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Friday, September 18, 2026

Fiji declares national HIV emergency as cases soar

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A poster attached to a power pole with the message that needle sharing leads to HIV infection.

Fiji is grappling with a rising number of HIV cases across the country. (ABC News: Sairusi Tabualuma, file)

In short:

One in 60 Fijians have HIV, with new data indicating the number of new cases has risen 27 per cent in one year.

The Fijian government has declared a national emergency in response to the rising number of cases.

It is expanding testing, the supply of preventive medicines and harm reduction services for drug users.

Fiji has declared a national HIV emergency, with new statistics showing one in 60 adults are living with the virus.

The government said in a statement posted on Facebook that 2,016 people were diagnosed with HIV in 2025, representing a 27 per cent increase in positive cases from the previous year.

Fifty-nine babies were born with HIV last year and 18 died before their first birthday, it also said.

Authorities said expanded testing had helped uncover infections, enabling earlier treatment.

Fiji now plans to widen access to free, voluntary and confidential testing, preventive medicines, as well as harm-reduction services for injecting drug users and treatment.

Five years ago one in 167 people in Fiji had the virus.

A hand holds a packet of HIV tests with purple font on white background.

HIV testing is being rapidly expanded across Fiji. (ABC News: Jeremy Story Carter, file)

Fiji, a country of about 900,000 people, is experiencing one of the world's sharpest rises in new infections, according to UNAIDS.

It estimates that 9,100 Fijians were living with HIV last year, that only 39 per cent knew their status, and that 22 per cent were receiving antiretroviral treatment.

"Fiji has recognised the urgency of the moment and is stepping up its response," UNAIDS executive director Winnie Byanyima said.

"It is also a stark reminder to the world that AIDS is not over."

Among cases with a known transmission route, more than half were linked to sexual transmission and over 42 per cent to injecting drugs, UNAIDS said.

The agency welcomed government plans for a needle and syringe program and expanded access to pre-exposure prophylaxis (PrEP), medicine used to lower the risk of contracting HIV.

The government has set up a five-minister cabinet subcommittee to remove barriers to action.

It said discrimination against people living with HIV was illegal and services were available nationwide.

Fiji's estimate of one in 60 adults living with HIV remains below parts of Africa, where nearly one in 35 adults are living with HIV, according to the World Health Organization.

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