Life style

The Homes in Ward Place in its early days, When it was known as the Harley Street of Ceylon

Published

4 years ago

2021/06/13

Sahan Weerasooriya

(Continued from 16 May)

by Hugh Karunanayake, Dr Srilal Fernando, and Avinder Paul

The large four-acre property with the name Tyaganivasam (previously named Jaffna House) was the home of J Tyagarajah, member of the Monetary Board, and son of Namasivam Mudaliyar Tyagarajah. The grounds of Tyaganivasam included the property on which Cargills Pharmacy stood. Tyagarajah was also a Director of the Central Bank. He served in this capacity for more than two decades, never failing to attend meetings of the Monetary Board, and is reputed to have not claimed a cent for the expenditure incurred by him, a remarkable example of service to the nation. Part of the Tyagarajah property is now home to the University Grants commission.

With two major hospitals in close proximity, and despite the presence of Cargills Pharmacy at the opposite end of De Soysa Circus, the need for a pharmaceutical outlet in Ward Place was almost a sine qua non. The void was filled by the opening of the Lanka Pharmacy at 6, Ward Place by David Silva, who named it after his son Lanka Silva, who stepped into the father’s shoes on leaving school. Lanka Silva was a champion athlete at Royal College of the early 1950s. “Manohari” The impressive home of Sir Arthur M De Silva ENT Surgeon was located nearby. His daughter married Justin Kotelawela, brother of former Prime Minister Sir John Kotelawela, in 1948.

Proceeding on the same side of Ward Place at No 16 stood Veerin the two storied home of Dr LAP Britto Babapulle a leading Veterinary surgeon of the time. Dr Babapulle was known as the owner of the largest number of tenement houses in Colombo, mostly located in the Grandpass area. His daughter, Andrea, lives in the house today.

A few properties away is Sukasthan Gardens, a cluster of homes built on the grounds of the former stately home of Sir Ponnambalam Ramanathan named “Sukasthan”. It was inherited by Ramanathan’s daughter, Sundari, who eventually sold it. Gynaecologist Dr PR Thiagarajah lived in one of the houses that were built there. Another well known resident of Sukasthan Gardens was LS Boys, a Director of Gordon Frazer and Co who lived in a house named “Shiel.” Proceeding further at No 36 was the home of Physician Dr VEP Seneviratne. Around here were the homes named Chetwynd and Donnington belonging to DF Peiris, built around the turn of the Twentieth century.

DF Peiris’s daughter, Maud, married Thomas Lambert Fernando, the grandfather of Dr Srilal Fernando, a joint author of this memoir. Donnington was later occupied by ARM Ameen, Consul for Egypt. Chetwynd was later owned by DF Peiris’ younger brother, the father of orthopaedic surgeon Dr Rienzie Peiris. Adjoining Donnington and located northwards was “Greylands” the home of Mudaliyar JCS Fonseka a stalwart of the Orchid Circle of Ceylon. At No 48 was the home of former Minister Montague Jayawicjkreme on whose large property many houses have since been constructed.

Proceeding towards Borella on the left side of Ward Place are the two major government health care institutions the Victoria Memorial Eye Hospital and the Dental Institute. The Victoria Memorial Eye Hospital was built in honour of the Jubilee of Queen Victoria in 1897 and constructed in 1906. Designed by architect Edward Skinner in traditional Indo Sarasenic lines, it is characterised by its red brick façade and the many turrets of Sarasenic design. Further down the road is the Government run Dental Institute. The Dental Institute was set up in the 1930s with Dr W Balendra as its first Director. Dr Balendra himself was a resident of Ward place. Alongside was Volkaart gardens where homes of the Directors of Volkaart Brothers were located . Further on was the home “St Brycedale” of Dr Richie Caldera, Obstetrician in Charge of the De Soysa Maternity Home located on Regent Street running parallel to Ward Place. At No 53 were four homes built around the 1960s one of which was the home of Dr Chris Raffel.

A home in Ward Place and two eminent doctors, father, and son, also from Ward Place featured in a much publicised murder trial called the “Duf

f House Case” in the 1930s. White House in Ward Place was a large elegant home belonging to Solomon Seneviratne who was married to the sister of Sir Solomon Dias Bandaranaike. Solomon Seneviratne himself owned broad acres and his country home was situated on his coconut estate in Kotikawatte, Angoda. Solomon’s son Stephen was like the father educated at Royal College, and later at Cambridge University, where he qualified as a Barrister. He did not practice at the bar and spent his time managing the cattle farm which he inherited. He soon became a keen and enthusiastic cattle breeder with an expert knowledge of animal husbandry.

He married Lilian de Alwis, sister of Leo de Alwis, who was married to a daughter of Sir Solomon Dias Bandaranaike. Leo’s wife was a sister of the late Prime Minister SWRD Bandaranaike. The life of Stephen and Lilian was tumultuous. They had many quarrels regarding Stephen’s intention to sell his home, White House. The couple lived in Duff House at No 4. Bagatelle Road rented out at Rs 100 a month, a considerable sum as rent in the 1930s.

Lilian had a troubled pregnancy which ended with the birth of their only child Terrence. She did not have a warm relationship with the son as she blamed him for her difficult pregnancy. Lilian was found one day dead in the living room of the house having inhaled chloroform. The case tested the strength of the family relationships within the Bandaranaike extended family. Here was Sir Solomon’s brother-in-law’s son accused of the murder of Sir Solomon’s so

n-in-law’s sister. The police were notified and Lilian’s family, particularly her brother Leo de Alwis, was convinced that Stephen had forced his wife to inhale a lethal dose of chloroform.

Dr S C Paul who was a close friend of Sir Solomon gave expert medical evidence to support that contention, which was rejected by Stephen who said that his wife was depressed and could have inhaled chloroform which Stephen kept for his animal husbandry.

Stephen was however charged with the murder of his wife before Justice MT Akbar. Stephen’s defence was supported by the expert medical evidence of Dr SC Paul’s son Dr Milroy Paul. In his direction to the jury, Justice Akbar ignored aspects of evidence that would benefit the accused, and consequently, the accused was found guilty of murdering his wife and sentenced to death. This was in 1936 when there was no Court of Criminal Appeal, so the accused appealed to the Privy Council which overturned the judgment of Akbar and acquitted Stephen. The Privy Council also made some scathing observations on the findings of the trial judge which led to Akbar suffering depression and submitting his resignation from the bench. Finally, it seemed that the murder trial ended in the trial of the presiding judge!

There were two other older well known homes on Ward Place.. One was Chateau Jubillee occupied by Adrian St V Jayewardene, Supreme C

ourt Judge, and brother of JR Jayewardene’s father EW Jayewardene. The other was Fairy Hall built in 1880 the original home of Dr Simon de Melho Aserappah and his wife Emily Wake. It was part of the large homestead on which 20 years later Rao Mahal and other homes were constructed by the family of Dr SC Paul who married Dr Aserappah’s daughter Dora.

Interior of the Dr PH Amerasinghe home designed by Architect Minnettte de Silva

The house 53/3 Ward Place designed by Geoffrey Bawa for Dr Chris Raffel was sold by Dr Chris and Carmel Raffel to Ajit Saravanamuttu who resided there until his death in 2006. Next door at No 55 was “Villa Mirelle” the home of Dr Percy Kulasinghe also situated on a large block which has since been subdivided with a new road named Kulasinghe Gardens hosting several houses. In the adjoining block at No 57 stands today the hotel Jetwing Colombo. Dr Kulasinghe was for many years a Director of the Ceylon Insurance Co founded and managed by fellow Ward Place resident Justin Kotelawela.

At No 61 was the home of lawyer FR de Saram and wife Miriam (nee Pieris) acclaimed aesthete and oriental dancer in an era when women were rarely seen on stage. Her elder son Rohan de Saram is the internationally famous cellist. The De Sarams engaged renowned architect Geoffrey Bawa to design a new additional home on the grounds now bearing No:61/6. Another Rohan, Rohan Perera at 57/2 and his brother Dr Hari Perera, Psychiatrist, the sons of the eminent lawyer HV Perera had their homes also in Ward Place.

At No:65 a house named “Taprobane “was the home of proprietary planter SR Muttiahpillai owner of the 1,250 acre Naluwella Group in Balangoda. His son M Rajendran managed the family properties in Balangoda until the initiation of Land Reform, and was awarded an MBE in recognition of his services to agriculture. The Muttiahpillai Caddillac in metallic blue colour was an ubiquitous feature of life in Ward Place in the 1950s. The passing of time and the demand for quality blocks of land has led to the breaking up of their large tract of land. A new road goes through the property now with the name Muththiahpillai Gardens, serving many new homes.

Dr W Balendra the dental surgeon’s home stood next door at No 67 next door to whom lived Dr May Ratnayake at No 69. Somewhere here stands the home of gynaecologist Dr PH (Chandra) Amerasinghe designed by renowned woman architect Minnette de Silva. She also designed the home of Chandra’s brother, Dr Asoka Amerasinghe in 5th Lane. Chandra was snatched away in his prime, from injuries resulting from an accident arising from a fun filled motor cycle ride.

The architect VS Thurairajah built a block of Flats at No 75 which was almost entirely leased out by the Marga Institute on its establishment in 1972. By 1975 Marga was in its own home at 61 Greenlands Avenue now known as Issipatana Mawata. Dr AC Arulpragasam ENT Surgeon and Dr Rajah Cooke both from the extended Paul family lived at No 77 as part of the large landholding adjacent to the Paul home “Rao Mahal “. Rao Mahal was built by Dr Simon De Melho Aserappah one of the first overseas qualified doctors who returned from England in the 19th Century. His daughter Dora married Dr SC Paul whose descendants still live in the original homestead in Ward Place where the

Paul family still retain a large extent of land on the site.

Dr Gunaratnam Cooke lived at 77 Ward Place, and Egerton Paul, another son of of Dr SC Paul, lived at No 85. Dr S.C Paul’s son, Dr Milroy Paul was the acclaimed surgeon who obtained his Master of Surgery qualification in the UK and was given the signal honour of delivering the “Hunterian Lecture” to the Royal College of Surgeons in England. He inherited Rao Mahal. Prof Milroy Paul’s son, Avinder, has collaborated in this present enterprise on homes in Ward Place and his knowledge and memory has helped us immensely in putting together this piece for the readers of The Ceylankan

Ward Place was closely associated with the development of the medical profession in Sri Lanka, and its early residential character was dominated by the medical profession. From the beginning therefore it was a highly gentrified area within the metropolis. Many successful doctors lived there, but they certainly would have had some unsuccessful medical adventures too, in addition to others whose lives were decreed not to go any further. They did not have to go far thereafter, the General Cemetery Kanatte also part of the former Borella estate, was nearby to provide them everlasting peace!

A cursory study of the residential features of this precinct would reveal that today it has lost that once dominant association with the medical profession. The street is located in one of the most sought after areas for dwellings today, and where large homes and gardens once stood, are large blocks of luxury apartments. Opulence still reigns however, and there is little doubt that Ward Place will continue to play host to a privileged few.

Concluded

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Life style

Megha Sooriyaarachchi shaping Sri Lanka”s cultural and academic landscape

Published

3 days ago

2025/06/15

Thilina Walpola

With other contestants

In a world that often demands specialisation, Megha Sooriyaarachchi stands out as a beacon of versatility and determination. Crowned Mr. World Sri Lanka 2024, Megha is more than just a titleholder; he is an actor, director, lecturer, and accomplished sportsman.

His journey, marked by resilience and an unwavering commitment to excellence, reflects his belief in the transformative power of education, discipline, and passion.

Megha, reflects on his victory as a life-altering experience. “Winning Mr. World Sri Lanka 2024 was an unforgettable memory, one that I will cherish for the rest of my life,” he shares. For Megha, this milestone is not just a personal triumph but an opportunity to represent Sri Lanka on a global stage, showcasing the country’s rich culture, diversity, and resilience.

“Winning this title has been an incredible honour,” Megha emphasizes. He views his role as Mr. World Sri Lanka as more than just a title—it’s a responsibility to act as a Cultural Ambassador. Through his work with The Foundation of Change, Megha is committed to empowering grassroots communities and advocating for causes that promote positive social impact.

: Question time

Academia meets art: A unique synergy

Megha’s academic pursuits are as impressive as his artistic achievements. Currently reading for a Master’s degree in Mass Communication at the University of Colombo, Megha views education as a cornerstone of success.

Speaking to The Island, he reflects: “To truly excel in any field, you must study it deeply. Education sharpens your skills and broadens your perspective, allowing you to bring something unique to your craft.”

This philosophy has enriched Megha’s work as an actor and director. His studies in media research provide him with a nuanced understanding of storytelling, enabling him to approach his projects with depth and authenticity. For Megha, academia is not a separate pursuit but an integral part of his creative journey.

The art of balance: excelling across fields

Balancing a demanding academic schedule with a thriving career in the arts and sports is no small feat. Megha attributes his success to rigorous time management and a clear sense of purpose. “It’s about prioritizing and knowing when to focus on each aspect of your life,” he shares.

This disciplined approach is rooted in Megha’s childhood passion for martial arts. “Martial arts taught me the importance of consistency and self-control. It’s not just a physical practice but a way of life that instills discipline and resilience,” he explains. These lessons have been invaluable in helping him navigate the complexities of his multifaceted career.

: Megha proud of his country

: Magnetic personality

‘Marine drive’: A labour of love

As Megha makes his directorial debut with Marine Drive, he enters a new chapter in his creative journey. The film, a product of years of hard work and collaboration, holds a special place in his heart. “Directing has always been my passion. Marine Drive is a milestone, born out of my love for storytelling and the collective effort of a dedicated team,” he says.

For Megha, directing offers a unique sense of fulfillment. While acting allows him to explore individual roles, directing enables him to bring an entire vision to life. He describes the process as both challenging and rewarding, emphasizing the importance of constant learning and adaptation.

The Role of Sports in Personal Development

Megha’s achievements in sports have significantly influenced his character and work ethic. Representing his school at the national level taught him invaluable lessons in teamwork, perseverance, and leadership. “Sports provide a much-needed balance to academic life. They teach discipline and offer an escape, helping you grow both mentally and physically,” he observes.

Mr. World 2024 competition top 15 of the 60 contestants in Vietnam

These experiences have shaped Megha’s holistic approach to life, reinforcing his belief in the importance of physical activity as a cornerstone of personal development.

A deep love for Sri Lanka

Megha’s love for Sri Lanka is evident in every aspect of his life. His participation in the Mr. World competition was driven by a desire to showcase the nation’s potential on a global stage. “Sri Lanka has so much to offer, and I want to be a voice that highlights our capabilities and inspire change,” he says.

He is also a strong advocate for free education, a privilege he believes is often undervalued. “Free education is a gift that can transform lives. If we, as a society, recognize its value, we can achieve remarkable progress,” Megha asserts.

Inspiring the next generation

For Megha, success is defined not by personal accolades but by the impact he leaves on others. “If you can empower the next generation and contribute to your community, that is true success,” he states. He encourages young people to embrace multidisciplinary pursuits, emphasizing the importance of resilience and self-discovery.

“Exploring multiple disciplines allows you to find your true passions and maximize your potential. It’s about making choices that align with your goals and values,” he advises.

Looking ahead, Megha remains committed to his dual passions for art and education. He envisions a future where his work continues to inspire and uplift others, both within Sri Lanka and beyond. “I want to leave a legacy that empowers others to dream big and strive for excellence,” he concludes.

A message of gratitude and hope

As Megha reflects on his journey, he is filled with gratitude for the support he has received. “The love and encouragement from my community fuel my determination to make a difference. I am indebted to this beautiful nation that shaped me, and I will always work to give back in meaningful ways,” he says.

Megha ’s story is one of unwavering determination, boundless passion, and a deep commitment to making the world a better place. His journey serves as an inspiration to all, proving that with hard work and a clear vision, anything is possible.

Sense of responsibility

For Megha, his success comes with a sense of responsibility to inspire others. When asked what advice he would give to young people, he says, “Focus on becoming the best version of yourself and look for ways to give back to society. Life is a journey of growth, and true fulfillment lies in improving yourself while making a positive impact on the world around you.”

Megha believes in the power of dreams coupled with compassion. “True greatness isn’t measured by personal achievements but by how much you give back to others,” he advises. Encouraging the younger generation to dream big and act with purpose, Megha hopes to inspire them to leave a lasting, positive legacy.

What’s next?

When it comes to the future, Megha is clear about his priorities: “life, lecturing, cinema, and Mr. World 2024!” These pursuits reflect his multifaceted interests and his commitment to continue growing both personally and professionally.

As he gears up for the global stage of Mr. World 2024, Megha is determined to represent Sri Lanka with pride and excellence. With his passion, dedication, and commitment to making a difference, there is no doubt that Megha will continue to inspire and make his mark on the world.

By Ifham Nizam ✍️

Life style

Miss World from Thailand!

Published

3 days ago

2025/06/15

Thilina Walpola

Krystyna Pyszkova of Czech Republic(left ) crowns her successor Opal Succhata of Thailand after she won the 72rd Miss World Pageant in Hyderabad, India

Miss World 2025 winner Opal Suchata Chuangsri of Thailand in a dazzling display and grace impressed people around the world. She won the title not just for her unmatched beauty and elegance but also for her sharp mind and intelligence. She stood radiant, embodying the values of compassion, confidence and a strong sense of purpose at the grand finale held in Hyderabad.

This moment marked the powerful conclusion of a month-long journey across Telangana, one that saw 108 contestants from around the world participate in immersive cultural experiences, challenges and purpose driven initiatives. During the question-and-answer time she was asked a poignant question and her answer won over all. She shared a powerful message about leadership and influence during the finale. Her eloquent response was “no matter how far we go, our actions should always speak louder”

With this answer, Opal encapsulated the essence of Miss World transcending beauty to highlight the importance of empathy, inclusivity and humanity. Her words resonated deeply, embodying the ideal qualities of a global ambassador. It was a defining moment that showcased her ability to articulate a vision of unity and compassion qualities that are timeless and timeless.

Her victory at Miss World 2025 is more than a tale of winning a crown and continues to inspire many young women who dream of making a difference on such a prestigious platform captivating the world. It was a profound answer during the final question round that truly set her apart from others. She continued “I always believe that no matter who you are and no matter how old you are, no matter what title you hold in your life, there is always a person next to you – whether it’s a child, whether it’s an adult, it could even be your own parents – that look up to you in a way. And the best way to lead people is to lead with their gracefulness in your actions. That is the best thing we can do to the people around us and in our world, “These amply signifies the fact that Miss Thailand for Miss World will advocate and promote global change and empower women.

Her gown in shimmering white

Opal is also the founder of “Opal for Her,” an initiative supporting women with breast cancer. She competed against 108 delegates from across the globe, emerging as the winner in a night that celebrated talent, compassion, and the power of purpose-driven beauty.

Opal Suchata Chuangsri, originally from Phuket, is a student of international relations and a professional model. She is a passionate advocate for breast cancer awareness, a cause close to her heart after discovering a benign lump in her breast at the age of 16. This personal experience motivated her to promote early detection and awareness across Thailand.

Opal previously represented Thailand at the Miss Universe 2024 pageant in Mexico City, where she placed as the third runner-up. However, that title was later withdrawn when she accepted the Miss World Thailand 2025 crown before completing her Miss Universe Thailand responsibilities.

Opal Suchata Chuangsri’s academic journey is as impressive as her pageant accomplishments. Born on March 20, 2003, in Phuket, Thailand, she was raised in a family rooted in the hospitality industry. She attended the prestigious Triam Udom Suksa School in Bangkok, where she majored in Chinese studies, driven by a love for languages and global cultures.

Currently, she studies Political Science at Thammasat University, specialising in International Relations. Fluent in Thai, English, and Chinese, Opal aspires to become an ambassador, with a keen interest in psychology and anthropology. A devoted animal lover, she cares for 16 cats, five dogs, and plays the ukulele backwards!

At Miss World 2025, Ethiopia’s Hasset Dereje Admassu placed as first runner-up, followed by Poland’s Maja Klajda and Martinique’s Aurelie Joachim. India’s representative, Nandini Gupta, was eliminated before the top eight. The head of this pageant is Julia Morley.

The gown Miss Thailand wore was a symbol of healing and quiet strength. Inspired by the journey of Opal For HER, it is crafted in spirit and symbolism from Opal? itself—a gem known for resilience, beauty, and transformation. The shimmering white fabric and delicate opal-like florals reflect women who choose hope over fear. The soft flare mirrors the ripple effect of compassion—how one heart can awaken many. Swarovski crystals sparkle like the inner light that guides us through darkness. This is more than a dress—it is a tribute to every woman who dares to dream, even in the face of uncertainty. Just like the Opal, she shines in her own light.

By Zanita Careem ✍️

Life style

Understanding Chikungunya: A guide forthe public

Published

3 days ago

2025/06/15

Thilina Walpola

Dr. Harindu Wijesinghe is a medical specialist in Rheumatology and Rehabilitation, as well as in Sports Medicine. He practises at Nawaloka Hospital in Colombo. In an interview with the ‘’Sunday Island” he said patients with symptoms like high fever, joint pain or body aches needed immediate attention. Excerpts

What is Chikungunya?

Chikungunya is a viral illness caused by the Chikungunya virus, transmitted by Aedes mosquitoes — the same type that spreads dengue. It typically begins with a high fever and is preceded or accompanied by joint pains, especially in the hands and feet.

Are there differences in symptoms based on gender or age?

Yes, older adults may experience severer joint pain, while children may present with milder symptoms or more skin rashes. Both men and women are equally susceptible, but women often report more severe symptoms and prolonged joint pain.

What are the treatment methods for Chikungunya?

There is no specific antiviral treatment, and since it is a virus, antibiotics are ineffective. Management focuses on supportive care. Rest is essential, particularly avoiding stress on the affected joints, as overuse may worsen the condition. Patients are encouraged to continue light activities, like housework, provided they avoid overexertion.

Exercise should be avoided in the early stages until pain subsides. Gentle warm water fomentation on joints, adequate hydration, and paracetamol for fever and mild pain are recommended. NSAIDs (Non Steroidal Anti Inflammatory Agents )are usually avoided during the early stages until dengue is ruled out. For patients with severe symptoms, testing is done to exclude other infections like dengue or bacterial causes. Once ruled out, oral steroids, NSAIDs, and even arthritis medications may be used in selected cases.

What causes Chikungunya?

Chikungunya is caused by the Chikungunya virus and spread through the bite of infected Aedes mosquitoes. Outbreaks are more likely to occur after monsoon seasons due to increased mosquito breeding.

What are the major symptoms?

– Sudden high fever

– Severe joint pain (especially in hands, wrists, knees, and ankles)

– Joint swelling

– Joint pain may appear with fever or worsen afterward; in some cases, it may resolve and return

– Headache

– Transient rashes on the hands, feet, and face

– Muscle pain

– Fatigue

What precautions can help prevent Chikungunya?

– Remove stagnant water where mosquitoes breed (e.g., flower pots, blocked drains)

– Use mosquito nets, repellents, and coils to reduce mosquito bites

– Wear long-sleeved clothing and apply mosquito repellent when outdoors

– Community fogging and awareness campaigns

Dr. Harindu Wijesinghe

Why is there an outbreak now?

Outbreaks are often linked to seasonal rains and poor mosquito control efforts. Unlike bacterial infections, antibiotics do not influence viral illnesses like Chikungunya. High mosquito density is the primary factor driving outbreaks rather than immunity levels or antibiotic use.

Is there a specific test for Chikungunya?

Yes, it can be diagnosed using blood tests such as IgM ELISA or PCR. These help distinguish Chikungunya from dengue, which can present similarly. However, antibody tests may be negative during the early days of infection, making PCR the preferred test in the first two weeks.

How long does it take for a patient to recover from Chikungunya?

Most patients recover within one to two weeks. However, older adults and women over 50 years may suffer prolonged joint pain lasting weeks to months. Early rest and medical care can help prevent worsening of symptoms. In some cases, joint pain may persist beyond three months or evolve into chronic arthritis.

What is the difference between Chikungunya and Dengue? Which is the more serious?

– Chikungunya causes more joint pain but is less likely to cause bleeding.

– Dengue can be life-threatening, leading to internal bleeding or shock.

Dengue is considered more serious due to its potential for complications and mortality.

What should patients with Chikungunya eat?

– Soft, nutritious foods such as rice, kenda, soups, and fruits like papaya and oranges

– Stay well-hydrated with water, king coconut, and clear soups

– Avoid oily, spicy, or heavy meals

How does Chikungunya spread?

It spreads through the bite of infected Aedes mosquitoes, which bite primarily during the daytime. It is not spread from person to person.

How concerned should Sri Lankans be about Chikungunya?

Although rarely fatal, Chikungunya can cause significant discomfort and disrupt daily life. The primary concern is its impact on productivity and healthcare resources during outbreaks. Public awareness and mosquito control are essential to reducing its spread.

When should a patient see a doctor?

– If fever persists for more than two days

– If there is severe joint pain or a noticeable rash

– In vulnerable populations such as babies, pregnant women, or the elderly

– If the patient has existing health conditions like diabetes or heart disease