Health experts are raising alarms about the increasing prevalence of gastrointestinal cancers, particularly colorectal and stomach cancers, which have become some of the most commonly diagnosed and deadliest forms of cancer in Fiji. Gastrointestinal cancers affect parts of the digestive system, including the stomach, intestines, liver, pancreas, and colon.
Former Health Minister Dr. Ifereimi Waqainabete has voiced concerns regarding the life-threatening nature of these cancers, especially when diagnosed at an advanced stage. He noted that while official statistics indicate approximately 5,000 cancer cases in Fiji, the true figure could be significantly higher, as many patients receive treatment abroad through private insurance or welfare systems, which do not get recorded in national statistics.
Dr. Waqainabete attributes the rise in gastrointestinal cancers to significant lifestyle changes over the last generation, which have led to dietary habits resembling those of higher-income countries, despite Fiji’s classification as a low-middle-income nation. He emphasized the need for improved awareness and resources, stating, “Unfortunately, our resources haven’t caught up.”
While some surgical options exist for treatment, many cases require interventions like stenting or bypass procedures, and survival rates for pancreatic cancer remain notably low even with access to global best practices. To combat this growing health issue, Dr. Waqainabete calls for enhanced screening procedures, better data collection, and targeted healthcare initiatives.
Moreover, it is crucial to note that cancer incidences in Fiji have seen a staggering threefold increase in recent years. Dr. Ane Atalifo, an Oncology Consultant Physician, has highlighted similar trends showing a profound shift in cancer types, such as breast cancer becoming the most prevalent among women, and other cancers like oral and skin cancers emerging with increased frequency.
This unsettling trend underscores the importance of lifestyle choices, with experts advocating for better dietary practices and increased physical activity to mitigate risks associated with various cancers. Public health initiatives emphasizing education and preventive measures are pivotal for fostering healthier communities and enhancing health outcomes.
As discussions unfold regarding cancer in Fiji, the collective efforts of health professionals, organizations, and the community offer hope for reversing these trends. Through enhanced awareness, lifestyle modifications, and proactive health engagement, there is potential for significant improvements in public health concerning cancer in the nation.

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