Fiji Faces Rapid Surge in HIV Cases Amid Rising Crystal Meth Use
SUVA, Fiji — The Pacific island nation of Fiji is confronting a rapidly escalating HIV epidemic, with new infections more than doubling in recent years. In 2024 alone, health officials recorded 1,583 new HIV cases, and projections suggest the total number of people living with HIV in Fiji could surpass 3,000 this year. Experts attribute this alarming rise largely to increased crystal methamphetamine use and unsafe injection practices sweeping across the islands.
Fiji, known globally as a popular honeymoon destination, is now grappling with one of the fastest-growing HIV epidemics in the Pacific region. The surge in infections has raised concerns among public health officials and international organizations alike. According to the Joint United Nations Programme on HIV/AIDS (UNAIDS), the epidemic’s growth is closely linked to patterns of drug use, particularly the injection of crystal meth, locally known as “ice.”
Health authorities in Fiji have identified a dangerous trend called the “Bluetooth” method, where individuals inject blood from someone already intoxicated with methamphetamine to achieve a high when they cannot afford their own supply. This practice dramatically increases the risk of HIV transmission due to the sharing of potentially contaminated syringes.
In December 2025, the World Health Organization (WHO) released a rapid assessment highlighting unsafe injecting behaviors among drug users in Fiji. The report underscored that nearly 50% of people who inject drugs in the country use potentially contaminated syringes, exacerbating the spread of HIV. The WHO’s findings have prompted calls for urgent harm reduction interventions, including needle exchange programs and increased access to addiction treatment.
The Ministry of Health and Medical Services in Fiji has acknowledged the crisis and is working alongside international partners to implement strategies aimed at curbing the epidemic. However, the challenge remains significant given the social stigma surrounding drug use and HIV, which often deters individuals from seeking testing and treatment.
Travel advisories have also been updated as the United States Department of State warns visitors of heightened health risks in the region. The State Department’s travel advisory for Fiji now includes information on the rising HIV rates and advises travelers to exercise caution.
Experts emphasize that addressing the HIV epidemic in Fiji requires a multifaceted approach. This includes expanding public education campaigns, improving access to healthcare services, and tackling the underlying social determinants that contribute to drug abuse and unsafe injection practices. The Centers for Disease Control and Prevention (CDC) also recommends increased surveillance and community outreach to better understand and respond to the evolving dynamics of the epidemic.
As Fiji continues to attract tourists from around the world, the intersection of drug use and HIV transmission poses a significant public health challenge. Without swift and comprehensive action, the island nation risks further entrenching the epidemic, with profound consequences for both residents and visitors alike.
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