Former Director and Acting Chairman of Marine Environment Protection Authority
MT New Diamond VLCC, Very Large Crude Carrier, flagged in Panama was reportedly carrying over 300,000 Mt of Crude Oil on its voyage to Pradip Port, India from Al Ahmadi in Kuwait when it caught fire off the eastern coast of Sri Lanka resulting in the death of a crew member and the evacuation of 23, five Greek and 18 Philippine nationals. The fire that broke out as a result of the explosion of a boiler resulted in a massive fire in the engine room and the bridge, which controls the ship. Fortunately, the fire had not spread to the oil tanks which would h ave resulted in a major oil spill. If the three million barrels of oil leaked, it could have spealt devastation to many of the marine mammals that live in vibrant habitats along the eastern coast of Sri Lanka and the vibrant eastern economy where a hive of activities is taking place such as fisheries, tourisms, agriculture and consequently to the livelihood income of the people.
Effects of Petroleum Contamination
Petroleum contamination is a growing environmental concern that harms both terrestrial and aquatic ecosystems equally. However, in view of the major disasters caused to the marine environment, the public and regulatory and scientific communities have given more attention to the contamination of marine habitats. This is because marine oil spills can have a serious economic consequence on coastal activities as well as on those who exploit the resources of the sea. Thus, communities that are at risk of oil disasters must anticipate the consequences and prepare for them. The above mentioned disaster is an eye opener for all the stakeholders to take a serious view.
Marine environmental pollution caused by petroleum is of great concern because of the fact that petroleum hydrocarbons are toxic to all forms of life and harm both aquatic and terrestrial ecosystems. In recent years the pollution of marine habitats has caught the attention of researchers and environmentalists owing to the serious impact of oil spills on marine life, as well as on people whose career relies on the exploitation of the ocean’s resources. Additionally, marine life may be affected by clean-up operations, whatever the precautions taken. It may also be indirectly affected by the physical damage to the habitats in which plants and animals live in.
The writer has had firsthand information while being a former Director of the Marine Environmental Protection Authority (MEPA) and has attended series of scientific and technical sessions delivered by the International Maritime Organization (IOM) and effectively contributed to the deliberations with regard to OPRC (Oil Spill Preparedness and Response) a decade ago and it is with such an authoritativeness, the writer compiled this short essay on the effects of petroleum oil spills on marine life. This exercise would not be a worthwhile attempt, if the economic impact of oil spills on coastal activities with special reference to eastern theatre in which the above major fire brokeout and on the people who exploit the resources of the sea.
GLOBAL OIL SPILL TREND
Over the last 50 years, there has been a marked downward trend in oil spills from tankers. The average number of spills per year in the 1970s was about 79 and has now decreased by over 90 percent to a low of six according to the International Tankers Owners Pollution Federation (ITOPF). The lowest annual number of spills was recorded in 2019 and the highest in 1974. If one were to analyze the quantities of oil spilt, one would note that approximately 5.86 million tons of oil have been lost as a result of tanker incidents globally since 1970. However, there has been a significant reduction in volume of oil spilt through the decades. The total amount spilt per decade has reduced by about 95% since the 1970s.
An interesting pattern of alternating sharp decline and stability can be observed for average volume of oil spilt per decade. Nonetheless, quantity of oil spilt in a particular year or a decade is unpredictable, and the trend can be hugely distorted by a single large spill. In case, the fire caused to MT New Diamond resulted in an oil spill over 270,000 Mts, it would have been the one of the major oil spills recorded in recent times in Sri Lanka. The most frequent causes of oil spills are allisions/collisions, groundings and Fires. However, the proportion of groundings has decreased over the decades, making allisions, collisions and Fires, the current most frequent cause of spills. Today, about 99.99% of oil transported by sea arrives safely at its destination. The positive reports on trends in oil tanker spills endorse the hard work by governments, industry and ITOPF in improving safety and standards of operations.
With a spate of major disasters linked to major shipping routes in the past few years, the time is opportune for the world leaders and the international authorities such as IOM to have the wisdom and courage with a view to taking stock on global shipping reforms. It must be pointed out here that Sri Lanka witness more than 800 vessels passing through Sri Lanka per day posing an imminent threat to the Sri Lankan economy. Hence, it cannot be completely ruledout another disaster of this magnitude, if preventive measures are not taken.
Crude oil and its properties
The ill fate MT New Diamond carried crude oil which is a complex mixture of organic compounds. These mainly consist of hydrocarbons, in addition to heterocyclic compounds and some heavy metals. The different hydrocarbons that make up crude oil come in a wide range of molecular weights and structure compounds. These compounds include methane gas, high molecular weight tars, asphaltenes, resins, waxes and bitumen. They also include straight and branched chains, single or condensed rings and aromatic rings such as the monocyclic (benzene, toluene, ethylbenzene and xylene). They additionally include polycyclic aromatic hydrocarbons (PAHs) such as naphthalene, anthracene and phenanthrene. Obviously, the chemical composition of crude oil is injurious not only to the mankind but also to marine ecosystems.
Physical contact is the major route of exposure and usually affects birds and furred mammals. These animals rely on their outer coats for buoyancy and warmth. Consequently, they often succumb to hypothermia, drowning and smothering when oil flattens and adheres to the outer layer. A second general exposure route is through the ingestion or inhalation of the hydrocarbon by organisms that reside on the surface. Exposure by these routes leads to absorption into the bloodstream via the gastrointestinal or respiratory tracts.
Toxicity of oil dispersants
Oil dispersants (57 chemical ingredients approved for use by the US EPA) are a common tool used after oil spills in marine environments. They break up oil slicks on the water surface and increase the oil’s rate of biodegradation. Oil dispersants are quickly used when other means, such as oil containment and removal, are insufficient. However, consequences of the toxicity of oil spill dispersants alone or in the presence of oil must be evaluated. Generally, undispersed oil poses the greatest threat to shorelines and surface-dwelling organisms. However, most dispersed oil remains in the water column where it mainly threatens pelagic and benthic organisms.
Fate of oil spills in the marine habitats
After oil is spilled at sea and with the effect of wind and water current, the oil spreads out and moves on the water surface as a slick a few millimetres thick. At the same time, it undergoes a series of chemical and physical changes. These processes are collectively termed ‘weathering’. Weathering causes the spilled oil to break down and become heavier than water. Some of these processes, like the natural dispersion of oil into water, lead to the removal of the oil from the sea surface and facilitate its natural breakdown in the marine environment. Others, particularly the formation of water-in-oil emulsions, cause the oil to become more persistent and remain at sea or on the shoreline for prolonged periods of time. The speed and relative importance of these processes depend on a number of factors. These include the quantity spilled, the oil’s initial physical and chemical characteristics, weather and sea conditions and whether the oil remains at sea or is washed ashore. Ultimately, the marine environment usually eliminates spilled oil through the long-term process of biodegradation.
Oil spills on marine organisms
Ultimately, the impact of oil on marine organisms depends on the fate of the oil. As previously described, when oil is present in the environment, it is either dispersed in the top layer of the water (littoral zone) or remains on the surface and, consequently, on the coastal areas. If the oil is not dispersed, it remains on the surface. In this case, currents bring the oil towards coastal areas which harms coastal organisms like invertebrates, mammals and birds. However, if the oil is dispersed, organisms, such as fish, plankton and larvae, are immediately subjected to oil toxicity.
Oil spills on planktonic organisms
Zooplankton is a particularly important food resource, especially for baleen whales. It can influence or control the primary productivity by top-down effects in return. Its population dynamic change can influence the biomass of other marine animals like fish by bottom-up effects. Some zooplankton, such as copepods, euphausiids and mysids, assimilate hydrocarbons directly from seawater and by ingesting oil droplets and oil contaminated food. The ingestion of oil by these organisms often causes mortality, while surviving organisms often show developmental and reproductive abnormalities.
Oil spills on coral reefs
In addition, recreational attractions for divers, coral reefs are considered to be important constituents of marine ecosystems. This is because they are important nurseries for shrimp, fish and other animals. The aquatic organisms that live within and around the coral reefs are at risk of exposure to the toxic substances within oil, as well as smothering. They are rapidly deteriorating because of a variety of environmental and anthropogenic pressures. Thus, they are suffering significant changes in diversity, species abundance and habitat structure worldwide. Oil dispersants are potentially harmful to marine life including coral reefs. In a study using coral nubbins in coral reef ecotoxicology testing, found that dispersed oil and oil dispersants are harmful to soft and hard coral species at early life stages.
Oil spills on fish
Due to the well-developed hepatic mixed function oxygenase (MFO) system, in addition to the reactivity of the metabolites that would not be released in a toxic form during digestion and absorption, most fish, even in heavily oil-contaminated environments, do not accumulate and retain high concentrations of petroleum hydrocarbons. Thus, they are not likely to transfer them to predators. Thus, no serious threat is predicted.
Oil spills on seabirds
As one of the major routes of exposure, physical contact usually affects birds. For example, thousands of African penguins (Spheniscus demerus) were oiled following the 2000 Treasure oil spill in South Africa.An evaluation of the impact of oil spills on seabirds has not been fully appreciated during incidents, despite pressure from the public concern, media and other interested parties for precise and up-to-date information on the damage. Consequently, the approximate numbers of seabird casualties involved in many major spills have only been estimated, while impacts at the population level have been difficult to determine. Natural variation and the huge range of factors that influence bird population statistics make it difficult to assess the impact of oil spill on sea birds.
Oil spills on marine mammals
Marine mammals include bottlenose dolphins, fins, humpbacks, rights, sei whales, sperm whales, manatees, cetaceans, seals, sea otters and pinnipeds. As previously indicated, the physical contact of oil with furred mammals usually affects these animals because they rely on their outer coats for buoyancy and warmth. Consequently, these animals often succumb to hypothermia, drowning and smothering when oil flattens and adheres to the outer layer.
As part of their activities, all marine mammals spend a considerable amount of time at the surface. Here, they swim, breathe, feed or rest. Thus, the possibility of their contact with a surface slick, water-in-oil emulsion, or tar balls, is high. In heavy pelage marine mammals, such as fur seals, sea otters and polar bears, this contact may lead to fouling. Polar bears and otters groom themselves regularly as a means of maintaining the insulating properties of the fur and may, thereby, ingest oil. Animals with smooth surfaces or relatively little to no pelage, such as whales, dolphins, manatees and most seals, have an advantage as oil would have fewer tendencies to adhere to their surface.
Oil that contaminates a shore is likely to severely affect pinnipeds. Pinnipeds require such areas for nursery and, to a lesser extent, otters and bears. Some of the oil is eventually returned in subtidal sediments, where it may transfer to gray whales, walrus and some seals. Such species feed heavily on benthic animals.
When marine mammals encounter fresh oil, they are likely to inhale volatile hydrocarbons evaporating from the surface slick. These volatile fractions contain toxic monoaromatic hydrocarbons (benzene, toluene and xylenes) and low molecular weight aliphatics with anaesthetic properties. The inhalation of these volatile hydrocarbon compounds is potentially harmful. The inhalation of concentrated petroleum vapours can cause the inflammation of and damage to the mucus membranes of airways, lung congestion or even pneumonia. Volatile benzene and toluene, which can be inhaled, can be transferred rapidly from the bloodstream into the lungs. Furthermore, they can accumulate from the blood into the brain and liver, causing neurological disorders and liver damage.
Oil spills on marine plants
In several aspects, aquatic plants are important to the functioning of ecosystems. These include the fact that they are oxygen producers, their ability to sequester carbon and for their base position in aquatic food chains. In addition, they serve as nursery, feeding and breeding habitats for a variety of animal and plant species, including recreationally and commercially important fish. Plants and animals are affected by the oil in which they come into contact with as a result of an oil spill. In their review of toxicities of oils, dispersants and dispersed oils to algae and aquatic plants.
Communities at risk of marine oil spills/anticipation and preparation
The threatening of marine environments with the petroleum oil spills has caught the attention of many communities, encouraging them to develop their own plans and policy issues. These have ranged from permitting or prohibiting increased oil transport volumes, to developing the capacity to respond to and recover from potential spill disasters.
Local communities that depend on the fishing industry, aquaculture and tourism should realize that the impact of an oil spill is governed by complex factors. These include the oil spill’s volume and location relative to fishing/cultivation areas, currents, tides and wave action. Other factors include whether species harvested in the region are sedentary or mobile, as well as government decisions relating to fishing bans and compensation schemes.
Economic impact of oil spills in the Eastern Region
Though Eastern Province (EP) has primarily an agriculture-based economy, it has an appreciable contribution to the national economy by way of Fish production and tourisms. Approximately, 25% of the nations fish production is generated by the EP and livelihood income of the fishing community employed in the coastal belt has a tremendous impact of the socio-economic status of the people. The EP has also received an unprecedented development in the tourism sector in the last few decades in that Pottuvil Arugam Bay, Lahugala Panama Beach, Pigeon Island, Nilaveli Beach have become attractive tourist destinations. Hence, any possible oil spill of a huge magnitude could have a devastating impact on all these vibrant economic sectors. Marine oil spills can have a serious impact not only on marine life, but on the gamut of all economic coastal activities and the communities that exploit the resources of the sea as seen above.
Involvement of multiplicity of Players
All in all, the joint efforts put in by Sri Lanka Navy, Air Force, Ports Authority and our Indian counterparts in dousing this fire have to be commended. His Excellency’s timely appreciation to all the players in averting this major calamity is most praiseworthy. It would be grossly unfair, if the names of the Chairperson and the General Manager of the Marine Environment Protection Authority namely Mrs. Dharshani Lahandapura and Dr. Terny Pradeep Kumara gone unnoticed for the magnificent roles they played behind the scene in educating the public and the media as to the possible marine consequences that could have arisen of this catastrophe as well as the mitigatory measures silently adopted to meet the possible oil spill.
Ironically, the above incident has raised many unanswered questions as a whole. As organizations, how much of advanced preparedness the authorities have set in motion to avert maritime catastrophes of this magnitude. Sri Lanka is woefully lacking the sources and resources to meet any eventuality of this magnitude, though it is claimed as a major maritime hub. As committed institutions, what proactive measures have we taken as a nation to deal with the sensitive marine ecosystems referred to above. It is intended to deal with these aspects in a separate column in due course.
India and China opting to make positive impact in Ukraine
In what could be considered the most thought provoking development to date in the global politics growing out of the Russian invasion of Ukraine, China and India have called on Russia and Ukraine to go for a negotiated solution to the crisis. Of particular importance is Chinese Foreign Minister Wang Yi’s pronouncement to the effect that the parties need to ‘keep the crisis from spilling over and affecting developing countries.’
Elaborating on this policy position, Wang Yi was quoted saying: ‘China supports all efforts conducive to a peaceful resolution of the Ukraine crisis. The fundamental solution is to address the legitimate security concerns of all parties and build a balanced, effective and sustainable security architecture.’
As pointed out by some commentators, this stance by China is indeed a far cry from the unconditional support extended to Russia by China in all matters of vital importance to the former. In other words, it is a comedown of sorts from the ‘all weather friendship’ that was seen as binding the countries.
As explicit as the Chinese Foreign Minister on this question was India’s Foreign Minister Subrahmanyam Jaishankar. He said: ‘As the Ukraine conflict continues to rage, we are often asked whose side we are on. Our answer, each time, is straight and honest – India is on the side of peace and will remain firmly there. We are on the side that calls for dialogue and diplomacy as the only way out.’
Hard ground realities and economic pressures that are extending well beyond the Eastern European theatre could be considered as compelling China and India to adopt this policy stance on the Ukraine crisis. It is plain to see, for instance, that the Russian invasion is meeting stubborn Ukrainian military resistance which is rendering the invasion a highly costly exercise for Moscow.
Despite the initiation of some desperate measures by the Putin regime, such as the partial mobilization of Russia’s citizenry for the war effort and the holding of ‘referendums’ in territory seized from Ukraine in an effort to legitimize Russia’s hold on it, the invasion could be considered as having all but stalled. On the other hand, the Ukrainian resistance seems to be having ample resolve and morale. Bolstered by recently supplied sophisticated Western weaponry, it has more than taken the fight back to the Russian invaders.
Evidently, then, Russia’s war effort is not going according to plan. However, the human costs, in particular, for both main sides to the conflict are prohibitive. Ukraine civilians are being subjected to a bloodletting that civilized sections the world over are recoiling from in horror. They could be said to be at the receiving end of state-inspired barbarism.
On the other hand, the majority of Russian civilians ought to be seeing themselves as nothing less than cannon fodder in Russian strongman Putin’s efforts to resurrect the defunct Soviet empire, now that they are being forcibly conscripted into an apparently futile war effort.
All this and more, ‘on the ground’, is clearly evident to both the friends and foes of Russia. They are likely to be of the view that the senseless war ought to be brought to a close.
On the other hand, to a greater or lesser degree, all countries are currently experiencing the adverse economic effects of the war. As is known, the Ukraine invasion is a principal cause for the worldwide rise in food and energy prices. If stagflation is fast spreading in the world and the more vulnerable sections among citizenries are sinking further into poverty and disempowerment it is, to a considerable extent, due to the Russian invasion of Ukraine and its ill effects.
China and India, two of the foremost economic powers of the South, ought to be fully alert to these realities. Among other things, they know for certain that there could be no economic growth for them and the world amid mounting material hardships and the steady impoverishment of people.
To re-state a fundamental axiom in classical economics, there could be no demand for goods and services if people lack the power to purchase, which comes from money in hand. And without the exercising of demand the production of goods and services comes to a grinding halt. That is, economies crumble. This is happening in the South right now.
The inference is inescapable from the foregoing that the invasion of Ukraine must end and that needs to be achieved by political means since a continuation of armed hostilities would only beget more war and its ill-consequences. Accordingly, China and India would prefer to have a negotiated solution to the Ukraine crisis.
A peek at recent growth trends in India and China would disclose the extent to which these economies have been dependent on the growing prosperity of their upper and middle classes to nourish their material fortunes. A report published in this newspaper on September 21, 2022 said, among other things, that by 2026, India’s dollar millionaires are expected to double. During the 2021- 2026 period China’s dollar millionaires are expected to grow by 97 per cent. It is these classes that have been keeping their economies ticking in recent decades by virtue of their growing purchasing power. Their purchasing power has steadily translated into a strong indigenous manufacturing base, among other things.
It does not follow from the foregoing that economic equity is a very strong point of India and China. That would necessitate a steady trickling down of wealth to the economically lower classes but we would certainly be having growth and that has been happening markedly in India and China.
Likewise, the prosperity of their neighbours as well as that of the rest of the world contributes positively towards the growth stories of India and China. While India and China have been interacting positively in the economic field over the decades on the basis of their increasing economic power and thereby gaining mutually, it will be to their advantage to ensure that their neighbours too advance towards economic wellbeing.
This accounts for the ready extension by India and China of economic assistance to Sri Lanka in its current woes. Indeed, India and China would extend their largesse to other countries in the region in their hour of need as well because the growth successes of these economic giants are predicated upon the prosperity of their neighbours, among other factors. In the absence of a degree of economic prosperity, these smaller neighbours could not expect to interact effectively in the economic sphere with India and China and gain significantly by it.
Accordingly, it will be in the national interest of India and China to call on Russia and Ukraine to go for a negotiated settlement. If the conflict is thus ended it will not only benefit India and China but the rest of the world as well, considering that the conflict is exerting widespread economic ill-effects.
‘Use heart for every heart’
World Heart Day 2022
By Dr.Mohan Jayatilake
Former President of Sri Lanka Heart Association
The theme of World Heart Day 2022 is “USE HEART FOR EVERY HEART”. The World Heart Federation has created this day to raise awareness about Cardiovascular Diseases (CVD).
Every year, on September 29th, people all over the world celebrate Heart Day as a way to draw attention to cardiovascular illnesses, their management as well as the worldwide toll they take on society. World Heart Day was created in the year 2000 to inform people around the globe that Heart diseases and Stroke are the world’s leading cause of death, claiming 17.9 million lives every year. According to WHO statistics, 82% of deaths occurring in low and middle-income countries are due to lack of resources.
Together with members of the World Heart Federation, we need to spread the news that at least 80% of premature deaths, from heart disease and stroke, could be avoided if the main risk factors, heavy smoking, unhealthy diet, reduced physical activity, and alcoholism, are controlled.
Increased high blood pressure, increased blood sugar levels, being obese, or overweight, are all side effects of living a bad lifestyle that may harm your heart.
The world was battling the Covid-19 pandemic for the last two years. Unfortunately, patients, with CVD, are more vulnerable and have become high risk groups. Heart patients are susceptible to get a more severe form of Covid-19 infection which could make matters worse.
National activities such as public talks, cardiovascular screening, walks, runs, concerts or sporting events are organised worldwide by members and partners of World Heart Federation.
Global leaders have recognised the urgency to give priority to prevention and control of heart diseases with other non-communicable diseases (NCD) which include cancer, diabetics and chronic lung diseases.
This year also, according to the theme, we ask people to take charge of their home’s heart health by taking steps to reduce the burden of the following risks:
Stop smoking to improve your own and your children’s heart health.
Cigarette smokers are 2-4 times more prone to get heart disease and strokes, than non-smokers. Stopping smoking dramatically reduces the risk of heart disease, strokes and deaths.
A Few steps for successful cessation
Find your reason – strong motivation will help.
Line up support in advance – medical assistance
Lean on your loved ones
Find new ways to relax/unwind – stress can make a person fall back to smoking. Music, meditation, yoga or any other activity will help to alleviate stress.
Try and try again
– you only need to try again and again to achieve your target, even though you are unsuccessful in your first attempt.
Avoid alcohol and other triggers.
Physical exercise always helps to alleviate stress and avoid triggers of smoking.
Healthy diet at home
Unhealthy diet is at the root of many health issues, especially obesity, diabetics and CVD. Rapid urbanisation, changing lifestyles and easy accessibility of fast foods have made our dietary patterns unhealthy. Following are some healthy food patterns:
Limit saturated and trans fats
Plenty of fruits and vegetables
At least five portions of fruits and vegetables per day should be a norm of your dietary habits. You should opt for low fat milk and dairy products.
Animal products, mainly beef, pork, poultry with skin, mutton, lard, butter, cheese carry a lot of saturated fat. Trans fats are contained in baked, processed and fried food items, certain margarines and spreads. In order to cut down saturated and trans fats, consume lean meats, poultry without skin, low fat dairy products, fish and nuts. Vegetable oils should be in moderation.
It is recommended that adults should do at least 150 minutes of moderate intensity physical activity or at least 75 minutes of high intensity physical activity per week.
Families should limit the amount of time spent in front of TV to less than two hours per day.
Exercise should be a regular part of your life. Due to the Covid pandemic, public exercise facilities are closed and most of the time movement of people is restricted. Therefore, home-based exercises were adopted to make exercises an enjoyable task.
The world is now facing visible epidemic of obesity. It not only adversely affects your cardiovascular health, but also can affect your mental well-being.
The ways to lose weight effectively,
Do not skip meals – it will make you hungrier and go for more snacks.
Plenty of fruits and vegetables
– exercise burns off excess calories.
Use a smaller plate – eating smaller portions definitely reduces weight.
Do not ban foods
– you can enjoy an occasional treat otherwise you crave them more.
Cut down on alcohol
– it can make you gain weight.
Psychological health and well-being can affect your cardiovascular health. Regular exercise, practising relaxation, being with your family and friends sometimes, adequate sleep, various hobbies, and maintaining positive attitudes towards life.
Know your numbers
Visit your doctor or healthcare professional.
Know your blood pressure which is one of the risk factors for CVD. Check regularly and take steps to control it including salt intake, exercises and medication.
Know your cholesterol – high cholesterol is another major risk factor for CVD. It should be checked regularly and controlled with dietary measures and medication.
Know your blood sugar – diabetics, conditions with high blood sugar levels multiply CVD risk. Diet control and medication required to control it.
Know your warning signs
Recognising symptoms of CVD can help you survive because earlier the treatment better the chances of survival.
Chest pain of tightening or burning in nature with pain radiating down the upper limbs or to the neck or back associated with sweating and nausea is the typical presentation of heart attacks. Sometimes heart burn or burning tummy pain could be due to a heart attack rather than gastritis or indigestion.
Sudden weakness of limbs, slurring of speech, mouth deviation or double vision could be due to a stroke. Knowing these symptoms and seeking medical assistance allow you to get treatment early and prevent complications which can be life threatening most of the time.
Take your medicine regularly and correctly
If you are already diagnosed with a heart disease or stroke, taking your medication, without fail, will reduce the chances of getting another attack of stroke or heart disease
Measures during pandemic
The Covid-19 pandemic has created havoc, globally. People with CVD fall into very high risk category.
Therefore it is important to,
Continue your medication uninterruptedly
Follow medical advice
Continue exercise and balance diet.
Maintain your social network and
Do not hesitate to take vaccination.
By doing the household steps, mentioned above, you and your family can reduce the burden of heart diseases.
Breastfeeding and lifelong health
Breastfeeding is the best form of nutrition for newborn and infants, according to WHO. Increasing public awareness is important. Infants who are breastfed tend to have lower cholesterol and blood pressure as well as lower rates of overweight and obesity all of which improve cardiac health.
Both undernourished and over nourished, early in life, can increase the risk for developing CVD. Evidence suggests that children who are undernourished while in the uterus and at childbirth bear a higher CVD risk later in life.
Maternal obesity during pregnancy has been associated with obesity in children which also increases the risk of developing CVD in life.
As always, our emphasis will be on improving heart health across all nations in adult male and female, as well as children.
By adopting lifestyle changes, people all over the world can have longer and better lives through the prevention and control of heart disease and strokes.
Doctors…taking a break
When we think of doctors, what comes to mind is medicine, patients, etc., and that’s only natural as doctors are our saviours…when we are ill.
We would hardly associate doctors with entertainment, and that’s where most of us are wrong.
I’ve been to a couple of concerts where these men of medicine have excelled, on stage, as entertainers, and some of them, I would say, are super-duper.
Yes, the Annual Sri Lanka Medical Association Doctors’ Concert is a much-looked-forward to musical extravaganza where the doctors, and their families, are provided the unique opportunity to showcase their talents, in performing arts.
It is usually held on the final day of the Annual Scientific Congress of the Sri Lanka Medical Association (SLMA), and it’s all happening this Saturday, October 1st, at the Lotus Room of the BMICH.
Says Dr. B.J.C.Perera, Senior Consultant Paediatrician:
“It is a common belief that medical doctors are a sombre set of people who are mainly involved in looking after people with illnesses. True enough, they do perform that ever so immensely important task in society, and such a mission is by no means to be taken lightly, in view of its tremendous significance. Healing the sick is certainly a noble task and many of them are renowned performers, as well as experts in their own chosen specialties of the profession.
“However, it may come as a surprise to many that several of these medical men, and women, have other talents – musical, acting, drama, etc. There are very many extremely gifted performers of real class amongst our medical men, and women. In recognition of this, the SLMA has provided an opportunity for these artistic men, and women, to showcase their talents, and flair, in the performing arts, at the glittering SLMA Doctors’ Concert.
“This is a much-anticipated opportunity for members of the medical profession, and their family members, to put their hair down and forget medicine, at least for an evening. The Doctors’ Concert was started many years ago as a rather informal event and it has a most proud tradition of being staged annually, for quite a few decades, in the history of the SLMA.
“A dedicated band, consisting mainly of doctors, first played at the concert, in 2014. This was in the Committee Room 1, currently the Lotus Room, of the BMICH. They performed on a small stage done for them on a side.
“The continuing progress of the event was due to the untiring efforts of that absolute virtuoso in music, a drummer himself, Dr. Christo Fernando. He left no stone unturned to make the event a resounding success, from 2014 onwards.”
This Saturday, October 1st, we will not see doctors, in their usual uniforms (Coats and Scrubs), stethoscopes, or anything connected with medicine, but entertainment, at its best…on stage!
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