Fuel Crisis & Health Costs: Pacific leaders invoked the Biketawa Declaration to coordinate emergency action as fuel shocks keep driving up prices and strain essentials like transport and electricity—an indirect hit to public health through higher costs and disrupted services. Tuvalu Disaster Readiness: Tuvalu-linked Royal Australian Navy medical staff are heading to Nanumea Lagoon under Operation Render Safe, boosting local medical capability while clearing explosive remnants of war. El Niño Preparedness: SPREP urged communities to start practical El Niño preparations now, warning that impacts will vary by country but could affect families’ safety and health. Dengue Alert: Dengue activity is rising across the Pacific, with outbreaks reported in six countries including Tuvalu; health systems face pressure as cases and hospitalisations climb. Safer, Cheaper Flights: Tuvalu chaired the 4th Regional Aviation Ministers Meeting, pushing regional cooperation to improve access to care and emergency response through safer, more affordable air travel. Coral Resilience Research: Scientists are hunting “super reefs” that can withstand extreme heat, including work in the Marshall Islands that could help protect fisheries and coastal protection for island communities. Regional Response Group Training: The Pacific Response Group is expanding disaster relief readiness through multinational exercises, including medical evacuations and supply drops—supporting resilience when local capacity is stretched.