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Illustration of Fiji’s half a billion-dollar NCD’s battle

Fiji’s NCD Crisis: A $590 Million Burden on Health and Economy

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The Minister for Health, Dr. Atonio Lalabalavu, has reported that Non-Communicable Diseases (NCDs) are placing a significant strain on Fiji’s economy, with associated expenditures reaching $590 million. He indicated that NCDs account for 80 percent of all fatalities in the country and lead to 40 percent of premature deaths.

Addressing Parliament, Dr. Lalabalavu noted that in 2019, the financial burden of healthcare for deaths and disabilities resulting from NCDs, including diabetes and obesity-related illnesses, was estimated to exceed half a billion dollars. He emphasized that NCDs represent a major challenge for Fiji’s health system and its communities, with the primary cause of death among adults aged 35-59 being these diseases.

According to Dr. Lalabalavu, the majority of hospital admissions and treatments are related to NCDs and their complications, such as coronary artery disease, strokes, kidney disease, vision impairment, and vascular diseases, which often necessitate surgical interventions like amputations. He stated that these health issues bring patients to hospitals daily and require ongoing care within health facilities and in communities.

Dr. Lalabalavu pointed out that 95 percent of NCDs stem from lifestyle choices, with four primary modifiable risk factors: tobacco use, physical inactivity, unhealthy diets high in salt, sugar, and processed foods, and excessive alcohol consumption.

In the 2024-2025 Financial Year, the government has allocated $480,000 to the Wellness Division to complete the STEPS survey in the Northern, Western, and Central Divisions. He further mentioned that for the first time, the Ministry of Health is collaborating with the Fiji Bureau of Statistics to assess risk factor behaviors among individuals aged 18 to 69.

Parliament proceedings are ongoing today.

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