Fiji is currently facing a significant health crisis, with a concerning rise in HIV cases among adolescents aged 10 to 19, which has increased over 45 times in just three years. According to Dr. Darshika Balak, the Medical Officer in Charge at the Sexual Reproductive Health Hub in Suva, the incidence of HIV diagnoses jumped dramatically from six cases in 2022 to over 100 in the first nine months of 2024.
Dr. Balak highlighted the evolving nature of the epidemic during a recent Fiji Medical Association Conference, where she expressed concern over the transitions adolescents face and their vulnerabilities in this stage of life. The recent statistics also reveal that nearly half of the new cases among young people are attributed to needle sharing within the context of drug use.
The trend is alarming as the data suggests that a significant overlap exists between drug injections and sexual transmission of HIV, complicating efforts to manage and reduce new diagnoses. While young males primarily contribute to this spike, young females are also being negatively impacted through similar channels.
Fiji has seen a notable rise in the number of young patients admitted for HIV treatment in recent months, raising serious public health concerns. Similar data from a recent evaluation indicated that approximately 1.7% of Fiji’s school-aged youths engaged in drug-related activities, which translates to around 3,519 students engaging in these risky behaviors. This translates to a staggering increase in incidents reported in schools, with 3,627 cases documented in 2023 alone.
Despite the grim statistics, there is hope for early intervention and community mobilization. Health officials are rallying for enhanced education and outreach initiatives to address the critical need for prevention and support. Various community-based approaches, including harm reduction programs, are being discussed to mitigate the spread of HIV among vulnerable populations, particularly youth. With collaborative efforts across sectors, there is potential for fostering healthier environments and protecting the future of Fiji’s young population.
The challenge lies ahead, but with strategic partnerships and sustained community involvement, Fiji has the ability to turn this distressing trend around.

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