Trends in cervical cancer in Fiji, 2000-2010

Setting: Cancer patients recorded in Fiji's National Patient Information System (PATIS) from 2000 to 2010. Objective: To identify trends in cervical cancer using case numbers, incidence rates and case fatality in Fiji over the decade 2000-2010. Design: Retrospective descriptive and analytical study. Results: Between 2000 and 2010, 1234 patients were registered with cervical cancer, of whom 845 (68%) were indigenous Fijians and 357 (29%) were Indians; only 32 (3%) were of other ethnic groups. Mortality rates were much higher among Fijian women, and were far higher in women aged. 45 years. Conclusion: The high incidence rates of cervical cancer in Fijian women between the ages of 35 and 45 years reflect ethnic differences in social norms. The higher case fatality and mortality rates in these groups indicate that more work is needed to improve access to and quality of screening and treatment services.