Climate change and its impact on health in the Pacific Islands is the theme of this issue. The "Cyclone Season" in the Pacific stretches from October to March each year causing unimaginable infrastructural damage from hurricane-force winds and flooding usually to more than one Island nation. What has captured much attention though is the constant rise in sea level flooding low lying areas and atolls with the potential of displacing communities. The health and lives of those affected by Climate Change events can be affected for many years after. Climate Change has and will continue to have a huge impact on health outcomes in the Pacific.