Fiji Faces Health Crisis: The Invisible Threat of Non-Communicable Diseases

Fiji is grappling with a severe health crisis as Non-Communicable Diseases (NCDs) now represent 80 percent of all fatalities and 40 percent of premature deaths in the nation, according to Dr. Atonio Lalabalavu, the Minister for Health and Medical Services.

These concerning figures reflect a global trend; the World Health Organization (WHO) reports that NCDs account for 71 percent of global deaths, with countries like Fiji, which fall under low- and middle-income categories, experiencing the highest impact. The United Nations further states that 85 percent of premature deaths from NCDs occur in these regions.

In Fiji, the most common causes of death due to NCDs include circulatory diseases, diabetes, and cancers, affecting both genders. The Republic of Fiji Vital Statistics Report from 2016 to 2021 illustrates the seriousness of the situation, showing NCDs as the leading cause of death across all age demographics.

The financial burden on Fiji’s healthcare system is substantial, with costs related to NCD fatalities and disabilities projected at 591 million Fijian dollars in 2019. Contributing factors are well-identified and include poor dietary habits, tobacco use, lack of physical activity, and excessive alcohol consumption. Dr. Lalabalavu stressed that these are risk factors that can be modified.

Other countries have successfully addressed the NCD issue through effective strategies that Fiji could implement. For example, Finland’s nationwide campaign to reduce salt intake has effectively lowered hypertension rates, while Australia’s stringent tobacco control measures, which include plain packaging and high taxes, have significantly curtailed smoking rates. Mexico’s introduction of a sugar tax led to a notable 7.6 percent decline in sugary drink consumption within the initial two years.

Fiji’s Wellness Division is in the process of collecting essential data to improve health promotion and prevention initiatives. Nonetheless, a united effort, robust policy development, and increased public awareness are essential to combat the NCD epidemic. Making healthier lifestyle choices today is vital to ensuring a healthier future.

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