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Measurement of Lifespan in Drosophila melanogaster

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Published on: January 7, 2013

Mortality trends in Fiji.

Karen Carter¹, Margaret Cornelius, Richard Taylor

¹School of Population Health, University of Queensland.

Australian and New Zealand Journal of Public Health

|October 7, 2011

Summary

Fiji

Area of Science:

Public Health
Epidemiology
Demography

Background:

Understanding mortality trends is crucial for charting a nation's epidemiological transition.
Fiji's historical mortality data requires careful assessment to inform current health policies.

Purpose of the Study:

To evaluate mortality levels and cause of death trends in Fiji from 1940-2008.
To chart Fiji's epidemiological transition and discuss implications for health policy.

Main Methods:

Assessed published data on infant mortality rate (IMR) and life expectancy (LE) for quality.
Compared mortality indices from historical data with recent Ministry of Health records.
Analyzed trends in credible mortality estimates and proportional mortality by cause of death.

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Main Results:

Infant mortality rate (IMR) declined significantly, stabilizing below 20 deaths per 1,000 live births.
Life expectancy (LE) has plateaued since the late 1980s/early 1990s (males: 64, females: 69 years).
Circulatory diseases increased as a cause of death, rising from 20% to over 45% since the 1960s.
Identified significant inconsistencies in published mortality estimates for Fiji.

Conclusions:

Mortality decline in Fiji has stagnated, with chronic diseases, particularly cardiovascular diseases, being a major contributor.
Urgent reconciliation of Fiji's mortality data is needed to reduce uncertainty.
Increased emphasis on cardiovascular disease control strategies is recommended for Fiji's health services and partners.