Connect with us

Opinion

Why hide the truth about CKDu?

Published

on

By Dr PARAKRAMA WAIDYANATHA

An open letter to the new Minister of Health

The chronic kidney disease (CKDu) has been a major non-communicable disease prevalent essentially among the Rajarata’s agricultural communities in the last three decades that had, on average, killed several thousand people annually. The disease aetiology is now known, with a high degree of certainty to be hard water in dug wells on high ground contaminated with fluoride. Because it largely affected the farming families, agro-chemicals were justifiably suspected as the cause although without evidence; and many, especially the ignorant politicians, including several key ministers without knowing the facts of the matter, have blamed agrochemicals.

In fact, the term wasa visa krushikarmaya (toxic- agriculture) was coined on conventional agriculture largely because of the misinformation. Ridiculous boards displaying that fruits and vegetables sold in wayside shops are ‘toxin-free’ have been a common sight. The shopkeeper hardly knows the origin of the produce!

Then, there was the much-hyped ‘toxin-free agriculture” or organic farming drive of the Yahapalana government, led by the then President and Ven. Ratana, which again was on the premise that agrochemicals are the cause of the disease. It was, however, a total failure. And it would appear that the current President too, rushed to organic farming with the misinformed judgment that agrochemicals are the cause of CKDu, and probably also of other non-communicable ones, although there has been no evidence for it! He should have consulted the scientists and academics in the relevant fields before rushing to the decision.

However, the new Finance Minister has, in a recent gazette notification, dated 31st July 2021, claimed to be published in order to “regulate the importation of chelated minerals and micronutrients” which were previously banned, has also ‘surreptitiously’ reverted the Presidential decision; allowing imports of virtually all straight chemical fertilizers and mixtures thereof, but on license! So, hopefully, farmers should have access to chemical fertilisers for the coming Maha season!

Be all that as they may, the writer’s concern is that despite the overwhelming research, as also supportive numerical evidence the Health Ministry/Department has been generating on the prevalence of CKD, through a broad surveillance with nationwide sentinel sites that has also supported the observation that drinking water quality is the major cause of the disease, it has hitherto made no formal pronouncement on the disease causation. Regrettably, neither the former Health Minister nor the Agriculture Minister seem to be aware of this fact, from the utterances they have made recently in Parliament and outside. In fact, both of them were seen yelling in Parliament, some days ago, that the cause for the kidney disease is agrochemicals! Further, at a meeting with the farmers some weeks ago, the Agriculture Minister exclaimed that the government has rushed into organic farming to save the kidneys of farmers!

Mr. Minister, please be aware of the following facts and take necessary action to clear the myth in the minds of the President, ministers and other authorities, that agrochemicals are the cause of CKDu, the number one non-communicable in the country:

1.

The scientific and medical community have developed an understanding of the origins of this chronic disease. Steps to control it have shown increasing success as the numbers stricken by the disease have decreased since 2016, following supply of clean drinking water to the residents of the endemic areas. And it is now critically important that people of all affected areas are provided with good quality drinking water. Apparently, when the Yapahalana authorities then “flogging the dead agrochemical horse” came to learn that polluted water was the cause of the disease, rumour was doing the rounds, that the authorities did not want people told about it for fear of an outcry for quality water!

2.

Research by at least five groups and many individuals, local and foreign, have shown that the disease is caused by the consumption of water from wells containing hard water and fluoride, found in geological formations known as Regolith aquifers that hold the water in the relevant dry zone areas. People who were settled rapidly during the Accelerated Mahaweli Programme on higher ground in the late 1970s, had to dig shallow wells or tube wells for their water supply. Estimates reveal that there are some 176,000 such wells in the Rajarata! CKDu is found essentially in villages drinking water from such wells. Residents who get their water from agricultural canals, rivers or reservoirs DO NOT CONTAMINATE CKD, whereas one would have expected them to do so if agrochemicals were the cause of the disease. Please see the attached graph (Fig. 1) from a publication by none other than Dr Asanga Ranasinghe, Coordinator of the CKDu Programme, Ministry of Health and others (BMC Nephropathy, Aug 2019) that reveal a sharp drop in the number of patients in the two most CKD affected districts of Anuradhapura and Polonnaruwa. This was a consequence of provision of safe drinking water, and in fact the people themselves in the affected areas realised that polluted water was the cause of the disease, and not drinking it. Further, the Table 1 below compiled from the data of 2018 Annual Health Bulletin (page 70), also confirm a sharp decline in the increase in patient numbers from 52% between 2014 and 2016 to just 12% between 2016 and 2018, which should essentially be a consequence of drinking good quality water. There is no other evidence to explain this prominent decline.

Sadly, however, the 2019 Annual Health Bulletin does not carry any information on the CKDu status, despite there being a nationwide Sentinel Survey of patient numbers; and the 2020 Annual Health Bulletin too has not been published to date! Why are the health authorities so negligent about the number one non-communicable disease in the country! Table 1

3. There is CKDu in areas like Mullaitivu where no agro-chemicals whatsoever have been used due to the Eelam wars. So it is now amply evident that residents who drink hard water rich in fluoride contract CKDu, but not those who drink water from streams, reservoirs and wells in the planes.

4.

No CKDu is found in the Hill Country (vegetable and tea cultivation) and in most other areas such as Kalpitiya (vegetable cultivation) where agrochemicals are used much more heavily than in the Rajarata.

5.

The WHO Report, 2013, concluded, amongst other things, that some CKDu patients secreted pesticide residues above the reference (permissible) levels, but did not refer to the pesticide residue status in the urine of the control subjects (from Hambantota) in the trial! Our subsequent analysis of the pesticide residue raw data, revealed that the numbers of subjects with urine pesticide levels were two to three times higher from the non-CKD (Control) area than among the CKD patients (See Table 2). Why did the WHO Report omit this critically important control data? Referring to pesticides, the Report merely stated that some CKDu patients had residues of some pesticides above reference limits! Was it to give the impression that pesticides were probably the cause? However, an International Expert Consultation held in 2018 on CKDu in Colombo, concluded that there is no evidence to implicate agrochemicals in the causation of the disease.

6.

Several ministers and most importantly even the President of the GMOA, Dr Padeniya have been repeatedly claiming that Sri Lanka is the country consuming the highest quantities of agrochemicals in the world. However, the published data of the World Bank (see Table 3) reveals that in this part of the world, we are the country consuming the lowest amount of fertiliser and the second lowest amount of pesticide per unit area!

In conclusion, the disease is evidently caused by consuming naturally contaminated well water. It has nothing to do with fertilisers or pesticides. The disease is prevented by supplying clean water to the endemic villages. This has been done largely by the distribution of rain-water collection tanks, and by the installation of reverse-osmosis water filtration plants by benevolent donors. Moreover, people in the affected areas are now aware of the cause of the disease and are taking preventive measures themselves, as evident from the data.

Please bring this information to the attention of the President and other authorities, so that vital national decisions are based on facts, and not myths!



Continue Reading
Advertisement
Click to comment

Leave a Reply

Your email address will not be published. Required fields are marked *

Opinion

Can a punishment-free child become a threat to Sri Lankan society?

Published

on

Children are the future of every nation, and the values they learn during childhood shape the society they will eventually lead. In Sri Lanka, where family traditions, respect for elders, and social responsibility have long been important cultural values, the way children are raised remains a topic of great interest. In recent years, many parents and educators have moved away from traditional forms of punishment and embraced more child-friendly approaches to discipline. While protecting children from physical and emotional harm is essential, an important question arises: can a child who grows up without any form of punishment or consequences become a threat to Sri Lankan society?

To answer this question, it is necessary to understand the difference between punishment and discipline. Punishment is often associated with penalties imposed for wrongdoing, while discipline refers to teaching children self-control, responsibility, and respect for rules. Modern child psychology generally discourages harsh physical punishment because it can cause fear, anxiety, and resentment. However, completely removing consequences for inappropriate behavior may create a different set of problems.

Sri Lankan society has traditionally emphasized discipline within the family. Parents, grandparents, and teachers have often played active roles in guiding children’s behavior. Respect for elders, obedience, and good manners have been considered important virtues. While some traditional disciplinary methods may no longer be acceptable, the underlying principle of teaching accountability remains relevant.

A child who never faces consequences for wrongdoing may struggle to understand the boundaries that exist in society. For example, if a child is allowed to insult others, damage property, or ignore rules without correction, they may develop the belief that their actions have no consequences. Such attitudes can become problematic when the child enters school, the workplace, or the wider community.

Sri Lankan schools already face challenges related to student discipline. Teachers often report difficulties in managing classrooms where some students refuse to follow instructions or respect school regulations. When children are not taught accountability at home, educational institutions may find it harder to maintain a productive learning environment. This can affect not only the individual student but also classmates whose education is disrupted.

Another concern is the development of entitlement. A child who is never told “no” may come to believe that personal desires should always be fulfilled. In a society where cooperation and mutual respect are essential, such attitudes can lead to conflicts with peers, teachers, employers, and even family members. Sri Lanka’s social fabric depends heavily on community relationships, and individuals who fail to respect others can weaken these bonds.

The influence of social media and modern technology has added another dimension to this issue. Today’s children have access to information and entertainment on an unprecedented scale. Without proper guidance and consequences, some may misuse technology, engage in cyberbullying, spread misinformation, or develop unhealthy habits. Parents who avoid setting limits may unintentionally expose children to risks that affect both personal development and social well-being.

The workplace offers another example of why accountability is important. Sri Lanka’s economic development depends on a workforce that is disciplined, responsible, and capable of working with others. Employers value punctuality, respect, and professionalism. Individuals who grow up without learning responsibility may find it difficult to meet these expectations, affecting both their personal success and the productivity of organizations.

However, it is equally important not to interpret this argument as support for harsh punishment. Research has shown that excessive physical or emotional punishment can have serious negative effects on children. Fear-based parenting may produce obedience in the short term but can damage confidence, trust, and mental health in the long term. Therefore, the solution is not stricter punishment but more effective discipline.

Positive discipline provides a balanced alternative. It involves setting clear rules, explaining expectations, and applying fair consequences when those rules are broken. For instance, if a child neglects schoolwork, they may lose certain privileges until responsibilities are fulfilled. If they damage property, they can be required to help repair or replace it. Such consequences teach accountability while preserving the child’s dignity.

Sri Lankan parents, teachers, and community leaders all have a role to play in nurturing responsible citizens. Families should create environments where children feel loved and supported but also understand that actions have consequences. Schools should encourage character development alongside academic achievement. Religious and community organizations can reinforce values such as honesty, compassion, and respect for others.

A balanced approach is especially important in a rapidly changing society. As Sri Lanka continues to modernize and integrate with the global community, young people must learn not only their rights but also their responsibilities. Freedom without responsibility can lead to selfishness, while discipline without compassion can lead to fear. The challenge is to find the middle ground.

A punishment-free child can become a concern for Sri Lankan society if the absence of punishment also means the absence of discipline and accountability. Children who never learn consequences may struggle to respect rules, authority, and the rights of others. However, harsh punishment is not the answer. The most effective approach combines love, guidance, clear boundaries, and fair consequences. By raising children who understand both freedom and responsibility, Sri Lanka can build a future generation that strengthens society rather than threatens it.

Saumya Aloysius

(An essayist, children’s writer and freelance writer who holds a Master’s Degree in Sociology from the University of Kelaniya)

Continue Reading

Opinion

SriLankan Airbus struck by lightning

Published

on

A representational image

On Friday 12 June, 2026, a SriLankan Airlines Airbus 330 was en route from Colombo to Sydney, Australia was about 45 minutes into its flight when a loud bang was heard, accompanied by a blinding flash. In what was assumed to be a lightning strike, the airplane’s left (No. 1) engine was damaged, forcing the aircraft to return to BIA-Katunayake, where it landed safely.

Lightning travels from cloud to cloud or cloud to ground. Because the aircraft is not electrically ‘grounded’, or ‘earthed’, it must have been in the path of the thunder bolt purely by chance. There is also a phenomenon whereby the aircraft may travel through an electrically charged atmosphere (for example a cloud) where an electrical charge could build up and strike, or be emitted, as lightning. In such an instance, pilots hear electrical static in their headsets before the strike. Usually, when lightning strikes an aircraft in flight, the electrical charges remain on the outside, as on a ‘Faraday’s Cage’ apparatus, and the passengers and crew are perfectly safe.

To help the efficient and safe discharge of static electricity from the airplane’s structure, static wicks, or static dischargers, are fitted at the trailing (rearmost) edges of the wings and tail surfaces. When an airplane has landed after a lightning strike, ground engineers count the number of wicks that may have been burnt out to ensure that a minimum (recommended) number is available for a subsequent flight. Sometimes, there is minor damage, like pitting of the paintwork at the points where the charges left the aircraft.

The last instance in the USA of an airplane believed to have been lost due to a lightning strike was on December 8, 1963, when a Pan Am Boeing 707-121, en route from Baltimore, Maryland to Philadelphia, Pennsylvania, suffered a fuel tank explosion, later determined to have been the result of a lightning strike. Since then, aircraft have been rendered immune from lightning damage thanks to extensive research conducted by manufacturers using high-voltage currents.

Interestingly, modern airliners have electronic instrument displays which don’t even flicker when the aircraft is struck by lightning. By a process of connecting all the metallic parts, known as ‘bonding’, the entire fuselage effectively becomes a protective cocoon, so electrical charges caused by lightning will always reside on the outside of the aircraft.

What is unusual in the recent SriLankan Airlines incident is the extent of damage to the left engine. Did it encounter hail or ingest something?

Only a thorough, independent inquiry by aviation safety investigators will reveal the cause.

GUWAN SEEYA

Continue Reading

Opinion

Beyond diagnosis: A strategic design for 7% growth by 2029 (Part I)

Published

on

“Vision without execution is hallucination.” – Thomas Edison

Introduction: Stabilisation Is Not Transformation

Sri Lanka has come a long way since the economic collapse of 2022. Inflation has been brought under control. Foreign reserves have improved. Debt restructuring has advanced. Government revenue has increased significantly through taxation reforms. The exchange rate has stabilised, and confidence has gradually returned to financial markets.

These achievements deserve recognition.

However, stabilisation should not be confused with economic transformation. A patient discharged from intensive care is not necessarily healthy. Likewise, an economy that has escaped collapse has not necessarily achieved sustainable prosperity.

The central economic question facing Sri Lanka today is no longer how to avoid another crisis. Rather, it is how to achieve sustained economic growth of at least 7% per annum by 2029.

Unfortunately, much of the current policy debate remains trapped in economic diagnosis. Policymakers, economists, and commentators repeatedly identify familiar problems: (i) low productivity, (ii) weak exports, i(iii) Inadequate innovation, (iv) poor competitiveness, and (v) insufficient investment. While these diagnoses are correct, they are not new.

Sri Lanka now needs economic engineering.

The country requires a clear, measurable, and actionable National Growth Strategy for 2026-2029 that identifies (i) where growth will come from,(ii) what investments are required,(iii) which institutions will lead implementation, and (iv) how success will be measured.

The difference between diagnosis and engineering is the difference between describing a problem and solving it.

The Missing National Growth Target

One of the most striking weaknesses in Sri Lanka’s economic discourse is the absence of a publicly articulated growth target supported by a detailed implementation framework.

Successful economies establish measurable objectives.

Sri Lanka should adopt the following growth trajectory:

2026 – 4%

2027 – 5%

2028 – 6%

2029 – 7%

Such targets would provide direction to investors, public institutions, universities, exporters, and development partners. Without a destination, even the best policies risk becoming disconnected initiatives.

Today, many policy interventions appear fragmented—valuable in isolation but lacking integration into a broader national growth framework.

Growth Will Not Come From Consumption

For decades Sri Lanka relied heavily on consumption, imports, remittances, tourism, and external borrowing.

That model has reached its limits.

No country has achieved sustained prosperity through consumption-led growth alone.

The countries that transformed themselves—Singapore, South Korea, Ireland, Vietnam, and China—generated growth through productive investment, exports, industrialisation, and integration into global markets.

Sri Lanka’s future growth must therefore be driven by investment and exports rather than domestic consumption.

The challenge is not increasing spending but increasing productive capacity.

Export-Led Growth: The First Pillar of Transformation

Every successful Asian growth story has one characteristic in common: exports.

Exports generate foreign exchange, create jobs, attract investment, encourage innovation, and improve productivity.

Sri Lanka should establish an ambitious target of doubling export earnings within the next decade.

This requires moving beyond traditional exports and expanding into:

High-value agriculture

Food processing

Information technology services

Logistics services

Advanced manufacturing

Professional services

Export growth must become a national mission comparable to post-war reconstruction efforts seen elsewhere in Asia.

Without a major expansion of exports, sustained 7% growth will remain elusive.

Manufacturing: The Forgotten Growth Engine

Manufacturing remains the single most important source of rapid economic transformation worldwide. Vietnam provides perhaps the best recent example.

Through (i) industrial zones, (ii) trade agreements, (iii) infrastructure development, and (iv) targeted investment attraction, Vietnam became deeply integrated into Asian production networks.

Sri Lanka possesses strategic advantages:

A prime Indian Ocean location

Strong port infrastructure

Educated labour force

Proximity to India

The country should establish specialised manufacturing clusters focusing on:

Electronics assembly

Medical devices

Processed food products

Boat building

Rubber-based products

Engineering components

Rather than attempting to compete with every country, Sri Lanka should specialise in selected niches where competitive advantages can be developed.

RCEP: The Strategic Door to Asia

Sri Lanka’s future lies increasingly in Asia.

The Regional Comprehensive Economic Partnership (RCEP) represents the largest trading bloc in the world and includes many of the fastest-growing economies.

Membership or closer integration with RCEP supply chains could provide Sri Lankan exporters with access to markets, investment, technology, and production networks that are currently beyond reach.

Unfortunately, discussion on RCEP remains limited compared with its strategic significance.

A dedicated national roadmap for RCEP engagement should become a top economic priority.

The question is not whether Sri Lanka can afford to integrate more deeply into Asia.

The question is whether Sri Lanka can afford not to.

Knowledge Economy: Turning Universities Into Growth Institutions

Sri Lanka’s universities produce thousands of graduates annually, yet their contribution to commercial innovation remains limited.

Globally, universities have become engines of economic development.

Research institutions should not merely produce graduates; they should produce patents, technologies, startups, and commercial solutions.

A national innovation framework should:

Link universities with industry

Encourage commercialisation of research

Support technology transfer

Expand startup financing

Reward innovation and entrepreneurship

Knowledge must become an economic asset rather than an academic exercise.

Dairy, Agriculture, And Import Substitution

Export growth alone is insufficient.

Sri Lanka must also reduce unnecessary import dependence.

The dairy sector offers a compelling example.

For decades, billions of rupees have left the country through dairy imports despite favourable climatic conditions and substantial agricultural potential.

A comprehensive dairy development strategy should focus on:

Improved genetics

Feed production

Commercial farming

Processing investment

Farmer productivity

The objective should be import substitution combined with rural income growth.

The same principle can be applied selectively to other sectors where domestic production is economically viable.

Creating A National Investment Targeting Agency

Sri Lanka does not need another bureaucracy.

It needs a professional institution dedicated exclusively to investment targeting.

Instead of passively waiting for investors, this agency would actively identify and attract strategic investments aligned with national priorities.

Its mandate would include:

Identifying priority sectors

Marketing opportunities globally

Coordinating approvals

Monitoring outcomes

Facilitating technology transfer

Singapore’s Economic Development Board and Ireland’s Industrial Development Agency demonstrate how targeted investment institutions can transform national economies.

Sri Lanka requires a similar mechanism adapted to local realities.

From Economic Diagnosis To Economic Engineering

The next stage of Sri Lanka’s recovery requires a fundamental shift in thinking.

The policy debate must move beyond identifying problems. The country already knows its problems.The challenge is implementation.Every policy proposal should be evaluated against a simple question:

Will this contribute to achieving 7% growth by 2029?

If the answer is no, resources should be redirected.

Economic engineering requires focus, prioritisation, accountability, and measurable outcomes. The era of fragmented initiatives must give way to a coherent national growth strategy.

Summary

Sri Lanka has achieved significant macroeconomic stabilisation, but stabilisation is only the first step toward sustainable prosperity.

To move from recovery to transformation, Sri Lanka should adopt a National Growth Strategy for 2026-2029 built around five pillars:

Export-led growth

Investment-led growth

Manufacturing expansion

Knowledge-economy development

Regional integration through RCEP and Asian supply chains

Supporting sectors such as dairy, tourism, logistics, and information technology should be strategically developed within this framework.

Most importantly, investment must be targeted rather than scattered, supported by specialised institutions and measurable performance indicators.

Conclusion

History demonstrates that no nation has become prosperous by accident. Economic success is rarely the product of isolated policies or short-term political initiatives. It is the outcome of a deliberate strategy pursued consistently over many years.

Sri Lanka stands at a crossroads.

One path leads to modest growth, periodic crises, recurring debt challenges, and continued vulnerability. The other leads to transformation through investment, exports, innovation, manufacturing, and regional integration.

The choice is ultimately strategic.

The time has come for Sri Lanka to move from economic diagnosis to economic engineering.

The future will not be determined by how successfully the country stabilised after the crisis. It will be determined by how effectively it builds the foundations for sustained growth thereafter. If Sri Lanka can articulate and execute a coherent investment-led growth strategy today, achieving 7% growth by 2029 need not be an aspiration.

It can become a national objective—and a national achievement, economic Engineering

The writer, among many, served as the Special Advisor to the Office of the President of Namibia from 2006 to 2012 and was a Senior Consultant with the UNDP for 20 years. He was a Senior Economist with the Central Bank of Sri Lanka (1972-1993). He can be reached via asoka.seneviratne@gmail.com

Continue Reading

Trending