Patient 206, who is blamed for nearly half of Sri Lankan coronavirus cases, speaks out

Under President Gotabaya Rajapaksa, a former army lieutenant colonel credited with helping end Sri Lanka's long civil war in 2009 with a brutal military campaign against separatists, the Indian Ocean island nation has used the armed forces to combat the virus.

When Rajapaksa was elected president last year, a health unit was created in the intelligence service that sprang into action when COVID-19 first appeared, according to State Intelligence Service Assistant Director Parakrama de Silva.

Intelligence officers, health workers, police officers and military troops have worked together to identify infected people, trace their contacts and send them to military-run quarantine centres.

After Dinesh, 33, tested positive for the virus in April, navy sailors raided his village, forcing his contacts into quarantine. But authorities have blamed a melee that ensued not on the military, but on Dinesh - and said the rumpus ended up leading to at least 1,100 additional virus infections. These cases, they publicly declared, were all linked to a single patient.

“"I can't accept that I am responsible for infecting so many, including the navy sailors,"” Dinesh told The Associated Press, after he had returned home following his release from a month-long stay at a hospital.

Before the pandemic reached Sri Lanka, resulting in an island-wide lockdown, Dinesh worked as an auto rickshaw driver. But now he's unable to find work. "No one gives a job when they realize that I am Patient 206,"” he said.

Likening him to South Korea's “Patient 31,” whom media in that country labelled a “super spreader” because she was the first person to test positive in a secretive church community where the virus was later found endemic, police spokesman Ajith Rohana said Dinesh had undermined Sri Lanka's fight against COVID-19. "“He is the turning point and has done huge damage to our country,”" Rohana said.

Authorities say that on April 5, Dinesh was caught by village residents for a robbery and handed over to police. At the station, Dinesh had a fever as well as a leg injury sustained during the robbery, so authorities admitted him to a nearby hospital, where he tested positive for the coronavirus and stayed for 31 days.

After he tested positive, the police who made the arrest, Dinesh's friends and more than 100 people in his neighbourhood were ordered to quarantine at home. But not everyone complied. Afraid that the virus would spread quickly in the congested area, Sri Lanka's navy sent in a team of sailors to help health workers. As the sailors approached, some of Dinesh's associates panicked. Of the 28 people seized from the community and quarantined, 16 tested positive.

Two weeks later, some sailors involved in the operation did, too. The first infected sailor, who was on leave in the town of Polonnaruwa, about 225 km northeast of Colombo, was reported April 22, prompting provincial health officials to isolate 12 nearby villages.

The next day, 30 other sailors tested positive. With the virus spreading to different parts of the country where sailors were on leave, authorities ordered troops from all arms of the military to report back to their camps.

Some 4,000 navy sailors were quarantined inside a single camp, while more than 200 relatives were taken to navy-run quarantine centres. At least 15 villages were isolated in different parts of Sri Lanka for about two weeks, and about 1,300 other people underwent self-quarantine.

Ultimately, about 900 navy sailors tested positive, with around 50 other infected people also part of that cluster.

Two other clusters also blamed on Dinesh had at least 150 coronavirus cases, according to authorities. Sri Lanka has confirmed at least 2,665 cases in all, including 11 deaths, meaning nearly half of its caseload has been blamed on one man - Dinesh.

“"What to do? It is our fault for using drugs?" he said, referring to his heroin habit.

Dinesh said he had been using heroin since 2002, but that he never became “a severe addict. During the coronavirus lockdown, however, he used the drug more regularly, and joined three other users in the robbery to raise money to buy more heroin.

Former Sri Lankan President Maithripala Sirisena launched an expansive crackdown on illegal drugs, calling users “a social catastrophe,” and his successor, Rajapaksa, also has taken a tough stance.

Authorities have used the fallout from the raid on Dinesh's village to increase anti-drug crackdowns in slums and urban apartments. Officials say some 300,000 people - around 1.5% of all Sri Lankans - are addicted to drugs.

Dinesh, however, said he was no longer part of that stigmatised population. One positive of being infected with the coronavirus, he said, was that his hospitalisation helped him to kick his heroin habit. (PTI)