Medics demand evidence-based drug test results

The Fiji Medical Association (FMA) is calling on Government to ensure any proposed drug-testing programme for officials is grounded in science, ethics and human rights, warning that poorly designed policies could lead to unfair outcomes and undermine public trust.

The association acknowledged Government efforts to address rising concerns over illicit drug use, including methamphetamine, but stressed that drug testing must be treated as a medical and public health issue rather than solely a disciplinary measure.

The FMA said that without a clear, evidence-based framework, drug testing could result in misinterpreted results, workplace stigma, legal disputes and unfair consequences for workers.

It noted that common urine drug tests detect metabolites rather than actual impairment, meaning a positive result does not necessarily indicate current intoxication or unsafe behaviour.

The association emphasised that international best practice supports targeted testing rather than blanket approaches, focusing on safety-sensitive roles, post-incident assessments and cases of reasonable suspicion.

Citing global standards from organisations such as the International Labour Organization and the World Anti-Doping Agency, and regulatory approaches in countries like Australia and New Zealand, the FMA said drug testing should operate within a broader governance and workplace safety framework.

The association said it was ready to work with Government and stakeholders to develop a “credible, humane and effective” framework that balances public safety with individual rights and medical ethics.