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SARS-CoV-2 caught the world by surprise when it started to spread globally with news of healthcare systems being overwhelmed by the continuous influx of patients and reports of high death rates. Although Sri Lanka did not enter the phase of community spread (by the time of writing of this article), the COVID-19 pandemic was a test of the adaptability of the Sri Lankan healthcare system rather than a test of endurance. The Sri Lankan healthcare system relies heavily on the government sector which is responsible for providing universal care for all citizens. This system comprises a central administration which oversees a hierarchy of healthcare institutes from large tertiary care facilities to smaller units. It is to the government sector that patients would go or be directed to, for serious infections or infections of major concern. Because of this, the bulk of the workload involved in handling the COVID-19 pandemic was and is done by the tributaries of Sri Lankan Ministry of Health (MoH).

The first wave of SARS-Cov-2 in Sri Lanka - a perspective of a clinical virologist