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Today’s call for ‘Health Promotion’

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As a nation, we have reached a really critical stage with the corona pandemic. This is what The Hindustan Times reported on the 2nd of May, 2021: “Sri Lanka’s health authorities have issued new tough guidelines, including banning wedding receptions and gatherings at religious sites, to prevent the spread of the coronavirus as the Island nation continued to record a spike in daily infections”. The time has come for all citizens of the country to understand the gravity of the disaster. Anyway, we have witnessed a section of Sri Lankans enjoying, despite many restrictions. It can be seen that people travel here and there without face masks, and organising events and parties amidst this situation. There is a problem with discipline. Also, I have observed that there is a segment of people who violate health guidelines and post messages on social media criticising the authorities. This “duplicity” must be interesting social research for investigators to read people in a different microscope.

Ownership and Empowerment:

At the moment we could not see any “ownership” of this disaster among Sri Lankans. Still, we can see only “health education” in the country, and we need to change this to “health promotion”. The country needs to consider this as top urgent, under these circumstances. The government should carefully use some stakeholders in this mission of “Health Promotion”. Refer to the following diagram for some selected sectors to take the initiative.

The role of the Health Promotion Bureau should be redefined. And the role of the Ministry of Education should not be underestimated in this context, to communicate messages to relevant parties — including schoolchildren and parents. In this task force, there can be community leaders, experts in the industry, representatives of the media, and some researchers as well. All members should have a Clear Plan (short-term strategy and long-term objectives) to address this pandemic situation. We have seen many times the media reporting how people violate health guidelines. But rather than concentrating on the ‘negative’ side, there can be ‘positive’, reporting as well. (As an example, a worker in the Colombo Municipal Council adhering to all guidelines by showcasing an example for the community). This is the time we need to have positive news. ((http://www.ft.lk/columns/Negative-and-positive-news-Rare-corpse-flower-set-to-bloom-at-Royal-Botanical-Gardens-Peradeniya/4-658936) for better immunity of people!

Also, there are many success stories that need to be followed by a task force of “health promotion”. In this context, we can discuss the success story of Vietnam. As the International Monetary Fund (IMF) reports, on 10th March 2021, “Swift introduction of containment measures, combined with aggressive contact tracing, targeted testing, and isolation of suspected COVID-19 cases helped keep recorded infections and death rates notably low on a per capita basis (IMF,2021). “Also, as per fitchratings.com “Vietnam’s economy has been more resilient than most other markets in the Asia-Pacific, as the local authorities have had greater success in containing Covid-19. It was one of the few economies in the region to report GDP growth in 2020 (fitchratings.com, Thu 22 Apr, 2021). More importantly, like in Vietnam, we also should have a successful communication strategy. Refer below:

“Vietnam’s successful communication strategy catalyzes the active participation of both governmental and private sectors as well as communities. The government centers its people in an active role with the slogan translated as “every citizen is a soldier”. In addition, non government-led initiatives, including the donation of funds and personal protection equipment by entrepreneurs and individuals, have contributed positively to social stability. For example, “the rice ATM” – a free rice dispenser reserved for the most vulnerable people, including those who lost income due to the pandemic, the elderly, students and disabled people. Students have been mobilized to assist in epidemic control by engaging them in various roles, such as data entry, sample collection or provision of phone counselling for COVID-19 suspected people. However, the number of students who joined the COVID-19 taskforce was very small (124 volunteer medical students) compared to its capacity. At the central level, a relief bill of approximately 80,600 VND billion was signed by the government to address the financial burden resulting from the COVID-19 pandemic. Nearly 62,000 VND billion of these funds were allocated to individuals who were poor, near poor, with meritorious services or under social protection schemes. The remaining funds were allocated to support small to medium production and business establishments.” The COVID-19 global pandemic: a review of the Vietnamese Government response – https://www.joghr.org/article/21951-the-covid-19-global-pandemic-a-review-of-the-vietnamese-government-response)

 

The time has come for Sri Lanka to think differently, learn, and work with responsibility. This is a disaster in which we need to stop the “blame game” and understand the situation with more responsibility. If we can use “health promotion” in an effective way, it would be one of the success stories for the world, always helping for long term sustainable development of the nation.

Prof. NALIN ABEYSEKERA

(Professor of Management Studies, Faculty of Management, Management Studies, The Open University of Sri Lanka

– nalinabeysekera@gmail.com )



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Opinion

A ‘painless shot’ from Army

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When I was told that the Army was administering Sinopharm Covid vaccinations at Viharamaha Devi Park with special provisions for individuals with disabilities, I decided to take my wife, herself a Rehabilitation Medicine Physician, but now afflicted with Alzheimers disease, for her Covid shot, not knowing quite what to expect.

At the driveway into the park an Officer in smart uniform stopped me and inquired politely if there was anyone with a disability. When I answered in the affirmative, indicating my wife, I was asked to drive in and given instructions where to park my vehicle. In the parking area, another army officer kindly directed me to park under the shade of a “Nuga” tree for my wife’s comfort and asked me to proceed to the Registration desk and obtain my vaccination card.

Walking the short distance to the registration desk I observed those awaiting the vaccination seated comfortably in shaded and green surroundings. There was even a vending machine which was, I presume to provide refreshments for those waiting.

The several registration desks were manned by smart young male and female army personnel. The gentleman who attended to me took down my details and when my contact number was given information that the owner of this phone number had already had the vaccination appeared on the computer correctly, as I had been already vaccinated. Now, I expected a typical “public servant’ response that the “rule” is that a contact number could be registered only once. However, the officer used his brain, and after listening to my wife’s situation proceeded to complete the form. Then came the consent form that had to be signed. When I explained that my wife was unable to do so again I expected him to say, “Then get a letter from a doctor saying she cannot sign.” But this officer who did not behave like a robot used his judgement and allowed me to sign the form.

The paper work having been duly completed, I was asked to bring my wife to get her shot. When I explained that it would be very difficult, but not impossible, I was directed to the doctor at the site. I walked up to the young yet professional looking doctor attired in scrubs. When I explained my position, he promptly directed a staff member to go along with me to the vehicle and administer the injection while my wife was still seated there.

I then inquired if the young man who was helping my wife could also get his vaccination, and “no problem” was the answer. And before I could say “Sinopharm” the whole procedure was done and dusted!

What first class service!

To be at the receiving end of empathy and kindness was indeed a satisfying experience.

My thanks and appreciation to the organisers of the vaccination programme at Viharmahdevi Park on Wednesday (21 July)

Those who are critical of the army playing a lead role in Covid pandemic control, please take note.

Dr. N.Jayasinghe

Physician.

Colombo 7

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Opinion

On ‘misinformation’ against Minister of Health

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Dr. Upul Wijayawardhana (UW) is a regular contributor to this newspaper. His articles are almost always interesting and sometimes they provide valuable perspectives.

I find his criticism/castigation of the Minister of Health (MOH) in an ‘epidemic of misinformation’ (Island 19.07.2021) unfair and baseless. UW singles the MOH out as ‘the leader of the pack, undoubtedly is the Minister of Health who conveys wrong health messages’. This is erroneous and unwarranted

The main issues that UW quotes in support of his argument is that ‘she recently went to a shrine to thank a goddess for protecting her’ and ‘that she dropped pots in rivers to prevent the spread of the pandemic’.

From the onset of this pandemic a multitude of rituals have been conducted and they are still in force; all night Pirith, Bodhi Pooja, continuous chanting of the Ratana Suthraya, etc. The MOH releasing pots to the rivers that would wash down the ‘pandemic’ to the sea was one such ritual. A salient point to be appreciated is that while there is the possibility that the MOH herself believed in the effects of releasing these pots; this ritual was done primarily for the country/public rather than herself- hence the coverage on TV and news.

In contrast to this, her fulfilling a vow that she and/or her family made on her behalf when she was at death’s door, is based on a personal belief, and unlike the previous public action was done as an extremely private affair. If not for the fact that she is the MOH and her actions got reported in the press, none of us would have been even aware of this act. One would be hard pressed to find anyone in this country who has not fulfilled a vow; be it for himself or herself / siblings/ parents /children with regard to examinations, illnesses, promotions, etc…

None of these actions has any bearing on how the MOH has advised the public based on the counsel that she has received from her health officials and as such she is certainly not guilty of conveying any ‘wrong health messages’.

The MOH contracted Covid -19 because she was at the forefront of this epidemic and was constantly in touch with frontline workers. Not because she abandoned good health practices in favour of a cultural ritual! She had to be admitted to the IDH, was in the intensive care unit and according to medical sources was quite sick. We now see her on TV, the effects of the Covid-19 are apparent, a person who has had a near brush with death, fully cognizant of the danger of her current position. Certainly this would not have been something she signed up for when she took on the job as the MOH! This being the case, for UW, a doctor of medicine, to refer to ‘There are other idiotic politicians around the world who paid with their lives for the folly of not accepting the reality of a viral pandemic’ is not worthy of a healer.

Having recovered from her illness the MOH at a press conference publicly thanked her medical team for the effort they put into saving her life. I am sure that she would have thanked them personally as well. UW concludes his diatribe against her saying ‘Her life was saved not by goddesses, but by the excellent doctors, nurses and other health professionals Sri Lanka is blessed with. A person who is unable to even grasp that reality surely does not deserve to be the Minister of Health’. Is UW seriously suggesting to this readership that the MOH is unaware of the difference between science and culture? Is it his contention that anyone who engages in a religious /cultural ritual has no grasp of reality?

As a side note I am amused by the use of the term ‘Sri Lanka is blessed with ’. Based on UW’s logic ‘who are highly trained in Sri Lanka’ ought to have been a more appropriate term as blessings have nothing to do with a scientific reality!

 

Dr. Sumedha S. Amarasekara

 

 

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Opinion

Night soil as fertiliser

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I write with reference to a letter on night soil as a source of fertiliser by my good friend Upali Wickremasinghe which appeared in the Island of 17/07.

In the first place we were not talking of ammonium sulphate only but all chemical fertilisers vs compost as the sole supplier of nutrients for successful crop growth.

His suggestion to use night soil is an invitation to revisit the smelly past. It is true that some Asian countries and Sri Lanka too used this on a very limited scale many years ago mostly on home gardens.Our concern is on  much larger holdings. Irrespective of the scale of operation the implementation poses many problems,

Outdoor latrines have to be built. Who collects and cleans the buckets used? In the olden days scavengers were employed. Today, we attach more respect and dignity to human labour. These kinds of latrines particularly around Negombo were designed for the pigs reared on the range. Repulsive no doubt. I remember a story I heard as a child. A state councilor who visited a friend in Negombo spent a night with him. The following morning when using the toilet he was amazed to find a pig catching his dropping in midair. He is supposed to have commented that although he had been a state councilor for many years it was the only day that his motion was carried! There was also a practice to tether buffalows to coconut palms overnight. Their dung and the urine nourished the palms.

I will not elaborate on the sanitary and enviorenmental issues which are bound to be overwhelming

Some theoretical concepts cannot be adopted in practice particularly on large scale. UW talks of some girls in Nigeria generating electricity from urine, One could also conceptualise to extract sugar from the urine of diabetics. How feasible is it?

UW in earnest implores to find ones roots. Whatever it means it cannot be scattering human waste  all over.

Let us view the fertiliser issue crippling the farmer and the nation more seriously.

 

Gamini Peiris

Panadura

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