Rheumatic heart disease (RHD) poses a significant health challenge in Fiji, affecting approximately one child in every classroom, as highlighted by Dr. Luisa Cikamatana, a chief medical officer. During a World Heart Day event at the Hilton Special School in Suva, Dr. Cikamatana revealed that over 4,000 individuals are currently registered with RHD in the country, with a staggering 70% of these cases occurring in those under the age of 30. RHD, often stemming from untreated rheumatic fever, is the second leading cause of death for young people aged 5 to 29 in Fiji.
The financial burden on Fiji’s healthcare system due to RHD is substantial, with annual costs exceeding $19 million, primarily attributed to hospitalizations and surgeries. Despite these challenges, Dr. Cikamatana emphasized that RHD is largely preventable with increased awareness, early detection, and timely intervention. She advocated for a proactive approach, stating that no child should suffer from this preventable condition.
A particular call to action was made to focus on children with disabilities, who are often overlooked in health discussions, ensuring they receive proper care. Dr. Cikamatana emphasized that awareness should begin at home and in schools, expressing hope that community-driven prevention efforts can become a collective responsibility involving government bodies, NGOs, educational institutions, families, and communities.
Erini Tokarua, manager of Heart Heroes Fiji, echoed this urgency, pointing out that Pacific children are disproportionately affected by RHD, with statistics indicating one affected child per classroom. Advocacy for heightened awareness and improved access to treatment is crucial, as current healthcare infrastructure frequently struggles to meet the demand.
Given Fiji’s high rate of RHD, ongoing efforts to address this disease through community engagement and education are essential. By enhancing resources and coordinating initiatives, Fiji has the potential to significantly reduce RHD incidence, safeguarding future generations from this preventable condition. Through united efforts, there is optimism for a healthier future free from heart disease for the youth of Fiji.