Tuomilehto J, Ram P, Eseroma R, Taylor R, Zimmet P
Bull World Health Organ. 1984;62(1):133-43.
Mortality and hospital admissions due to cardiovascular diseases and diabetes mellitus have been increasing in Fiji steadily over the past 20 years. These diseases were present more frequently in the Indian than the Melanesian population of Fiji, but recently the steepest rise in prevalence rates occurred among the Melanesian population. The underlying conditions that contributed most to increasing mortality and morbidity were hypertension and diabetes mellitus. In 1978, the proportional mortality from diabetes mellitus was 6.0% (9.0% in persons aged >/= 40 years), and that from cardiovascular diseases was 30.3% (39% in those aged >/= 40 years). Ischaemic heart disease was the main cause of mortality and morbidity among the Indian population. This analysis of mortality and morbidity data is supported by the findings of a population survey, which showed that the prevalence rates of diabetes and hypertension in 1980 among urban Melanesians were similar to those among Indians. Urbanization and a modern life-style seem to play an important role in determining the disease pattern in Fiji, which is following the patterns in many industrial countries.
在过去20年里，斐济因心血管疾病和糖尿病导致的死亡率及住院率一直在稳步上升。在斐济，这些疾病在印度裔人群中比美拉尼西亚人群中更为常见，但最近患病率上升最急剧的是美拉尼西亚人群。导致死亡率和发病率增加的最主要潜在疾病是高血压和糖尿病。1978年，糖尿病的比例死亡率为6.0%（40岁及以上人群为9.0%），心血管疾病的比例死亡率为30.3%（40岁及以上人群为39%）。缺血性心脏病是印度人群中死亡和发病的主要原因。一项人口调查的结果支持了对死亡率和发病率数据的这一分析，该调查显示1980年城市美拉尼西亚人中糖尿病和高血压的患病率与印度人相似。城市化和现代生活方式似乎在决定斐济的疾病模式方面发挥着重要作用，而斐济的疾病模式正遵循许多工业化国家的模式。
