Health procurement: Samoa’s acting health minister signed a nearly US$3m deal for medical equipment and supplies under an ADB-backed Pacific project to strengthen vaccine coverage in Samoa, Tonga, Tuvalu and Vanuatu—aiming to cut child pneumonia and diarrhoea, reduce cervical cancer incidence, and keep the vaccine cold chain running in remote areas. Cardiac care expansion: Fiji’s Sri Sathya Sai Sanjeevani Heart Hospital is expanding free paediatric cardiac services across the Pacific, with school and community screening and recent interventional procedures that can avoid open-heart surgery for some children, including referrals from Tuvalu. Climate and health risks: Pacific leaders in Palau pushed for COP31 to deliver climate finance and renewables support, warning that warming beyond 1.5°C could mean major losses in tuna income and coastal food supplies, plus higher flooding and drinking-water stress—direct threats to community health. Food and water crisis warning: A UN-backed message to leaders highlighted rising flooding and saltwater impacts, with Tuvalu flagged for worsening flooding risk and growing pressure on children’s health. Regional action for resilience: Security and governance discussions stressed that declarations must turn into measurable, people-centred outcomes—linking health, coordination, and community protection to broader resilience planning.