Fiji’s healthcare system is facing severe pressure as hospitals grapple with a critical shortage of intravenous (IV) fluids, compounded by rising cases of dengue, leptospirosis, and the ongoing AIDS outbreak. Fiji Medical Association president, Dr Alipate Vakamocea sounded this warning last night as reports of more dengue and leptospirosis – related deaths surfaced. Dr Vakamocea explained the shortage of IV fluids, essential for treating dehydration and administering medications, was still ‘out of stock’. This means most hospitals are struggling to provide adequate care for patients. He said the IV fluids were a vital treatment for patients suffering from dengue and leptospirosis. Dr Vakamocea said with information from the report from the Ministry of Health and Medical Services – which showed the three reported dengue deaths and seven leptospirosis deaths between January and March – there were likely to have been many more. Patients purchasing essentials at own expense Dr Vakamocea also revealed that with the Government currently unable to meet the rising demand for IV fluids amid a surge in cases, it has left families with no other option but to purchase the essential supplies from pharmacies at their own expense. “When someone is suffering from these two (dengue and leptospirosis), they need large quantities of IV fluids to stabilise their body. An adult may need as much as four litres over a span of just four hours and this process needs to continue for days until the patient’s condition improves,” he said. The shortage is particularly concerning because while the ministry has run out of stock, other private healthcare providers and local pharmacies, still have IVF available. However, the cost can add up quickly. Dr Vakamocea said that a single litre of IV fluid can cost as much as $6, with patients often needing multiple litres a day. “It’s a daily struggle to secure these supplies. If we don’t get enough IV fluid, the patient’s chances of survival dramatically decrease,” he said. “We are giving prescriptions to families, directing them to buy IV fluid from other sources, but it’s not a sustainable solution.” Dr Vakamocea warned that the health system was being stretched thin, with all these viruses, including HIV, straining resources. “We could see more pressure on the health system in the coming months, especially with the ongoing climate changes that are prolonging the high-risk period for both dengue and leptospirosis,” Dr Vakamocea said. Prevention is only other option While the health ministry is working tirelessly to combat the outbreaks, Dr Vakamocea stressed the urgent need for preventative meas ures to reduce the spread of the diseases. “Preventing the spread of dengue and leptospirosis is something everyone can contribute to. Removing breeding sites for mosquitoes is key, and people should wear protective gear, such as shoes, when working in areas like farms,” he advised. “If you experience symptoms such as fever, body weakness, and muscle aches, it is crucial to see a doctor and get tested as soon as possible, as the symptoms for both dengue and leptospirosis can be similar. “We are facing an outbreak, and while we cannot predict the future, we must all do our part to mitigate the damage and protect ourselves and our families.” The ministry reported that leptospirosis cases from January 1 to March 23 this year totalled 818. Feedback: sosiveta.korobiau@fijisun.com.fj