Failure to enforce tobacco control fuels NCDs surge in Fiji – Dr Vakamocea

Fiji’s lack of full adherence to the Framework Convention on Tobacco Control is driving a sharp increase in non-communicable diseases, putting more pressure on the country’s healthcare system.

This concern was highlighted by Fiji Medical Association President Dr. Alipate Vakamocea, on Straight Talk with Vijay Narayan.

Dr. Vakamocea says inadequate enforcement of tobacco control is worsening the health crisis.

He further says government engagement with the tobacco industry also sends mixed messages, making it harder to reduce tobacco-related health risks.

He says they used to have public health nursing focused on preventing conditions like NCDs, but now these nurses are redirected to handle urgent cases in hospitals and health centres, leaving prevention neglected.

Dr. Vakamocea says the impact is seen clearly in the increase in diabetes cases, with amputations now common even among younger people.

He says many individuals in their 20s and 30s are now dependent on walking aids or wheelchairs after suffering severe complications.

He adds that surgical teams are struggling to keep up with the number of cases, as more patients require amputations due to severe infections related to diabetes.

Dr. Vakamocea says the budget cuts have further limited the country’s ability to address NCDs.

He says reduced funding for wellness and family health programs has meant fewer resources for public health awareness and prevention efforts.

He adds that without adequate funding and staffing for preventive programs, Fiji’s NCD rates continue to grow.

Dr. Vakamocea says there is a need for more public health campaigns that encourage healthier lifestyle choices and reduce the risk of NCDs.