Fiji is facing a significant health crisis as Non-Communicable Diseases (NCDs) now account for 80% of all deaths in the nation and 40% of premature deaths, according to 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 are responsible for 71% of worldwide deaths, disproportionately affecting low- and middle-income countries like Fiji.
Furthermore, the United Nations highlights that 85% of premature NCD-related deaths occur in these regions. In Fiji, leading causes of death include circulatory diseases, diabetes, and cancers, affecting both genders. Data from the Republic of Fiji Vital Statistics Report covering 2016 to 2021 reinforces that NCDs are the primary cause of mortality across all age groups.
The financial impact on Fiji’s healthcare system is substantial, with the cost attributed to NCD-related deaths and disabilities estimated at 591 million Fijian dollars in 2019 alone. The primary risk factors contributing to this epidemic are well-known: unhealthy diets, tobacco usage, lack of physical activity, and high alcohol consumption. Dr. Lalabalavu noted that these are lifestyle choices that can be changed.
Other countries have effectively reduced NCDs through strategic initiatives that Fiji could consider. For example, Finland launched a nationwide campaign to reduce salt intake, leading to a significant decrease in hypertension rates. Australia has implemented strict tobacco control measures, including plain packaging and increased taxes, markedly lowering smoking prevalence. Meanwhile, Mexico’s sugar tax has achieved a 7.6% reduction in sugary beverage consumption within just two years.
Fiji’s Wellness Division is already collecting essential data to inform health promotion and prevention strategies. Nevertheless, tackling the NCD crisis necessitates a united effort, robust policy measures, and increased public awareness. The path to a healthier future begins with making healthier choices today.