Diabetes impacts nearly one in six adults, with many individuals previously unaware of their condition, highlighting a significant public health challenge. Health Minister Dr. Atonio Lalabalavu emphasizes the critical need to learn from previous generations to avoid repeating mistakes that could lead to a rise in preventable health crises. He warns that neglecting these lessons could result in increased premature deaths, a higher incidence of amputations, and an ongoing demand for dialysis among Fijians.
Although there has been encouraging progress in the treatment uptake among those diagnosed with diabetes, Dr. Lalabalavu points out that blood glucose control remains inadequate. This situation underscores the urgency for earlier detection, enhanced self-management support, and the establishment of integrated care pathways for those living with the condition.
Dr. Devina Nand, Head of Wellness, adds that primary healthcare practitioners need to acknowledge the influence of traditional practices in modern healthcare delivery. She advocates for an understanding of patients’ perspectives who may be using traditional methods, as this can enrich efforts towards improving diabetes control and health literacy.
Emeline Cammack, Counsellor for Human Development of the Australian High Commission, highlights the significance of practical support systems aimed at managing non-communicable disease (NCD) risks. She stresses the necessity of training primary health care nurses in diabetic foot care to prevent complications and amputations. Additionally, strengthening digital health systems and supply chains, including the MSupply system, can ensure the availability of essential medicines and consumables, maintaining continuity of care for patients.
The Health Ministry reiterates that addressing NCDs requires a coordinated response across various sectors, including communities, workplaces, schools, and families. This collective action aims to forge a healthier future for all Fijians, emphasizing prevention and education as vital components of public health initiatives.

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