Honest about the risks, and specific about what prevents each one.
Being a long way from a hospital
The Government of Canada states that good health care is severely limited, that facilities often lack services, medical supplies, drugs and equipment, that emergency and ambulance services are very limited with slow response times, and that medical evacuation is very expensive and you will likely need it in case of serious illness or injury. Clinics and hospitals require payment in advance.
Prevention Insurance with a real evacuation limit, bought before you pay the trip balance. The 24-hour assistance number saved offline and shared with whoever you are travelling with. A card that works abroad. And a genuine first-aid kit, because the Government of Canada also warns that prescription medications may be unavailable — bring enough for the whole stay, in original containers, with the prescriptions.
Dengue
Named by both sources. The Government of Canada says dengue is present in Fiji and that there is no vaccine or medication available in Canada to prevent it, and advises protecting yourself from mosquito bites, especially at dawn and dusk. CDC lists dengue among the infections to prevent by avoiding bug bites.
Prevention Repellent, applied properly and reapplied — not just in the evening. Air-conditioned or screened rooms. Long sleeves at dawn and dusk. There is nothing to take instead, so this is the whole strategy.
Zika
Named by both sources. Spread mainly by mosquito bite but also sexually, and it can cause serious birth defects.
Prevention If you are pregnant or planning a pregnancy, this deserves a conversation before you book rather than after. Fiji is a popular honeymoon, which is exactly why it is worth saying out loud.
Leptospirosis
CDC lists it under avoiding contaminated water and soil and says specifically to avoid floodwater. The Government of Canada notes the risk increases after cyclones and flooding through contact with contaminated water or soil. Waterfalls, river pools and inland hikes are the classic Fiji day trip.
Prevention Cover cuts before going into fresh water. Do not swallow river or waterfall water. Stay out of floodwater entirely, especially in the days after a storm.
Cyclones and getting stuck
The Government of Canada puts cyclone season from November to April while noting cyclones can occur at any time of year, and says storms can cause flooding and landslides and cut off road access including to the airport. Fiji also sits in an active seismic zone with a tsunami risk.
Prevention All prescription medication in hand luggage, with enough for the trip plus several days. Build slack into island transfers in season. Know your resort’s evacuation plan — it is a normal thing to ask about at check-in.
The sea and the reef
Diving, snorkelling and small boats are why most people come. Coral cuts get infected quickly in warm water, and a decompression problem in the outer islands is a long way from a chamber.
Prevention Clean and cover every scrape properly, and watch it. Check your insurance actually covers diving to the depth you plan — many standard policies do not. Reef shoes for anyone walking on coral.
Traveller’s diarrhoea
The Government of Canada calls it the most common illness affecting travellers, caused by bacteria, viruses and parasites in contaminated food and water. More likely on a village or outer-island stay than in a resort.
Prevention Bottled or boiled water where you are unsure, ice you trust, food cooked fresh and served hot. Rehydration salts weigh nothing and matter more when a pharmacy is a boat ride away. We can send you with a standby antibiotic where it is appropriate.