Sri Lanka medical group warns of catastrophic shortages amid economic crisis

Anti-riot police guard a road leading to the Sri Lanka prime minister's official residence in Colombo during a rally on April 7, 2022 against the rise of prices and shortage of fuel. (AFP)
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Updated 08 April 2022
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Sri Lanka medical group warns of catastrophic shortages amid economic crisis

  • Sri Lanka is facing its worst economic crisis in decades and has endured months of shortages of fuel and other essentials
  • Thousands of people have been demonstrating demanding a solution to the crisis

COLOMBO, Sri Lanka: Sri Lanka’s national medical association warned Thursday that hospitals will be unable to provide even emergency services in coming weeks because of critical shortages of drugs and medical equipment caused by the country’s economic crisis, leading to a catastrophic number of deaths if supplies aren’t replenished.
Sri Lanka is facing its worst economic crisis in decades and has endured months of shortages of fuel and other essentials. Protests over the economic troubles have spread nationwide and expanded to criticism of President Gotabaya Rajapaksa and his politically powerful family.
The Sri Lanka Medical Association sent a letter to Rajapaksa on Thursday saying that hospitals have already decided to curtail services such as routine surgeries and limit the use of available medical materials to treatment of life-threatening illnesses.
Unless supplies are urgently replenished, “within a matter of weeks, if not days, emergency treatment will also not be possible. This will result in a catastrophic number of deaths,” the letter said.
Thousands of people, including health workers, have been demonstrating this week demanding a solution to the crisis and Rajapaksa’s resignation for economic mismanagement.
Rajapaksa has resisted the demands to step down, even after members of his own coalition joined them this week, with governing party lawmakers calling for the appointment of an interim government to avoid possible violence.
Rajapaksa earlier proposed the creation of a unity government, but the main opposition party rejected the idea. His Cabinet resigned Sunday night, and on Tuesday, nearly 40 governing coalition lawmakers said they would no longer vote according to coalition instructions, significantly weakening the government.
This has turned the economic crisis into a political one, with no functioning Cabinet including crucial finance and health ministers. Parliament has failed to reach a consensus in three days of debate on how to deal with the crisis.
The president and his older brother, Prime Minister Mahinda Rajapaksa, continue to hold power, despite their politically powerful family being the focus of public ire. Five other family members are lawmakers, including Finance Minister Basil Rajapaksa, Irrigation Minister Chamal Rajapaksa and a nephew, Sports Minister Namal Rajapaksa.
The government estimates the COVID-19 pandemic has cost Sri Lanka’s tourism-dependent economy $14 billion in the last two years. Protesters also allege fiscal mismanagement. The country has immense foreign debts after borrowing heavily for infrastructure and other projects. Its foreign debt repayment obligations are around $7 billion this year alone.
The debts and dwindling foreign reserves leave it unable to pay for imported goods.
Rajapaksa last month said his government was in talks with the International Monetary Fund and had turned to China and India for loans, and appealed to people to limit the use of fuel and electricity.


Epstein files reveal links to cash, women, power in Africa

Updated 26 February 2026
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Epstein files reveal links to cash, women, power in Africa

  • Documents attest to Epstein’sclose ties with Karim Wade, son of former Senegalese president Abdoulaye Wade
  • They also reveal his ties to Nina Keita, niece of Ivorian president Alassane Ouattara

PARIS: Jeffrey Epstein built close ties with powerful figures in Senegal and Ivory Coast, files released by the US government last month show, detailing the late sex offender’s influence network across Africa.
Emails, scheduled meetings, investment projects, and loans reviewed by AFP attest to the disgraced New York financier’s close relationship with Karim Wade, son of former Senegalese president Abdoulaye Wade.
They also reveal his ties to Nina Keita, niece of Ivorian president Alassane Ouattara.
Wade and Epstein met in 2010 through Emirati businessman Sultan Ahmed bin Sulayem, who recently resigned as CEO of port giant DP World after mounting pressure over his close friendship with Epstein.
The pair quickly struck up a rapport.
“Thanks for coming. I think there are many things to consider... I feel confident that we will have fun,” Epstein wrote to Wade on November 15, 2010 after their first meeting in Paris.
“Have a safe trip back to your paradise Island,” Wade replied.
While Wade’s exchanges show no link to Epstein-related sex trafficking crimes, they do reveal conversations on potential business ventures in various sectors, such as finance and energy.
Nicknamed the “Minister of Heaven and Earth” for the multiple portfolios he held including international cooperation, energy, and air transport, Wade was a powerful figure in Senegal until April 2012, when his father’s bid for a third term sparked deadly riots.
Epstein saw him as “one of the most important players in africa” and invited him to meet close contacts such as Ehud Barak, then Israel’s defense minister.
He also put him in touch with Chinese businessman Desmond Shum to discuss “offshore banking.”
The US Department of Justice documents show Shum and Wade met in Beijing on May 9, 2011.
That same month, Wade planned an African tour through Senegal, Mali, and Gabon for Epstein.

‘You will not suffer’ 

Epstein and Wade’s relationship became even more apparent after the latter’s fortunes reversed when his father left office in 2012.
That autumn, Epstein proposed that his “friend” — under the Dakar authorities’ scrutiny over his assets — use his house in Florida.
“You and your family are welcome to use my house in palm beach, staff is there, pool etc. you will not suffer,” Epstein wrote.
“Txs a lot Brother for the advise,” Wade replied a few weeks later to another email, in which Epstein urged him to “stay mentally strong.”
Numerous files suggest Epstein became financially involved on Karim Wade’s behalf after his arrest in 2013 and his 2015 sentencing to six years in prison for corruption.
Karim Wade’s lawyer, Mohamed Seydou Diagne, sent two invoices in May 2014 and July 2015 of $500,000 to one of Epstein’s companies.
Contacted by AFP on Monday, Diagne said he “did not consider it useful to comment.”
Other archives suggest that Epstein covered at least $50,000 in fees for the US lobbying firm Nelson Mullins, hired by Wade’s entourage to secure his release.
Epstein regularly exchanged emails with Robert Crowe, a partner at the firm who kept him informed of their efforts in the US and Senegal.
In a June 16, 2016 email thread where Epstein and Crowe discussed whether then Senegalese president Macky Sall would pardon Wade, Crowe writes: “He has told my friends high up at State that he was going to do it. They have been putting pressure on him!“
Karim Wade was released from prison eight days later, on June 24, and went into exile in Qatar, which he credited for efforts toward his release.
Jeffrey Epstein was told by Sultan Ahmed bin Sulayem and Nina Keita.

‘A very interesting person!’

The DOJ documents show Nina Keita was close to both Epstein and Karim Wade and that she acted as a regular intermediary while Wade was in prison.
Keita also helped put Epstein in contact with her uncle, president of Ivory Coast since May 2011, and his team.
“He thought you were a very interesting person! ... they were all very happy to have you here,” she wrote on January 20, 2012, after the financier’s visit to Abidjan.
She had booked him the “ministerial suite” of the luxury Hotel Ivoire for that trip.
Ahead of the visit, Epstein had said he hoped to see “very pretty girls there, as well as interesting places.”
“You will!” Keita replied.
Emails show Keita, a former model, at least once sent photos and the phone number of a young woman to Epstein.
He then met this woman at the Ritz hotel in Paris on August 31, 2011.
“ask sadia to send pictures of her sister. i prefer under 25,” Epstein wrote to Keita after the meeting.
Now the deputy general director of Ivorian petroleum stocks company GESTOCI, Keita also appears in a February 2019 will in which Epstein requested that debts owed to him by a number of people be canceled upon his death.
AFP received no response to its requests for comment from both Keita and the Ivorian presidency, or from Karim Wade, who was contacted through his entourage.
The mere mention of a person’s name in the Epstein files does not in itself imply wrongdoing.