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Fiji has declared a national HIV emergency due to a sharp increase in infections, with over 2,000 new cases in 2025, representing a 16-fold rise since 2019. The epidemic is driven primarily by high-risk methamphetamine use and needle sharing, with worsening rates among pregnant women and infants. The government is expanding testing, treatment, and harm reduction measures to address the crisis and prevent its spread to other Pacific nations.
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