Dr. Lalith Senarathna

Senior Lecturer

lalith@as.rjt.ac.lk
+94777635254


Education

  • Ph. D in Public Health,
    University of Sydney, Australia (2013)
  • M. Med. Sci. (Clinical Epidemiology)
    University of Newcastle, Australia (2006)
  • Grad. IChem
    Institute of Chemistry Sri Lanka (2001)

Professional Qualifications

  • Certificate in Teaching in Higher Education (CTHE), Rajarata University of Sri Lanka (2016)
  • Proficiency of Pharmacy, Ceylon Medical College Council, University of Colombo (2001)

Research Interests

  • Public Health interventions in community level
  • Qualitative research
  • Suicide and self harm
  • Injury Prevention
  • Topics related to nutrition including obesity in adult populations
  • Health Systems research

Teaching Subjects

  • HPT 3306 – Report Writing, Assessing and Scientific Communicating
  • HPT 1210 – Research Methods
  • HPT 2104 – Introduction to Epidemiology

Special Awards and Recognitions

  • Presidential Awards for scientific publications by Presidential Secretariat and National Research Council of Sri Lanka
  • Merit certificate for Scientific Publications by National Research Council of Sri Lanka
  • Ambassador, Endeavor Postgraduate Awards program. Ministry of Education and Trailing, Australia

Professional Appointments and Affiliations

  • Honorary Senior Lecturer, School of Public Health, University of Sydney, Australia
  • Country coordinator, Sri Lankan field placement program for Master of International Public Health (MIPH) Students, School of Public Health, University of Sydney, Australia
  • Chairperson, Ethics Review Committee of the Faculty of Applied Sciences, Rajarata University of Sri Lanka – June 2017 to date
  • Trained surveyor of Strategic Initiative for Developing Capacity in Ethical Review (SIDCER) with Forum for Ethics Review Committees of Asia Pacific (FERCAP) and Forum for Ethics Review Committee of Sri Lanka (FERCSL)
  • Member of the Management Committee of the Forum for Ethics Review Committees of Sri Lanka (FERCSL), Sri Lanka Medical Association – August 2015 to date
  • External resource person for Education, Training and Research (ET&R) unit of the Ministry of Health, Sri Lanka – for regular research training program to improve research capacity among pharmacists, nurses and radiographers
  • Coordinator, Quality Assurance Cell, Faculty of Appliefd Sciences, Rajarata University of Sri Lanka
  • Writer, Institutional Quality Assurance Review team of the Rajarata University of Sri Lanka. 2016 – 2017
  • Visiting Lecturer of Epidemiology and Research Methods and Research Ethics in the Faculty of Technology, Rajarata University of Sri Lanka, BSc Nursing program of the Open University of Sri Lanka, and Pharmacy program, University of Sri Jayawardhanapura, Colombo, Sri Lanka

Research Grants

  • Principal Investigator of seed-corn research grant awarded by the Global Challenges Research Fund (GCRF) through University of Bristol , UK to conduct community survey on home injuries among children under five years, 2018/2019
  • Co-Investigator of Global Alliance for Chronic Diseases (APP1146354) research grant awarded by National Health and Medical Research Council (NHMRC) Australia, 2018
  • Co-applicant of National Health & Medical Research Council (Australia) grant (grant number NHMRC630650) awarded to conduct a study of educational interventions on treatment of patients with acute poisoning in rural Asian hospitals for 4 years – 2010
  • Co-investigator of 2 year research grant from Faculty of Medicine, University of Peradeniya awarded to conduct a study of the knowledge, attitude and practices of chronic kidney disease patients and related social factors in North Central Province of Sri Lanka – 2014

Publications

Books
  • Kalana Peiris, Duminda Guruge, Manuja Perera, Lalith Senarathna. Children’s Health Country Programme: First phase program review 2010 – 2012. HaPAN/Plan/Rajarata University of Sri Lanka (2013)
Publications (Indexed journal)
  • Duleeka Knipe, Piumee Bandara, Lalith Senarathna, Judi Kidger, José A López-López, Thilini Rajapakse. Childhood adversity and deliberate self-poisoning in Sri Lanka: a protocol for a hospital-based case-control study. BMJ Open (Reviewed & Accepted), April 2019
  • Prasadi, G. A. M., Mohamed, F., Senarathna, L., Cairns, R., Pushpakumara, P. H. G. J., & Dawson, A. H. (2018). Paediatric poisoning in rural Sri Lanka: an epidemiological study. BMC public health, 18(1), 1349.
  • T. Herath, D. Guruge, M. Fernando, S. Jayarathna, L. Senarathna. The effect of a community based health promotion intervention to change gender norms among women in a rural community in Sri Lanka. BMC Public Health2018 18:977 doi: 10.1186/s12889-018-5914-7
  • Prasadi M, Senarathna L, Dharmaratne S, De Silva L, Dawson A. Mothers’ knowledge attitude and perception on side effects of medicines given for children-A qualitative study. Clinical Toxicology 2018 Jan 1 (Vol. 56, No. 7, pp. 708-708).
  • Jacques Raubenheimer, Andrew Dawson, Lalith Senarathna, Shaluka Jayamanne, P Ariyanadana, Indika Gawarammana, Nick Buckley. Four years of Sri Lankan poisonings: An interpretive snapshot. Clinical Toxicology 56 (7), 685-686
  • Lalith Senarathna, Cynthia Hunter, Andrew H. Dawson, Michael J. Dibley. Social Dynamics in Sri Lankan Rural Hospitals: Revelations from self-poisoning cases. Qualitative Health Research, 2013 Nov;23(11):1481-94.
  • Lalith Senarathna, Nick A Buckley, Michael J Dibley, Patrick J Kelly, Shaluka F Jayamanna, Andrew H Dawson. Effect of a brief outreach educational intervention on the translation of guidelines to practice in rural Sri Lankan hospitals: A cluster randomized controlled trial. PLoS One. 2013 Aug 19;8(8):e71787
  • Lalith Senarathna, Shaluka F Jayamanna, Patrick J Kelly, Nick A Buckley, Michael J Dibley, Andrew H Dawson. Changing epidemiologic patterns of deliberate self poisoning in a rural district of Sri Lanka. BMC Public Health 2012, 12:593 doi:10.1186/1471-2458-12-593
  • Senarathna L, Buckley N, Jayamanna S, Kelly P, Dibley M, Dawson A. Validity of referral hospitals for the toxicovigilance of acute poisoning in Sri Lanka. Bulletin of World Health Organization. 2012 Jun 1;90(6):436-443A
  • RV Jayatillake, MR Sooriyarachchi, DLP Senarathna. Adjusting for a cluster effect in the logistic regression model: An illustration of theory and its application. Journal of the National Science Foundation of Sri Lanka 39 (3)
  • Dawson AH, Eddleston M, Senarathna L, Mohamed F, Gawarammana I, Bowe SJ, Manuweera G, Buckley NA. Acute human lethal toxicity of agricultural pesticides: a prospective cohort study. PLoS Medicine. 2010 Oct 26;7(10)
  • Roberts DM, Dawson AH, Senarathna L, Mohamed F, Cheng R, Eaglesham G, Buckley NA. Toxicokinetics, including saturable protein binding, of 4-chloro-2-methyl phenoxyacetic acid (MCPA) in patients with acute poisoning. Toxicology Letters. 2011 Jan 20.
  • Eddleston M, Eyer P, Worek F, Juszczak E, Alder N, Mohamed F, Senarathna L, Hittarage A, Azher S, Jeganathan K, Jayamanne S, von Meyer L, Dawson AH, Sheriff MH, Buckley NA. Pralidoxime in acute organophosphorus insecticide poisoning–a randomized controlled trial. PLoS Medicine. 2009 Jun 30;6(6)
  • Senarathna L, Eddleston M, Wilks MF, Woollen BH, Tomenson JA, Roberts DM, Buckley NA. Prediction of outcome after paraquat poisoning by measurement of the plasma paraquat concentration. Q J Med. 2009 Apr;102(4):251-9
  • Kanchana Wickramasinghe; Paul Steele; Andrew Dawson; Dinusha Dharmaratne; Asha Gunawardena; Lalith Senarathna; Dhammika de Siva; Kusal Wijayaweera; Michael Eddleston. Costs to the government health care services for treating acute self-poisoning in a rural Asian district (MS no: BLT/2008/051920). Bulletin of the World Health Organisation,. 2009 Mar;87(3):180-5
  • Senarathna L, Adams J, De Silva D, Buckley NA, Dawson A. Personal and professional challenges in the management of deliberate self-poisoning patients in rural Sri Lanka: A qualitative study of rural hospital doctors’ experiences and perceptions (MS: 9215176921929999). BMC Public Health. 2008 Oct 28;8:373
  • Eddleston M, Juszczak E, Buckley NA, Senarathna L, Mohamed F, Dissanayake W, Hittarage A, Azher S, Jeganathan K, Jayamanne S, Sheriff MR, Warrell DA; Ox-Col Poisoning Study collaborators. Multiple-dose activated charcoal in acute self-poisoning: A randomised controlled trial. Lancet. 2008 Feb 16;371(9612):579-87
  • Michael Eddleston, Edmund Juszczak, Nick A Buckley, Lalith Senarathna, Fahim Mohammed, Stuart Allen, Wasantha Dissanayake, Ariyasena Hittarage, Shifa Azher, K Jeganathan, Shaluka Jayamanne, MH Rezvi Sheriff, David A Warrell1 and the Ox-Col Poisoning Study collaborators. Study protocol: A randomised controlled trial of multiple and single dose activated charcoal for acute self-poisoning. BMC Emergency Medicine 2007, 7:2
  • Fahim mohamed, M. Roshini Sooriyarachchi, Lalith Senarathna, Shifa Azhar, M.H. Rezvi Sheriff, Nick A. Buckley, and Michael Eddleston. Compliance for single and multiple dose regimens of superactivated charcoal: A prospective study of patients in a clinical trial. Clinical Toxicology (2007) 45, 132–135
  • Michael Eddleston, K Sudarshan, M Senthilkumaran , K Reginald, Lakshman Karalliedde, Lalith Senarathna, Dhammika de Silva, MH Rezvi Sheriff, Nick A Buckley, David Gunnell. Patterns of Hospital Transfer for Self-Poisoned Patients in Rural Sri Lanka – Implications for Estimating the Incidence of Self-Poisoning Acts in the Developing World. Bulletin of the World Health Organisation, 2006; 84:276-282
  • Darren M. Roberts, Ruwan Seneviratne, Fahim Mohammed, Renu Patel, Lalith Senarathna, Ariyasena Hittarage, Nick A. Buckley, Andrew H. Dawson, Michael Eddleston. Intentional Self-Poisoning With the Chlorophenoxy Herbicide 4-Chloro-2-Methylphenoxyacetic Acid (MCPA). Annals of Emergency Medicine 2005 September, Volume 46, no. 3
  • Michael Eddleston, Peter Eyer, Franz Worek, Fahim Mohamed, Lalith Senarathna, Ludwig von Meyer, Edmund Juszczak, Ariyasena Hittarage, Shifa Azhar, Wasantha Dissanayake, MHRezvi Sheriff, Ladislaus Szinicz, Andrew H Dawson, Nick A Buckley. Differences between organophosphorus insecticides in human self-poisoning: a prospective cohort study. Lancet 2005, 366: 1452-1459
  • Mohamed F, Senarathna L, Anwar S, Hittarage A, Dissanayake W, Sheriff MHR, Buckley N, Eddleston M. Acute human self-poisoning with the N-phenylpyrazole insecticide fipronil – a GABA-gated chloride channel blocking pesticide. JTox-ClinTox .December 2004
  • Eddleston M, Buckley NA, Checketts H, Senarathna L, Mohamed F, Sheriff MHR, Dawson A. Speed of initial atropinisation in significant organophosphorus pesticide poisoning – a systematic comparison of recommended regimens. Journal of Toxicology Clinical Toxicology 2004, Vol. 42, No. 6, pp. 865–875, 2004
  • Eddleston M, Senarathna L, Mohammed F, Buckley N, Juszczak E, Sheriff R, Ariaratnam A, Rajapakse S, Warrell DA, Rajakanthan K. Deaths due to absence of an affordable antitoxin for plant poisoning. Lancet 2003, 362:1041-1044
Publications (Letters)
  • D Roberts, L Senarathna. Secondary contamination in Organophosphate poisoning. Q J Med 2004; 97:697–699
Thesis
  • Senarathna DLP. Translating policy in to practice in rural hospitals – promoting poisoning treatment guidelines using outreach education in Sri Lanka. Doctor of Philosophy. Sydney School of Public Health, University of Sydney, Australia (2013)
  • Senarathna DLP. How the level of resources and hospital staff attitude effect poisoning patient outcome from primary care hospitals in rural Sri Lanka. Master of Medical Science (Clinical epidemiology), Centre for clinical epidemiology and biostatistics, University of Newcastle, Newcastle, Australia, 2006
Conference Presentations (Oral)
  • Senarathna L, Dissanayake DM, Tharanga P, Silva KT. Perceptions of CKDu patients regarding quality of services: A case study from state sector clinics in North Central Province of Sri Lanka. International Conference on Medical Humanities. Colombo, July 2018
  • Madubashini BAN , Fernando WMS , Jayamal de Silva, Senarathna L. Effectiveness of Health Promotion Intervention in Improving Knowledge on Real Harm of Drinking Alcohol and Company Strategies among Schooling Adolescents in Rural Area, Sri Lanka. 8th International Conference on Addictive Disorders and Alcoholism. May 17-18, 2018, Singapore
  • L. Senarathna, N. Buckley, A. Dawson. Changes in the Population Incidence of Deliberate Self Poisoning in North Western Province of Sri Lanka – Signs for a Decline. 15th International Congress – Asia Pacific Association of Medical Toxicology, Singapore, November 2016.
  • GAM Prasadi, L Senarathna, Dharmaratne SD, A Dawson. Administration of Over-the-Counter Medication to Children at Home and Accuracy of Oral Liquid Measuring Devices- An Observational Study. 15th International Congress – Asia Pacific Association of Medical Toxicology, Singapore, November 2016.
  • BLGU Bhagya , L Senarathna , NR Hewageegana , ND Guruge Socio-Economic and Life-Style Characteristics of Elders in Rural Communities in Anuradhapura District of Sri Lanka : Compatibility with Annual Sessions of the Sri Lanka Medical Association, Colombo Sri Lanka July 2015
  • Nadeesha Thilakarathne, Minuri Rajapaksha, Kasun Kodagoda, Shantha Fernando, Lalith Senarathna, Thilini Irugalbandara. Improve the Efficiency of Data collection and Monitoring in Community Based Activities through Mobile Application Integration. eHealth Asia 2015, Colombo, October 2015
  • GAM Prasadi, F Mohamed, L Senarathna, A Dawson. Paediatric Poisoning in Rural Sri Lanka. 14th International Congress – Asia Pacific Association of Medical Toxicology, Perth, Australia, November 2015.
  • L Senarathna, A Disanayake, C Palangasinghe, A Dawson. The role of alcohol in injuries: Finding from a prevalence study in southern province of Sri Lanka. Research Symposium 2015: Combating Alcohol, Tobacco and Other Drugs in National Development, Colombo Sri Lanka, March 2015
  • HMTP Herath, WMS Fernando, L Senarathna, GND Guruge. Evaluation of a health promotion intervention in changing acceptance of a gender norm which justifies men’s tobacco use among women in a rural community in Sri Lanka. Research Symposium 2015: Combating Alcohol, Tobacco and Other Drugs in National Development, Colombo Sri Lanka, March 2015
  • L. Senarathna, I. B Gawarammana, D N Guruge, A H Dawson. Forum theatre based community education to promote recomended first aid for poisoning and snakebite in rural areas – Evidence from Sri Lanka. 13th International Conference of Asia Pacific Association of Medical Toxicology, Shanyang, China, October 2014
  • Lalith Senarathna, Duminda Guruge, Indika Gawarammana, Andrew Dawson. First aid practices for acute poisoning and snakebite patients in Sri Lanka – Findings from a community survey. 12th International Conference of Asia Pacific Association of Medical Toxicology, Dubai, UAE, October 2013
  • Lalith Senarathna, Michael J Dibley, Andrew Dawson, Use of brief educational intervention and academic detailing to improve use of antidotes for acute poisoned patients in rural hospitals in Sri Lanka – a cluster randomised controlled trial. Third International Conference on improving Use of Medicine (ICIUM), Antalya, Turkey, November 2011
  • Lalith Senarathna, Nick Buckley, Shaluka Jayamanna, Patrick Kelly, Michael Dibley, Andrew Dawson. . Referral hospitals provide valid toxicovigilance signals for acute poisoning in rural Sri Lanka. 10th International Conference of Asia Pacific Association of Medical Toxicology, Penang, Malaysia, November 2011
  • Lalith Senarathna, Nick Buckley, Shaluka Jayamanna, Patrick Kelly, Michael Dibley, Andrew Dawson. The changing patterns of the epidemiology of acute self poisoning in rural Sri Lanka. 10th International Conference of Asia Pacific Association of Medical Toxicology, Penang, Malaysia, November 2011
  • Lalith Senarathna, Michael J Dibley, Andrew Dawson. Gastrointestinal decontamination for poisoning patients in primary hospitals – do we see the real picture? 8th International Conference of Asia Pacific Association of Medical Toxicology in Beijing, China, October 2009
  • Shaluka Jayamanna, Lalith Senarathna. Multiple dose activated charcoal for oleander patients. 128th Annual Sessions, Sri Lanka Medical Association, Colombo, Sri Lanka, March 2009
  • Lalith Senarathna, Mohamed Ashrofdeen, Andrew Dawson. Chlorfluazuron (atabron) poisoning among humans- 34 cases from two Sri Lankan hospitals. 7th International Conference of Asia Pacific Association of Medical Toxicology in Chandigarh, India, December 2008
  • Lalith Senarathna, Nick Buckley, Andrew Dawson. Early response to an educational intervention on poisoning treatment guidelines – improvement in antidote stocking and ordering process. 7th International Conference of Asia Pacific Association of Medical Toxicology in Chandigarh, India, December 2008
  • Lalith Senarathna, Dhammika De Silva, Nick A. Buckley, Andrew Dawson. The pattern of initial treatments for poisoned patients in primary care hospital level in rural Sri Lankan districts: Are the standard protocols useful? 6th International Conference of Asia Pacific Association of Medical Toxicology in Bangkok, Thailand, December 2007
  • Senarathna L. Pharmacists and antidotes – a neglected area in pharmacy practice. Annual scientific sessions of Pharmaceutical Society of Sri Lanka, Colombo, Sri Lanka May 2007
  • Senarathna L, Buckley N, Eddleston M, Dawson A. Published paraquat nomograms provide similar results in the prediction of a fatal outcome- a prospective validation. 126th Annual Sessions, Sri Lanka Medical Association, Colombo, Sri Lanka, March 2007
  • Senarathna L, Buckley N, Eddleston M, Dawson A. Published paraquat nomograms provide similar results in the prediction of a fatal outcome- a prospective validation. 5th International Conference of Asia Pacific Association of Medical Toxicology in Colombo, Sri Lanka, August 2006
  • Senarathna L, Roberts D, The prognostic tools for Paraquat poisoning. Australian Poison Centre committee meeting, Sydney, Australia, October 2005
  • Senarathna L, Mohamed F, Eddleston M. “correlation of human toxicity Case Fatality Ratio (CFR) for pesticides with animal LD50”. 4th International Conference of Asia Pacific Association of Medical Toxicology in Manila, Philippine, November 2004
Presentations (Poster)
  • BLGU Bhagya , L Senarathna , NR Hewageegana , ND Guruge Socio-Economic and Life-Style Characteristics of Elders in Rural Communities in Anuradhapura District of Sri Lanka : Compatibility with Active Aging Concept. Aging and Society: Fifth Interdisciplinary Conference, Washington D.C. USA September 2015
  • Lalith Senarathna, Cynthia Hunter, Michael Dibley, Nick Buckley, Shaluka Jayamanna, Andrew Dawson. Perception of Community Expectations Blocks Policy into Practice Translation in Poisoning Treatment in Sri Lankan Rural Hospitals. Third Global Symposium on Health System Research, Cape Town, South Africa, October 2014
  • Lalith Senarathna, Nick Buckley, Shaluka Jayamanna, Patrick Kelly, Michael Dibley, Andrew Dawson. Changing epidemiology patterns of deliberate self poisoning in rural Sri Lanka. XXXII International Congress of the European Association of Poisons Centres and Clinical Toxicologists (EAPCCT). London, United Kingdom, May 2012
  • Lalith Senarathna, Nick Buckley, Shaluka Jayamanna, Patrick Kelly, Michael Dibley, Andrew Dawson. Referral hospitals provide valid toxicovigilance signals for acute poisoning in rural Sri Lanka. XXXII International Congress of the European Association of Poisons Centres and Clinical Toxicologists (EAPCCT). London, United Kingdom, May 2012
  • Lalith Senarathna, Michael J Dibley, Nick Buckley, Andrew Dawson. A cluster RCT of a brief intervention to promoting poisoning guidelines into practice in Sri Lankan rural primary care hospitals. First Global Symposium on Health System Research, Monteux, Switzerland, November 2010
  • Lalith Senarathna, Michael J Dibley, Andrew Dawson. Transferring of poisoning patient for secondary care based on type of poisoning. 8th International Conference of Asia Pacific Association of Medical Toxicology in Beijing, China, October 2009
  • Chathura Palangasinghe, Lalith Senarathna, P L Ariyananda, A H Dawson. A study to determine a possible effect of “Tsunami” on the pattern of admissions due to deliberate self poisoning in Galle district in Sri Lanka. 7th International Conference of Asia Pacific Association of Medical Toxicology in Chandigarh, India, December 2008
  • Asanka Jagadeesh, Sampath Gamage, Lalith Senarathna, Andrew Dawson. Child with suspected meningitis later confirmed as OP/carbamate poisoning. 7th International Conference of Asia Pacific Association of Medical Toxicology in Chandigarh, India, December 2008
  • Senarathna L, Adams J, De Silva D, Buckley NA, Dawson A. Personal and professional challenges in the management of deliberate self-poisoning in rural hospitals. Why some doctors feel “Like frogs in a well” Geneva Health Forum 2008, Geneva, Switzerland May 2008
  • Palangasingha C, Senarathna L, Dawson AH. Effect of seasonal variation (rain) upon mortality from yellow oleander poisoning. 6th International Conference of Asia Pacific Association of Medical Toxicology in Bangkok, Thailand, December 2007
  • Wickramasingha K, Steele P, Dawson A, Dharmarathne D, Eddleston M, Gunawardhana A, Senarathna L, de Silva D, Wijeweera K, Konradsen F. Costs to government health care services of pesticide self-poisoning treatments in Sri Lanka. 6th International Conference of Asia Pacific Association of Medical Toxicology in Bangkok, Thailand, December 2007
  • Senarathna L, De Silva D, Buckley NA, Eddleston M, Dawson AH. Effect of resource availability and medical staff workload on outcome for poisoning in rural Sri Lanka. 6th International Conference of Asia Pacific Association of Medical Toxicology in Bangkok, Thailand, December 2007
  • Senarathna L, Adams J, De Silva D, Buckley NA, Dawson A. Personal and professional challenges in the management of deliberate self-poisoning in rural hospitals. Why some doctors feel “Like frogs in a well” 6th International Conference of Asia Pacific Association of Medical Toxicology in Bangkok, Thailand, December 2007
  • R.V. Jayatillake, M.R. Sooriayarachchi, D.L.P. Senarathna. Logistic Regression Model with Cluster Effect: A cross sectional study in management of poisoned patients in North Central province of Sri Lanka. 28th Annual Conference of International Society for Clinical Biostatistics, Alexandroupolis, Greece August 2007
  • Aroona A, Senarathna L, Fahim F. Practice of guidelines of gastric decontamination of poisoned patients in rural hospitals of rural Sri Lanka. 5th International Conference of Asia Pacific Association of Medical Toxicology in Colombo, Sri Lanka, August 2006
  • Senarathna L, Buckley N, Jayathilake R, Dawson A. Do resources influence outcome of poisoning patients in a primary care hospital level? 5th International Conference of Asia Pacific Association of Medical Toxicology in Colombo, Sri Lanka, August 2006
  • Senarathna L, Samaranayaka A, Kumarage S, Senevirathna A, Kappagoda S, Weerasuriya K. ‘Snap-lock’ polythene mini bags for dispensing drugs in Sri Lanka. 2nd International Conference on Improving Use of Medicine in Thailand, March 2004