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Sunday, June 16, 2024

Professor Senaka Bibile

Prof Senaka Bibile- 1920-1977

"To accomplish great things, we must not only act, but also dream; not only plan, but also believe"- Anatole France, French poet and journalist.

Professor of Pharmacology, University of Ceylon
The First Dean of the Peradeniya Medical Faculty
By Mahendra Gonsalkorale

This article is derived from a research paper by three authors, one of whom is Kavinda Bibile, the son of the late Prof Senaka Bibile.

(Return of the Ancestors. Sharing an Intangible Heritage - Kavinda Bibile / Carola Krebs / Maria Schetelich) https://journals.ub.uni-heidelberg.de/index.php/transfer/issue/view/6895

Prof Senaka Bibile will be fondly remembered and admired by those who knew him. He was a brilliant academic and a tireless fighter for a fair drug policy (rationalisation of pharmaceuticals and the development of a national pharmaceutical policy) in Sri Lanka.

There are many views on how powerful international forces sabotaged his policies. This article will not cover that aspect and will deal with his family history and his academic brilliance from childhood to adulthood.

Professor Senaka William Bibile (1920-1977), was the Dean of the Peradeniya Medical School, Sri Lanka, Chairman of the State Phar maceutical Corporation of Sri Lanka, and Geneva-Based International Consultant on Pharmaceutical Policies for UNCTAD. He was the eldest son of Charles William Bibile. Senaka William Bibile and like him, also went to Trinity College Kandy and had an illustrious career there, excelling in both studies and sports. Trinity, provided an admixture of British (Western) values and Sri Lankan ethos. Trinity has no religious compunctions, students are free to follow their own religion; the Bibiles were Buddhists in this Anglican Church-run school.

From an early age, during school holidays which he spent in Bibile, Senaka William Bibile accompanied his father Charles William Bibile on his circuits in the Maha Wedirata, which inculcated in him a love and respect for the Veddah communities. It was also his voluntary work with the Social Service Union at Trinity, with its unique and long-standing outreach programs and clinics for the slum dwellers of Mahaiyawa, that gave him an insight into another world, far removed from a privileged life in his ancestral Walauwa at Bibile and the boarding house at Trinity. These experiences with city slum dwellers and the rural poor made a lasting impression on his young mind, with far-reaching consequences for the good. He saw the link between ignorance, ill health, and poverty. Thus, he began his lifelong dedication to social justice and health care, and he aspired to be a doctor.

Sadly, at the height of his school career in 1936, tragedy struck. His father, Charles William Bibile, died at the young age of 42. Although the family possessed ancestral village lands, without the father’s government salary, their economic circumstances changed abruptly. School fees were no longer affordable, and as the eldest of six school-going children, Senaka decided to leave Trinity to seek employment. But the visionary principal of Trinity at the time, the Reverent Robert Stopford (1901-1976), who later became the Bishop of London, would not hear of it. He searched for a benefactor and found Trinity alumnus D.B. Ellepola, who saw the promising talent Senaka displayed and agreed to help with his school fees. In his final year at Trinity, Senaka also won the coveted Fraser Scholarship.

Entering Ceylon Medical College with no funds, Senaka had to top the cohort each and every year to win the one scholarship on offer. That only sufficed to pay his university fees. At his dingy ‘digs’ in Borella he had to wash dishes and clean drains to pay for his frugal meals and bed. In the midst of all his examination pressures and financial worries he played rugby for the university team and took part in various extra-curricular activities. Yet, his academic achievements did not suffer, and they speak for themselves. He passed his First, Second, and Final M.B. Examinations all with First Class Honours, and won the coveted Djunjishaw Dadabhoy Gold Medal for medicine and the Rockwood Gold Medal for surgery in his finals.

Later he obtained his Ph.D. from the University of Edinburgh, was the first Professor of Pharmacology at the Faculty of Medicine in Colombo, then became Dean of the Faculty of Medicine in Peradeniya. During this time, he formulated the innovative ‘Rational Drugs Policy’ for Sri Lanka and set up the Pharmaceutical Corporation, better known as Osu Sala (note by MG- Osu Sala was the first direct SPC retail outlet to the Public. Before the SPC acquired it, it was a Chinese restaurant). It was this pioneering work that carried him into the international sphere, working for the UN Conference on Trade and Development (UNCTAD) in Geneva in conjunction with the World Health Organization, setting up rational drugs policies in developing countries. Canada has also now adopted the generic drug prescription, which was first formulated in Sri Lanka by Senaka Bibile in the 1970s. The Health Action International (HAI) newsletter of April 1990, published by the International Organisation of Consumer Unions (IOCU), stated that:

“Singlehandedly he conceived, formulated, developed and implemented a people-oriented drug policy in Sri Lanka in the early 1970s. The pharmaceutical reforms initiated in Sri Lanka by Bibile have been transformed into a global action programme.” During the 35th World Health Assembly in Geneva in May 1982, a senior WHO official stated: “[...] the philosophy guiding WHO’s Action Programme on Essential Drugs is based on that recommended by the late Professor Bibile of Sri Lanka.” In 1993, Dr. Hart, the pioneer of the Australian Pharmaceutical Policy Board, remarked when he arrived in Sri Lanka: “Sri Lanka is the summit of a mountain, Senaka Bibile is a glittering lamp on that top. By the glow of that light we, the other countries, formulated the drugs policies.”

Dr Gamini Buthpitiya, Dean of the Peradeniya Medical Faculty, said at the Bibile Memorial Oration held to commemorate the 50th anniversary of that medical college in Peradeniya: “At the very outset, let it be said that Senaka’s contribution to this issue was always based on sound scientific information, prudent economic principles and practical common sense. Nowhere can you see the sway of ideology, rhetoric or emotion in his approach to this problem.” 

Tragically, Senaka William Bibile died at the relatively young age of 57 of a heart attack in 1977 while on a mission for UNCTAD in Georgetown, Guyana. On February 13th 2022, on the 102nd anniversary of his birth, the government of Sri Lanka and the doctors at the Bibile Regional Hospital joined forces. They renamed Bibile Hospital the ‘Professor Senaka Bibile Memorial Hospital’.

important Footnote added on 17.6.2024 on other significant people who were responsible for the setting up of the SPMC.

The Government of 1970 appointed Dr. S.A. Wickremasinghe and Dr. Bibile to lead a commission of inquiry to investigate the issue of branded pharmaceutical drugs. This Bibile - Wickramasinghe Report served as the foundation for establishing an essential drug manufacturing entity owned and operated by the government of Sri Lanka.

After Bibile - Wickramasinghe Report, the government embarked on importing essential medicinal drugs as the first phase of the plan. The second phase was manufacturing a number of selected essential drugs within the country. In 1985, the Ministry of Health prepared a proposal for the establishment of a Formulation Centre for Essential Drugs and it was accepted by the Japan International Corporation Agency (JICA).

As it was recommended to establish a national policy and a state body to regularize the pharmaceutical drugs trade, Sri Lanka State Pharmaceuticals Corporation was founded. In 1971 the Cabinet Minister of Industries, T.B. Subasinghe appointed Professor Bibile as the founder chairman of the Sri Lanka State Pharmaceuticals Corporation.

-From  the SPMC website-

10 comments:

  1. Mahendra
    Thank you very much for this well written, very informative, great article regarding the illustrious life of Prof. Senaka Bibile. I really enjoyed reading this this article. I admire his self determination and look upto him for reaching such heights in his career.
    I feel the government should improve The Senaka Bibile Memorial Hospital so that his name will shine forever.
    Chira

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  2. Good article, balancing all the forces at work at the time, a socialist government with a mandate to serve the people, that actually did so on many levels, harnessing the best brains Sri Lanka had.
    The Pharmaceuticals policy and approach derived from the Bibile Wickremasinghe Report, in the first years of the Sirimavo Bandaranaike government is still operational in many countries, far away from its roots.

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    1. Above from Indira Gonsalkorale - I don't have a login. Didn't want to be Anon.

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    2. Thanks Indira. You know the history of the SPC as well as anybody! Appreciare your help in highlighting the enormous contribution made by Dr SA Wickramasinghe. Prof Bibile and Dr SAW were a formidable team.

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    3. Mahendra
      I remember you saying during one of the interviews you had with me, that Prof. S.R. Kottegoda's daughter is married to one of your brothers. The above comment is by her isn't it.
      Prof Kottegoda's mother and my mother's father were first cousins.
      Chira

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  3. Thank you very much Mahendra for the excellent article regarding this great man. When the Peradeniya Medical Faculty was created in the early 1960s, the junior of the two Professors in the Colombo Medical Faculty was chosen for Peradeniya except in Pharmacology where Bibile volunteered to go to Peradeniya, Thus, Lester Jayawardene, Valentine Basnayake
    Baptist,Tennekoon, Arsecularatne, Haris Ranasinghe, Sinnathurai, Keerthisinghe, Marcan Markar, and Sinnethamby were chosen for Peradeniya. The senior of the two professors remained in Colombo (Waas, Hoover, Koch, S A Dissanaike, H VJ Fernando, Rajasuriya, Navararatne, and Ranasinghe). Kottegoda and Lionel remained in Colombo. C C de Silva was the the Professor of Paediatrics for both the faculties as there was only a single Professor of Paediatrics. R P Jayawardene refused to go to Peradeniya and reverted back to the MoH and Marcan Markar was appointed as Professor of Medicine to Peradeniya.
    Bibile was the first Dean of the Peradeniya Medical Faculty as well as a pioneer in Medical Education. Varagunam, Jayawickramaraja and Palitha Abeykoon joined him later for Medical Education.
    When Bibile was the first Chairman of the SPC, there was an outbreak of cholera in Ceylon. Tetracycline was the drug of choice and Pfizer had the only capsuling plant in the country. Bibile wished to import generic Tetracycline and requested Pfizer to capsule it, which the latter refused. Bibile approached Sirimavo B. ,who was the Prime Minister and she threatened to nationalize Pfizer. The American Ambassador in Colombo was contacted by Pfizer and informed him about the situation. The American Ambassador contacted his superiors in the US, who threatened to withdraw the PL 480 agreement, which supplied subsidised wheat flour for our citizens, if Pfizer was nationalised and If the subsidy was withdrawn, our people would have had to starve. It was an excellent example of economic blackmail and Pfizer's stance prevailed.
    During a Colombo vs Peradeniya academic staff softball cricket match played at the Peradeniya Gardens, I was batting and the bowler was the surgeon Eaton; Bibile was the wicket-keeper. I tried a late cut and smashed Bibile's wrists with my bat, as he tried to collect the ball. His very expensive wrist watch was smashed! I was very embarrassed and profusely apologetic! Bibile pacified me by saying "Don't worry son , my mistake!
    Bibile died in Guyana soon after attending a cocktail party and there were rumours that his drink was tampered by Big Pharma.
    Bibile and Kottegoda were married to two sisters.

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  4. For pathology Prof Gerry Cooray remained in Colombo and Tennekoon went to Peradeniya

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    1. Thank you very much Sanath for your contribution with so many inereresting details about the Colombo-Peradeniya transition in so many departments, You probably know that Prof Kottegoda's daughter is my sister-in-law married to my brother Raj. She told me the relationship between the Bibiles and Kottegodas is that SWB 's 1st wife and her mother Dammi, were step sisters. Also, "SWB's mother's brother Ricky". Jayewarndene married my grandfather's only sister, Lillian.
      Rambukpotha.
      We did not have the good fortune to be taught by SWB as he had moved to Peradiniya when we joined the Faculty but had wonderful Pharmo teachers in Lionel and Prof Kotte.
      I got to know about SWB's charisma and contriibution only after he became Chairman of the SPC.I have also met him socially at the Kottegodas. He was a great man.

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    2. Mahendra, I was aware that you were connected to the Kottegodas via marriage. If I remember right, SWB gave one lecture to our batch.

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  5. COMMENT BY RAJ GONSALKORALE
    A comment needs to be made about the very significant role played by the then PM Sirimavo Bandaranaike and Minister TB Subasinghe in making sure the ground breaking policy formulation by Prof Bibile and Dr SA Wickremasinghe was implemented
    Without their leadership and support and the policy could have gone underground as so many good policies have due to the absence of political leadership and commitment.

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