Prevalence of Cervical Cancer in Colonial War Memorial (CWM) Hospital from 2016-2023

Cervical cancer is the fourth most common cancer in women globally, with 660,000 new cases reported in 2022 and 350,000 deaths. This study examined cervical cancer prevalence at Fiji's Colonial War Memorial Hospital (CWMH) from June 2016 to December 2023. The overall prevalence was 0.35%, with notable fluctuations: a significant rise from 2016 to 2017, stability until 2019, a COVID-19-related drop in 2020, and a gradual increase by 2023. Of the 352 diagnosed women, 74.15% were Fijian, 21.88% were of Indian ethnicity, and 2.27% were from other groups. Fijian women exhibited higher mortality. The majority (52.55%) of cases occurred in women aged 31-50, peaking at 41-45. Pap smear results showed 87.39% were negative, 11.01% were "Other," and 1.60% indicated epithelial cell abnormalities. The study highlights the persistent need for enhanced cervical cancer screening and prevention in Fiji.