Background Workplace injury rates in low and middle-income countries are known to be high. Contemporary
data on this topic from Pacific Island countries and territories are scant.
Aims To describe the epidemiology of fatal and hospitalized workplace injuries in Fiji using a populationbased
trauma registry.
Methods An analysis of data from a prospective population-based surveillance registry investigated the characteristics
associated with workplace injuries resulting in death or hospital admission among people aged 15 years
and older in Viti Levu, the largest island in the Republic of Fiji, from October 2005 to September 2006.
Incidence rates were calculated using denominator data from the 2004–05 Fiji Employment Survey.
Results One hundred and eighty-nine individuals met the study eligibility criteria (including nine deaths).
This corresponded to annual injury-related hospitalization and death rates of 73.4 and 3.7 per
100 000 workers, respectively. Males accounted for 95% of injuries, and hospitalization rates were
highest among those aged 15–29 years (33 per 100 000 workers). Fijian and Indian workers had
similar rates of admission to hospital (38.3 and 31.8 per 100 000 workers, respectively). Fractures
(40%) and ‘cuts/bites/open wounds’ (32%) were the commonest types of injury while ‘being hit by
a person or object’ (34%), falls (27%) and ‘cutting or piercing’ injuries (27%) were the commonest
mechanisms. Overall, 7% of injuries were deemed intentional.
Conclusions Acknowledging the likely underestimation of the overall burden of workplace injuries, these findings
support the need to identify context-specific risk factors and effective approaches to preventing
workplace injuries in Fiji.