Pacific Health in a Changing Climate: Country-led Innovation for Resilient Health Systems

1. Put health at the centre of climate adaptation and resilience. Pacific countries are already experiencing significant climate-related health impacts, including heat stress, vector-borne diseases, water insecurity, food system disruptions, and increasing pressure on health services. COP31 must recognise climate-resilient health systems as a core adaptation priority and invest in climate-proofed facilities, surveillance systems, workforce capacity, and service continuity. 2. Ensure health is visible, measurable, and financed in climate action. Health indicators should be integrated into National Adaptation Plans (NAPs), Nationally Determined Contributions (NDCs), and the Global Goal on Adaptation (GGA). Ministries of Health must be meaningfully involved in national climate finance processes to access adaptation funding and implement country-led health priorities. 3. Strengthen Pacific leadership on health, loss and damage, and cross-sector action. The Pacific must elevate evidence of climate-related health losses, including impacts on lives, wellbeing, health services, and economies, to strengthen Loss and Damage negotiations. Stronger collaboration between health, environment, climate, water, food, and development sectors is essential to scale practical solutions and ensure Pacific health priorities are reflected across COP31 outcomes.