Fiji is grappling with a significant health crisis as Non-Communicable Diseases (NCDs) now represent 80 percent of all fatalities in the country and account for 40 percent of premature deaths. This alarming situation was brought to light by Dr. Atonio Lalabalavu, the Minister for Health and Medical Services.
The concerning statistics reflect a global trend, as highlighted by the World Health Organization (WHO), which states that NCDs cause 71 percent of all deaths worldwide, with low- and middle-income countries like Fiji disproportionately affected. Additionally, the United Nations notes that 85 percent of premature deaths attributed to NCDs occur in these regions.
In Fiji, the most common causes of death include circulatory diseases, diabetes, and cancers, affecting both genders. The Republic of Fiji Vital Statistics Report from 2016 to 2021 underscores that NCDs are the leading cause of death across all age demographics.
The financial impact on Fiji’s healthcare system is staggering, with costs associated with NCD-related deaths and disabilities estimated at 591 million Fijian dollars in 2019 alone. The primary factors contributing to this epidemic are well understood: poor diet, tobacco use, physical inactivity, and excessive alcohol consumption. Dr. Lalabalavu emphasizes that these risk factors are modifiable.
Other countries have made noteworthy progress in reducing NCDs through targeted initiatives that could serve as models for Fiji. For example, Finland’s comprehensive salt reduction campaign has significantly decreased hypertension rates. Australia has implemented strict tobacco control measures, including plain packaging and increased taxes, resulting in a notable decline in smoking rates. In Mexico, a sugar tax led to a 7.6 percent decrease in sugary drink consumption within two years.
Fiji’s Wellness Division is actively collecting vital data to inform health promotion and prevention strategies. However, combating the NCD crisis requires a united effort, robust policy changes, and heightened public awareness.
Making healthier choices today is essential for ensuring a healthier future for Fiji.