12th Pacific Science Inter-Congress, 8-12 July 2013 University of the South Pacific, Laucala Bay Campus, Suva, Fiji Quantifying the linkage between coral reefs and human well-being in Pacific Island nations John M. Pandolfi1,2; Tom Brewer1,3; John N. Kittinger4,5,*; Jennifer K. Schultz6,*; Rebecca Prescott6,*; Chris Bird6; Durrell Kaplan7,8; Nancy Lewis9, Alan M. Friedlander10; Marimar Berzunza-Sanchez1,2, Joshua E. Cinner1,3; Robert J. Toonen6; Ellen K. Pikitch11; Angela I. Fa‘anunu12,*; & Bruce A. Wilcox13,* Australian Research Council Centre of Excellence for Coral Reef Studies 2 School of Biological Sciences, The University of Queensland, St. Lucia, QLD 4072, Australia 3 School of Marine & Tropical Biology Sciences, James Cook University, Townsville, QLD 4011, Australia 4 Department of Geography, University of Hawai‘i at Mānoa, 445 Saunders, 2424 Maile Way, Honolulu, HI 96822 5 Stanford University, Center for Ocean Solutions, Woods Institute for the Environment, 99 Pacific Street, Suite 155A, Monterey, CA 93940 6 Department of Zoology, University of Hawai‘i at Mānoa, 2538 McCarthy Mall, Edmondson 152, Honolulu, HI 96822 USA 7 Center for Conservation and Research Training, Pacific Biosciences Research Center, University of Hawai‘i at Mānoa, 3050 Maile Way, Gilmore 406, Honolulu, HI 96822, USA 8 Entomology and Genomics, California Academy of Sciences, 55 Music Concourse Drive, Golden Gate Park, San Francisco, CA 94118 9 East-West Center, 1601 East-West Road, Honolulu, HI 96848-1601 USA 10 Hawai‘i Cooperative Fishery Research Unit, Department of Zoology, University of Hawai‘i, Honolulu, Hawai‘i 96822 12th Pacific Science Inter-Congress, 8-12 July 2013 University of the South Pacific, Laucala Bay Campus, Suva, Fiji 1 School of Marine and Atmospheric Sciences, Stony Brook University, Stony Brook, NY 11794, USA 12 Department of Urban and Regional Planning, University of Hawai‘i at Mānoa, 107 Saunders Hall, 2424 Maile Way, Honolulu, HI 96822 USA 3 Division of Ecology and Health, John A. Burns School of Medicine, University of Hawai‘i, 651 Ilalo Street, BSB 320, Honolulu, HI 96826, USA * National Science Foundation, Integrative Graduate Education, Research & Training (IGERT) Program in Ecology, Conservation & Pathogen Biology, University of Hawaii at Manoa, 651 Ilalo Street, BSB 320 Honolulu, HI 96813 USA One of the critical concerns facing global societies is how degradation of marine ecosystems might affect the long-term health and wellbeing of human populations. Such challenges are particularly relevant for vulnerable populations and economies of Pacific Island countries and territories (PICTs) that depend upon coral reefs for goods, services and cultural values. Here, we deconstruct the linkage between coral reef ecosystem condition and human well being in 19 PICTS. We drew on a diversity of social and ecological datasets to examine this relationship, using established metrics for coral reef ecosystem condition and socioeconomic develoment status, and a novel health transition index that estimates the health status of PICTS along a gradient from conditions of the developed to the developing world. Our regional analysis uncovers important social-ecological linkages and trends in the Pacific, where socioeconomic development is resulting in shifting lifestyles with consequent impacts on reefs and human health. Economic development status is strongly associated with health status in PICTs, but their relationship to coral conditions are mediated by governance systems. The degree to which countries are politically independent, selfgoverning in free association with other states, or dependent 12th Pacific Science Inter-Congress, 8-12 July 2013 University of the South Pacific, Laucala Bay Campus, Suva, Fiji on an external colonial state influences both the status of human health and reef condition and their interrelationships. Specifically, we found no direct relationship between human health and reef status in dependent and self-governing states, but a negative relationship among independent states which on average exhibit lower levels of economic development, better coral reef conditions, and health conditions of the developing world. Governance dependency among PICTs plays a key role in wellbeing and ecological outcomes, likely influenced by external socioeconomic aid that affect development trajectories, health services delivery, and biodiversity protections. The mediating role of governance systems in our analysis points to the importance of balanced development approaches that consider both human health and wellbeing and marine biodiversity. This is congruent with existing interntional initiatives but the role of governance systems suggests that approaches will have to be tailored to the specific context in order to return linked social and ecological benefits. Key Words: human-environment interactions, human wellbeing, coral reefs, sustainable development