Plight of children
in the Wanni
I would like to share with the readers some of our experiences and
observations on the health status and the lifestyle of the people
in the Wanni area.
About 10 to
12 families of doctors and their friends had the opportunity to
spend the Vesak weekend at the Madhu camp. The number of refugees
in this camp has come down from 36,000 to about 3,000 with the people
returning to their original homes.
We were able
to obtain reasonably accurate information about the health status
and the living conditions of the people in the Wanni by conducting
medical clinics in four different locations in the region.
The farthest
clinic was conducted in a dilapidated school building at the seaside
village of Vellankulam situated along the A 36 highway midway between
Mannar and Pooneryn on the western border of the Kilinochchi district.
The approach
to Vellankulam through the Wanni jungle tracks provided us the opportunity
to see the remote villages of the Wanni. The four of us in the family
were able to examine about 250 children and adults. The problems
the people face in these areas especially the disease patterns of
the children are quite different from what we see in other parts
of the country.
The main A 36
highway is now a gravel road with no four-wheel motor vehicles on
the road except the odd Austin A40 or an Austin Cambridge parked
near a garage. The only well maintained structures are the LTTE
war heroes' cemeteries. The houses, the schools, the churches are
all dilapidated. The tell-tale marks of shelling were evident on
the school walls. The schools consist of open roofs and old desks
and chairs with broken legs.
Until recently
a litre of petrol was Rs. 250. People are landlocked, have not been
allowed to move out even to Jaffna or Mannar, let alone the south.
LTTE customs clearance is an essential requirement for anyone entering
or leaving the Wanni.
Even if the
people need to or could go, transport is a luxury. Bicycles with
the entire family loaded on to it are a common mode of travel. Motorcycles
were the luxury of a few.
We visited happy
children in an orphanage in Kilinochchi. They entertained us with
songs and served us delicious Palu fruit. They were pleading for
some cement to complete the floor of their dormitory and asbestos
sheets for the damaged roofs.
Among the children, whom we saw in a somewhat superficial manner
due to time constraints, chronic ear infections are rampant. We
saw children with chronic malaria and two cases of healed polio.
Many children
were anaemic and chronically malnourished. Night blindness due to
Vitamin A deficiency seems common with two cases of keratomalacia,
a condition that has caused permanent eye damage due to this deficiency.
The mega dose of Vitamin A given to children does not seem to reach
these ones.
There were retarded
children due to cerebral palsy and deaf children with no treatment
possible at all. Unlike in the south, young mothers here had three
to five children even though family planning services are supposed
to be available. There was a 12-year-old child with juvenile hypothyroidism
(lack of the thyroid hormone), who is getting retarded as he cannot
get adequate hormone replacement therapy.
Children do
get their routine vaccines; the efficacy of which, however, is questionable
as the electricity generation is controlled by the LTTE for a few
hours in the night. We had no idea of the vaccine coverage. These
vaccines lose their potency unless refrigerated. Bacterial skin
infections and dry skin were common skin diseases. Wheezing which
is a common paediatric problem in other parts of the country seems
to be surprisingly uncommon here, perhaps due to the absence of
environmental pollution.
Advanced cataracts
seem to be a common eye problem in the elderly. The spectrum of
childhood diseases I saw reminded me of what I saw in old Kegalle
Hospital 37 years ago.
There is one
small hospital for many a mile managed by an AMP but the drugs are
scarce. Nurses are not seen. There is one field midwife in the area.
She visits the hospital when there is a delivery. Home deliveries
do occur frequently.
We were lucky
to talk to local LTTE officers who were smartly dressed, getting
about on mobikes without number plates. The main Mannar Police Station
is situated in Vellankulam, a good 40 kms from the Mannar town we
know of. The local Wanni time is half an hour ahead of the Colombo
time.
This is a superficial
overview of the health situation in this area. Further details and
accurate information will be useful to plan proper health care strategies
needed early. Effective remedial measures are long overdue to these
people.
These unfortunate
children are the victims of the misdeeds of the elders of Sri Lanka.
They suffer for no fault of their own. We need to do something for
them ; sooner than later, or else it will be too late.
Dr. Maxie Fernandopulle
Consultant Paediatrician
Colombo 5
Critics
criticised: a review on reviews
Over the past 50 years, the theatre in Sri Lanka has developed in
the complementary fields of electronic sounds and sophisticated
lighting, imitating (sometimes successfully) its more exotic counterparts
both in the East and West. However, barring a few exceptions could
anyone claim that the quality of Western drama, music and dance
has kept pace?
Every genuine
follower of the performing arts in Sri Lanka expects the standards
of performers and directors to improve with time. Objective reviews
are, without doubt, the best barometer for any performer or director.
Though such reviews may not always be palatable, much benefit is
derived from weighing the comments impartially.
It is a pity
that many of the reviews covering drama, music and dance in the
recent past have failed to credit serious performers and perceptive
audiences with any degree of discernment. Rather, many are buttered
sops for "friends and relations".
Some reviews
are no more than a list of items on the programme, always ensuring
the names of the performers appear in print! Others "analyse"
the play, author or composer and throw in a few remarks about the
local performance for good measure. I remember the drama critic
whose reviews and wonderful command of the English language were
an excellent exercise for 'A' Level students. Unfortunately, the
critic conveyed nothing of value to the poor chaps who had slaved
hours to present a play on stage.
Perhaps the
most frightening prospect for the future of the arts in our country
is the review written by persons who know a smattering of the subject
they are evaluating: be it music, drama or dance. Here indeed is
proof that "a little knowledge is a dangerous thing".
With newer technology
and greater opportunities to travel, the theatre audience in Sri
Lanka has gained from exposure to international arts and become
very knowledgeable. Having had such experience, it is hard to suppress
a chuckle on reading of the world-class status conferred on some
performers, especially when one is fully aware that the performance
was no better than mediocre.
We can embark
on the long road of self-improvement only after we first acknowledge
that our artistes are a long way from achieving the laurels that
Muralitharan and Susanthika have earned in the field of sport.
Financial help
for arts, as for sport, from the Government is a dim light on the
horizon. Until such time when we can afford the luxuries that such
funding will bring, the plea from the world of local theatre to
all reviewers and critics should be for objectivity. Constructive
comments couched in language that does not hurt or offend will encourage
all performing groups ranging from schools to amateur groups.
Incidentally,
do reviewers need to curry favour when professional performers (sometimes
'imported' after retirement) give performances that are sub-standard
- sponsors, sit-down dinners or powerful lobbies notwithstanding?
Say your piece for the good of the performing arts please.
Let's hear a
drum roll for gutsy reviewers who reserve their accolades for performances
that truly deserve them. Exclusivity, it has been proved, only makes
the reward sweeter!
Andrew David
Colombo 6
Drugs
without names
At the Kandy and Peradeniya Hospitals, when drugs are dispensed
to patients, neither the name of the drug nor the strength in milligrams
is written on instruction labels.
This is a serious
matter and I wrote to the Kandy Hospital Director, urging him to
rectify this situation. But todate, nothing has been done.
A week ago,
I treated a two-year-old child with high fever as he had not improved
with certain tablets and capsules dispensed at the Peradeniya Teaching
Hospital.
The names of
the drugs were not stated on the packets and this made matters difficult.
Following this incident, I wrote to the Director of the Peradeniya
Hospital.
Hospital pharmacists
say they are too busy. But it is simply a lame excuse and not acceptable
as places like the Osu Sala in Kandy manage to label all drugs they
sell.
Dr. W. Y. Rambukwella
Kandy
Bush-Sharon:
bane of Palestinians
Israel's recent acts of intimidation, man-slaughter and territorial
aggression in Jenin and other parts of the Occupied Territories
have shocked the world.
Journalists
and aid workers were denied access to the Jenin refugee camp to
prevent the atrocities from coming to light. However, the news filtered
out.
Prime Minister
Sharon had the audacity to defy President Bush's peremptory orders
to withdraw his troops from Palestinian towns. It must have been
hard for Mr. Bush to come to terms with that kind of defiance, since
he is the self-proclaimed law enforcement agent of the world. In
the eyes of the Palestinians, the US has always been indifferent
to their plight. Ask any Palestinian what the bane of his life is
and he'll tell you it is Bush and Sharon.
Asif Ismeth
Moratuwa
Budget omission
hurts public servants
It is rather strange that the new government's budget has overlooked
the need for public sector salary increases.
Public sector
employees and pensioners looked forward to receiving a fair deal,
but to no avail.
It would be
beneficial if something could be done for both public servants and
pensioners who find it difficult to make ends meet.
J.M. Opatha
Ekala
Cricketing
gentlemen
Hats off to those gentlemen who stepped down from their positions
in the Cricket Board in defence of fairplay and moral principles,
without being cowed into submission.
No doubt they
may have felt hurt. But they can find consolation in the fact that
they played gentlemanly cricket, not only on the field but also
in office.
U.M.G. Goonetilleke
Polgasowita
Taking the
Tiger to water
Prime Minister Ranil Wickremesinghe is giving a free hand to the
Tigers in the north and the east to lure them to the negotiating
table.
He should be
reminded of the old saying: "You can take a horse to water,
but cannot make it drink."
Bhikkhu C. Mahinda
Makola
UNP's double
standards
The UNP's double standards are becoming obvious. The promises of
a new political culture and vision seem to be only a myth.
The selection
of heads of local bodies and the calibre of candidates amply demonstrated
this. Bar and wine shop owners, bookmakers and underworld characters
are now members of local bodies representing the so-called new-look
UNP. The party pledged that heads of local councils would be selected
strictly on the preferential votes polled. But what happened in
Kotte and a few other places was far from this pledge.
Disgusted Ratepayer
Dehiwela
How to rid EPF of corruption and lethargy
The Employees' Provident Fund gives a measure of safety for private
sector employees. However, the way the Fund is run today is far
from satisfactory. The systems and procedures are completely outmoded.
The Fund is
controlled by the Central Bank while the Labour Commissioner has
the responsibility of authorising the release of the money. Annual
general meetings are held, but the Board is not accountable to members.
Annual statements are late, and we do not know whether the accounts
are audited or not.
Retired persons
are generally sent from pillar to post by officials. One is fortunate
if money could be obtained after a few months of waiting. You are
sick by then. There is an organised gang that assists the embezzlement
of life-time savings of workers. It is reported that over a hundred
accounts have been plundered. The EPF management has so far not
officially made any announcement about this racket despite newspaper
reports. The new Minister of Labour may not be aware of this fraud.
The government
should change the management structure of the EPF immediately.
It should be
made an independent statutory body with a board of directors who
change every five years. There should be representatives from the
Labour Department, the Central Bank and the private sector. Qualified
and efficient staff should be recruited, preferably from the private
sector.
Accounts should
be prepared annually and an AGM held each year. An experienced chartered
accountant should be appointed as the chief internal auditor.
Payments should
be made to retiring members within 30 days.
An inquiry should
also be conducted into large-scale frauds that have allegedly taken
place at the EPF.
The government
must pay immediate compensation to those unfortunate people who
have been robbed of their only savings due to the mismanagement
of the EPF.
The Minister
of Labour should look into this matter and take suitable action.
H.K. Dharmadasa
Nugegoda
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