Chronic kidney disease (CKD) of unknown etiology (CKDu) is a serious health issue in Sri Lanka. One-to-one age and sex-matched two sample comparative study was carried out in the Medawachchiya divisional secretariat area of the North Central Province (NCP) of Sri Lanka, by randomly selecting 100 CKDu patients and 100 age and sex-matched subjects from non-CKDu affected families from the same area. An interviewer-administered questionnaire was used for the collection of data pertaining to occupation, medical history and lifestyle. Data were analyzed using a conditional linear logistic model. Working for >6 h in the field per day, exposure to sun, drinking water only from well, consumption of <3 L of water per day, and having a history of malaria were found to be having significant (P < 0.05) likelihood toward the development of CKDu. Treatment of water prior to consumption had a significant protective effect against CKDu. Dehydration, history of malaria and drinking untreated well water from are likely contribute to the development of CKD of unknown etiology among the inhabitants of NCP, Sri Lanka.

ObjectivesTo conduct a community survey to estimate the degree to which road traffic injuries (RTIs) are under reported and to compare the characteristics of RTI reported to the police to those not reported.DesignA cross-sectional population-based study.SettingKandy district, Sri Lanka.ParticipantsRTIs and deaths during the preceding 12 months were identified through a community-based cross-sectional survey with a sample size of 3080 households. A stratified multistage cluster sampling with population proportion to size was used. ‘Events reported’ to the police were cross checked against events in the police records of the given or adjacent police stations, and either were ‘Events found’ or ‘Not found’. ‘Under reported’ included those ‘Not reported’ and those reported but ‘Not found’ in the police dataset.ResultsInformation about 11 724 persons were obtained from 3080 households, identifying 149 persons who suffered an RTI. Of these, 57% were ‘Events reported’, and of these 43.6% (n=65) were ‘Events found’ in police records (95% CI, 36.0 to 51.6). There were 42 events ‘Not reported’ to police while an additional 7 were ‘Not found’ in the police records of the given police station. Although they were claimed to have been reported to the police, 33% (95% CI 25.8 to 40.7) were ‘Under reported’. There were significant differences in age (p=0.02), family income (p<0.001), road user type (p=0.001), injury severity (p<0.001) and injury category (p=0.01) between ‘Events found’ in the police records and ‘Under reported’ events.ConclusionsIn the Kandy district, 33% of RTIs were ‘under reported’. These findings could be used as evidence for policy planning to prevent RTIs, and highlights the need for a nation-wide community-based survey to determine the true rates of RTI for a better understanding of the reasons for under reporting.

Larger particle sizes in the stone ground flour compared with industrially milled flour was established as the only factor affecting the difference in GI of same type of food prepared with flour milled using different methods. There were no significant differences (p>0.05) in proximate compositions of the different foods or raw flours. Foods prepared with finger millet (kurakkan) flour with a larger particle size distribution resulted in a lower glycaemic response.

Factor structure and internal consistency of the current Sinhalese version of the self reported SDQ is not satisfactory. Revalidation of this version of SDQ is recommended to capture the intended objectives of the SDQ.

Background In Sri Lanka, road traffic injuries (RTIs) kill one person every 4 h. RTI can cause serious economic difficulties for families. Although public sector healthcare is free in Sri Lanka, the household costs of RTI are not known. Objective To assess the costs of treatment, lost work, vehicle and other damages, transport and lodging, compensation paid, intangibles etc to households that have sustained RTI. Methods A community based cross-sectional survey was conducted in 2008 using stratified multistage cluster sampling. Data were collected using pretested structured interviewer-administered questionnaires. Individuals who had sustained an injury/death due to a road traffic crash (RTC) in the preceding 12 months were included. A direct accounting approach was used. Results Of 11724 persons screened (n=3080 households), 149 had sustained RTI, of these 16 were deaths. The mean age of those injured was 28.8 years (SD=16.8). 56.6% were employed at the time of the crash. The mean household costs attributed to these injuries were Rs. 34 244 (Rs.100- Rs. 700 000), given the average family income (≤Rs.10.000). In all income groups, there were wide ranges of costs following RTI. Loss of income due to lost working days was significantly higher (p<0.001) for those who worked per hour (29) compared to those who were salaried (4).Only 14.1% had any form of health insurance. Significance The economic impact of RTI on the injured/dead victims and their families is substantial. Implementing appropriate preventive measures could reduce these economic effects, in addition to the immeasurable costs of pain, grief, and suffering. * 1US$=Rs. 114.00 1 NZD $=Rs. 100.00