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Climate change is already affecting development in the Pacific. Rising sea level and changing rainfall patterns are challenging infrastructure, water supply, agriculture, fisheries and natural ecosystems. Extreme weather events such as floods, droughts and cyclones are having significant impacts from the household level up to the level of national economies. They are causing great hardship for individuals and communities on many islands, threatening livelihoods, traditional cultures and natural resources. These impacts could worsen in the coming decades as climate change accelerates.