The increase in diabetes prevalence among young individuals in Fiji has raised significant health alarms, with recent statistics revealing that 4.7 percent of people aged 18 to 29 are now living with this chronic condition. Kini Marawa, the Executive Director of Diabetes Fiji, has pointed to lifestyle changes as a pivotal factor in this troubling trend. The shift towards consuming more processed foods and sugary drinks, combined with sedentary behaviors and the challenges brought about by urban living, has contributed to a concerning rise in diabetes cases.
Marawa has specifically highlighted the worrying trend of Type 2 diabetes becoming more common in younger populations, a condition that was historically linked to older age groups. Issues such as late diagnoses, non-compliance with treatment, and limited access to specialized healthcare services are worsening health outcomes for these younger individuals. According to the Fiji 2025 STEPS Survey, the overall prevalence of diabetes across the population stands at 30 percent, with severe complications like kidney and heart disease, as well as amputations, placing significant strain on families and the healthcare system. Alarmingly, diabetes awareness among youth is exceptionally low, with only five percent demonstrating knowledge about the disease.
In response to this escalating health crisis, Marawa is urging the implementation of a National Youth Diabetes Screening and Education Initiative. He advocates for mandatory risk screening in schools and workplaces, along with digital awareness campaigns and educational programs within schools. Additionally, he emphasizes the necessity of establishing peer ambassador networks to normalize early screenings and mitigate the stigma associated with diabetes.
Marawa also stresses the importance of partnerships to enhance access to insulin for children and the establishment of decentralized foot-care clinics to prevent amputations. He suggests that the government should utilize revenue from a Sugar-Sweetened Beverage Tax to fund critical medications, preventive initiatives, school sports, and the infrastructure necessary for diabetes care.
The urgency of Marawa’s message is clear: immediate action is essential to tackle the rising diabetes epidemic in Fiji. He is confident that focusing on prevention today will pave the way for a healthier future, underscoring the vital role of collaboration among government entities, non-government organizations, and local communities. With unity and effective strategies, there is potential for a healthier generation to emerge in Fiji.