MHMS FIJI
MHMS FIJI
MINISTRY ADVISES PUBLIC ON INCREASED INFLUENZA ACTIVITY ACROSS FIJI

PRESS RELEASE #107 | 9 December 2025.

The Ministry of Health and Medical Services (MoHMS) advises that an increase in influenza-like illnesses (ILI) is currently being observed across all four divisions in Fiji: Central, Western, Northern, and Eastern. This increase is consistent with the country’s seasonal influenza season, which typically occurs during the cooler, wetter months of the year.

Recent surveillance data from the Fiji Centre for Disease Control (Fiji CDC), collected through the Early Warning Alert and Response Surveillance (EWARS), show a gradual rise in ILI and acute respiratory infection (ARI) reports over the past 3 weeks.

Laboratory testing conducted at the National Public Health Laboratory (NPHL) has confirmed that Influenza A (H3 subtype) is the predominant circulating strain.

Current Situation

While the overall increase in respiratory illnesses is expected during this time of year, the Ministry notes that the trend has begun slightly earlier than usual, mirroring similar early-season rises observed in other countries in the Western Pacific Region.

At this stage, there is no evidence of unusual disease severity or excess hospitalisations beyond what is proportionate to the rise in cases. Most reported cases are being managed in outpatient settings, while there are notifications of a gradual rise in hospital admissions.

Globally, the World Health Organization (WHO) reports that Influenza A (H3N2) is also the dominant circulating subtype in the Western Pacific region. Fiji’s current influenza trends are therefore consistent with global seasonal patterns.

Public Health Response

In response to the increased influenza activity, the Ministry has:

Enhanced influenza surveillance and laboratory testing through the Fiji CDC and NPHL to track circulating strains.

All Divisional and Subdivisional Health Teams are alerted to monitor ARI and ILI trends and reinforce infection prevention measures in health facilities.

Distributed influenza awareness materials jointly developed with the WHO to schools, workplaces, and health centers.

Activated the Risk Communication and Community Engagement (RCCE) network to promote early care-seeking and home-based prevention practices.

Encouraged participation in the community-based surveillance platform “Flutracking Fiji”, which helps monitor flu activity through public reporting.

Public Health Advisory

Influenza (“the flu”) is a contagious respiratory infection caused by influenza viruses. Symptoms typically include:

Sudden onset of fever, cough, sore throat, runny nose, body aches, headache, and fatigue.

Most people recover within a week, but infants, pregnant women, older adults, and those with chronic conditions (such as asthma, diabetes, or heart disease) are at risk of severe illness or complications.

The Ministry urges members of the public to:

  1. Seek medical attention early if you or your child has flu-like symptoms.
  2. Stay home if unwell to prevent spreading the virus to others.
  3. Practice good hygiene – wash hands often and cover coughs and sneezes.
  4. Keep indoor spaces well ventilated and avoid overcrowded gatherings if ill.
  5. Protect vulnerable family members, especially young children and the elderly.
  6. Maintain good hydration and nutrition during illness to support recovery.

ENDS.

LEPTOSPIROSIS WARNING FOR THE NORTHERN DIVISION

PRESS RELEASE # 106 | 1 December 2025.

The Ministry of Health and Medical Services (MHMS) is urging the public, particularly communities in the Northern Division, to take immediate precautionary measures following recent deaths associated with leptospirosis.

The Ministry stresses that “although current leptospirosis case reports may be low, it is still a deadly disease and therefore the need for public awareness and prevention measures.” The recent fatalities highlight the ongoing risk, especially after periods of heavy rain and flooding and with these weather conditions more cases are to be expected.

Leptospirosis is preventable and treatable if detected early. MHMS urges everyone to take precautions seriously and seek medical care immediately if unwell.

__________________________________________________________________________

Leptospirosis Advisory

What it is?

Leptospirosis is a bacterial disease that affects humans and animals. It is caused by bacteria of the. In humans, it can cause a wide range of symptoms, some of which may be mistaken for other diseases. Some infected persons, however, may have no symptoms at all.

Without treatment, leptospirosis can lead to kidney damage, meningitis (inflammation of the membrane around the brain and spinal cord), liver failure, respiratory distress, and even death.

How is it Spread?

The bacteria that cause leptospirosis are spread through the urine of infected animals, which can get into water or soil and can survive there for weeks, even months. Many different kinds of wild and domestic animals carry the bacterium.

These can include, but are not limited to:

  • Cattle
  • Pigs
  • Rats
  • Horses
  • Dogs
  • Mongoose

When these animals are infected, they may have no symptoms of the disease. Infected animals may continue to excrete the bacteria into the environment continuously or every once in a while, for a few months up to several years.

Humans can become infected through:

  • Contact with urine (or other body fluids, except saliva) from infected animals
  • Contact with water, soil, or food contaminated with the urine of infected animals.

The bacteria can enter the body through skin or mucous membranes (eyes, nose, or mouth), especially if the skin is broken from a cut or scratch. Drinking water or food contaminated by the leptospirosis bacteria can also cause infection.

Who is at risk?

While in other parts of the world leptospirosis is mostly seen in people who work on farms, or work closely with animals, in Fiji leptospirosis is also a more common infection seen in rural and urban areas. With increases in severe weather events due to climate change, leptospirosis is becoming even more prevalent than in the past.

Anyone can get leptospirosis if they are exposed to the urine of infected animals, but in Fiji the disease is most commonly seen in people between the age of adolescence to 45, as this is the age group more likely to be active outdoors e.g. swimming in rivers, wading in muddy areas. In Fiji, the rainy season also increases the risk of leptospirosis, due to higher rainfall, which increases the risk of contaminated animal urine washing into waterways and mud/soil.

What are the Symptoms?

In humans, leptospirosis can cause a wide range of symptoms, including:

  • High fever
  • Headache
  • Chills
  • Muscle aches
  • Vomiting
  • Jaundice (yellow skin and eyes)
  • Red eyes
  • Abdominal Pain
  • Diarrhoea
  • Rash

Many of these symptoms can be mistaken for other diseases. In addition, some infected persons may have no symptoms at all.

The time between a person’s exposure to a contaminated source and becoming sick is 2 days – 4 weeks. Illness usually begins abruptly with fever and other symptoms. Leptospirosis may occur in two phases;

1. After the first phase (with fever, chills, headache, muscle aches, vomiting, or diarrhoea) the patient may recover for a time but become ill again.

2. If a second phase occurs, it is more severe; the person becomes severely ill, may have a cough and coughing up blood, blood in the urine, with kidney or liver failure or meningitis. This phase is also called Weil’s disease.

The illness lasts from a few days to 3 weeks or longer. Without proper treatment, recovery may take several months. People who develop severe leptospirosis are at risk of death.

If you or anyone you know has any of the above symptoms, you should seek urgent medical attention.

How do I reduce my risk of catching Leptospirosis?

The risk of acquiring leptospirosis can be greatly reduced by not swimming or wading in water that might be contaminated with animal urine or eliminating contact with potentially infected animals.

Protective clothing or footwear should be worn by those exposed to contaminated water or soil because of their job or recreational activities.

To avoid becoming infected:

  • You must store your food safely away from animals, including rats
  • You must always wear protective clothing and protective footwear outside of your home, especially around animals and agricultural areas
  • Never swim in contaminated waters

How is it treated?

  • Leptospirosis is treated with antibiotics administered by a doctor, which should be given early in the course of the disease.
  • Intravenous antibiotics may be required for persons with more severe symptoms. Persons with severe leptospirosis will need intensive care in a hospital.

MINISTRY OF HEALTH AND MEDICAL SERVICES ADDRESSES CWMH ANTENATAL CLINIC INCIDENT

MINISTRY OF HEALTH AND MEDICAL SERVICES – PRESS RELEASE

PR 109/25 | Date: 15/12/25

The Ministry of Health and Medical Services acknowledges the recently reported water leak at the Colonial War Memorial Hospital (CWMH) Antenatal Clinic (ANC).

On Monday, December 15, 2025, a water leakage at the ANC was identified, and the Ministry and CWMH management acted immediately to investigate and resolve the issue. The hospital’s maintenance team, under the direction of the medical superintendent, conducted an initial assessment and identified the source of the leakage as an old drainage pipe that had been sealed off during renovations to the maternity washrooms, carried out by an interest group.  The seal had loosened over time, causing the water leakage.

Repairs to the broken pipe have been completed, and the ANC area has been cleaned and restored, ensuring the antenatal clinic is safe, functional, and ready to receive patients.

In light of this incident, the Minister for Health and Medical Services, Hon. Dr. Atonio Lalabalavu, has directed a two-fold action:

  1. A detailed investigation of the incident is conducted to verify the initial findings and the long-term remediation measures required.

  2. A temporary pause on any future renovation work by the contractors involved in the initial washroom project, pending the outcome of the verification process above.


The Ministry of Health reaffirms its unwavering commitment to patient safety and the ongoing improvement of health infrastructure.

We thank the public and our partners for their vigilance and assure all Fijians that the CWM Antenatal Clinic remains a dedicated facility for the care and well-being of mothers and expectant mothers. The ministry regrets any inconvenience caused by this incident to staff and the public.

ENDS.

Leptospirosis Warning for the Northern Division

PR No: 106/25                  Date: 1 December 2025

Public Advisory: Leptospirosis Warning for the Northern Division

The Ministry of Health and Medical Services (MHMS) is urging the public, particularly communities in the Northern Division, to take immediate precautionary measures following recent deaths associated with leptospirosis.

The Ministry stresses that “although current leptospirosis case reports may be low, it is still a deadly disease and therefore the need for public awareness and prevention measures.” The recent fatalities highlight the ongoing risk, especially after periods of heavy rain and flooding and with these weather conditions more cases are to be expected.

Leptospirosis is preventable and treatable if detected early. MHMS urges everyone to take precautions seriously and seek medical care immediately if unwell.

__________________________________________________________________________

Leptospirosis Advisory

What it is?

Leptospirosis is a bacterial disease that affects humans and animals. It is caused by bacteria of the. In humans, it can cause a wide range of symptoms, some of which may be mistaken for other diseases. Some infected persons, however, may have no symptoms at all.

Without treatment, leptospirosis can lead to kidney damage, meningitis (inflammation of the membrane around the brain and spinal cord), liver failure, respiratory distress, and even death.

How is it Spread?

The bacteria that cause leptospirosis are spread through the urine of infected animals, which can get into water or soil and can survive there for weeks, even months. Many different kinds of wild and domestic animals carry the bacterium.

These can include, but are not limited to:

  • Cattle
  • Pigs
  • Rats
  • Horses
  • Dogs
  • Mongoose

When these animals are infected, they may have no symptoms of the disease. Infected animals may continue to excrete the bacteria into the environment continuously or every once in a while, for a few months up to several years.

Humans can become infected through:

  • Contact with urine (or other body fluids, except saliva) from infected animals
  • Contact with water, soil, or food contaminated with the urine of infected animals.

The bacteria can enter the body through skin or mucous membranes (eyes, nose, or mouth), especially if the skin is broken from a cut or scratch. Drinking water or food contaminated by the leptospirosis bacteria can also cause infection.

Who is at risk?

While in other parts of the world leptospirosis is mostly seen in people who work on farms, or work closely with animals, in Fiji leptospirosis is also a more common infection seen in rural and urban areas. With increases in severe weather events due to climate change, leptospirosis is becoming even more prevalent than in the past.

Anyone can get leptospirosis if they are exposed to the urine of infected animals, but in Fiji the disease is most commonly seen in people between the age of adolescence to 45, as this is the age group more likely to be active outdoors e.g. swimming in rivers, wading in muddy areas. In Fiji, the rainy season also increases the risk of leptospirosis, due to higher rainfall, which increases the risk of contaminated animal urine washing into waterways and mud/soil.

What are the Symptoms?

In humans, leptospirosis can cause a wide range of symptoms, including:

  • High fever
  • Headache
  • Chills
  • Muscle aches
  • Vomiting
  • Jaundice (yellow skin and eyes)
  • Red eyes
  • Abdominal Pain
  • Diarrhoea
  • Rash

Many of these symptoms can be mistaken for other diseases. In addition, some infected persons may have no symptoms at all.

The time between a person’s exposure to a contaminated source and becoming sick is 2 days – 4 weeks. Illness usually begins abruptly with fever and other symptoms. Leptospirosis may occur in two phases;

1. After the first phase (with fever, chills, headache, muscle aches, vomiting, or diarrhoea) the patient may recover for a time but become ill again.

2. If a second phase occurs, it is more severe; the person becomes severely ill, may have a cough and coughing up blood, blood in the urine, with kidney or liver failure or meningitis. This phase is also called Weil’s disease.

The illness lasts from a few days to 3 weeks or longer. Without proper treatment, recovery may take several months. People who develop severe leptospirosis are at risk of death.

If you or anyone you know has any of the above symptoms, you should seek urgent medical attention.

How do I reduce my risk of catching Leptospirosis?

The risk of acquiring leptospirosis can be greatly reduced by not swimming or wading in water that might be contaminated with animal urine or eliminating contact with potentially infected animals.

Protective clothing or footwear should be worn by those exposed to contaminated water or soil because of their job or recreational activities.

To avoid becoming infected:

  • You must store your food safely away from animals, including rats
  • You must always wear protective clothing and protective footwear outside of your home, especially around animals and agricultural areas
  • Never swim in contaminated waters

How is it treated?

  • Leptospirosis is treated with antibiotics administered by a doctor, which should be given early in the course of the disease.
  • Intravenous antibiotics may be required for persons with more severe symptoms. Persons with severe leptospirosis will need intensive care in a hospital.
World AIDS Day 2025
MINISTER FOR HEALTH AND MEDICAL SERVICES HON. DR RATU ATONIO RABICI LALABALAVU Keynote Address for World AIDS Day 2025 VENUE     :    Sukuna Park, Suva DATE   :    1st December, 2025

          TIME    :    12.00pm

  • The Australian High Commissioner to Fiji –His Excellency Mr. Peter Roberts;
  • The Resident Representative for the UNDP Pacific Office in Fiji –
    Ms. Munkhtuya Altangerel (Tuya);
  • The UNICEF Pacific Representative – Mr. Hamish Young
  • UNAIDS Goodwill Ambassador, His Excellency Ratu Epeli Nailatikau
  • CSO – Reps from STRUMPHET
  • People Living with HIV Representative – Mr Joeli Colati;
  • Distinguished Guests;
  • Members of the media;

Bula vinaka and a warm welcome to you all.

Today, Fiji joins the world to mark World AIDS Day 2025 a day to honour lives lost, stand with people living with HIV, and recommit to ending HIV as a public health threat.

The global theme, “Overcoming Disruption, Transforming the AIDS Response,” calls on us to rebuild and strengthen systems disrupted by pandemics, economic pressures, and social inequities.

Here in Fiji, we express this through our national theme:

“Healthy Islands, Healthy Futures: Ending HIV Transmission Together.”

This theme reflects our belief that every Fijian deserves access to safe, quality, people-centred services and that HIV, STIs and blood-borne viruses must not determine the futures of our young people.

This year marks a turning point. In early 2025, Fiji declared a national HIV outbreak and adopted a National Outbreak Response Plan, led by the National HIV Outbreak and Cluster Response Taskforce and the newly established SRH and HIV Unit a decisive political response to a rapidly escalating HIV crisis.

To back this with real action, the Fiji Government allocated $10 million to the HIV response; the largest domestic investment in Fiji’s HIV history. This funding is now driving:

  • Human resources across prevention, diagnostics, treatment and data,
  • Programming and outreach to communities, and
  • Procurement, ensuring a more reliable supply of essential commodities.

This investment sends a clear signal: Fiji is taking ownership of its HIV response and is not relying solely on external partners.

We also acknowledge the critical support of our development partners, who join us today to help celebrate and further commit to our national response.

Firstly, during this year’s World AIDS Day Celebration, the Government of Australia, through DFAT, is handing over approximately FJ $1.6 million in biomedical equipment and life-saving commodities, including rapid test kits, antiretroviral medicines, viral load consumables, and prevention supplies. This investment strengthens diagnostics and treatment continuity across the country and complements Fiji’s own $10 million allocation.

We further acknowledge UNICEF for its leadership and technical support in Elimination of Vertical Transmission (EVT). Their partnership has enabled the development of Fiji’s first-ever Guidelines for the Triple Elimination of HIV, Syphilis and Hepatitis B, helping protect mothers and babies and moving us closer to a future where no child in Fiji acquires an infection that could have been prevented.

Together, these investments reflect a powerful model: domestic leadership backed by strategic global partnership.

Despite progress, HIV diagnoses in Fiji continue to rise. Too many people are still being diagnosed late, when they are already unwell. This tells us we must:

  • Expand testing and early detection,
  • Strengthen prevention, including condoms, PrEP and harm-reduction approaches,
  • Ensure everyone diagnosed can start and stay on treatment, and
  • Address the intertwined epidemics of STIs, hepatitis and other blood-borne infections.

Our theme, Healthy Islands, Healthy Futures, must translate into action.

For Government, that means fully utilising our $10 million allocation, strengthening workforce capacity, laboratories and supply chains, and ensuring that policies and laws support, not hinder, access to services.

For partners, it means aligning support with national priorities and continuing to accelerate innovation and community-led approaches.

For individuals, it means taking charge of your health:

Protect yourself, protect your future get informed, get tested, and use prevention tools.

Use condoms consistently with all sexual encounters.

If you are an intravenous drug user, use sterile needles and syringes, don’t share needles and syringes and drug mixing equipment.

For those who are tested, and are positive for HIV, commence HIV treatment as soon-as-possible and stay on treatment for life. Treatment is free in Fiji and we are increasing the number of clinics in the country, who can provide treatment and care for you and your family.

As we commemorate World AIDS Day 2025, let us honour the lives lost, support those living with HIV, and stand with the health workers and communities leading this response.

Fiji has taken bold steps, declaring an outbreak, investing $10 million, strengthening diagnostics with support from Australia, and advancing the elimination of vertical transmission with UNICEF.

But our journey continues.

Let us move forward with determination, unity, and hope building Healthy Islands and Healthy Futures, and working toward a Fiji where HIV transmission is no longer a threat to any family, any community, or any child.

Vinaka vakalevu and thank you.