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This paper outlines a framework for adaptation to climate change for urban areas in low- and middle-income nations that is pro-poor and that enhances the capacity of low-income households and community organizations to contribute to such adaptation. It begins by describing how urban centres in low- and middle-income countries concentrate a large proportion of those most at risk from the effects of climate change - as people's lives, assets, environmental quality and future prosperity are threatened by the increasing risk of storms, flooding, landslides, heatwaves and drought that climate change is likely to bring. It also points to the weaknesses in the local institutions with responsibility for addressing this and the very large deficiencies in the infrastructure and services needed for protection. It also discusses the lack of attention given to supporting adaptation in urban areas by scientists, governments and international agencies, and considers why this is so.