In 2012 Bristol Bay Native Association (BBNA) in partnership with Bristol Bay Area Health Corporation (BBAHC) and Alaska Native Tribal Health Consortium (ANTHC) began evaluating connections between climate change impacts and health. The purpose, to encourage wellness and to adapt to changes in the Bristol Bay region. Of special importance for community wellness are the changes occurring to the natural environment and the effects on food and water security. This is a synthesis of findings from the project.