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HIV: A Nationwide Challenge in Fiji

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The head of family health at the Ministry of Health and Medical Services, Dr. Rachel Devi, highlighted the pervasive presence of HIV across Fiji during her presentation at the ODPP Annual Conference in Sigatoka. She emphasized that no area in Fiji is exempt from the virus, with each division and subdivision reporting cases. The Suva-Nausori corridor is notably challenging, yet even remote maritime islands have seen significant instances of infection, with outreach efforts sometimes resulting in multiple positive tests in a single visit.

In the first half of 2024, Fiji reported 552 new HIV cases. Of these, 540 were adults and 12 were children, with the Central Division alone accounting for around 380 cases—a stark 69 percent increase compared to 2023. Other regions reported varying numbers, such as two new cases in the East, 151 in the West, and 19 in the Northern Division.

Although a cure for HIV remains elusive, Dr. Devi assured that with proper access to prevention, diagnosis, treatment, and care, including management of opportunistic infections, the condition has become manageable much like other chronic health issues.

This troubling trend underscores the ongoing challenges faced by Fiji in combatting HIV. However, there is hope in the efforts of health advocates and the community’s commitment to awareness and prevention strategies. Increased testing, education, and support can lead to better management of the disease and improved health outcomes for those affected.

In summary, the prevalence of HIV in Fiji is a pressing public health issue, but with comprehensive care and community engagement, there are pathways to manage and mitigate its impact effectively.


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