Five doctors attached to the Karapitiya Teaching Hospital have been diagnosed with the A-H1N1 virus

(From Daily Mirror)

By Indika Sri Aravinda


Five doctors attached to the Karapitiya Teaching Hospital have been diagnosed with the A-H1N1 virus, hospital sources told Daily Mirror online.

Meanwhile doctors attached to the Intensive Care Unit (ICU) of the hospital have warned that they will be compelled to stop work if protective masks are not provided to them owing to the flu outbreak.

The ICU doctors claimed that there was a shortage of protective masks for their use and as a result they were in danger of contracting the A-H1N1 virus. They added that the hospital did not have a separate ward like other hospitals for the patients with the A-H1N1 virus and because of this other patients were also in danger of being infected.
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We think there is a necessity of a timely action from the side of our profession.

Minister Welcomes GMOA Presidential Probe Committee Call

Saturday, 28 November 2009 15:12
(Colombo Lankapuvath November 28) –

Health Minister Nimal Siripala de Silva welcomed the Government Medical Officers’ Association’s (GMOA) request for the appointment of Presidential Health Investigation Commission.

A Health Ministry spokesman said yesterday (27), the Minister had accepted the urgent need for such a commission by stating that a majority of doctors holding top positions in the ministry and hospitals were members of the GMOA. In fact, 99 percent of the Hospital administrators were GMOA members.

A majority of key officials in the Health Ministry including the Health Secretary, who is the chief of the Cabinet appointed tender board tasked with supervising the purchase of drugs were members of the union.

The GMOA requested the appointment of the commission stating that substandard drugs nearing the end of their shelf life were being imported at a cost Rs. 15 billion annually.

The committee of intellectuals who made recommendations on drug requirement of quality drugs and the companies from which drugs should be purchased were lecturers who had taught GMOA members
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Dear Colleagues,
Irrespective of the out come of the committee which is going to come,one thing is quite apparent.
That is, this minister is consolidating his position well.With the black listing of a few Indian drug companies he moved a step forwards.With this committee he definitely will get his dirty hands washed off.
Thanks to some medical administrators and some consultants in the drug evaluation committees who are depending on drug reps,minister has become a super hero.(Shame on you!)
With the volatile political environment in the country this minister may not be removed even at the next cabinet reshuffle!

වාරියපොල දැරිය මියගියේ සෞඛ්‍ය වෛද්‍ය කාර්යාලයේ සහ කුරුණෑගල රෝහලේ නොසැලකිල්ලෙන් ඇමැති නිමල් සිරිපාල

අජිත් අලහකෝන්

රුබෙල්ලා එන්නත විෂවී වාරියපොල ශිෂ්‍යාවක්‌ මියගොස්‌ ඇත්තේ සෞඛ්‍ය වෛද්‍ය නිලධාරි කාර්යාලය සහ කුරුණෑගල ශික්‍ෂණ රෝහලේ නොසැලකිල්ල නිසා බව සෞඛ්‍ය ආරක්‍ෂණ හා පෝෂණ ඇමැති නිමල් සිරිපාල ද සිල්වා ඊයේ (25 දා) "දිවයින"ට පැවැසීය.

නිසි ප්‍රතිකාර කළේ නම් එම දැරියගේ ජීවිතය බේරා ගැනීමට හැකියාව තිබූ බව විශේෂඥ වෛද්‍යවරුන් තමන්ට වාර්තා කළ බවද අදාළ මරණය සම්බන්ධ විමර්ශන වාර්තාව (26 දා) තමන් වෙත ලැබුණු පසු වැරදිකරුවන් සේවයෙන් ඉවත් කිරීමට පියවර ගන්නා බවද ඇමැතිවරයා සඳහන් කළේය.

එම දැරිය වෙනුවෙන් ඇයගේ පවුලේ අය වෙනුවෙන් රජය විසින් සිදුකළ යුතු උපරිම සාධාරණය ඉටුකරන බවද ඒ මහතා වැඩිදුරටත් කියා සිටියේය.
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Comments-????

True/False/Unverified/less likely/never ever

Leave for doctors suspended as flu outbreak spreads

By Gandhya Senanayake(Daily Mirror)

All unnecessary foreign leave for government doctors will be suspended till the 31st of January next year, a Health Ministry spokesman told Daily Mirror Online. The decision was reached due to the A-H1N1 flu outbreak island wide as well as the current spread of dengue fever.

He added that the assistance and expertise of all government doctors were needed at this point of time and that foreign leave for seminars, conferences and workshops have been suspended. However leave for children’s necessity and essential postgraduate study’s for the doctors will be granted, the spokesman added.

Meanwhile commenting on the current A-H1N1 flu outbreak he added that a meeting was held earlier this week and those directors of the hospitals, directors of regional and divisional institutions were educated regarding precautionary and treatment options available for the A-H1N1 flu.

Further he commented that a virus fever was spreading in some parts of the island and that many people were unnecessary testing and sending samples to the Medical Research Institute (MRI) as soon as symptoms of fever and cough were present. Only 250 out of 850 cases which were sent to the MRI were diagnosed as positive for the A-H1N1 strain during the time of June 16th till now he stated.

He also added that thirty six hospitals were equipped to treat the H1N1 flu and that to minimize unwanted testing, the recommendation of the Hospitals microbiologist or pathologist was needed from now on. Two more testing centers are also planned to be opened under the Peradeniya, Kandy teaching Hospital to assist MRI, the new units will be funded by the World Bank he said.
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Dear Friends,
We would like to know whether the foreign trips of ministry officials also will get affected by this decision.
Any way since their presence with in the country do not have got any positive impact on control of epidemics,their leave may be granted.
(Please note the picture added has got no direct connection with the topic)

Swine Flu!-Present,Past and Future

Past-
18/June/2009
SWINE FLU: GMOA CALLS FOR QUICK ACTION
The Government Medical Officers Association (GMOA) yesterday called on the government to take immediate steps to prevent the Swine flu from spreading in the country by implementing a process of screening foreigners at the Bandaranaike International Airport.

GMOA Assistant Secretary and Spokesman Dr. Upul Gunasekara said that the disease spreads from person to person and needs to be alert especially with foreigners entering the country because they could be carrying the disease. “To do this we need to take strong measures, especially in airports,” he said.

The Association expressed the need for quick action before the country could face grave problems.


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Present-
23/Nov/2009
HINI threat: CP schools closed for a week by Cyril Wimalasurendre

KANDY - The temporary closure of schools of the Central Province for fear of spread of swine fever Influenza H1N1 will be effective till Friday (27) from Monday (23) today.

Any extension of the closure of schools will be announced following the report of the Special Committee appointed to investigate the swine fever situation of the Central Province, Chief Minister CP, Sarath Ekanayake said yesterday (22).

The special committee will arrive in Kandy on Wednesday 25, according to the Chief Minister.

The decision to close the schools of the Central Province was taken by the provincial authorities last week as a temporary measure in view of the spread of swine fever in the province at a high rate. A large number of patients of fever suspected of H1N1 were admitted to Kandy and Peradeniya hospitals.

A school boy of Kandy died following swine fever which was a positive case according MRI reports, while at least ten others, inclusive of two expectant mothers, have died suspected of the same sickness.

Sources said that 24 patients at the Peradeniya Teaching Hospital and 14 at the Kandy General Hospital are undergoing treatment for H1N1 infection.



www island.lk

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Future-
The Swine flu epidemic which caused many deaths was controlled under the guidance of Honorable Minister Nimal Siripala de Silva. It has been revealed that the number of deaths increased due to "Research work “of the doctors (according to a ministry spokesman).

vaccine to arrive in December

Saturday, 21 November 2009 11:48
(Colombo Lankapuvath November 21)The Healthcare and Nutrition Ministry has decided to import WHO approved Novel Influenza (A)H1N1 2009 vaccine to Sri Lanka and has already placed the order. The vaccine will arrive in December.

The decision was taken during a meeting held yesterday with the presence of Healthcare and Nutrition Minister Nimal Siripala De Silva and representatives from the Epidemiology Unit, Medical Research Institute (MRI) and Medical Supplies Division (MSD) of the Ministry.

Once here, the vaccine will be given on a priority basis and the four high risk categories will receive it first. They are pregnant mothers, infants below six months, elderly above the age of 60 and persons who are suffering from chronic diseases.

Arrangements will be also made to provide the vaccine to persons in the medical and healthcare services. The first death due to A H1N1 in the Kurunegala District was reported yesterday (20).

The victim was a 58 year old Principal and the father of two. He was admitted to the Kurunagala Teaching Hospital yesterday with symptoms of the flu.

Reports also say that large numbers of officers from the army camp in Kurunagala have fallen ill with the virus.

The Nuwara Eliya district reported three AH1N1 cases with one from the Matale District.
Schools in the Central Province will be closed from Monday (23) due to the rapid spread of the disease.

Central Province Education Ministry Secretary Karunaratne Kekulandara has also requested owners of all private educational institutions and teachers in the Province to suspend tuition and other classes for students until further notice as a precautionary measure to prevent the spread of AH1N1 virus which has already taken several lives in the region.
Kandy District had the largest concentration of private education institutes.

Meanwhile Norwegian health authorities said on Friday they have discovered a potentially significant mutation in the H1N1 influenza strain that could be responsible for causing the severest symptoms among those infected.

"The mutation could be affecting the virus' ability to go deeper into the respiratory system, thus causing more serious illness," the Norwegian Institute of Public Health said in a statement.

The World Health Organisation said that the mutation did not appear to be widespread in Norway and the virus in its mutated form remained sensitive to antivirals and pandemic vaccines.

A similar mutation had been detected in H1N1 viruses circulating in several other countries, including China and the United States, in severe as well as in some mild cases, it said.

"Although further investigation is under way, no evidence currently suggests that these mutations are leading to an unusual increase in the number of H1N1 infections or a greater number of severe or fatal cases," the WHO said in a statement.

H1N1, a mixture of swine, bird and human viruses, has killed at least 6,770 people globally, according to its latest update.

Norway has seen relatively more fatalities in the flu pandemic compared to the size of the population versus other European countries, with 23 confirmed deaths.


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Contradicting news from various sources!
We personally do not think that this minister can be that efficient!
Let's better find out whether he is getting a commission from these vaccinations or he may be in need of defending his position as the minister.

Commercialization of the noble profession.

Dear Colleagues,
As you all know now a days doctors are accused of so many things, namely high professional charges, promoting pharmaceutical companies for financial benefits, taking commissions from drugs and various devices, illegal abortions and various other malpractices. I am neither going to white wash the culprits who bring disgrace to the profession nor promote “Siripala Theory”.

Some of you will be inquisitive what this siripala theory is.

That is “YOU DOCTORS,WHO GOT BENEFITS FROM FREE EDUCATION SHOULD WORK WITH OUT ANY MURMUR in all the settings,at all the times and should never ever think about money”
This is just to show you how physician were involved or the image of the doctor was used in promoting tobacco in the past.

See what dramatic changes the time has brought!

Use of "Pata Kannadi"(coloured glasses)

Dear Colleagues,
You are aware, what happens following use of "Pata Kannadi"(coloured glasses).
You will see the world in the colour you have selected.
But looking at some thing critically is much more different from using "Pata Kannadi".
I will kindly invite you to look at this picture carefully.
Do you know the man marked with an arrow?.
He is non other than AC GMOA secretory Dr.Dhammika Pathirana.

So What brought him here?

-He is unemployed since he is an aurvedhic physician?
-He has gone there to express the aurvedic physicians, the solidarity of government doctors?
-Has he gone there for any political gain?
-Has he gone there to get experience to learn "What to do when MBBS-unemployed problem comes"?.

Ok,You decide!

The Justice was served, but will she come back to life?

The death sentence was passed on the Army soldier Nihal alias Neel Kumara, who was found guilty of assassinating Dr (Miss)Lakshmi Indunil at Badagiriya rural hospital, by Hambantota high court judge Mr.Achala Wengappuli on 13 of this month. Last year Dr (Miss)Lakshmi Indunil was shot dead following a dispute when he visited the said doctor for treatment of a wound of his wife.

Quoted and translated from “Lankadeepa”

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The words "Unity-within the profession" were in question when we witnessed the dispensaries which were open on the "Moaning Day" of Her funeral.The small sprouts of disharmony within the profession seems to have become huge trees by now.Ultimately who is going to benefit other than the true enemies of the profession.

Thank you, Siripala Mame,

Dear Siripala Mame,
How are you?This is just to thank you for making our lives happy.
Now I am very happy to go to school in the morning.Earlier Amma had to fight hard to dress me up early in the morning.Now my sister and I are helping Amma to do her work as well.That is because of the"Face mask",Which I am wearing now.Nangi says that I look really handsome to my new face mask.I heard my father telling that you are the one who is responsible for all this,since you failed to do screening at the air port.That is how I got to know to whom I should thank for.
At the same time I should give you a big "Thank you" for making doctor uncles to stop giving injections.you know it hurts a lot following injections.Mamata Budusaranai.
Loving son,
-Thilina Putha from Hikkaduwa

Soft corner of the stubborn minister!

The Conspiracy of Minister Siripala against our profession is not yet over!

The Lancet Student » Archive » Interview with Nimal Siripala de Silva

"Your honour, could you tell me your stand on the issue of migration of health workers from developing countries?

My view has been very strong on this issue, I have always been an advocate against migration. At the WHO I have supported the idea of forming an international convention on migration of health workers, which currently is in progress. I have also taken part in many consultative meetings and I have pushed forward the idea that developed countries should at least pay compensation to developing countries when they recruit health professionals of such background."
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Dear colleagues,
Quite a few of you may be aware of this vicious plan of the Minister.
The general public may think that this noble minister is correct.But only doctors and their family members know that ,with out treating the root causes,brain drain can not be stopped.The Minister should understand that Professionals can not be forced for slavery.His "plans"are not yet over.

The vicious cycle that is eating away Sri Lanka’s healthcare

The vicious cycle that is eating away Sri Lanka’s healthcare
November 14, 2009 at 7:00 am · Categories: Colombo, English, Healthcare | by Shakya Lahiru Pathmalal

There has been a lot written about the blunders of the Ministry of Health after the death of two young children. However, even though the rubella vaccination has been secured from a supplier from a questionable background, there is no evidence of foul play. All vaccinations carry some danger to the recipient and occasionally there is the threat of death. What happened to these two girls could be described as a severe case of anaphylactic shock due to severe allergy.

However, there are grave problems with the Health System in Sri Lanka. In a recent study by Transparency International, Sri Lanka’s health care system remained the most corrupt after education. The corruption stems from the point of birth to death, where relatives, for instance, have to pay off individuals who clear the body of the deceased. However, this is not to say that corruption in the healthcare system occurs just at the lower levels.

There are of course grave problems with the Sri Lanka Pharmaceutical Corporation (SPC), which is responsible for buying medicines for the Ministry of Health. Some officials of the SPC would tell you that they produce nearly 10% of the drugs needed in Sri Lanka. This is not the whole truth, what generally happens is a certain form of value addition at the SPC; we receive drugs in the form of powder or liquids which we turn to tablet or a syrup. The government of Sri Lanka (GoSL) then spends more than Rs.17 billion (2001) on drug imports. We import nearly 60% of our drugs from India, since it guarantees a good price. So, one may wonder what the problem is?

Sri Lanka acquires the drugs through a tender process, which is quite transparent. The SPC is responsible for these tenders and charges a nominal service charge for its services. Unfortunately for the Sri Lankan consumer, the tenders are awarded to the lowest bidder, who has presented samples that have passed inspection. As any schoolchild would tell you, lowest prices do not guarantee the best quality; more often than not it only results in the procurement of the worst quality of drugs. After the purchase of drugs, two further tests are meant to take place – once the drugs shipment reaches Sri Lanka and again when the drugs are distributed across the island. But a former SPC official stated in a condition of anonymity that this does not happen, due to a severe lack of funds and human resources. Furthermore, if the SPC takes steps to award a tender for a supplier with a higher price on issues of quality, the treasury would oppose any such payment. The treasury in the best of circumstances does not release the funds on time; as far back as 2001 the SPC was spending close to Rs. 300,000 a day on interest payments, which had to be incurred due to commercial borrowing.

The problem runs deeper. While Sri Lankan law requires that the manufacture of drugs meet World Health Organization – Good Manufacture Practices (WHO-GMP) by showing some documentation, it does not take any steps to verify these documents. These documents can be easily forged in India. Furthermore, nearly 25% of the drugs, which reach the island, are destroyed or lost. This costs the average taxpayer more than 4 billion rupees. The major reason for the waste of 4 billion rupees of medicine is poor storage. The storage conditions are appalling in Sri Lanka. This leads to medicines being stolen from storage facilities, and even worse it leads to the drugs being contaminated. The Sri Lankan legislation that governs these practices are outdated, the Act was initially passed in 1980 and needs to be amended to reflect the current context.

There are certain steps that can be taken in order to address some of these issues. Firstly, we need a mindset change. Getting the cheapest drugs from a supplier is not the best practice, since cheap does not ensure quality, especially since the testing mechanisms do not function. Our tender process would have to change, SPC would have to do costing for the drugs prior to making orders, this would give the officials at home the necessary information on how much it would cost to produce the drug at optimum conditions.

The Ministry must not simply wait for disaster to strike. It could send medical teams to check out and approve the manufacturing facilities that SPC makes its purchases from. By negotiation with the supplier and the GoSL, most costs for this mission could be covered. The 5-member team of health experts would require up to 3 full working days to inspect a site, to evaluate if it meets the minimum standards set out by the WHO-GMP. This is a bare minimum requirement.

The storage facilities in Sri Lanka have to be brought to WHO standards. The expiry dates of drugs are based on assumption that they would be stored under optimum conditions, absent of the drugs would expire faster. This would lead to serious complications. To restore the current storage facilities the cost is estimated to be Rs. 3 billion. This would be a one-time cost, and would save more than Rs. 4 billion a year, whilst assuring the quality of drugs.

Finally, the treasury would have to fund the SPC in a timely manner so it would not have to incur huge losses from taking commercial loans. The SPC would need more funding so it could carry out its independent testing of drugs and be able to hire the necessary personal to do so. Taking these steps would ensure that the drugs that are brought in to this country are of a suitable standard for usage.

This is quoted from "Ground View".
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"Sri Lanka’s health care system remained the most corrupt after education"-Can you believe this.Definitely Transparency International may have missed all the corruptions done by our "Siripala".

Swine Flu vaccines delayed to next year

Swine Flu vaccines delayed to next year
Officials assure adequate measures have been taken
By Nizla Naizer


The batch of swine flu vaccines donated to developing countries by the World Health Organisation will reach Sri Lanka by early next year, health officials have revealed.
Meanwhile, they insist that the guidelines in place to deal with the disease which claimed its first victim last week are adequate and in line with international standards.
Chief Epidemiologist Dr. Pabha Palihawadane told The Bottom Line that the 16-year-old boy who died of complications caused by H1N1 in Kandy last Thursday had a history of chronic respiratory problems.
“We advise the public to seek medical attention immediately if they have a history of respiratory ailments,” she explained, “But we are satisfied with the guidelines already in place across the island. We are conducting awareness programmes in schools and have ensured that adequate stocks of anti-viral medication are available in the sentinel hospitals across the island.”
In Kandy alone, where over 15 suspected swine flu patients have been admitted to the Kandy General Hospital, a new Swine Flu Ward was opened primarily to deal with these cases.
She added that the Health Ministry is liaising with the WHO at present to determine the amount of swine flu vaccine stocks, which will be made available to the country. “We expect the vaccines to arrive in Sri Lanka by January at the earliest,” she stated, “And we are drafting a National Plan to determine how the vaccines will be administered to the public.”The first case of swine flu was detected in Sri Lanka in June this year, but since mid October the disease has been classified to be in community transmission, with reports emerging from several districts including Colombo, Kandy and Kurunegala.
WHO had agreed to distribute 10% of total vaccines manufactured by developed countries to over 90 developing countries including Sri Lanka. However, recent reports from the US indicate that production delays continue to hamper distribution of the H1N1 swine flu vaccine.
Since the beginning of the pandemic in April 19 this year, a total of 80 countries have reported to have confirmed swine flu cases. Many countries have stopped counting the cases as the symptoms are generally mild and flu like, but till November 1 there were 482,000 laboratory confirmed cases of pandemic influenza H1N1 2009 and over 6,000 deaths reported to WHO.

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Thinking about his own health

These incidents tarnish our image..

කිරිකැටි දරුවා රු.25,000කට විකිණූ මව ඇතුළු තිදෙනෙක්‌ දැලේ
අත්අඩංගුවට ගත් පිරිස අතර වෛද්‍යවරයකුත්

මාතලේ විශේෂ - නිමල් ගුණතිලක

රුපියල් විසිපන්දහසකට කිරිදරුවකු අලෙවි කළ බව කියන එම දරුවාගේ මව වෛද්‍යවරයකු ඇතුළු තිදෙනෙක්‌ මාතලේ මූලස්‌ථාන පොලිසිය විසින් ඊයේ (11 දා) අත්අඩංගුවට ගනු ලැබූහ. මාතලේ පිටකන්ද වතුයායේ මවක විසින් මාතලේ දිස්‌ත්‍රික්‌ මහ රෝහලේදී දරුවා ප්‍රසූත කර ඇති අතර පෙරේදා (10 දා) මව රෝහලින් නික්‌ම ගිය බව මාතලේ දිස්‌ත්‍රික්‌ මහ රෝහලේ වෛද්‍ය අධිකාරි ඩබ්ලිව්. ඩී. ඩබ්ලිව්. එස්‌. කුමාරවංශ මහතා පැවැසීය.

දරු ප්‍රසූතිය සඳහා රෝහල්ගත වූ මව සිය දරුවා නොමැතිව නිවසට පැමිණීම පිළිබඳ සැකසිතූ පිටකන්ද වතුයායේ වතු වෛද්‍යවරයා විසින් මාතලේ පොලිසියට කරන ලද පැමිණිල්ලකට අනුව පොලිසිය පරීක්‌ෂණ පවත්වා තිබේ.

රෝහලින් පැමිණ දරුවා අලෙවි කිරීම සඳහා මැදිහත් වූ මාතලේ දිස්‌ත්‍රික්‌ මහ රෝහලේ වෛද්‍යවරයා ඔහුගේ ඥතියකුද සහ දරුවාගේ මව පොලිසිය විසින් අත්අඩංගුවට ගෙන ඇති අතර විකිණූ බව පැවසෙන දරුවා පොලිසිය භාරයට ගෙන ඇත.

අත්අඩංගුවට ගත් සැකකරුවන් ඊයේ (11 දා) මාතලේ දිසා අධිකරණයට ඉදිරිපත් කිරීමට නියමිතව තිබුණි.

මාතලේ ජ්‍යෙෂ්ඨ පොලිස්‌ අධිකාරී තිලක්‌ අබේසිරිවර්ධන මහතාගේ උපදෙස්‌ මත මාතලේ මූලස්‌ථාන ප්‍රධාන පොලිස්‌ පරික්‌ෂක කීර්ති රණවීර මහතා ඇතුළු නිලධාරීහු පරීක්‌ෂණ පවත්වති.

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Perhaps the doctor may be exonerated at the end,But the damage to the profession has already been done.

STRIKES-International experience

Journal of the New Zealand Medical Association, 23-June-2006, Vol 119 No 1236



Is it ethical for doctors to strike?

Frank Frizelle
A strike by doctors meets with a great deal of resistance not only by the public but from within the medical profession. The recent resident medical officers’ (RMOs—also known as junior doctors) strike in New Zealand has again created a discussion about the ethics of doctors striking. Previous national strikes in 1992 caused a raft of letters to the NZMJ complaining that the strike was unethical, with an equal number saying that junior doctors needed an improvement in conditions and that the strike was justified.1–6
The present junior doctors’ strike has lead to local newspapers publishing letters from senior doctors and members of the public saying that this action (of striking) is unethical and “has broken the 2000-year-old Hippocratic oath.”
The press has reported the present RMO strike as unprecedented. But anyone who has been an RMO or senior medical officer (SMO—also known as specialist or consultant) since 1985 will know that this is rubbish. RMOs have been on strike before—locally, nationally, and internationally. Not only RMOs have been on strike, but SMOs as well.
The usual claims are pay, conditions, or contractual relationships—as with any occupational group. (The specific details of the claims that form the basis of the latest New Zealand junior doctors’ strike are not the basis for discussion here.)
Apart from New Zealand, in the past 20 years there has been strikes by medical doctors in Australia, Belgium, Canada, Chile, Finland, France, Germany, Ghana, India, Ireland, Israel, Italy, Korea, Malta, Peru, Serbia, Spain, Sri Lanka, Romania, USA, UK, Zambia, and Zimbabwe to name but a few.
Many of these strikes have caused lasting damage from which health systems have struggled to get over; have been very costly (both in the short and long term); and have not achieved what the management appear to have wanted.
Many strikes around the World have been about similar issues. One of the most famous strikes was in the Mediterranean island state of Malta, which lasted for 10 years.7 The origin of this strike lay with low pay for RMOs, leading to problems with recruitment (as new medical graduates left the country as soon as possible after graduation).
A new role was subsequently established called temporary medical offices (TMOs). These TMOs were required to work long hours for low pay. To correct this chronic shortage of junior doctors, the Maltese Government made it compulsory for all graduating doctors to serve as housemen in public hospitals for 2 years. The senior doctors protested and, as a result, the Government brought in overseas doctors from Libya, Algeria, Cyprus, Czechoslovakia, and Egypt at three times the rate the local doctors were being paid. Many of the Maltese doctors left for the UK and other countries, no doubt to large pay increases themselves.
Amongst those who left were the teaching staff from the medical school, leading to the Malta Medical School losing the General Medical Council (GMC) and international recognition of the Maltese medical degree. The Maltese Labour Party in power at the time lost the next election. The National Government which replaced the Labour Government attempted to reappoint doctors at higher pay rates than those who had lost their jobs, however by them many were well-established elsewhere in other countries—in fact, some of the most famous British surgeons over the past 20 years have come from Malta.
Strikes in New Zealand have also caused considerable and at times lasting dysfunction in certain hospitals. The SMO Timaru strike of 2003 was over the usual issues of pay and working conditions. Eventually, after a 5-week strike by SMOs, it was settled, however several consultant staff left Timaru Hospital for other centres or full-time private practices. The strike is reported as creating an “overwhelming feeling of a complete lack of confidence and trust in the hospital management team.”8
A similar situation occurred with the prolonged strike in Invercargill where RMO staff were on strike for about 2 months in 1992. The strike was over individual contracts versus collective contracts. The strike was near the end of the year, and when the RMOs finished their year, the new RMOs took up the individual contacts, however within 2 years almost all were back in the collective contract. The results of the strike meant that the general manager left, a large number of SMOs felt disillusioned by the pathway the management had taken with dealing with the RMOs, and the hospital struggled to obtain and retain New Zealand RMOs for years afterwards, instead relying heavily on overseas RMOs. This required special packages and extensive (and expensive) advertising to facilitate recruitment.
Reasons given by those against strikes were published in 1986 and are the same as those reiterated by many today.

These include:9
1.It could result in avoidable suffering and death;
2.It would be a breach of the implicit contract doctors have entered into with their patients;
3.It would be against the code of ethics doctors may have sworn to;
4.It would amount to “holding to ransom” a weak and vulnerable segment of the population for material gain;
5.It would shatter the image of doctors as selfless healers; and
6.Doctors are already overpaid—strike action is greed.
(While there are shades of truth in each of these points they are all debatable.)
A detailed ethical justification for doctors striking was put forward and published 20 years ago in the NZMJ.9 It is worth re-reading for those interested. The main point is that despite doctors having a special contract with society, a utilitarian case can be made for a strike. What this means in simple terms is “what is right should result in the greatest good for the greatest number of people.” The short-term inconvenience such as a strike must be balanced against an improvement in care—as a result of allowing doctors to have better living conditions and being better rested, and so then being able to do their job better.
If doctors (and others) truly believe it is important for patient care, then they must sometimes have the courage to do things that are unpopular and difficult. If the conditions that doctors work under put patients at risk, then (on balance) they are morally obliged to strike.
Author information: Frank A Frizelle, NZMJ Editor and Professor of Colorectal Surgery, Colorectal Unit, Department of Surgery, Christchurch Hospital, Christchurch
Correspondence: Professor Frank Frizelle, Colorectal Unit, Department of Surgery, Christchurch Hospital, PO Box 4345, Christchurch. Fax: (03) 364 0352; email: FrankF@cdhb.govt.nz
References:
Malloch JA. Resident hospital doctors strike. N Z Med J. 1992;105:135.
Hunter P. Resident hospital doctors’ strike. N Z Med J. 1992;105:44.
Ackland RH, Becroft DM, Fraser AR, et al. Resident hospital doctors’ strike. N Z Med J. 1992;105:43.
de Geus JJ. Resident hospital doctors’ strike. N Z Med J. 1992;105:43.
Dunn HP. Resident hospital doctors’ strike. N Z Med J. 1992;105:20.
Culpan S. Resident hospital doctors’ strike. N Z Med J. 1992;105:20.
Scott A. A lesion from Malta. New Zealand Medical Association Newsletter. 22 January 1992, page 11.
Rietveld J. Strike action by senior medical staff in Timaru – how did this come about? N Z Med J. 2003;116(1170). URL: http://www.nzma.org.nz/journal/116-1170/352
Sachdev PS. Doctors’ strike—an ethical justification. N Z Med J. 1986;99:412–4. URL: http://www.nzma.org.nz/journal/119-1236/2037/Drsstrike.pdf

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Remember,low salaries of doctors,poor working conditions,political interference to professional matters,and many more gives the doctors the moral right to strike!

The invisible hand of JVP-AC GMOA

This is quoted from www.unions.lk,the official web site of JVP unions.

"the The All Ceylon Health Service Union has been established comprising all the employees from doctors to the minor staff workers in the public hospitals. The union is fighting not only for the rights of the workers’ but also for the rights of the patients’. "

What a noble union all Ceylon Health Service Union is?

Although AC GMOA is also a part of this umbrella term,It has also been registered separately as a trade union.But surprisingly AC GMOA is not listed under the trade unions of JVP at the above web site.

Do you know the reason behind this?

AC GMOA likes double acting.They very well know that Medical professionals hate party politics.So AC GMOA will prevail as the invisible hand of the JVP in the medical profession.

Some thing for you to think about......

වෛද්‍යවරියකට අයුතු බලපෑම් කළැයි
ඇල්පිටිය රෝහලේ වෛද්‍ය අධිකාරි අනිවාර්ය නිවාඩු යවයි

ඒමන්ති මාරඹේ - තුෂාරී කළුබෝවිල

ඇල්පිටිය මූලික රෝහලේ සේවය කරන වෛද්‍යවරියකට අයුතු බලපෑම් කිරීමට තැත් කිරීමේ චෝදනාව මත එම රෝහලේ වෛද්‍ය අධිකාරිවරයා අනිවාර්ය නිවාඩු යවා ඇතැයි දකුණු පළාත් සෞඛ්‍ය සේවා අධ්‍යක්‍ෂ කාර්යාල ආරංචි මාර්ග පැවැසීය.

තම රාජකාරියේ යෙදී සිටි තරුණ වෛද්‍යවරියකට ඉකුත් බදාදා (04 දා) වෛද්‍ය අධිකාරිවරයා විසින් මෙසේ අයුතු බලපෑම් කිරීමට තැත් කර ඇති බවට දකුණු පළාත් සෞඛ්‍ය සේවා අධ්‍යක්‍ෂ කාර්යාලයට පැමිණිල්ලක්‌ ලැබී ඇති අතර ඒ පිළිබඳව පරිපාලන ශ්‍රේණියේ වෛද්‍යවරුන් දෙදෙනකුගෙන් සමන්විත කමිටුවක්‌ විසින් පරීක්‍ෂණ ආරම්භ කර තිබේ.

මෙම පරීක්‍ෂණ කටයුතු අවසන් වනතෙක්‌ වෛද්‍ය අධිකාරිවරයා අනිවාර්ය නිවාඩු යවා ඇතැයි එම ආරංචි මාර්ග කීවේය. මෙම සිද්ධිය පිළිබඳව සෞඛ්‍ය සේවා අධ්‍යක්‍ෂ ජනරාල් වෛද්‍ය අජිත් මෙන්ඩිස්‌ මහතාට ද දකුණු පළාත් සෞඛ්‍ය සෙවා අධ්‍යක්‍ෂ කාර්යාලය විසින් දැනුම් දී තිබේ.

මෙම සිද්ධිය පිළිබඳව තමාට දැනුම් දී ඇති නමුත් ඒ පිළිබඳව නිල පැමිණිල්ලක්‌ සෞඛ්‍ය අමාත්‍යාංශයට ලැබී නැති බවත් එවැනි පැමිණිල්ලක්‌ ලැබුණු පසු සිද්ධිය පිළිබඳ විශේෂ විමර්ශන ඒකකය හරහා පරීක්‍ෂණ පවත්වන බවත් සෞඛ්‍ය සේවා අධ්‍යක්‍ෂ ජනරාල්වරයා පැවැසීය.

මේ අතර මෙම අයුතු බලපෑම් සිද්ධිය සම්බන්ධව පැවැත්වෙන පරීක්‍ෂණ කටයුතු අවසන් වූ පසු ඒ පිළිබඳව අවශ්‍ය විනය පියවර ගැනීම සඳහා පරීක්‍ෂණ වාර්තාව සෞඛ්‍ය අමාත්‍යාංශය වෙත ඉදිරිපත් කරන බව දකුණු පළාත් සෞඛ්‍ය සේවා අධ්‍යක්‍ෂ කාර්යාල ආරංචි මාර්ග වැඩිදුරටත් සඳහන් කළේය.

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Dear Colleagues,
What ever is the true story behind this incident,one thing is clear.That is until we maintain our discipline within the profession, the "Journalists" will have juicy things to write..."

Fast forward with the flag!

Dear Colleagues,
Society is a living university.
I may not prompt,You professionals can jolly well understand why are they concerned about the "SAFETY" of the poor patients.
Is it because of love towards mankind!No just because of .......!
OK, you decide.

synchronized attack...

This cartoon is taken from"Lanka truth"web site.The facts are very correct.But please realize that this is also a part of a political propaganda of All Ceylon Medical Officers Association(AC GMOA)which is the medical trade union wing of JVP.
So Let's do the needful by the sake of the medical profession while not falling in to the trap set by the AC GMOA/JVP.

I st death due to Swine flu!

News..............

Sunday Times reports

First Swine flu death in Lanka

By Kumudini Hettiarachchi
A 16-year-old boy in Kandy has died of H1N1 (Swine flu), the first reported death in Sri Lanka of this global pandemic flu, senior health officials confirmed yesterday.

The victim, son of two doctors, died on Wednesday night at the Kandy Teaching Hospital, the officials said. The Medical Research Institute confirmed that the death was caused by H1N1, the officials who declined to be identified, said.

Officials stressed, however, that there was no cause for alarm and urged the public not to panic. “This boy had other complications including spinal and lung problems which could have aggravated the illness and placed him in a high-risk category,” one official explained.

They advised the public to go to the nearest hospital if anyone has a persistent fever for more than two days and flu-like symptoms as most state hospitals are geared to handle H1N1, while Base Hospitals which have consultants have been issued with anti-viral drugs to deal with the virus, an official said. The anti-virals should be taken only on the recommendation of a consultant who has clinically diagnosed H1N1 and deems it the right time to administer them, he said.

Although earlier H1N1 was diagnosed among those coming from abroad and their close contacts, the “community spread” of this flu has now begun in the country. Up to October 15, 115 H1N1-affected people had been detected through the airport surveillance mechanism.
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Now what have you got to say?Honorable health minister!
-Blog Team

"Drug issue" for political gains....

Patients face battle of life and death over inferior drugs

Hell hath no fury like an exposed Minister?
By Padmini Matharage

Health Minister Nimal Siripala de Silva has wielded the whip against Trade Union leaders who exposed the shortcomings of the Minister as well as the existence of substandard and contaminated drugs in government hospitals
Vaccines with pieces of glasses, corroded surgery equipment, saline with hair are among the below par equipment and drugs found.
In addition to that, All Ceylon Health Services Association says that the Health Ministry has issued a circular prohibiting the health staff revealing information about the low standard of drugs and their effects ---- to the media, without the permission of the minister...............

http://www.lakbimanews.lk/special/spe4.htm

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Dear colleagues,
The above IS quoted from LAKBIMA NEWS.It spans a full page.See how "talented" the JVP carders to snatch "issues".Hope the general GMOA membership will not be deceived by their tactics.
-Blog Team

How kind our health minister is?

හෙද විදුහල් විශ්වවිද්‍යාලවලට බාරදීමට සූදානම්
- සෞඛ්‍ය ඇමැති

අජිත් අලහකෝන් - අකිත පෙරේරා

මෙරට තිබෙන සියලුම හෙද විදුහල් විශ්වවිද්‍යාලවලට භාරදීමට සෞඛ්‍ය අමාත්‍යාංශය සූදානම් බව ඇමැති නිමල් සිරිපාල ද සිල්වා මහතා ඊයේ (06 දා) පාර්ලිමේන්තුවේදී ප්‍රකාශ කළේය.

හෙද හෙදියන්ට සහ පරිපූරක වෛද්‍ය සේවය සඳහා ලෝකයේ පිළිගැනීමක්‌ ඇත්තේ එම විෂය පිළිබඳ උපාධිය ලබාගත් අයට බැවින් මෙරට හෙද සේවය සඳහා ද උපාධි පාඨමාලා ආරම්භ කිරීම වෙනුවෙන් හෙද විදුහල් මෙසේ විශ්වවිද්‍යාලවලට භාරදීමට තමන් සූදානම් බව සෞඛ්‍ය ආරක්‍ෂණ හා පෝෂණ ඇමැති නිමල් සිරිපාල ද සිල්වා මහතා වැඩිදුරටත් ප්‍රකාශ කළේය.

ඒ අනුව මෙම හෙද විදුහල් භාරගන්නා ලෙස විශ්වවිද්‍යාල කිහිපයකින්ම ඉල්ලා සිටි බව ද කී ඇමැතිවරයා වෛද්‍ය වෘත්තීය සමිති මීට කැමැත්තක්‌ නොදක්‌වන බව ද කීවේය.

ජනතා විමුක්‌ති පෙරමුණේ මන්ත්‍රී බිමල් රත්නායක මහතා ඇසූ පැනයකට පිළිතුරු දෙමින් සෞඛ්‍ය ඇමැතිවරයා ඉහත ප්‍රකාශය කළේය.


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Dear friends,
What's your opinion about this move.
-Well wisher of GMOA

Beggers of the new Millennium

My hat may sometimes match you!

Rubella deaths.........

Probe ordered into Rubella vaccine deaths

by Dilanthi Jayamanne
Health Minister Nimal Siripala de Silva ordered the Investigations Unit of the Health Ministry to probe deeper into the deaths of two schoolgirls after they were administered the Rubella vaccine. A spokesman for the Health Ministry said yesterday that the Ministry had strong suspicions of medical negligence as in both instances the children could have been saved if they were administered the adrenaline injection which is usually included in the emergency medical tray.

Peshala Hansani’s death in March and Asanthi Wasana’s death in October have caused grave concern for the Health Ministry which had maintained right along that there was "nothing wrong" with the Rubella vaccine. "Both deaths could have been prevented if timely action had been taken by the medical teams concerned," he said.

The Assistant Medical Practitioner (AMP) who was responsible for giving the vaccines to the children at St. Thomas’ Girls School, Matara had his hands tied due to the unavailability of an emergency medical tray to provide medical assistance to the student concerned. After the Matara Rubella catastrophe the Health Ministry restructured its guidelines for the National Immunisation Programme, according to which Health officers visiting the school to administer the vaccines were instructed to refer students who complained of food allergies to the MOH office, he said. They were instructed against taking a chance by administering the vaccine to such students.

The spokesman said that Asanthi had developed an allergy on her way home and returned to the MOH office and had been given three drugs to soothe her reaction to the vaccine. She had then been admitted to the Wariyapola Hospital from where she had been transferred to the Kurunegala Teaching Hospital. None of the medical officers in charge had taken the step to administer adrenaline to stop the anaphylactic reaction which cost the 13-year-old her life

The child was administered the Rubella Vaccine on a Saturday and she survived for twenty four hours after she started showing signs of being allergic.

The Government Medical Officers’ Association (GMOA) has blamed the Ministry for providing substandard drugs and vaccines. A spokesman for the Association said the Medical Officer of Health had used his discretion in administering the vaccine. It was a technical decision which had to be taken by the doctor who administers the vaccine, he said.

The spokesman said it would be more appropriate to establish the quality and efficiency of the vaccine before re-embarking on giving students rubella again as this was not the first time that there had been negative reactions to it.

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It seems that the minister is once again trying to palm off his responsibility of providing quality drugs and is trying to find fault with the medical officers.He is trying to play the roll of a medical expert.
-Well wisher of the GMOA

Probe ordered into Rubella vaccine deaths


by Dilanthi Jayamanne
Health Minister Nimal Siripala de Silva ordered the Investigations Unit of the Health Ministry to probe deeper into the deaths of two schoolgirls after they were administered the Rubella vaccine. A spokesman for the Health Ministry said yesterday that the Ministry had strong suspicions of medical negligence as in both instances the children could have been saved if they were administered the adrenaline injection which is usually included in the emergency medical tray.

Peshala Hansani’s death in March and Asanthi Wasana’s death in October have caused grave concern for the Health Ministry which had maintained right along that there was "nothing wrong" with the Rubella vaccine. "Both deaths could have been prevented if timely action had been taken by the medical teams concerned," he said.

The Assistant Medical Practitioner (AMP) who was responsible for giving the vaccines to the children at St. Thomas’ Girls School, Matara had his hands tied due to the unavailability of an emergency medical tray to provide medical assistance to the student concerned. After the Matara Rubella catastrophe the Health Ministry restructured its guidelines for the National Immunisation Programme, according to which Health officers visiting the school to administer the vaccines were instructed to refer students who complained of food allergies to the MOH office, he said. They were instructed against taking a chance by administering the vaccine to such students.

The spokesman said that Asanthi had developed an allergy on her way home and returned to the MOH office and had been given three drugs to soothe her reaction to the vaccine. She had then been admitted to the Wariyapola Hospital from where she had been transferred to the Kurunegala Teaching Hospital. None of the medical officers in charge had taken the step to administer adrenaline to stop the anaphylactic reaction which cost the 13-year-old her life

The child was administered the Rubella Vaccine on a Saturday and she survived for twenty four hours after she started showing signs of being allergic.

The Government Medical Officers’ Association (GMOA) has blamed the Ministry for providing substandard drugs and vaccines. A spokesman for the Association said the Medical Officer of Health had used his discretion in administering the vaccine. It was a technical decision which had to be taken by the doctor who administers the vaccine, he said.

The spokesman said it would be more appropriate to establish the quality and efficiency of the vaccine before re-embarking on giving students rubella again as this was not the first time that there had been negative reactions to it.

Here comes the report of low quality drugs!

ඉන්දීය ඖෂධ සමාගම් 3කට වසර 2 ක්‌ ඖෂධ ගෙන්වීම තහනම්

ඒමන්ති මාරඹේ

රජයේ රෝහල්වලට වීදුරු කැබැලි සහිත එන්නත්, දියර කුප්පි සැපයූ ඉන්දීය ඖෂධ නිෂ්පාදන සමාගම් තුනකට මෙරටට ඖෂධ හා එන්නත් ගෙන්වීම වසර දෙකක කාලයක්‌ තහනම් කිරීමට සෞඛ්‍ය, ආරක්‍ෂණ හා පෝෂණ කටයුතු අමාත්‍යාංශය කටයුතු කරගෙන යයි.

මේ අනුව රත්නපුර රෝහලෙන් සොයාගත් වීදුරු කැබැලි සහිත "සෙෆරොක්‌සින්" එන්නත් දියර කුප්පි සැපයූ කිලිච් ඩග්ස්‌ ඉන්ඩියා පුද්ගලික සමාගම, එම රෝහලෙන්ම සොයාගත් වීදුරු කැබැල්ලක්‌ සහිත "හයිෙඩ්‍රාකෝටිසෝන්" එන්නත් දියර කුප්පි සැපයූ උමෙඩිකා ලැබෝරටරිස්‌ සමාගම හා ඇල්පිටිය මූලික රෝහලෙන් සොයාගත් වීදුරු කැබැල්ලක්‌ සහිත "පෙතිඩීන්" එන්නත් දියර කුප්පි සැපයූ "බෙල්කෝ ෆාමා" සමාගම වසර දෙකක කාලයක්‌ අසාදු ලේඛනයට (බ්ලැක්‌ ලිස්‌ට්‌) ඇතුළත් කෙරෙන බව සෞඛ්‍ය අමාත්‍යාංශ ආරංචි මාර්ග පැවසීය.

ජාතික ඖෂධ අධිකාරියේ අධ්‍යක්‍ෂ වෛද්‍ය හේමන්ත බෙනරගම මහතා විසින් පෙරේදා (03 දා) සෞඛ්‍ය අමාත්‍යාංශයේ ලේකම් වෛද්‍ය අතුල කහඳලියනගේ මහතා වෙත භාර දුන් මෙරටට අපද්‍රව්‍ය සහිත එන්නත් දියර කුප්පි ඇතුළු උපකරණ සැපයූ ඉන්දීය ඖෂධ නිෂ්පාදන සමාගම් හයක්‌ සම්බන්ධව පැවැත්වූ පරීක්‍ෂණයේ වාර්තාවෙහි අදාළ සමාගම් තුන අසාදු ලේඛනයට ඇතුළත් කරන ලෙසට නිර්දේශ කර තිබේ.

මේ අනුව මෙම සමාගම් විසින් රජයේ රෝහල්වලට සපයන ලද අපද්‍රව්‍ය ඇතුළත් එන්නත් දියර කුප්පි කාණ්‌ඩවලට අයත් සියලු එන්නත් කුප්පි භාවිතයෙන් ඉවත් කර එම තොගයන් මෙරටට ගෙන්වීම සඳහා වැය කරන ලද මුළු මුදල අදාළ සමාගම්වලින් අය කර ගන්නා ලෙසද එම පරීක්‍ෂණ වාර්තාවෙන් නිර්දේශ කර තිබේ.

ඇල්පිටිය, නුවරඑළිය හා ඇඹිලිපිටිය යන රෝහල්වලින් සොයාගත් වීදුරු කැබැලි සහිත "පෙනගන්" එන්නත් දියර කුප්පි සපයන ලද "මර්කර් ලැබෝරටරිස්‌" ආයතනයට එරෙහිව ක්‍රියාමාර්ග ගැනීම එම එන්නත් කුප්පිවල පරීක්‍ෂණ වාර්තා ලැබීමෙන් අනතුරුව සිදු කරන බවද වාර්තාවෙහි දැක්‌වේ.

ඉකුත් සිකුරාදා ජාතික ඖෂධ අධිකාරියේදී පැවැති අපද්‍රව්‍ය සහිත එන්නත් දියර කුප්පි සැපයූ ඉන්දීය ඖෂධ සමාගම් සඳහා වන පරීක්‍ෂණය සඳහා කැඳවනු ලැබූ ඉන්දීය සමාගම් හයෙන් හතරක්‌ පමණ සහභාගි වූ අතර එයට නොපැමිණි ආයතන වන "බෙල්කෝ ෆාමා" ආයතන අසාදු ලේඛනයට වාර්තාවේ නිර්දේශයන්ට අනුව ඇතුළත් කර ඇති අතර සහභාගි නොවූ ඉතිරි ආයතනය වනුයේ තවමත් පරීක්‍ෂණ වාර්තා නොපැමිණි වීදුරු කැබැලි සහිත "පෙනගන්" එන්නත් දියර කුප්පි සැපයූ මර්කරි ලැබෝරටරිස්‌ ආයතනයයි.

මේ අතර ඇඹිලිපිටිය මූලික රෝහලේ තිබී සොයාගත් ප්ලාස්‌ටික්‌ කැබැල්ලක්‌ සහිත සේලයින් බෝතලය සැපයූ බැක්‌ස්‌ටර් ඉන්ඩියා සමාගම අසාදු ලේඛනයට ඇතුළත් නොකිරීමට තීරණය වී ඇති අතර ඔවුනට ඉදිරි වසර දෙකක කාලය ඇතුළත තම නිෂ්පාදනාගාර සම්බන්ධ පිළිගත් නිෂ්පාදන තත්ත්ව සහතිකයක්‌ ඉදිරිපත් කරන ලෙස දැනුම් දීමට නිර්දේශ වී තිබේ.

අනුරාධපුර මහ රෝහලේ තිබී සොයා ගත් සර්ප විෂ නැසීම සඳහා ලබාදෙන දුර්වර්ණ වූ "ඇන්ටි ස්‌නේක්‌ වෙනම් සිරම්" එන්නත් දියර කුප්පි එසේ දුර්වර්ණ වීමට හේතු වී ඇත්තේ නිෂ්පාදන ක්‍රියාවලියෙහි වරදක්‌ නිසා නොව එම එන්නත් ගබඩාකර තැබීමේදී නියමිත උෂ්ණත්වයක නොපැවතීම බවද අදාළ පරීක්‍ෂණ වාර්තාවේ සඳහන් කර තිබේ.

මෙම පරීක්‍ෂණ වාර්තාවේ නිර්දේශයන් සෞඛ්‍ය අමාත්‍යංශ ලේකම්වරයා හා සෞඛ්‍ය සේවා අධ්‍යක්‍ෂ ජනරාල්වරයා විසින් මෙම සතිය ඇතුළතදී ක්‍රියාත්මක කිරීමට නියමිතව ඇති බවද සෞඛ්‍ය අමාත්‍යංශ ආරංචි මාර්ග පවසයි.
Dear colleagues,
What do you think,"Justice served"?
-Well wisher

Who are we ,What we are up to?

Dear colleagues,

At least for some time,we decided to keep our identities concealed,as it will be beneficial to all of us.

The main aims of this site will be to,

1.Build up awareness among the medical professionals on the daily developments of our professional and social environment.

2.To identify the existing and potential threats to the medical profession.

3.To develop a culture of constructive criticism to guide the profession for a better future.


All sorts of comments are welcome.
Lets join and make a better future.

-well wishers of the GMOA