Dengue cases rise in Fiji’s Western Division; PSH Hospitals boosts response with targeted care and community outreach.
Fiji’s Western Division is experiencing a sharp rise in dengue fever cases, prompting Pacific Specialist Healthcare (PSH Hospitals) to scale up medical response efforts. The hospital reports a significant increase in patients, particularly those aged 10 to 29, testing positive for dengue NS1 antigen.
Dr. Ratu Vereniki Raiwalui, Director of Anaesthesiology and Intensive Care Medicine at PSH Hospitals, said the outbreak is driven by warmer temperatures and heavy rainfall, which have created ideal conditions for mosquito breeding.
“The climatic conditions have made urban and peri-urban areas particularly vulnerable,” said Dr. Raiwalui. He noted that many cases are linked to stagnant water in containers such as tyres and flower pot bases, which attract Aedes aegypti, the mosquito species responsible for transmitting dengue.
A newly circulating serotype of the virus, unfamiliar to the population, is believed to be behind the spike in cases and the increase in severe symptoms.
To manage the influx, PSH Hospitals has allocated dedicated observation beds for dengue patients. Multidisciplinary teams are monitoring at-risk individuals for complications such as abdominal pain, vomiting, mucosal bleeding, and clinical deterioration.
Dr. Raiwalui emphasized the importance of early diagnosis, explaining that dengue often presents with symptoms similar to leptospirosis or typhoid fever. “Many patients present with just fever and body aches, which can lead to misdiagnosis,” he said. “We rely heavily on laboratory testing to confirm dengue.”
Patients with pre-existing conditions, such as diabetes, heart disease, and kidney problems, are showing higher risks of severe complications, including myocarditis. These cases require collaboration between internal medicine and cardiology specialists.
PSH Hospitals is also advising against the use of anti-inflammatory medications like ibuprofen, which may worsen bleeding in dengue patients. “Paracetamol is a safer alternative for managing pain,” Dr. Raiwalui said.
Beyond clinical care, the hospital is working with schools, churches, and community leaders to promote prevention through education. Residents are encouraged to eliminate standing water and cover water containers to prevent mosquito breeding.
The Ministry of Health and Medical Services has declared a national health emergency, launching intensified vector control efforts including fogging and larvicide spraying in high-risk areas.
PSH Hospitals has extended operating hours and reaffirmed its commitment to public health. “We urge anyone experiencing symptoms to seek medical care promptly,” said Dr. Raiwalui. “With coordinated action, we can contain the outbreak and protect our communities.”
Source: PSH Hospitals
