Environmental Drivers of Respiratory Disease: A District Level Analysis

Sri Lanka has experienced a decade of progressive forest degradation and rising atmospheric pollution, yet district-level respiratory admissions have paradoxically declined, pointing to the confounding role of healthcare access. This study addresses that gap by constructing an 11-year (2014-2024) panel dataset across all 25 administrative districts, integrating satellite-derived vegetation indices, fire radiative power, pollutant concentrations (particulate matter (PM2.5), nitrogen dioxide (NO2), sulfur dioxide (SO2)), carbon flux metrics and population-normalized respiratory admission rates. Two temporally validated XGBoost models were created for annual district-level respiratory rate (R^2 = 0.937) and monthly PM2.5 concentration (R^2 = 0.976) with generalization validated in 21 out of 25 districts (Mean Absolute Percentage Error (MAPE) <= 20%). Shapley Additive Explanations (SHAP) analysis established that cumulative air quality burden is the overwhelming driver of respiratory rate variance (80.1%), ahead of forest degradation (15.6%) and fire activity (4.3%). The Forest-Air-Health (FAH) Risk Index used these SHAP-derived weights to find the districts with the highest risk: Colombo (FAH = 0.802), Gampaha (0.708), and Kalutara (0.682). These findings present the inaugural evidence-based, district-level framework correlating environmental degradation with respiratory health in Sri Lanka, establishing a quantitative basis for focused public health and environmental policy.

How Environment and Urbanization Shape Bird Diversity in Sri Lanka

This study presents a comprehensive analysis of bird diversity across Sri Lanka by integrating spatial, temporal, and environmental data. Bird observation records were combined with environmental variables, including weather conditions, air pollution, the Normalized Difference Vegetation Index (NDVI), land cover, elevation, and Artificial Light At Night (ALAN), and rigorously preprocessed to ensure data quality. Spatial analyses were conducted on multiple grid scales (2 km, 5 km, 10 km) to evaluate patterns in species richness while minimizing sampling bias through spatial thinning. Temporal trends were assessed using effort-corrected metrics including rarefied richness and occupancy rates to account for variations in observation effort over time. Environmental drivers of bird diversity were examined using multivariate statistical models, including Poisson Generalized Linear Models (GLMs) and correlation analyses, to identify key associations between ecological factors and species richness. Additionally, community structure, dominance patterns, and beta diversity were analyzed to understand variations in species composition across regions and time. The study found that land-cover type is a stronger predictor of bird diversity than individual continuous variables such as NDVI or temperature alone. Urbanization, measured by ALAN, exhibits nuanced scale-dependent effects, supporting high abundances of a few generalist species while reducing overall richness. The findings provide actionable insights into the patterns and drivers of avian diversity in Sri Lanka, offering a scalable and reproducible framework for biodiversity research and conservation planning.

Golden Hour Divide: Trauma Care Accessibility and Resource Vulnerability in Sri Lanka

Timely intensive care dictates survival, yet emergency infrastructure remains unevenly distributed across Sri Lanka. While pre-hospital services have expanded, the transition to definitive care remains a critical bottleneck. This study evaluates national emergency resilience by quantifying the gap between clinical demand and the availability of specialized resources across all 25 districts. Using the latest national epidemiological data and terrain-aware H3 hexagonal modeling, we analyzed accessibility for seven critical conditions based on spatial gaps, clinical need-gaps, lethality, coverage, and resource availability. Based on these metrics, unsupervised K-Means clustering was applied to categorize districts into four policy-actionable archetypes: Critical Structural Exclusion, Institutional Mirages, Operational Capacity Strain, and High-Resilience Benchmarks. Our study suggests that severe service deficits exist in the Northern and Eastern provinces, where spatial gaps exceed 70%, rendering the Golden Hour operationally impossible. Notably, specialist scarcity drives systemic pressure more than bed capacity; underserved regions effectively function as institutional mirages. This study suggests that improving accessibility by 25% in high-priority clusters would reduce the national need-gap by 9.65%, providing a roadmap for the strategic redistribution of specialists to ensure healthcare equity.