Card Care Across the Pacific: Fiji’s Sri Sathya Sai Sanjeevani Children’s Heart Hospital is expanding its reach, with visiting missions treating children from Kiribati and other island nations. The hospital runs early screening through schools and community outreach, and has completed more than 56,000 heart screenings; some children are now getting catheter-based procedures that can avoid major open-heart surgery. Adult Cardiac Services Next: Later this month, the same hospital will extend specialised heart services to adults and adolescents, including angiograms and scans, aiming to reduce the need for families to travel overseas for care. Kiribati Children Return After Surgery: Two children from Kiribati—9-month-old Amota and 5-year-old Ruata—received life-saving heart surgeries during a Gift of Life mission in Fiji and are expected to go home recovering. Climate and Health Pressure: Pacific communities already facing fuel shortages are being warned to prepare for El Niño, which could worsen drinking water, food security, and children’s health—especially where water is already unsafe.