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REGISTERED AT THE DEPARTMENT OF POST QD/138/News/2021 SLMANEWS+ The Official eMagazine Of The Sri Lanka Medical Association January 2021 VOLUME 14 ISSUE 01 ISSN : 1800 – 4016 (Printed) www.slma.lk 2550 – 2778 (Online) Invoking “Professional Excellence towards blessings Holistic Healthcare” on Dr. & Mrs E. M. Wijerama Page 03 Presidential Address Pages 05-10 “Is science ever enough? Dare to play politics” Page 18 Call for abstracts and orations Pages 20-22 Dr Palitha Abeykoon: Special Envoy on COVID-19 Cover Story for WHO Page 26-28 Induction of the President of the SLMA - 2021
SLMANEWS+ ISSN : 1800 – 4016 (Printed) 2550 – 2778 (Online) “Wijerama House”, No. 6, Wijerama Mawatha, Colombo 07, Telephone: +94 112 693 324, Email: office@slma.lk SLMA News Editorial Committee 2021 Contents =Editor-in-Chief President’s Message 2 Professor Hasini Banneheke SLMA News-in-Brief 3-4 =Editorial Committee Dr. B.J.C. Perera Induction of the President of the SLMA-2021 Dr. Sarath Gamini De Silva 5-10 Presidential Address Professor Jennifer Perera Professor A. Pathmeswaran Event Coverage 12-13 Professor Nirmala Wijekoon New Council 2021 14-15 Dr. Achala Balasuriya Dr. Shehan Silva Professor Sampath Gunawardana Feature Articles Dr. Chathurie Suraweera History of The Sri Lanka College of Sexual Health and HIV Medicine 16-17 =Cover photo Anira Photo by “Is science ever enough? Dare to play politics” from Lancet 18 Mr. Amal Ranawaka Notices =MAGAZINE Design Call for abstracts, guidelines and list of awards Wasantha Siriwardena for free papers and posters 20-21 wasantha.siriwardena@gmail.com Call for orations 21-22 =LAYOUT U.R. Sampath Miscellany =Printing and Publishing A tribute to a legendary medical teacher, late Professor Eugene Wikramanayake 24-25 assistance ANANDA PRESS Dr Palitha Abeykoon: Appointed Special Envoy on T: + 94 11 277 4793 COVID-19 by the Director General of the World Health M: + 94 777 745 389 Organisation 26-28 S: www.anandapress.lk E: anandapress65@gmail.com A: 277, Hokandara Road, Voice of Youth Thalawathugoda, Sri Lanka Life at the slma: in harmony and flourishing 28 OUR ADVERTISERS =Glaxosmithkline SLMA President Pharmaceuticals Ltd Dr. Padma Gunaratne =Blue Ocean Group of Companies MBBS, MD(SL), FRCP =Anti-Malaria Campaign (Edin, Glasg, Lond), FCCP, =Prime Group Hon FRACP, FAAN, FWSO President, Sri Lanka Medical =Asset Group of Companies Association SLMA NEWS+ is published by the Sri Lanka Medical Association (SLMA). The views expressed in it are not necessarily those of the SLMA. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior written permission of the Editor. Permission may be sought directly from the SLMA, Wijerama House, No. 6, Wijerama Mawatha, Colombo 07, via telephone +94 112 693 324 or E-mail: office@slma.lk SLMANEWS+ January 2021 | 01
President’s Message Dear Colleagues, are conducive and are able to I allocate a separate room and feel honoured and a bathroom for themselves privileged for the could possibly be managed at opportunity to send home reducing the burden on this message to the Intermediate Centres and ease membership as the 127th the patient as well. President of the Sri Lanka As a result, it is essential Medial Association, the apex that the SLMA arranges professional organization of training programs for doctors the medical profession. to effectively handle home- This is a moment where management of asymptotic the need of the opinion of our COVID-19 patients in the Organization and the services future. of our profession to the day The issue of COVID-19 death to day lives of all Sri Lankans management in Sri Lanka was is required more than ever another important national before. concern that created unrest We have lived through among certain communities an year with the COVID-19 who believe that burial is an pandemic while trying to essential form of disposal of transform all our activities to the dead body. suit the “new normal”. The SLMA had a In fact, some activities have brainstorming session on been more successful when scientific information available compared to the pre-COVID on this subject and established era, while there is a lot left to be our position in this regard. desired in other activities such We are proud that the as organizing social activities you can participate with your release of the SLMA statement and education. family. cleared the doubts in the minds Distant Medical Education The COVID-19 infection is of many individuals who may is one such activity that did still raging in Sri Lanka with have been misinformed. much better than ever before an ever-rising number of cases Furthermore, it is important during the COVID-19 pandemic currently exceeding 40,000 to note that quelling the unrest in 2020. The SLMA was able and over 200 lives lost. While may improve the adherence to develop a fully-fledged adhering to Ministry of Health to guidelines on prevention auditorium from where we can Guidelines on prevention, the of COVID-19 infection and now address and educate any of way forward appears to be able improve contact tracing efforts. our members who are working to vaccinate all high-risk people Please check whether you in the remotest regions of the groups as soon as possible. receive the SLMA alerts via Island. I am glad that the SLMA SMS through which the SLMA I urge you to stay tuned, was able to take it up with the disseminates key information encourage your friends who Secretary to HE the President regarding many activities of are not already members to and was able to convince ours and also would appreciate become members of the SLMA, the authorities of the need the suggestions by the SLMA follow and interact with us via to expedite the process of members to be taken up our Facebook page, and let us purchasing vaccines. by SLMA this year for the know your expectations so that As with the escalating betterment of the medical we can organize and fulfil our number of cases of COVID-19, profession to improve the obligation to keep doctors up- it appears that a good number services to the Sri Lankan to-date. of Intermediate Centres are public. Please plan to join our inundated with asymptomatic Thank you Annual Scientific Sessions cases who are PCR positive. scheduled to be held from 27th Maintaining these centres are Dr. Padma Gunaratne – 30th in July 2021 under the prohibitively expensive for the MBBS, MD(SL), FRCP(Edin, theme “Professional Excellence Government. Glasg, Lond), FCCP, Hon towards Holistic Health Care”. Therefore, managing FRACP, FAAN, FWSO There will also be many asymptomatic patients President, Sri Lanka Medical social activities for which whose housing conditions Association 02 | January 2021 SLMANEWS+
SLMA News-in-brief Activities in December and January 2021 30th December 2020 A religious function was held at ‘Wijerama House’ to invoke blessings on Dr. & Mrs E. M. Wijerama and all past Presidents who are no more, by the President and Council 2020/21, the staff at SLMA office and other Colleges/ associations located at SLMA premises. The events unfolded with a chanting of pirith and almsgiving to Buddhist priests from Ashokaramaya Temple, Thimbirigasyaya. This was followed by religious rituals performed by Rev. Fr. Crispin Leo from St Peters Church, Moulavi Abdul Sathar from Maligawatte Islamic Centre and S Sandhana Krishna Aiyar from Wellawatte. The SLMA, jointly with the Sri Lanka Association of Geriatric in Elders’ homes” to State Minister Dr. Sudarshini Fernandopulle as Medicine (SLAGM) presented the of Primary Health Services, this group is at a very high risk of guideline on protecting “Persons Pandemics and COVID Prevention, contracting COVID-19. 31st December 2020 A brainstorming session on vaccine roll out in the country and compulsory cremation of COVID-19 dead bodies was held with the participation of experts in relevant fields and some council members of SLMA. 1st January 2021 T he inaugural council meeting was held on first January 2021 at the SLMA auditorium. The meeting was presided by Dr. Padma Gunaratne, President SLMA. The proceedings commenced with the traditional New Year reception held at 3.30 pm, followed by lighting of the oil lamp of learning and unveiling the portrait of Professor Indika Karunathilake, President of SLMA in 2020, by the new president. SLMANEWS+ January 2021 | 03
SLMA News-in-Brief 1st January 2021 T o mark the beginning of the year 2021, Sri Lanka Medical Association planted 5 native/endemic plants at Vihara Maha Devi Park to initiate the new concept of developing “Urban Forests”. The trees included Mee (මී ජාතියේ පොහොර ගස), Neem Tree (කොහොඹ), Indian Beech (මගුල් කරඳ), Hora tree (හොර) and Daly River Satinash (බටදොඹ). 2nd January 2021 6th January 2021 A team led by Dr. Padma Gunaratne, President SLMA had deliberations on containing the disease, vaccination, stroke care, protecting persons at elders’ homes and death management of COVID-19 infection A follow-up discussion on prevention of COVID with the Dr. P. B. Jayasundara, Secretary to His Excellency the President -19 pneumonia among of Sri Lanka. inmates of Elders’ homes was held with Dr. Sudarshini 5th January 2021 Fernandopulle, State Minister of Primary Health Services, Pandemics and COVID-19 Prevention, in the presence of representatives from SLMA, World Bank, the Ministry of Health and the National Secretariat for Elders. A n update on Vaccines was held at the SLMA Auditorium organized by the SLMA Media the proceedings carried out by Professor Ariyaranee Gnanadasan. The resource persons were Committee on fifth January 2021. It Dr. Chandima Jeewandara, was conducted in Sinhala Medium Senior Lecturer, Faculty of with the Tamil translations of Medical Sciences, University of Sri Jayawardenapura and Dr. Deepa Gamage, Consultant Epidemiologist, Epidemiology Unit, Ministry of Health. The session was chaired by Dr. Padma Gunaratne, President SLMA and compered by Dr. Pamitha Mahanama. The media seminar was attended by media personnel representing many media institutions. 04 | January 2021 SLMANEWS+
Presidential Address Presidential Address - 2021 Good Evening, ladies and gentlemen, The SLMA President - 2021 P Dr. Padma S Gunratne, nee Government sector in 2008 and rofessor Indika Karunathilake, the Ranasingha, is a Board certified Thrombectomy programme outgoing President, Neurologist with experience of in 2018. She is the founder of Chairman and Members a specialist in Neurology over 30 the National Stroke Centre, of the Board of Trustees years. She entered the Medical Mulleriyawa Project and the of the Sri Lanka Medical Faculty, University of Peradeniya founder President of the Stroke Association, Past Presidents, Council Members and Members in 1977 and qualified MBBS with Support Organization for Sri of the Sri Lanka Medical 2nd Class Honours in 1982. Lankans. She was instrumental Association, Dr J. B. Peiris, my She obtained the MD (General in establishing practice of total teacher in neurology, invitees Medicine) in 1987 and was Board risk approach for prevention of representing Government Certified as a Neurologist in CVD in Sri Lanka. Ministries, State Institutions, 1991. She obtained her MRCP She was a member of the academia, UN agencies, statutory bodies, International (UK) in 1992. Board of Directors of the Organizations, Professional She is a Fellow of the World Stroke Organization Colleges, Academic Colleges and, Ceylon College of Physicians, (2008 – 2015) and an executive all other distinguished invitees, Royal College of Physicians, committee member of the Asia I feel deeply honoured and London, College of Physicians Pacific Stroke Organization greatly privileged to be appointed as the 127th President of the Sri and Surgeons of Glasgow, (2011- 2014). She held the post Lanka Medical Association. Royal College of Physicians of Chairperson, Specialty Board The Sri Lanka Medical of Edinburgh, American in Neurology, Post Graduate Association is the apex Association of Neurologists, Institute of Medicine, University professional organization of Royal Australasian College of of Colombo from 2015 -2018 and all medical professionals in Physicians and a fellow of the she is the Chair, Specialty Board Sri Lanka. Whether you are a medical professional in the public World stroke Organization. for Medical Rehabilitation, or private sector, young or old, Dr. Gunaratne worked as the PGIM, University of Colombo practising or non-practising, Consultant Neurologist at the since 2018 to date. graduates of local or foreign Teaching Hospital Kandy for 13 Among pestigious posts universities, specialists or grade years and as Senior Consultant she has held, are President, medical officers, the SLMA brings all doctors together on Neurologist at the National Association of Sri Lankan to a single platform, enabling Hospital of Sri Lanka for nearly Neurologist –– 2008, President, the establishment of a centre of 15 years. During this period National Stroke Association excellence for their continuous she pioneered introducing of of Sri Lanka, 2010, 2011, 2012, professional development. thrombolysis for stroke patients President, Ceylon College of The SLMA is the oldest national at the Stroke unit in Colombo. Physicians, 2011, the Vice professional organization of medical doctors both in Asia and She has a special interest in President SLMA in 2015, and Australasia. It was established as Stroke care and pioneered the President, Sri Lankan Association the Ceylon Branch of the British thrombbolytic programme of Geriatric Medicine, 2018 and Medical Association in December for ischemic stroke in the 2019. 1887, with Dr. P D Anthoniz as the President, along with 65 Founding Members. Along with academic organization for doctors for the Sri Lanka Medical the declaration of independence, for over 130 years, the SLMA’s Association, being compelled to the Ceylon Branch of the British contribution to professional face numerous challenging health Medical Association changed development of doctors in Sri issues related to the COVID-19 its name to the Ceylon Medical Lanka is beyond measure. pandemic that have engulfed the Association in 1951. The current In this context, I consider whole world with no continent or name, “The Sri Lanka Medical myself to be ever so fortunate to country being spared. Association” was adopted in 1972, represent this prestigious Medical I take this opportunity to with the promulgation of the new Association as the President and thank the outgoing President, Democratic Socialist Republic of be able to support the vision and Professor Indika Karunathilaka Sri Lanka. the mission of the association. and his Council for the As the leading professional 2020 was a landmark year unprecedented level of advocacy SLMANEWS+ January 2021 | 05
Presidential Address and activities that were carried of an individual, the health of in Sri Lanka. The pandemic has out during this crucial period. the public, health related to a robbed many people of their While transforming the SLMA particular occupation, or even a livelihood and inflicted body to face the challenges innate to zoonotic environment. To achieve blows to every strong economy, a pandemic, many up-to-date its objectives, the reach of the all over the world. Its economic facilities were established for SLMA has been intentionally and social impact on Sri Lanka is virtual communication. broadened, resulting in 18 immeasurable. These communication Expert Committees as well as 56 Covid-19 is highly infectious platforms have now become a specialties under the umbrella and has severe consequences blessing in disguise in that they of the SLMA Intercollegiate particularly in the elderly could be used to propagate distant Committee. population, and in people with medical education to all medical Out of the many activities multiple co-morbidities. As at professionals, even in the most that the Council of SLMA intends present, the management of remote regions of Sri Lanka. As to embark on in the year 20 21 COVID-19 is symptomatic, and a result, the SLMA is currently under the theme “Professional measures of prevention is the key able to promote distant medical Excellence towards Holistic to control the outbreak. In this education more than ever before. Health Care”, there are several regard, the implied hopes of people Medicine is a dynamic and that represent areas of interest on vaccination is understood and an evolving field that sees daily to me that I believe this august acknowledged while all efforts developments due to the latest audience should be made aware to vaccinate people at high-risk, research and advancement in of. Let me present them to you at an affordable cost, must be technology. under the heading “A Drop, prioritized. While I appreciate that the out of the Ocean of Medical Along with the vaccination, primary objective of the SLMA is Rehabilitation”. other measures such as wearing the professional development of A Drop, out of the Ocean of a face mask, physical distancing, doctors with a focus on promoting Medical Rehabilitation and frequent hand washing, physical, psychological, social, combined with lockdowns for and spiritual wellbeing to our The Covid-19 pandemic has highly infected communities, will nation, it is important that we been the worst global pandemic have to be in place long-term, understand that professional within my lifetime. So far It to keep a surge under control. development includes the has infected over 90 million Measures taken to minimize implementation of advanced (90,077,446) individuals with infection among healthcare knowledge, ensuring high a mortality of more than 1.9 staff are absolutely essential. ethical standards of practice. The million (1,934,813) globally. While continuing with economic SLMA holds a keen interest in Hitherto, there has been 46780 development, living in this health, whether it is the health diagnosed cases, with 222 deaths “new normal” will have to be 06 | January 2021 SLMANEWS+
Presidential Address encouraged long-term. a wide range of rehabilitation Education on Medical In terms of individual health, measures are offered to all those Rehabilitation COVID-19 impacts the physical, affected in various ways following Upon inquiry, it was revealed mental, social, and spiritual the outbreak. There are certain that many medical schools wellbeing of people. While the steps that have already been are short of a comprehensive physical and mental impact of implemented by the Government and adequate education on Covid-19 may remain for longer to reduce the economic impact rehabilitation for their graduates. than one would envisage, the of COVID-19. In terms of health, However, patients under a psychological consequences of while realizing that there is vast range of specialties including some others are a result of loss of room for improvement from Neurology, Rheumatology, their loved ones or of economic health care to humanitarian care, Orthopaedics, Neurosurgery, losses. the contribution that has already Geriatrics, Ophthalmology, Research shows that COVID-19 been made by the healthcare ENT and Paediatrics, require has caused an increase in family professionals, along with the tri- rehabilitation services. Within disputes and it is likely that other forces and the police, is nothing these specialties, stroke, spinal non-communicable diseases may but praiseworthy. cord injury, cerebral palsy, also show an increase owing to It is in this perspective that cerebral infections, musculo- the unhealthy lifestyle brought I am talking about Medical skeletal disorders, visual on with the restrictions imposed Rehabilitation. Medical handicaps and impaired hearing on the movement of people. In Rehabilitation is a specialty are common entities that need addition, Covid-19 convinced relevant to a range of disabilities medical rehabilitation. us how it could affect spiritual originating from any form of A research study was carried wellbeing of individuals. Certain physical or mental disorder. out, with my hospital team, to communities were disturbed by The hallmark of successful learn the practices carried out the policy of essential cremation rehabilitation is multi- by varying levels of medical for all COVID -19 deaths. disciplinary team care. professionals with regard to On the other hand, the While appreciating the stroke rehabilitation. projected economic growth for significant contributions made The study included 110 Sri Lanka is 3.4% in 2021. As by the Sri Lankan tri-forces and medical professionals made up responsible health professionals, the Specialists in Rheumatology of Interns, Medical Officers, it has to be emphasized that the and Rehabilitation in the field Registrars, Physicians, and physical, mental, social, and of rehabilitation of the disabled Neurologists, in equal numbers. spiritual wellbeing of people over the past several decades, I Their practices in regard to the should be essential for the healthy see, Medical Rehabilitation as a varying components of stroke economic growth of the country. Specialty that is still in an evolving rehabilitation were inquired Therefore, it is imperative that state of flux in Sri Lanka. into. The findings revealed that SLMANEWS+ January 2021 | 07
Presidential Address all doctors believed that a multi- proposal submitted by me, with the Association of Sri Lankan disciplinary team care approach the SLMA initiated the Expert Neurologists, to the Ministry was useful in stroke rehabilitation Committee for Rehabilitation of Health, the result has been and more than 80% paid special of Disabilities as another step significant improvements in attention to nursing and the forward in the development of stroke services. physiotherapy components of Medical Rehabilitation. Based Our achievements over last two rehabilitation in more than 75% on deliberations from this decades are substantial. 99.8% of their patients. However, only committee, we intend to take of stroke patients in Sri Lanka about 50% paid attention on all Medical Rehabilitation to its undergo CT scanning of brain aspects of rehabilitation in more greatest heights possible in Sri for diagnosis and management. than 75% of their patients. Lanka. We intend to carry out As the Consultant Neurologist The attention paid on SLMA based skills development at the National Hospital of Sri occupational therapy, speech programmes for multidisciplinary Lanka, I was able to commence therapy, counselling, and the team members in this year. the very first Thrombolytic need for social services were Rehabilitation of Stroke Programme at the NHSL in considerably lower. The study victims 2008. Since then, the Ministry of further revealed that 65% of Health has made thrombolytic, general physicians and 85% of Cardiovascular diseases that Recombinant Tissue Plasminogen neurologists would check for all include Stroke, is currently the Activator (rtPA) acute treatment aspects of the multi-disciplinary leading cause of death in Sri for ischemic stroke available team care on more than 75% Lanka. Stroke which was the third uninterruptedly. of their patients while the leading cause of hospital deaths As at present, there are 17 perspective was present in less in 2013 ranked 7th in the year thrombolytic centres right across than 40% of junior grade doctors. 2017. Stroke is the leading cause the country. However, there are The implication of these of adult disability and an ageing only 62 dedicated stroke beds. figures suggested that Medical population further increases the Dedicated beds for stroke patients Rehabilitation was considered to prevalence of stroke, as well as are essential since, as known be more a postgraduate subject disability in the community. to all medical professionals in in the medical profession and There are approximately 1100 this audience, stroke patients that there was significant room stroke admissions per year to the sacrifice their beds, together for improvement of practices in National Hospital of Sri Lanka with their chances of recovery, to rehabilitation. and this figure is about 1500 at many other conditions in medical The SLMA’s contribution to the the Teaching Hospital, Kandy. wards. development of Rehabilitation In a setting where we discuss the The mean duration of hospital Medicine throughout its existence ethics of equity to a greater extent, stay for the stroke unit patient has been remarkable, with the burning question is whether is 21 days while it is just 3 to 5 the most recent significant these patients get their fair share days in the medical wards. About contribution being the “Report of our free health service, when 9% die in the acute stage and on Disabilities” prepared by the compared to other patient groups. another 16% die of preventable Working Group headed by the Up until early 1990s, there complications over the next three then SLMA President Professor were no separate Stroke Services months following premature Lalitha Mendis in 2008. Much in existence all over the world. discharge. later, and very much based on However, along with the Stroke This knowledge led me, as this report, the MOH published Unit Titlists’ Systematic Review the President of the National the National Guidelines for published in 1993, which revealed Stroke Association of Sri Lanka, Rehabilitation Services from 2014 the benefits of multi-disciplinary to pressurize the Government – 2018. team care in stroke units, stroke to establish Stroke Units for The PGIM initiated the MD rehabilitation started improving patients. As a result, the project on in Rehabilitation Medicine globally. the construction of the National programme for Postgraduates In keeping with the Stroke Centre at Mulleriyawa in 2018 and has so far enrolled developments of the rest of the was born and it is comforting to 8 trainees. The first MD world, the very first Stroke Unit note that upon completion of the qualified specialist in Medical in Sri Lanka was established in construction of this project, the Rehabilitation is expected to be 1998. Since then, the constant demand for dedicated stroke beds Board Certified in 2023. lobbying by the National Stroke in the Colombo District is likely to In 2020, based on a Association of Sri Lanka, along become somewhat eased. 08 | January 2021 SLMANEWS+
Presidential Address Along with this project, the in the dependent population. Certification for a Specialist in Government decided to establish According to the Department of Geriatric Medicine will occur in 10 more Stroke Units in 10 Census and Statistics, the window 2024. different districts. of opportunity for Sri Lanka is The programme for the MD Considering the rising elderly expected to last for about 40 years in Old Age Psychiatry, which population and the increasing starting in the early 1990s. commenced in 2017, and with number of strokes, there is a As such, it is prudent that four trainees as of today, will compelling need to expedite the the Healthcare System is able complement the team of medical establishment of these Stroke to anticipate an increase in the professionals dedicated to the Units. In keeping with the elderly population and address care of elderly. As such, there is objectives of the Government of the challenges that would become considerable room left for the Sri Lanka, in being concerned a problem to the community, well SLMA for advocacy and training on equity of services, there is a in advance. for the benefit of elders in Sri vast need for the development Have we been concerned on Lanka. of stroke services country-wide. providing a reasonable service The National Council for Elders Accordingly, the SLMA Council for the increasing elderly is the national body established to will be paying special attention population? Is the medical ensure the independence, care, to improving stroke care in Sri fraternity adequately trained in participation, and protection of Lanka in 2021. delivering Geriatric services? the rights of elders in Sri Lanka. Geriatric Services Is the infrastructure available, The SLMA intends to work sufficient to face these challenges? closely with the National Council The longevity experienced Majority of the problems for Elders and the Sri Lankan by all of us is an outcome of the faced by the elderly are unique Association of Geriatric Medicine improving health services in Sri to them. Some of the difficulties to provide advocacy for the Lanka. Better healthcare, along encountered by them include benefit of elders in Sri Lanka. with the reduction in birth rate, mental health issues such as Rehabi litation of has made Sri Lanka to be one of depression and dementia, as Psychoactive substance users the fastest ageing nations in the well as falls, musculo-skeletal region. problems, nutrition issues, As per National Dangerous The elderly, defined as incontinence, hearing problems, Drug Control Board of the those over 60 years of age in Sri and visual handicaps. Unless Ministry of Defence, there have Lanka, stood at 6.6% of the total there are well trained multi- been 89,321 drug related arrests population in 1981 and rose to disciplinary teams of healthcare in 2019. The figures are likely 12.4% in 2012, which is a one professionals to take care of the to be much higher in today’s hundred per cent rise over 30 issues of elders, we could become context. Cannabis, heroin, years. It is projected that this the victims of the consequences methamphetamines, and hashish figure will increase by another of poorly trained and under- are the commonly used psycho- two fold to 25% by 2040. prepared systems. active substances. Out of all When a country is with less Similar to rehabilitation, do arrests, 51% were related to than 45% of dependents (that is students learn Geriatric Care Cannabis and 46% were related to 30% below 15 years and less than as an undergraduate subject? Heroin in 2019. 15% above 65 years) the United Upon inquiry, it revealed that The Government and Non- Nations Population Department the undergraduates are either Governmental Organizations defines that country to be in a not exposed or are exposed only are providing residential care demographic window. to one or two didactic lectures in treatment and rehabilitation Sri Lanka currently is in Geriatrics. services for drug dependents in this “window of opportunity” In 2013, the Post Graduate Sri Lanka. or in other words, has the Institute of Medicine commenced There are four residential “demographic dividend” to a Diploma in Elderly Medicine treatment and rehabilitation achieve a rapid economic and it has up to now produced centres as outreach programmes growth with a larger working- 105 trained diploma holders. The for drug dependants under age population compared to the MD in Geriatrics was commenced the purview of the National population in the non-working in 2018 and there are 12 trainees Dangerous Drug Control Board. age. An ageing population will in the training programme, as at The total number of reported result in a decline in the working- present. drug users who had received age population and an increase The very first Board treatment from these facilities for SLMANEWS+ January 2021 | 09
Presidential Address the year 2019 was 3,613. Heroin multi-disciplinary team care Strengthening health remains the main drug type for professionals for their services economics, consolidation of which people receive treatment without which rehabilitating primary healthcare, establishing in the country. disabilities become impractical. a back-referral system, All of them need weaning off Lack of priority, particularly automation of health records, of psycho-active substances and in allocation of nurses and and the Networking of Health rehabilitation. The SLMA wishes allied health professionals for Records with unique National to work in closer liaison with the rehabilitation, is a challenge faced Identity Numbers are some of the National Dangerous Drug Control by clinicians. There is vast room areas of improvement to increase Board to overcome the drug for expansion of training to fulfil the accountability of staff of all menace in Sri Lanka in 2021. the need of these professionals in grades. It is worth considering. Use of Novel Psychoactive Sri Lanka. Achieving Goals of SLMA substances and legislation of old There is a need to improve psychoactive substances are other infrastructure facilities for all of The goals of the SLMA cannot upcoming challenges in this field. the previously discussed fields, be achieved without teamwork Novel psychoactive substances namely Medical Rehabilitation, and collaboration. The council are compounds designed to mimic Stroke Care and Geriatric Services. appointed for 2021 is multifaceted, existing established recreational One may question whether Sri enthusiastic and committed. drugs. SLMA would be alert Lanka can afford this much of I am looking forward to on all developments related to infrastructure development at working in collaboration with psychoactive substances. the same time in all these fields? government ministries and Services for Rehabilitation Are we demanding the impossible state institutions, UN agencies, from the Ministry of Health? statutory bodies, international As highlighted, patients for Could we expect such a rapid organizations, professional rehabilitation have a range of transformation from a country colleges and associations, trade disabilities and need the services like Sri Lanka with a GDP per unions and also the general of multi-disciplinary teams of capita of US Dollars 3852 (2019) public. professionals. and a 3.6 % of Gross Domestic Let me conclude my Irrespective of the disability, Product allocation for health, presentation by humbly pledging a well rehabilitated person could compared to an 8 to 10 per cent of once again, that I will be contribute to the economic allocation seen in many developed committed to serve you in my development of our country and countries. fullest capacity as the President of would become an asset to the Has the Ministry of Health, the Sri Lanka Medical Association nation. As such, giving priority with 157,000 employees, provided to take the association to greater to the allocation of resources for us with the best possible facilities heights of achievement and rehabilitation would indeed pay to perform? recognition. off. As an experienced clinician I will be fervently committed Over last several decades, who worked in the Ministry of to the motto of the Sri Lanka keeping with the expansion of Health for over three decades, Medical Association “ලංකා දීපස්ස the medical specialties, there had my personal opinion is that කිචෙචසු මා පමාජී” which translates been an improvement in numbers streamlining many areas in the to “Work for the good of Sri Lanka and the standard of nursing and Ministry of Health would save without delay”. allied health specialties. adequate resources to fulfil all I take this opportunity to salute these needs. References 1. World report on ageing and health. World Health Organization (2015). https://apps.who.int/iris/handle/10665/186463 2. Rehabilitation. World report on disability 2011 https://www.who.int/publications/i/item/9789241564182 3. Gupta N, Castillo-Laborde C, Landry MD. Health-related rehabilitation services: assessing the global supply of and need for human resources. MBC Health Service Research 2011, 11 :276 http://www.biomedcentral.com/1472-6963/11/276 4. National guidelines for rehabilitation services in Sri Lanka (2014 – 2018), Ministry of Health and Indigenous Medicine, Sri Lanka 5. Statistical report on drug dependents reported from treatment agencies. Drug abuse monitoring system annual report, NDDCB (2019) 115 http://www.nddcb.gov.lk/Docs/research/Annual%20Report%202019.pd 10 | January 2021 SLMANEWS+
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Event Coverage: President Induction 2021 Induction of the President of the SLMA - 2021 Induction of Dr. Padma S Gunaratne, Senior Consultant Neurologist, as the 127th President of SLMA was ceremonially conducted at the BMICH on 23rd January 2021. This event was attended by more than 200 guests strictly adhering to the Covid 19 Quarantine regulations. Among the special invitees were Prof. Arjuna Aluvihare, retired Consultant surgeon representing the medical teachers and Mrs. Pradeepa Samarasingha Principal of Devi Balika Vidyalaya Colombo, alma mater of the incoming President. 12 | January 2021 SLMANEWS+
Event Coverage: President Induction 2021 SLMANEWS+ January 2021 | 13
President Immediate Past President THE SLMA CO President Elect Dr. Padma S. Gunaratne President Professor Immediate Past Indika President Professor President Elect Samath D. MBBS, MD (SL),S. Dr. Padma FRCP Gunaratne Karunathilake Professor Indika Dharmaratne Professor Samath D. (Edin, Glasg, Lond), MBBS (Col.), DMedEd (Dundee), MMEdEd MBBS, MD (SL), FRCPFCCP, Karunathilake MBBS, MSc (Com Med), MD (Com Med) Dharmaratne (Dundee), FHEA (UK), (Dundee), FCGP (SL),MMEdEd FCME (SL), Chair Hon. FRACP, (Edin, Glasg,FAAN, Lond), FCCP, MBBS (Col.), FRCP DMedEd (Edin.)FHEA Head, Department MBBS,Professor MSc (Com of Med), Community Medicine MD (Com Med) and FWSOFRACP, Consultant (Dundee), (UK), FCGP (SL),ofFCME Medical (SL), Head of the Department Faculty of Medicine, Hon. FAAN,Neurologist Education, Chair Professor of Community Medicine and FRCP (Edin.)Faculty Head, of Medicine, University Department of Medicalof University Head of theofDepartment Peradeniya Faculty of Medicine, FWSO Consultant Neurologist Colombo Education, Faculty of Medicine, University of University of Peradeniya Colombo Hony. Assistant Secretary Hony. Assistant Secretary / Hony. Assistant Secretary Dr. Achala Hony. Balasuriya Assistant Secretary Editor - SLMA newsletter Hony. Assistant Secretary / Dr. Hony.Pramil Liyanage Assistant Secretary MBBS, MD (Medicine), Dr. Achala FRCP (Edin) Balasuriya Professor Editor - SLMAB. M. Hasini newsletter MBBSPramil Dr. (Colombo), MSc (Biomedical Liyanage MSc(UK), MBBS, MDPG(Medicine), Diploma diabetes(UK) FRCP (Edin) A. Banneheke Professor B. M. Hasini Informatics), MBBS PG Cert. (Colombo), MSc(MedEd), MD (Biomedical Consultant MSc(UK), PGPhysician, Diploma diabetes(UK) MBBS, A. Dip Med Micro, MD (Med Banneheke (Health Informatics), Informatics), PG Cert.MRSPH (UK), (MedEd), MD Hemas Hospital, Consultant Wattala Physician, Parasit)Dip MBBS, Faculty Med of Medical Micro, Sciences, MD (Med IMFCI (Health(UK) Health Informatician, Informatics), MRSPH (UK), Hemas Hospital, Wattala University Parasit) of SriofJayewardenepura Faculty Medical Sciences, Ministry IMFCI (UK)of Health Health Informatician, University of Sri Jayewardenepura Ministry of Health Public Relations Officer Social Secretary Social Secretary Dr. Kalyani Public Guruge Relations Officer Dr. M.Secretary Social L. Christo Fernando Dr. Pramilla Social SecretarySenanayake, MBBS (Ceylon), Guruge Dr. Kalyani MBBS, Dr. M.MACEP, Dipl HospFernando L. Christo Admin, MBA MBBS, PhD, FRCOG, Dr. Pramilla FACOG, FSLCOG Senanayake, MD (Paediatrics) MBBS (Ceylon), Chairman, New Philip Hospitals MBBS, MACEP, Dipl Hosp Admin, MBA Medical Consultant MBBS, PhD, FRCOG, FACOG, FSLCOG Consultant MD Paediatrician (Paediatrics) (Pvt) Ltd, Kalutara Chairman, South New Philip Hospitals Reproductive Health Medical Consultant Consultant Paediatrician (Pvt) Ltd, Kalutara South Reproductive Health Dr. Chandana Atapattu Dr. Iyanthi Dr. Sarath Gamini Dr. Inuka Kishara MBBS (Colombo), MScAtapattu Dr. Chandana (Food Abeyewickreme Dr. Iyanthi De Silva Gamini Dr. Sarath Gooneratne Dr. Inuka Kishara and MBBSNutrition), (Colombo),MCGP MSc (Food MBBS, Dip Ven, MSc, MD, FCVSL Abeyewickreme MBBS (Col), LRCP(Lon), De Silva MBBS (Col.), MD (Col) Gooneratne Colombo and SouthMCGP Nutrition), Teaching Consultant MBBS, Venereologist Dip Ven, MSc, MD, FCVSL MRCS(Eng), MBBS MD(Col), (Col), LRCP(Lon), Constant MBBS Neurologist, (Col.), MD (Col) Hospital Colombo South Teaching Hon. SeniorVenereologist Consultant Fellow, Post Graduate FRCP(Lon), MRCS(Eng),FRACP(Hony.), MD(Col), FCCP DGH, Hambantota Constant Neurologist, Kalubowila Hospital Institute of Medicine, Hon. Senior University Fellow, Post Graduate Consultant Physician Colombo FRCP(Lon), FRACP(Hony.), FCCP DGH, Hambantota Kalubowila of Colombo Institute of Medicine, University Consultant Physician Colombo of Colombo Dr. Lucian Jayasuriya Dr. Peethambaram Dr. Dushantha MBBS (Cey), DTPHJayasuriya (Lond), FCMA, Dr. Pramitha Dr. Lucian Jeepara Madegedara Dr. Dushantha Mahanama FSLCoSHH, Dr. Peethambaram Dr. Pramitha MBBS (Cey),Hony.DTPHFCGP (Lond), FCMA, MBBS, MS, FRCS, FCSSL MBBS, MD, FCCP (SL), Madegedara MBBS (SJP), Dip. in Hony. SeniorHony. Fellow Postgraduate Jeepara Mahanama FSLCoSHH, FCGP Consultant FCCP MBBS,(USA), FRCP(SL), (Edin) Institute of Medicine (PGIM), Hony. Senior Fellow Postgraduate MBBS, MS, General Surgeon FRCS, FCSSL MD, FCCP World (SJP), MBBS AffairsDip. andin Teaching Hospital Consultant Respiratory FCCP (USA), FRCP (Edin) Diplomacy, Founder Institute &ofPatron MedicineVaccine & Infectious (PGIM), Consultant General Surgeon Physician, Respiratory World AffairsMedical and officer, Diseases Founder &Forum PatronofVaccine Sri Lanka, Founder & Infectious Batticaloa Teaching Hospital Consultant RespiratoryDisease Asiri Surgical Hospitals, Diplomacy, Medical officer, President Sri Lanka College of Sexual Treatment Unit Physician, Respiratory Disease Colombo Diseases Forum of Sri Lanka, Founder Batticaloa Asiri Surgical Hospitals, Health andSriHIV President Medicine Lanka College of Sexual &Treatment National Unit Hospital, Kandy Colombo Health and HIV Medicine & National Hospital, Kandy Dr. Surantha Perera Deshamanya Vidya Dr. Sankha Randenikumara Dr. Udayangani MBBS(Col) DCH(SL) MD Dr. Surantha Perera Jyothi Dr. J. B.Vidya Deshamanya Peiris MBBS (SJP), PDAR (Kel), PgDTox ( Ramadasa Dr. Sankha Randenikumara Dr. Udayangani Paed(SL) MBBS(Col)DCH(UK) DCH(SL)FRCP(Edin) MD, FRCP Col), MD Jyothi Dr. J. B. Peiris MBBSMCGP (SJP),(SL), PDARFPallCare (IPM) ( (Kel), PgDTox MBBS, MD(Medicine), FCCP, Ramadasa FRCPCH(UK), Consultant Consultant MD, FRCP Neurologist, Family Physician - The Family Paed(SL) DCH(UK) FRCP(Edin) Col), MCGP (SL), FPallCare (IPM) Dip PallMD(Medicine), MBBS, Med(Clinical) (RACP FCCP, Nawaloka Health Clinic; Medical - The Officer Paediatrician & FRCPCH(UK), Consultant ConsultantHospital, Colombo Neurologist, Family Physician Family Consultant Physician (RACP Dip Pall Med(Clinical) Neonatologist Past President-SLMA -Health Planning, Base Hospital Paediatrician &Castle Street Nawaloka Hospital, Colombo Clinic; Panadura; Medical Officer Teaching Hospital Consultant Physician Hospital for Women Neonatologist Castle Street Past President-SLMA - Planning,Regional Chair - WONCA Base Hospital Ratnapura Young Doctors’ Panadura; Movement, Regional South Asia Chair - WONCA Teaching Hospital Hospital for Women Young Doctors’ Movement, South Asia Ratnapura Professor Gitanjali Dr. Sashika Dr. Asitha Koshala Dr. Bhanuja Sathiadas Sandaruwani Dr. Sashika Thanippuli Arachchi S. Wijayatilaka Professor Gitanjali MBBS (Colombo) Dr. Asitha Koshala Dr. Bhanuja MBChB, DCH, MD, MRCPCH, Sathiadas Sandaruwani MBBS (Col) Thanippuli Arachchi MBBS, MSc, MD(Com Med S. Wijayatilaka Pg MBBSDip(Colombo) in Healthcare Quality and PGDipMedEd MBChB, DCH, MD, MRCPCH, Safety Medical officer-Mental Health, MBBS (Col) Consultant MBBS, MSc,Community MD(Com Med Professor in Paediatrics Pg Dip (Colombo) Medical in Healthcare Quality and Base Hospital, KekirawaHealth, Physician PGDipMedEd officer-Technical Safety (Colombo)Evaluation Medical Medical officer-Mental Consultant Community Faculty ofinMedicine, Professor Paediatrics Committee Coordinating Unit, Base Hospital, Kekirawa Ministry of Health, Sri Lan Physician officer-Technical Evaluation University of Jaffna Faculty of Medicine, Ministry Committee of Health Coordinating Unit, Ministry of Health, Sri Lan University of Jaffna Ministry of Health 14 | January 2021 SLMANEWS+
OUNCIL - 2021 Vice President Vice President Honorary Secretary Professor Vice President Sudharshani Dr. Manilka Vice President Sumanatilleke Dr. Sumithra Honorary Tissera Secretary Wasalathanthri Professor Sudharshani MBBS, MD(Col), MRCP(Lon), Dr. Manilka Sumanatilleke MBBS (Col), PG Dip Dr. Sumithra Tisserain Health MBBS, PhD Wasalathanthri MRCP-Diab & Endo(UK), MBBS, MD(Col), MRCP(Lon),FRCP(Edin), Development, MBBS (Col), PGMSc Dip (London) in Health Professor MBBS, PhDin Physiology, Department of FACE(USA), FSLCE(SL) MRCP-Diab & Endo(UK), FRCP(Edin), Vindana Reproductive Development, Health Centre MSc (London) Physiology, Professor in Faculty of Medicine, Physiology, Department of Consultant Endocrinologist FACE(USA), FSLCE(SL) Vindana Reproductive Health Centre University Physiology,ofFaculty Colomboof Medicine, National Hospital Consultant of Sri Lanka Endocrinologist University of Colombo National Hospital of Sri Lanka Hony. Assistant Secretary Honorary Treasurer Honorary Assistant Treasurer Dr. Hony.F.Assistant H. D. Shehan SecretarySilva Professor Asela Olupeliyawa Honorary Treasurer Dr. E. A. Sajith Honorary AssistantT.Treasurer Edirisinghe MBBS Dr. F.(SJP) H. D.MDShehan (Col) MRCPSilva (Lon) MRCPE MBBS(Colombo), Professor PG.Cert.Med.Ed Asela Olupeliyawa MBBS, Dr. E.MSc A. (Clinical SajithGenetics), T. Edirisinghe (Edin) MBBSDip MedPract (SJP) (LSTM MD (Col) UK) (Lon) MRCP MRCP (Diabetes MRCPE (Dundee), PhD. (UNSW) MBBS(Colombo), PG.Cert.Med.Ed MSc MBBS,(Health Administration) MSc (Clinical Genetics), and Endocrinology) Dip MedPractMRCP (LSTM(Geriatrics) IFME Department of Medical Lecturer and Clinical Geneticist, Department (Edin) (Cantab), AFHEA (UK)MRCP UK) MRCP (Diabetes Senior Lecturer IFME in (Dundee), PhD. (UNSW)Education, MSc (Health Administration) and Endocrinology) (Geriatrics) Faculty of Medicine, University of of Anatomy, Lecturer andFaculty ClinicalofGeneticist, Medical Sciences, Department Medicine Department of Medical Education, (Cantab), &AFHEA Consultant Physician (UK) Senior Faculty Lecturer in of Colombo University of Anatomy,ofFaculty Sri Jayewardenepura of Medical Sciences, Medical Sciences, University of Sri J.pura Medicine & Consultant Physician Faculty of Faculty of Medicine, University of Colombo University of Sri Jayewardenepura Medical Sciences, University of Sri J.pura Past Presidents’ Representative Co-Editor (Ceylon Medical Journal) Co-Editor (Ceylon Medical Journal) Dr. Lakshman Past Ranasinghe Presidents’ Representative Professor Co-Editor A. Pathmeswaran (Ceylon Medical Journal) Professor Co-Editor Senaka (Ceylon MedicalRajapakse Journal) FRCP(Edin), FCCP, DCH Dr. Lakshman Ranasinghe(Lond), FCGP MBBS, MD A. Pathmeswaran Professor MBBS, MD, FRCP, Professor FCCP, FACP Senaka Rajapakse Founder President FRCP(Edin), Sri Lanka FCCP, DCH (Lond),College FCGP Senior Professor, MBBS, MD Department of Professor MBBS, MD,inFRCP, Medicine FCCP, FACP of Dermatologists Founder President Sri Lanka College Public Health, Faculty of Medicine Senior Professor, Department of Consultant Physician Professor in Medicine of Dermatologists University of Kelaniya Public Health, Faculty of Medicine Director, PGIM Consultant Physician University of Kelaniya Director, PGIM Professor Sampath Dr. Ruvaiz Haniffa Dr. Kapila Jayaratne Gunawardena Professor Sampath MBBS, DFM, MSc,Haniffa Dr. Ruvaiz MD, FCGP, MBBS, MSc, DCH,Jayaratne Dr. Kapila MD (Com Med) MBBS, PhD PgDip, Consultant MBBS, MSc,Community Gunawardena MBBS, MRCGP DFM, MSc, MD, FCGP, Physician DCH, MD (Com Med) Professor MBBS, PhDof Physiology Senior lecturer, PgDip, MRCGP ConsultantNational Programme Community Manager Physician-National MaternalProgramme & Child Department of Physiology Professor of Physiology Family Medicine Unit, Faculty of Senior lecturer, Morbidity & Mortality Manager - Maternal & Child Faculty of Medicine Department of Physiology Medicine, University Family Medicine Unit,ofFaculty Colombo of Surveillance, Family Health University of Ruhuna Past President-SLMA-2018 Morbidity & Mortality Faculty of Medicine Medicine, University of Colombo Bureau, Ministry Surveillance, of Health Family Health University of Ruhuna Past President-SLMA-2018 Bureau, Ministry of Health Dr. B. J. C. Perera Professor Jennifer Perera Prof. R. M. Mudiyanse MBBS(Cey), MBBS, Dr. B. J.DCH(Cey), DCH(Eng), MD C. Perera MBBS, MD Microbiology Professor Jennifer(Colombo), Perera Prof.DCH, MD,Mudiyanse R. M. MRCP (UK), (Paed), MRCP(UK), MBBS(Cey), FRCP(Edin), DCH(Cey), DCH(Eng), MD DipMedED (Dundee), DipWomen's FAIMERDCH, Fellow MBBS, MD Microbiology (Colombo), MBBS, MD,(USA) MRCP (UK), FRCP(Lon), FRCPCH(UK), FSLCPaed, Studies Professor in Paediatrics (Paed), MRCP(UK), FCCP, FRCP(Edin), DipMedED (Dundee),MBA (Colombo), (Wales), DipWomen's FAIMER Fellow (USA) FRCP(Lon), FRCPCH(UK), Hon. Hony FRCPCH(UK), FCGP(SL) FSLCPaed, FNASSL, FSLCM MBA (Wales), Studies (Colombo), Department of Paediatrics Professor in Paediatrics Founder President, Sri Lanka College FCCP, Hony FRCPCH(UK), Hon. FCGP(SL) Professor of Microbiology ofFounder Paediatricians;Past FNASSL, FSLCM Faculty of Medicine Department of Paediatrics President, SriPresident SLMA Lanka College University Professor ofofMicrobiology Colombo University of Peradeniya Year 2013; Consultant Paediatrician of Paediatricians;Past President SLMA Past President-SLMA-2015 Faculty of Medicine University of Colombo University of Peradeniya Year 2013; Consultant Paediatrician Past President-SLMA-2015 Dr. S. B. Anuruddhika Dr. Sunil Seneviratne Epa Dr. Chathurie Suraweera MBBS (Col), MD (Psychiatry), Dr. Chathurie Suraweera S.M. Dr. S.Rathnayake B. Anuruddhika MBBS MD MRCP Dr. Sunil UK Seneviratne Epa MRCPsych MBBS (Col),(UK) MDConsultant (Psychiatry), P, MBBS FRCP LONDON, MD MRCPFCCP UK (SL) S.M.(Pera), MSc (Com Med), Rathnayake MBBS Psychiatrist, MRCPsych (UK) Senior Lecturer in Consultant P,P) FRSPH(UK) Consultant Physician, FRCP LONDON, Matara FCCP (SL) Psychiatry Department of in MBBS (Pera), MSc (Com Med), Psychiatrist, Senior Lecturer Nursing Home, Matara Psychiatry P) Department FRSPH(UK) of Community Consultant Physician, Matara Psychiatry Faculty of Medicine, Department of Medicine, Faculty of Medicine, Past President-SLMA Nursing Home, Matara University Psychiatry of Colombo Faculty of Medicine, Department of Community University Faculty of Peradeniya Past President-SLMA Consultant University ofPsychiatrist, Colombo Medicine, of Medicine, National Hospital of Sri Lanka University of Peradeniya Consultant Psychiatrist, National Hospital of Sri Lanka Professor C. Nirmala Dr. Dakshitha Professor M. C. Wijekoon Professor C. Nirmala Weerasinghe MBBS, MD, MRCP(UK), FRCP Wickramasinghe Dr. Dakshitha Professor M. C. d) Wijekoon MBBS, MD(Surgery) DM MRCSEd, MBBS, MSc, MD(Com Med) Weerasinghe (London), MBBS, MD,FRCP (Edinburgh), FRCP FCCP Wickramasinghe Consultant Professor MRCP(UK), PGCertMedEd FMAS DM MRCSEd, MBBS, MD(Surgery) MBBS, MSc,Community MD(Com Med) Physician, d) (London), FRCP (Edinburgh),and in Pharmacology FCCP Lecturer in Surgery Professor Consultantand Head, Department Physician,of Specialist Physician Facultyand of PGCertMedEd FMASand Honorary Community Community Medicine, Faculty of of Professor in Pharmacology Consultant Surgeonand University Surgical Professor and Head, Department Medical Lecturer in Surgery Honorary nka Specialist Physician Faculty of Sri Sciences University of Unit, National Hospital of Sri Lanka Medicine, CommunityUniversity Medicine,ofFaculty Colomboof Jayewardenepura Consultant Surgeon University Surgical nka Medical Sciences University of Sri Medicine, University of Colombo Unit, National Hospital of Sri Lanka Jayewardenepura SLMANEWS+ January 2021 | 15
Feature Article HISTORY 1995 The first set of office bearers of the History of the college of Genitourinary Physicians of Sri Lanka was elected on 7th October. 1996 First Annual Academic Sessions of the Sri Lanka College of College of Venereologists of Sri Lanka was held. 1998 The name of the college was changed Sexual Health and to the college of Venereologists of Sri Lanka. 2001 Board of study in Venereology was formed under the PGIM, University of Colombo HIV Medicine on 1st October. 2002 The postgraduate Diploma in Venereology (Pg Dip Ven) course commenced on 19th July. T he Sri Lanka College of were recognized as part-qualified 2015 1995.Name The ofinfant the Sri Lanka Journal of College was kept 2002 Dr & Mrs Lucian Jayasuriya award for Venereology was changed to Sri Lanka Journal Sexual Health and HIV the best performance specialists in Diploma in The MD in venereology. active of Sexualdue toand Health theHIVefforts Medicineof(JoSHH). a small Venereology was started. Medicine celebrates her or MRCP was the requirement for a groupSriofLanka 2015 doctors atofthe College NSACP lead Venereologists Silver Jubilee this year 2020. It 2003 qualified fully MD Venereology course was started. specialist. by Dr. officially Iyanthi networked Abeyewickreme, with Australasian Society for was inaugurated as the College of 2003WithWebpage the ofadvent the Sri Lanka College of of HIV/AIDS HIV who Medicine was (ASHM) and through that, ably supported by Dr. Venereologists created. networked with 42 Asia Pacific Professional Genitourinary Physicians of Sri in the early 1980’s, the Anti- Thiloma Societies. Munasinghe and late Dr. 2007 First MD Venereology exam was held in Lanka on 7th October 1995, and was VD Campaign collaboration with the PGIM.was renamed Sarojini 2016 Perera. Online version of the JoSHH with online renamed as the Sri Lanka College the 2008 National The college wasSTD/AIDS Control named Sri Lanka review system was established with The objectives of the College of Venereologists (SLCoV) in 1998. Programme (NSACP) College of Venereologists in 1985, and in October. international network for availability of scientific were: (INASP) and National Science publications Its present name was adopted as it more 2007 Sri attention Lanka Journal was given to was of Venereology the Foundation (NSF). aligns itself better with the global started and first publication prevention of HIV was anddone in provision i. To advance the knowledge, December. 2016 The first satellite symposium was held on recognition of the need for holistic of treatment and care for people 14thpromote July. research and 2012 Patient support fund of the Sri Lanka sexual health services. infected with HIV. postgraduate education in College of Venereologists started. 2016 The name of the Sri Lanka College of Following the establishment From 1980, the Ministry of venereology 2013 Dr Iyanthi Abeyewickrema award for 2016 Venereologists was changed to Sri of the Anti-Venereal Diseases Health decidedin MDto the best performance recognize in Venereology ii. ToCollege Lanka act as the authentic of Sexual body in Health and HIV campaign in 1952, venereology started. only postgraduate qualifications Medicine (Sri Lanka CoSHH). venereology was recognized as a public health awarded by the Postgraduate iii. To promote fellowship specialty by the Ministry of Health. Institute of Medicine (PGIM). The among those engaged in The Central Venereal Diseases postgraduate qualification to be a the practice and research in Clinic (CVDC) was established venereologist was not clearly laid venereology. in Colombo while out-patients down. The MSc and MD Community Dr Lucian Jayasuriya was departments of provincial hospitals Medicine with a dissertation/thesis elected Founder President and had rooms demarcated for the VD on sexually transmitted diseases the Founder Member Dr Iyanthi clinic with separate access. A new were recognized as the qualification Abeyewickreme was elected the separate cadre of venereologists to be a venereologist. Founder Secretary. was created to provide specialised Although there were many The First Annual Academic services. professional colleges and Sessions of the College was For a career in venereology, associations dedicated to the inaugurated on 17 August 1996, with applications were called from development of their specialty, the Hon. A H M Fowzie, Minister medical officers who had at least including community medicine, of Health as the Chief Guest. two years of service as a Medical there was no such college or Due to the efforts of Dr Iyanthi Officer of Health. association for venereology. Abeyewickreme, the Chief Guest Following a selection interview Dr Iyanthi Abeyewickreme took at the Second Annual Academic chaired by the Director General the initiative to form a college as she Sessions in 1997 was Dr. George of Health Services, successful felt that such an organization was Robert Kinghorn, Consultant applicants were trained for three necessary to develop venereology Genitourinary Physician and months at the CVDC and appointed as a separate specialty rather than Clinical Director, Department of to head the VD clinics at the as a subsidiary of community Genitourinary Medicine, Royal Provincial hospitals. medicine. Hallamshire Hospital, Sheffield, After two years of service, they After much discussions with UK. were sent abroad for the Diploma the consultants and medical The MSc and MD Community in Public Health or equivalent to the officers at the NSACP, the College Medicine provided knowledge UK or USA, and further training in of Genitourinary Physicians and training in public health but venereology at a centre or centres was founded by Dr. Iyanthi the SLCoV did not consider these of excellence. On their return they Abeyewickreme on 7th October as adequate for practicing as a 16 | January 2021 SLMANEWS+
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