Fiji is grappling with a serious health crisis, as Non-Communicable Diseases (NCDs) now account for 80 percent of all deaths in the country and 40 percent of premature fatalities. This alarming situation was brought to light by Dr. Atonio Lalabalavu, the Minister for Health and Medical Services.
These concerning figures reflect a global trend, with the World Health Organization (WHO) reporting that NCDs account for 71 percent of all deaths worldwide. Low- and middle-income countries, like Fiji, are disproportionately affected, as indicated by the United Nations, which states that 85 percent of premature NCD-related deaths occur in these regions.
In Fiji, the leading causes of death from NCDs include circulatory diseases, diabetes, and cancers, impacting both genders. The Republic of Fiji Vital Statistics Report from 2016 to 2021 underscores the gravity of this issue, showing NCDs as the leading cause of death across all age groups.
The financial burden on Fiji’s healthcare system is significant, with the cost of NCD-related deaths and disabilities estimated at 591 million Fijian dollars in 2019 alone. The primary contributors to this crisis are well-documented: unhealthy diets, tobacco usage, lack of physical activity, and excessive alcohol consumption. Dr. Lalabalavu points out that these are modifiable risk factors.
Other countries have successfully tackled NCDs through comprehensive strategies that Fiji could consider adopting. For example, Finland’s nationwide salt reduction campaign has led to a meaningful decrease in hypertension rates. Australia has seen a sharp decline in smoking rates thanks to stringent tobacco control measures, including plain packaging and high taxation. Similarly, Mexico’s implementation of a sugar tax resulted in a 7.6 percent reduction in sugary drink consumption within just two years.
Fiji’s Wellness Division is currently collecting vital data to inform health promotion and preventative initiatives. However, combating the NCD epidemic will require a united effort, robust policy interventions, and increased public awareness.
Making healthier choices today is essential for securing a healthier future.