Fiji is facing a public health crisis. New HIV cases rose by 281% between 2023 and 2024, reaching 1,583 diagnoses in a single year. Young people aged 15 to 29 account for 60% of new infections, and 93% of those diagnosed in the first half of 2025 were iTaukei Fijians. These numbers are not abstract. Behind them are communities — sex workers, men who have sex with men, transgender individuals, people who inject drugs — failed by health systems that were not designed for them and which have, in many cases, actively turned them away.