Fijians are facing a serious health crisis, as Non-Communicable Diseases (NCDs) now represent 80 percent of all deaths in the country and 40 percent of premature fatalities, according to Dr. Atonio Lalabalavu, the Minister for Health and Medical Services.
These concerning figures, which stem from lifestyle choices, reflect a global trend. The World Health Organization (WHO) reports that NCDs account for 71 percent of all deaths worldwide, with low- and middle-income nations like Fiji particularly affected. The United Nations highlights that 85 percent of premature deaths attributed to NCDs occur in these regions.
In Fiji, leading causes of death include circulatory diseases, diabetes, and cancers, affecting both genders. The Republic of Fiji Vital Statistics Report from 2016 to 2021 details the gravity of this issue, noting that NCDs are the primary cause of death across all age groups.
The financial strain on Fiji’s healthcare system is substantial, with the costs associated with NCD-related deaths and disabilities estimated at 591 million Fijian dollars in 2019 alone.
The primary causes of these diseases are well understood: poor dietary choices, tobacco use, lack of physical activity, and high alcohol intake. Dr. Lalabalavu points out that these are risk factors that can be changed.
Other countries have effectively reduced NCDs through comprehensive health strategies that Fiji could implement. For example, Finland’s national salt reduction initiative has significantly decreased hypertension rates. Australia has seen a reduction in smoking rates thanks to stringent tobacco control measures, including plain packaging and high taxation. Meanwhile, Mexico’s introduction of a sugar tax led to a 7.6 percent decrease in sugary drink consumption within two years.
Fiji’s Wellness Division is actively collecting essential data to inform health promotion and prevention efforts. However, tackling the NCD crisis necessitates a united approach, robust policy initiatives, and increased public awareness.
Making healthier lifestyle choices today is essential for fostering a healthier future.