As in much of

Oceania Oceania (, , ) is a region, geographical region that includes Australasia, Melanesia, Micronesia, and Polynesia. Spanning the Eastern Hemisphere, Eastern and Western Hemisphere, Western hemispheres, Oceania is estimated to have a land area of ...

Tuvalu Tuvalu ( or ; formerly known as the Ellice Islands) is an island country and microstate in the Polynesian subregion of Oceania in the Pacific Ocean. Its islands are situated about midway between Hawaii and Australia. They lie east-northeast ...

with 65% of men and 71% of women being overweight. In 2012 the birth rate on the islands was estimated at 23 per 1,000 people and life expectancy was 65. The

cuisine of Tuvalu The cuisine of Tuvalu, a state in the Central Pacific (Oceania), is based on the staple of coconut and the many species of fish found in the ocean and the lagoons of the atolls of Tuvalu. Pulaka, (cyrtosperma merkusii), or swamp taro, is an impor ...

is based on the staple of

pulaka Pulaka, ''Cyrtosperma merkusii'', or swamp taro, is a crop grown mainly in Tuvalu and an important source of carbohydrates for the area's inhabitants. It is a "swamp crop" similar to taro, but "with bigger leaves and larger, coarser roots." The sa ...

taro Taro () (''Colocasia esculenta)'' is a root vegetable. It is the most widely cultivated species of several plants in the family Araceae that are used as vegetables for their corms, leaves, and petioles. Taro corms are a food staple in Africa ...

breadfruit Breadfruit (''Artocarpus altilis'') is a species of flowering tree in the mulberry and jackfruit family (Moraceae) believed to be a domesticated descendant of ''Artocarpus camansi'' originating in New Guinea, the Maluku Islands, and the Philippi ...

banana A banana is an elongated, edible fruit – botanically a berry – produced by several kinds of large herbaceous flowering plants in the genus ''Musa''. In some countries, bananas used for cooking may be called "plantains", distinguis ...

s and

coconut The coconut tree (''Cocos nucifera'') is a member of the palm tree family ( Arecaceae) and the only living species of the genus ''Cocos''. The term "coconut" (or the archaic "cocoanut") can refer to the whole coconut palm, the seed, or the ...

and the many species of fish found in the ocean and lagoons of the atolls. The Tuvaluans benefited from the canned food supplied by the American forces during the Second World War, although the change in diet continued after the war, which resulted in long-term impacts on health. Tuvaluans adopted a diet that includes high levels of corned beef, rice and sugar, consumed even when fish and traditional vegetables are available. The change of diet to include more processed foods is believed to contribute to increasing levels of diabetes, hypertension and cardiovascular diseases among Tuvaluans.

Medical problems in Tuvalu

In the 19th and 20th century, after the beginning of commerce with Europe and the United States, the primary medical problem in the islands was

tuberculosis Tuberculosis (TB) is an infectious disease usually caused by '' Mycobacterium tuberculosis'' (MTB) bacteria. Tuberculosis generally affects the lungs, but it can also affect other parts of the body. Most infections show no symptoms, in ...

. Tuberculosis has declined from an average 36 cases per year to 19 per year from 1975 to 2009. In 2016 the incidence of tuberculosis was reported as continuing to decline with average of 15 new cases of sputum positive infections every year. Since the late 20th century the biggest health problem in Tuvalu, and the leading cause of death, has been

heart disease Cardiovascular disease (CVD) is a class of diseases that involve the heart or blood vessels. CVD includes coronary artery diseases (CAD) such as angina and myocardial infarction (commonly known as a heart attack). Other CVDs include stroke, hea ...

, which is closely followed by

diabetes Diabetes, also known as diabetes mellitus, is a group of metabolic disorders characterized by a high blood sugar level ( hyperglycemia) over a prolonged period of time. Symptoms often include frequent urination, increased thirst and increased ap ...

and

high blood pressure Hypertension (HTN or HT), also known as high blood pressure (HBP), is a long-term medical condition in which the blood pressure in the arteries is persistently elevated. High blood pressure usually does not cause symptoms. Long-term high bl ...

. In 2016 the majority of deaths resulted from cardiac diseases, with diabetes mellitus, hypertension, obesity, and cerebral-vascular disease among the other causes of death. In 2014, the

World Health Organization The World Health Organization (WHO) is a specialized agency of the United Nations responsible for international public health. The WHO Constitution states its main objective as "the attainment by all peoples of the highest possible level of h ...

confirmed an outbreak of

dengue fever Dengue fever is a mosquito-borne tropical disease caused by the dengue virus. Symptoms typically begin three to fourteen days after infection. These may include a high fever, headache, vomiting, muscle and joint pains, and a characterist ...

in Tuvalu. The illness has re emerged in several Pacific Island countries after a period of twenty years. A further outbreak of dengue fever occurred in 2019, from 25 March to 5 July 496 suspected and 226 confirmed cases were reported. 54 cases required hospitalisation from which 2 children died.

Healthcare

The Princess Margaret Hospital on Funafuti is the only hospital in Tuvalu and the primary provider of medical services. The Tuvaluan medical staff at the hospital in 2011 comprised the Director of Health & Surgeon, the Chief Medical Officer Public Health, an anaesthetist, a paediatric medical officer and an obstetrics and gynaecology medical officer. Allied health staff include two radiographers, two pharmacists, three laboratory technicians, two dieticians and 13 nurses with specialised training in fields including surgical nursing, anaesthesia nursing/ICU, paediatric nursing and midwifery. It also employs a dentist. The Department of Health also employs nine or ten nurses on the outer islands to provide general nursing and midwifery services.

Non-government organizations

There are no private formal medical services available in Tuvalu. Non-government organizations provide health services, such as the Tuvalu Red Cross Society; Fusi Alofa (the care and rehabilitation of disabled children); the Tuvalu Family Health Association (training and support on sexual and reproductive health); and the Tuvalu Diabetics Association (training and support on diabetes).

References

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