UN warns spike in HIV, TB cases in Fiji
Health officials are urging everyone to act responsibly: use condoms, avoid drugs and needle sharing.
Wednesday 03 September 2025 | 22:30
Drug use through needle sharing has been a contributing factor to the rise of HIV cases in Fiji
Fiji is facing a sharp rise in HIV and tuberculosis (TB) cases, prompting UNAIDS to issue an urgent health warning.
While the August HIV figures is yet to be officially released, several doctors 'Fiji Sun' spoke to said "from the ground, it's bad, very bad."
Drug use through the sharing of needles remains a contributing factor, but an increase in transmission rates through sex has also been observed.
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UNAIDS Pacific HIV Adviser Renata Ram said while any large gathering would be a moment of joy and remembrance, these gatherings also carried risks if basic prevention was ignored. "Simple steps can protect you and your loved ones," Ms Ram said.
"Always use condoms during sex, never share needles, and most importantly, get tested if you may be at risk."
The warning comes as Fiji recorded its highest number of new HIV and TB cases in years.
A doctor recalled treating a patient who contracted HIV through needle sharing after an event held last year in the western division, underlining the need for vigilance.
Assistant Minister for Health Penioni Ravunawa also expressed concern, citing the Global AIDS Report. He revealed that in 2024, only 36 per cent of Fijians living with HIV knew their status.
“This is not just a number, these are our people,” Mr Ravunawa said.
“When someone is unaware of their HIV status, they miss out on lifesaving treatment that is freely available.
"Effective treatment not only saves lives but also prevents transmission to others.”
The Ministry of Health has launched the country’s largest HIV response, creating a Sexual and Reproductive Health and HIV Unit, strengthening community outreach, and collaborating with civil society and faith groups.
In July, a national consultation on Needle and Syringe Programmes (NSPs) brought together government leaders, health experts, and community representatives.
Fiji is now preparing to roll out NSPs — a proven harm-reduction approach used in 93 countries, including New Zealand and Australia, where HIV transmission among drug users is now rare.
“The rise in HIV affects all age groups, including babies and young people,” Mr Ravunawa said.
“We do not condone drug use, but we are committed to protecting lives through harm-reduction strategies.”
Health officials are urging everyone to act responsibly: use condoms, avoid drugs and needle sharing, ensure sterile equipment, and get tested.
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