Fiji is facing a serious health crisis, with Non-Communicable Diseases (NCDs) now responsible for 80 percent of all deaths in the country and 40 percent of premature deaths, according to Dr. Atonio Lalabalavu, the Minister for Health and Medical Services.
These concerning figures, linked to lifestyle choices, reflect 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 experiencing the greatest impact. The United Nations adds that 85 percent of premature deaths due to NCDs occur in these regions.
In Fiji, the leading causes of death include circulatory diseases, diabetes, and cancers, affecting men and women alike. The Republic of Fiji’s Vital Statistics Report from 2016 to 2021 emphasizes the severity of this issue, showing that NCDs are the primary cause of death across all age groups.
The financial burden on Fiji’s healthcare system is substantial, with the cost of NCD-related deaths and disabilities estimated at 591 million Fijian dollars in 2019 alone. The main contributors to this crisis are well-established: poor diet, tobacco usage, lack of physical activity, and excessive alcohol consumption. Dr. Lalabalavu highlights that these risk factors can be modified.
Other countries have successfully tackled NCDs through effective strategies that Fiji could consider implementing. For instance, Finland’s nationwide salt reduction campaign has significantly decreased hypertension rates. Similarly, Australia has seen a dramatic drop in smoking rates due to strict tobacco control measures, including plain packaging and high taxation. Mexico’s introduction of a sugar tax resulted in a 7.6 percent decline in sugary drink consumption within the first two years.
Fiji’s Wellness Division is actively collecting important data to inform health promotion and prevention initiatives. However, combating the NCD epidemic will require a united effort, strong policy measures, and heightened public awareness.
Making healthier choices today is essential for a healthier future.