Features
“Reflections on the Life and Times of Lakshman Kadirgamar on the 20th Anniversary of His Death”
From the time I was old enough to cultivate an interest in politics, I have familiarized myself with the life and times of those political personalities I took a liking to. The late Dudley Senanayake (who incidentally died in 1973 a day after Lakshman Kadirgamar’s 41st birthday) was the first I took to and I consider it my loss that I did not have the opportunity to get to know him personally. Of the several politicians that I have subsequently taken note of, there were two I got particularly close to and they were both, coincidentally enough, Oxonians who happened also to be presidents of the Oxford Union in their time. I refer to Lalith Athulathmudali and Lakshman Kadirgarmar. Athulathmudali did not attend a local university prior to going up to Oxford, as did Kadirgamar. The former’s cake, (to borrow a metaphor from Kadirgamar himself) was not baked at home, unlike that of the latter for whom Oxford was only the icing on his superlative, home-produced, academic confection.
Although Lakshman Kadirgamar and I belonged to two different generations, we shared certain commonalities. Though not of Kandy, we both had our early education in that city (he at Trinity, I at Kingswood) and we were both products of the University of Ceylon, Peradeniya. If memory serves, he was a resident of Arunachalam Hall, which was also where I spent my undergraduate years. He was a ‘citizen of the world’, a Sri Lankan and a Tamil. Likewise I, too, prefer to transcend narrow boundaries and take pride in being in that order, a human resident of this planet, a Sri Lankan, and then a Sinhalese.
I liked Kadirgamar’s academic bent of mind. If he and I were given to clichés, I would have called him ‘a voracious reader’. I should, instead, describe him as a man of books. And many were the times when we compared notes on literary texts we both had read and enjoyed. Not infrequently he telephoned me to double check on a quotation from a Shakespearean play that he wished to include in a lecture or a speech he was writing up. He publicly denounced bribery and corruption in public office, a particular aversion of mine, which is not a safe or fashionable public stance for a politician to take and I admired him for his courageous stand. Furthermore, he was unpretentious, charming, mellow-toned and possessed of a fine if often ironic sense of humour.
And there was something else he was proud to be– an outstanding sportsman. The last attribute meant, by definition, that he was by instinct and training, fair-minded. Could one possibly ask for more? My one regret is that I did not get to know Lakshman Kadirgamar as intimately earlier than I actually did. I console myself with the thought that quality ever trumps quantity when it comes to most good things of life. As Ranil Wickremesinghe noted in the course of his tribute to Lakshman Kadirgamar in Parliament, a meal with the late minister offered food for the body as well as the mind. On most occasions a mere chat over a drink with him provided such nourishment for the soul.
Apart from our regular meetings to talk of issues of the day, there were two key projects dear to his heart that brought us together and helped cement our friendship. Given the rich heritage we Sri Lankans are heirs to, Lakshman Kadirgamar was of the view that we should give to the world, as he so aptly put it, ‘something more than just tea, tourism and terrorism’. He thus had a long-term plan to enable Sri Lanka to continue to contribute to the world of culture and the arts as also to the further refinement of international relations and diplomacy. It was his desire to have a book published on a Sri Lankan artist that would be ‘an ideal brand label for Sri Lanka, an image which may be projected all over the world as the face of Sri Lanka in all of its many forms’. The result of his endeavours in this regard is the monumental and exquisite The World of Stanley Kirinde (2005) authored by Sinharajah Tammita-Delgoda.
Having initiated the book project, he next set his sights on the production of an academic journal for the study of politics and diplomacy via the Bandaranaike Centre for International Studies (BCIS) of which he was now chairman. He invited me to serve as editor and together we put in many hours to get International Relations in a Globalizing World (IRGW) off the ground. Lakshman Kadirgamar’s last public act on the evening of that fateful twelfth of August, 2005, was to preside over the ceremony to mark the release of the inaugural issue of IRGW. It was Kadirgamar’s expectation, through the regular publication of IRGW, to raise the level of Sri Lanka’s contribution to diplomacy. All these best-laid plans and goals were shattered on that dreadful August night in 2005. Unfortunately, Lakshman Kadirgamar did not live to see (though he saw the finished product and admiringly flipped through its pages) the release of The World of Stanley Kirinde scheduled for 18 August, 2005.
In this sixteenth year after his death, it is as good a time as any, to assess dispassionately the late foreign minister’s contribution to Sri Lanka and the world, and to imagine the kind of role he might have played had he lived beyond his 73rd year. I consider Lakshman Kadirgamar to be one of the finest twentieth century Sri Lankans and far and away the best foreign minister Sri Lanka has had to- date. He was widely read and intelligent and, at the same time, hard-working and disciplined. He had the courage of his convictions and the inner strength to hold fast to his ideals from his entry into the fickle world of politics in 1994 until his tragic end in 2005.
I tend to view Lakshman Kadirgamar’s performance on the domestic political front less enthusiastically than that of his on the international stage. It is entirely possible that my lukewarm view has less to do with any inadequacy of Kadirgamar’s and more to do with my aversion to realpolitik, especially to its Sri Lankan variety. As I have asserted in an earlier tribute to him (2005), Lakshman Kadirgamar was the quintessential Sri Lankan. Almost a year before his death, in September 2004, he made a profound statement on Japanese National Television (NHK) that encapsulated his credo:
I am first and foremost a citizen of Sri Lanka. I do not carry labels of race or religion or any other label. I would say quite simply that I have grown up with the philosophy that I am a citizen of the world. I do not subscribe to any particular philosophy; I have no fanaticism; I have no communalism. I believe there should be a united Sri Lanka. I believe that all our peoples can live together, they did live together. I think they must in the future learn to live together after this trauma is over. We have four major religions in the country: Buddhism, Islam, Hinduism and Christianity. All these religions exist very peacefully. They get on very well. I see no reason why the major races in the country, the Tamils and the Sinhalese, cannot again build a relationship of confidence and trust. That is my belief.
It is this fervent belief in the essential goodness of his country and fellow citizens that form the cornerstone of his diplomatic labours. It was also the driving force behind his brilliant and spellbinding performance as our foreign minister. I relished in particular the manner in which he finessed the challenge of LTTE terrorism. To say it was primarily Lakshman Kadirgamar’s powers of persuasion and skillful handling of domestic issues and their international ramifications that redeemed Sri Lanka’s sullied image is surely no exaggeration. Needless to say, then President Chandrika Kumaratunga , the Leader of the Opposition Ranil Wickemesinghe and several dedicated, experienced and effective Sri Lankan Foreign Service personnel played their part in this restoration process, but the helmsman was clearly Lakshman Kadirgamar.
In their measured tributes to a book published in honour of Lakshman Kadirgamar (Roberts: 2012), three seasoned American diplomats I know intimately, Karl (Rick) Inderfurth, Peter Burleigh and Shaun Donnelly who interacted closely with Kadirgamar have testified to the latter’s major successes on the international stage, during his lifetime and even posthumously. Chris Patten, the British politician, reinforces this fact when he notes in the same publication that:
Lakshman Kadirgamar spent much of his diplomatic energy and his formidable eloquence in attempting to persuade foreign governments to proscribe the LTTE in their own countries and stop the raising of funds for terrorism in Sri Lanka. He scorned the ‘Nelsonian’ attitude to terrorism of some countries. He was particularly active in supporting the drafting of the 1997 UN Convention for the Suppression of Terrorist Bombings. The respect he enjoyed internationally meant that his assassination nudged some foreign governments into taking a tougher line in prohibiting active support for the LTTE in their own countries.
Peter Burleigh in a recent personal communication reiterated this foremost aspect of Kadirgamar’s achievement when he noted:
I personally believe that his efforts to get important governments like Australia, the UK and the US to ban money transfers to the LTTE was a key contribution to the long-term effort to defeat the group. And his personal efforts, and effectiveness, in that regard were essential to that success.
Although I recognize that politics may well be the art of the possible, my limited experience of it as a practitioner and deeper awareness of it as student, make me conclude that politics is a murky and dismal business. I have often wondered why men of the sensitivity of Neelan Tiruchelvam and Lakshman Kadirgamar ever took to politics. In a statement over national television in 1994, Lakshman Kadirgamar spelt out his reasons for doing so. I quote below the operative paragraph of that statement:
I have had a privileged life by birth, by education, by access to opportunities, and I have always felt that a time must come when you must give something back to the society in which you have grown up and from which you have taken so much. So-called educated people must not shirk responsibilities in public life. I have reached that stage in life when, without being heroic about it, I feel I should participate more fully in public life.
Whilst not taking anything away from his invaluable and splendid contribution as foreign minister, I remain convinced that he could have given more back to the society from which, by his own admission, he had taken so much by opting for a different if less glamorous public role than that of a high visibility politician. As with similarly gifted men as S.W.R.D Bandaranaike, N.M Perera, Pieter Keuneman, Felix Dias Bandaranaike and Lalith Athulathmudali before him, I am left with the nagging feeling that his stint in politics somehow diminished Lakshman Kadirgamar in the end. Such diminution as occurred may well have been due to the corrosive nature of politics and not due to any inherent flaw in Kadirgamar’s character.
Perhaps he permitted his colleagues and his party to exploit his standing in society and his professional stature when he decided ‘without being heroic about it. . . [to] participate fully in public life’. Be this as it may, I remain disappointed by the narrow political role he played in the difficult and often acrimonious days of Sri Lanka’s French-style co-habitation government. This was the period between December 2001 and April 2004, when Kadirgamar’s party leader, Chandrika Kumaratunga, despite her party being out of power, was yet the constitutional head of government whilst Ranil Wickremesinghe as prime minister was in effective control of Parliament. Kadirgamar now was assigned the role of advisor to the president on international affairs, with Tyronne Fernando occupying the portfolio of foreign affairs.
(To be continued)
by Tissa Jayatilaka ✍️
(From The Cake That Was Baked At Home)
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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