Colombo (AP): 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 USD14 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 USD7 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. 

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Mumbai (PTI): The Maharashtra government has set up a State Vaccination Task Force to strengthen the regular immunisation programme and review the progress of related campaigns, a health department official said on Monday.

The State Vaccination Task Force will comprise at least 29 members and will be headed by the administrative head of the health department, he informed.

The government has also constituted separate district-level and municipal vaccination task forces to improve implementation and address challenges at the grassroots level, he said.

Municipal task forces, chaired by respective civic commissioners, have been constituted in view of the vast urban population in Maharashtra and the role of civic bodies in implementing different health programmes.

The district-level task forces will function under the chairmanship of collectors.

"Complete immunisation of children at the appropriate age is an extremely simple, cost-effective and highly effective measure to reduce child mortality and the prevalence of diseases among kids. Immunisation is a powerful tool for reducing illness in children," maintained the official.

To ensure full vaccination of all children, the state government implements various campaigns from time to time as per the central government guidelines, he pointed out.

"Active participation and cooperation of other relevant government departments are essential (in making these campaigns successful)," according to the official.

The state-level body will review the regular immunisation programme, associated campaigns and vaccine-preventable diseases in detail. It will also conduct focused assessments of high-risk districts and municipal corporations, including vacancies at district, municipal and sub-district levels, availability of cold chain equipment, resource gaps and training requirements, he noted.

The state task force will review allocation and utilisation of funds for immunisation and ensure timely action by officers concerned based on reports from district and municipal task forces and state-level monitoring mechanisms, the official said.

It will also ensure active coordination and participation of other government departments in immunisation drives, while district and municipal task forces will carry out similar functions at their respective levels, the official added.