Fiji is grappling with a severe public health issue as youth are increasingly affected by drug use and HIV. Mock Youth Parliament recently discussed this urgent crisis, highlighting that last year alone, there were 1,500 new HIV cases, marking a 281% increase. Quenton Mayer, representing the Ministry of Multi-Ethnic Affairs and Sugar, emphasized that 60% of these cases were among youths aged 15 to 29.
The alarming statistics underscore Fiji’s plight as the fastest-growing HIV epidemic worldwide, a shift largely attributed to drug-related activities, particularly needle sharing, which has overtaken sexual transmission as the dominant cause. This trend has resulted in over 61% of drug-related cases involving young individuals aged 18 to 35.
Mayer called for immediate action, including the establishment of a National Youth Rehabilitation Program. This initiative aims to address the gaps in education, treatment awareness, and tackle the stigma that silences many affected youths. Currently, only 36% of people with HIV in Fiji are aware of their status, with just 24% receiving life-saving treatments.
The situation is exacerbated by a lack of knowledge about prevention and sexual health among young people, leading to risky behaviors like unprotected sex and needle sharing. Silence and stigma are hindering progress, making community intervention crucial.
Parallel reports highlight similar issues. Last month, St. Giles Hospital in Suva reported 57 new youth patients testing positive for HIV, a situation exacerbated by ‘bluetoothing’—the practice of needle sharing. This has contributed to a growing number of drug-related incidents among students, as revealed by the Substance Abuse Advisory Council.
A recurring call from leaders, including Selina Kuruleca, the Permanent Secretary for Justice, and Kalesi Volatabu of Drug Free World Fiji, emphasizes the end of the “culture of bystanders.” Community leaders, educators, and healthcare providers must collaborate to create prevention and education programs to mitigate this crisis.
Despite these troubling statistics, there remains hope. By fostering a cooperative community approach, raising awareness, and providing robust support systems, Fiji can steer towards a healthier future for its youth. This collaborative effort could potentially reverse the current trends, safeguarding future generations against these dual threats of drug abuse and HIV.

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