The rise of diabetes among young Fijians has become a significant health concern, with alarming statistics indicating that 4.7 percent of individuals aged 18 to 29 are now affected by this chronic condition. Kini Marawa, the Executive Director of Diabetes Fiji, attributed this troubling trend to lifestyle changes, including increased consumption of processed foods and sugary beverages, sedentary habits, and the challenges associated with urban life.
Marawa expressed particular concern over the shift in Type 2 diabetes, a condition historically associated with older adults, now being diagnosed earlier in life. He noted that late diagnoses, poor adherence to medication, and limited access to specialized care are exacerbating health outcomes for those affected. The Fiji 2025 STEPS Survey highlights an overall diabetes prevalence of 30 percent across the population, with serious complications such as kidney disease, heart disease, and amputations placing added pressure on families and public health systems. Alarmingly, awareness among the youth is strikingly low, sitting at just five percent.
To combat this escalating problem, Marawa is advocating for a National Youth Diabetes Screening and Education Initiative. He believes that this initiative should encompass mandatory risk screenings at schools and workplaces, as well as the launch of digital campaigns and school-based programs. Moreover, he emphasizes the importance of establishing peer ambassador networks and normalizing early screenings to help reduce stigma around diabetes.
Marawa also calls for partnerships aimed at improving insulin access for children while urging the establishment of decentralized foot-care clinics to help prevent amputations. He advocates for the government to allocate revenue generated from a Sugar-Sweetened Beverage Tax to help fund essential medicines, prevention programs, school sports, and the necessary infrastructure for diabetes care.
His message is clear: decisive action is needed now to address the growing diabetes crisis in Fiji. Marawa believes that preventing diabetes today will ensure a healthier future, emphasizing that collaboration among government, non-governmental organizations, and local communities is crucial in reversing this concerning trend. With unity and effective initiatives in place, there is hope for a healthier generation in Fiji.