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NCDs and Agriculture: A Call for Urgent Change in Fiji

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During the opening of the Pacific Small Island Developing States (SIDS) Solutions Forum in Nadi, Prime Minister Sitiveni Rabuka emphasized the rising incidence of non-communicable diseases (NCDs) within the region. He highlighted the urgent need for sustainable agrifood systems as NCDs are becoming increasingly prevalent.

The Prime Minister addressed how climate change poses a significant threat to agricultural productivity and food security, worsening the incidence of NCDs and undermining natural immunity. He noted that NCDs are the leading cause of death in the region, highlighting the necessity for integrated approaches that address both public health and sustainable food systems.

While the region is fortunate to possess fertile land and rich marine resources, unsustainable practices, invasive species, and the growing frequency of climate-related disasters threaten these advantages. The Prime Minister pointed out the troubling trend of unhealthy eating habits among Fijians, particularly children who often prefer cheap, processed foods over nutritious options like fresh vegetables and fruits.

Health Minister Dr. Atonio Lalabalavu previously shared in Parliament that NCDs are the leading cause of mortality in Fiji, with a significant impact on productivity and the economy. In fact, NCDs accounted for 80% of all deaths in Fiji and were responsible for 40% of premature deaths, costing the public sector nearly $192 million in lost productivity.

Emphasizing the importance of community-driven initiatives tailored to local needs, there is hope for increased awareness around health, nutrition, and medical choices. Encouragingly, there is a call for policymakers to facilitate options that enable healthier lifestyles, despite current affordability challenges. The focus is on changing mindsets towards healthier living, including the importance of regular exercise and stress management.

Moving forward, it is essential to prioritize a collective effort to combat NCDs, or risk continuing the cycle of unproductive discussions without meaningful action.

This article brings attention to the critical health challenges faced by Fiji, but it also sheds light on the potential for positive change through community engagement, policy adjustments, and individual empowerment. A renewed focus on education and accessible healthy food options could help shift public attitudes and ultimately improve health outcomes in the region.


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