Fiji is currently grappling with a serious health crisis as Non-Communicable Diseases (NCDs) are responsible for 80 percent of all deaths in the country and 40 percent of premature fatalities, according to Dr. Atonio Lalabalavu, the Minister for Health and Medical Services.
These concerning figures, largely attributed to lifestyle choices, are part of a global trend. The World Health Organization (WHO) reports that NCDs account for 71 percent of all deaths worldwide, with low- and middle-income countries like Fiji being particularly affected. The United Nations also indicates that 85 percent of premature deaths from NCDs occur in these regions.
In Fiji, circulatory diseases, diabetes, and cancers are the leading causes of death, impacting both genders. The Republic of Fiji Vital Statistics Report from 2016 to 2021 highlights that NCDs are the top cause of mortality across all age groups.
The healthcare system in Fiji is under significant strain, with the financial burden related to NCD deaths and disabilities estimated at 591 million Fijian dollars in 2019. The main contributors to this issue are well-known: unhealthy diets, tobacco use, lack of physical activity, and excessive alcohol consumption. Dr. Lalabalavu emphasizes that these are modifiable risk factors.
Other countries have effectively addressed NCDs through comprehensive strategies that could be beneficial for Fiji. For example, Finland’s nationwide salt reduction initiative has significantly decreased hypertension rates. Additionally, Australia’s strong tobacco control measures, such as plain packaging and high taxes, have led to a marked decline in smoking prevalence. Mexico’s implementation of a sugar tax resulted in a 7.6 percent reduction in sugary drink consumption within two years.
Fiji’s Wellness Division is already in the process of collecting essential data to inform health promotion and prevention initiatives. Nonetheless, tackling the NCD epidemic demands a collaborative approach, robust policy measures, and increased public awareness. Making healthier choices today is crucial for ensuring a healthier future.