Pacific Health Priorities at PIF: Smaller island leaders meeting in Palau pushed for stronger health workforce support, plus better air and sea transport, fisheries work, and easier climate finance access—key basics for keeping communities healthy during shocks. Kiribati–India Health Link: In Tarawa, India’s High Commissioner Suneet Mehta met Kiribati officials on women’s empowerment and inclusive growth, and also visited a dialysis centre, highlighting India’s support for dialysis units across Pacific countries and talks to expand healthcare collaboration. Climate and Water–Food–Health Risk: Pacific leaders and aid groups warned El Niño could worsen safe drinking water and sanitation, spreading disease when wells are contaminated and crops fail—especially hard for children in places like Kiribati. Regional Security Pressure: The PIF leaders’ agenda is being overshadowed by China–Taiwan tensions and missile concerns, while Kiribati’s leader reportedly did not attend key retreat sessions—an instability that can distract from health and disaster planning.