Tuilaepa Aiono Sailele Malielegaoi

Tuilaepa has emerged as one of Oceania's most vocal critics of Fijian interim leader Commodore Frank Bainimarama, who came to power in the 2006 Fijian coup d'état. Tuilaepa has stated that Bainimarama has shown little respect for the opinions of regional Pacific leaders.[6] Tuilaepa has said that Bainimarama's actions since the 2006 coup have shown that Bainimarama has no intentions of returning Fiji to democratic rule or holding transparent, free elections.[6] Tuilaepa cites numerous actions by Bainimarama to back up his criticisms, including rescinding assurances to leaders at a regional meeting in Tonga that elections would be held in May 2008.[6] He has also criticised Bainimarama as a "no-show" at regional meetings of the Pacific Islands Forum in Niue and Papua New Guinea.[6] Tuileapa has said that Bainimarama's failure to compromise, hold democratic elections and meet with regional leaders is not the "Pacific way."[6]

In a February 2009 continuation of the war of words between Bainimarama and Tuilaepa, Bainimarama accused Samoa's foreign policy of being dictated by New Zealand.[6] He also accused Tuilaepa of being "un-Pacific".[6] Tuilaepa fired back, questioning whether Bainimarama was sober when he made these claims and reiterating that Bainimarama shows little respect for Pacific leaders.[6]

In late 2011, Tuilaepa initiated a meeting of Polynesian leaders which led, in November, to the formal launching of the Polynesian Leaders Group, a regional grouping intended to co-operate on a variety of issues including culture and language, education, responses to climate change, and trade and investment. The Group was in part a response to the Melanesian Spearhead Group.[7][8][9]

In June 2017, the Samoan Parliament passed a bill to increase support for Christianity in the country's constitution, including a reference to the Trinity. Article 1 of the Samoan Constitution states that “Samoa is a Christian nation founded of God the Father, the Son and the Holy Spirit”. According to The Diplomat, "What Samoa has done is shift references to Christianity into the body of the constitution, giving the text far more potential to be used in legal processes."[10] The preamble to the constitution already described the country as "an independent State based on Christian principles and Samoan custom and traditions."[10]

Tuilaepa's government passed highly controversial legislation in 1998 to switch Samoan road use from right to left-hand traffic.[14][15] The controversy resulted in a peaceful demonstration which drew more than 15,000 people the largest protest demonstration in Samoan history,[14] and to the founding of the People's Party, a political party established to protest against changing sides.[15][16]

In 2011, Tuilaepa's government introduced a bill to shift Samoa west of the International Date Line, to facilitate economic relations with Australia, New Zealand and Asia (by ensuring that Samoa would no longer be one calendar day away from them). According to Samoa Observer editor Keni Lesa, many Samoans viewed the bill as "another crazy idea from our crazy prime minister". Opposition politicians also criticised it, arguing that it would not increase exports, and that it would in fact deprive Samoa of "its unique tourism selling point as the last place on earth to see the sun", just east of the Date Line. Tuilaepa responded by calling opposition MP Lealailepule Rimoni Aiafi (of the Tautua Samoa Party) "very stupid", adding that "only an idiot" would fail to see the merits of the bill.[17] However, the bill had the support of the Samoa Chamber of Commerce and the vast majority of the private and finance sector. The major benefit being that, given that most trade was conducted with New Zealand and Australia, and a growing trade sector with South East and East Asia, that being on the same day as these major trading partners would lead to improvements in productivity, as more trade could be facilitated during a shared five-day week, as opposed to the previous situation of only sharing three-week days to conduct business.

The 2019 Samoa measles outbreak began in September 2019.[18] As of 26 December, there were 5,612 confirmed cases of measles and 81 deaths, out of a Samoan population of 200,874.[19][20] Over two percent of the population has been infected.[19]

The outbreak has been attributed to a sharp drop in measles vaccination from the previous year. In 2013, 90% of babies in Samoa received the measles-mumps-rubella vaccination at one year of age.[21]

On 6 July 2018 on the east coast of Savai'i, two 12-month-old children died after receiving MMR vaccinations.[22] The cause of death was incorrect preparation of the vaccine by two nurses who mixed vaccine powder with expired anaesthetic instead of the appropriate diluent.[23] These two deaths were picked up by anti-vaccine groups and used to incite fear towards vaccination on social media.[24] The government stopped its vaccination programme for 10 months, despite advice from the WHO.[25] The incident caused many Samoan residents to lose trust in the healthcare system.[26]

Nevertheless, as of 29 December a public inquiry into the government's role in suspending vaccinations had not been announced. Deputy director of health Gaualofa Matalavea Saaga stated, "Having our case blasted out to the world is the last thing we want."[22] Samoa’s political opposition called for the health minister to be removed from his position.[22]