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rp21 situational analysis - Pacific Health Voices

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Fiji. 308 This review included an issues paper<br />

on regional and international obligations in<br />

the context of criminal law and planned to<br />

include narcotics control issues.<br />

Law enforcement<br />

Notably, Fiji is not a member country of the<br />

PICP network. However, Fiji is represented on<br />

PILON. Fiji’s report to the 2008 PILON meeting<br />

focuses on constitutional issues and the<br />

recruitment of additional staff to strengthen<br />

its legal systems and to enable a response to<br />

the backlog and increasing volume of cases<br />

to be heard. 309<br />

<strong>Health</strong><br />

The Fiji Ministry of <strong>Health</strong> has identified<br />

four main risk factors for non-communicable<br />

diseases (NCD): poor nutrition; physical inactivity;<br />

smoking; and alcohol/kava abuse. The<br />

relevant areas include accidents and injuries,<br />

research and surveillance, and monitoring<br />

and evaluation. 310<br />

St Giles Hospital has been the main mental<br />

health service provider in Fiji since 1884.<br />

The service user profile has changed significantly<br />

over time — initially predominantly<br />

‘expatriates’, later Indo-Fijians, and currently<br />

ethnic Fijians. 311 It was reported in<br />

2002 that more than 50 per cent of firsttime<br />

admissions to St Giles included people<br />

with a substance use disorder. 312 The high<br />

level of admissions where the patient had<br />

a substance use issue was explained in part<br />

by what was described as a cultural assumption<br />

that cannabis use induces psychosis. 313<br />

Regulation<br />

Fiji is both an alcohol importer and an alcohol<br />

exporter. In 2003, Fiji exported 661 000<br />

litres (FJ$1.8 million) of liqueurs and spirits,<br />

particularly rum (FJ$1.5 million), beer<br />

(FJ$0.166 million) and wines (FJ$0.11 million).<br />

More importantly, it imported more<br />

alcohol: liqueurs, spirits (FJ$5.2 million); beer<br />

(FJ$0.558 million), 1.8 megalitres ($12 million);<br />

and wines (FJ$5.9 million). At the<br />

time customs tariffs were charged at rates<br />

of FJ$1.55 to FJ$68.66 per litre, or 27 per<br />

cent of total value depending on the type of<br />

beverage and its alcohol content. 314<br />

65<br />

308 Qolilawa Darpan: Newsletter of the Fiji Law Reform Commission, no.14, April 2006: 1–3.<br />

Available at: (accessed June 2009).<br />

309 Fiji Attorney-General, Fiji Report to <strong>Pacific</strong> Islands Law Officers’ Network meeting,<br />

December 2008.<br />

310 Fiji Ministry of <strong>Health</strong>, National Non-Communicable Diseases Strategic Plan 2004–2008.<br />

Available at: (accessed<br />

April 2009).<br />

311 E.S. Puamau (2006), Utilisation review of first admissions in 2002: St Giles Psychiatric Hospital,<br />

Suva, Fiji. <strong>Pacific</strong> <strong>Health</strong> Dialog, 13(2): 79–87.<br />

312 Lewa above, fn.299.<br />

313 Ibid.<br />

314 Provisional import data are collated on a monthly basis throughout the year, available at:<br />

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