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This chapter highlights the possible impact that climate change and sea level rise might have on SIDS. Recommendations for national action include: ratify the Climate Change Convention and Montreal Protocol; collect data on climate change and sea level rise; assess the effects and socio-economic implications of the impact of climate change; formulate comprehensive strategies and measures on adaptation to climate change; and promote more efficient use of energy resources. Recommended regional actions include: monitor and improve predictive capacity for climate change; strengthen information exchange mechanisms; and support national efforts. Recommendations for international action include: implementation of the prompt-start resolution of the Climate Change Convention; development of adaptive response measures to the impact of climate change and sea level rise; improved access to financial and technical resources for monitoring climate variability and sea level rise; and providing access to environmentally sound and energy efficient technologies.