Opinion
‘Vaccines Do Not Save Lives: Vaccinations Save Lives’
Dr B. J. C. Perera
MBBS (Cey), DCH(Cey), DCH(Eng), MD(Paed), MRCP(UK), FRCP(Edin), FRCP(Lon), FRCPCH(UK), FSLCPaed, FCCP, Hony FRCPCH(UK), Hony. FCGP(SL)
Specialist Consultant Paediatrician
Please allow me to start with a bombshell. Long years ago, as a very young Medical Student, I absolutely hated paediatrics. Of course, it was not a matter of hating children; I loved and adored them, including a whole lot of my nephews and nieces. What I hated was just the subject of Paediatrics which dealt with caring for sick children. I was most definitely convinced that it was the very last thing that I would want to choose as a professional career.
The real reason for my intense dislike of Paediatrics was the heart-breaking spectacle of the number of children who died and were sometimes even maimed for life by certain diseases. As a young Medical Student of around 20 years of age, this writer was horrified by the number of bodies of innocent children being wheeled out of the Wards of The Lady Ridgeway Hospital for Children, an institution where he was schooled in the many aspects of Paediatric Healthcare. That was an initiation into Paediatrics by a veritable baptism by fire.
What killed and maimed those children was a plethora of infectious diseases. You name it, we had it in Ceylon, as our Motherland was then known. The killers were Tuberculosis, Tetanus, Diphtheria, Polio, Whooping Cough, Measles, Mumps, Rubella, Bacterial Meningitis, Japanese Encephalitis, Viral Hepatitis, Bacterial pneumonia etc; just to mention a few. In the latter part of the 1960s, the under-5-year mortality rate was around 80 per 1,000 live births. In technical terminology, it implies that out of 1,000 babies born during that period, 80 did not live up to the age of 5 years. It was one of the highest rates in the world.
Then when I qualified as a doctor in 1970, through many a force of circumstances, destiny compelled me to work as an Intern Medical Officer in Paediatrics for six months and then as a Medical Officer in the Out Patient Department (OPD) of the Lady Ridgeway Hospital for Children for one year. It meant that I was exposed to pure paediatrics for one and a half years, totally on the trot.
That is where I realised a home truth. True enough some children died, but Paediatric Healthcare also saved a whole lot of even very sick children and gave back to society humans who would live for another 60 to 70 years as citizens of our Motherland. It quite forcefully induced me to take an about turn, a paradigm swing of 180 degrees, into a professional career in Paediatrics. The rest of course, as many would say, is history.
Fast forward 50 years or so to the present time. Our under-5-year mortality rate in 2022 was under 7 per 1,000 live births; yes, down to single digits. Now then, please mark my words, a reduction of this rate from 80 in the 1960s to under 7 in 2022 is just what dreams are made of. It is almost too good to be true but in stark reality, it is God’s own truth. We have achieved the impossible, and on that score, we have even raced ahead of many countries in our region of the world.
Remember the list of killers that I gave earlier on in this article? More than NINETY FIVE PER CENT of them are not there anymore in Sri Lanka. Among many other things, that by itself is the main reason that we have managed to achieve the impossible. Many of those young child killers have been totally banished from our shores. As just a shining example, the last time we saw a confirmed case of polio was in November 1993., yes, three decades ago. As a Medical Student and as a young junior doctor, this author has seen three epidemics of polio which killed and maimed for life, scores of children including infants.
How we have dealt lethal blows to these killers is through the use of vaccines that protect our children from these infective assassins. The Sri Lankan Ministry of Health Expanded Programme of Immunisation (EPI) has been held up as a beacon of excellence even in the developed world. Our country boasts of over 95 per cent, perhaps around even 99 per cent, coverage of all children against these killer diseases through the EPI. We have seen parents queuing up for hours to get their children vaccinated. They have made it one of their sacred duties to attend to all vaccinations of their children. This author has seen the parents braving even the vile orders of an insurgent group in 1988/1989 civil disturbances in Kurunegala to bring their children in droves from far and wide to our Immunisation Clinic, to get them vaccinated at the right times. The only functioning vaccination clinic for the entire region was our one in General Hospital, Kurunegala. There were hundreds of children being brought. We did not disappoint a single one of those parents. We vaccinated the entire lot. I felt that we owe it to them for their resilience.
It has been said that vaccines save lives. However, the title of this article “Vaccines do not save lives: Vaccinations save lives” is taken from a scholarly article written by an erudite academic Walter Orenstein, published in the prestigious journal Human Vaccines and Immunotherapeutics, in 2019. It implies that it does not matter whether we have loads of vaccines against even as many bugs as possible but if the vaccines are not administered then the vaccines cannot save lives.
Now, I come to the real crux of this article of mine. Just a few days ago, there was a media frenzy about a four-month-old baby who died a day after her vaccination. As has been rightly pointed out by the authorities, there is no scientific evidence, sans any doubt whatsoever, to link the death directly to the vaccine.
However, as has been ever so succinctly pointed out by the editorial in The Island Newspaper on 19th July 2023, “This, we believe, is a timely warning, which must not go unheeded, for there occur certain situations where logical reasoning and sound judgement desert most Sri Lankans, who have also earned notoriety for mass hysteria, which leads to irrational behaviour. In spite of its admirably high literacy rate, Sri Lanka is no stranger to groupthink, frequent breakdowns of critical thinking and the people’s strong reliance on social dynamics, shared beliefs, etc., disseminated via social media.”
The real worry for us who care for the health needs of children is the potential aftermath of all this adverse publicity, on our National Immunisation Programme. This is especially so, in the light of many allegations being made on the deaths caused by the administration of reportedly sub-standard drugs that have been imported into the country by our Ministry of Health. Woe be unto it, there is a real possibility of a blanket avoidance of all vaccines that are given to children.
This is a fervent plea to all parents. Please do not jeopardise the future of the children of our land by responding to unfounded allegations and by being hesitant to vaccinate children. I do not think that very many have seen the unbelievable misery that was caused by these infectious diseases that this author has had the misfortune to witness. I would give anything in the world to prevent our getting back into that abyss of despair which was the norm five to six decades ago.
All of us owe it to our nation to ensure that the highest coverage of all EPI vaccines is maintained at present as well as into the future too. Such an investment in health is the least that we owe ourselves, as a nation.
Opinion
Lakshman Balasuriya – Not just my boss but a father and a brother
It is with profound sadness that we received the shocking news of untimely passing of our dear leader Lakshman Balasuriya.
I first met Lakshman Balasuriya in 1988 while working at John Keells, which had been awarded an IT contract to computerise Senkadagala Finance. Thereafter, in 1992, I joined the E. W. Balasuriya Group of Companies and Senkadagala Finance when the organisation decided to bring its computerisation in-house.
Lakshman Balasuriya obtained his BSc from the University of London and his MSc from the University of Lancaster. He was not only intellectually brilliant, but also a highly practical and pragmatic individual, often sitting beside me to share instructions and ideas, which I would then translate directly into the software through code.
My first major assignment was to computerise the printing press. At the time, the systems in place were outdated, and modernisation was a challenging task. However, with the guidance, strong support, and decisive leadership of our boss, we were able to successfully transform the printing press into a modern, state-of-the-art operation.
He was a farsighted visionary who understood the value and impact of information technology well ahead of his time. He possessed a deep knowledge of the subject, which was rare during those early years. For instance, in the 1990s, Balasuriya engaged a Canadian consultant to conduct a cybersecurity audit—an extraordinary initiative at a time when cybersecurity was scarcely spoken of and far from mainstream.
During that period, Senkadagala Finance’s head office was based in Kandy, with no branch network. When the decision was made to open the first branch in Colombo, our IT team faced the challenge of adapting the software to support branch operations. It was him who proposed the innovative idea of creating logical branches—a concept well ahead of its time in IT thinking. This simple yet powerful idea enabled the company to expand rapidly, allowing branches to be added seamlessly to the system. Today, after many upgrades and continuous modernisation, Senkadagala Finance operates over 400 locations across the country with real-time online connectivity—a testament to his original vision.
In September 2013, we faced a critical challenge with a key system that required the development of an entirely new solution. A proof of concept was prepared and reviewed by Lakshman Balasuriya, who gave the green light to proceed. During the development phase, he remained deeply involved, offering ideas, insights, and constructive feedback. Within just four months, the system was successfully developed and went live—another example of his hands-on leadership and unwavering support for innovation.
These are only a few examples among many of the IT initiatives that were encouraged, supported, and championed by him. Information technology has played a pivotal role in the growth and success of the E. W. Balasuriya Group of Companies, including Senkadagala Finance PLC, and much of that credit goes to his foresight, trust, and leadership.
On a deeply personal note, I was not only a witness to, but also a recipient of, the kindness, humility, and humanity of Lakshman Balasuriya. There were occasions when I lost my temper and made unreasonable demands, yet he always responded with firmness tempered by gentleness. He never lost his own composure, nor did he ever harbour grudges. He had the rare ability to recognise people’s shortcomings and genuinely tried to guide them toward self-improvement.
He was not merely our boss. To many of us, he was like a father and a brother.
I will miss him immensely. His passing has left a void that can never be filled. Of all the people I have known in my life, Mr. Lakshman Balasuriya stands apart as one of the finest human beings.
He leaves behind his beloved wife, Janine, his children Amanthi and Keshav, and the four grandchildren.
May he rest in eternal peace!
Timothy De Silva
(Information Systems Officer at Senkadagala Finance.)
Opinion
The science of love
A remarkable increase in marriage proposals in newspapers and the thriving matchmaking outfits in major cities indicate the difficulty in finding the perfect partners. Academics have done much research in interpersonal attraction or love. There was an era when young people were heavily influenced by romantic fiction. They learned how opposites attract and absence makes the heart grow fonder. There was, of course, an old adage: Out of sight out of mind.
Some people find it difficult to fall in love or they simply do not believe in love. They usually go for arranged marriages. Some of them think that love begins after marriage. There is an on-going debate whether love marriages are better than arranged marriages or vice versa. However, modern psychologists have shed some light on the science of love. By understanding it you might be able to find the ideal life partner.
To start with, do not believe that opposites attract. It is purely a myth. If you wish to fall in love, look for someone like you. You may not find them 100 per cent similar to you, but chances are that you will meet someone who is somewhat similar to you. We usually prefer partners who have similar backgrounds, interests, values and beliefs because they validate our own.
Common trait
It is a common trait that we gravitate towards those who are like us physically. The resemblance of spouses has been studied by scientists more than 100 years ago. According to them, physical resemblance is a key factor in falling in love. For instance, if you are a tall person, you are unlikely to fall in love with a short person. Similarly, overweight young people are attracted to similar types. As in everything in life, there may be exceptions. You may have seen some tall men in love with short women.
If you are interested in someone, declare your love in words or gestures. Some people have strong feelings about others but they never make them known. If you fancy someone, make it known. If you remain silent you will miss a great opportunity forever. In fact if someone loves you, you will feel good about yourself. Such feelings will strengthen love. If someone flatters you, be nice to them. It may be the beginning of a great love affair.
Some people like Romeo and Juliet fall in love at first sight. It has been scientifically confirmed that the longer a pair of prospective partners lock eyes upon their first meeting they are very likely to remain lovers. They say eyes have it. If you cannot stay without seeing your partner, you are in love! Whenever you meet your lover, look at their eyes with dilated pupils. Enlarged pupils signal intense arousal.
Body language
If you wish to fall in love, learn something about body language. There are many books written on the subject. The knowledge of body language will help you to understand non-verbal communication easily. It is quite obvious that lovers do not express their love in so many words. Women usually will not say ‘I love you’ except in films. They express their love tacitly with a shy smile or preening their hair in the presence of their lovers.
Allan Pease, author of The Definitive Guide to Body Language says, “What really turn men on are female submission gestures which include exposing vulnerable areas such as the wrists or neck.” Leg twine was something Princess Diana was good at. It involves crossing the legs hooking the upper leg’s foot behind the lower leg’s ankle. She was an expert in the art of love. Men have their own ways. In order to look more dominant than their partners they engage in crotch display with their thumbs hooked in pockets. Michael Jackson always did it.
If you are looking for a partner, be a good-looking guy. Dress well and behave sensibly. If your dress is unclean or crumpled, nobody will take any notice of you. According to sociologists, men usually prefer women with long hair and proper hip measurements. Similarly, women prefer taller and older men because they look nice and can be trusted to raise a family.
Proximity rule
You do not have to travel long distances to find your ideal partner. He or she may be living in your neighbourhood or working at the same office. The proximity rule ensures repeated exposure. Lovers should meet regularly in order to enrich their love. On most occasions we marry a girl or boy living next door. Never compare your partner with your favourite film star. Beauty lies in the eyes of the beholder. Therefore be content with your partner’s physical appearance. Each individual is unique. Never look for another Cleopatra or Romeo. Sometimes you may find that your neighbour’s wife is more beautiful than yours. On such occasions turn to the Bible which says, “Thou shalt not covet thy neighbour’s wife.”
There are many plain Janes and penniless men in society. How are they going to find their partners? If they are warm people, sociable, wise and popular, they too can find partners easily. Partners in a marriage need not be highly educated, but they must be intelligent enough to face life’s problems. Osho compared love to a river always flowing. The very movement is the life of the river. Once it stops it becomes stagnant. Then it is no longer a river. The very word river shows a process, the very sound of it gives you the feeling of movement.
Although we view love as a science today, it has been treated as an art in the past. In fact Erich Fromm wrote The Art of Loving. Science or art, love is a terrific feeling.
karunaratners@gmail.com
By R.S. Karunaratne
Opinion
Are we reading the sky wrong?
Rethinking climate prediction, disasters, and plantation economics in Sri Lanka
For decades, Sri Lanka has interpreted climate through a narrow lens. Rainfall totals, sunshine hours, and surface temperatures dominate forecasts, policy briefings, and disaster warnings. These indicators once served an agrarian island reasonably well. But in an era of intensifying extremes—flash floods, sudden landslides, prolonged dry spells within “normal” monsoons—the question can no longer be avoided: are we measuring the climate correctly, or merely measuring what is easiest to observe?
Across the world, climate science has quietly moved beyond a purely local view of weather. Researchers increasingly recognise that Earth’s climate system is not sealed off from the rest of the universe. Solar activity, upper-atmospheric dynamics, ocean–atmosphere coupling, and geomagnetic disturbances all influence how energy moves through the climate system. These forces do not create rain or drought by themselves, but they shape how weather behaves—its timing, intensity, and spatial concentration.
Sri Lanka’s forecasting framework, however, remains largely grounded in twentieth-century assumptions. It asks how much rain will fall, where it will fall, and over how many days. What it rarely asks is whether the rainfall will arrive as steady saturation or violent cloudbursts; whether soils are already at failure thresholds; or whether larger atmospheric energy patterns are priming the region for extremes. As a result, disasters are repeatedly described as “unexpected,” even when the conditions that produced them were slowly assembling.
This blind spot matters because Sri Lanka is unusually sensitive to climate volatility. The island sits at a crossroads of monsoon systems, bordered by the Indian Ocean and shaped by steep central highlands resting on deeply weathered soils. Its landscapes—especially in plantation regions—have been altered over centuries, reducing natural buffers against hydrological shock. In such a setting, small shifts in atmospheric behaviour can trigger outsized consequences. A few hours of intense rain can undo what months of average rainfall statistics suggest is “normal.”
Nowhere are these consequences more visible than in commercial perennial plantation agriculture. Tea, rubber, coconut, and spice crops are not annual ventures; they are long-term biological investments. A tea bush destroyed by a landslide cannot be replaced in a season. A rubber stand weakened by prolonged waterlogging or drought stress may take years to recover, if it recovers at all. Climate shocks therefore ripple through plantation economics long after floodwaters recede or drought declarations end.
From an investment perspective, this volatility directly undermines key financial metrics. Return on Investment (ROI) becomes unstable as yields fluctuate and recovery costs rise. Benefit–Cost Ratios (BCR) deteriorate when expenditures on drainage, replanting, disease control, and labour increase faster than output. Most critically, Internal Rates of Return (IRR) decline as cash flows become irregular and back-loaded, discouraging long-term capital and raising the cost of financing. Plantation agriculture begins to look less like a stable productive sector and more like a high-risk gamble.
The economic consequences do not stop at balance sheets. Plantation systems are labour-intensive by nature, and when financial margins tighten, wage pressure is the first stress point. Living wage commitments become framed as “unaffordable,” workdays are lost during climate disruptions, and productivity-linked wage models collapse under erratic output. In effect, climate misprediction translates into wage instability, quietly eroding livelihoods without ever appearing in meteorological reports.
This is not an argument for abandoning traditional climate indicators. Rainfall and sunshine still matter. But they are no longer sufficient on their own. Climate today is a system, not a statistic. It is shaped by interactions between the Sun, the atmosphere, the oceans, the land, and the ways humans have modified all three. Ignoring these interactions does not make them disappear; it simply shifts their costs onto farmers, workers, investors, and the public purse.
Sri Lanka’s repeated cycle of surprise disasters, post-event compensation, and stalled reform suggests a deeper problem than bad luck. It points to an outdated model of climate intelligence. Until forecasting frameworks expand beyond local rainfall totals to incorporate broader atmospheric and oceanic drivers—and until those insights are translated into agricultural and economic planning—plantation regions will remain exposed, and wage debates will remain disconnected from their true root causes.
The future of Sri Lanka’s plantations, and the dignity of the workforce that sustains them, depends on a simple shift in perspective: from measuring weather, to understanding systems. Climate is no longer just what falls from the sky. It is what moves through the universe, settles into soils, shapes returns on investment, and ultimately determines whether growth is shared or fragile.
The Way Forward
Sustaining plantation agriculture under today’s climate volatility demands an urgent policy reset. The government must mandate real-world investment appraisals—NPV, IRR, and BCR—through crop research institutes, replacing outdated historical assumptions with current climate, cost, and risk realities. Satellite-based, farm-specific real-time weather stations should be rapidly deployed across plantation regions and integrated with a central server at the Department of Meteorology, enabling precision forecasting, early warnings, and estate-level decision support. Globally proven-to-fail monocropping systems must be phased out through a time-bound transition, replacing them with diversified, mixed-root systems that combine deep-rooted and shallow-rooted species, improving soil structure, water buffering, slope stability, and resilience against prolonged droughts and extreme rainfall.
In parallel, a national plantation insurance framework, linked to green and climate-finance institutions and regulated by the Insurance Regulatory Commission, is essential to protect small and medium perennial growers from systemic climate risk. A Virtual Plantation Bank must be operationalized without delay to finance climate-resilient plantation designs, agroforestry transitions, and productivity gains aligned with national yield targets. The state should set minimum yield and profit benchmarks per hectare, formally recognize 10–50 acre growers as Proprietary Planters, and enable scale through long-term (up to 99-year) leases where state lands are sub-leased to proven operators. Finally, achieving a 4% GDP contribution from plantations requires making modern HRM practices mandatory across the sector, replacing outdated labour systems with people-centric, productivity-linked models that attract, retain, and fairly reward a skilled workforce—because sustainable competitive advantage begins with the right people.
by Dammike Kobbekaduwe
(www.vivonta.lk & www.planters.lk ✍️
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