A 19-year-old living on the streets of a town in Fiji has recently been identified as one of the new HIV cases in the country. After a visit to a divisional hospital, he was referred to Empower Pacific for counseling. This organization focuses on providing essential counseling and social support services to individuals affected by HIV.
The rise in new HIV cases has prompted doctors to refer several youths who are homeless to the NGO, particularly those who contracted the virus through the use of crystal methamphetamine, commonly referred to as “ice.” This method of transmission often occurs through practices known as “bluetoothing,” where users share blood during drug use.
These referrals are part of a long-term collaboration between the Ministry of Health & Medical Services and Empower Pacific. Recent statistics from the ministry reveal that from January to June of this year, there were 552 new HIV cases reported. The Central Division accounted for 380 of these cases, while the Western Division recorded 151, the Northern Division had 19, and there were two cases in the Eastern Division.
Sexual transmission remains the primary avenue for HIV spread in Fiji, but out of the 552 cases, 85 were linked to injecting drug use, making up approximately 15 percent of the total cases. The Ministry of Health indicates that the most affected demographic is individuals under the age of 39, although cases in those over 40 have also been documented.
Many individuals, despite exhibiting symptoms of HIV, often hesitate to undergo blood testing in medical facilities. Keli Koroi, the manager of Empower Pacific’s Fiji Facility Support Program, explained that health professionals refer patients for pre-test and post-test counseling to inform them about the necessity of blood tests.
In 2022, doctors referred 37 confirmed HIV cases to Empower Pacific for counseling, with more referrals taking place in 2023. From January to July of this year, the number of referrals from CWM Hospital alone increased to 47.
Koroi emphasized that though the referral numbers may appear small, each case has a significant impact on the individual and their family. He disclosed that most of the new cases being referred to Empower Pacific involve individuals aged between 19 and 30 who have contracted HIV, often through drug use. Many misattribute their infection to sexual activity, failing to recognize the role of shared needles.
The ministry reported a total of 13 deaths due to HIV-related illnesses from January to June this year, compared to 82 deaths in the same period last year. To combat the spread of HIV, the Ministry urges individuals to undergo testing and seek treatment early if results are positive. For those who are negative, safe sexual practices and avoiding harmful activities such as “bluetoothing” and “chemsex” are crucial to prevent further transmission.
Persons in need of support regarding substance abuse and coping with STI/HIV/AIDS can access professional help through Empower Pacific’s 24/7 toll-free counseling helpline at 5626, which is backed by the New Zealand Ministry of Foreign Affairs and Trade, along with local organizations.