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In July 1874 a rail line, known as the Breakwater line, was opened connecting the Harbour Works Quarry at Ragama to the Colombo Harbour breakwater, in order to enable stone to be transported to the harbor to construct the breakwater. Stone from a second quarry at Ragama was then used to stabilise the Coastal line where it ran on the edge of the beach.
On 8 January 1901 the British War Office established a prisoner-of-war camp in Ragama to house Boer prisoners captured in the Second Boer War. The prisoners at Ragama were primarily dissidents, foreign volunteers and irreconcilables who refused to sign an oath of allegiance to the British Crown, and were transferred from the main camp at Diyatalawa.
Ragama served as the main observation camp for coolies entering the country. The coolies disembarked at Colombo and were sent by train to Ragama, where they were detained for forty eight hours before being transported to various tea plantations around the country. In 1904 76,963 coolies from Southern India came through the camp and in 1905 this increased to 132,690.
Ragama is accessible from the A3 highway (Colombo-Negombo road) and is about 5 km (3.1 mi) from Mahabage junction. Sri Lanka's second motorway flyover was built in 1996 over the main railway line right at the town centre, at a cost of Rs 200 million.
Ragama is a main railway junction, where the Main line and the Puttalam line diverge. The first stage of the Puttalam line from Ragama to Ja-Ela was constructed in 1908 and the full length to Puttalam completed in May 1926.
The Colombo North Teaching Hospital is located at Ragama. It is the second largest hospital in Sri Lanka, with a 1,442 bed capacity. The hospital comprises the District Hospital Kandana, the Rehabilitation Hospital, Ragama and the Nurses Training School, Kandana. It also associated with the University of Kelaniya's Faculty of Medicine and is known for having one of the most advanced diagnostic departments in the country. It also boasts the country's only Liver Transplant Unit.
Other hospitals in Ragama include the National Hospital for Respiratory Diseases, the Ragama Rehabilitation Hospital, Browns Hospital and Lessons Hospital.
Currently Ragama is home to several important government establishments in the country. They include:
- Sri Lanka Navy (Gemunu)Brigade
- Sri Lanka Navy (Mahasen) Brigade
- College of Naval Architecture (attached to Sri Lanka Navy)
- Mahara Prison (a maximum security prison and one of the largest prisons in the country)
- Governments Ammunition storage
- St. Lazarus' Church, Kurukulawa
- Basilica of Our Lady of Lanka, Tewatte
- Weluwanaramaya Temple
- Ragama Dewalaya
- St. Peter & Pauls' Church, Ragama
- Christ the king Church, Lenchiyawatta
- Christ the healer Church, Ragammulla
- Dr David Hyatt (2000). "Railways of Sri Lanka" (PDF). Comrac. ISBN 0-9537304-0-9.
- Toulba, Ali Foad (1926). Ceylon, the Land of Eternal Charm. Asian Educational Services. p. 132. ISBN 9788120614949.
- Brink, Jan N. (1904). Recollections of a Boer Prisoner-of-war at Ceylon. Hollandsch-Afrikaansche Uitgevers-Maatschappij.
- Wright, Arnold (Ed) (1907). Twentieth Century Impressions of Ceylon: Its History, People, Commerce, Industries, and Resources. Asian Educational Services. p. 642. ISBN 9788120613355.CS1 maint: Extra text: authors list (link)
- Green, Ewen (Ed). The Ideals of Empire: Political and Economic Thought, 1903 - 1913. Psychology Press. p. 715. ISBN 9780415194679.CS1 maint: Extra text: authors list (link)