Fiji Declares National Health Emergency Amid Unprecedented HIV Surge
Fiji declared a national health emergency due to a sharp surge in HIV cases driven by methamphetamine use and unsafe practices, with infections spiking twelvefold since 2010.

Fiji has declared a national health emergency following an unprecedented surge in HIV cases, driven by a parallel rise in methamphetamine use and unsafe sexual practices. Health Minister Dr. Ratu Antonio Lalabalavu announced the measure, stating that the current situation requires an urgent, coordinated national response.
Escalating Crisis and Methamphetamine Link
According to government and UNAIDS data, new HIV infections in Fiji surged twelvefold between 2010 and 2025. Officials estimate that one in every 60 adults in the island nation is now living with HIV, compared to one in 167 five years ago. Furthermore, approximately one in 50 pregnant women is living with the virus, and 59 infants were born with HIV last year, with 18 dying before their first birthday.
"I am officially declaring a national health emergency in Fiji to reflect the severity of this epidemic and the urgent need for a coordinated response," Health Minister Lalabalavu stated.
Government Response and Prevention
The rapid spread of the virus has been exacerbated by unsafe injection practices, a lack of sterile needles, and persistent social stigma. UNAIDS notes that while over half of transmission cases are linked to sexual contact, more than 42% are attributed to injecting drug use.
To combat the crisis, the Fijian government has established a ministerial subcommittee to remove bureaucratic barriers. Authorities plan to expand free voluntary testing, increase access to antiretroviral therapy, introduce needle and syringe exchange programs, and promote the use of PrEP.





