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The COVID-19 pandemic has brought profound social, political, economic, and environmental challenges to the world. The virus may have emerged from wildlife reservoirs linked to environmental disruption, was transmitted to humans via the wildlife trade, and its spread was facilitated by economic globalization. The pandemic arrived at a time when wildfires, high temperatures, floods, and storms amplified human suffering. These challenges call for a powerful response to COVID-19 that addresses social and economic development, climate change, and biodiversity together, offering an opportunity to bring transformational change to the structure and functioning of the global economy. This bio defense can include a ‘‘One Health’’ approach in all relevant sectors; a greener approach to agriculture that minimizes greenhouse gas emissions and leads to healthier diets; sustainable forms of energy; more effective international environmental agreements; post-COVID development that is equitable and sustainable; and nature-compatible international trade. Restoring and enhancing protected areas as part of devoting 50% of the planet’s land to environmentally sound management that conserves biodiversity would also support adaptation to climate change and limit human contact with zoonotic pathogens. The essential links between human health and well being, biodiversity, and climate change could inspire a new generation of innovators to provide green solutions to enable humans to live in a healthy balance with nature leading to a long-term resilient future.

The nations of CARICOM16 in the Caribbean together with Pacific island countries contribute less than 1% to global greenhouse gas (GHG) emissions (approx. 0.33%17 and 0.03%18 respectively), yet these countries are expected to be among the earliest and most impacted by climate change in the coming decades and are least able to adapt to climate change impacts. These nations’ relative isolation, small land masses, their concentrations of population and infrastructure in coastal areas, limited economic base and dependency on natural resources, combined with limited financial, technical and institutional capacity all exacerbates their vulnerability to extreme events and climate change impacts. Stabilising global GHG emissions and obtaining greater support for adaptation strategies are fundamental priorities for the Caribbean Basin and Pacific island countries. CARICOM leaders recently unveiled their collective position that global warming should be held to no more than 1.5°C19 and continue to develop a Climate Change Strategic Plan. The Pacific island countries have expressed their priorities for addressing climate change regionally through the Pacific Leaders’ Call to Action on Climate Change20 and the Pacific Islands Framework for Action on Climate Change 2006-2015.21