Features
Sir John takes over, cabinet meeting at N’Eliya and the EL Senanayake election case
(Excerpted from Memoirs of a Cabinet Secretary by BP Peiris)
The first meeting of the new Cabinet placed on record its appreciation of the services rendered to the country by Mr Dudley Senanayake. Sir Kanthiah Vaithianathan, who had resigned his post as Permanent Secretary to the Ministry of Defence and External Affairs, took over the Portfolio of Housing and Social Services.
Sir John was spending a few days in December 1953 at his official residence, The Lodge, Nuwara Eliya. More out of mischief than on grounds of urgency, he summoned the Cabinet to meet at The Lodge on December 31. On the New Year Day following, A. G. Ranasinha, the Secretary, was to receive the honour of knighthood, and I, the O.B.E., and we found the arrangement very inconvenient, but had to obey orders and attend the meeting.
We accordingly travelled to Nanu Oya by the night train on the 30th with office peons and Cabinet security boxes. On reaching our destination early next morning at about six, we found Police cars waiting for us on Sir John’s instructions. On our reaching The Lodge, the cook, Periasamy, was there to greet us, again on Sir John’s orders, with egg hoppers and fish curry, which was most welcome. Sir John was asleep but had given his orders with military precision.
We soon got ready and the meeting started rather early at about 9 a.m. At 11 a.m. drinks were served. Every possible brand of liquor was laid out on a side table, and we were asked to help ourselves. At 1 p.m. there was a short adjournment for lunch, preceded by a few more drinks. An excellent lunch, of mulligatawny, yellow rice and chicken curry was provided by the cook. The meeting terminated early afternoon and we had to while away the time till 5 p.m., when Lord Soulbury had invited us to tea.
Some Ministers preferred to walk on the well-trimmed lawns. Sir John, Bulankulame Dissawa, M. D. Banda, and I were in the sitting room, warming ourselves by the fire when Sir John asked me, “I say, Peiris, aren’t you getting something tomorrow?” The recommendation for the honour is made by the Prime Minister, but the letter inquiring whether I would accept the honour comes from Queen’s House marked ‘Top Secret’.
I therefore replied “I know nothing about it, Sir”, and Sir John told the other Ministers “Look at this chap; I recommend him for the honour and he thinks it is a Cabinet secret and wants to hide it from me. Anyway, I’ll be at your house at 7 p.m. Don’t give lime juice.”
We took the night train back, travelling to Nanu Oya again in Police cars. It was a bit of a rush because the Mayor, Mr Vijayaratnasingham, had a cocktail party in our honour and Ranasinha and I were worried that we would miss our train. Sir John had seen to it that baskets of flowers were put into our cars. True to his word, the Pilot car preceding the Prime Minister’s car turned in at my gate sharp at seven the next evening. He had two whiskeys and was off to be in time at the next place because mine was not the only house of ‘honours’ men he visited that evening.
He was surprised when I asked him in French whether to sing him a French song. He said “Oui, oui, oui” and asked who was going to play. I sat at the piano and, with Sir John standing by me with his glass in his hand, sang a naughty song which Maurice Chevalier used to sing at the Moulin Rouge in Paris in the early thirties, and the words of which no one but Sir John understood. When I was getting to the end of the chorus, he whispered in my ear “Sing the chorus again.” The first line of the chorus was “Dites moi, ma mere, dites moi ma mere pourquoi less chiens daps les rues se months dessous”.
One of the first major questions which the Prime Minister asked his Cabinet to consider was that of bribery and corruption. He was determined, if possible, to stamp this moral stain out of public life. A new law was drafted to be in operation in the first instance for 18 months and to be applicable to public servants only. Charges were to be investigated by the Criminal Investigation Department and the tribunal hearing the charges was to consist of judges or retired judges.
Power was also taken to make the new law applicable, if necessary, to the findings of a Commission appointed to investigate allegations of bribery and corruption against a Senator or Member of Parliament, and it was agreed that any fee or reward paid or given to a Senator or Member of Parliament to appear for any person before a public officer other than a judicial or quasi-judicial officer should be deemed to be a bribe. The Bill was passed into law as Act No. II of 1954, and has been amended more than once to vest additional powers in the Bribery Commissioner.
E. B. Wikramanayake, Q. C. now joined the Cabinet as Minister of Justice. He was a man of few words and did not believe in wasting his time or anyone else’s. In the course of a discussion, he made his point in the fewest possible words.
In December 1953, the Governor-General was informed that Her Majesty the Queen intended to visit Ceylon. The Cabinet considered this communication and agreed that Her Majesty should be invited to open the next Session of Parliament. The Queens’ Speech, which I was asked to make as short as possible, was approved by the Cabinet and an advance copy sent to the Palace.
On the day of Her Majesty’s arrival in Colombo, I found five lines of traffic opposite my house on the Havelock Road moving, from two in the morning, towards the city. The streets were decorated and thronged with people, rich and poor, to welcome the Royal visitors. The weather was more than kind; it was a scorching sun, and the Queen, who rode with His Royal Highness Prince )Philip in an open car had a parasol for protection.
I watched the procession from a vantage point in the Dutch Burgher Union in Bullers Road. Persons were perched on the roofs of the houses opposite. ‘The welcome accorded to the Royal couple was rousing as well as spontaneous. The impression that I had was first, that the welcome was a natural gesture of loyalty, and secondly, that, with our own monarchical background, our people just cannot resist Royalty and the pageantry that is associated with that institution.
I wonder how many persons noticed the Constitutional aspect of the Royal visit. Her Majesty was Queen of Ceylon, and, though not domiciled here, she was temporarily resident in one of Her Dominions. As such, during Her residence here, the person she had appointed to represent Her in the Island, Lord Soulbury, officially ceased to exist. The Governor-General could not have assented to a Bill nor could he have exercised the Royal prerogative of pardon. The office of the Governor-General was, for the time being, in abeyance. That is the reason for Lord Soulbury’s absence at the Opening of Parliament. In effect, he “took himself away” and stayed in the background.
Her Majesty opened the Third Session of the Second Parliament on April 12, 1954, and read Her Speech in English in a clear voice. Naturally, she could not be asked to comply, as Sir Oliver Goonetilleke did a few years later, with the requirements of our Official Language Act. At the next Cabinet meeting Ministers Vaithianathan and Natesan referred to the fact that, at the presentation of the Addresses, the speeches had been made in English and Sinhala but not in Tamil. They stated that this had caused uneasiness among the Tamil community.
I think the two Tamil Ministers, when they used the word “uneasiness”, exercised the utmost restraint in the use of language and refrained, with great dignity, in giving vent, not only to their own feelings, but to the feelings of the entire Tamil community. To make matters worse, the Prime Minister assured the Cabinet that the omission of a Speech in Tamil was accidental and not intentional, and promised to make a public statement to that effect. Really, I ask, to whom was the Prime Minister talking? To two of the intellectual Ministers in his Cabinet; and was he talking with his tongue in his cheek? Incidents like this though quickly forgotten by the Sinhalese, remain long in the memories of the minority communities as utterly insulting and unnecessary pinpricks inflicted on purpose.
On Her birthday, April 21, Her Majesty held an Investiture at Queen’s House at which A. G. Ranasinha was knighted and I was invested with the insignia of the O.B.E. A Throne had been placed on the dais for the Queen but had to be hurriedly removed a few minutes before Her Majesty’s arrival because, in England, it is customary for the Sovereign to stand throughout an Investiture. His Royal Highness stood one foot behind the Queen throughout the ceremony and looked thoroughly bored.
Immediately after the Investiture, a group photograph was taken of Her Majesty and Her Ceylon Cabinet. The seats were all arranged. The Prime Minister would naturally sit on the Queen’s right. Sir Oliver Goonetilleke wanted to sit on Her Majesty’s left but Minister J. R. Jayewardene insisted that the setting should be according to the Order of Precedence and that he should be on the Queen’s left. By his sojourn abroad, Sir Oliver had come down in the Precedence Table and, in that historic photograph, would have had to stand in the second row if one of the Ministers had not fallen ill and his place taken by an acting Minister.
It is for this reason that Sir Oliver is seen seated, not next to the Queen, but in the last chair. Was it not Pope who said that every man has just as much vanity as he wants understanding? When this squabble about seating had been settled, the Aide-de-Camp was informed that the Ministers were ready. Her Majesty arrived and took her seat. She was so dignified that the photographer did not dare to tell Her to smile or put her left foot forward; but a beautiful photograph was the result. At the end of the ceremony, Sir John, on behalf of the Cabinet, presented Her Majesty with a silver tray as a birthday present.
It was at about this time that my daughter Kamala, to the family and friends known as ‘Binkie’, married the man of her choice, Dr Cecil D. Chelliah, a specialist in the diseases of the chest. As I said before, her Kundasale training had turned out a plain living, high thinking, sensible and efficient woman. D. S. Senanayake was right in his forecast about the girls turned out at Kundasale. The doctor had music in him, and it was music that brought the couple together. In view of this strong community of interests, which was a firmer basis for sound marriage than good looks, a sports car or a tweed suit, my wife and I readily gave our consent.
He was a Tamil and a Christian; but I had no difficulty in coming to a decision as my education had been completely free of any racial or religious bias and hypocrisy. They have two very musically-minded children, Ranjan and Priyantha, whom I prefer to call “Mr Jones” and “Mr Shaw” respectively. Grandpa has had some lovely musical evenings in his retirement with son-in-law, daughter, Jones and Shaw, showing their prowess, jointly and severally, at their different instruments.
Ministers, like women, are entitled to change their minds and their opinions, but on one thing Sir John was firm and never once wavered. He laid it down that, so long as he was in charge of administration of this country, no person would be employed in the public service who was a communist or who belonged to a revolutionary party.
A rather unusual Bill was now considered and later passed into law. The Government Parliamentary Group had passed a resolution regarding the delimitation of electoral districts for Parliamentary elections. Under the first Delimitation Commission, the number of electoral districts for the Island sent ninety-five members to the House of Representatives. Together with the six Appointed members, the total membership of the House was one hundred and one.
A new Commission had been appointed, as required by the Consti tution. Following the 1953 census, which gave the Ceylon population as 8,098,637, giving approximately every 75,000 of the popultion a seat as laid down in the Constitution, the total membership the House, including the Appointed members, would have been of 139. There had been considerable public opinion that the Constitution should be amended so as to limit the number of members.
It was suggested that the total number of sea should be about 108, and it was proposed create three of four additional special seats for Indians and Pakistanis. Sir John accordingly proposed to the Cabinet that the scheme’ adopted. If adopted, it involved an amendment to the Constitution which would require a two-thirds majority in the House of Representatives to pass it into law. The Bill which he submitted was to in force for 10 years and would enable the Government to discharge its obligations under the Indo-Ceylon pact. The proposed legisla- tion would have conferred on persons registered as Citizens of Ceylon under the Indian and Pakistani Residents (Citizenship) Act, a privilege which was not conferred on persons of other communities, namely, separate parliamentary representation for 10 years.
It would also have made persons so registered as Citizens of Ceylon, liable to a disability to which persons of other communities were not made liable, namely, the exclusion of their names for 10 years from the general parliamentary register of elections. The Bill fixed the to number of members of the House of Representatives for all time at 108. The Ceylon Constitution (Amendment) 1 was passed in 1954, limiting the membership of the House. An Act for the creation of a special Indian and Pakistani Electorate was a passed the same year. Nothing came of either of these Acts. The question whether the Acts were valid under section 29 of the Constitution is now academic as both Acts were repealed in 1959.
Soon thereafter, followed another unusual piece of legislation. E. L. Senanayake was elected Member for Kandy in the House of Rep resentatives, but was unseated on an election petition, and the Prime Minister made the following statement in the House of Representatives on February 5, 1954:
“I wish to inform the House that the Member for Kandy has been granted leave to appeal to the Privy Council from the decision of the Supreme Court of Ceylon. The following telegram has been sent by the Crown Solicitors:
“Senanayake special leave granted reserving leave to Attorney-General or respondent to challenge jurisdiction on hearing of appeal stop Board represented appeal should be heard as soon as possible stop Meanwhile most undesirable that certificate should be published or other steps taken consequent upon the declaration before appeal.”
The Government proposed to take steps to avoid unnecessary legal complications in the event of the appeal of the member for Kandy being allowed by the Privy Council. They intended to introduce legislation suspending an Order of the Supreme Court under the Ceylon (Parliamentary Election) Order in Council, pending an appeal to the Privy Council. Meanwhile, the Governor-General had been advised that he should withhold action under the Order in Council, pending the introduction of the Bill. There is no provision of law under which His Excellency is empowered to suspend the steps to be taken under the Order in Council. He was required by law to fix a date for the by-election.
Draft legislation was submitted designed to meet Senanayake’s case. The Bill proposed that where an appeal is taken to the Privy Council, the operation of an Order of the Supreme Court under the Elections Order in Council should be suspended till the decision of the Privy Council in that behalf is known. The legislation was to have retrospective effect to cover the Supreme Court judgment in the Senanayake case.
On advice, the Governor-General suspended action under the Order in Council and did not authorize the holding of a by-election. His action was to be legalized by the proposed legislation. He was to be indemnified against all civil and criminal liability ‘in respect of the noncompliance of the provisions of the Order in Council which required him to order the holding of a fresh election.
Senanayake lost his appeal in the Privy Council and continued to remain out of Parliament. This sort of ad hoc legislation to suit particular persons in most unfortunate. Retrospective legislation is particularly obnoxious and is viewed by the courts with suspicion, but the courts are bound by the laws passed by Parliament.
Features
Who Owns the Clock? The Quiet Politics of Time in Sri Lanka
(This is the 100th column of the Out of the Box series, which began on 6 September, 2023, at the invitation of this newspaper – Ed.)
A new year is an appropriate moment to pause, not for celebration, but to interrogate what our politics, policies, and public institutions have chosen to remember, forget, and repeat. We celebrate the dawn of another brand-new year. But whose calendar defines this moment?
We hang calendars on our walls and carry them in our phones, trusting them to keep our lives in order, meetings, exams, weddings, tax deadlines, pilgrimages. Yet calendars are anything but neutral. They are among humanity’s oldest instruments of power: tools that turn celestial rhythms into social rules and convert culture into governance. In Sri Lanka, where multiple traditions of time coexist, the calendar is not just a convenience, it is a contested terrain of identity, authority, and fairness.
Time is never just time
Every calendar expresses a political philosophy. Solar systems prioritise agricultural predictability and administrative stability; lunar systems preserve religious ritual even when seasons drift; lunisolar systems stitch both together, with intercalary months added to keep festivals in season while respecting the moon’s phases. Ancient India and China perfected this balancing act, proving that precision and meaning can coexist. Sri Lanka’s own rhythms, Vesak and Poson, Avurudu in April, Ramadan, Deepavali, sit inside this wider tradition.
What looks “technical” is actually social. A calendar decides when courts sit, when budgets reset, when harvests are planned, when children sit exams, when debts are due, and when communities celebrate. It says who gets to define “normal time,” and whose rhythms must adapt.
The colonial clock still ticks
Like many postcolonial societies, Sri Lanka inherited the Gregorian calendar as the default language of administration. January 1 is our “New Year” for financial statements, annual reports, contracts, fiscal plans, school terms, and parliamentary sittings, an imported date shaped by European liturgical cycles and temperate seasons rather than our monsoons or zodiac transitions. The lived heartbeat of the island, however, is Avurudu: tied to the sun’s movement into Mesha Rāshi, agricultural renewal, and shared rituals of restraint and generosity. The result is a quiet tension: the calendar of governance versus the calendar of lived culture.
This is not mere inconvenience; it is a subtle form of epistemic dominance. The administrative clock frames Gregorian time as “real,” while Sinhala, Tamil, and Islamic calendars are relegated to “cultural” exceptions. That framing shapes everything, from office leave norms to the pace at which development programmes expect communities to “comply”.
When calendars enforce authority
History reminds us that calendar reforms are rarely innocent. Julius Caesar’s reshaping of Rome’s calendar consolidated imperial power. Pope Gregory XIII’s reform aligned Christian ritual with solar accuracy while entrenching ecclesiastical authority. When Britain finally adopted the Gregorian system in 1752, the change erased 11 days and was imposed across its empire; colonial assemblies had little or no say. In that moment, time itself became a technology for governing distant subjects.
Sri Lanka knows this logic. The administrative layers built under colonial rule taught us to treat Gregorian dates as “official” and indigenous rhythms as “traditional.” Our contemporary fiscal deadlines, debt restructurings, even election cycles, now march to that imported drumbeat, often without asking how this timing sits with the island’s ecological and cultural cycles.
Development, deadlines and temporal violence
Modern governance is obsessed with deadlines: quarters, annual budgets, five-year plans, review missions. The assumption is that time is linear, uniform, and compressible. But a farmer in Anuradhapura and a rideshare driver in Colombo do not live in the same temporal reality. Monsoons, harvests, pilgrimage seasons, fasting cycles, school term transitions, these shape when people can comply with policy, pay taxes, attend trainings, or repay loans. When programmes ignore these rhythms, failure is framed as “noncompliance,” when in fact the calendar itself has misread society. This mismatch is a form of temporal violence: harm produced not by bad intentions, but by insensitive timing.
Consider microcredit repayment windows that peak during lean agricultural months, or school examinations scheduled without regard to Avurudu obligations. Disaster relief often runs on the donor’s quarterly clock rather than the community’s recovery pace. In each case, governance time disciplines lived time, and the least powerful bend the most.
Religious time vs administrative time
Sri Lanka’s plural religious landscape intensifies the calendar question. Buddhism, Hinduism, Islam, and Christianity relate to time differently: lunar cycles, solar markers, sacred anniversaries. The state acknowledges these mainly as public holidays, rather than integrating their deeper temporal logic into planning. Vesak is a day off, not a rhythm of reflection and restraint; Ramadan is accommodated as schedule disruption, not as a month that reorganises energy, sleep, and work patterns; Avurudu is celebrated culturally but remains administratively marginal. The hidden assumption is that “real work” happens on the Gregorian clock; culture is decorative. That assumption deserves challenge.
The wisdom in complexity
Precolonial South and East Asian calendars were not confused compromises. They were sophisticated integrations of astronomy, agriculture, and ritual life, adding intercalary months precisely to keep festivals aligned with the seasons, and using lunar mansions (nakshatra) to mark auspicious thresholds. This plural logic admits that societies live on multiple cycles at once. Administrative convenience won with the Gregorian system, but at a cost: months that no longer relate to the moon (even though “month” comes from “moon”), and a yearstart with no intrinsic astronomical significance for our context.
Towards temporal pluralism
The solution is not to abandon the Gregorian calendar. Global coordination, trade, aviation, science, requires shared reference points. But ‘shared’ does not mean uncritical. Sri Lanka can lead by modelling temporal pluralism: a policy posture that recognises different ways of organising time as legitimate, and integrates them thoughtfully into governance.
Why timing is justice
In an age of economic adjustment and climate volatility, time becomes a question of justice: Whose rhythms does the state respect? Whose deadlines dominate? Whose festivals shape planning, and whose are treated as interruptions? The more governance assumes a single, imported tempo, the wider the gap between the citizens and the state. Conversely, when policy listens to local calendars, legitimacy grows, as does efficacy. People comply more when the schedule makes sense in their lives.
Reclaiming time without romanticism
This is not nostalgia. It is a pragmatic recognition that societies live on multiple cycles: ecological, economic, ritual, familial. Good policy stitches these cycles into a workable fabric. Poor policy flattens them into a grid and then blames citizens for falling through the squares.
Sri Lanka’s temporal landscape, Avurudu’s thresholds, lunar fasts, monsoon pulses, exam seasons, budget cycles, is rich, not chaotic. The task before us is translation: making administrative time converse respectfully with cultural time. We don’t need to slow down; we need to sync differently.
The last word
When British subjects woke to find 11 days erased in 1752, they learned that time could be rearranged by distant power. Our lesson, centuries later, is the opposite: time can be rearranged by near power, by a state that chooses to listen.
Calendars shape memory, expectation, discipline, and hope. If Sri Lanka can reimagine the governance of time, without abandoning global coordination, we might recover something profound: a calendar that measures not just hours but meaning. That would be a reform worthy of our island’s wisdom.
(The writer, a senior Chartered Accountant and professional banker, is Professor at SLIIT, Malabe. The views and opinions expressed in this article are personal.)
Features
Medicinal drugs for Sri Lanka:The science of safety beyond rhetoric
The recent wave of pharmaceutical tragedies in Sri Lanka, as well as some others that have occurred regularly in the past, has exposed a terrifying reality: our medicine cabinets have become a frontline of risk and potential danger. In recent months, the silent sanctuary of Sri Lanka’s healthcare system has been shattered by a series of tragic, preventable deaths. The common denominator in these tragedies has been a failure in the most basic promise of medicine: that it will heal, not harm. This issue is entirely contrary to the immortal writings of the Father of Medicine, Hippocrates of the island of Kos, who wrote, “Primum non nocere,” which translates classically from Latin as “First do no harm.” The question of the safety of medicinal drugs is, at present, a real dilemma for those of us who, by virtue of our vocation, need to use them to help our patients.
For a nation that imports the vast majority of its medicinal drugs, largely from regional hubs like India, Pakistan, and Bangladesh, the promise of healing is only as strong as the laboratory that verifies these very same medicinal drugs. To prevent further problems, and even loss of lives, we must demand a world-class laboratory infrastructure that operates on science, not just sentiment. We desperately need a total overhaul of our pharmaceutical quality assurance architecture.
The detailed anatomy of a national drug testing facility is not merely a government office. It is a high-precision fortress. To meet international standards like ISO/IEC 17025 and World Health Organisation (WHO) Good Practices for Pharmaceutical Quality Control Laboratories, such a high-quality laboratory must be zoned into specialised units, each designed to catch a different type of failure.
* The Physicochemical Unit: This is where the chemical identity of a drug is confirmed. Using High-Performance Liquid Chromatography (HPLC) and Gas Chromatography-Mass Spectrometry (GC-MS), scientists determine if a “500mg” tablet actually contains 500mg of the active ingredient or if it is filled with useless chalk.
* The Microbiology Suite: This is the most critical area for preventing “injection deaths.” It requires an ISO Class 5 Cleanroom: sterile environments where air is filtered to remove every microscopic particle. Here, technicians perform Sterility Testing to ensure no bacteria or fungi are present in medicines that have to be injected.
* The Instrumentation Wing: Modern testing requires Atomic Absorption Spectrometers to detect heavy metal contaminants (like lead or arsenic) and Stability Chambers to see how drugs react to Sri Lanka’s high humidity.
* The injectable drug contamination is a serious challenge. The most recent fatalities in our hospitals were linked to Intravenous (IV) preparations. When a drug is injected directly into the bloodstream, there is no margin for error. A proper national laboratory must conduct two non-negotiable tests:
* Bacterial Endotoxin Testing (BET): Even if a drug is “sterile” (all bacteria are dead), the dead bacteria leave behind toxic cell wall products called endotoxins. If injected, these residual compounds cause “Pyrogenic Reactions” with violent fevers, organ failure, and death. A functional lab must use the Limulus Amoebocyte Lysate (LAL) test to detect these toxins at the parts-per-billion level.
* Particulate Matter Analysis: Using laser obscuration, labs must verify that no microscopic shards of glass or plastic are floating in the vials. These can cause fatal blood clots or embolisms in the lungs.
It is absolutely vital to assess whether the medicine is available in the preparation in the prescribed amounts and whether it is active and is likely to work. This is Bioavailability. Sri Lanka’s heavy reliance on “generic” imports raises a critical question: Is the cheaper version from abroad as effective as the original, more expensive branded formulation? This is determined by Bioavailability (BA) and Bioequivalence (BE) studies.
A drug might have the right chemical formula, but if it does not dissolve properly in the stomach or reach the blood at the right speed, it is therapeutically useless. Bioavailability measures the rate and extent to which the active ingredient is absorbed into the bloodstream. If a cheaper generic drug is not “bioequivalent” to the original brand-named version, the patient is essentially taking a useless placebo. For patients with heart disease or epilepsy, even a 10% difference in bioavailability can lead to treatment failure. A proper national system must include a facility to conduct these studies, ensuring that every generic drug imported is a true “therapeutic equivalent” to the brand-named original.
As far as testing goes, the current testing philosophy is best described as Reactive, rather than Proactive. The current Sri Lankan system is “reactive”: we test a drug only after a patient has already suffered. This is a proven recipe for disaster. To protect the public, we must shift to a Proactive Surveillance Model of testing ALL drugs at many stages of their dispensing.
* Pre-Marketing Approval: No drug should reach a hospital shelf without “Batch Release” testing. Currently, we often accept the manufacturer’s own certificate of analysis, which is essentially like allowing students to grade their own examination answers.
* Random Post-Marketing Surveillance (PMS): Regulatory inspectors must have the power to walk into any rural pharmacy or state hospital, pick a box of medicine at random, and send it to the lab. This could even catch “substandard” drugs that may have degraded during shipping or storage in our tropical heat. PMS is the Final Safety Net. Even the best laboratories cannot catch every defect. Post-Marketing Surveillance is the ongoing monitoring of a drug’s safety after it has been released to the public. It clearly is the Gold Standard.
* Pharmacovigilance: A robust digital system where every “Adverse Drug Reaction” (ADR) is logged in a national database.
* Signal Detection: An example of this is if three hospitals in different provinces report a slight rash from the same batch of an antibiotic, the system should automatically “flag” that batch for immediate recall before a more severe, unfortunate event takes place.
* Testing for Contaminants: Beyond the active ingredients, we must test for excipient purity. In some global cases, cheaper “glycerin” used in syrups was contaminated with diethylene glycol, a deadly poison. A modern lab must have the technology to screen for these hidden killers.
When one considers the Human Element, Competence and Integrity, the very best equipment in the world is useless without the human capital to run it. A national lab would need the following:
* Highly Trained Pharmacologists and Microbiologists and all grades of staff who are compensated well enough to be immune to the “lobbying” of powerful external agencies.
* Digital Transparency: A database accessible to the public, where any citizen can enter a batch number from their medicine box and see the lab results.
Once a proper system is put in place, we need to assess as to how our facilities measure up against the WHO’s “Model Quality Assurance System.” That will ensure maintenance of internationally recognised standards. The confirmed unfavourable results of any testing procedure, if any, should lead to a very prompt “Blacklist” Initiative, which can be used to legally bar failing manufacturers from future tenders. Such an endeavour would help to keep all drug manufacturers and importers on their toes at all times.
This author believes that this article is based on the premise that the cost of silence by the medical profession would be catastrophic. Quality assurance of medicinal compounds is not an “extra” cost. It is a fundamental right of every Sri Lankan citizen, which is not at all subject to any kind of negotiation. Until our testing facilities match the sophistication of the manufacturers we buy from, we are not just importing medicine; we are importing potential risk.
The promises made by the powers-that-be to “update” the testing laboratories will remain as a rather familiar, unreliable, political theatre until we see a committed budget for mass spectrometry, cleanroom certifications, highly trained and committed staff and a fleet of independent inspectors. Quality control of therapeutic medicines is not a luxury; it is the price to be paid for a portal of entry into a civilised and intensively safe healthcare system. Every time we delay the construction of a comprehensive, proactive testing infrastructure, we are playing a game of Russian Roulette with the lives of our people.
The science is available, and the necessary technology exists. What is missing is the political will to put patient safety as the premier deciding criterion. The time for hollow rhetoric has passed, and the time for a scientifically fortified, transparent, and proactive regulatory mechanism is right now. The good health of all Sri Lankans, as well as even their lives, depend on it.
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
Rebuilding Sri Lanka Through Inclusive Governance
In the immediate aftermath of Cyclone Ditwah, the government has moved swiftly to establish a Presidential Task Force for Rebuilding Sri Lanka with a core committee to assess requirements, set priorities, allocate resources and raise and disburse funds. Public reaction, however, has focused on the committee’s problematic composition. All eleven committee members are men, and all non-government seats are held by business personalities with no known expertise in complex national development projects, disaster management and addressing the needs of vulnerable populations. They belong to the top echelon of Sri Lanka’s private sector which has been making extraordinary profits. The government has been urged by civil society groups to reconsider the role and purpose of this task force and reconstitute it to be more representative of the country and its multiple needs.
The group of high-powered businessmen initially appointed might greatly help mobilise funds from corporates and international donors, but this group may be ill equipped to determine priorities and oversee disbursement and spending. It would be necessary to separate fundraising, fund oversight and spending prioritisation, given the different capabilities and considerations required for each. International experience in post disaster recovery shows that inclusive and representative structures are more likely to produce outcomes that are equitable, efficient and publicly accepted. Civil society, for instance, brings knowledge rooted in communities, experience in working with vulnerable groups and a capacity to question assumptions that may otherwise go unchallenged.
A positive and important development is that the government has been responsive to these criticisms and has invited at least one civil society representative to join the Rebuilding Sri Lanka committee. This decision deserves to be taken seriously and responded to positively by civil society which needs to call for more representation rather than a single representative. Such a demand would reflect an understanding that rebuilding after a national disaster cannot be undertaken by the state and the business community alone. The inclusion of civil society will strengthen transparency and public confidence, particularly at a moment when trust in institutions remains fragile. While one appointment does not in itself ensure inclusive governance, it opens the door to a more participatory approach that needs to be expanded and institutionalised.
Costly Exclusions
Going down the road of history, the absence of inclusion in government policymaking has cost the country dearly. The exclusion of others, not of one’s own community or political party, started at the very dawn of Independence in 1948. The Father of the Nation, D S Senanayake, led his government to exclude the Malaiyaha Tamil community by depriving them of their citizenship rights. Eight years later, in 1956, the Oxford educated S W R D Bandaranaike effectively excluded the Tamil speaking people from the government by making Sinhala the sole official language. These early decisions normalised exclusion as a tool of governance rather than accommodation and paved the way for seven decades of political conflict and three decades of internal war.
Exclusion has also taken place virulently on a political party basis. Both of Sri Lanka’s post Independence constitutions were decided on by the government alone. The opposition political parties voted against the new constitutions of 1972 and 1977 because they had been excluded from participating in their design. The proposals they had made were not accepted. The basic law of the country was never forged by consensus. This legacy continues to shape adversarial politics and institutional fragility. The exclusion of other communities and political parties from decision making has led to frequent reversals of government policy. Whether in education or economic regulation or foreign policy, what one government has done the successor government has undone.
Sri Lanka’s poor performance in securing the foreign investment necessary for rapid economic growth can be attributed to this factor in the main. Policy instability is not simply an economic problem but a political one rooted in narrow ownership of power. In 2022, when the people went on to the streets to protest against the government and caused it to fall, they demanded system change in which their primary focus was corruption, which had reached very high levels both literally and figuratively. The focus on corruption, as being done by the government at present, has two beneficial impacts for the government. The first is that it ensures that a minimum of resources will be wasted so that the maximum may be used for the people’s welfare.
Second Benefit
The second benefit is that by focusing on the crime of corruption, the government can disable many leaders in the opposition. The more opposition leaders who are behind bars on charges of corruption, the less competition the government faces. Yet these gains do not substitute for the deeper requirement of inclusive governance. The present government seems to have identified corruption as the problem it will emphasise. However, reducing or eliminating corruption by itself is not going to lead to rapid economic development. Corruption is not the sole reason for the absence of economic growth. The most important factor in rapid economic growth is to have government policies that are not reversed every time a new government comes to power.
For Sri Lanka to make the transition to self-sustaining and rapid economic development, it is necessary that the economic policies followed today are not reversed tomorrow. The best way to ensure continuity of policy is to be inclusive in governance. Instead of excluding those in the opposition, the mainstream opposition in particular needs to be included. In terms of system change, the government has scored high with regard to corruption. There is a general feeling that corruption in the country is much reduced compared to the past. However, with regard to inclusion the government needs to demonstrate more commitment. This was evident in the initial choice of cabinet ministers, who were nearly all men from the majority ethnic community. Important committees it formed, including the Presidential Task Force for a Clean Sri Lanka and the Rebuilding Sri Lanka Task Force, also failed at first to reflect the diversity of the country.
In a multi ethnic and multi religious society like Sri Lanka, inclusivity is not merely symbolic. It is essential for addressing diverse perspectives and fostering mutual understanding. It is important to have members of the Tamil, Muslim and other minority communities, and women who are 52 percent of the population, appointed to important decision making bodies, especially those tasked with national recovery. Without such representation, the risk is that the very communities most affected by the crisis will remain unheard, and old grievances will be reproduced in new forms. The invitation extended to civil society to participate in the Rebuilding Sri Lanka Task Force is an important beginning. Whether it becomes a turning point will depend on whether the government chooses to make inclusion a principle of governance rather than treat it as a show of concession made under pressure.
by Jehan Perera
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