News
Respected surgeon gives docs rap on the knuckles
Much respected retired Professor of Surgery A. H. Sheriffdeen has questioned the failure on the part of the Lady Ridgeway to promptly treat a 10-year-old, boy with a ruptured appendix due to the non-availability of a senior surgeon at the premier paediatric hospital in the country.
The incident took place on Aug 22. Dr Sheriffdeen has brought the incident to the notice of the President, College of Surgeons of Sri Lanka, requesting the outfit to inquire into the incident.
The following is the text of the letter addressed to the CSSL President: “I write this letter following a bout of acute depression and a sense of hopelessness following an incident that occurred on Saturday 22nd August 2020.
I saw a 10-year-old boy at Ratnam’s Private Hospital around 11 am with an obvious clinical diagnosis of acute obstructive Appendicitis. The mother said that she could not afford treatment at a private hospital, so I gave her a letter to the Lady Ridgeway Hospital, assuring her that the boy would get the best possible care. The grandmother was screaming that she would pawn all her jewellery and take prefer treatment at a private hospital, but I again reassured her that I had faith in our trainees and doctors.
On the same day, at about 8.30 pm, I got a call from the boy’s father to say that the junior doctors had told the family that the appendix had ruptured, that the boy needed major surgery by a Consultant and there was no Consultant available. No solution was offered. They were desperate and agitated.
I told them that I did not do emergency surgery at night and suggested a few names and Private Hospitals they could go to.
That was when the depression hit me. Why, I asked myself repeatedly, why am I wasting my time? Why am I wasting my time talking about professionalism and ethics? Why did I waste my time chairing the Committee that produced the Book “Professionalism and Ethics in Surgical Practice” where in Chapter 2 on “Total Patient Care” this scenario is dealt with? Do not these doctors or their near relatives have 10-year-old sons whom they care about? How would they feel if this incident occurs to them?
Why are we wasting time talking about modern techniques, recent advances, updates, laparoscopic and robotic surgery, mentoring programmes, Scientific Sessions, workshops and so on when a 10 year old is left to die from a ruptured appendix due to non-availability of a senior surgeon at the premier Paediatric Hospital in the Country – in the whole of Sri Lanka?.
Professor Milroy Paul was my Professor of Surgery. This was in the early 1960s. He had a surgical Ward in the Lady Ridgeway Hospital. I have seen him driving his old Riley car in black trousers and white dinner jacket with a black bow tie arriving at the hospital at 10 pm to do a tracheostomy in a child with Diphtheria and stridor. He obviously had been at a dinner dance. Mind you, there were no pagers, mobile phones. He always left a contact land line number in the ward and if this method failed to contact him, the registrar was expected to go to the hotel by car or taxi to summon him. He always came promptly. The patient mattered more to him than that dinner, than that dance.
The government gives duty free cars to our doctors just for this purpose. Mobile phones are freely available. Contactability is not an issue. But something is lacking, is it not? All the fancy cars, all the fancy mobile phones did not help this child in an hour of need.
That is because we lack commitment- a commitment to care, treat and cure regardless of day or time-a commitment not to betray the trust – betray the trust that mothers, fathers, grandparents, brothers, sisters, children place in you.
There will be the usual explanations but they will only serve to compound the issue as trying to get explanations or hold an enquiry is usually an attempt at cover up. It needs a change of culture, a paradigm shift.
The child may have survived, but that is totally irrelevant to the issue at hand.
More ruptured appendices, acute abdomens, general, orthopedic, neurosurgical, urological, cardiothoracic, vascular etc. emergencies – more excuses; will they not end?
I am writing this as therapy for my depression. The foul taste will not go away. As a Medical administrator once said, “Patients will die, it cannot be helped!”
News
Corruption fighter raises concerns over unwarranted redacting in asset declaration
ECONOMYNEXT Transparency International Sri Lanka (TISL), the local body of Transparency International (TI), which has been fighting against corruption in Sri Lanka has raised concerns over unwarranted redacting of information in asset declaration mandated by a new Anti-Corruption Act.
The island nation’s anti-graft body the Commission to Investigate Allegations of Bribery or Corruption (CIABOC) has received asset declarations of over 100 persons who are obligated to submit their asset and liabilities declarations.
This includes top officials and the President. The CIABOC has made details of all the assets and liabilities of public officials it has received in its official website under ‘Declaration of Assets’ sub category.
The CIABOC is in the process of establishing a centralized electronic system in compliance with the law.
“While this step towards public transparency is a welcome move, concerns have emerged regarding the extent of information being made available,” the TISL said in a statement.
“TISL expresses deep concern over a significant amount of crucial information that has been arbitrarily and unnecessarily redacted. Information such as bank balances and the dates on which accounts were opened are not revealed, raising serious concerns as to the transparency and effectiveness of these declarations.”
The recent data showed that at least 90 out of the total 225 Sri Lankan legislators are yet to provide their assets and liability details to the CIABOC in line with the new law.
The new Anti-Corruption Act comes after President Ranil Wickremesinghe’s administration promised the International Monetary Fund (IMF) to bring in strong laws to combat corruption under a $3 billion bailout package.
Though Sri Lanka has several laws to prevent corruption, no government has implemented the rule of law in a fair manner, analysts say.
Most governments in the past have used the anti-corruption laws for political agenda and silenced some anti-government critics within and outside opposition parties.
Anti-graft experts say corruption is now deep rooted in both government and private sector firms with many Sri Lankans considering them as a norm. As a results, past and current laws have failed to be effective enough to stop corruptions.
No political leader in Sri Lanka has been able to curb corruption despite promises during elections.
The TISL said the Anti-Corruption Act allows only specific information in the asset declarations to be redacted. This includes bank account numbers and details of any other deposits.
“It appears the authority has taken a very broad approach of interpretation to redact crucial information such as bank balances and dates, in complete disregard of the spirit and intention of the law, thereby defeating the purpose of making asset declarations publicly available,” the TISL said.
It said the CIABOC “appears to” have misinterpreted a clause of the new Act which is relevant to ‘any other’ deposit types that are not bank accounts.
“Such arbitrary misinterpretation of the Act undermines the purpose of the asset declaration system and public access to the same, rendering its implementation ineffective.”
“This potential creation of a loophole to skirt the law by public officials and responsible institutions is deeply concerning, and breeds mistrust in the CIABOC’s commitment to effective implementation of the anti-corruption law.”
The corruption has already deterred foreign investment into Sri Lanka, as businesses often face bureaucratic hurdles and demand for bribes, good governance analysts say.
It has also hit development projects, leading to cost overruns and delays, which has led to loss of public trust.
Though Sri Lanka has had several laws aimed at combating corruption, including the Bribery Act and the Declaration of Assets and Liabilities Laws, the enforcement has been inconsistent.
Majority of Sri Lankans blame corruption at ministry and bureaucratic level for an unprecedented economic crisis that led Sri Lanka to declare bankruptcy with sovereign debt default in 2022.
Since then, there has been a strong public demand to eliminate corruption with calls for accountability and reforms amid international pressure.
The TISL has also raised concerns over demanding a mandatory email address for those who want to see the assets and liability details in the website.
“TISL is concerned that this unnecessary and unmandated requirement creates an additional barrier, restricting access to asset declarations to a large number of the public across the island,” it said.
“Making asset declarations public is a recommendation by the International Monetary Fund that is now an element in the Government Action Plan for implementation. One of the objectives is to enable the public to monitor potential unjust enrichment by public officials, which is undermined by the actions of CIABOC with its unnecessary extent of redaction.”
“For public access to be meaningful in the current reform process, TISL urges the CIABOC to reconsider the extent of the current redactions in the spirit of fully implementing the law, ensuring that crucial and sufficient information is available for citizens in holding public officials accountable.”The TISL urged swift action for effective utilisation of such publicly accessible asset declarations, especially in implementing upcoming laws on Proceeds of Crime and Beneficial Ownership.
News
Pope endorses struggle to uncover truth of Easter massacre: Cardinal
By Norman Palihawadane
Colombo Archbishop Cardinal Malcolm Ranjith last week said that Pope Francis has endorsed the continued struggle to uncover the truth about the 2019 Easter Sunday bombings.
During a holy mass marking the 150th jubilee feast of St. Maria Church in Negombo, the Cardinal noted that four years have passed since the Easter Sunday attacks. “Yet, we have not been able to ascertain the truth. No leader has genuinely attempted to uncover it. We do not seek revenge or punishment but justice. It is our right to know the truth, and no political leader should be allowed to deny us that right,” he said.
He added that Pope Francis has expressed his solidarity with the victims’ families and urged Sri Lankan authorities to reveal the truth behind the attacks, which he believes will pave the way for peace.
Cardinal Ranjith mentioned that Pope Francis recently completed a 12-day apostolic journey to Asia and Oceania, visiting Indonesia, Papua New Guinea, East Timor, and Singapore. “I had the opportunity to meet the Pope last week. He asked about the progress of the Easter Sunday investigations. I responded to the best of my ability. The Pope urged us not to abandon our quest for truth and justice for the victims of Easter Sunday. According to our discussions, the country is at a crucial juncture. We are set to shape our nation’s future on September 21. This date is significant, and we should remember what happened on April 21, 2019, when we go to vote,” the Cardinal said.
News
SC orders filing of contempt charges against Immigration boss on e-visas
Summoned to court but away overseas
By AJA Abeynayake
The Supreme Court on Friday ordered that charges be filed against the Controller General of Immigration and Emigration for contempt of court due to his failure to enforce a suspension of the e-visa system as directed by the Court.
The order was issued after President’s Counsel M.A. Sumanthiran and Sanjeeva Jayawardena PC, representing the petitioners, highlighted the need to issue a rule against the respondent for failing to implement the court’s order.
Earlier on Friday, the court had directed the Controller General of Immigration and Emigration to appear in person before the Court on the same day for his failure to implement the Supreme Court’s order, which had suspended the Cabinet decision approving online visa operations in Sri Lanka. The court was informed that the Controller General of Immigration and Emigration was out of the country.
The order arose in connection with several Fundamental Rights petitions challenging the involvement of private entities in managing the Electronic Travel Authorisation (ETA) system for issuing tourist visas to Sri Lanka. The petitions raised concerns about procedural violations and breaches of public trust in the procurement process. The case is set for further proceedings.
Additional Solicitor General Viveka Siriwardena, representing the Attorney General, informed the court that the Controller General of Immigration and Emigration had encountered practical difficulties in executing the court’s directive. The earlier ruling had suspended a Cabinet decision regarding online and expatriate visa operations in Sri Lanka.
The three-judge bench, consisting of Justices Preethi Padman Surasena, Kumuduni Wickremasinghe, and Achala Wengappuli, emphasized that non-compliance with the court’s decision constituted contempt of court.
Oral submissions were made by MPs M.A. Sumanthiran PC, Rauff Hakeem, and Patali Champika Ranawaka. Upul Jayasuriya PC, with Sithara Sampath Wijewardane, represented Parliamentarian Ashoka Abeysinghe. Sanjeeva Jayawardena PC, along with Rukshan Senadheera, appeared for Dr. Rohan Pethiyagoda and Chandra Jayaratne. Senior Counsel Suren Gnanaraj represented the Sri Lanka Association of Inbound Tour Operators and other petitioners, while Senior Counsel Senani Dayaratne appeared for Transparency International Sri Lanka. Dilrukshi Dias Wickremasinghe PC, together with Vishwa De Livera Tennakoon, represented Attorney-at-Law S.M. Dissanayaka. Additional Solicitor General Viveka Siriwardena appeared on behalf of the Attorney General.
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