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Mantivu Island (Mantheevu Island) covers 0.38 square kilometers (94 acres) having a circumference of 2.5 kms. is situated north of Valayiravu bridge and located between Thimilathivu and Vavunathivu, around 7 km from Batticaloa. It is an island where historically the leprosy patients had been isolated.
Buffalo Island is the largest island inside the lagoon. It covers 4.5 square kilometers (1,115 acres) and has an elevation of about 5 meters. The island is fully covered in paddy fields and Canagaratnam reports that it had 7 man made ponds to collect rainwater during the north-east monsoon.
Sallitivu Islet is a highly environmentally sensitive uninhabited island surround by a coral reef. After tsunami, most of corals had died and now the beach is covered with the coral rubble. Connected to main land By a narrow sand bar.
The Bone Island was initially named Bone’s Island. This is a barren, uninhabited tiny island with a circumference of 504 meters and a area of 13,500 square meters (3.33 acres) pleasantly situated close the mouth of the Batticaloa lagoon.