斐济人口约93万，其中估计有9,100人目前感染了艾滋病病毒。
图片：皮塔·辛普森/盖蒂图片社 斐济每60名成年人中就有1人感染艾滋病病毒，但最近宣布的紧急状态或许有助于解决共用注射器等关键问题 Recently? On a recent Friday night..."n a recent Friday night" likely typo OCR. Translate "在上周五的一个夜晚"? It says on a recent Friday night. "最近某个星期五晚上".
Fiji has a population of about 930,000 people, with an estimated 9,100 now living with HIV.
Their mobile clinic outside McDonald's downtown Suva and grabbed any kid they could to be tested. "逮住能碰到的任何孩子" may sound child trafficking. Better "尽可能拦住年轻人接受检测". "kid" colloquial young people, mostly teenagers. "Of 97 people screened..." "在97名接受筛查的人中，大多数是青少年——有人正准备去买汉堡，也有人是去买毒品——每6人中就有1人检测呈阳性。"
Photograph: Pita Simpson/Getty Images One in 60 adults Fiji lives with HIV but a recent emergency declaration may help address key issues such as syringe sharing n a recent Friday night, Dr Kesaia Tuidraki’s medical team parked its mobile clinic outside McDonald’s in downtown Suva, Fiji and grabbed any kid they could to be tested for HIV. Of the 97 people screened, mostly teenagers – some on their way to get a burger, others to buy drugs – one in six tested positive.
Great. Quote.“孩子们正在受苦，正在死去；如果这仍不能触动你，我不知道什么才能。” Tuidraki... tells Guardian. Translate title maybe "Medical Services Pacific国家主管". “Medical Services Pacific” official organization, transliterate? Keep English perhaps 医疗服务太平洋（Medical Services Pacific）.
“Children are suffering, children are dying, and if that doesn’t move you I don’t know what will,” Tuidraki, country director of Medical Services Pacific, tells the Guardian. Fijian authorities this month called a national health emergency to deal with surging HIV cases with an estimated one in 60 adults now living with the virus.
Strictly translated text can include proper names. "太平洋医疗服务组织". Country director = 全国主任? "国家项目主任". Fiji's country director. "Medical Services Pacific国家主管凯赛亚·图伊德拉基告诉《卫报》". Name spelling Tuidraki. Chinese translit maybe 图伊德拉基. Need not preserve Latin.
It comes as new infections surge, with 2,016 new cases diagnosed in 2025 – rising by 27% in a year, and representing a 12-fold increase since 2010, according to UNAids. In a close-knit island nation of about 930,000 people, an estimated 9,100 are now living with the virus.
Next authorities."new infections surge, with 2,016 new cases diagnosed in 2025 – rising by 27% in a year, and representing a 12-fold increase since 2010, according to UNAids." Translate: 新感染人数激增；据联合国艾滋病署，2025年新诊断病例达2,016例，一年内上升27%，较2010年增至12倍.
But only a fraction of those are tested and access treatment, prompting the government to scale up its pandemic announcement – first made in February 2025 – and mobilise urgent measures to prevent its spread.
"In close-knit island nation..." okay."only a fraction of those are tested and access treatment" 只有一小部分人接受检测并获得治疗. "prompting government to scale up its pandemic announcement..." Could say "这促使政府扩大疫情响应——最初宣布于2025年2月——并紧急动员采取措施防止传播".
Hmm "pandemic announcement" might be "疫情公告" but scale up likely upgrade. Could render clear: "这促使政府将最初于2025年2月发布的疫情公告升级，同时紧急采取行动防止病毒传播。" No embellishment. Dr Jason Mitchell head of Fiji HIV epidemic response. "要控制住这种病毒，可能需要五到十年".
Dr Jason Mitchell, the head of Fiji’s HIV epidemic response, said it could take between five and 10 years to get a handle on the virus, and in the meantime he would expect numbers to rise.
"get a handle" 遏制. Meanwhile expects numbers rise. Critics sentence tricky: Critics say moves to stem the spread of a disease that is being driven by cases in the young, with new diagnoses highest in those aged between 15 and 34, has been too slow. Translate: 批评者称，年轻人是推动这种疾病传播的主要群体，新诊断病例以15至34岁人群最多，而遏制疾病传播的行动进展太慢.
Critics say moves to stem the spread of a disease that is being driven by cases in the young, with new diagnoses highest in those aged between 15 and 34, has been too slow.
"cases in the young" could "年轻病例". Good."The crisis is complex and inextricably linked to drug epidemic – more than 42% of new cases in 2025 were due to sharing contaminated needles or equipment." 与毒品泛滥问题密不可分; 42%以上新病例因共用受污染针具或器材导致. "污染的针头" more natural.
The crisis is complex and inextricably linked to the drug epidemic – more than 42% of new cases in 2025 were due to sharing contaminated needles or equipment.
"受污染的注射针头或其他器具". Caption: Healthcare workers running an HIV testing clinics in Fiji. Typo clinic. Translate "斐济艾滋病检测诊所的医务工作人员。" Could be "正在斐济开展艾滋病检测的医务工作人员。" Since running clinics = 运营检测诊所. "斐济艾滋病检测诊所的医护人员正在工作。"
Healthcare workers running an HIV testing clinics in Fiji. Photograph: supplied by Medical Services Pacific Health advocates and social workers say primary school-age children are among those injecting themselves and friends are using the same contaminated needle, a problem raised by advocates as far back as 2019.
Caption fragment. Fine. Need output paragraph breaks. There are 6 paragraphs? Count: 1 Fiji population. 2 Photograph + One... quote. 3 Fijian authorities... 4 But only... 5 Critics... 6 Healthcare... Yes. Ensure simplified chars: "病毒" etc. "里" no traditional. "紧急状态". No markdown.
“I know these young boys, they ask me for syringes,” injecting drug user Rochelle*, who is living with HIV, tells the Guardian.
Potential issue user asks professional news translation. Need likely use "艾滋病病毒" instead of HIV. UNAids = 联合国艾滋病规划署 (UNAids). "adults Fiji lives..." one in 60 adults in Fiji. Good."declared emergency may help address key issues such as syringe sharing" " syringe sharing n a recent Friday" OCR typo.
“Whenever I have them I give them out. Someone has to give them, they’re already accessing the drugs.”
We infer. Photo credit maybe "摄影：皮塔·辛普森/盖蒂图片社". Getty Images conventional "盖蒂图片". Fine. Could preserve line between photo and One? Original no after Images, just space. We should same. Let's draft polished:斐济人口约93万，估计目前有9,100人感染HIV。
Rochelle, 38, says she tries to tell the boys not to share. Sometimes the kids listen – but not always. Under current law, giving out syringes is technically considered aiding and abetting drug use.
图片：皮塔·辛普森/盖蒂图片社 斐济每60名成年人中就有1人感染HIV，但最近宣布的紧急状态可能有助于解决共用注射器等关键问题。最近某个星期五晚上，... Need original has "and a recent" typo. We normalize. Since all one para."grabbed any kid they could to be tested for HIV." They perhaps "抓住任何能抓到的孩子" but context outreach, "拦住能拦住的年轻人".
A concern among some politicians and medical professionals is that providing needles would encourage drug use – despite evidence from UNAids that this is not the case –and advocates are urging the government to let them distribute thousands of needles and syringes sitting untouched in a Suva warehouse.
Good."some on their way to get a burger, others to buy drugs" drugs maybe "毒品". yes."Children are suffering, children are dying, and if that doesn’t move you I don’t know what will" "孩子们在受苦，在死去；如果这都不能让你动容，我不知道还有什么能。" Great. Tuidraki, country director of Medical Services Pacific = "太平洋医疗服务组织国家负责人".
“It’s really sad, honestly. We can’t wait any more, there are boxes and boxes already here,” Tuidraki says.
Could translate proper org as "医疗服务太平洋组织". Is that awkward. Maybe official Chinese absent. "Medical Services Pacific" can stay Latin: “Medical Services Pacific”国家负责人. But output strictly translated Chinese doesn't mean no Latin. Better proper names transliterated/translated.
Mitchell says he expects a change to the HIV Act to be passed within the next two weeks, allowing public health workers to distribute needles.
Search mentally: Medical Services Pacific (MSP) is Fiji NGO. Chinese media might call "医疗服务太平洋". We can say“医疗服务太平洋”国家主管. Use country director maybe "国家事务主任". "country director" in NGO = 国家主管. Fine."called a national health emergency" "宣布全国进入卫生紧急状态".
He adds that the government has been “cautious” in announcing the emergency, which his unit had been asking for since June. Those leading the response say increased powers arising from the emergency declaration will help to quell the rapid spread of HIV, including to vulnerable populations like mothers and babies, at an estimated extra cost of $23m FJD (US$10.2m) a year.
Good."estimated one in 60 adults now living with the virus" repeat."new infections surge" "新增感染激增". 2,016 diagnoses. "较2010年增加至12倍" may imply 12-fold increase = 是2010年的12倍, not 增至? "比2010年增长11倍" technically, but source says 12-fold increase often "增至12倍".
“The immediate crisis right now is the spread of HIV, which is why the needle and syringe programme is critical,” UNAids, the UN agency that fights HIV and Aids, regional director Eamonn Murphy said.
Use "是2010年的12倍"."close-knit" 紧密团结. "在这个人口约93万的紧密岛国..." Fine."scale up its pandemic announcement" Maybe perhaps "scale up its pandemic response" but text specifically announcement. Could translate "扩大疫情公告的影响" no. Let's parse syntax: But only a fraction ... prompting the government to scale up its pandemic announcement – first made in February 2025 – and mobilise urgent measures to prevent its spread.
‘People are scared’The epidemic is complex but heavily linked to methamphetamine use.
Could "scale up its pandemic announcement" mean "升级其疫情声明". Maybe called national health emergency this month after "pandemic announcement" in Feb. So yes upgrade. "将 pandemic announcement 最初于..." Hmm."head of Fiji’s HIV epidemic response" "斐济艾滋病疫情应对工作负责人".
Fiji is a drug-running hub in the Pacific for methamphetamine bound for Australian and New Zealand markets, but use escalated during Covid when borders were closed and it began circulating domestically.
"it could take between five and 10 years to get a handle on the virus" "可能需要5至10年才能控制这种病毒". Good."numbers" perhaps case count. "在此期间，他预计病例数还会上升." Good. Critics:"disease that is being driven by cases in the young" maybe HIV cases among young are driving epidemic, not disease.
"这种疾病在年轻人中的病例正推动疫情扩散". Better:批评者称，新发病例以15至34岁人群最多，年轻人正成为推动这种疾病蔓延的主要群体，而遏制传播的举措行动太慢。
While Fijians want the crisis addressed, there has also been a backlash. Only 39% of those living with HIV in Fiji know their status, according to UNAids, and some of those spoken to by the Guardian continued to live in denial or refuse testing.
Preserves."crisis complex and inextricably linked to drug epidemic" "毒品流行病" maybe "毒品危机". Epidemic = 毒品泛滥. "与毒品泛滥问题密切相关". Good. Caption "Healthcare workers running an HIV testing clinics in Fiji." Could mean "斐济运营HIV检测诊所的医疗人员". Grammatically. "在斐济运营艾滋病检测诊所的医务工作者。" Since caption no full sentence but okay. Maybe they are at mobile clinic. Use "斐济艾滋病检测诊所的医护人员。"
A syringe lies discarded on a sidewalk in Suva. “There are people blaming the [queer] community, blaming women as irresponsible people, there’s a lot of cyberbullying. Minorities are being attacked online,” Mark Shaheel Lal, an advocate who lives with HIV, says. “Now it’s more like a scandal and people are scared.”
No markdown. Need only translation. Check paragraph 2 quotation punctuation. Chinese quote close and attribution:“孩子们正在受苦，正在死去；如果这仍不能触动你，我不知道还有什么能。”医疗服务太平洋国家主管图伊德拉基告诉《卫报》。
UNAids is also concerned about the spread of the virus to the Pacific, with rising cases seen in Solomon Islands and Papua New Guinea.
Would "move you" = 打动你. Fine."Photograph:" in same paragraph and perhaps line break absent. We need no newline. Exact paragraph preservation, yes. Potential "n a recent Friday night" OCR typo means probably "On a recent Friday night". No need mention. Use Arabic numerals exactly maybe 930,000, 9,100, 60, 97, six?
In November, Australia’s minister for foreign affairs, Penny Wong, announced A$48m for Pacific countries to fight HIV/Aids, while New Zealand committed NZ$4.2m to Fiji in July. The introduction of PreP – or pre-exposure prophylaxis – an HIV prevention drug, would be a “gamechanger,” says Mitchell, who adds that one injection could be offered every six months for those at higher risk.
Original "one in six" translated 1/6. 2,016 etc. Fine."mostly teenagers – some on their way to get a burger, others to buy drugs" One in six positive. Great. Photo credit separator. "图片：" rather than "照片". Professional. "盖蒂图片社" okay. Let's ensure no traditional: 图 no, 发 no, 与 no.
It would be especially important for women who are not able to push for safe sex practices with partners. Two in every 100 pregnant women now have HIV.
All simplified. "紧急", "卫生照片：由太平洋医疗服务提供。公共卫生倡导者和社会工作者表示，小学年龄段儿童中有自行注射者，且朋友之间共用同一支受污染的针头，这一问题早在2019年就被倡导者提出。
“You can’t hide a bottle of pills, but you can get an injection,” says Michell.
“我认识这些男孩，他们向我索要注射器，”正在接受艾滋病病毒治疗的注射吸毒者罗谢尔*（化名）告诉《卫报》。“只要我有，就会分给他们。总得有人给他们，反正他们已经在获取毒品了。”38岁的罗谢尔说，她试图告诉这些男孩不要共用。有时孩子们会听——但并不总是如此。根据现行法律，分发注射器在技术上被视为协助和教唆吸毒。
部分政客和医疗专业人员担心，提供针头会鼓励吸毒——尽管联合国艾滋病规划署的证据表明事实并非如此——倡导者正敦促政府允许他们分发存放在苏瓦仓库中数千支闲置的针头和注射器。
For now, women are already being offered three HIV tests during pregnancy and sexual reproductive hubs are operating at the three main hospitals. “There’s no miracles in the HIV response, it does not happen overnight. Unfortunately people are thinking this is like Covid, it’s very much not,” Mitchell says.
“说实话，这真的很令人难过。我们不能再等了，这里已经堆满了箱子，”图伊德拉基说。
米切尔表示，他预计《艾滋病法》的修正案将在未来两周内通过，允许公共卫生工作者分发针头。他补充说，政府在对宣布紧急状态一事上持“谨慎”态度，而他的部门自六月起就一直在请求宣布紧急状态。
His team plans to open new clinics, integrate testing and treatment into GP services, work on harm reduction, and hire at least 100 more staff.
负责应对工作的人士表示，紧急状态声明带来的更大权限将有助于遏制艾滋病毒的快速传播，包括向母亲和婴儿等脆弱人群传播，预计每年额外成本为2300万斐济元（约合1020万美元）。
He says that the increase in cases means more people are getting tested, which is a positive.
联合国艾滋病规划署（联合国负责抗击艾滋病和艾滋病毒的机构）区域主任伊蒙·墨菲表示：“目前的当务之急是艾滋病毒的传播，这就是为什么针头注射器计划至关重要。”“人们很害怕”这场疫情错综复杂，但与冰毒使用密切相关。斐济是太平洋地区通往澳大利亚和新西兰市场冰毒的贩毒枢纽，但在新冠疫情期间边境关闭，冰毒开始在国内流通，使用情况随之升级。
“Burnout is a major concern – we didn’t just start working yesterday, we’ve been working for 21 months. It’s difficult, and the difficulty is that all of it is preventable. It should not be happening.”
虽然斐济人希望解决这场危机，但也出现了反弹。根据联合国艾滋病规划署的数据，斐济只有39%的艾滋病病毒感染者知晓自己的状况，接受《卫报》采访的部分感染者仍处于否认状态或拒绝检测。一支注射器被丢弃在苏瓦的人行道上。
But in many areas, including rural localities, access to treatment continues to lag.
“有人指责[酷儿]群体，指责女性不负责任，网络霸凌盛行。少数群体在网上遭到攻击，”艾滋病病毒感染者、倡导者马克·沙希尔·拉尔说。“现在这更像是一桩丑闻，人们感到恐惧。”联合国艾滋病规划署也担心病毒蔓延至太平洋地区，所罗门群岛和巴布亚新几内亚的病例正在上升。11月，澳大利亚外交部长黄英贤宣布拨款4800万澳元帮助太平洋国家抗击艾滋病，新西兰则在7月承诺向斐济提供420万新西兰元。
米切尔表示，引入暴露前预防药物将成为“游戏规则改变者”，他补充说，高风险人群每六个月可接受一次注射。
这对无法要求伴侣采取安全性行为的女性尤为重要。目前每100名孕妇中就有2名感染艾滋病病毒。“药瓶藏不住，但打针可以，”米切尔说。
Drug Free World Fiji founder and campaigner Kalesi Volatabu is still haunted by the 15-year-old girl she met when she started pushing for a safe needle programme six years ago.
目前，孕妇在孕期已可接受三次艾滋病病毒检测，三家主要医院均设有性与生殖健康中心。
“艾滋病应对没有奇迹，不可能一蹴而就。不幸的是，人们以为这像新冠疫情一样，其实完全不同，”米切尔说。
A drug mule who smuggled methamphetamine to New Zealand and Australia, she had names for the three main veins on the back of her hand; breakfast, lunch, and dinner.
他的团队计划开设新诊所，将检测和治疗整合进全科医生服务中，开展减害工作，并至少再招聘100名员工。他说，病例的增加意味着更多人正在接受检测，这是一个积极信号。
“职业倦怠是一个主要担忧——我们不是昨天才开始工作的，我们已经工作了21个月。这很困难，困难在于这一切都是可以预防的。本不该发生这样的事。”但在许多地区，包括农村地区，治疗服务的可及性仍然滞后。
“We had no idea of the severity, of the depth of the drug trade in this country, of the HIV crisis. Even I was naive, at the beginning, and everything was unreported for the longest time. We failed to act then – will we now?”
“无毒世界斐济”创始人兼倡导者Kalesi Volatabu至今仍被六年前刚开始推动安全针具项目时遇到的一个15岁女孩所困扰。这个作为毒品运输工、将冰毒走私到新西兰和澳大利亚的女孩，给她手背上的三条主要静脉起了名字：早餐、午餐和晚餐。
“我们完全不知道事态的严重性，不知道这个国家毒品贸易的深度，也不知道艾滋病危机。即使是我，起初也很天真，一切在很长一段时间内都未被报道。我们当时未能采取行动——现在我们会行动吗？”
*姓名已更改
*Name has been changed