Overview
- The government declared a national HIV emergency on September 16 after surveillance in 2025 uncovered roughly 2,000 new diagnoses and an estimated adult prevalence of about one in 60.
- Officials and UN agencies say injecting drug use linked to a growing methamphetamine crisis, including common needle sharing, has become a major route of new infections.
- Only about 39 percent of people living with HIV in Fiji know their status and roughly 22 percent are on antiretroviral treatment, leaving many untreated and able to transmit the virus.
- The surge has affected mothers and infants, with reports of about 59 babies born with HIV in 2025 and rising HIV-related deaths among adults and children.
- The government has pledged rapid action through expanded free testing, treatment scale-up, wider PrEP access and a formal needle‑and‑syringe programme backed by partners including UNAIDS, WHO, the Global Fund, Australia and New Zealand.