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Sri Lanka is yet malaria-free, but can it remain so?

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By A Health Watcher

We in Sri Lanka celebrated World Malaria Day (WMD) just a few days ago on April 25 for having eliminated malaria in 2012. When the World Health Organization certified Sri Lanka as a malaria-free country the event was hailed worldwide as a major milestone in global public health history. The good news is that Sri Lanka is still malaria-free.

This year’s WMD commemorations in Sri Lanka were, however, marred by two very unfortunate events. One was misinformation on malaria in Sri Lanka in the local print media which alarmed stakeholders the world over. A prominent local English newspaper reported that 10 malaria cases were reported in Sri Lanka this year – which is correct. But its print version stated in a headline that nine of them were indigenous cases, meaning that these patients contracted malaria in this country implying that malaria has returned to Sri Lanka.

The other version reported that 10 cases of malaria have been reported in Sri Lanka despite the disease having being eliminated from the country. Both these reports imply that malaria has been re-established in Sri Lanka, which is blatantly incorrect. All cases of malaria reported this year and almost all reported since the disease was eliminated in Sri Lanka have been imported cases, meaning that they are travelers who contracted the disease overseas in other malaria endemic countries but were diagnosed and treated after their arrival in Sri Lanka.

It is to be noted that imported malaria cases are reported from all countries of the world where there is no malaria, including the UK, USA, Europe and elsewhere, and Sri Lanka is no exception. The occurrence of imported malaria is by no means synonymous with malaria returning to the country. Only, and only if the mosquito in Sri Lanka begins to transmit malaria from one person to another that malaria would have returned to the country, and to date, it has not.

Misinformation in the print media has damaging consequences, and is a reflection of extremely poor national standards. It may not be attributable to irresponsible journalism alone. One of the articles mentioned above quoted the spokesperson of a professional medical body, who seem to either be unaware that the occurrence of imported malaria does not mean that malaria has returned to the country, or in an enthusiastic bid to raise awareness on malaria has used exaggerated and scaremongering language. Either of these reasons amounts to poor reporting, and even worse, to a shocking lack of knowledge and professionalism.

The other very unfortunate event this year is that a person died of malaria on April 15, the first malaria death in the country since 2007. The deceased, a Sri Lankan national, contracted malaria in an African country, and on his return to Sri Lanka developed symptoms of malaria for which he sought treatment. Malaria was unfortunately not diagnosed early enough to save his life. Imported malaria in countries that have no malaria is known to be associated with a relatively high mortality rate for the simple reason that being a rare disease doctors fail to test for malaria soon enough, and thus, treatment is often delayed. Sri Lanka is now in that category of countries where malaria is a rarely encountered disease. Consequently, malaria being not among the common causes of fever such as dengue, influenza and viral fevers which are highly prevalent in the country, doctors fail to place malaria high on their list for testing.

The clue to management of fevers in this country should be to elicit from a patient the history of travel to other countries, of which the Anti Malaria Campaign keeps reminding members of the medical profession, but not always with effect, as evident in this particular case. Malaria is a disease which is both preventable and treatable, and a death due to malaria is entirely avoidable and regrettable. In this unfortunate instance of the recent malaria death in this country we have failed in both. These events call for introspection.

The national malaria control programme of Sri Lanka, the body which successfully spearheaded the elimination of malaria has still a lot of work to do to prevent malaria deaths, and to prevent the disease returning because the mosquito that transmits malaria is prevalent in the country. The malaria control programme which is a special programme within the Ministry of Health has an active, year round, 24/7 programme which alerts physicians on the need to test for malaria, and which screens groups of people who return from malaria endemic countries for malaria. The staff of the programme actively seek travelers to malaria endemic countries (and I was one of them), and advise them on reducing the risk of contracting malaria while overseas. They even provide travelers with preventive medicines to be taken while being exposed to malaria overseas. Why then, could this death not have been prevented?

More questions than answers emerge from both these unfortunate events. Does the national malaria programme receive the necessary budgetary and administrative support that it should, to keep Sri Lanka malaria-free? Does the national malaria programme have the necessary technical capacity and commitment to do its work? And why aren’t there mechanisms to review the performance of public sector institutions such as the national malaria programme? Are the medical schools current in teaching travel health and medicine to the graduating doctors? Are clinical practitioners in Sri Lanka up-to-date with demands of the rapidly changing world of international travel health?

The unfortunate events relating to malaria this year cannot be reversed, but it is imperative on our part to prevent further occurrences of this nature. People of this country and the tax payer expect the relevant health authorities and institutions to be held accountable for preventing malaria deaths and the return of malaria to this country. If they fail, malaria could return, and if it does, it could cause devastation on a scale not seen before, in a population that now lacks immunity.

 



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Maduro abduction marks dangerous aggravation of ‘world disorder’

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Venezuelan President Maduro being taken to a court in New York

The abduction of Venezuelan President Nicolas Maduro by US special forces on January 3rd and his coercive conveying to the US to stand trial over a number of allegations leveled against him by the Trump administration marks a dangerous degeneration of prevailing ‘world disorder’. While some cardinal principles in International Law have been blatantly violated by the US in the course of the operation the fallout for the world from the exceptionally sensational VVIP abduction could be grave.

Although controversial US military interventions the world over are not ‘news’ any longer, the abduction and hustling away of a head of government, seen as an enemy of the US, to stand trial on the latter soil amounts to a heavy-handed and arrogant rejection of the foundational principles of international law and order. It would seem, for instance, that the concept of national sovereignty is no longer applicable to the way in which the world’s foremost powers relate to the rest of the international community. Might is indeed right for the likes of the US and the Trump administration in particular is adamant in driving this point home to the world.

Chief spokesmen for the Trump administration have been at pains to point out that the abduction is not at variance with national security related provisions of the US Constitution. These provisions apparently bestow on the US President wide powers to protect US security and stability through courses of action that are seen as essential to further these ends but the fact is that International Law has been brazenly violated in the process in the Venezuelan case.

To be sure, this is not the first occasion on which a head of government has been abducted by US special forces in post-World War Two times and made to stand trial in the US, since such a development occurred in Panama in 1989, but the consequences for the world could be doubly grave as a result of such actions, considering the mounting ‘disorder’ confronting the world community.

Those sections opposed to the Maduro abduction in the US would do well to from now on seek ways of reconciling national security-related provisions in the US Constitution with the country’s wider international commitment to uphold international peace and law and order. No ambiguities could be permitted on this score.

While the arbitrary military action undertaken by the US to further its narrow interests at whatever cost calls for criticism, it would be only fair to point out that the US is not the only big power which has thus dangerously eroded the authority of International Law in recent times. Russia, for example, did just that when it violated the sovereignty of Ukraine by invading it two or more years ago on some nebulous, unconvincing grounds. Consequently, the Ukraine crisis too poses a grave threat to international peace.

It is relevant to mention in this connection that authoritarian rulers who hope to rule their countries in perpetuity as it were, usually end up, sooner rather than later, being a blight on their people. This is on account of the fact that they prove a major obstacle to the implementation of the democratic process which alone holds out the promise of the prgressive empowerment of the people, whereas authoritarian rulers prefer to rule with an iron fist with a fixation about self-empowerment.

Nevertheless, regime-change, wherever it may occur, is a matter for the public concerned. In a functional democracy, it is the people, and the people only, who ‘make or break’ governments. From this viewpoint, Russia and Venezuela are most lacking. But externally induced, militarily mediated change is a gross abnormality in the world or democracy, which deserves decrying.

By way of damage control, the US could take the initiative to ensure that the democratic process, read as the full empowerment of ordinary people, takes hold in Venezuela. In this manner the US could help in stemming some of the destructive fallout from its abduction operation. Any attempts by the US to take possession of the national wealth of Venezuela at this juncture are bound to earn for it the condemnation of democratic opinion the world over.

Likewise, the US needs to exert all its influence to ensure that the rights of ordinary Ukrainians are protected. It will need to ensure this while exploring ways of stopping further incursions into Ukrainian territory by Russia’s invading forces. It will need to do this in collaboration with the EU which is putting its best foot forward to end the Ukraine blood-letting.

Meanwhile, the repercussions that the Maduro abduction could have on the global South would need to be watched with some concern by the international community. Here too the EU could prove a positive influence since it is doubtful whether the UN would be enabled by the big powers to carry out the responsibilities that devolve on it with the required effectiveness.

What needs to be specifically watched is the ‘copycat effect’ that could manifest among those less democratically inclined Southern rulers who would be inspired by the Trump administration to take the law into their hands, so to speak, and act with callous disregard for the sovereign rights of their smaller and more vulnerable neighbours.

Democratic opinion the world over would need to think of systems of checks and balances that could contain such power abuse by Southern autocratic rulers in particular. The UN and democracy-supportive organizations, such as the EU, could prove suitable partners in these efforts.

All in all it is international lawlessness that needs managing effectively from now on. If President Trump carries out his threat to over-run other countries as well in the manner in which he ran rough-shod over Venezuela, there is unlikely to remain even a semblance of international order, considering that anarchy would be receiving a strong fillip from the US, ‘The World’s Mightiest Democracy’.

What is also of note is that identity politics in particularly the South would be unprecedentedly energized. The narrative that ‘the Great Satan’ is running amok would win considerable validity among the theocracies of the Middle East and set the stage for a resurgence of religious fanaticism and invigorated armed resistance to the US. The Trump administration needs to stop in its tracks and weigh the pros and cons of its current foreign policy initiatives.

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Pure Christmas magic and joy at British School

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Students of The British High School in Colombo in action at the fashion show

The British School in Colombo (BSC) hosted its Annual Christmas Carnival 2025, ‘Gingerbread Wonderland’, which was a huge success, with the students themseles in the spotlight, managing stalls and volunteering.

The event, organised by the Parent-Teacher Association (PTA), featured a variety of activities, including: Games and rides for all ages, Food stalls offering delicious treats, Drinks and refreshments, Trade booths showcasing local products, and Live music and entertainment.

The carnival was held at the school premises, providing a fun and festive atmosphere for students, parents, and the community to enjoy.

The halls of the BSC were filled with pure Christmas magic and joy with the students and the staff putting on a tremendous display.

Among the highlights was the dazzling fashion show with the students doing the needful, and they were very impressive.

The students themselves were eagerly looking forward to displaying their modelling technique and, I’m told, they enjoyed the moment they had to step on the ramp.

The event supported communities affected by the recent floods, with surplus proceeds going to flood-relief efforts.

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Glowing younger looking skin

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Hi! This week I’m giving you some beauty tips so that you could look forward to enjoying 2026 with a glowing younger looking skin.

Face wash for natural beauty

* Avocado:

Take the pulp, make a paste of it and apply on your face. Leave it on for five minutes and then wash it with normal water.

* Cucumber:

Just rub some cucumber slices on your face for 02-03 minutes to cleanse the oil naturally. Wash off with plain water.

* Buttermilk:

Apply all over your face and leave it to dry, then wash it with normal water (works for mixed to oily skin).

Face scrub for natural beauty

Take 01-02 strawberries, 02 pieces of kiwis or 02 cubes of watermelons. Mash any single fruit and apply on your face. Then massage or scrub it slowly for at least 3-5 minutes in circular motions. Then wash it thoroughly with normal or cold water. You can make use of different fruits during different seasons, and see what suits you best! Follow with a natural face mask.

Face Masks

* Papaya and Honey:

Take two pieces of papaya (peeled) and mash them to make a paste. Apply evenly on your face and leave it for 30 minutes and then wash it with cold water.

Papaya is just not a fruit but one of the best natural remedies for good health and glowing younger looking skin. It also helps in reducing pimples and scars. You can also add honey (optional) to the mixture which helps massage and makes your skin glow.

* Banana:

Put a few slices of banana, 01 teaspoon of honey (optional), in a bowl, and mash them nicely. Apply on your face, and massage it gently all over the face for at least 05 minutes. Then wash it off with normal water. For an instant glow on your face, this facemask is a great idea to try!

* Carrot:

Make a paste using 01 carrot (steamed) by mixing it with milk or honey and apply on your face and neck evenly. Let it dry for 15-20 minutes and then wash it with cold water. Carrots work really well for your skin as they have many vitamins and minerals, which give instant shine and younger-looking skin.

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