Raj Sivanathan in GROUNDVIEWS, 21 October 2025, where the title reads thus “The Unhealed Wounds: The Jaffna Hospital Tragedy 38 Years On”
The soil of Jaffna still carries voices from the hospital wards of 1987. The question is whether the world will listen or look away.
The Tamil people of the Northern Province continue to live with memories of unhealed wounds. Among the most haunting is the Jaffna Hospital tragedy of October 1987 when a symbol of care and compassion became the scene of one of the most distressing wartime incidents in modern Sri Lankan history.
On October 21 to 22, 1987 during heavy fighting in Jaffna, the Indian Peace Keeping Force (IPKF) advanced towards the Jaffna Teaching Hospital, believing LTTE rebels were using the facility as cover. The hospital, meant to be a protected civilian zone under international humanitarian law, became trapped between advancing troops and armed resistance.
Eye witnesses described chaos and panic. Medical staff pleaded for safety as bullets ripped through the wards. Patients, already weak and wounded, became unintended victims. Among those killed was Dr Arunasalam Sivapathasundaram, a respected paediatrician remembered for his courage in shielding patients and colleagues before being fatally shot. Two other senior doctors and many civilians also perished in the crossfire.
The tragedy at Jaffna Hospital was not the result of a single deliberate act but rather a culmination of confusion, misjudgment and desperation amid the fog of war. The IPKF faced the near-impossible task of distinguishing combatants from civilians while the LTTE’s use of civilian areas for tactical advantage exposed non-combatants to grave danger.
When humanitarian principles are set aside whether through military haste or militant concealment, the first victims are always civilians.
No independent inquiry was ever held to establish the full facts or to determine responsibility. For the families of victims and the broader Tamil community, this silence deepened grief and mistrust.
The Jaffna Hospital tragedy remains one of the most painful reminders of how easily humanitarian boundaries collapse in conflict and how the innocent bear the burden of decisions made by others.
Decades later, Jaffna still remembers the hospital tragedy not with hatred but with sorrow. It calls for truth and remembrance, not revenge. It reminds all parties – governments, militaries and movements – that hospitals, schools and places of refuge must remain sacred, even in war.
The legacy of Dr Sivapathasundaram endures as a moral reminder of courage amid chaos. His life and sacrifice stand as a plea for accountability and a warning of what happens when compassion is overrun by conflict.
Dr Arunasalam Sivapathasundaram was my wife’s uncle, whom I had the privilege of meeting in the 1980s in London. He was a gentle, compassionate professional, a paediatrician deeply dedicated to both his community and his family. Even today, he is remembered with great affection and respect. His wife and children, along with all of us who knew him, continue to feel his absence profoundly.
Many families like his lost their loved ones in the Jaffna Hospital tragedy. Incidents of such horror or any act of violence driven by political or ethnic divisions should never again occur in Sri Lanka.
As a nation, we have lost far too many lives across all communities and backgrounds, compared to most other countries. It is time for us to move beyond our painful past. The current government and the president’s stance of no war and no racism is a most welcome and hopeful message. Let us all, as Sri Lankans, pray and work together for a peaceful and united future.
The soil of Jaffna still carries voices from the hospital wards of 1987. Will the world listen or look away?
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LTTE guerillas on watch along the northern coastline… Pix by Shysm Tekwani (an Indian)
IPKF troops on guard
I visited Jaffna when the IPKF was trying to keep peace, stayed in the only hotel open for visitors, had no problems during the stay, did buy some brass antiques. Jaffna with all its lagoons is a beautiful part of the country with lots of birdlife.
Sri Lanka will do well if the Sinhalese and the Tamils get together.
Very sadly the older foke among both communities generally, and the Sri Lanka diaspora in general are the worst enimmies of this and beautiful motherland of Sri Lanka.
In my candid view the Sri Lankan army, the LTTE and the Indian Peace Keeping Force even if they came as a peace keeping force all of them committed human rights abuse and violance in beautiful Sri Lanka.
Apart from Dr. A. Sivapathasundaram (1939-1987), two more doctors affiliated to the Jaffna Hospital, Dr. K. Parimelalagar (1947-1987) and Dr. M.K. Ganesharatnam (1959-1987) were also killed, by IPKF forces on Oct 21, 1987. Jaffna Medical Journal (April & Dec 1987, vol. 22) carried appreciations to these three physicians.
What severe blows for the Tamil people of Sri Lanka a s wellas Lankans in general. However we must note all manner of atrotius events: among them, the pogroms of 1958, 1977 & 1983 undertaken by some Sinhalese against resident Tamils in Sinhala areas; the killings pursued by the LTTE,EPRLF and other dissident SL Tamil parties in the 190s and 1990s; and those carried out by the JVP [inclusive of the murder of amoderate named Vijaya Kumaratunga).
THE SCORE of DEAD BODIES must surely amount to quite a record, right?
Your assertion that ‘THE SCORE of DEAD BODIES must surely amount to quite a record’ is quite correct indeed. Will you allow me one quantitative estimate to be mentioned here, because neither the main commentary by Raji Sivanathan nor you mention it? Approximately 5,000 Tamils (may be a lower estimate), EXCLUDING the LTTEers, were killed by IPKF army in the North and East.