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Colombo, Sri Lanka (CNN)Three-year-old Miru plays with a bright red toy car, seemingly oblivious to the crisis unfolding around him.
Outside the small room where he lives with his parents, an economic disaster is gripping Sri Lanka, prompting protests, food scarcity and electricity cuts — and leaving the medicine Miru needs in desperately short supply.
Miru has a malignant brain tumor that causes him to have frequent epileptic seizures and fall unconscious for minutes on end. The only thing that helps is an anti-convulsant drug, but with Sri Lanka’s financial crisis hitting medical imports, Miru’s father, Upul Chandana, has struggled to find the medicine anywhere.
“This is not available in the hospital anymore. Even nearby pharmacies have run out of stock,” said Chandana, as his only son plays on the thin mattress behind him. “Now, even with money, we can’t find the medicine.”
Sri Lanka is battling its worst economic crisis in decades, as high foreign debt repayments and a massive trade deficit leave the country unable to import basic goods and medicine. Sri Lankans struggle to buy essential items such as milk powder and cooking gas, and protesters have taken to the streets demanding the resignation of the country’s President, Gotabaya Rajapaksa, who has refused to step down. Sri Lanka has suspended its external debt repayments while it works with the International Monetary Fund on a bailout package.
Now, with medical drugs and equipment running low, the country is facing what’s being described by Singapore’s Red Cross as an “unprecedented humanitarian crisis.”
Doctors report washing and reusing medical equipment — and even performing a surgery by the light of mobile phones. So far authorities have not confirmed any deaths from the medicine shortages — but experts warn the toll from the crisis could surpass the country’s more than 16,000 Covid deaths.
“This is a crisis, we can’t predict how bad it’s going to get,” said Athula Amarasena, the secretary of the State Pharmaceutical Association in Sri Lanka that represents pharmacies across the country. “But we are aware we are heading into a further crisis.” CNN
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Each day, Wasantha Seneviratne traipses from pharmacy to pharmacy in Sri Lanka’s capital Colombo, desperate to find Topotecan, the chemotherapy drug his 7-year-old daughter needs to stay alive.
At both the hospital where his daughter was admitted on April 7, and at each pharmacy he visits, it’s the same answer: The medicine isn’t available anywhere in the country.
“No government hospital, pharmacy or importer has it. It is nowhere in Sri Lanka,” he said of the drug his daughter needs to treat neuroblastoma, a form of cancer. “What should I do? My child may not live long if she doesn’t not receive the medication.”
Just a few weeks ago, Topotecan was offered free of charge by hospitals, but patients’ families are now tasked with sourcing it themselves from private pharmacies, Seneviratne said.
Even that feels impossible. And the problem is much bigger than Seneviratne.
According to a letter released by the Sri Lanka Medical Association (SLMA), all hospitals across the country lack access to emergency drugs and medical equipment. Several government hospitals have been ordered to suspend routine surgeries and reduce laboratory tests due to limited supplies of anesthetics and reagents used for tests, the SLMA says.
And medical equipment, too, is in short supply. The president of the Perinatal Society of Sri Lanka, for instance, has ordered hospitals to sterilize and reuse endotracheal tubes used to deliver oxygen to newborn babies’ lungs as the tube shortage becomes “extremely critical,” according to a letter sent to the Ministry of Health from the society earlier this month and provided to CNN. CNN
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