The rising healthcare costs associated with non-communicable diseases (NCDs) such as diabetes and obesity-related illnesses, estimated at $591 million in 2019, present a significant concern. Health Minister Dr. Atonio Lalabalavu informed Parliament last week that NCDs remain the primary health challenge for Fijians, accounting for 80% of all deaths in the nation and 40% of premature fatalities.
This situation urgently requires our attention. It establishes a benchmark for our efforts in addressing NCD statistics, prompting the question of whether we are ready to make substantial changes.
According to the recently released Republic of Fiji Vital Statistics Report covering 2016 to 2021, circulatory diseases—including hypertension, heart disease, stroke, diabetes, and cancers—are the leading causes of death in Fiji, affecting both men and women across all ages. Among adults aged 35 to 59, NCDs represent the top causes of death, creating a considerable burden on the health system and society as a whole.
Dr. Lalabalavu noted that most hospital admissions and treatments in Fiji stem from NCDs and their complications. These complications can lead to conditions such as coronary artery disease, heart attacks, strokes, kidney failure, and vision problems that often necessitate surgical intervention and regular hospital visits for ongoing care.
He emphasized that 95% of NCDs are attributed to lifestyle choices. Major risk factors include tobacco use, physical inactivity, an unhealthy diet high in salt, sugar, fat, and processed foods, as well as excessive alcohol consumption. Recognizing the steps needed to prevent NCDs is crucial; a shift in mindset towards healthier eating, increased physical activity, and effective stress management is essential.
The Fiji 2021 Multiple Indicator Cluster Survey indicates troubling dietary habits among children, adolescents, and adults, who are increasingly consuming high-sugar foods and sweetened beverages. Alarmingly, approximately one-third of children aged 5 to 19 in Fiji are classified as overweight.
We have been cautioned about the implications of these unhealthy habits. The substantial healthcare costs and the current state of NCDs necessitate prompt action. For the benefit of the nation and the health of all Fijians, it is crucial that we engage in efforts to combat this growing issue.