Features

Seeing the market through the spectre

Published

2 years ago

2021/09/21

By Panduka Karunanayake

Leftist ideologues like to create an image of ‘the market’ as a terrible place, like how grown-ups frighten children with their ghost stories. The market is portrayed as a ruthless, heartless machine that thrives on unfairness and corruption, crushing the poor and fattening the rich. It must have become easier to create this image after the Soviet bloc fell in the 1990s and China emerged out of communism soon afterwards, because after that people quickly forgot that socialist and communist economies too have markets – even markets every bit as ruthless, heartless, unfair and corrupt as any capitalist market. Today, these ideologues can write as if the market and capitalism are synonyms. Everything ‘un-socialist’ can be easily ‘explained away’ by saying that it ‘promotes marketisation’.

No amount of argument or explanation would change these ideologues’ minds – after all, an ideologue is a person who pursues an ideology in an inflexible manner. But let me set out some related matters, for the benefit of the rest of us.

Emergence and evolution of the market

Markets have probably existed throughout human existence, because human beings are social animals that thrive on social interaction. There is an illuminating passage in Charles Darwin’s book The Voyage of the Beagle, where he described an encounter with the inhabitants of Tierra del Fuego in South America, who were ‘primitive’ hunter-gatherers and nomads with no previous encounter with civilisation:

“Some of the Feugians plainly showed that they had a fair notion of barter. I gave one man a large nail (a most valuable present) without making any signs for a return; but he immediately picked out two fish, and handed them up on the point of his spear. If any present was designed for one canoe, and it fell near another, it was invariably given to the right owner.”

This passage shows that they were well-versed in the moral principles – such as free choice, trust, fairness and reciprocity – associated with exchange of goods and services that form the basis of the functioning market.

The market became prominent after the emergence of agriculture about 10,000 year ago. Agriculture enabled farmers to produce a food surplus, which then enabled the rest of the villagers to work on other crafts – promoting division of labour and specialisation. This created an overall increase in the quality of the villagers’ lives, because they now had a wider variety of produce to consume. Villagers now depended on each other more, for the produce they wished to consume. As the village increased in size and complexity, a place where producers and consumers could meet, to exchange goods and services, became a necessity. In the physical realm this was the marketplace, and in the conceptual realm it was the market. Initially, exchange occurred through the barter system without a medium of exchange, but the invention of money made it easier.

But until industrialisation, this market was small and sluggish. It produced very little, compared to today. Most of what a village produced was consumed within it, and only a tiny proportion of it left the village, to be consumed by outsiders – the market was still not much more than the marketplace.

Reason for smallness

The reason for this smallness was not entirely because there were no industrial factories. The villagers could have produced more if they wanted to, but they didn’t, because they saw that any extra produce created problems. There were difficulties with storing it, protecting it, preserving it or transporting it elswhere, and in any event the lords could easily expropriate it under the feudalistic modes of production. Items that were considered luxury items were an exception; they were carried to distant destinations by camel, caravan or boat.

But starting in the eighteenth century, industrialisation changed all that. Factories produced large quantities of produce (or ‘commodities’) cheaply, and the market expanded to distribute a much larger variety and quantity of goods much more widely. Specialisation became the norm and a necessity. The crucial factor that made all this possible was probably the improvement in transport. Look at your lunch plate today, and try to figure out from where and how far each of the food items on it – not to mention the plate itself or the energy for the fire that cooked your lunch – have come from.

Today, production and consumption are almost totally separated from each other (with a few exceptions, like farmers who sell their produce by the roadside in front of their homes, and ‘factory outlets’). It is the market that enables this to happen. The market, which is no longer simply the marketplace, gives us access to a bewildering variety of goods and services, thereby enabling us – even the poorest amongst us – to enjoy a greater choice and higher quality of life, compared to pre-industrial times. The healthcare and education that even the poorest amongst us enjoy would not reach them if not for the market.

As an example, let us take soap. Until industrialisation this was a luxury item that only the elite enjoyed. In Roman times, even the elite cleaned themselves mostly by simply immersing themselves in their baths and rubbing off dirt; indeed, using soap would have made the bath too disgusting to get into. Soap was available only to those in the very highest echelons of society. The masses were ‘dirty’ and their skin was infested with scabies, pediculosis and lice, and they commonly suffered diseases like impetigo and erysipelas – they lacked even the water necessary to wash themselves (especially hot water in cold climates). But today, soap is so ubiquitous that we take it for granted – it was industrialisation that enabled its cheap mass production and the market that enabled its wide distribution.

Value of simple things

The real value of something as simple as soap was driven home powerfully to me in the aftermath of the 2004 tsunami, when people had lost everything and were accommodated in make-shift camps. What did they ask for, from the donors and volunteers who went to help them? First, they asked for food, water and certain medicines. A few days later, they began asking for soap, a change of clothing and sanitary pads: after three or four days, they were itching and suffering with fungal skin infections. That was an unfortunate re-enactment and reminder of the pre-industrial life of the masses. I remembered how a textbook of public health that I had read a few decades earlier had cleverly classified infectious diseases according to whether they were prevented by soap and water, clean drinking water, safe food, and so on. The post-tsunami experience showed me the sagacity of that – and the value of the ubiquitous soap, industrialisation and the market.

In his book The Third Wave, Alvin Toffler compared a modern-day market to an efficient telephone exchange or switchboard. A switchboard connects thousands of senders and recipients accurately and enables messages to be sent across to their intended destinations – like producers, consumers, and goods and services in the market. Like telephone messages, goods and services are produced, sent across and consumed according to need and availability: demand and supply.

Such a market cannot exist on its own. It needs inputs from important sectors in society, such as law and order (which upholds the right to private property, prevents or punishes theft, and arbitrates when there are contractual disagreements), education (which creates an educated and trained workforce, not only for manufacture but also for distribution), communication, energy, transport, ports, etc. Such external supports have existed not only in capitalist markets but also in pre-capitalist and socialist markets. These supports are provided because everybody realises that markets are useful to everyone, especially when the population expands and the demand for commodities increases.

So, to say that something should be abhorred because it promotes ‘marketisation’ is disingenuous.

Organising the market

Markets can be organised in various ways. It helps to think of these as lying on a spectrum ranging from capitalism to communism, which are the extreme forms at the two ends. In-between, there are lots of compromises, combinations or ‘middle ways’. For instance, the current Chineses model is sometimes called state capitalism – a good example of a middle way.

But the natural form of the market that emerged spontaneously was the free market: a market where no authority-imposed restrictions or controls, nor introduced any encouragements or inducements. The activities in the free market merely recognised the concepts of private property and voluntary exchange, and operated on demand and supply. That was all.

Opponents

Throughout this time, the free market has had many opponents who have tried to impose limits or controls to it. Division of labour and specialisation were resisted – by the cultural elite who tried to maintain the status quo in society, such as the caste system in ancient society and feudal-peasant relations in medieval times. During industrialisation when factories came up, that was resisted too – by guildsmen who felt that their business was threatened, and those like the Luddites who felt threatened by the new manufacturing technology. Karl Marx proposed that private property, including ‘the means of production’, should be taken over by the state and brought under its control.

Some of the concepts that they used against the growth of the free market were traditional values such as loyalty and caste-based duties (especially upheld by the cultural elite), simplicity in life and charity as well as opposition to ‘ursury’ and banks (especially the clergy), and equality. It is only now, after centuries of change, that words like ‘industry’ (which initially meant industriousness), ‘entrepreneurship’ and ‘individualism’ have emerged as ‘good words’, to create an environment conducive to a free market. Charles Dickens’ novel Martin Chuzzlewit nicely captured the mood of the era when industrialisation was struggling to emerge through the feudal society, by portraying the struggle of a typical ‘upstart’ who had to go to America to make a fresh start.

According to Stephen Fry, even today, the typical British comedy mostly parodies the upstart’s ineptness (“celebrate failure”), whereas the typical American comedy glorifies the industrious entrepreneur or smart-aleck (“life is improvable”). When we read comments about the market, we must take care to ‘read’ this subtext too.

Inequality

Ironically, inequality had previously been tolerated and even celebrated, as long as the only inequality was between the elite and the masses – the masses were ‘equal’ in their poverty and the elite were rich by birthright. But after industrialisation, the moment the masses gradually became enriched and a middle class emerged, inequality became a big social issue. When a part of the masses remained poor and another part became better-off, socialism was born. Different segments of the masses quickly became each other’s enemies – thanks to socialism. It was an example of applying the brakes even before the vehicle had started to move in earnest. They were ennobled by socialism’s new words, like ‘fraternity’ and ‘equality’ – which basically meant, ‘Those who are not poor like you are not one of you, and have no right to be rich if you too cannot be rich’.

But while the leaders of socialism may have harboured such beliefs, their proletariat comrades had simpler minds. In his book The Road to Wigan Pier written after World War One, George Orwell, himself a socialist, reflecting on the tensions and contradictions in English society as it grappled with this new-found inequality and ‘class struggle’, wrote:

“To the ordinary working man, the sort you would meet in any pub on Saturday night, Socialism does not mean much more than better wages and shorter hours and nobody bossing you about….[No] genuine working man grasps the deeper implications of Socialism. Often, in my opinion, he is a truer Socialist than the orthodox Marxist, because he does remember what the other so often forgets, that Socialism means justice and common decency….His vision of the Socialist future is a vision of present society with the worst abuses left out, and with interest centring round the same things as at present – family life, the pub, football, and local politics.”

Orwell’s main message was that any effort to ‘improve’ society, by whatever name, that had lost touch with the common man was bound to deteriorate into a fascism. The remainder of the twentieth century proved him right.

Today, Orwell’s England has come through quite nicely in spite of the disintegration of the British Empire soon afterwards, and shows none of the class struggle and poverty Orwell’s and Dickens’ books have recorded. So, should we champion an equality of the poor, or should we patiently work towards a gradually enriching society with a tolerable level of inequality?

Necessary controls

At the same time, it is also advisable to control some forms of exchange in the market. For instance, if a country considers that it is necessary to ensure food security through its own, local cultivation of important crops, it is wise to put in place some safeguards to protect local agriculture from the adverse effects of competition from imported foods, at least for important foods. Even advanced capitalist countries like USA and Japan do this (for wheat and rice, respectively).

Similarly, it would be prudent to protect certain crucial markets, such as the energy sector and ports. It is also important to ensure distribution of crucial goods & services (such as healthcare, basic education, basic housing, basic clothing, basic transport) for all members of society, with a view to protecting the poor who have limited purchasing power. This requires the institution of safety nets and price control. In this age of climate change, resource depletion and environmental degradation, nobody would argue against environmental protection, which naturally requires the imposition of certain restrictions on the free market. Finally, nobody would argue that sectors such as national defence and law & order should be floated in the free market. So markets do need judicious controls and regulation.

More than ‘free’

On the flip side, in some markets there are mechanisms created specifically to encourage a bigger flow of goods & services than what the natural, ‘free’ market would sustain. These include patent laws, laws restricting monopolies, bankruptcy laws, the financial and share market, and so on; some of them may be good, while others are not.

The market is then not merely a place of exchange; it is also a place to make massive profits, where the falling crumbs accumulate to produce huge volumes of ‘wealth’. There are those who would profit exactly from this, while such ‘wealth generation’ or ‘productivity’ brings no intrinsic value to society while needlessly destroying our environment and culture – this can then become the new status quo that these new elite wish to protect.

Conclusion

A free market would promote exchange of goods & services and increase the volume of exchange, and this in turn would increase employment, productivity, taxation and funds for welfare expenditure. Both restricting it and encouraging it, while sometimes necessary, must be done only cautiously. Naturally, therefore, both extremes – and their supportive ideologies – are not good. What we need to have is a ‘middle-way’ market that enables enough economic activity and protects the poor, while protecting the environment for future generations.

So, there is no need to fear the market. What we need to do is understand it, be able to predict its behaviour, and try to modify it so that it creates the benefits we need and avoids harm. The child must grow up, overcome the fear of ghosts and learn to deal with darkness. Disingenuous, sleight-of-hand arguments that promote the darkness are of no use, and their supportive ideologies can only lead to fascism – as the twentieth century amply taught us.

The writer teaches medicine in the University of Colombo (email:

panduka@clinmed.cmb.ac.lk). He acknowledges helpful comments from Professor Sirimal Abeyratne (Professor of Economics, University of Colombo) and Dr G. Usvatte-aratchi.

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Features

If you have a heart, say no to tobacco!

Published

20 hours ago

2023/06/2

Thilina Walpola

BY Dr. Gotabhya Ranasinghe
(MBBS, MD, FCCP, FRCP, FAPSIC, FACC, FESC)
Consultant in General & Interventional Cardiology, NHSL

Tobacco harms practically all of the body’s organs and is a key risk factor for heart disease!

Smoking can impact all aspects of the cardiovascular system, including the heart, blood, and blood vessels. I know from my experience over the years that about 25% of the patients who seek treatment from me for heart conditions smoke.

Is there a strong link between smoking and heart disease?

Of course, there is! Smoking definitely contributes to heart disease. The majority of smokers experience heart attacks.

Some claim that the only people at risk for heart attacks or strokes are those who are classified as heavy smokers. Although this is the case, did you know that smoking even one or two cigarettes a day might result in heart attacks?

Young smokers are on the rise, which unfortunately brings more cardiac patients between the ages of 20 and 25 to the cardiology unit.

Why is tobacco poison for your heart?

The harmful mix of more than 7,000 chemicals in cigarette smoke, including nicotine and carbon monoxide, can interfere with vital bodily functions when inhaled.

When you breathe, your lungs absorb oxygen and pass it on to your heart, which then pumps this oxygen-rich blood to the rest of your body through the blood arteries. However, when the blood that is circulated to the rest of the body picks up the toxins in cigarette smoke when you breathe it in, your heart and blood arteries are harmed by these substances, which could result in cardiovascular diseases.

What does cigarette smoke do to your heart?

Atherosclerosis (Building up of cholesterol deposits in the coronary artery)

Endothelium dysfunction leads to atherosclerosis. The inner layer of coronary arteries or the arterial wall of the heart both function improperly and contribute to artery constriction when you smoke cigarettes. As a

result, the endothelium-cell barrier that separates the arteries is breached, allowing cholesterol plaque to build up. It’s crucial to realize that smoking increases the risk of endothelial dysfunction in even those who have normal cholesterol levels.

Heart Attacks

The plaque accumulated in the arteries can burst as a result of continued smoking or other factors like emotional stress or strenuous exercises. Heart attacks occur when these plaque rupture and turn into clots.

Coronary artery spasm

Did you know you can experience a spasm immediately after a puff of smoke?

A brief tightening or constriction of the muscles in the wall of an artery that supplies blood to the heart is referred to as a coronary artery spasm. Part of the heart’s blood flow can be impeded or reduced by a spasm. A prolonged spasm can cause chest pain and possibly a heart attack.

People who usually experience coronary artery spasms don’t have typical heart disease risk factors like high cholesterol or high blood pressure. However, they are frequent smokers.

Arrhythmia

An erratic or irregular heartbeat is known as an arrhythmia. The scarring of the heart muscle caused by smoking can cause a fast or irregular heartbeat.Additionally, nicotine can cause arrhythmia by speeding up the heart rate.

One of the best things you can do for your heart is to stop smoking!

Did you know the positive impacts start to show as soon as you stop smoking?

After 20 minutes of quitting smoking, your heart rate begins to slow down.

In just 12 hours after quitting, the level of carbon monoxide in your blood returns to normal, allowing more oxygen to reach your heart and other vital organs.

12 to 24 hours after you stop smoking, blood pressure levels return to normal.

Your risk of developing coronary heart disease decreases by 50% after one year of no smoking.

So let us resolve to protect and improve heart health by saying no to tobacco!

Features

Religious cauldron being stirred; filthy rich in abjectly poor country

Published

20 hours ago

2023/06/2

Thilina Walpola

What a ho ha over a silly standup comedian’s stupid remarks about Prince Siddhartha. I have never watched this Natasha Edirisuriya’s supposedly comic acts on YouTube or whatever and did not bother to access derogatory remarks she supposedly introduced to a comedy act of hers that has brought down remand imprisonment on her up until June 6. Speaking with a person who has his ear to the ground and to the gossip grape wine, I was told her being remanded was not for what she said but for trying to escape consequences by flying overseas – to Dubai, we presume, the haven now of drug kingpins, money launderers, escapees from SL law, loose gabs, and all other dregs of society.

Of course, derogatory remarks on any religion or for that matter on any religious leader have to be taboo and contraveners reprimanded publicly and perhaps imposed fines. However, imprisonment according to Cassandra is too severe.

Just consider how the Buddha treated persons who insulted him or brought false accusations against him including the most obnoxious and totally improbable accusation of fatherhood. Did he even protest, leave along proclaim his innocence. Did he permit a member of the Sangha to refute the accusations? Not at all! He said aloud he did not accept the accusations and insults. Then he asked where the accusations would go to? Back to sender/speaker/accuser. That was all he said.

Thus, any person or persons, or even all following a religion which is maligned should ignore what was said. Let it go back and reside with the sayer/maligner. Of course, the law and its enforcers must spring to action and do the needful according to the law of the land.

One wonders why this sudden spurt of insults arrowed to Buddhism. Of course, the aim is to denigrate the religion of the majority in the land. Also perhaps with ulterior motives that you and Cass do not even imagine. In The Island of Wednesday May 31, MP Dilan Perera of Nidahas Janatha Sabawa (difficult to keep pace with birth of new political parties combining the same words like nidahas and janatha to coin new names) accused Jerome Fernando and Natasha E as “actors in a drama orchestrated by the government to distract people from the real issues faced by the masses.”

We, the public, cannot simply pooh pooh this out of hand. But is there a deeper, subtler aim embedded in the loose talk of Jerome and his followers? Do we not still shudder and shake with fear and sympathy when we remember Easter Sunday 2019 with its radical Muslim aim of causing chaos? It is said and believed that the Muslim radicals wanted not only to disrupt Christian prayer services on a holy day but deliver a blow to tourism by bombing hotels.

Then their expectation was a backlash from the Sinhalese which they hoped to crush by beheading approaching Sinhala avenging attackers with swords they had made and stacked. This is not Cass’ imagination running riot but what a Catholic Priest told us when we visited the Katuwapitiya Church a couple of weeks after the dastardly bombing.

It is believed and has been proclaimed there was a manipulating group led by one demented person who egged the disasters on with the double-edged evil aim of disrupting the land and then promising future security if … Hence, we cannot be so naïve as to believe that Jerome and Natasha were merely careless speakers. Who knows what ulterior moves were dictated to by power-mad black persons and made to brew in the national cauldron of discontent? Easiest was to bring to the boil religious conflict, since the races seem to be co-living harmoniously, mostly after the example of amity set before the land and internationally of Sri Lankans of all races, religions, social statuses and ages being able to unite during the Aragalaya.

We have already suffered more than our fair share of religious conflict. The LTTE exploded a vehicle laden with bombs opposite the Dalada Maligawa; shot at the Sacred Bo Tree, massacred a busload of mostly very young Buddhist monks in Aranthalawa. This was on June 2, 1987, particularly pertinent today. They killed Muslims at prayer in a mosque in Katankudy after ethnically cleansing Jaffna and adjoining areas of Muslim populations.

The Sinhalese, led by ultra-nationalists and drunken goons ravaged Tamils in 1983 and then off and on conflicted with Muslims. Hence the need to nip all and every religious conflict in the bud; no preachers/ Buddhist monks/overzealous lay persons, or comedians and media persons to be allowed to malign religions and in the name of religion cause conflict, least of all conflagration.

Comes to mind the worst case of religious intolerance, hate, revenge and unthinkable cruelty. Cass means here the prolonged fatwa declared against Salman Rushdie (1947-), British American novelist of Indian origin who had a ransom set aside for his life declared by the then leader of Iran, Ruhollah Khomeini, soon after Rushdie’s novel Satanic Verses was published in 1988. The British government diligently ensured his safety by hiding him in various places. After nearly two decades of tight security around him, he ventured to the US on an invited visit. He settled down in New York, believing he was now safe from the fatwa and mad men. It was not to be. In New York on stage to deliver a lecture in 2022, Rushdie was set upon by a lone assailant who stabbed him in the eye, blinding him in that eye and necessitating his wearing an eye band. What on earth was his crime? Writing a fictitious story to succeed many he had written and won prizes for like the Booker.

Religious fanaticism must never be permitted to raise its devilish head wherever, whenever.

Farmer’s fabulously rich son

Often quoted is the phrase coined by the Tourist Board, Cass believes, to describe Sri Lanka. Land like no other. It was completely complementary and justified when it was first used. We were an almost unique island where every prospect pleased, particularly its smiling, easy going people and the wonderful terrain of the land with varying altitudes, climates and fauna and flora.

Then with the decline of the country engineered and wrought by evil, self-gratifying politicians, their sidekicks and dishonest bureaucrats, disparities became stark. Sri Lanka is now in the very dumps: bankrupt, its social, economic and sustainability fabric in shreds and people suffering immensely. But since it is a land like no other with a different connotation, only certain of its population suffer and undergo deprivation and hardship. Others live grand even now and have money stashed high in–house and overseas in banks, businesses and dubious off shore dealings. Some lack the few rupees needed to travel in a bus but most political bods drive around in luxury cars; infants cry for milk and children for a scrap of bread or handful of rice. Plain tea is drunk by many to quell pangs of hunger while the corrupt VIPs quaff champaign and probably have exotic foods flown over from gourmet venues.

And most of those who drive luxury cars, eat and drink exotically and live the GOOD life, did not inherit wealth, nor earn it legitimately. Young men who had not a push bike to ride or Rs 25 to go on a school trip to Sigiriya are now fabulously wealthy. Cass does not want to list how they demonstrate immense wealth possession now.

One case in the news is Chaminda Sirisena, who seems to be very, very wealthy, wearing a ring that is valued at Rs 10 million, and then losing it to cause severe damnation to its stealer. Goodness! Cass cannot even imagine such a ring. Well, he lost it and 5,000 US $ and Rs 100,000. The suspect is his personal security guard. Having never heard of this brother of the ex Prez and he not being the paddy multimillionaire owning hotels, Cass googled. Here is short reply, “Chaminda Sirisena. Owner Success Lanka Innovative Company, Sri Lanka, 36 followers, 36 connections. (The last two bits of info completely incomprehensible and no desire at all to verify). He sure is comparable to Virgin Airways Branson and other top global entrepreneurs to become so wealthy being a son of a man who served in WWII and was given a small acreage to cultivate paddy in Polonnaruwa. When his brother Maitripala became Prez of Sri Lanka it was with pride the comparison was brought in to the American President who moved from log cabin to the White House.

Hence isn’t our beloved, now degraded Sri Lanka, a land like no other with Midases around?

We now have another maybe thief to worry about. No further news of the poor mother whose life was quashed for the sake of a gold ring, leaving three children motherless and probably destitute. When we were young, we were told very early on that if we lost anything it was more our fault; we were careless and placed temptation to less fortunate persons. The Tamil woman who died after being in remand was such a one who needed extra protection from temptation. To Cass her employer is more to blame for the probable theft and for the tragedy that followed.

Features

Snakes of Sri Lanka

Published

20 hours ago

2023/06/2

Thilina Walpola

By Ifham Nizam

Snake bites are a serious public health issue in Sri Lanka. It has been estimated that nearly 80,000 snake bites occur here every year.Due to fear and poor knowledge, hundreds of thousands of snakes, mostly non-venomous ones, are killed by humans each year.The state spends more than USD 10 million a year on treating snake bite patients.

According to health sector statistics between 30,000 and 40,000 snake bite patients receive treatment in hospitals annually, says Dr. Anjana Silva, who is Professor in Medical Parasitology, Head/ Department of Parasitology, Faculty of Medicine and Allied Sciences, Rajarata University.

To date, 93 land and 15 sea snake species have been recorded from Sri Lanka. While all 15 sea snakes are venomous, only 20% of the land snakes are venomous or potentially venomous.

The term, ‘venomous snakes’ does not mean they cause a threat to human lives every time they cause a bite. The snakes of highest medical importance are the venomous ones which are common or widespread and cause numerous snakebites, resulting in severe envenoming, disability or death,” says Dr. Silva who is also Adjunct Senior Research Fellow – Monash Venom Group,Department of Pharmacology, Faculty of Medicine, Nursing and Health Sciences, Monash University and Research Associate- South Asian Clinical Toxicology Research Collaboration, Faculty of Medicine, University of Peradeniya.

Only five snakes could be considered to be of the highest medical importance in Sri Lanka: Russell’s viper, Indian krait, Sri Lankan cobra, Merrem’s hump-nosed viper and Saw-scaled viper. All but Merrem’s hump-nosed vipers are covered by Indian Polyvalent antivenom, the only treatment available for snake bites in Sri Lanka.

There are another five snake species with secondary medical importance, which are venomous snakes and capable of causing morbidity, disability or death, but the bites are less frequent due to various reasons (Sri Lankan krait, Highland Hump-nosed viper, Lowland hump-nosed pit viper, Green-pit viper and Beaked sea snake)

The snakes of highest medical importance in Sri Lanka are as follows:

Russell’s viper (Daboia russelii) (Sinhala: Thith Polanga/ Tamil: Kannadi viriyan)

Medically the most important snake in Sri Lanka. It is found throughout South Asia. It is responsible for about 30% of snake bites in Sri Lanka and also about 70% of deaths due to snake bites in Sri Lanka.

Some 2-5% bites by Russell’s viper are fatal. Widely distributed throughout the country up to the elevations of 1,500m from sea level. Highly abundant in paddy fields and farmlands but also found in dry zone forests and scrub lands. Bites occur more during the beginning and end of the farming seasons in dry zone. It can grow up to 1.3m in length. Most bites are reported during day time.

Over 85% of the bites are at the level of or below the ankle. It is a very aggressive snake when provoked. Spontaneous bleeding due to abnormalities in blood clotting and kidney failure have life-threatening effects.

Dr. Anjana Silva

The Sri Lankan Russell’s vipers cause mild paralysis as well, which is not life threatening. Indian Polyvalent antivenom covers Russell’s viper envenoming. Deaths could be due to severe internal bleeding and acute renal failure.
Indian Krait (Bungarus caeruleus) (Sinhala: Thel Karawala/ Maga Maruwa; Tamil: Yettadi virian/ Karuwelan Pambu)

It is distributed in India, Sri Lanka, Nepal, Bangladesh, Pakistan and Afghanistan. It is found across the lowland semi-arid, dry and intermediate zones of Sri Lanka. Almost absent in the wet zone. Usually, a non-offensive snake during the daytime; however, it could be aggressive at night.

Common kraits slither into human settlements at night looking for prey. People who sleep on the ground are prone to their bites.

Most common krait bites do occur at night. Bites are more common during the months of September to December when the north-east monsoon is active. Most hospital admissions of krait bites follow rainfall, even following a shower after several days or months without rain.

Since most bites do occur while the victim is asleep, the site of bite could be in any part of the body.

As bite sites have minimal or no effects, it would be difficult to find an exact bite site in some patients. Bite site usually is painless and without any swelling. Causes paralysis in body muscles which can rapidly lead to life threatening respiratory paralysis (breathing difficulty).

Sri Lankan Cobra (Naja polyoccelata; Naja naja) Sinhala: Nagaya; Tami: Nalla pambu

Sri Lankan cobra is an endemic species in Sri Lanka. It is common in lowland (<1200m a.s.l), close to human settlements. Cobras are found on plantations and in home gardens, forests, grasslands and paddy fields. It is the only snake with a distinct hood in Sri Lanka.

Hood has a spectacle marking on the dorsal side and has two black spots and the neck usually has three black bands on the ventral side. When alarmed, cobras raise the hood and produce a loud hiss.

Cobra bites could occur below the knee. They are very painful and lead to severe swelling and tissue death around the affected place. Rapidly progressing paralysis could result from bites, sometimes leading to life-threatening respiratory paralysis (breathing difficulty). Deaths could also be due to cardiac arrest due to the venom effects.

Merrem’s hump-nosed viper (Hypnale hypnale) Sinhala: Polon Thelissa/ Kunakatuwa; Tamil: Kopi viriyan.

Small pit-vipers grow up to 50cm in length. Head is flat and triangular with a pointed and raised snout. They are usually found coiled, they keep the heads at an angle of 45 degrees. Merrem’s Hump-nosed viper (Hypnale hypnale) is the medically most important Hump-nosed viper as it leads to 35-45% of all snake bites in Sri Lanka.

Merrem’s Hump-nosed vipers are very common in home gardens and on plantations and grasslands. Bites often happen during various activities in home gardens and also during farming activities in farmlands in both dry and wet zones. Hands and feet (below the ankle) are mostly bitten. Bites can often lead to local swelling and pain and at times, severe tissue death around the bite site may need surgical removal of dead tissue or even amputations. Rarely, patients could develop mild blood clotting abnormalities and acute kidney failure. Although rare, deaths are reported due to hypnale bites.

Saw-scaled viper (Echis carinatus), Sinhala: Weli Polanga; Tamil: Surutai Viriyan

This species is widely distributed in South Asia. However, in Sri Lanka, it is restricted to dry coastal regions such as Mannar, Puttalam, Jaffna peninsula and Batticaloa. In Sri Lanka, this snake grows upto 40-50cm. It is a nocturnal snake which is fond of sand dunes close to the beach. It could be found under logs and stones during daytime. Bites are common during January and February.

It is a very aggressive snake. A distinct, white colour ‘bird foot shape’ mark or a ‘diamond shape’ mark could be seen over the head. When alarmed, it makes a hissing sound by rubbing the body scales. Although this snake causes frequent severe envenoming and deaths in other countries, its bites are relatively less severe in Sri Lanka. Bites could lead to mild to moderate swelling and pain on the affected place and blood clotting abnormalities and haemorrhage and rarely it could lead to kidney failure.