斐济政府正式宣布进入国家HIV紧急状态1，应对该国艾滋病感染人数的激增危机。卫生部长拉劳表示，斐济每60名成人中已有1人感染HIV，这一比例在5年前仅为1/167，显示疫情形势恶化1。2025年斐济新增HIV诊断病例2060例1，较2019年增长16倍4。根据统计，斐济约9100人感染HIV，但仅39%知悉自身感染状况，仅22%接受抗逆转录病毒治疗1。
疫情已对孕妇及儿童造成严重影响。每50名孕妇中有1人感染HIV1，2025年共有59例婴儿感染，其中18例在1岁前死亡4。联合国艾滋病规划署指出，斐济2010年至2025年期间新感染率增长12倍1，这与多重因素相关。在已知传播途径的病例中，超过50%与性传播相关，42%以上与注射吸毒相关1，药物危机成为推高疫情传播速度的重要因素4。联合国艾滋病规划署执行主任表示，HIV流行病可快速变化，但国家需要做好准备迅速应对4。斐济政府已承诺采取全政府应对措施，扩大免费检测、预防和治疗服务4。
Fiji's government formally declared HIV a national health emergency on September 9, 2025, as the Pacific island nation confronts a dramatic escalation in infections.1 Health Minister Ratu Atonio Lalabalavu announced the emergency, stating that one in every 60 adults in Fiji now carries the virus, a sharp increase from one in 167 five years earlier.1 The country recorded 2,060 new HIV diagnoses in 2025.1
The infection crisis extends to vulnerable populations, with one in 50 pregnant women testing positive for HIV.1 An estimated 9,100 people were living with HIV in 2025, yet only 39 percent were aware of their infection status, and merely 22 percent were receiving antiretroviral treatment.1 Among infants born in 2025, 59 contracted HIV, with 18 dying before reaching one year of age.4 The United Nations AIDS Programme indicated that new infection rates in Fiji have grown twelvefold between 2010 and 2025, driven substantially by increased methamphetamine use and inadequate safe injection practices.1
Sexual transmission accounts for more than half of documented HIV cases, while injection drug use is associated with over 42 percent of infections.1 UNAIDS Executive Director Winnie Byanyima emphasized that "HIV epidemics can change quickly" but remained controllable through effective treatment.1 The Fijian government has committed to implementing a whole-of-government response strategy, expanding access to free testing, prevention services, and antiretroviral treatment to address the emergency.
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