Health and education outcomes are generally poorer in Melanesia (except Fiji) and Micronesia (PIFS, 2015a). The Pacific region is currently facing a non-communicable diseases (NCDs) crises, which is the leading cause of death in all Commonwealth Pacific small states except PNG (see Chapter 6). Polynesian and Micronesian states rank high on global obesity, tobacco use and physical inactivity rates (see Chapter 6).