The Pacific region is at a crossroads. The advancement of the Sustainable Development Goals aspirationsacross all sectors are facing the test of international solidarity. The Pacific Small Island Developing States(PSIDS) contribute less than 0.03 per cent of the world’s total greenhouse gas emissions but are amongst the most vulnerable to the impacts of climate change. They are made up of a land area of only half a million square kilometres, and of low-lying atolls that do not reach more than a few meters above current sea levels. In this regard, the key theme of this year’s Pacific Perspectives 2022: Accelerating Climate Action is integration. This publication focuses on the disaster-climate-health nexus (Chapter 1); strengtheningocean and climate synergies (Chapter 2); promoting climate-smart and digital trade policy measures (Chapter 3); and enabling a sustainable energy transition (Chapter 4). It is clear that climate actions must not only be scaled up, but also integrated across these various sectors. It is clear that climate actions must not only be scaled up, but also integrated across these various sectors. ESCAP remains committed to accelerating climate action through regional cooperation in Asia and the Pacific.