Fiji has declared a national emergency due to a significant surge in HIV cases, with over 2,000 new infections reported in 2025, marking a sixteenfold increase from 2019 levels. The country's health officials and UNAIDS attribute this alarming rise to increased drug use, particularly the practice of “bluetoothing,” where individuals inject themselves with blood from other users, leading to widespread transmission of HIV across various demographics in Fiji.
Written by the local model on 2026-09-17,
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Story summary
Fiji has declared a national HIV emergency due to a sharp rise in infections. Health Minister Dr. Ratu Atonio Lalabalavu announced the decision on social media, noting that one in every 60 adults is now living with HIV, up from one in 167 five years ago. In 2025 alone, 2,060 new cases were diagnosed. The surge has also affected newborns; 59 infants were born with HIV last year, and 18 died before their first birthday.
Fiji's cabinet decided to declare the emergency on September 9th. The country plans to introduce a needle and syringe program to curb drug-related infections and expand access to testing, prevention, and treatment services. UNAIDS reports that new HIV infections in Fiji increased by 12-fold between 2010 and 2025, making it one of the steepest rises globally.
The nation's vulnerability as a regional hub for business, tourism, and transport means unchecked spread could affect other South Pacific countries. Officials stress that discrimination against those with HIV is illegal and care remains accessible nationwide.
Written for “Fiji HIV Emergency” on 2026-09-17,
grounded in this article and the 3 other(s) covering the same event.
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No political leaning scored for article 15259 · logged 2026-09-17
Fiji declares a national emergency as HIV cases skyrocket
Zane Irwin
AI generated
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Fiji has declared a national crisis amid an extraordinary rise of HIV cases, with health officials raising the alarm about an epidemic that has emerged alongside an increase in injectable drug use.
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that → declare → use
Fiji, a Pacific island nation of less than 1 million people, recorded more than 2,000 new HIV cases in 2025 – 16 times as many as in 2019, the government said in an official statement on Sept 15.
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government → record → Sept
One in 60 adults on the archipelago is living with the virus that causes AIDS, the government estimated.
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government → live → AIDS
UNAIDS, a United Nations programme, said in a statement on Sept 16 that it was “one of the sharpest increases in new HIV infections globally”.
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it → say → infections
Winnie Byanyima, the executive director of UNAIDS, added that Fiji’s epidemic was “a stark reminder to the world that AIDS is not over”.
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The outbreak is not limited to particular areas or populations, health officials warned.
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And because the nation serves as a regional hub for business, tourism and transport, the surge in cases could affect other countries in the South Pacific if left unchecked.
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That inter-connectedness may have contributed to the soaring rates of infection, said Eamonn Murphy, the director of regional support teams in the Asia Pacific region, Central Asia and Eastern Europe for UNAIDS.
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An influx of drugs on the islands during the Covid-19 pandemic added “fuel on the flame” to a long-standing, but low-level, HIV presence in Fiji, Murphy said.
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The country is a key example in a growing trend of Pacific island nations “caught in the middle of illicit smuggling routes”, according to a 2024 UN report.
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As substances like methamphetamine and cocaine pass through Fiji and other island nations on their way to Australia and New Zealand, the report said, those nations have emerged as drug markets, not just way stations.
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Fiji is also one of several global hot spots where a dangerous trend called “bluetoothing”, in which people inject themselves with the blood of other drug users to get a cheap high, is contributing to spikes in HIV rates.
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Health officials say they believe that drug use is a key driver of Fiji’s epidemic.
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A December report by the World Health Organization and UN Development Programme found that nearly half of the HIV patients with available information about their exposure had injected drugs, primarily crystal methamphetamine.
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“Fiji was off the map in terms of HIV,” Murphy said.
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But in recent years, the virus has spread throughout the country, heavily affecting young men but also raising mortality rates among children and babies born to infected women.
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In its statement on Sept 15, the government said that 59 infants were born with HIV in 2025, with 18 of them dying before their first birthday.
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Fiji’s government has ramped up testing and treatment efforts since January 2025, when the nation declared an HIV outbreak.
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But “an outbreak-level response is no longer sufficient”, Atonio Lalabalavu, the nation’s health minister, said in a video statement posted on Sept 15.
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Fiji pledged a “whole-of-government response”, including expanded access to free testing, prevention services and treatment, as well as harm-reduction measures such as programmes that allow people who inject drugs to exchange used needles for clean ones.
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Murphy praised the government’s efforts, but said community leaders and the religious authorities would have to help combat the stigma around drug use and misunderstandings about HIV and its treatments.
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“They really need to move fast,” he said.
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