Dominant debates about China’s growing presence in the Pacific Islands – through infrastructure, aid, trade, and investment – suggest that Chinese material power directly translates to influence and effective interference in Pacific states’ domestic and foreign affairs. These perspectives fail to clarify the causal link between Chinese economic statecraft and Pacific governments’ alignment with Beijing’s interests. They also deny Pacific people agency, overlooking how power relations are mediated by Pacific state and non-state actors operating across complex political and socio-economic structures. We challenge such rationalist conceptualisations of Chinese power by developing a constructivist taxonomy of power as presence (dormant capability), influence (socialisation), and interference (incentives), and applying it to the Melanesian subregion. We argue that Chinese power is not merely material, causal, and unidirectional. Chinese power can also (re)shape the identities and interests of Pacific elites and publics in a constitutive manner, potentially aligning their ideas about substantive norms, rules, and practices guiding their foreign relations with Chinese ‘core interests’ and perspectives on regional and global politics.

Women are globally underrepresented as political leaders; as of January 2023, only 17 countries had a woman head of government. Included in this small group is Samoa, which elected Fiame Naomi Mata’afa as its first woman prime minister in 2021 after a fiercely contested election and subsequent protracted legal disputes centered around interpretations of Samoa’s 10% gender quota. Drawing on data from the Pacific Attitudes Survey, the first large-scale, nationally representative popular political attitudes survey conducted in the Pacific region, this article examines how the political environment in Samoa shapes opportunities for women’s political participation and leadership. Using the theoretical framework of cohabitation, it finds that although there is an enabling environment for women’s participation and leadership in formal politics, women’s access to decision-making spaces more broadly is still constrained by norms of traditional leadership. This speaks to traditional and nontraditional political norms and practices that coexist, at times uneasily, alongside one another.

Leptospirosis is a bacterial zoonosis that poses an increasing global public health risk. Pacific Island communities are highly vulnerable to leptospirosis outbreaks, yet the local drivers of infection remain poorly understood. We conducted a systematic review to identify the drivers of human Leptospira infection in the Pacific Islands. There were 42 included studies from which findings were synthesized descriptively. In tropical Pacific Islands, infections were a product of sociodemographic factors such as male gender/sex, age 20 to 60 years, Indigenous ethnicity, and poverty; lifestyle factors such as swimming, gardening, and open skin wounds; and environmental factors, including seasonality, heavy rainfall, and exposure to rodents, cattle, and pigs. Possible mitigation strategies in these islands include strengthening disease reporting standards at a regional level; improving water security, rodent control, and piggery management at a community level; and information campaigns to target individual-level drivers of infection. By contrast, in New Zealand, exposures were predominantly occupational, with infections occurring in meat and farm workers. Accordingly, interventions could include adjustments to occupational practices and promoting the uptake of animal vaccinations. Given the complexity of disease transmission and future challenges posed by climate change, further action is required for leptospirosis control in the Pacific Islands.

While larger British colonies in Africa and Asia generally had their own medical services, the British took a different approach in the South Pacific by working with other colonial administrations. Together, colonial administrations of the South Pacific operated a centralised medical service based on the existing system of Native Medical Practitioners in Fiji. The cornerstone of this system was the Central Medical School, established in 1928. Various actors converged on the school despite its apparent isolation from global centres of power. It was run by the colonial government of Fiji, staffed by British-trained tutors, attended by students from twelve colonies, funded and supervised by the Rockefeller Foundation, and jointly managed by the colonial administrations of Britain, Australia, New Zealand, France and the United States. At the time of its establishment, it was seen as an experiment in international cooperation, to the point that the High Commissioner for the Western Pacific called it a ‘microcosm of the Pacific’. Why did the British establish an intercolonial medical school in Oceania, so far from the imperial metropole? How did the medical curriculum at the Central Medical School standardise to meet the imperial norm? And in what ways did colonial encounters occur at the Central Medical School? This article provides answers to these questions by comparing archival documents acquired from five countries. In doing so, this article will pay special attention to the ways in which this medical training institution enabled enduring intercolonial encounters in the Pacific Islands.

The nutritional environment in early life is a key factor for brain development and function. It is important to understand the relationship between early life nutrition and academic achievement in adolescence. The Pacific Islands families (PIF) birth cohort(1) were born in the year 2000. When their child was 6 weeks old mothers were asked questions concerning food security over the last year. Two binary measures of food security were derived as previously used in PIF and also by the Ministry of Health (MOH). Records of academic achievement for 649 youth were obtained from the National Certificate of Educational Achievement database in 2019. Highest qualifications and a composite ranking score allowed achievement to be assessed at levels 1, 2 and 3 of NCEA and for University Entrance (UE, lowest to highest). More females (27%) than males (18%) achieved UE as their highest qualification and more males (40%) than females (31%) achieved level 1 or 2 as their highest qualification. UE was achieved by 25% of those born into food secure households and 17% from food insecure households. Logistic regression demonstrated that being female increased the odds of achieving UE 1.8 fold and food security a further 1.6 fold. The prevalence of food insecurity was not different by sex but high at 29% and 42% using the PIF and MOH measure of food insecurity respectively. This work emphasises the importance of maternal and early life food security for subsequent academic achievement and the well-being of future generations.

Across the Pacific, agricultural systems have used two main complementary cultivation regimes: irrigated farming of wet environments and rain-fed cropping of drylands. These strategies have different productive potential and labour needs, which has structured their temporal and spatial distributions. Although these approaches have been studied a great deal at a general level, there has been less work on the local use and significance of these strategies. Here, the authors evaluate ideal distribution models of agricultural activities in the Punalu‘u valley on O‘ahu, Hawai‘i, to assess how habitat suitability changed as a result of infrastructural investment and dynamic environmental, social and demographic change. The results are of relevance for contemporary initiatives to revive Indigenous agricultural systems in Hawai‘i and beyond.

The Hawaiian archipelago was formerly home to one of the most species-rich land snail faunas (> 752 species), with levels of endemism > 99%. Many native Hawaiian land snail species are now extinct, and the remaining fauna is vulnerable. Unfortunately, lack of information on critical habitat requirements for Hawaiian land snails limits the development of effective conservation strategies. The purpose of this study was to examine the plant host preferences of native arboreal land snails in Puʻu Kukui Watershed, West Maui, Hawaiʻi, and compare these patterns to those from similar studies on the islands of Oʻahu and Hawaiʻi. Concordant with studies on other islands, we found that four species from three diverse families of snails in Puʻu Kukui Watershed had preferences for a few species of understorey plants. These were not the most abundant canopy or mid canopy species, indicating that forests without key understorey plants may not support the few remaining lineages of native snails. Preference for Broussaisia arguta among various island endemic snails across all studies indicates that this species is important for restoration to improve snail habitat. As studies examining host plant preferences are often incongruent with studies examining snail feeding, we suggest that we are in the infancy of defining what constitutes critical habitat for most Hawaiian arboreal snails. However, our results indicate that preserving diverse native plant assemblages, particularly understorey plant species, which facilitate key interactions, is critical to the goal of conserving the remaining threatened snail fauna.

Ancestral Polynesian Society has been argued to represent a formative stage in Polynesian ethnogenesis. Recently discovered human burials at the Talasiu midden site in Tonga, dating to c. 2650 cal BP, now provide the earliest known evidence for Ancestral Polynesian mortuary behaviour. This article presents and evaluates the burials, comparing archaeological evidence for Talasiu mortuary practices with those of older Lapita and more recent Tongan burials, as well as with Ancestral Polynesian Society funerary activities inferred through linguistic reconstruction. These comparisons emphasise that several socio-cultural behaviours that are important to contemporary Polynesian societies were expressed very differently in the past.

On 30 January 2020, WHO declared coronavirus (COVID-19) a global public health emergency. As of 12 March 2020, 125 048 confirmed COVID-19 cases in 118 countries had been reported. On 12 March 2020, the first case in the Pacific islands was reported in French Polynesia; no other Pacific island country or territory has reported cases. The purpose of our analysis is to show how travellers may introduce COVID-19 into the Pacific islands and discuss the role robust health systems play in protecting health and reducing transmission risk. We analyse travel and Global Health Security Index data using a scoring tool to produce quantitative estimates of COVID-19 importation risk, by departing and arriving country. Our analysis indicates that, as of 12 March 2020, the highest risk air routes by which COVID-19 may be imported into the Pacific islands are from east Asian countries (specifically, China, Korea and Japan) to north Pacific airports (likely Guam, Commonwealth of the Northern Mariana Islands or, to a less extent, Palau); or from China, Japan, Singapore, the United States of America or France to south Pacific ports (likely, Fiji, Papua New Guinea, French Polynesia or New Caledonia). Other importation routes include from other east Asian countries to Guam, and from Australia, New Zealand and other European countries to the south Pacific. The tool provides a useful method for assessing COVID-19 importation risk and may be useful in other settings.