- Energy and Environment Impacts
- Air Quality and Health Impacts
- Energy, Environment, and Transportation Policies
- Noise Effects and Management
- Healthcare Systems and Reforms
- Global Maternal and Child Health
- Global Public Health Policies and Epidemiology
- Air Quality Monitoring and Forecasting
- Tuberculosis Research and Epidemiology
- Disaster Response and Management
- Legal case studies and regulations
- Hybrid Renewable Energy Systems
- Global Health Care Issues
- Global Health and Surgery
- Livestock Management and Performance Improvement
- Health Services Management and Policy
- Social Acceptance of Renewable Energy
- Pneumonia and Respiratory Infections
- Health disparities and outcomes
- Cancer survivorship and care
- Cardiovascular Health and Risk Factors
- COVID-19 impact on air quality
- Climate Change and Health Impacts
- COVID-19 and healthcare impacts
- Blood groups and transfusion
National Institute of Health Sciences
2010-2022
Office of the Director
2021
University of Colombo
2018
University of Kelaniya
2006-2015
Lucky Technology (China)
2013
University of Alabama at Birmingham
2013
Solid fuel burning cookstoves are a major source of household air pollution (HAP) and significant environmental health risk in Sri Lanka. We report results the first field study Lanka to include direct measurements both real-time indoor concentrations personal exposures fine particulate matter (PM2.5) households using two most common stove types A purposive sample 53 was selected rural community Kopiwatta central Lanka, roughly balanced for type (traditional or improved 'Anagi') ventilation...
Household air pollution from combustion of solid fuels for cooking and space heating is one the most important risk factors global burden disease. This study was aimed to determine association between household due biomass fuel in Sri Lankan households self-reported respiratory symptoms children under 5 years. A prospective conducted Ragama Medical Officer Health area Lanka. Children years were followed up 12 months. Data on extracted a symptom diary. Socioeconomic data main type used...
Background: The environmental health of children is one the great global concerns. Exposures in utero and throughout development can have major consequences on later health. However, risks or disease burdens vary from region to region. Birth cohort studies are ideal for investigating different risks. Methods: principal investigators three birth cohorts Asia including Taiwan Panel Study (TBPS), Mothers Children's Environmental Health (MOCEH), Hokkaido Environment Children' (Hokkaido Study)...
Abstract Background Health effects due to air pollution is becoming a major public health problem with growing traffic congestion and establishment of small‐ medium‐scale industries poor emission controls in urban cities Sri Lanka. Methods Respiratory status 7‐ 10‐year‐old children two settings (urban semi‐urban) was assessed using standard questionnaires. Information on socio‐demographic characteristics potential determinants both outdoor indoor pollutants exposure levels were also...
A pilot study of indoor air pollution produced by biomass cookstoves was conducted in 53 homes Sri Lanka to assess respiratory conditions associated with stove type ("Anagi" or "Traditional"), kitchen characteristics (e.g., presence a chimney the home, cooking area), and concentrations personal particulate matter less than 2.5 micrometers diameter (PM2.5). Each primary cook reported for herself (cough, phlegm, wheeze, asthma) children (wheeze living her household. For cooks, at least one...
Abstract Background Biomass cooking fuel is the main source of indoor air pollution in majority households developing world. Sri Lanka an island about 20 million population with urban, rural, and estate 14.6%, 80.0%, 5.4%, respectively. This study describes biomass use for Lanka. Methods We analyzed data from two national Demographic Health Surveys (2000 2007) to identify determinants fuels Lankan households. The results are based on a sample 8,169 2000 19,862 2007. Results Wood was...
A large body of evidence has confirmed that the indoor air pollution (IAP) from biomass fuel use is a major cause premature deaths, and acute chronic diseases. Over 78% Sri Lankans for cooking, source IAP in developing countries. We conducted review available literature data sources to profile Lanka. also produced two maps (population density use; cooking by district) illustrate problem geographical context. The Lanka limited wood while coal, charcoal, cow dung are not used. Government...
The outcome of snakebite is related to the biting species but it often difficult identify snake, particularly in community settings. We have developed a clinical scoring system suitable for use epidemiological surveys, with main aim identifying presumed those systemic envenoming who require treatment. score took into account ten features relating bites five medically important snakes Sri Lanka, and an algorithm was applying different weightings each feature species. A systematically...
Since 1950, cardiovascular disease (CVD) has emerged as a leading cause of mortality in Sri Lanka, especially men. In 2014, survey Kalutara to assess CVD and type 2 diabetes mellitus (T2DM) risk factors adults aged 25 64 years (n = 1011), associations with sex socioeconomic status (SES), found similar both sexes, except for daily tobacco smoking at 19% men nil women, higher body mass index (BMI) women than With increasing SES men, there were significant linear increases mean BMI, waist...
Secondhand smoke accounts for a considerable proportion of deaths due to tobacco smoke. Although the existing laws ban indoor smoking in public places Sri Lanka, level compliance is unknown.Fine particulate matter (PM(2.5)) levels 20 Colombo, Lanka were measured by PM monitor (Model AM510-SIDEPAK Personal Aerosol Monitor). Different types businesses (restaurants, bars, cafés, and entertainment venues) selected purposive sampling. Only where was permitted considered.The average PM(2.5) ranged...
Official publication of the College Community Physicians Sri Lanka and was established in 1995. Full text articles available.Journal (JCCPSL) has been recognised by International Committee Medical Journal Editors (ICMJE) as a following ICMJE Recommendations. The journal is indexed DOAJ.Manuscripts are only accepted online through portal JCCPSL https://jccpsl.sljol.info/ . prospective authors must read carefully section on Author Guidelines prepare their manuscript accordingly. To submit or...
Solid fuel combustion is an important risk factor of morbidity. This study was conducted to determine the effect indoor air pollution (IAP) due solid on physical growth in 262 Sri Lankan children under five. Exposure defined by type used for cooking. Pollutant levels were measured a subsample households. “High” exposure group (households using biomass fuel/kerosene oil cooking) comprised 60% population; prevalence wasting 19.7% and underweight 20.4% entire population where 68% from high...
ABSTRACT Background Sri Lanka is considered an endemic region for goiter. Early researchers have suggested the existence of a goiter belt based on rainfall pattern. Subsequent studies done in school children challenged this theory. Current study community-based cross-sectional to assess epidemiology goiters. Geographic information system (GIS) mapping prevalence developed first time Lanka. Methods Study subjects were selected using multi-staged cluster sampling with probability proportionate...
This paper reports on a study carried out to examine human exposure street-level air pollutants in Sri Lanka and explores the effectiveness of mitigation options. Baseline pollution health risk assessment data were collated free-ware computer model (Envi-met) was then applied selected urban area test Model variables included changes street vegetation, soil conditions building geometry. Background aerosol (particulate matter, sulfur dioxide nitrogen dioxide) found be significantly different...
Abstract Background The effectiveness of a 2015–17 community intervention to reduce cardiovascular disease (CVD) and type 2 diabetes (T2DM) risk factors is assessed in Sri Lanka adult population, using before-and-after study design. Methods Four contiguous Public Health Midwife (PHM) areas Kalutara district (Western Province) were exposed Lankan designed health promotion initiatives (without screening) lower CVD T2DM factors. Pre- post-intervention surveys (2014, n =1,019; 2017, =908) 25–64...
ABSTRACT Background About 74% of the Sri Lankan population use biomass in form unprocessed wood as primary cooking fuel. A growing body evidence from meta-analyses and individual studies although limited by few prospective studies, report that prenatal exposure to particulate matter size 2.5 µm (PM ) emissions fuel burning may be associated with low birth weight (LBW) (<2500 grams). We present results examining association between PM LBW context a cohort study Lanka. Methods followed 545...
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The COVID-19 pandemic negatively impacted the global economy, disrupted essential health services, and distorted social determinants of health, reducing healthcare accessibility increasing financial risk.we aimed to assess impact on risk protection in Sri Lanka.We conducted a cross-sectional study representative sample (multi-stage sampling process) 3151 households 105 clusters representing all districts Lanka. data collection was using an interviewer-administered questionnaire early...
PP-30-043 Background/Aims: Data on fine particle (PM2.5) air pollutant levels in Sir Lankan households are scarce. A high proportion of known to use unclean fuels for cooking, without proper ventilation. The aim the study was determine respiratory health status children and PM2.5 a sample home environments (indoors outdoors). Methods: total 612 (aged 7–10 years) were selected from 2 settings (setting 1, n = 408; setting 2, 204) prospective study. Study "setting 1" outdoor air-polluted area...
Air pollution is a multifaceted environmental toxin affecting the Central Nervous System (CNS) through diverse pathways. The CNS of young children particularly susceptible to detrimental effects toxins, as brain development continues postnatally with formation interneuronal connections, glial cell proliferation and myelination axons. Indoor air (IAP) from solid fuel combustion more harmful than outdoor pollution. Numerous pollutants hazardous health are released during burning unprocessed...
Official publication of the College Community Physicians Sri Lanka and was established in 1995. Full text articles available.Journal (JCCPSL) has been recognised by International Committee Medical Journal Editors (ICMJE) as a following ICMJE Recommendations. The journal is indexed DOAJ.Manuscripts are only accepted online through portal JCCPSL https://jccpsl.sljol.info/ . prospective authors must read carefully section on Author Guidelines prepare their manuscript accordingly. To submit or...