The WHO Special Initiative on Climate Change and Health in Small Island Developing States (‎SIDS)‎ was launched in November 2017 by WHO in partnership with the Secretariat of the United Nations Framework Convention on Climate Change (‎UNFCCC)‎ and the Government of Fiji, as President of the 23rd Conference of the Parties to the UNFCCC. To implement this SIDS Initiative, WHO consulted the Pacific island countries and areas (‎PICs)‎ and developed the Pacific Islands Action Plan on Climate Change and Health in Nadi, Fiji in March 2018. The Pacific Islands Action Plan was launched by the Pacific health leaders attending at the World Health Assembly in May 2018. This Action Plan presents the short-term and long-term action items and indicators of four strategic lines of action: (‎1)‎ Empowerment; (‎2)‎ Evidence; (‎3)‎ Implementation; and (‎4)‎ Resources. Through the implementation of this Action Plan, PICs will benefit from the highest-quality and greatest possible political, technical and financial support in protecting Pacific islanders from climate-sensitive diseases and building climate-resilient health systems.