Fiji is intensifying its efforts to combat scabies, a prevalent public health issue, by implementing new national guidelines, enhancing surveillance systems, and ensuring better access to treatment. Dermatologist Metuisela Tuicakau highlighted that while the nation has made significant strides in addressing various Neglected Tropical Diseases, scabies continues to pose a considerable challenge that demands targeted intervention.
To tackle this issue, the Ministry of Health has established a Scabies Joint Transition Committee, which aims to integrate scabies care and control into everyday healthcare services. Tuicakau explained that the committee has been operational for nearly a year, focusing on reviewing scabies management through the framework of the World Health Organization’s health system strengthening blocks.
Additionally, the committee is updating national treatment guidelines to ensure accessibility across all healthcare levels, including private practices. Assistant Minister for Health Penioni Ravunawa stated that the government is fortifying its surveillance systems to facilitate early detection and timely responses to outbreaks. “We are enhancing our health information system to ensure that scabies data is comprehensive and capable of identifying any potential outbreaks,” Ravunawa mentioned. Previously, scabies cases were documented only within the Integrated Management of Childhood Illness (IMCI) clinics and grouped with other skin diseases in the public health data system. Now, both infected and crusted scabies will be classified as notifiable diseases, improving monitoring and response capabilities.
The ongoing efforts to address neglected skin diseases are yielding positive outcomes, as more individuals are gaining access to necessary treatment and support. With these developments, Fiji is on a promising path toward significantly reducing the burden of scabies and improving the overall health of its population.