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Respect the virus!

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BY Dr. Nimesh Rajapaksa

Let us start respecting the virus at least now. Boastful statements and media circuses will not help get rid of it. No country has been spared. Bigger and more powerful countries than us have been brought to their knees by it. The countries and States that were held as lighthouses of COVID control had to eat humble-pie within months.

Swift and decisive action taken by the President, the Armed Forces, the Public Health and Hospital staff from March to June protected us. We should ensure that the economic hit that we have taken so far should not be in vain. What can we learn from the current outbreak and what should we do?

Did it leak from the airport? Faulty quarantine? Introduced purposefully? Or is there a less dramatic, but a more concerning explanation?

Looking at what happened elsewhere in the world can give us insights. In the initial stage, around March and April this year, there was an explosion of cases and deaths in many countries in Europe and in the US. Evidence is now accumulating that this virus started circulating in these countries three or more months before this happened. Even in initially successful countries such as Australia, New Zealand and Vietnam (including Sri Lanka), mostly unexplained eruptions of cases occurred after 2-3 months of no indigenous cases being reported.

A conclusion that can be drawn from this is that the virus can circulate in the population causing no symptoms or causing minimal symptoms that people ignore for some time. This is borne out even in Sri Lanka where the vast majority of those diagnosed as harbouring the virus having no symptoms or minimal symptoms. Going by news reports, even though over 1,000 workers were infected in the factory at the epicentre of the current outbreak, only a proportion of them displayed symptoms, and only a handful needed hospital admission before it was diagnosed as COVID 19.

When a sufficiently large number say 100,000 in a population is infected, everyone begins to see that it is here. When it reaches such a figure, even if only 1% need intensive care, there will be around a thousand in ICUs. If the mortality even as low as 0.1% (one in one thousand), one hundred people would have died.

These figures are just for illustrative purposes and there are many technical aspects to consider and formulae to be used in such estimations. Mind you, official figures will not show the hundred thousand, because all of them would not have been tested.

For the virus to appear out of nowhere, the virus needs to be circulating in groups that will not show much symptoms, mainly in the younger and fitter people. When it reaches vulnerable groups, such as very old people or those with other conditions, we see hospitalizations.

This is assuming that it is suspected and diagnosed in hospitals. We may have been very lax during the previous three months even on this. In some hospitals even sending a routine PCR sample for surveillance purposes created a major stir, which discouraged the process.

A place where people work in relatively close quarters, regularly, for very long hours and then live in very close quarters in hostels, is an environment where respiratory viruses thrive. Overworked, tired and stressed employees who presumably possess less immunity would also make the virus very happy.

Since we have not been shown of a convincing explanation on how this started, we should not be blind to other other possibilities. If it cannot be proved that the virus was not imported directly to the factory which is at the epicentre of the current outbreak, we have to consider if it was circulating in a small scale outside and suddenly found the ideal nesting ground. It is a very concerning possibility that we should look at carefully.

However, we should also bear in mind that these conditions are ideal even for an accidental leak to this factory from faulty quarantine or any other way. This write-up is not intended to shift the culpability of what happened from anyone. It intends to look at other possibilities that we should guard against.

If this outbreak originated at this premises, we are on much better grounds to control it than in the case of it coming inside from an active asymptomatic chain in the community.

Although there were no reported cases of non-imported COVID in Sri Lanka for a relatively long period of time, there is the theoretical possibility that there could have been low-grade, asymptomatic or mildly symptomatic, and undetected chains of infection during this time.

The real-world sensitivity of the RT-PCR test for detecting the virus is 70-80%. It is much higher in controlled conditions. This means that it can identify 70-80 persons out of 100 persons that are actually having the virus in routine testing.

So, for every one hundred tested we will miss around 20. This is a crude generalization for explanatory purposes. The real technical aspect of this is more complex and nuanced and there are approaches to minimize this. Though a person is even tested three times, there is a statistical possibility of missing positive cases. Compounding this is the behaviour of the virus – the vast majority of those infected and capable of spreading it does not even know that they are infected.

By mid July, the country started working as before, public events were in full swing, and the usual unacceptable overcrowding of public transport and public offices became the norm again. Mask-wearers were rare as wings upon cats. Shows and religious gatherings were the norm rather than the exception.

Amidst this, the Kandakdu outbreak occurred in early July. By the second week of July, the election campaigns were in full swing. This was in the backdrop of infections linked to the Kanakadu cluster being identified in many parts of the country.

If there were a few low-grade chains of infections around, however small and remote, the election campaigns (of all the political parties) would have been ideal foil for amplifying the spread. The campaigning in earnest began around the 20th of July or just before. Large public gatherings with minimal precautions were seen throughout the country. This sense of normality was broadcast unfettered in the media adding to the complacency.

The Ministry of Health has gone on record that the symptoms began to appear in the affected factory around the 20th of September. The virus would have been in circulation in the factory since early September at least, for symptoms to appear by then. Early September is around 6 weeks (three incubation periods) from mid July. Theoretically, if the amplification of the spread occurred during the campaign period, this time line fits for an eruption to occur.

Let us hope that this is not what really happened. If it is true, there can be many other yet-unseen, low-grade chains of the virus spreading without being detected. One more reason to wish that this is not the case is that permission was given quite recklessly to conduct the Book Fair.

This attracted tens of thousands of people daily to gather in a relatively small area and the 18th to 27th of September. All this time, the Minuwangoda cluster was raging undetected and infecting thousands.

Many young people from all parts of the county mingled there daily and went back to their homes and hostels. There could have been many with the virus there, not knowing they had it. One can argue that the elections gatherings were local affairs, and if any chains were active these would be limited to their localities. This does not hold true for the Book Fair.

If another amplification happened there, we will only see the results in mid to late November or early December. Hopefully if any chains were started or amplified during this period they will be detected through intensified surveillance that will follow because of current outbreak. Such chains will appear as unrelated, unexplained clusters, which we may be seeing even now.

So what can be done now apart from the standard advise given to the public?

First, we should start respecting the virus and bring down our ego several notches. Respect does not mean fear, spinelessness or subjugation. We have accepted that we were lax, which is an excellent start.

We should also immediately start assuming that community spread has begun. This is the only way to prevent community spread if it is not taking place, or controlling it if it is occurring.

Most importantly, we should demystify and de-stigmatize the illness. Those infected with the virus are not to blame. Those who had infected others at workplaces and weddings have done so unknowingly. They are victims. Victims of those responsible for controlling the virus, who took their eyes off the ball. Victims of lobby groups that kept pushing for loosening restrictions to keep profiteering as before.

Public support will continue to dwindle if high-handed, uncaring and insensitive action continue to take place “against” such victims who are infected, and those who were exposed.

If the economy is to be protected, we should not allow events or activities that can amplify the spread without giving much economic benefits. Some examples are sports, concerts, events such as weddings, parties and funerals, religious gatherings, university and other higher education activities, tuition classes, continued operations of saloons, spas etc. Each day that we procrastinate, is a day of joy to the virus

We should also seriously consider shutting down the entire epicentre area. There are thousands of more factories and millions of jobs outside this zone. We should not jeopardize all these by obstinately continuing as before within this zone, for a few to profit at the expense of many. Short term pain is much more preferable to long-term agony.

We can minimize crowding in public transport as we did earlier. All institutions should have a business continuity plan – making sure all employees are not exposed at once to any person or group with the virus. Public and private institutions should not have to involuntarily cut down their activities due to unforeseen exposure of staff. It will be much graver than a controlled slowing down according to a plan, operating with minimum staff and dividing staff into groups. This is nothing new. We did all of this only a few months ago.

There is more action that can be taken, although it may not be politically palatable or acceptable to businesses. The businesses that have made huge profits in the past, but refuse to pay their employees and pretend that they will collapse if closed for two weeks.

We should also realize the less effective action. For example, most of the infected do not show symptoms. Therefore, checking temperatures (even correctly) has only a small protective value although it has a large symbolic value.

Through all this, we have been shown very clearly that people should be treated as people. Not “human resources”. Resources are there for exploitation for profit. This is exactly what seems to have happened at the epicentre. It may still be happening. If the workers were treated as humans, this outbreak would have been detected much earlier. Things would have been back to normal by now.



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The heart-friendly health minister

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Dr. Ramesh Pathirana

by Dr Gotabhya Ranasinghe
Senior Consultant Cardiologist
National Hospital Sri Lanka

When we sought a meeting with Hon Dr. Ramesh Pathirana, Minister of Health, he graciously cleared his busy schedule to accommodate us. Renowned for his attentive listening and deep understanding, Minister Pathirana is dedicated to advancing the health sector. His openness and transparency exemplify the qualities of an exemplary politician and minister.

Dr. Palitha Mahipala, the current Health Secretary, demonstrates both commendable enthusiasm and unwavering support. This combination of attributes makes him a highly compatible colleague for the esteemed Minister of Health.

Our discussion centered on a project that has been in the works for the past 30 years, one that no other minister had managed to advance.

Minister Pathirana, however, recognized the project’s significance and its potential to revolutionize care for heart patients.

The project involves the construction of a state-of-the-art facility at the premises of the National Hospital Colombo. The project’s location within the premises of the National Hospital underscores its importance and relevance to the healthcare infrastructure of the nation.

This facility will include a cardiology building and a tertiary care center, equipped with the latest technology to handle and treat all types of heart-related conditions and surgeries.

Securing funding was a major milestone for this initiative. Minister Pathirana successfully obtained approval for a $40 billion loan from the Asian Development Bank. With the funding in place, the foundation stone is scheduled to be laid in September this year, and construction will begin in January 2025.

This project guarantees a consistent and uninterrupted supply of stents and related medications for heart patients. As a result, patients will have timely access to essential medical supplies during their treatment and recovery. By securing these critical resources, the project aims to enhance patient outcomes, minimize treatment delays, and maintain the highest standards of cardiac care.

Upon its fruition, this monumental building will serve as a beacon of hope and healing, symbolizing the unwavering dedication to improving patient outcomes and fostering a healthier society.We anticipate a future marked by significant progress and positive outcomes in Sri Lanka’s cardiovascular treatment landscape within the foreseeable timeframe.

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A LOVING TRIBUTE TO JESUIT FR. ALOYSIUS PIERIS ON HIS 90th BIRTHDAY

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Fr. Aloysius Pieris, SJ was awarded the prestigious honorary Doctorate of Literature (D.Litt) by the Chancellor of the University of Kelaniya, the Most Venerable Welamitiyawe Dharmakirthi Sri Kusala Dhamma Thera on Nov. 23, 2019.

by Fr. Emmanuel Fernando, OMI

Jesuit Fr. Aloysius Pieris (affectionately called Fr. Aloy) celebrated his 90th birthday on April 9, 2024 and I, as the editor of our Oblate Journal, THE MISSIONARY OBLATE had gone to press by that time. Immediately I decided to publish an article, appreciating the untiring selfless services he continues to offer for inter-Faith dialogue, the renewal of the Catholic Church, his concern for the poor and the suffering Sri Lankan masses and to me, the present writer.

It was in 1988, when I was appointed Director of the Oblate Scholastics at Ampitiya by the then Oblate Provincial Fr. Anselm Silva, that I came to know Fr. Aloy more closely. Knowing well his expertise in matters spiritual, theological, Indological and pastoral, and with the collaborative spirit of my companion-formators, our Oblate Scholastics were sent to Tulana, the Research and Encounter Centre, Kelaniya, of which he is the Founder-Director, for ‘exposure-programmes’ on matters spiritual, biblical, theological and pastoral. Some of these dimensions according to my view and that of my companion-formators, were not available at the National Seminary, Ampitiya.

Ever since that time, our Oblate formators/ accompaniers at the Oblate Scholasticate, Ampitiya , have continued to send our Oblate Scholastics to Tulana Centre for deepening their insights and convictions regarding matters needed to serve the people in today’s context. Fr. Aloy also had tried very enthusiastically with the Oblate team headed by Frs. Oswald Firth and Clement Waidyasekara to begin a Theologate, directed by the Religious Congregations in Sri Lanka, for the contextual formation/ accompaniment of their members. It should very well be a desired goal of the Leaders / Provincials of the Religious Congregations.

Besides being a formator/accompanier at the Oblate Scholasticate, I was entrusted also with the task of editing and publishing our Oblate journal, ‘The Missionary Oblate’. To maintain the quality of the journal I continue to depend on Fr. Aloy for his thought-provoking and stimulating articles on Biblical Spirituality, Biblical Theology and Ecclesiology. I am very grateful to him for his generous assistance. Of late, his writings on renewal of the Church, initiated by Pope St. John XX111 and continued by Pope Francis through the Synodal path, published in our Oblate journal, enable our readers to focus their attention also on the needed renewal in the Catholic Church in Sri Lanka. Fr. Aloy appreciated very much the Synodal path adopted by the Jesuit Pope Francis for the renewal of the Church, rooted very much on prayerful discernment. In my Religious and presbyteral life, Fr.Aloy continues to be my spiritual animator / guide and ongoing formator / acccompanier.

Fr. Aloysius Pieris, BA Hons (Lond), LPh (SHC, India), STL (PFT, Naples), PhD (SLU/VC), ThD (Tilburg), D.Ltt (KU), has been one of the eminent Asian theologians well recognized internationally and one who has lectured and held visiting chairs in many universities both in the West and in the East. Many members of Religious Congregations from Asian countries have benefited from his lectures and guidance in the East Asian Pastoral Institute (EAPI) in Manila, Philippines. He had been a Theologian consulted by the Federation of Asian Bishops’ Conferences for many years. During his professorship at the Gregorian University in Rome, he was called to be a member of a special group of advisers on other religions consulted by Pope Paul VI.

Fr. Aloy is the author of more than 30 books and well over 500 Research Papers. Some of his books and articles have been translated and published in several countries. Among those books, one can find the following: 1) The Genesis of an Asian Theology of Liberation (An Autobiographical Excursus on the Art of Theologising in Asia, 2) An Asian Theology of Liberation, 3) Providential Timeliness of Vatican 11 (a long-overdue halt to a scandalous millennium, 4) Give Vatican 11 a chance, 5) Leadership in the Church, 6) Relishing our faith in working for justice (Themes for study and discussion), 7) A Message meant mainly, not exclusively for Jesuits (Background information necessary for helping Francis renew the Church), 8) Lent in Lanka (Reflections and Resolutions, 9) Love meets wisdom (A Christian Experience of Buddhism, 10) Fire and Water 11) God’s Reign for God’s poor, 12) Our Unhiddden Agenda (How we Jesuits work, pray and form our men). He is also the Editor of two journals, Vagdevi, Journal of Religious Reflection and Dialogue, New Series.

Fr. Aloy has a BA in Pali and Sanskrit from the University of London and a Ph.D in Buddhist Philosophy from the University of Sri Lankan, Vidyodaya Campus. On Nov. 23, 2019, he was awarded the prestigious honorary Doctorate of Literature (D.Litt) by the Chancellor of the University of Kelaniya, the Most Venerable Welamitiyawe Dharmakirthi Sri Kusala Dhamma Thera.

Fr. Aloy continues to be a promoter of Gospel values and virtues. Justice as a constitutive dimension of love and social concern for the downtrodden masses are very much noted in his life and work. He had very much appreciated the commitment of the late Fr. Joseph (Joe) Fernando, the National Director of the Social and Economic Centre (SEDEC) for the poor.

In Sri Lanka, a few religious Congregations – the Good Shepherd Sisters, the Christian Brothers, the Marist Brothers and the Oblates – have invited him to animate their members especially during their Provincial Congresses, Chapters and International Conferences. The mainline Christian Churches also have sought his advice and followed his seminars. I, for one, regret very much, that the Sri Lankan authorities of the Catholic Church –today’s Hierarchy—- have not sought Fr.

Aloy’s expertise for the renewal of the Catholic Church in Sri Lanka and thus have not benefited from the immense store of wisdom and insight that he can offer to our local Church while the Sri Lankan bishops who governed the Catholic church in the immediate aftermath of the Second Vatican Council (Edmund Fernando OMI, Anthony de Saram, Leo Nanayakkara OSB, Frank Marcus Fernando, Paul Perera,) visited him and consulted him on many matters. Among the Tamil Bishops, Bishop Rayappu Joseph was keeping close contact with him and Bishop J. Deogupillai hosted him and his team visiting him after the horrible Black July massacre of Tamils.

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A fairy tale, success or debacle

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Ministers S. Iswaran and Malik Samarawickrama signing the joint statement to launch FTA negotiations. (Picture courtesy IPS)

Sri Lanka-Singapore Free Trade Agreement

By Gomi Senadhira
senadhiragomi@gmail.com

“You might tell fairy tales, but the progress of a country cannot be achieved through such narratives. A country cannot be developed by making false promises. The country moved backward because of the electoral promises made by political parties throughout time. We have witnessed that the ultimate result of this is the country becoming bankrupt. Unfortunately, many segments of the population have not come to realize this yet.” – President Ranil Wickremesinghe, 2024 Budget speech

Any Sri Lankan would agree with the above words of President Wickremesinghe on the false promises our politicians and officials make and the fairy tales they narrate which bankrupted this country. So, to understand this, let’s look at one such fairy tale with lots of false promises; Ranil Wickremesinghe’s greatest achievement in the area of international trade and investment promotion during the Yahapalana period, Sri Lanka-Singapore Free Trade Agreement (SLSFTA).

It is appropriate and timely to do it now as Finance Minister Wickremesinghe has just presented to parliament a bill on the National Policy on Economic Transformation which includes the establishment of an Office for International Trade and the Sri Lanka Institute of Economics and International Trade.

Was SLSFTA a “Cleverly negotiated Free Trade Agreement” as stated by the (former) Minister of Development Strategies and International Trade Malik Samarawickrama during the Parliamentary Debate on the SLSFTA in July 2018, or a colossal blunder covered up with lies, false promises, and fairy tales? After SLSFTA was signed there were a number of fairy tales published on this agreement by the Ministry of Development Strategies and International, Institute of Policy Studies, and others.

However, for this article, I would like to limit my comments to the speech by Minister Samarawickrama during the Parliamentary Debate, and the two most important areas in the agreement which were covered up with lies, fairy tales, and false promises, namely: revenue loss for Sri Lanka and Investment from Singapore. On the other important area, “Waste products dumping” I do not want to comment here as I have written extensively on the issue.

1. The revenue loss

During the Parliamentary Debate in July 2018, Minister Samarawickrama stated “…. let me reiterate that this FTA with Singapore has been very cleverly negotiated by us…. The liberalisation programme under this FTA has been carefully designed to have the least impact on domestic industry and revenue collection. We have included all revenue sensitive items in the negative list of items which will not be subject to removal of tariff. Therefore, 97.8% revenue from Customs duty is protected. Our tariff liberalisation will take place over a period of 12-15 years! In fact, the revenue earned through tariffs on goods imported from Singapore last year was Rs. 35 billion.

The revenue loss for over the next 15 years due to the FTA is only Rs. 733 million– which when annualised, on average, is just Rs. 51 million. That is just 0.14% per year! So anyone who claims the Singapore FTA causes revenue loss to the Government cannot do basic arithmetic! Mr. Speaker, in conclusion, I call on my fellow members of this House – don’t mislead the public with baseless criticism that is not grounded in facts. Don’t look at petty politics and use these issues for your own political survival.”

I was surprised to read the minister’s speech because an article published in January 2018 in “The Straits Times“, based on information released by the Singaporean Negotiators stated, “…. With the FTA, tariff savings for Singapore exports are estimated to hit $10 million annually“.

As the annual tariff savings (that is the revenue loss for Sri Lanka) calculated by the Singaporean Negotiators, Singaporean $ 10 million (Sri Lankan rupees 1,200 million in 2018) was way above the rupees’ 733 million revenue loss for 15 years estimated by the Sri Lankan negotiators, it was clear to any observer that one of the parties to the agreement had not done the basic arithmetic!

Six years later, according to a report published by “The Morning” newspaper, speaking at the Committee on Public Finance (COPF) on 7th May 2024, Mr Samarawickrama’s chief trade negotiator K.J. Weerasinghehad had admitted “…. that forecasted revenue loss for the Government of Sri Lanka through the Singapore FTA is Rs. 450 million in 2023 and Rs. 1.3 billion in 2024.”

If these numbers are correct, as tariff liberalisation under the SLSFTA has just started, we will pass Rs 2 billion very soon. Then, the question is how Sri Lanka’s trade negotiators made such a colossal blunder. Didn’t they do their basic arithmetic? If they didn’t know how to do basic arithmetic they should have at least done their basic readings. For example, the headline of the article published in The Straits Times in January 2018 was “Singapore, Sri Lanka sign FTA, annual savings of $10m expected”.

Anyway, as Sri Lanka’s chief negotiator reiterated at the COPF meeting that “…. since 99% of the tariffs in Singapore have zero rates of duty, Sri Lanka has agreed on 80% tariff liberalisation over a period of 15 years while expecting Singapore investments to address the imbalance in trade,” let’s turn towards investment.

Investment from Singapore

In July 2018, speaking during the Parliamentary Debate on the FTA this is what Minister Malik Samarawickrama stated on investment from Singapore, “Already, thanks to this FTA, in just the past two-and-a-half months since the agreement came into effect we have received a proposal from Singapore for investment amounting to $ 14.8 billion in an oil refinery for export of petroleum products. In addition, we have proposals for a steel manufacturing plant for exports ($ 1 billion investment), flour milling plant ($ 50 million), sugar refinery ($ 200 million). This adds up to more than $ 16.05 billion in the pipeline on these projects alone.

And all of these projects will create thousands of more jobs for our people. In principle approval has already been granted by the BOI and the investors are awaiting the release of land the environmental approvals to commence the project.

I request the Opposition and those with vested interests to change their narrow-minded thinking and join us to develop our country. We must always look at what is best for the whole community, not just the few who may oppose. We owe it to our people to courageously take decisions that will change their lives for the better.”

According to the media report I quoted earlier, speaking at the Committee on Public Finance (COPF) Chief Negotiator Weerasinghe has admitted that Sri Lanka was not happy with overall Singapore investments that have come in the past few years in return for the trade liberalisation under the Singapore-Sri Lanka Free Trade Agreement. He has added that between 2021 and 2023 the total investment from Singapore had been around $162 million!

What happened to those projects worth $16 billion negotiated, thanks to the SLSFTA, in just the two-and-a-half months after the agreement came into effect and approved by the BOI? I do not know about the steel manufacturing plant for exports ($ 1 billion investment), flour milling plant ($ 50 million) and sugar refinery ($ 200 million).

However, story of the multibillion-dollar investment in the Petroleum Refinery unfolded in a manner that would qualify it as the best fairy tale with false promises presented by our politicians and the officials, prior to 2019 elections.

Though many Sri Lankans got to know, through the media which repeatedly highlighted a plethora of issues surrounding the project and the questionable credentials of the Singaporean investor, the construction work on the Mirrijiwela Oil Refinery along with the cement factory began on the24th of March 2019 with a bang and Minister Ranil Wickremesinghe and his ministers along with the foreign and local dignitaries laid the foundation stones.

That was few months before the 2019 Presidential elections. Inaugurating the construction work Prime Minister Ranil Wickremesinghe said the projects will create thousands of job opportunities in the area and surrounding districts.

The oil refinery, which was to be built over 200 acres of land, with the capacity to refine 200,000 barrels of crude oil per day, was to generate US$7 billion of exports and create 1,500 direct and 3,000 indirect jobs. The construction of the refinery was to be completed in 44 months. Four years later, in August 2023 the Cabinet of Ministers approved the proposal presented by President Ranil Wickremesinghe to cancel the agreement with the investors of the refinery as the project has not been implemented! Can they explain to the country how much money was wasted to produce that fairy tale?

It is obvious that the President, ministers, and officials had made huge blunders and had deliberately misled the public and the parliament on the revenue loss and potential investment from SLSFTA with fairy tales and false promises.

As the president himself said, a country cannot be developed by making false promises or with fairy tales and these false promises and fairy tales had bankrupted the country. “Unfortunately, many segments of the population have not come to realize this yet”.

(The writer, a specialist and an activist on trade and development issues . )

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