The environment is rapidly changing and global warming brings impacts to all forms of life. This report is about the effects of a changing climate on the human environment and changes to communities and peoples’ lives. The best measures of change are the observations of people who live and work here, travel the trails, watch the weather, and harvest food from the land and sea. By listening, we learn the nature of the changes that are occurring, and gain insight into the causes and specific implications to people and the adaptations that are being developed and used every day. People of the Alaska are excellent observers of environmental change because of their local knowledge and expertise about the weather, wildlife, natural environment and resources. During this project, residents shared their knowledge on why these changes are important and how change affects people’s lives. Observations were recorded in public meetings and interviews. This information has been interpreted through the lens of public health in order to determine potential health connections and the effects on the communities.