatric science.
A shining beacon that has signified increased survival and marked reductions in mortality across the board in all paediatric age groups has been the development of various preventive strategies in the science of children’s health, from newborns to adolescents. The institution of such proven measures across the globe, has resulted in gains that are almost too good to be true. From a Sri Lankan perspective, these measures have contributed towards the unbelievable reduction of the under-5-year mortality rate from over 100 per 1000 live births in the 1960s to the seminal single-digit figure of 07 per 1000 live births in the 2020s.
Yet for all this, despite the overwhelming evidence of success, a most worrying trend is emerging. That is public scepticism and pessimism regarding these vital interventions. This doubt is not a benign phenomenon; it poses a real danger to the health of our children. At the heart of this challenge lies the potent, often insidious, spread of misinformation and disinformation.
The success of any preventive health strategy in paediatrics rests not just on its scientific efficacy, but on parental cooperation and commitment. When parents hesitate or refuse to follow recommended guidelines, the shield of prevention is compromised. Today, the most potent threat to this partnership is the flood of false information.
Misinformation is false information spread unintentionally. A well-meaning friend sharing a rumour about a vaccine side-effect they heard online is spreading misinformation.
Disinformation is false information deliberately created and disseminated to cause harm or sow doubt. This often comes from organised groups or individuals with vested interests; sometimes financial, sometimes ideological, who seek to undermine public trust in medical institutions and scientific consensus.
The digital age, particularly social media, has become the prime breeding ground for these falsehoods. Complex scientific data is reduced to emotionally charged, simplistic, and often sensationalist soundbites that travel faster and farther than the truth.
The most visible battleground is childhood vaccination. Decades of robust, high-quality research have confirmed vaccines as one of the most cost-effective and successful public health interventions ever conceived. Global vaccination efforts have saved an estimated 150 million lives in the past 50 years, eradicating or drastically controlling diseases like polio, measles, diphtheria, and tetanus.
However, a single, long-retracted, and scientifically debunked paper claiming a link between the Measles-Mumps-Rubella (MMR) vaccine and autism continues to be weaponised by disinformation campaigns. This persistent myth, despite being soundly disproven, taps into deep-seated fears about children’s development. Other common vaccine myths target ingredients such as trace amounts of aluminium or mercury, which are harmless in the quantities used and often less than what is naturally found in food or the idea that “natural immunity” from infection is superior, totally ignoring the fact that natural infection carries the devastating risk of severe complications, long-term disability, and even death. The tangible consequence of this doubt is the dropping of childhood vaccination rates in various communities, leading to the wholly unnecessary re-emergence of vaccine-preventable diseases like measles.
Scepticism is not limited to vaccines. It can touch any area of paediatric preventive care where an intervention might seem unnecessary, invasive, or have perceived risks. Routine screenings for speech disorders, motor skills, or mental health issues can sometimes be perceived as medicalising normal childhood variations or putting a “label” on a child. Parents may resist or delay screening, missing the critical window for early intervention of proven measures that are likely to help. Advice on managing childhood obesity, reducing screen time, or adopting a balanced diet can be viewed by some parents as intrusive or judgmental, leading to poor adherence to essential health-promoting behaviours.
The regular use of inhalers for asthma or other chronic conditions might be looked down upon due to the fear of “dependency”, “addiction”, or long-term side effects, despite medical consensus that these preventive measures keep conditions controlled and prevent life-threatening exacerbations.
The common thread is a lack of understanding of the risk-benefit ratio. Parents, bombarded by fear-mongering narratives, often overestimate the rare, mild risks of an intervention while catastrophically underestimating the severe and permanent risks of the disease or condition itself.
The power of paediatric preventive medicine is not in a single shot or pill, but in the consistent, committed partnership between healthcare providers and parents. Paediatric science, driven by rigorous evidence-based medicine, do continue to refine guidelines, conduct transparent research, and communicate its findings clearly. When guidelines are confusing or lack robust evidence, it naturally creates openings for doubt. The scientific community’s commitment to continuous quality improvement and accessibility is paramount.
Ultimately, the success of prevention rests with the parents. Parenting, as a vital form of preventive care, includes all activities that raise happy, healthy, and capable children. The simple, non-medical steps mentioned in the introduction, proper handwashing, good sanitation, and encouraging exercise, are all forms of parental preventive intervention.
For more complex interventions, parental commitment requires several actions. They need to seek and trust the guidance provided by qualified healthcare professionals over anonymous, unsubstantiated online claims. They need to engage in an open dialogue by asking relevant questions and expressing concerns to doctors in an open, non-confrontational manner. A good healthcare provider will use this as an opportunity to educate and build trust, and not a portal to simply dismiss concerns. Then, of course, there is the spectre of adherence to various protocols and actions by the parents. These include consistently following recommended schedules, whether for well-child checkups, vaccinations, or daily medication protocols.
Addressing public scepticism requires a multi-pronged, collaborative strategy. It is not just about correcting false facts (debunking), but about building resilience against future falsehoods (prebunking). The single most influential voice in a parent’s decision-making process is their paediatrician or primary care provider. Clinicians must move beyond simply reciting facts. They need to use empathetic communication techniques, like Motivational Interviewing (MI), which focuses on active listening, validating parental concerns, and then collaboratively guiding them toward evidence-based decisions. For example, responding with, “I hear you’re worried about the side-effects you read about. Can I share what we know from decades of safety monitoring?” Being open about common, minor side effects such as a short-lasting fever after a vaccine pre-empts the shock and distrust that occurs when an expected, yet unmentioned, reaction happens.
Public health campaigns must go on the offensive, not just a defensive fact-checking spree. Teaching the general public how disinformation works, the use of “fake experts”, selective cherry-picked data, and conspiracy theories all add up to a most powerful form of inoculation (prebunking) against future exposure. Health institutions must simplify their communications and make verified, high-quality information easily accessible on platforms where parents are already looking.
Parents often trust their peers as much as their doctors. Engaging local community leaders, faith leaders, and even trusted social media influencers to share accurate, positive messages about paediatric health can shift the public narrative at a grassroots level. While protecting privacy, sharing aggregate data and stories about the dramatic decline in childhood diseases thanks to prevention can re-emphasise the collective good.
The battle against child mortality and morbidity has been one of the great human achievements, a testament to scientific ingenuity and collective effort. Today, the greatest threat to maintaining these gains is not a new virus, but a breakdown of trust fuelled by unchecked falsehoods.
Paediatric preventive interventions, from a cake of soap and a proper toilet to the most sophisticated genetic therapies, are the foundation of a healthy future for every child. To secure this future, the scientific community must remain transparent, the healthcare system must lead with empathy, and the public must commit to informed, critical thinking. By rejecting the noise of disinformation and embracing the clear, evidence-based consensus of science, we can ensure that every child continues to benefit from the life-saving progress that defines modern paediatrics. The well-being of the next generation demands nothing less than this renewed commitment.
Little children are not in a position to make abiding decisions regarding their health, especially regarding preventive strategies in health. It is ultimately the crucial decisions made by responsible parents regarding the health of their children that really matter. As doctors, our commitment is never to leave any child behind.
by 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
Features
Attacks on PM vulgar, misogynistic; education reforms welcome
We express our profound concern and deep outrage at the vulgar, misogynistic, and defamatory attacks being directed at the Prime Minister and Minister of Education, Dr. Harini Amarasuriya.
Dr. Harini Amarasuriya is not merely a political leader; she is a scholar, public intellectual, and lifelong advocate of social justice, equality, and education. Attempts to discredit her through personal abuse rather than reasoned policy debate are not only an insult to her, but an assault on democratic values, women’s leadership, and intellectual integrity in public life.
Such attacks are unjust and unethical, and they corrode democratic discourse. We are deeply disappointed that certain political actors and their supporters continue to rely on misinformation, prejudice, and emotional manipulation, instead of engaging in rational, evidence-based, and constructive debate.
Sri Lanka has already paid a heavy price for decades of politics rooted in fear, communal division, and sentiment-driven populism. The country’s economic collapse and social breakdown are the direct consequences of these failed approaches. The people decisively rejected this style of politics through the Aragalaya, signaling a clear demand for change. Sri Lanka now stands at a historic turning point. After decades of corruption, ethnic manipulation, and policy paralysis, the people have given a clear mandate for systemic reform.
At this critical moment, Sri Lanka urgently needs structural reforms, particularly in education, which is the foundation of long-term national development, social mobility, and global competitiveness. Yet we observe that the very forces responsible for the country’s decline are once again attempting to block or derail reforms by exploiting religious, cultural, and emotional narratives.
We strongly affirm that no nation can be rebuilt through hatred, fear, or division. Education reform is not a political threat; it is a national necessity. Efforts to undermine reform through personal attacks and manufactured controversies serve only those who seek to return to power by keeping the country weak, divided, and intellectually impoverished.
Those who now attack Dr. Harini Amarasuriya are not defending culture or morality. They are defending privilege and political survival. Having failed the country for over seventy-five years through communalism, patronage, and anti-intellectualism, they now fear that an educated, critical, and empowered generation will render their outdated politics irrelevant.
This is why they target:
=a woman,
=an academic,
=and a reformer.
We therefore state clearly that we:
1. Condemn all forms of character assassination, gender-based attacks, and hate propaganda against the Prime Minister and Minister of Education.
2. Affirm our full support for Dr. Harini Amarasuriya’s leadership in advancing Sri Lanka’s education reforms.
3. Urge the government to proceed firmly and without retreat in implementing the proposed education reforms, in line with national policy and the public mandate.
4. Call upon academics, professionals, teachers, parents, and citizens to stand together against reactionary forces that seek to sabotage reform through fear mongering and disinformation.
A country cannot be rebuilt by those who destroyed it. A future cannot be created by those who fear education reforms.
Sri Lanka’s future must not be sacrificed for the ambitions of a few.Sri Lanka must move forward — with knowledge, dignity, and courage.
Signatories:
1. Markandu Thiruvathavooran, Attorney at law
2. S. Arivalzahan, University of Jaffna
3. Dr S.Ramesh, University of Jaffna
4. Dr. Mariadas Alfred, Former Dean, University of Peradeniya
5. Prof B.Nimalathasan, Senior Professor, University of Jaffna
6. S. Srivakeesan, Station Master, SriLankan Railways
7. A. T. Aravinthan, Branch Manager, Commercial Bank
8. Dr. S. Niththiyaruban, Paediatrician, Teaching Hospital, Jaffna
9. Dr. S. Selvaganesh, Plastic and Reconstructive Surgeon, Teaching Hospital, Jaffna
10. Dr. S. Mathievaanan, Consultant Surgeon, Teaching Hospital, Jaffna
11. Prof. P. Iyngaran, University of Jaffna
12. Eng. M. Sooriasegaram, President, Education Development Consortium
13. Dr. S. Raviraj, Senior Consultant Surgeon, Former Dean, Faculty of Medicine, University, Jaffna.
14. Mr. Saminadan Wimal, University of Jaffna
15. Dr. A. Antonyrajan, University of Jaffna
16. P. Regno, Attorney at Law
17. Prof. J. Prince Jeyadevan, University of Jaffna
18. Prof. S. Muhunthan, University of Jaffna
19. Prof. R. Kapilan, University of Jaffna
20. Dr. S. Jeevasuthan, University of Jaffna
21. J.S. Thevaruban, University of Jaffna
22. S. Balaputhiran, University of Jaffna
23. Dr. N. Sivapalan, Retired Senior lecturer, University of Jaffna
24. I. P. Dhanushiyan, University of Jaffna
25. Dr. K. Thabotharan, University of Jaffna
26. Dr. Bahirathy J. Rasanen, University of Jaffna
27. Perinpanayagam Ronibus, Vice Secretary, Change Charitable Trust, Jaffna
28. Dr. S. Maheswaran, University of Peradeniya
29. Mr. S. Laleesan, Principal, Kopay Teachers’ College
30. Victor Antany, Teacher, Kilinochchi
31. K. Shanthakumar, Principal, Technical College, Vavuniya
32. S. Thirikaran, Principal, J/ Puttur Srisomaskanda College
33. Dr. T. Vannarajan, Advanced Technical Institute, Jaffna.
34. X. Don Bosco, Resource person, Piliyandala Educational Zone
35. K. Ravikumar, Regional Manager, Powerhands Pvt Ltd
36. Sathiyapriya Jeyaseelan, DO, Economist
37. A. Kalaichelvan, Chief Accountant, Animal Productive & Health
38. C. Vathanakumar, Retired Project Director
39. P. Kirupakaran, Department of Buildings (NP)
40. A. Antony Pilinton, David Peris Company, Jaffna
41. A. Muralietharan, Social Activist
42. Sinthuja Sritharan, Independent Researcher
43. T. Sritharan, Social Activist
44. Ms. Gnasakthi Sritharan, Social Activist
45. P. Thevatharsan, Management Service Officer
46. . S. Mohan, Social Activist
47. K. Jeyakumaran, Social Activist
48. Dr. N. Nithianandan, Chairman, Ratnam Foundation
49. George Antony Cristy, Social Activist
50. S. Thangarasa, Social Activist
51. N. Bhavan, Retd. Deputy Principal, Mahajana College
52. P. Muthulingam, Executive Director, Institute of Social Development, Kandy
53. M.K. Sivarajah, Social Activist
54. Mr. V. Sivalingam, Human Rights Activist
55. S. Jeyaganeshan, Samuthi Development Officer
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