Tobacco-related illnesses impose a staggering cost of $319 million annually on Fiji, representing 2.7 percent of the nation’s Gross Domestic Product, according to a recent joint report by the World Health Organization (WHO) and the Ministry of Health. This financial burden far exceeds the revenue generated from cigarette taxes, with tobacco use resulting in over 1,200 deaths each year.
At the launch of the Tobacco Investment Case Fiji report, Health Minister Atonio Lalabalavu emphasized the critical impact of tobacco consumption on the nation’s healthcare system. He highlighted that tobacco is a leading contributor to preventable diseases, including cardiovascular diseases, respiratory disorders, and various forms of cancer, which significantly elevate morbidity and mortality rates.
Dr. Lalabalavu remarked, “Tobacco consumption is not only a health concern but also a social, economic, and developmental challenge.” He called for coordinated efforts involving multiple sectors such as health, education, government, and civil society to combat this issue. He also noted that tobacco-related illnesses place a considerable strain on public healthcare resources, detracting from funding for essential health services.
While the prevalence of smoking has plateaued among specific demographics, the toll of tobacco-related diseases on public health remains severe. The government’s commitment to addressing this crisis includes enforcing stricter regulations on tobacco advertising and increasing taxes on tobacco products to deter consumption.
The ongoing STEPS Survey in Fiji aims to provide further insights into tobacco use patterns within the country, which is vital for shaping future health policies. The report underscores the importance of tackling indirect costs associated with tobacco use, which can affect families and communities, particularly when individuals face health complications that hinder their ability to work.
Despite the challenges posed by tobacco-related health issues, Fiji’s proactive measures to mitigate its impact reflect a hopeful commitment to improving public health and reducing economic burdens associated with tobacco use. These initiatives highlight the potential for significant social and health advancements when community effort and government support align.

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