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

Dr. Atonio Lalabalavu, Fiji’s Minister for Health, reported that Non-Communicable Diseases (NCDs) are significantly straining the nation’s economy, with related expenditures reaching approximately $590 million. He highlighted that NCDs account for 80 percent of all deaths in Fiji and contribute to 40 percent of premature fatalities.

During a parliamentary discussion, Dr. Lalabalavu noted that in 2019, healthcare costs associated with deaths and disabilities caused by NCDs, including diabetes and obesity-related conditions, were estimated to exceed half a billion dollars. He emphasized that NCDs present a considerable challenge for Fiji’s health system and communities, indicating that for adults aged 35 to 59, these diseases are the primary cause of death for both men and women.

He stated that a significant portion of hospital admissions and treatments is related to NCDs and their complications, which include coronary artery disease, strokes, kidney diseases, vision impairments, and other serious conditions that often require surgical interventions like amputations. Many patients visit healthcare facilities daily and need ongoing care in their communities.

Dr. Lalabalavu also noted that 95 percent of NCDs stem from lifestyle choices, with the four principal modifiable risk factors being tobacco use, physical inactivity, an unhealthy diet rich in salt, sugar, fats, and processed foods, and excessive alcohol consumption.

For the financial year 2024-2025, the Fijian government has allocated $480,000 to the Wellness Division to conduct the STEPS survey in the Northern, Western, and Central Divisions. This marks the first time the Ministry of Health has collaborated with the Fiji Bureau of Statistics to survey risk factor behaviors among individuals aged 18 to 69.

Parliament sessions are ongoing today.

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